When die-hard music fans hear that their favorite performer is canceling a gig, it’s a big disappointment—especially if the excuse seems less than earth-shaking. Recently, British pop sensation Dua Lipa needed to drop two dates from her world tour with Bruno Mars. However, she had a very good reason.
“I’ve been performing with an awful pain due to my wisdom teeth,” the singer tweeted, “and as advised by my dentist and oral surgeon I have had to have them imminently removed.”
The dental problem Lipa had to deal with, impacted wisdom teeth, is not uncommon in young adults. Also called third molars, wisdom teeth are the last teeth to erupt (emerge from beneath the gums), generally making their appearance between the ages of 18-24. But their debut can cause trouble: Many times, these teeth develop in a way that makes it impossible for them to erupt without negatively affecting the healthy teeth nearby. In this situation, the teeth are called “impacted.”
A number of issues can cause impacted wisdom teeth, including a tooth in an abnormal position, a lack of sufficient space in the jaw, or an obstruction that prevents proper emergence. The most common treatment for impaction is to extract (remove) one or more of the wisdom teeth. This is a routine in-office procedure that may be performed by general dentists or dental specialists.
It’s thought that perhaps 7 out of 10 people ages 20-30 have at least one impacted wisdom tooth. Some cause pain and need to be removed right away; however, this is not always the case. If a wisdom tooth is found to be impacted and is likely to result in future problems, it may be best to have it extracted before symptoms appear. Unfortunately, even with x-rays and other diagnostic tests, it isn’t always possible to predict exactly when—or if—the tooth will actually begin causing trouble. In some situations, the best option may be to carefully monitor the tooth at regular intervals and wait for a clearer sign of whether extraction is necessary.
So if you’re around the age when wisdom teeth are beginning to appear, make sure not to skip your routine dental appointments. That way, you might avoid emergency surgery when you’ve got other plans—like maybe your own world tour!
If you would like more information about wisdom tooth extraction, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”
The “magic” behind a dental implant’s durability is the special affinity its imbedded titanium post has with bone. Over time bone grows and attaches to the titanium surface to produce a strong and secure hold.
But there’s one important prerequisite for ultimate implant success—there must be an adequate amount of bone available initially to properly position the post during implantation. Otherwise, the implant may not have enough support to position it properly or cover the implant surface completely with bone.
Inadequate bone can be a problem for patients who lost teeth some time before and now desire to an implant restoration. This happens because when teeth are missing, so are the forces they generate during chewing. These forces stimulate new bone growth around the tooth root to replace older, dissolved bone at a healthy rate. If that replacement rate is too slow, the volume and density of bone may gradually diminish.
There is a way, though, to build up the bone for future implantation. Known as bone preservation procedure or a ridge augmentation, it’s a surgical procedure in which the dentist adds bone grafting material to the extraction socket or the bony ridge. The graft serves as a scaffold for new bone cells to grow and multiply. If successful, there will be enough new bone volume after several months of healing to support proper implant placement.
Bone grafting can add more time to the implant process. It may also mean you will not be able to undergo immediate crown placement after implantation (a “tooth in one day” procedure). Instead we would probably suture gum tissue over the implant to protect it and allow for full integration with the bone over a few more months. In the meantime, though, we could fit you with a temporary restoration like a removable partial denture (RPD) or a bonded bridge to improve the appearance of the space while the bone continues to heal.
After several months, your implant will have a better chance of a secure hold and we can then attach a life-like crown. Even if you’ve suffered bone loss, you’ll then have the benefit of not only a durable implant but also a new smile.
Think you're too old to have your teeth straightened? While we automatically pair “teenager” with “braces,” at least one in five orthodontic patients are adults. And there's many more that could benefit, as many as three-quarters of adults with a correctable bite problem.
But although orthodontics can be performed at any age, it's not a minor undertaking. It will require time, patience and expense. So, before you decide to undergo orthodontics, here are 3 simple questions to ask first.
Why? Like children and teenagers, adults can benefit cosmetically from correcting a poor bite. But there's another great reason besides a more attractive smile: misaligned teeth are more difficult to care for than normal teeth. Orthodontic treatment is an investment and potential cost-saver in your future dental health.
Why not? Even senior adults can successfully undergo treatment. But braces might be ill-advised if you have either poor oral or general health. Periodontal (gum) disease, for example, can cause bone loss, which makes it difficult to safely and successfully move teeth (and the effort could worsen current disease activity in the gums). Medical conditions like bleeding disorders, leukemia or uncontrollable diabetes could interfere as well. You'll need both a dental and medical examination beforehand.
How? We can use braces — or we might be able to use a newer, more popular option with adults called clear aligners. These are a series of computer-designed clear, plastic trays you wear in sequence until you finish the series. Each tray is slightly smaller than the previous tray, moving the teeth in much the same manner as braces. But unlike braces, you can remove aligners for cleaning or a rare special occasion — and they're much less noticeable than metal braces. Although in some cases braces may still be the best option, it's also possible clear aligners could be the option you've been looking for.
So, are you ready for a new smile and a more maintainable mouth? Visit us for the answers to your questions and see if braces (or clear aligners) can transform your life and health.
If you would like more information on orthodontic treatment for adults, 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 “Orthodontics for the Older Adult.”
White, translucent teeth are the hallmark of a beautiful smile. But with age or the foods we eat our teeth’s natural brightness can dim to a dingy yellow.
If this is your case, you may be able to benefit from teeth whitening techniques that brighten up your less than “pearly whites.” A teeth whitening treatment from time to time could put the dazzle back in both your smile and your self-confidence.
Here, then, are 3 reasons for considering tooth whitening to improve your smile.
You might be able to do it yourself. There are a number of home whitening options (including whitening strips) that are safe and effective to use at home. But there are a couple caveats: because your dentist can use stronger bleaching solutions they may be able to perform the procedure in less time and with longer lasting results than a home kit. Also, some forms of staining originate inside a tooth—a home kit won’t help with that kind of discoloration.
It’s safe and relatively inexpensive. Home bleaching solutions aren’t strong enough to be harmful (unless you disregard the product directions) and are usually not very costly. Your dentist uses stronger solutions but with the training and curing equipment to minimize any risk to your teeth. And compared to other cosmetic treatments, dental office teeth whitening is still a relatively inexpensive option.
Dental office whitening can be more comprehensive and precise. Another reason to opt for your dentist to whiten your teeth is the wide range of discoloration they can alleviate. They have clinical techniques for alleviating internal tooth staining, and could even combine these with treatments for external staining. Your dentist can also help you achieve the exact degree of whiteness you desire—from a more subtle, natural shade to “Hollywood Bright.”
Whitening isn’t permanent—but with a thorough application and avoiding foods and habits that contribute to staining, professional whitening effects can last up to two years. If you’re interested, see your dentist for a full dental examination for any issues that might interfere with the whitening process. From there, you’re not far from a brighter and more attractive smile.
If you would like more information on teeth whitening and other dental cosmetic enhancements, 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 “Teeth Whitening: Brighter, Lighter, Whiter….”
Some moviegoers have been known to crunch popcorn, bite their fingers or grab their neighbor’s hands during the intense scenes of a thriller. But for one fan, the on-screen action in the new superhero film Black Panther led to a different reaction.
Sophia Robb, an 18-year-old Californian, had to make an emergency visit to the orthodontic office because she snapped the steel wire on her retainer while watching a battle scene featuring her Hollywood crush, Michael B. Jordan. Her jaw-clenching mishap went viral and even prompted an unexpected reply from the actor himself!
Meanwhile, Sophia got her retainer fixed pronto—which was exactly the right thing to do. The retention phase is a very important part of orthodontic treatment: If you don’t wear a retainer, the beautiful new smile you’re enjoying could become crooked again. That’s because if the teeth are not held in their new positions, they will naturally begin to drift back into their former locations—and you may have to start treatment all over again…
While it’s much more common to lose a removable retainer than to damage one, it is possible for even sturdy retainers to wear out or break. This includes traditional plastic-and-wire types (also called Hawley retainers), clear plastic retainers that are molded to fit your teeth (sometimes called Essix retainers), and bonded retainers: the kind that consists of a wire that’s permanently attached to the back side of your teeth. So whichever kind you use, do what Sophia did if you feel that anything is amiss—have it looked at right away!
When Black Panther co-star Michael B. Jordan heard about the retainer mishap, he sent a message to the teen: “Since I feel partly responsible for breaking your retainers let me know if I can replace them.” His young fan was grateful for the offer—but even more thrilled to have a celebrity twitter follower.
If you have questions about orthodontic retainers, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Bonded Retainers.”
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