Posts for: May, 2014
It can happen in an instant — your child takes a hard hit to the mouth while playing football, basketball or some other contact sport. Suddenly, he or she faces the severest of dental injuries: a knocked out tooth.
There's both good and bad news about this situation. First, the good news: the knocked out tooth can be reinserted into its socket and take root again. The bad news, though, is that the tooth has only the slimmest of chances for long-term survival — and those chances diminish drastically if the reinsertion doesn't take place within the first five minutes of the injury.
Outside of the five-minute window, it's almost inevitable that the tooth root won't reattach properly with the tiny fibers of the periodontal ligament, the sling-like tissue that normally holds the tooth in place to the jawbone. Instead, the root may fuse directly with the bone rather than via the ligament, forming what is called ankylosis. This will ultimately cause the root to melt away, a process known as resorption, and result in loss of the tooth.
Of course, the resorption process will vary with each individual — for some, tooth loss may occur in just a few years, while for others the process could linger for decades. The best estimate would be four to seven years, but only if the tooth receives a root canal treatment to remove any dead tissue from the tooth pulp and seal it from possible infection. Over time the tooth may darken significantly and require whitening treatment. Because the tooth may be fused directly to the jawbone it can't grow normally as its neighbor teeth will and thus may appear uneven in the smile line. From a cosmetic point of view, it may be best at that time to remove the tooth and replace it with an implant or other cosmetic solution.
In many ways the longevity of the tooth post-injury really depends on time — the time it takes to reinsert the knocked out tooth into its socket. The quicker you take action, the better the chances the tooth will survive.
If you would like more information on treating a knocked out tooth, 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 “Knocked Out Tooth: How Long Will a Tooth Last After Replantation?”
Like many who have risen to the top tier in show business, singer Taylor Hicks found that he needed a few things (besides talent, of course) to really succeed: a willingness to seek out opportunities and work hard; a unique and energetic stage presence; and a bright, appealing smile.
“Everyone wants to have a great smile,” Hicks recently told Dear Doctor magazine. “In my business, it’s one of the most important things. A lot of what I do is smiling and having fun, being in front of the camera and taking pictures.”
To help him keep his smile sparkling, Hicks opts for in-office whitening treatments from his dentist. These treatments are a safe, quick and effective way to lighten teeth by 3 to 8 shades in a single one-hour visit. Best of all, you don’t have to be an American Idol winner or a Las Vegas headliner to take advantage of them — in fact, we offer them right here in our own office.
Why choose in-office treatments instead of take-home trays (or over-the-counter products)? While each system can be effective at lightening teeth to some degree, the in-office method offers several distinct advantages. For one, it’s the fastest way to get your teeth as bright as they can be; the same lightening that can be achieved in one office visit could take a week when done at home, using custom-made trays and dentist-supplied bleaching solutions — and several weeks with over-the-counter products! So if your time is limited, in-office treatment is the way to go.
Plus, in-office treatments are performed under our direct supervision. That means we can safely use the most powerful whitening gels, and achieve the maximum control over the result. This can be important when you have crowns or replacement teeth such as implants, which Hicks has. Artificial crowns don’t whiten like natural teeth, so it’s important to get just the right degree of lightening to produce an evenly bright smile.
The bottom line, of course, is the result: a dazzling white smile. “In entertainment, a big, pearly white smile makes a difference,” Hicks said. But you don’t have to be an entertainer to enjoy the benefits of a brilliant smile — we do it for plenty of “regular folks” too.
So if your smile could use a little brightening, why not call us and schedule an appointment for whitening treatment? You can learn more in the Dear Doctor magazine articles “Teeth Whitening” and “Important Teeth Whitening Questions Answered.”
Tooth wear, especially on biting surfaces, is a normal part of aging — we all lose some of our tooth enamel as we grow older. Even primary (“baby”) teeth may show some wear before they’re lost. But there’s also excessive, premature tooth wear caused by disease or abnormal biting habits. This type of wear is cause for concern and action before it leads to tooth loss.
Normal tooth wear occurs because of what teeth naturally do — bite and chew. When teeth come together as we eat they generate a modest amount of force: between 13 and 23 pounds. Our teeth also make brief contacts hundreds to thousands times a day. Again, this produces force, though not to the extent we see with biting and chewing: somewhere between 0.75 and 7.5 pounds. These glancing contacts are actually good for dental health because they provide needed stimulation to the teeth and jaws that help the body maintain healthy bone and tooth attachments.
But parafunctional (outside the normal function) habits like teeth grinding or foreign object chewing can greatly increase the generated force, up to 230 pounds. These may result in noticeable symptoms like fractures or loose teeth, but not always — the damage may not be noticeable until much later in the form of excessive tooth wear.
These parafunctional habits aren’t the only cause for excessive tooth wear; tooth decay can weaken the tooth structure, making it more susceptible to wear. And, some restorative materials used for fillings may also affect the rate of wear.
Because excessive tooth wear may or may not present with immediate symptoms, it’s important to maintain regular dental checkups to monitor the condition of your teeth. Our training and experience helps us identify signs of excessive tooth wear and, depending on the extent of damage, work with you on a treatment plan. You should also keep us informed about oral habits, especially teeth grinding, thumb sucking or foreign object chewing (toys, nails, pencils, etc.).
Your teeth will wear as you grow older. By keeping a close eye on your teeth, we’ll help you keep that wear at a normal rate.
If you would like more information on preventing excessive tooth wear, 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 “When Children Grind Their Teeth.”