While minor gum recession can be treated by your dentist with deep cleaning and antibiotics, serious gum recession can only be treated with oral surgery. A loss of bone and gum pockets that are very deep require gum surgery to address the pain and damage left by acute gum recession.
Three treatments are used primarily in the treatment of serious gum recession, in order of invasiveness: pocket depth reduction, regeneration, and soft tissue graft. Pocket depth reduction involves a deep cleaning of the affected area. The periodontist folds the gum tissue back and utilizes tooth scaling and root planing to remove any tartar and plaque built up around the tooth. Once the gum pockets are clean, the surgeon pulls the gum tissue gently around the tooth, eliminating the deep pockets altogether or significantly reducing their depth.
Regeneration utilizes a similar treatment to pocket depth reduction, but it also addresses any bone loss that occurred due to acute gum recession. In this process, a regenerative agent such as graft tissue, membranes or tissue stimulating proteins is added to the affected area. The gum tissue is then tucked into place and stitched down. Over time, the regenerative agent will work to rebuild lost bone and tissue, leaving healthy and thriving tissue behind.
The most common soft tissue graft is taken from the patient’s own mouth, either by removing tissue from the roof of the mouth or from the gum tissue near the affected tooth. The healthy gum tissue is placed in the affected area, over the exposed tooth root, protecting it from infection and damage.
To prevent the need for oral surgery to address your receding gums, have good oral hygiene habits. Brush, floss and see your dentist twice a year for checkups and professional cleanings. Talk to your dentist if you have any other questions about how to reverse or prevent gum recession.
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Wisdom teeth are the third set of molars and the last adult teeth to erupt into the mouth. Most people have four wisdom teeth, two on the bottom and two on top. Many people do not have enough room for these molars to emerge completely, causing them to become impacted in the gum. Impacted wisdom teeth are difficult to clean, making them more susceptible to decay and disease. Other dental problems caused by impacted wisdom teeth include pain, damage to surrounding teeth, and bite alignment issues. For these reasons, your dentist may recommend having the impacted teeth removed to prevent future problems.
Surgery to extract an impacted wisdom tooth or set of wisdom teeth is usually an outpatient procedure done in your dentist or oral surgeon’s office. If the tooth or surrounding area are deemed to have an infection prior to the procedure, surgery will be delayed, and your dental professional will likely prescribe antibiotics to help heal the area.
On the day of surgery, local anesthesia will be administered to numb the area where the extracted tooth will be removed. Depending on the severity of your case, your dentist or oral surgeon may also utilize a general anesthetic.
Once the anesthesia has taken effect, an incision will be made to open up the gum and any bone blocking the tooth will be removed. Your dentist or surgeon will then separate the tissue connecting the bone to the tooth and extract the tooth. Some teeth are too large to remove in one piece, in which case your surgeon will cut the tooth into smaller pieces to make it easier to remove. Finally, the incision is closed with stitches and packed with gauze to help alleviate bleeding.
Long-term complications from impacted wisdom tooth surgery are rare. To ensure a successful recovery from this or any oral surgery, be sure to follow all aftercare instructions provided by your dentist or oral surgeon.
Sores in or around your mouth are painful and unsightly. They can have a variety of causes, such as infections, irritation from orthodontics or dentures, and symptoms of another health problem. Here are descriptions of the most common mouth sores.
Cold sores
Also called fever blisters, cold sores appear around your lips, nose, or chin. These extremely contagious, fluid-filled blisters are caused by the herpes simplex virus type 1. Once you are infected with primary herpes, the virus remains in your body and occasionally flares up. Cold sores typically heal by themselves in about a week. Over-the-counter topical anesthetics may help, and your dentist may prescribe antiviral medications to reduce occurrences.
Canker sores
These small ulcers only appear inside your mouth. They are white or gray with a red border, and are not contagious. Experts are unsure of the exact cause, but suspect they are related to immune system deficiencies, viruses, or bacteria. Canker sores usually heal on their own in a week or two. It is advised to avoid spicy, hot, or acidic foods that can irritate the sore. Over-the-counter mouthwashes or topical anesthetics may help, and your dentist may prescribe antibiotics if a secondary infection occurs.
Thrush
Oral thrush, or candidiasis, is a fungal infection occurring when the yeast Candida albicans reproduces in great amounts. Common with denture wearers, it most often appears in people with weakened immune systems such as the elderly or ill. People with dry mouth or who are on antibiotics are also at greater risk for thrush. The key to controlling candidiasis is treating the condition that causes it. Dentures should be cleaned regularly and removed at bedtime, and dry mouth should be treated in an effort to lessen that condition.
Leukoplakia
Leukoplakia are thick, white patches that grow on the inside of your cheeks, gums or tongue. Common with tobacco users, they result from irritations from habits like chewing on your cheek or wearing ill-fitting dentures. Leukoplakia are also associated with oral cancer. Treatment focuses on addressing the reasons for the lesion, such as quitting smoking or replacing dentures.
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Many patients seeking the stability and durability of dental implants wonder what the difference is between mini implants or standard sized dental implants. The basic differences are with regard to their intended function.
A standard dental implant is larger than 3 millimeters in diameter and is made up of two parts: the screw and the abutment. The screw portion of a dental implant is made of titanium, a non-toxic metal well tolerated by the body. The success of all dental implants is due to this bio-compatibility. Materials that aren’t tolerated by the body can create a response by the immune system and may lead to serious problems over time.
With a standard implant, the screw has two threaded areas: external, to screw into the bone and internal, to accommodate any components that are screwed into the implant for security. This internal area provides for the abutment. It is on this abutment that the tooth portion of a dental implant is attached. It also holds dentures firmly in place.
A mini dental implant is smaller than 3 millimeters in diameter and has one solid piece instead of screw and abutment. A mini implant has a solid screw body with a rounded ball shape that extends out of the jawbone. This rounded ball can hold a denture with a corresponding slot, keeping the restoration firmly in place.
Because they are smaller, mini implants provide less support than a standard implant. For example, four mini implants would be needed to hold a patient’s lower dentures in place securely. For the same job, only two standard sized implants would suffice.
Consult your dentist to determine if mini implants or standard implants are right to address your missing tooth or teeth. Get the right implant for your specific needs.
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Everyone wants to have a whiter, healthy smile. Home teeth whitening has become an extremely popular means to achieve those pearlier whites in the past couple of decades. In many cases, over-the-counter whitening kits are effective and safe. However, there are some disadvantages and risks to using over-the-counter home whitening kits:
Off-brand whitening kits often contain dangerous concentrations of bleach or peroxide. This can cause erosion of the tooth enamel, and irritation to the sensitive gums and soft tissues of the mouth.
Because many kits contain trays that do not adhere properly to your teeth, gums can become irritated and chemicals can leak out and be ingested causing stomach problems.
Poorly fitted trays and varying concentrations of chemicals from lower quality kits may also result in unwanted discoloration of teeth or uneven results.
Exposure to excessively harsh chemicals in off-brand kits can also cause gum shrinkage and oral infections.
When considering at-home whitening, it is best to stick to name brand kits to ensure the quality and safety of the treatment. Many popular brands of kits are both safe and efficient when used as directed. In any case, you should not consider at-home whitening if any of the following apply:
You have deep, untreated cavities.
You are pregnant.
You suffer from gum disease.
The safest and most effective method for whitening your teeth is to have treatment by a dental professional, either in-office or with professional take-home trays. A qualified dentist can whiten your teeth up to ten shades in as little as one office visit. Consult with your dentist before pursuing any type of whitening treatment to ensure you will achieve the whiter smile you desire in the safest and quickest manner possible.
Thanks to advances in dental technology, dentures are more natural looking and comfortable than ever before. If you are one of the many adults wearing dentures to replace missing teeth, there are several do’s and don’ts you will want to follow to ensure they maintain their fit and your oral health:
Do take your dentures out before going to bed, allowing your mouth tissues to rest from wearing them all day.
Don’t let your dentures dry out. Soak them in mild denture solution or water while you sleep.
Do clean them daily with either a mild detergent or special denture cleaning solution and a soft-bristled brush.
Don’t soak them in very hot water, as this could cause them to warp, and they will no longer fit properly.
Do handle them with care. Dropping your dentures or treating them with strong cleansers or harsh brushes can do permanent damage.
Don’t neglect your oral care for the rest of your mouth. Even patients with a full set of dentures need to take care of their gums, and if you have partial dentures you should continue to brush and floss your remaining teeth regularly.
Do pay attention to changes in the fit or feel of your dentures. Problems with fit can lead to irritation and discomfort, and could also be an indication of gum disease.
Don’t try to adjust or repair your dentures on your own. If your dentures are ill-fitting or damaged in any way, schedule an appointment with your dentist to have them evaluated.
Do continue to see your dentist for regular checkups to help maintain your best oral health and check your dentures for fit and function.
If you are missing all or some of your teeth, dentures can greatly improve both your appearance and the quality of your life. By following these simple guidelines, you can maintain the beauty and functionality of your dentures for many years.
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