Posts for: September, 2020
Dentists and oral surgeons remove millions of teeth every year, most without any adverse aftereffects. But about 2% of patients experience a dry socket, a condition that, although not dangerous to health, can be quite painful.
Also known as alveolar osteitis, a dry socket occurs when the blood clot that normally forms right after extraction doesn't form or becomes lost later. The clot serves as a barrier for the underlying bone and nerves during the healing process; without it these tissues can become irritated from contact with air, food or fluids.
Dry sockets (which usually occur in the back, lower molars) are fortunately rare, mainly in patients over 25, smokers or women using oral contraceptives. Patients also have a higher risk of developing a dry socket if they attempt certain activities too soon after tooth extraction like vigorous chewing or brushing that may dislodge the protective clot.
You can reduce your chances of a dry socket after a tooth extraction with a few simple guidelines. Unless advised otherwise by your dentist, avoid brushing the day after extraction and gently rinse the mouth instead. It also helps to avoid hot liquids and eat softer foods for a few days. If you smoke, you should avoid smoking during this time and use a nicotine patch if necessary.
Over the next few days, you should remain alert for any signs of a dry socket, often a dull, throbbing pain that radiates outward toward the ears, and a bad taste or mouth odor. A prompt visit to the dentist will help alleviate these symptoms, often in just a few minutes.
To treat it, a dentist will typically irrigate the socket and apply a medicated dressing, which you would need to change every other day for up to a week. After that, you'll leave the dressing in place for a while as you heal.
A dry socket doesn't interfere with the healing process: Your extraction site will heal whether or not you have one. But prevention and treatment for a dry socket will help ensure your healing after an extracted tooth is much less uncomfortable.
If you would like more information on dry socket after tooth extraction, 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.”
It's September—and that means football season is underway. Whether you're playing, spectating or managing a fantasy team, the action is about to ramp up. Unfortunately, increased “action” also includes injury risk, especially for a player's teeth, mouth and jaws.
Injury prevention is a top priority for all players, whether the pros or the little guys in Pee Wee league. For oral injuries, the single best way to avoid them is by wearing an athletic mouthguard. This soft but durable plastic appliance helps cushion the force of a direct blow to the face or mouth. Wearing one can help prevent tooth and gum damage, as well as lessen the risk for jaw or facial bone fractures.
Mouthguard use is fairly straightforward—a player should wear one anytime there's player-to-player contact. That's not only during game time, but also during practice and informal play. But what's not always straightforward is which type of mouthguard to purchase. That's right: You'll have to decide from among a variety of mouthguards on the market.
Actually, though, most fall into one of two categories: the “Boil and Bite” found in most retail stores with a sports gear department; or the custom mouthguard fashioned by a dentist.
The first are called Boil and Bite because the mouthguard must first be softened with hot water and then placed in the intended wearer's mouth to bite down on in its softened state. When the mouthguard cools and re-hardens, it will retain the bite impression to give it somewhat of an individual fit. These retail guards are relatively inexpensive and reasonably effective in cushioning hard contact, but they can also be on the bulky side and uncomfortable to wear.
In contrast, custom mouthguards are formed from an accurate impression of the wearer's bite taken in the dental office. Because of the individualized fit, we can create a guard with less bulk, greater comfort and, due to their precision, better effectiveness in preventing injury.
A custom guard is more expensive than a retail mouthguard, and younger players may need a new upgrade after a few seasons to accommodate fit changes due to jaw development. But even so, with its higher level of protection and comfort (making it more likely to be worn during play), a custom mouthguard is a worthwhile investment that costs far less than a devastating dental injury.
So, if you or a family member will be hitting the gridiron this fall (or, for that matter, the basketball court or baseball diamond later in the year), be sure you invest in a mouthguard. It's a wise way to ensure this football season will be a happy one.
Straightening your teeth with braces or other orthodontic gear is a positive step toward a healthier and more attractive smile. You'll likely be pleased with your smile when they're removed.
But you may also notice something peculiar once the braces are off—dull, white spots on your teeth. These spots, usually located under or around braces hardware, are where mouth acid has “demineralized” calcium and other minerals in the enamel. As beginning tooth decay, these spots are a sign your hygiene efforts weren't sufficient in cleaning your teeth of plaque.
In many cases, the spots will improve on their own after the braces are removed. We can also strengthen the enamel with fluoride pastes or gels, or inject tooth-colored resin within the spot to restore the enamel's translucence and improve appearance.
But the best approach is to try to prevent white spots from occurring at all. Here's what you need to do.
Keep up your oral hygiene. Even though more difficult with braces, you still need to brush and floss to protect your teeth from tooth decay. To make it easier, take advantage of special brushes designed to clean around orthodontic brackets and wires. A floss threader can also help you better access between teeth—or switch to a water flosser instead of floss thread.
Practice a “tooth-friendly” diet. A diet high in sugar and acid could short-circuit your best hygiene efforts. Certain beverages are big offenders: sodas, energy and sports drinks, and even “natural” juices. Instead, eat foods high in vitamins and minerals like fresh fruits and vegetables, lean proteins and low-fat dairy.
Get your teeth cleaned regularly. While you're seeing your orthodontist for scheduled adjustments, don't neglect regular cleanings with your family dentist. Professional cleanings at least every six months reduce the risk of dental disease. These regular visits are also a good time for your dentist to check your teeth for any signs of dental problems associated with your braces.
It's not easy to keep your teeth clean while wearing braces, but it can be done. With help from a few handy tools and continuing care from your dental professionals, you can avoid unsightly white spots.
If you would like more information on dental care while wearing braces, 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 “White Spots on Teeth During Orthodontic Treatment.”