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Posts for: August, 2021

SafelyRemoveaLooseBabyToothforaHappyToothFairyEncounter

Although Santa Claus has Christmas and the Easter Bunny has Easter, neither of these mythical characters has a day just for them (unless you count the Feast of Saint Nicholas in early December). Not so the Tooth Fairy: According to NationalToday.com, August 22nd is National Tooth Fairy Day, in celebration of this favorite sprite of children.

And, there's good reason for the love—he (or she, if you prefer) comes bearing gifts. Well, not technically a gift: the deal is a tooth in exchange for a treat. Now, what the Tooth Fairy does with all the millions of teeth obtained, no one knows. But that he/she has a huge potential supply is undeniable.

The teeth sought are a specific kind—primary ("baby") teeth that start showing up on the jaw a few months after birth and then gradually fall out by adolescence. Kids have around twenty of these teeth for the potential under-the-pillow exchange.

Here's how it happens: The roots slowly begin to dissolve and the gum tissues holding the tooth in place detach. The sure sign this is occurring is the tooth's noticeable looseness. The process continues naturally, and with no help from us, until the tooth falls out.

But children especially can grow impatient—a wiggly tooth becomes annoying, not to mention all that "earning potential" just hanging there. And so, there's an understandable urge to help it along. But some methods for doing so are problematic—tying a string to the tooth and yanking, for example. Trying to remove a tooth not quite ready can result in excessive bleeding or damage to the tooth socket.

Depending on a tooth's degree of looseness, there is a way to take it out safely. You can do this by draping a piece of gauze pad over the tooth and grasping it firmly between your fingers. Then, gently give the tooth a gentle downward pinch or squeeze. If it's loose enough, it should come out. If not, simply wait another day or two and try again.

A tooth ready to come out doesn't normally bleed much. If it does, have the child bite down on a clean piece of gauze or a wet tea bag for a few minutes until the bleeding stops. They might also eat softer foods for a few days to avoid a resumption of bleeding.

Of course, the tooth inevitably comes out whether you help it along or not. In the event it does away from home, make up some kind of small container your child can carry with them to secure the lost tooth. It's a fun project—and we wouldn't want to lose the opportunity for that profitable encounter with You-Know-Who.

If you would like more information about caring for children's primary teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Losing a Baby Tooth.”


PlaqueRemovalistheTopPriorityforPreventingorTreatingGumDisease

Tooth loss is often the unfortunate conclusion to a case of untreated periodontal (gum) disease—incentive enough to try either to prevent it or aggressively treat an infection should it occur. In either case, the objective is the same: to remove all plaque from dental surfaces.

Dental plaque (and its hardened form, tartar) is a thin buildup of bacteria and food particles on tooth surfaces. It's a ready food source for sustaining the bacteria that cause gum disease. Removing it can prevent an infection or “starve” one that has already begun.

Your first line of prevention is brushing and flossing your teeth daily to remove any accumulated plaque. Next in line are dental cleanings at least twice a year: This removes plaque and tartar that may have survived your daily hygiene.

Plaque removal is also necessary to stop an infection should it occur. Think of it as a more intense dental cleaning: We use many of the same tools and techniques, including scalers (or curettes) or ultrasonic devices to loosen plaque that is then flushed away. But we must often go deeper, to find and remove plaque deposits below the gums and around tooth roots.

This can be challenging, especially if the infection has already caused damage to these areas. For example, the junctures where tooth roots separate from the main body of the tooth, called furcations, are especially vulnerable to disease.

The results of infection around furcations (known as furcation involvements or furcation invasions) can weaken the tooth's stability. These involvements can begin as a slight groove and ultimately progress to an actual hole that passes from one end to the other (“through and through”).

To stop or attempt to reverse this damage, we must access the roots, sometimes surgically. Once we reach the area, we must remove any plaque deposits and try to stimulate regrowth of gum tissue and attachments around the tooth, as well as new bone to fill in the damage caused by the furcation involvement.

Extensive and aggressive treatment when a furcation involvement occurs—and the earlier, the better—can help save an affected tooth. But the best strategy is preventing gum disease altogether with dedicated oral hygiene and regular dental visits.

If you would like more information on preventing and treating gum disease, 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 “What are Furcations?


WhetherVotingforaCandidateorWisdomTeethYouCanChooseWisely

During election season, you'll often hear celebrities encouraging you to vote. But this year, Kaia Gerber, an up-and-coming model following the career path of her mother Cindy Crawford, made a unique election appeal—while getting her wisdom teeth removed.

With ice packs secured to her jaw, Gerber posted a selfie to social media right after her surgery. The caption read, “We don't need wisdom teeth to vote wisely.”

That's great advice—electing our leaders is one of the most important choices we make as a society. But Gerber's post also highlights another decision that bears careful consideration, whether or not to have your wisdom teeth removed.

Found in the very back of the mouth, wisdom teeth (or “third molars”) are usually the last of the permanent teeth to erupt between ages 17 and 25. But although their name may be a salute to coming of age, in reality wisdom teeth can be a pain. Because they're usually last to the party, they're often erupting in a jaw already crowded with teeth. Such a situation can be a recipe for numerous dental problems.

Crowded wisdom teeth may not erupt properly and remain totally or partially hidden within the gums (impaction). As such, they can impinge on and damage the roots of neighboring teeth, and can make overall hygiene more difficult, increasing the risk of dental disease. They can also help pressure other teeth out of position, resulting in an abnormal bite.

Because of this potential for problems, it's been a common practice in dentistry to remove wisdom teeth preemptively before any problems arise. As a result, wisdom teeth extractions are the top oral surgical procedure performed, with around 10 million of them removed every year.

But that practice is beginning to wane, as many dentists are now adopting more of a “wait and see” approach. If the wisdom teeth show signs of problems—impaction, tooth decay, gum disease or bite influence—removal is usually recommended. If not, though, the wisdom teeth are closely monitored during adolescence and early adulthood. If no problems develop, they may be left intact.

This approach works best if you maintain regular dental cleanings and checkups. During these visits, we'll be able to consistently evaluate the overall health of your mouth, particularly in relation to your wisdom teeth.

Just as getting information on candidates helps you decide your vote, this approach of watchful waiting can help us recommend the best course for your wisdom teeth. Whether you vote your wisdom teeth “in” or “out,” you'll be able to do it wisely.

If you would like more information about what's best to do about wisdom teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Wisdom Teeth.”