Dental implants have been used successfully for many years. Your implant should last for a very long time if you take the following points to heart.

Smoking

This is one of the greatest risks for implant-related complications. You should therefore try to quit smoking.

Oral Hygiene

Thoroughly cleaning and caring for the implant during all steps of the treatment is extremely important. Careful attention to your oral hygiene every day is important for the survival of your implant.

Maintenance

Visiting your dental practice for regular checkups (recalls) is just as important. You and your dental team have to decide how often these visits should take place, but they are usually at intervals of 3 to 6 months. At these visits, your implants, teeth, and gums are checked and professionally cleaned, including the areas you cannot reach at home. Professional cleaning of implants is more complex than cleaning teeth, which means that it takes longer and may require special instruments.

Mucositis and peri-implantitis can develop without any obvious symptoms. This is another reason why regular checkups with your dentist are so important. Mucositis and peri-implantitis do not usually cause pain, so patients often fail to notice the development of these diseases.

Jennifer Flach was a college junior when her wisdom teeth started making themselves known.

"My other teeth started moving around," she remembers. "The wisdom teeth were pushing out and undoing some of the orthodontic work I had done in high school."

At the same time, her brother — who's two years younger and was also in college — had no symptoms. But the family dentist suggested his wisdom teeth should come out too.

Jen and her brother had back-to-back wisdom tooth extractions and recovered together at home during spring break. "It was quite a week at my parents' house," she says.

Patrick Grother was 26 when his dentist mentioned that his wisdom teeth might need to be removed. His bottom left wisdom tooth had partially erupted into his mouth and a flap of gum still covered it. "The dentist said food would get trapped there and it could get infected," he says. Patrick then visited a periodontist, who said that the gum flap could be cut away but it would grow back.

"I put it off for awhile," Patrick said, but he eventually had the wisdom teeth on the left side of his mouth extracted.



A few people are born without wisdom teeth or have room in their mouths for them, but like Jen and her brother, many of us get our wisdom teeth taken out during our college years. And like Patrick, many of us are first alerted to the problem when our wisdom teeth don't emerge (erupt) into the mouth properly because there is not enough toom for them to fit.

"A part of the tooth may remain covered by a flap of gum, where food particles and bacteria can get trapped, causing a mild irritation, a low-grade infection called pericoronitis and swelling," says Dr. Donald Sadowsky, professor emeritus of clinical dentistry College of Dental Medicine and the Mailman School of Public Health. This usually happens with the lower wisdom teeth. Pericoronitis and the pain it causes is the most common reason people need their wisdom teeth taken out.

Pericoronitis is just one of the reasons that you may need to have a wisdom tooth or more than one removed.

In many people, the wisdom teeth never even partially enter the mouth. Often the teeth are tilted under the gum and blocked from coming in by bone or other teeth. Dentists call these impacted teeth; they may cause pain, but you may feel nothing at all for years. You may not even be aware that you have wisdom teeth until your dentist sees them on an X-ray.

Regular dental visits are important during your teens and early twenties because this is the time when teeth are most likely to decay. Regular visits allow your dentist to follow the progress of your wisdom teeth with X-rays.

Even if your wisdom teeth aren't causing any pain or other problems, they may cause problems at some point. The most common problems are decay, infection, and crowding or damage to other teeth. But more serious complications can occur, including the development of a cyst that can cause permanent damage to bone, teeth and nerves.

However, not all wisdom teeth need to be removed.

If removing wisdom teeth is necessary, it's easier in younger people because the tooth roots are not fully developed and the bone in which the teeth sit is less dense. Extracting your wisdom teeth before any complications develop also allows for shorter recovery time and less discomfort after the surgery.

Teeth for a Lifetime

Thanks to better at-home care and in-office dental treatments, more people than ever before are keeping their teeth throughout their lives. Although some diseases and conditions can make dental disease and tooth loss more likely, most of us have a good deal of control over whether we keep our teeth into old age.

The most important thing you can do to maintain good oral health is to brush and floss your teeth regularly.

Most mouth woes are caused by plaque, that sticky layer of microorganisms, food particles and other organic matter that forms on your teeth. Bacteria in plaque produce acids that cause cavities. Plaque also leads to periodontal (gum) disease, a potentially serious infection that can erode bone and destroy the tissues surrounding teeth.

The best defense is to remove plaque daily before it has a chance to build up and cause problems. Brushing removes plaque from the large surfaces of the teeth and, if done correctly, from just under the gums. Flossing removes plaque between teeth.

Brushing

Most of us learned to brush our teeth when we were children and have kept the same technique throughout our lives. Unfortunately, many of us learned the wrong way. Even if we learned the correct method, it's easy to become sloppy over the years. Brushing correctly isn't instinctive. Getting the bristles to remove plaque without damaging your gums is a little trickier than you might think.

There are different ways to brush teeth, and your dentist or dental hygienist can show you the method that he or she feels would be best for you. The modified Bass technique is among the most popular for adults and is very effective in removing plaque above and just below the gum line. Children, however, may find it difficult to move the toothbrush this way. A dentist or dental hygienist can explain to your child the best way to brush. Parents should supervise their children's oral hygiene until age 9 or 10.

Here are a few general pointers about brushing:

• Brush at least twice a day: Many oral health professionals recommend brushing just before going to bed. When you sleep, saliva decreases, leaving the teeth more vulnerable to bacterial acids. Teeth should also be brushed in the morning, either before or after breakfast, depending on your schedule. After breakfast is ideal so food particles are removed. But if you eat in your car, at work or skip breakfast entirely, make sure you brush in the morning to get rid of the plaque that built up overnight.
• Brush no more than three times a day: Brushing after lunch will give you a good mid-day cleaning. Remember, though, that brushing too often can cause gums to recede over time. Brush lightly —Brushing too hard can cause gums to recede. Plaque attaches to teeth like jam sticks to a wooden spoon. It can't be totally removed by rinsing, but just a light brushing will do the trick. Once plaque has hardened into calculus (tartar), brushing can't remove it, so brushing harder won't help. Try holding your toothbrush the same way you hold a pen. This encourages a lighter stroke.
• Brush for at least two minutes: Set a timer if you have to, but don't skimp on brushing time. Longer is fine, but two minutes is the minimum time needed to adequately clean all your teeth. Many people brush for the length of a song on the radio. That acts as a good reminder to brush each tooth thoroughly.
• Have a standard routine for brushing: Try to brush your teeth in the same order every day. Some oral health professionals feel that this helps patients remember to brush all areas of their mouths. If you do this routinely, it eventually will become second nature. For example, brush the outer sides of your teeth from left to right across the top then move to the inside and brush rights to left. Repeat the pattern for your lower teeth.
• Always use a toothbrush with "soft" or "extra soft" bristles: The harder the brush, the greater the risk of harming gum tissue.
• Change your toothbrush regularly: As soon as the bristles begin to splay, the toothbrush loses its ability to clean properly. Throw away your old toothbrush after three months or when the bristles flare, whichever comes first. If you find your bristles flaring much sooner than three months, you may be brushing too hard. Try easing up.
• Electric is fine, but not always necessary: Electric or power-assisted toothbrushes are a fine alternative to manual brushes. They are especially useful for people who are less than diligent about proper brushing technique or for people with physical limitations that make brushing difficult. As with manual brushes, choose soft bristles, brush for at least two minutes and don't press too hard or you'll damage your gums.
• Choose the right toothpaste for you: It can be overwhelming to face the huge number of toothpaste choices in the average supermarket. Remember, the best toothpaste for you may not be the best toothpaste for someone else.

Toothpastes don't merely clean teeth anymore. Different types have special ingredients for preventing decay, plaque control, tartar control, whitening, gum care or desensitizing teeth.

Most toothpastes on the market today contain fluoride, which has been proven to prevent, stop or even reverse the decay process. Tartar-control toothpastes are useful for people who tend to build up tartar quickly, while someone who gets tooth stains may want a whitening toothpaste. Whitening toothpastes will remove only surface stains, such as those caused by smoking, tea or coffee. To whiten teeth that are stained at a deeper level, talk with your dentist.

Your needs will likely change as you get older, so don't be surprised if your hygienist recommends a type of toothpaste you haven't used before. Look for the ADA seal of approval, which assures that the toothpaste has met the standards set by the American Dental Association. Once these conditions are met, choose the toothpaste that tastes and feels best. Gel or paste, wintergreen or spearmint — these work alike, so let personal preference guide your decision.

Some people find that some toothpaste ingredients irritate their teeth, cheeks or lips. If your teeth have become more sensitive or your mouth is irritated after brushing, try changing toothpastes. If the problem continues, see your dentist.

Flossing

Many people never learned to floss as children. But flossing is critical to healthy gums and it's never too late to start. A common rule of thumb says that any difficult new habit becomes second nature after only three weeks. If you have difficulty figuring out what to do, ask your dentist or dental hygienist to give you a personal lesson.

Here are a few general pointers about flossing:

• Floss once a day: Although there is no research to recommend an optimum number of times to floss, most dentists recommend a thorough flossing at least once a day. If you tend to get food trapped between teeth, flossing more often can help remove it.
• Take your time: Flossing requires a certain amount of dexterity and thought. Don't rush.
• Choose your own time: Although most people find that just before bed is an ideal time, many oral health professionals recommend flossing any time that is most convenient to ensure that you will continue to floss regularly. Choose a time during the day when you can floss without haste.
• Don't skimp on the floss: Use as much as you need to clean both sides of every tooth with a fresh section of floss. In fact, you may need to floss one tooth several times (using fresh sections of floss) to remove all the food debris. Although there has been no research, some professionals think reusing sections of floss may redistribute bacteria pulled off one tooth onto another tooth.
• Choose the type that works best for you: There are many different types of floss: waxed and unwaxed, flavored and unflavored, ribbon and thread. Try different varieties before settling on one. People with teeth that are closely spaced will find that waxed floss slides more easily into the tight space. There are tougher shred-resistant varieties that work well for people with rough edges that tend to catch and rip floss.

If you have any further questions regarding keeping your teeth healthy, please contact our Lakewood dentist today!

Any injury to the gums or teeth can be very painful. In some cases, however, the cause of severe dental pain is not obvious. For example, pain that comes on suddenly may be caused by particles of food that got lodged in a cavity and have started to irritate the nerve inside the tooth. If you lose a filling or a crown, the nerve inside the tooth may be exposed, and you may feel severe pain when air or hot or cold substances touch the uncovered part of the tooth.

Pain that becomes more severe over a period of time is commonly caused by debris lodged under the gum. Popcorn is a common offender. Because the hard cellulose fibers of the popcorn kernel don't break down, it can remain stuck between your gum and your tooth. The longer a food particle stays trapped between the gum and tooth, the greater the chance the gum will become irritated and infected and the pain will get worse. If you develop an infection, called an abscess, it can become a serious health problem if left untreated.

Pain when you bite or chew, especially if it is accompanied by a foul odor and a bad taste, can be a sign of an abscess that needs immediate treatment.

What You Can Do

First, call your dentist and make an appointment.

In the meantime, here are a few steps you can take at home to try to relieve some of the pain:

• Take an over-the-counter pain reliever, such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol). However, be aware that you need to see your dentist. If you mask the pain with a painkiller and ignore it, the infection can spread and could become life threatening.
• Rinse your mouth with warm water every hour or as needed to ease the pain.
• If the pain is caused by debris lodged in a cavity, washing the area may relieve the problem.
• Floss your teeth, then run a toothpick around the gum line. This may remove debris that's lodged under the gum.
• If you've lost a filling or crown, dip a cotton swab in clove oil and apply it to the exposed part of the tooth. Clove oil, available in pharmacies and supermarkets, works well to relieve tooth pain. You also can use a topical anesthetic, such as Anbesol, also available in pharmacies and supermarkets.
• Putting an ice pack on your face over the area that hurts also may relieve the pain. Apply the ice for 10 to 20 minutes of every hour, as necessary.
• If you will be traveling in an airplane, the change in pressure when the plane takes off or lands may make you feel more uncomfortable. You should get dental treatment before traveling by air.

What Our Lakewood Dentist Will Do

Even when dental problems cause a lot of pain, the problems — and the treatments — often are relatively simple if you seek help right away.

If you have a cavity, your dentist will clean out any debris, remove the decayed part of the tooth, and place a filling. Once the inner part of the tooth is protected, the pain will usually disappear immediately.

If your problem is related to debris under your gums, our dentist in Lakewood will use special instruments to remove the debris. If you have an infection, you may be given a prescription for antibiotics and pain medicine. If an antibiotic is prescribed, it is important that you take it as directed until you have finished all the medication.

An abscess in the tooth or gum may require more extensive treatment, such as drainage of the abscess, root canal treatment or tooth extraction.

To learn more about severe tooth pain, please call our Lakewood dentist office today!

If you’re serious about learning what’s causing your bad breath, consider scheduling an appointment with your dental professional. Given your full medical and dental history along with an oral examination, your dentist should be able to identify the culprit. The causes of bad breath are numerous and include certain foods, alcohol or cigarettes, poor oral hygiene, periodontal disease, diabetes, dry mouth, sinus or throat infections, lung infections or abscesses, kidney/liver failure, gastrointestinal issues and severe dieting.

Treatment of Bad Breath

It is important to conduct thorough oral hygiene at home twice daily utilizing tooth brushing with a fluoride antibacterial toothpaste and flossing to remove food debris and plaque on teeth, bridgework and implants, and brushing the tongue to remove odor-causing bacteria. A published study reported that tongue and tooth brushing in combination with dental flossing significantly decreased bleeding of the gum tissue over a two week period of time as well as reduced bad breath. Another clinical study conducted by the University of Buffalo dental researchers confirmed that brushing twice a day with an antibacterial toothpaste and using a tooth brush with a tongue cleaner can eliminate bad breath.

Tongue Cleaning is the Key to Fresher, Cleaner Breath

Cleaning your tongue is very important. You can purchase a Colgate 360 toothbrush with the tongue cleaner on the back of the toothbrush for cleaning both your teeth and tongue. After tooth brushing your upper and lower teeth with an antibacterial toothpaste, flip the toothbrush over to the tongue cleaner and place the tongue cleaner in the posterior region of the tongue and move it forward to the anterior section of the tongue. After you have scraped that portion of the tongue, rinse the tongue brush off with warm water to remove any odor causing bacteria. Then replace the tongue brush in the next posterior section again and repeat as described above again.

Consult your dentist or dental hygienist when choosing oral hygiene aids to help you eliminate plaque and odor causing bacteria and review the techniques that should be utilized at home. Also, ask your dental professional what oral hygiene care products they would consider you use to help eliminate bad breath (antibacterial toothpaste, antiseptic mouth rinse, tongue brushes or scrapers and interproximal cleaning devices). The key to a clean, fresh mouth is optimal oral hygiene conducted at home on a regular basis and professional recommendations discussed with you by your dentist.

What is a Diastema and How do I Treat It?

A diastema is an area of extra space between two or more teeth. The two front teeth of the upper jaw area is where diastema is most frequently seen. Many children experience diastema as primary teeth fall out, though in most cases these spaces close when the permanent teeth erupt.

Diastemas may also be caused by a tooth size discrepancy, missing teeth or an oversized labial frenum, the tissue that extends from the inside of the lip to the gum tissue where the upper two front teeth are located. Secondary reasons involve oral alignment issues such as an overjet or protrusion of the teeth.1

What are My Treatment Options?

Once your dentist or dental specialist has determined the reason for your diastema, a treatment plan will be discussed. Options may include:

• Keep the diastema.
  
  
• Orthodontic treatment to move the teeth and close the diastema.
  
  
• Use porcelain veneers, very thin pieces of porcelain bonded to the outside of the teeth.
  
  
• Crown and bridge work or replacement of teeth with implants (adults only).
  
  

If you have an oversized labial frenum, you may be referred to a periodontist for an oral consultation and surgical procedure called a frenectomy. This procedure involves cutting the frenum and then repositioning to allow for more flexibility. If the frenectomy is conducted on a child, the space may close by itself. If it is a teenager or adult, the space may need to be closed with braces. A consultation with your dentist is essential to determine which option is the right option to treatment for you.

If you're having diastemas and looking for a treatment option, please contact our Lakewood dentist today!

How Do I Know if I Need Treatment?

As with any trauma to the mouth, you should consult with your dentist immediately to determine if treatment is required. The dentist will examine the affected area and may take X-rays.

If you are in pain from a broken, cracked or chipped tooth, you may want to take an over-the-counter pain reliever. If possible, keep any part of the tooth that has broken off and take this with you to the dentist. If a tooth is completely knocked out of the mouth by an injury, take the tooth to your dentist as soon as possible. It may be possible for your tooth to be placed back into your mouth, a procedure called reimplantation.

How Does a Dentist Treat a

• Chipped tooth —If there is no pain and the chip is small, it's up to you to decide if, when and how the tooth should be repaired. Depending on the size of the chip, it can be smoothed or cosmetically corrected. Other options include veneers, crowns and fillings. Ask your Lakewood dentist to explain these options. If a filling or artificial tooth becomes chipped, it should be replaced.
  
  
• Cracked or broken tooth —Cracked and broken teeth should be repaired as soon as possible to prevent further damage. Root canal therapy or tooth extraction may be necessary. If a crack affects the enamel and dentin of the tooth, a crown is frequently the best treatment. Keep in mind that cracks are not always visible, even on X-rays. Symptoms may involve pain while chewing and Sensitivity to cold and possibly hot foods and liquids, as well as air, which may over time become more pronounced.
  
  
• Tooth knocked out —The key to successfully reattaching a tooth is to get it reimplanted in the socket as soon as possible. With each minute that passes, more of the cells on the root of the tooth die. If possible, rinse the tooth with water only, then reimplant the tooth at the site and hurry to a dentist as quickly as possible. The tooth should be picked up by the crown only and must not be allowed to dry. The best chance for success is reimplantation within the first 30 minutes, with chances still good for up to two hours. It may be necessary for your dentist to do a Root canal treatment one to two weeks after the tooth has been stabilized.
  
  
• Permanently lost teeth, whether they've been removed by a dentist or accidentally knocked out, should be replaced. This is to avoid problems such as difficulty chewing and speaking, a shifting of position among remaining teeth, temporomandibular joint (TMJ) disorders caused by chewing on the side with more teeth, and a weakening of the jawbone. Options for replacing lost teeth include bridges, dentures and implants.
  
  
• Broken jaw —If you suspect you or someone else has a broken jaw, do not move it. The jaw should be secured in place with a handkerchief, necktie or towel tied around the jaw and over the top of the head. Cold compresses should be used to reduce swelling, if present. Go immediately to a hospital emergency room, or call your dentist.
  
  

If you have any emergencies or concerns, please contact our Lakewood dentist today!

Your permanent teeth form under your gums in the jawbone during early childhood. Except for your wisdom teeth, the crowns (the part you see in the mouth) of all of the permanent teeth fully form by the time you are about 8 years old. If you consume too much fluoride as a young child, the extra fluoride can disrupt the formation of the enamel (outer part) of your permanent teeth and lead to fluorosis, which varies from minor discoloration to surface irregularities of the teeth. The extra fluoride does not affect other parts of the tooth. Once your teeth have erupted into your mouth, they are not susceptible to fluorosis.

Fluorosis is a cosmetic condition, not a disease. Often, it is so mild that only a dental professional can detect it. Most cases of fluorosis result from young children taking fluoride supplements or swallowing fluoride toothpaste when the water they drink is already fluoridated.

Symptoms

Teeth affected by mild fluorosis may show no visible changes or changes visible only to a dental professional. Mild to moderate fluorosis is characterized by white lines, streaks or spots. In more severe fluorosis, the teeth can become pitted and have brown, gray or black spots, and the enamel can be misshapen.

Diagnosis

Your dentist and dental hygienist will ask if your child received fluoride supplements, used fluoride toothpaste or drank fluoridated water in previous years. They also will ask about past and present medical conditions or disabilities that may affect your child's teeth. Your dentist will examine your child's teeth and gums and take X-rays to make sure there are no other defects in the teeth.

Other conditions may look like fluorosis. Developmental defects and craniofacial problems can cause disruptions in the enamel or dentin of the teeth. In addition, infants or young children who have high fevers or experience trauma (such as a fall that injures a tooth) may have discolored teeth. Young children can get cavities in their primary teeth, so any tooth discoloration should be checked at the dental office.

Expected Duration

The spots and stains left by fluorosis are permanent and may darken over time.

Prevention

If you have a child under 6, put only a small smear or pea-sized amount of toothpaste on his or her toothbrush and encourage him or her to spit rather than swallow after brushing. Avoid toothpastes with flavors that may encourage swallowing. Keep all fluoride-containing products (toothpastes, mouthwashes, etc.) out of the reach of young children.

The addition of fluoride to drinking water is one of the great preventive disease programs of the 20th century. Children should take fluoride supplements only if the water they drink does not contain enough fluoride. If your child is taking fluoride supplements now, check the amount of fluoride in your water. If you are on a public water supply, call your supplier to ask about the fluoridation level. You can also have your dentist check a sample of your water. Then discuss with your dentist whether your child needs fluoride supplements.

Some foods and beverages contain fluoride. For example, many fruit juices and soft drinks contain fluoride at levels similar to fluoridated water. Some bottled waters now have added fluoride. Young children should drink limited amounts of these beverages.

Treatment

Many cases of fluorosis are minor enough not to need treatment or the fluorosis may occur only on the back teeth, where it can't be seen. More serious cases and cases involving the front teeth can be treated by removing the surface-stained areas through tooth whitening or other procedures. Severe cases of fluorosis can be covered with restorations, such as bonding, crowns or veneers.

When Should I Contact My Dentist?

If you notice white streaks or spots on your child's teeth or notice that one or more teeth are discolored, contact your Lakewood dentist today!