Posts for: May, 2018
You may think an office cleaning is mainly cosmetic — giving your teeth that polished look and you that pleasant, “squeaky clean” feeling. But your dental hygienist is doing more than making your teeth look great during your cleaning session — they’re also providing a valuable service keeping your teeth and gums healthy.
Here, then, are 3 things your dental hygienist is doing during a cleaning session that protects your health.
Removing disease-causing plaque. An office cleaning produces more than a fresh and clean smile. Your hygienist is manually removing plaque and calculus (hardened plaque deposits) in hard to reach places or where it has built up despite your best efforts at brushing and flossing. This built-up plaque is a ready source of bacteria producing acids, which give rise to both tooth decay and gum disease. And for actual occurrences of the latter, plaque removal is an important part of the treatment to restore your gums to a healthy pink.
Checking for signs of dental disease. As your hygienist cleans your teeth, they’re also looking for abnormalities in the mouth’s soft tissue — lumps, bumps, sores, or swelling — that may indicate something more serious requiring further examination. They’re also assessing your overall gum health, probing any areas that might indicate gum disease. And, of course, they’re looking for cavities, softened enamel or other signs of tooth decay.
Helping you improve your oral hygiene.Â As proficient as they are, a dental hygienist can only do so much to help prevent dental disease; the rest — daily brushing and flossing — is on your shoulders. But you’re not completely on your own, because your hygienist is your best personal hygiene training partner: not only can they assess how well you’re doing in your daily regimen, but they can also give you expert advice and tips on improving your brushing and flossing performance.
If you would like more information on the role of your hygienist in your dental care, 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 “Dental Hygiene Visit.”
“To gain something, sometimes you have to give up something else.”
No, that isn't the latest viral meme on the Internet. It's actually a practical consideration that could arise in orthodontics.
In this case, the “something” to gain is a straighter, more attractive smile; the “something” you may have to part with is a few teeth. This may be necessary if there are too many teeth on a dental arch for its capacity, a situation called crowding. A lack of space is the main reason teeth come in misaligned.
Before we can correct this, we'll need to free up space to allow for tooth movement by removing one or more of the existing teeth. The ideal candidates are those that are near to the teeth we wish to move but not highly visible. The first bicuspids are the most frequent choices for removal: they're located behind the cuspids or eyeteeth (the pointed teeth right under the eyes).
Ideally, we'll remove the target teeth some time before we apply braces to give the gums a chance to heal. At the same time we want to preserve the bone that once supported the teeth we've extracted. This is because when we chew the forces generated by the teeth stimulates bone replacement growth. When a tooth is no longer there the supporting bone doesn't receive this stimulation and may ultimately reduce in volume.
We may try to prevent this by placing a bone graft in the empty socket immediately after removing the tooth. The graft serves as a scaffold to encourage new bone to grow. Hopefully when we're ready to apply braces, the bone will be strong and healthy to handle the movement of the teeth.
As the teeth move under the influence of braces, they'll begin to fill up the space created by tooth removal. Once it's completed, the extracted teeth won't be missed — the other teeth now straightened will completely fill out the smile.
The different steps in this process must be carefully planned and executed precisely, and it will take months or even years to complete. In the end, though, this complicated bite problem can be corrected and replaced with an attractive, straight smile.
If you would like more information on correcting a poor bite, 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 “Tooth Removal for Orthodontic Reasons.”
If you have a problem tooth we’ve recommended removing, those “Tooth in one day” ads—a tooth removed and an implant placed at the same time—might start to pique your interest. But there are a few factors we must consider first to determine if this procedure is right for you. Depending on your mouth’s health conditions, you may need to wait a little while between tooth extraction and implantation.
Here are 3 timing scenarios for receiving your implant after tooth removal, depending on your oral health.
Immediately. The “tooth in one day” scenario can be much to your liking, but it could also be tricky in achieving the best results. For one, the implant may fit too loosely—the bone around the socket might first need to heal and fill in or undergo grafting to stimulate regeneration. In other words, immediate implant placement usually requires enough supporting bone and an intact socket. Bone grafting around the implant is usually needed as well.
After gum healing. Sufficient gum coverage is also necessary for a successful outcome even if the bone appears adequate. To guard against gum shrinkage that could unattractively expose too much of the implant, we may need to delay implant placement for about 4 to 8 weeks to allow sufficient gum healing and sealing of the extraction wound. Allowing the gums to heal can help ensure there’s enough gum tissue to cover and protect the implant once it’s placed.
After bone healing. As we’ve implied, implants need an adequate amount of supporting bone for best results. When there isn’t enough, we might place a bone graft (often immediately after tooth extraction) that will serve as a scaffold for new bone to grow upon. Depending on the degree of bone loss, we may wait until some of the bone has regenerated (about 2 to 4 months) and then allow the natural process of bone cells growing and adhering to the implant (osseointegration) to complete the needed bone growth. If bone loss is extensive, we may need to wait until full healing in 4 to 6 months to encourage the most stable outcome.
If you would like more information on the process of obtaining dental implants, 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 “Implant Timelines for Replacing Missing Teeth.”