Dental Emergencies

emergency-2 Dental Emergencies

Dental Emergencies – How and What

Accidents happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth. For all dental emergencies, it’s important to visit your dentist as soon as possible. Most dentists reserve time in their daily schedules for emergency patients so be sure to call your dentist and provide as much detail as you can about your condition. If the accident occurs when your dental office is not open, visit your local emergency room. Here are some common dental emergencies and how to deal with them.

What should I do when a tooth is knocked out/ Pushed out of Position? 

For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk. If the tooth is a baby tooth, the best thing to do is find the tooth, keep it moist and get to a dentist. Your dentist can see whether the entire tooth, or just part of it, came out. Your dentist can also determine whether to implant it again.

For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. See your dentist as soon as possible.

What should I do when other common dental emergencies?

  1. For toothaches, rinse your mouth with warm water to clean it out. Gently use dental floss to remove any food caught between your teeth. Do not put aspirin on your aching tooth or gums; it may burn the gum tissue. If the pain persists, contact your dentist.
  2. If you bite your tongue or lip, clean the area gently with water and apply a cold compress. See your dentist or go to the emergency room if there is excessive bleeding, the bleeding won’t stop or you are in a lot of pain.
  3. For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with a sharp or pointed instrument. The item might be painful or cause an infection, so see your dentist if you cannot remove it.

How to avoid Dental emergencies?

There are a number of simple precautions you can take to avoid accident and injury to the teeth:

  • Wear a mouth guard when participating in sports or recreational activities.
  • Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth.
  • Use scissors, NEVER your teeth, to cut things.

If a custom-fit mouth guard isn’t an option, try a “boil-and-bite” mouth guard. You can buy one in a sporting-goods store. You place the mouth guard in boiling water. Once the plastic is soft (but not too hot), you bite down on the mouth guard and mold the softened plastic around your teeth. If the mouth guard doesn’t fit comfortably the first time, you can reheat it and do it again.

 

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Braces vs Invisalign

comparison-Braces-to-invisalign-1024x581 Braces vs Invisalign

What is Invisalign?

 

Invisalign® takes a modern approach to straightening teeth, using a custom-made series of aligners created for you and only you. These aligner trays are made of smooth, comfortable and virtually invisible plastic that you wear over your teeth. Wearing the aligners will gradually and gently shift your teeth into place, based on the exact movements your dentist or orthodontist plans out for you.

 

There are no metal brackets to attach and no wires to tighten. You just pop in a new set of aligners approximately every two weeks, until your treatment is complete. You’ll achieve a great smile with little interference in your daily life. The best part about the whole process is that most people won’t even know you’re straightening your teeth. No matter what stage you’re at in life, you’ll appreciate how our cutting-edge approach to treatment has minimal interference in how you live, but has a significant positive impact on how you look and feel about yourself.

 

Invisalign over Braces:

invisalign-300x140 Braces vs Invisalign
With Invisalign, the aligner trays are not only smooth and comfortable to wear, but they’re also removable. That means you can continue doing all the things you normally would, from brushing and flossing, to eating whatever you like. With other devices, brushing and flossing properly can often take up to 30 minutes!

Special occasion coming up? No problem — just take your aligners out for that time and pop it back in when you’re ready. Of course, even when you’re wearing them, most people won’t even know you’re going through treatment, because they are virtually invisible! Invisalign is also ideal for your busy schedule, with fewer doctor visits required (approximately every six weeks).

With regular braces, you may experience some or all of the following: pain, discomfort, mouth sores or injuries caused by the brace wires, tooth decay (from inadequate brushing and flossing), plaque buildup, tooth discoloration, tooth/bracket breakage, or difficulty eating. As if that weren’t enough, there are also the personal sacrifices—popcorn, chips, bagels, hard-crusted bread, pizza crust, pretzels, nuts, certain candies…plus apples, carrots, corn on the cob, and more

 

Treatment Process:

 

Whether you’re considering treatment for yourself or someone else, knowing more about the entire process can help you be more confident in your decision to choose Invisalign and enjoy a better smile every day.

 

  • Your treatment begins after you select the experienced Invisalign-trained Provider that you feel most comfortable with and schedule your initial consultation. Because you will be interacting with this doctor on a regular basis, you may even want to personally meet with a few providers before deciding which one is right for you. This is an important medical and financial decision. That’s why choosing the right doctor and the right treatment plan is so essential
  • Your doctor will take x-rays, pictures and impressions of your teeth, which Invisalign will use to create a digital 3-D image of them. From these images your doctor will map out a precise treatment plan, including the exact movements of your teeth, and tell you the approximate length of treatment. Using the same technology your doctor will be able to show you a virtual representation of how your teeth will move with each stage of treatment.
  • Based on your individual treatment plan, a series of custom-made, clear aligners is then created specifically for you. These aligners are made of a smooth, comfortable, BPA-free plastic that won’t irritate your cheeks and gums like traditional metal braces often do. Simply wear them throughout the day, and remove them when you eat or to brush and floss your teeth.
  • Approximately every two weeks, you will begin wearing a new set of aligners, advancing you to the next stage of your treatment. To monitor your progress, you will also have occasional checkups with your doctor, usually only every six weeks or so. Once your treatment is complete, protect the beautiful new smile you have invested in. Ask your doctor if you will need retainers to keep your teeth in their new position.

 

 

 

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Wisdom Teeth Extraction

Wisdom-Tooth-Removal Wisdom Teeth ExtractionWhat are wisdom teeth?

Wisdom Teeth are a third set of molars in the back of your mouth. They usually come in between the ages of 17 and 25, and they’re spotted on X-rays. Most people have them removed for one of these reasons:

  • They’re impacted.Because they’re so far back in your mouth, wisdom teeth may not come in normally. They can be trapped in your jawbone or gums, which can be painful.
  • They come in at the wrong angle. They may press against your other teeth
  • Your mouth isn’t big enough.Your jaw has no room for an extra set of molars.
  • You have cavities or gum disease.You may not be able to reach your wisdom teeth with your tooth brush or dental floss.

If the wisdom teeth emerge partially through the gums, a passageway is created, which can cause problems. And because this area is hard to see and clean, it can become a magnet for bacteria that cause gum disease and oral infection.

 

The procedure of wisdom teeth extractionWisdom-Teeth-300x248 Wisdom Teeth Extraction

An oral and maxillofacial surgeon or your dentist can remove (extract) a wisdom tooth. The procedure often can be done in the dentist’s or surgeon’s office. Your surgery should take 45 minutes or less.

  • Local: Your doctor will numb your mouth with a shot of Novocain in your gums. You may also breathe nitrous oxide, or laughing gas, to relax or even doze during surgery. You should feel alert again shortly afterward.
  • IV sedation: The surgeon will numb your mouth and also give you drugs through a vein in your arm to make you drowsy. You might sleep during the whole procedure.
  • General:You’ll either get drugs through a vein or breathe gas in through a mask. You’ll be asleep the whole time and might not wake up for an hour or so after the surgery.

Your doctor may have to cut your gums or bone to get the wisdom teeth out. If so, he’ll stitch the wounds shut so they heal quickly. Most people have little to no pain after surgery. You’ll likely have swelling and mild discomfort for 3 or so days. Your mouth may need a few weeks to completely heal.

 

Wisdom teeth: to extract or not?

While there currently is no single surgical approach for removing third molars that will particularly minimize loss of periodontal attachment, there are many techniques available to remove them carefully while promoting good healing outcomes. Some of these include:

 

  • Scaling, root planning, and plaque control have the potential to reduce the loss of gum attachment after surgery.
  • Periodontal surgical techniques may be beneficial in instances where there is evidence of significant pre-existing periodontal attachment loss.

 

Prior to any wisdom teeth extraction procedure it is critical that your dental surgeon conduct a proper evaluation — not only to assess the clinical health of the wisdom teeth but also the health of neighboring teeth and other vital structures. X-ray and digital imaging techniques play an important role in determining the exact position of third molar teeth in the jaws, which in turn has a direct impact on the ease or difficulty associated with their removal and the prevention of complications.

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Be At Ease Without Gum Disease

gumdisease1 Be At Ease Without Gum Disease

Gum disease, What is it?

 

Gum disease is an infection of the tissues that surround and support your teeth. It is a major cause of tooth loss in adults. Because gum disease is usually painless, you may not know you have it. Also referred to as periodontal disease, gum disease is caused by plaque, the sticky film of bacteria that is constantly forming on our teeth.

 

There are 5 types of gum disease:

  1. Gingivitis – Is an inflammation of the tissues surrounding and supporting the teeth and characterized by red, swollen gums that bleed easily when teeth are brushed or flossed. It is also reversible with proper treatment.
  2. Chronic Perodontitis – Is the stage where the gum and bone recede and form pockets where residue of food can be accumulated and afterward create plaque, which presents the main cause of gum inflammation.
  3. Advanced Perodontitis – A stage of a severe gum damage, when there is no longer an anchor for the teeth and they get wobbly and loose. The result is usually a tooth loss, therefore, it is very important to catch and treat gum disease as early as possible.
  4. Periodontal Disease Relating to Systemic Conditions – Periodontal disease can be a symptom of a disease or condition affecting the rest of the body. Depending on the underlying condition, the disease can behave like aggressive periodontal disease, working quickly to destroy tissue. Heart disease, diabetes and respiratory disease are the most common co factors
  5. Necrotizing Periodontal Disease – This form of the disease rapidly worsens and is more prevalent among people who suffer from HIV, immunosuppression, malnutrition, chronic stress or choose to smoke. Tissue death (necrosis) frequently affects the periodontal ligament, gingival tissues and alveolar bone.

 

The gum inflammation may pass unnoticed at first. It can form around teeth in the back of your mouth where you can’t see it. It is a dentist or a periodontist that can determine with certainty if you have some degree of gum disease.

A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease, and in the placement of dental implants.

 

What are the causes?

 

Gum disease is mostly caused by an improper oral hygiene. It allows bacteria in plaque to settle on the teeth and infect the gums. But there are other factors that increase the risk of developing gingivitis like:

  • poor oral hygiene
  • smoking or chewing tobacco
  • genetics
  • crooked teeth that are hard to keep clean
  • pregnancy
  • diabetes
  • medications, including steroids, certain types of anti-epilepsy drugs, cancer therapy drugs, some calcium channel blockers and oral contraceptives

 

Preventing Gum Disease

 

Preventing gum disease is important for your teeth, but it’s also important for your overall health as well. Here are five simple steps to take right now that can help ensure your gums stay as healthy as possible:

  • Brush and floss: The best way to prevent gum disease is to brush and floss regularly, but to get the best effects, you need to be sure you’re doing both correctly so you eliminate bacteria at the gum line and between teeth without harming the gums themselves.
  • Have regular checkups: Seeing a periodontist regularly is critical for adults since a periodontist has been trained to identify the early signs of gum disease even before they cause symptoms.
  • Stop smoking: Smoking decreases circulation that helps keep gums healthy, and it’s also a primary contributor to gum disease.
  • Watch what you eat: Eating a balanced diet with plenty of vitamins and minerals is important to keep the gum tissue healthy so it can support your teeth and ward off disease. Avoiding sugary snacks is also important since the bacteria that cause gum disease thrive on sugar.
  • Chew sugar-free gum: When you can’t brush after a meal, chewing sugar-free gum can help promote the production of saliva so tiny food particles can be cleared away and your mouth’s healthy environment can be restored.

 

Treatment

 

The goal of gum disease treatment is to control infection and to arrest its progression.

Treatment options involve good nutrition, and proper brushing and flossing that can control the growth of harmful bacteria and in advanced paradentosis even surgery to restore supportive tissues.

Antibiotic therapy are used to kill specific bacteria. They are placed under the gums or given as pills to treat gum disease. Antibiotic pills typically are given only for acute (sudden and short-term) infections. Acute and long-term (chronic) gum infections require a procedure called scaling and root planing.

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