Should I Extract My Impacted Wisdom Teeth?

You’ve gone to your dentist for your routine checkup.  You have no pain, no discomfort in your mouth.  It’s time for you to have some x-rays.  After the dentist evaluates the x-rays, he tells you that you have impacted wisdom teeth and you need to go to an oral surgeon to have them extracted.  What do you do?

You have a lot to consider.  This kind of recommendation is especially made to younger people (usually the recommendation comes before it’s time to go off to college).  It is easier to have wisdom teeth that are impacted extracted when people are younger, because the wisdom teeth roots aren’t fully developed and the dental bone is not as dense as it is in older patients.  If the teeth are easier to remove, then the recovery is easier as well.

An impacted wisdom tooth is stuck under the gum, usually embedded in the jawbone.  Even though you have no symptoms, there are reasons to justify extracting them.  When a wisdom tooth is partially embedded in the gums and part of the crown is exposed in the mouth, there is a pocket between the gums and the tooth and this area can easily get infected.  When this happens, it usually keeps getting infected (this is called a pericoronitis), and this is very painful.  It makes sense to extract a tooth such as this when there isn’t room for the tooth to fully erupt into the mouth.

Other reasons for extracting a wisdom tooth are irreparable tooth decay, an abscess, cysts, tumors, or damage to the nearby teeth or bone.

It usually is advisable to have all four wisdom teeth extracted at the same time if you are going forward with the surgery, because it is usually painful after the procedure, so if you do only one or two extractions and you need others, you may not want to go back, fearing a repeat performance of pain and swelling.  The extractions can be several thousands of dollars at an oral surgeon’s office, and you have to consider, there always is some risk involved in any surgical procedure.  You have to consider how proactive and preventive you want to be to avoid possible problems in the future.

For information about other dental topics visit our website: www.TavorminaDentistry.com

Non-Surgical Treatment Of Gum Disease

Gum disease is a chronic bacterial infection that affects nearly 75-90 percent of the general population at one time or another. These chronic infections have been linked to increased risk of heart attack, stroke, ulcers, diabetes, respiratory diseases and pregnancy complications.

It does not have to be this way! Gum disease is easily prevented and gum treatment can be non-surgical, using a simple, antibacterial program pioneered in the 1970s by Dr. Paul Keyes (Keyes Technique).

Our approach often uses the phase contrast microscope to test for bone destroying infectious bacteria beneath the gums. With this microscope we can take a sample from under the gums and look at a slide that shows the live bacteria. The microscope is connected to a monitor so that the patient can see the live bacteria on the TV monitor with us. The microscopic information combined with the information we gather during the exam, enables us to determine how severe the infection is and work with the patient to get things under control.

Periodontal disease is an infection of the tissues and bone that surround and support the teeth. There are two basic stages of gum disease- gingivitis and periodontitis. Gingivitis is an inflammation of the gums caused by a buildup of bacteria in the mouth called plaque. This causes red, swollen gums that typically bleed easily. Healthy gums don’t bleed. Periodontitis occurs when gingivitis goes untreated and progresses to an advanced  form of gum disease. The bacteria cause the gums to pull away from the teeth, creating bone loss and pockets where the bone used to be. The bacteria can proliferate in the pockets and further damage the bone that supports the teeth. Teeth may become loose, fall out or have to be extracted.

To treat the disease non-surgically deep cleanings called scaling and root planing are performed to clean and smooth the root surfaces. We then treat the infection with antibacterial solutions flowed under the gums to help eliminate the infection. In some cases localized antibiotics must be placed under the gums in deep pockets. The patient is given thorough lessons in proper tooth brushing, flossing and home irrigation to ensure that the periodontal disease process is eliminated and doesn’t return.

For information about other dental topics visit DrTav.com.