Posts for: April, 2016
Image by Flickr user KatieThebeau used under Creative Commons Attribution-ShareAlike 4.0 license. Image cropped and modified from original
WHILE MOST PEOPLE HAVE thirty-two permanent teeth that develop (including the wisdom teeth) some people’s permanent teeth never grow in at all. These are called congenitally missing teeth—teeth missing from birth—and it’s actually more common than you think!
So, what do you do if you find out you or your child have one or more congenitally missing teeth?
Why Would a Tooth Be Congenitally Missing?
A lot of factors are at play when it comes to the complex process of tooth formation. Congenitally missing teeth can run in families, meaning that often it is simply an inherited trait. Certain systemic conditions can also result in missing teeth. Whatever the reason for congenitally missing teeth, the good news is that there are effective ways to treat it.
What Kinds of Treatments Are There for Missing Teeth?
Depending on your unique situation and personal preference, your dentist will recommend one or a combination of these treatments:
- Dental implants: This is most often the treatment of choice. Dental implants are artificial tooth roots that provide a strong foundation for replacement teeth. Combined with a crown specifically made to match your teeth, they are the most natural, functional and long-lasting treatment option.
- Dental bridge: Bridges, often considered the next best option, literally “bridge” the gap created by one or more missing teeth. Crowns, placed on the two teeth adjacent to the gap, are connected to a false tooth that fills the space left by the missing tooth.
- Removable partial denture: This appliance consists of replacement teeth attached to a gum-colored plastic base. The removable denture simply rests on your natural teeth and gums.
- Orthodontic treatment: Oftentimes gaps left by missing teeth will cause the surrounding teeth to rotate and shift into the empty space, resulting in bad bite and other issues. Orthodontic treatment is often recommended to keep the gap open until treatment to replace the missing tooth is undertaken.
Your Dream Smile Is Our Goal
If you or your child have congenitally missing teeth, consult with us today about your options. Whatever your decided treatment plan, we’re dedicated to making sure you get the smile you’ve always dreamed of!
Making you smile makes our day!
Aspirin has been a popular pain reliever and fever reducer for over a century. Its effect on the clotting mechanism of blood, however, has led to its widespread and often daily use in low dose form (81 mg) to help reduce the chances of heart attack or stroke in cardiovascular patients. While this has proven effective for many at risk for these conditions, it can complicate dental work.
Aspirin relieves pain by blocking the formation of prostaglandins; these chemicals stimulate inflammation, the body’s protective response to trauma or disease. Aspirin reduces this inflammatory response, which in turn eases the pain and reduces fever. It also causes blood platelets to stop them from clumping together. This inhibits clotting, which for healthy individuals could result in abnormal bleeding but is beneficial to those at risk for heart attack or stroke by keeping blood moving freely through narrowed or damaged blood vessels.
Even for individuals who benefit from regular aspirin therapy there are still risks for unwanted bleeding. Besides the danger it may pose during serious trauma or bleeding in the brain that could lead to a stroke, it can also complicate invasive medical procedures, including many in dentistry. For example, aspirin therapy could increase the rate and degree of bleeding during tooth extraction, root canal or other procedures that break the surface of soft tissue.
Bleeding gums after brushing is most often a sign of periodontal (gum) disease. But if you’re on an aspirin regimen, gum bleeding could be a side effect. A thorough dental examination will be necessary to determine whether your medication or gum disease is the root cause.
It’s important, then, to let us know if you’re regularly taking aspirin, including how often and at what dosage. This will help us make more accurate diagnoses of conditions in your mouth, and will enable us to take extra precautions for bleeding during any dental procedures you may undergo.
If you would like more information on the effects of aspirin and similar medications on dental treatment, 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 “Aspirin: Friend or Foe?”
Via a recent Instagram post, pop diva Ariana Grande became the latest young celebrity to publicly acknowledge a dental milestone: having her wisdom teeth removed. The singer of hits such as “Break Free” and “Problem” posted an after-surgery picture of herself (wearing her signature cat-eye eyeliner), with a caption addressed to her teeth: “Peace out, final three wisdom teeth. It’s been real.”
With the post, Grande joined several other celebs (including Lily Allen, Paris Hilton and Emile Hirsch) who have shared their dental surgery experience with fans. Will "wisdom teeth removal" become a new trending topic on social media? We aren’t sure — but we can explain a bit about the procedure, and why many younger adults may need it.
Technically called the “third molars,” wisdom teeth usually begin to emerge from the gums between the ages of 17 and 25 — presumably, around the same time that a certain amount of wisdom emerges. Most people have four of these big molars, which are located all the way in the back of the mouth, on the left and right sides of the upper and lower jaws.
But when wisdom teeth begin to appear, there’s often a problem: Many people don’t have enough space in their jaws to accommodate them. When these molars lack sufficient space to fully erupt (emerge), they are said to be “impacted.” Impacted teeth can cause a number of serious problems: These may include pain, an increased potential for bacterial infections, periodontal disease, and even the formation of cysts (pockets of infection below the gum line), which can eventually lead to tooth and bone loss.
In most cases, the best treatment for impacted wisdom teeth is extraction (removal) of the problem teeth. Wisdom tooth extraction is a routine, in-office procedure that is usually performed under local anesthesia or “conscious sedation,” a type of anesthesia where the patient remains conscious (able to breathe normally and respond to stimuli), but is free from any pain or distress. Anti-anxiety medications may also be given, especially for those who are apprehensive about dental procedures.
So if you find you need your wisdom teeth extracted, don’t be afraid to “Break Free” like Ariana Grande did; whether you post the results on social media is entirely up to you. If you would like more information about wisdom tooth extraction, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”