At other times, a tooth may have so much decay that it puts the surrounding teeth and jaw at risk of decay, so your doctor may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth. When it is determined that a tooth needs to be removed, your dentist may extract the tooth during a regular checkup or may request another visit for this procedure. The root of each tooth is encased within your jawbone in a "tooth socket," and your tooth is held in that socket by a ligament. In order to extract a tooth, your dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with your doctor any concerns or preferences for sedation. Once a tooth has been removed, neighboring teeth may shift causing problems with chewing or with your jaw joint function. To avoid these complications, your dentist may recommend that you replace the extracted tooth.
There are four wisdom teeth: upper left, upper right, lower left, and lower right. These teeth usually appear in the late teens or early twenties but may become impacted (fail to erupt) due to lack of room in the jaw or angle of entry. The most common type of impacted wisdom tooth is "mesial," meaning that the tooth is angled forward toward the front of your mouth. When a tooth is impacted, it may need to be removed. If it is not removed, you may develop gum tenderness, swelling, or even severe pain. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections, and even gum disease. Each patient's situation is unique, and your dentist will take x-rays and discuss your particular needs with you. If your dentist recommends removal of your wisdom teeth, it is best to have them removed sooner rather than later. As a general rule, wisdom teeth are removed in the late teens or early twenties because there is a greater chance that the teeth's roots have not fully formed and the bone surrounding the teeth is less dense. These two factors can make extraction easier. In order to remove a wisdom tooth, your dentist first needs access to it. To make this process most comfortable, your dentist will numb the area with a local anesthetic. Your dentist can even use additional medication to safely sedate you during the extraction if you are feeling nervous about the procedure. Because the impacted tooth is frequently under the gums and still encased in your jawbone, your dentist will need to remove a portion of the covering bone to extract the tooth. To minimize the amount of bone that must be removed, your dentist will often "section" your wisdom tooth so that each section can be removed through a small opening in the bone. Once the teeth have been extracted, the healing process begins. Healing time varies depending on the degree of difficulty related to the extraction. Your dentist will share with you what to expect and provide instructions for an efficient healing.
Inside each tooth is both the pulp and the nerve. The nerve is the vestige of the tissue that originally formed the tooth. Once the tooth has been in the mouth for a time, the functioning of the nerve is no longer necessary. When a tooth is cracked or has a deep cavity, bacteria can enter the pulp. Germs can cause an infection inside the tooth. Left without treatment, pus builds up at the root tip in the jawbone, forming a "pus-pocket" called an abscess. An abscess can cause the pulp tissue to die. When the infected pulp is not removed, pain and swelling can result. Certain byproducts of the infection can injure your jawbones and your overall health. Without treatment, your tooth may have to be removed. Treatment often involves from one to three visits. During treatment, your general dentist or endodontist (a dentist who specializes in problems of the pulp) removes the diseased pulp. Next the pulp chamber and root canal(s) of the tooth are cleaned and sealed. Often posterior teeth that have endodontic treatment should have a cast crown placed in order to strengthen the remaining structure. Then, as long as you to continue to care for your teeth and gums with regular brushing, flossing, and checkups so that the root(s) of the restored tooth are nourished by the surrounding tissues, your restored tooth can last a lifetime. Most of the time a root canal is a relatively simple procedure with little or no discomfort, involving one to three visits. Best of all, it can save your tooth and your smile!
Implants are a great way to replace your missing teeth. An implant is a new tooth made of steel and porcelain that looks just like your natural tooth. Your implant is composed of two parts that mimic a tooth's root and crown. The implant's "root" is a titanium steel rod placed into the jaw bone to act as a root. Once the rod is in place, a porcelain crown is attached to replace the top part of your tooth. Implants may also be used to anchor dentures, especially lower dentures that tend to shift when you talk or chew. Plus, for patients with removable partial dentures, implants can replace missing teeth so that you have a more natural-looking smile.
Gum Disease Treatment
At each regular checkup the dentist will measure the depth of the shallow v-shaped crevice (called a sulcus) between your tooth and gums to identify whether you have gum disease. Gum disease is caused by plaque, a sticky film of bacteria that constantly forms on the teeth. These bacteria create toxins that can damage the gums. Periodontal diseases attack just below the gumline in the sulcus, where they cause the attachment of the tooth and supporting tissues to break down. As the tissues are damaged, the sulcus develops into a pocket; generally, the more severe the disease, the greater the depth of the pocket. Periodontal diseases are classified according to the severity of the disease. The two major stages are gingivitis and periodontitis. Gingivitis In the early stage of gum disease, called gingivitis, the gums become red and swollen and bleed easily. At this stage, the disease is still reversible and can usually be eliminated by daily brushing and flossing. In the more advanced stages of gum disease, called periodontitis, the gums and bone that support the teeth become seriously damaged. Whereas healthy gums and bone anchor teeth firmly in place, infected gums can cause teeth to become loose, fall out, or have to be removed by a dentist. Some factors increase the risk of developing periodontal disease: Tobacco smoking or chewing, System-wide diseases such as diabetes, Some types of medication such as steroids, some types of anti-epilepsy drugs, cancer therapy drugs, some calcium channel blockers, and oral contraceptives, Bridges that no longer fit properly, Crooked teeth, Fillings that have become defective, Pregnancy If you notice any of the following signs of gum disease, see the doctor immediately: Gums that bleed easily, Red, swollen, tender gums, Gums that have pulled away from the teeth, Persistent bad breath or bad taste, Pus between your teeth and gums, Permanent teeth that are loose or separating, Any change in the way your teeth fit together when you bite, Any change in the fit of partial dentures It is possible to have periodontal disease and have no warning signs. That is one reason why regular dental checkups and periodontal examinations are very important. Treatment methods depend on the type of disease and how far the condition has progressed. Good oral hygiene at home is essential to keep periodontal disease from becoming more serious or recurring. You don't have to lose teeth to periodontal disease. Brush regularly, clean between your teeth, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.
Using sealants on your teeth gives you an extra line of defense against tooth decay. Dental sealant is a plastic resin that bonds to the deep grooves in your tooth's chewing surface. When sealing a tooth, the grooves of your teeth are filled and the tooth surface becomes smoother -- and less likely to harbor plaque. With sealants, tooth brushing becomes easier and more effective against tooth decay. Sealants are usually applied to children's teeth as a preventative measure during the years of most likely tooth decay. However, adults' teeth can also be sealed. It is more common to seal "permanent" teeth rather than "baby" teeth, but every person has unique needs. Your dentist will recommend sealants on a case by case basis. Sealants generally last from 3 to 5 years. However, it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact, so if your sealant comes off you must let your dentist know.
You can benefit from sedation dentistry if you experience one or more of the following: High fear of dental care, Complex dental problems, Traumatic dental experiences, Fear of needles and shots, Trouble getting numb, Sensitive teeth. The two most common types of sedation dentistry are: Oral Conscious Sedation and Inhalation Sedation Oral Conscious Sedation: Through this type of sedation you will experience very deep relaxation while still being conscious. Your doctor will provide you with an oral medication that is easy to swallow, safe, and low cost. Most adults will receive Halcion (triazolam), though children are usually given a liquid medication like Versed (Medazolan). When the medication takes effect, you will be able to speak and respond to external requests. Inhalation Sedation: Inhalation sedation uses Nitrous Oxide and Oxygen (laughing gas) to help your body achieve a relaxed state. This is the most popular form of sedation used in dentistry today.