Posts for category: Dental Procedures
Of the millions of teeth removed surgically each year, the vast majority of them have few if any complications. A small number of patients, however, do experience a particularly discomforting one known as dry socket.
This condition occurs when the blood clot that normally forms in a socket after an extraction fails to form or is lost. The clot helps protect the bone and nerves underneath the socket, so losing it exposes the area to temperature variations, food particles and fluids. As a result, some unpleasant symptoms can develop.
Usually manifesting around the third or fourth day after surgery, these symptoms include a bad odor or taste in the mouth and aching, throbbing pain. Fortunately, the symptoms, which usually fade in one to three days, don't pose a threat to your health. Nevertheless, you could be in for a rough time while it lasts.
So, if it happens, why you? To be honest, some people are simply more susceptible to developing dry socket, especially smokers or women who use certain contraceptives. You're also more likely to develop a dry socket if the tooth in question experienced higher than usual trauma because of difficulties in removing it. And, you could damage the forming clot if you vigorously chew or brush your teeth too soon after your procedure.
To avoid this, dentists usually recommend rinsing your teeth the first day after surgery rather than brushing the extracted area, and to chew gently, preferably on soft foods using the other side of the mouth. You might also avoid hot liquids and smoking for a few days.
If despite your best efforts you do develop a dry socket, give your dentist a call. Your dental provider can irrigate the socket and apply a medicated dressing that can speed up healing (you'll have to change every few days until symptoms abate). The dressing will provide pain relief to dramatically reduce your discomfort within just a few minutes, which you can supplement with ibuprofen or similar medication.
In time, the pain and other symptoms associated with a dry socket will subside. In the meantime, you and your dentist can take steps to make sure you're as comfortable as possible.
If you would like more information on dry socket, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dry Socket: A Painful but Not Dangerous Complication of Oral Surgery.”
During this year's baseball spring training, Minnesota Twins center fielder Byron Buxton got into a row with a steak dinner—and the beefsteak got the better of it. During his meal, the Gold Glove winner cracked a tooth.
Fortunately, he didn't lose it. Buxton's dentist rescued the tooth with a dental procedure that's been around for over a century—a root canal treatment. The dependable root canal is responsible for saving millions of teeth each year.
Dentists turn to root canal treatments for a number of reasons: a permanent tooth's roots are dissolving (a condition called resorption); chronic inflammation of the innermost tooth pulp due to repeated fillings; or a fractured or cracked tooth, like Buxton's, in which the pulp becomes exposed to bacteria.
One of the biggest reasons, though, is advanced tooth decay. Triggered by acid, a by-product of bacteria, a tooth's enamel softens and erodes, allowing decay into the underlying dentin. In its initial stages, we can often treat decay with a filling. But if the decay continues to advance, it can infect the pulp and root canals and eventually reach the bone.
Decay of this magnitude seriously jeopardizes a tooth's survival. But we can still stop it before that point with a root canal. The basic procedure is fairly straightforward. We begin first by drilling a small hole into the tooth to access the inner pulp and root canals. Using special instruments, we then remove all of the infected tissue within the tooth.
After disinfecting the now empty spaces and reshaping the root canals, we fill the tooth with a rubber-like substance called gutta percha. This, along with filling the access hole, seals the tooth's interior from future infection. In most cases, we'll return sometime later and bond a life-like crown to the tooth (as Buxton's dentist did for him) for added protection and support.
You would think such a procedure would get its own ticker tape parade. Unfortunately, there's a cultural apprehension that root canals are painful. But here's the truth—because your tooth and surrounding gums are numbed by local anesthesia, a root canal procedure doesn't hurt. Actually, if your tooth has been throbbing from tooth decay's attack on its nerves, a root canal treatment will alleviate that pain.
After some time on the disabled list, Buxton was back in the lineup in time to hit his longest homer to date at 456 feet on the Twins' Opening Day. You may not have that kind of moment after a root canal, but repairing a bothersome tooth with this important procedure will certainly get you back on your feet again.
If you would like more information about root canal therapy, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “A Step-By-Step Guide to Root Canal Treatment.”
One of the easiest ways to upgrade your smile is to have your teeth whitened. In just one dental visit, whitening could transform your teeth from dull and dingy to bright and gleaming. And with a little care and occasional touch-ups, your new and improved smile could last for years.
But perhaps you're not one to rush into things—particularly when it may affect your health—and you'd first like to know more about this popular dental procedure. Here, then, are answers to a few frequently asked questions about teeth whitening to help you decide if it's right for you.
Is it safe? Although whitening solutions use a bleaching agent like hydrogen peroxide, it's only a small percentage of the total mixture. As long as you use the solution as directed by the manufacturer, whitening your teeth won't pose any harm to your teeth.
Do I need a dentist? There are several effective bleaching products available for whitening your teeth at home. But because it's usually a stronger solution used by a professional, whitening may not take as long to realize results, and the effect may last longer. A professional whitening might also help you achieve your desired level of whiteness better than a home kit.
Are there side effects? Your teeth may become sensitive right after whitening, especially if you already have sensitive teeth. To reduce this possibility, you might begin brushing with a desensitizing toothpaste a couple of weeks prior to your whitening session, as well as reduce your frequency of subsequent whitening procedures.
Any reason to avoid whitening? If your teeth are short or you have a gummy smile, whiter teeth may not be as attractive. You may also have internal discoloration, something teeth whitening can't change. And if you have dental work, you may wind up with natural teeth that are brighter than an adjacent veneer or crown. Your dentist can better advise you after a thorough dental exam.
To get the answer to other questions you may have, or to find out if whitening is right for you, consult with your dentist. If you are a good candidate, though, teeth whitening could very well change your smile—and your life.
If you would like more information on teeth whitening, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Important Teeth Whitening Questions…Answered!”
Love at first sight—it's an endearing notion found in movies and novels, but perhaps we're a little skeptical about it happening in real life. Then again, maybe it does once in a blue moon. According to supermodel Gisele Bündchen, something definitely happened the first time she met pro quarterback Tom Brady in 2006. And it all began when he smiled.
“The moment I saw him, he smiled and I was like, 'That is the most beautiful, charismatic smile I've ever seen!'” Bündchen said in an article for Vogue magazine. That was all it took. After a three-year romance, they married in 2009 and have been happily so ever since.
Both Brady and Bündchen have great smiles. But they also know even the most naturally attractive smile occasionally needs a little help. Here are three things our happy couple have done to keep their smiles beautiful—and you could do the same.
Teeth whitening. Bündchen is a big proponent of brightening your smile, even endorsing a line of whitening products at one point. And for good reason: This relatively inexpensive and non-invasive procedure can turn a dull, lackluster smile into a dazzling head-turner. A professional whitening can give you the safest, longest-lasting results. We can also fine-tune the whitening solution to give you just the level of brightness you want.
Teeth straightening. When Bündchen noticed one of her teeth out of normal alignment, she underwent orthodontic treatment to straighten her smile. Rather than traditional braces, she opted for clear aligners, removable trays made of translucent plastic. Effective on many types of orthodontic problems, clear aligners can straighten teeth while hardly being noticed by anyone else.
Smile repair. Brady is a frequent client of cosmetic dentistry, sometimes due to his day job. During 2015's Super Bowl XLIX against the Seattle Seahawks, Brady chipped a tooth, ironically from “head-butting” his Patriots teammate Brandon LaFell after the latter caught a touchdown pass. Fortunately, he's had this and other defects repaired—and so can you. We can restore teeth as good as new with composite resin bonding, veneers or crowns.
This superstar couple, known for their advocacy of all things healthy, would also tell you a beautiful smile is a healthy one. You can help maintain your smile's attractiveness with daily brushing and flossing to lower the risk of staining and dental disease, regular dental visits, and “tooth-friendly” eating habits.
And when your teeth need a little extra TLC, see us for a full evaluation. You may not be in the spotlight like this celebrity couple, but you can still have a beautiful smile just like theirs.
If you would like more information on ways to enhance your smile, please contact us or schedule a consultation.
Although getting an implant requires surgery, it's usually a minor affair. Chances are good that after just a few days recuperation you'll be back completely to your normal activities.
But like many other minor surgeries, an implant procedure does pose a slight risk of post-op infection. That's especially so with any dental procedure like implant surgery, since the mouth harbors numerous strains of bacteria that could escape into the bloodstream. For most people, though, a post-op infection doesn't pose a major problem since their immune system kicks in immediately to defeat it.
But some patients with less than robust immune systems or other health problems can have serious complications from an infection. Among other things, infected tissues around an implant may not heal properly, putting the implant at significant risk for failure.
If you have a condition that makes a post-op infection problematic, your dentist or physician may recommend you take an antibiotic before your procedure. Known as prophylactic (preventive) antibiotic treatment, it's intended to give a weakened immune system a head-start on any potential infection after a procedure.
Using antibiotics in this way has been a practice for several decades, and at one time were recommended for a wide list of conditions. That's changed in recent years, though, as evidence from numerous studies seems to show the risk to benefit ratio isn't significant enough to warrant its use in all but a handful of conditions.
Both the American Dental Association and the American Heart Association recommend prophylactic antibiotics for patients with prosthetic heart valves, past infective endocarditis, a heart transplant and some congenital heart conditions. Some orthopedists may also recommend it for patients with prosthetic joints.
Even if you don't fall into these particular categories, prophylactic antibiotics may still be beneficial if you have a compromised immune system or suffer from a disease like diabetes or lung disease. Whether or not a prophylactic antibiotic is a prudent step given your health status is a discussion you should have with both your physician and your dentist.
If they feel it's warranted, it can be done safely in recommended doses. If your health isn't as robust as it could be, the practice could give you a little added insurance toward a successful implant outcome.
If you would like more information about dental implant surgery, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Implants & Antibiotics.”