Wisdom teeth are the last adult teeth to erupt into the mouth, generally emerging between the ages of seventeen and twenty-one. They are the third set of molars and are in pairs: two each on the top and bottom arch of teeth. While some patients don’t have wisdom teeth, most do. Many of those who do have them don’t have enough room for those teeth to erupt fully, causing them to be wedged under the back of another tooth, impacted in the gum.
Impacted wisdom teeth are very difficult to clean, and can negatively affect the surrounding teeth. They are highly vulnerable to disease and decay and may lead to tooth pain and damage to adjacent teeth. For these and other reasons, a dentist may recommend that the teeth be extracted through oral surgery as soon as necessary to prevent any problems.
Extraction of wisdom teeth is typically an outpatient procedure done in an oral surgeon’s office. A healthy patient can proceed with a typical surgery, but if any infection is detected, the surgery can’t move forward until the infection is cleared up through the use of a full course of antibiotics. Once the surgery is moving forward, the surgeon’s team will administer some form of anesthesia to numb the area surrounding the tooth or to possibly sedate the patient through IV sedation dentistry.
After the anesthesia has fully taken effect, the surgeon makes an incision to open the gum and to remove any bone that is blocking the tooth from extraction. The tissue connecting the bone to the tooth will be separated and the tooth will be removed. In some cases, the surgeon will have to break the tooth into smaller pieces to make it easier to remove. After thoroughly cleaning the area and removing any remaining debris, the incision will be closed, stitched and packed with sterile cotton gauze to staunch any bleeding.
The surgeon will provide aftercare instructions. Patients should follow these instructions to the letter in order to ensure the best and fastest healing of the surgical site.
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With an estimated 49 million adults in the United States wearing dentures, there are lots of lessons learned about wearing them. Virtually everyone will say that it took a little adjustment time before they were comfortable and confident with their new teeth. It can help to know what to expect with wearing dentures at first.
Your dentures may feel very strange the first day you get them. They can seem too big for your mouth, and as though your lips are out of place. These strange sensations will disappear with time. You may also notice more saliva than usual in your mouth. This is a natural response of your mouth as it grows accustomed to the appliance.
A liquid diet is recommended by many dentists for the first couple of days after getting dentures. Then you may begin eating soft foods, like cooked vegetables, eggs, and fish. Take small bites and chew slowly. Avoid biting into foods with your front teeth.
Mouth soreness from your dentures should go away after a few days. If it lasts longer than a week, call your dentist to ask if you should be seen. You may experience minor mouth sores for the first couple of weeks that you wear dentures. This is normal as you give your mouth time to adjust. If the sores are severe, call your dentist.
Dentists recommend that you remove your dentures for a minimum of eight hours each day to give your gums a rest. Most patients do this at night while sleeping. Your dentist will provide instructions about how to care for your dentures and where to store them when not wearing them. Be sure to follow the instructions for care to ensure that your dentures last as long as possible.
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If you are about to undergo root canal treatment to save a compromised tooth, your oral surgeon or dentist will likely provide you with a list of aftercare instructions. It is vitally important that you follow these recommendations to avoid complications and ensure the success of your endodontic treatment.
There are a few tips you can follow to speed up your recovery time, promote healing, and prevent serious dental problems and infections following root canal treatment:
- Do not chew on the treated side of your mouth until all of the numbness from the anesthetic has worn off completely.
- To manage swelling, apply an ice pack or bag of frozen peas on the treated area for thirty minutes. Repeat once an hour for about fifteen minutes each time until swelling subsides.
- For several nights after treatment, keep your head elevated while sleeping.
- Gently rinse your mouth with warm salt water regularly for the first few days after root canal treatment.
- Refrain from smoking for a minimum of 24 hours and try to curb tobacco usage as much as possible during the healing period.
- Avoid strenuous physical activity or exercise for 48 hours after your root canal procedure.
Contact your dentist immediately if you experience any excessive swelling or pain, the appearance of a rash or hives, or a return of original symptoms. By listening to the recommendations of your dentist, and following these extra tips, you can assure yourself the best chance of a rapid and complication-free recovery from root canal treatment.
We treat patients from Shreveport and the surrounding area
Dentures have improved dramatically over the past several years. Whether it’s your first set of dentures or your fifth set, you probably have questions. Below are some commonly asked questions and answers about dentures:
- Will dentures change how I look? Today’s dentures are personalized to your mouth, making their appearance more natural than ever. Dentures also support your cheeks and lips, making you look years younger.
- Will dentures change how I feel? After a period of adjustment, dentures should make you feel more confident than ever.
- Will dentures alter my speech? While speaking may be difficult initially, with practice, your speech should quickly return to normal. Practicing reading and counting out loud will help to speed up the adjustment.
- Will dentures affect how I eat? Eating may take some practice, and you should start with a soft food diet while you adjust to the differences between eating with your natural teeth and dentures. Take small bites and try to chew on both sides of your mouth at the same time. Avoid hard, crunchy or chewy foods that can damage your dentures.
- How do I care for my dentures? Clean dentures daily, brushing immediately after every meal if possible. Use a soft brush and gentle cleanser, taking care to avoid hard abrasives. Be careful when they are out of your mouth not to drop them or clean them on hard surfaces.
- Once I have dentures, will I still need to see the dentist? Regular dental examinations and professional denture cleanings are vital to maintaining your oral health. Have your dentist periodically check the fit of your dentures to ensure they are comfortable and last for as long as possible.
- When will I need to replace my dentures? With care, dentures typically last 5-10 years. Because your mouth continues to change shape as you age and denture teeth wear down, you should have them checked yearly to avoid any significant problems.
Consult with your dental professional about any additional questions or concerns you may have about your future with dentures and your potential for a bright, new smile.
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Oral surgery to correct problems with the jaw is known as orthognathic surgery. Jaw issues can result from birth defects, changes due to growth, or injury or trauma to the face. While orthodontics can correct bite problems when only the teeth are involved, oral surgery may be required when repositioning of the jaw is necessary to correct the issue. If you suffer from any of the following concerns, orthognathic surgery may be a consideration:
- Difficulty chewing, biting or swallowing
- Problems with opening and closing your mouth, or with speaking
- Persistent jaw or temporomandibular joint pain
- Clenching or grinding of teeth causing excessive wear to the teeth
- Inability to make the lips meet without straining
- Un-proportional facial appearance or protruding jaw
- Malocclusion, open, or incorrect bite
- Recessive lower jaw and chin
- Sleep apnea and breathing problems
Most jaw surgeries are performed completely in the mouth, so no facial scars are visible. The oral surgeon makes cuts in the jawbone and then moves them to the correct position. Once the jaw is correctly aligned, screws and bone plates are placed to secure the jaw into the new position. Sometimes it may be necessary to add extra bone to the jaw from your hip, leg, or rib.
Orthognathic surgery is performed by an oral and maxillofacial surgeon usually in a hospital setting. Recovery time from jaw surgery takes three to six weeks. Your general or family dentist should be able to refer you to a skilled oral surgeon for a consultation and examination to determine a treatment plan. Jaw surgery can improve not only your facial appearance, but also chewing, speaking and breathing functions.
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If you’ve been wearing dentures for a while, you may have some complaints. They might fit poorly and shift or click when you talk or eat. Poor fit can lead to discomfort and sores in the mouth that worsen over time, or they can collect food underneath them, leading to bad breath.
If this sounds familiar to you, there might be alternatives for you. One of the newest developments in dentures is the pairing of standard dentures with dental implants. The dental implants are placed directly into your jawbone, providing the kind of stability only previously offered by natural teeth. Dentures fixed in the mouth with dental implants become something new: hybrid dentures.
Dentures that utilize dental implants as their anchors are very stable. They enable denture wearers to enjoy foods previously denied them, such as crisp, healthy foods or chewy cuts of meat. Eliminating the food restrictions present for many denture wearers allows them to eat a wider variety of foods, helping to reduce the risk of poor nutrition and the poor health associated with it, including digestion difficulties.
Because of this increased stability, the denture itself can be made smaller. A standard denture covers the roof of the mouth completely, inhibiting the taste and texture of foods. A denture designed around dental implants, however, has an open roof and facilitates a greater enjoyment of foods of all kinds, as well as a more natural feel for your tongue.
Dental implants also stimulate bone by mimicking natural tooth roots. This stimulation allows the bone to continue to be strong and alive, whereas the bones of the face can begin to shrink once a tooth has been extracted. This bone shrinkage leads directly to poor denture fit. Dental implants used with dentures avoid this issue.
If you are a denture wearer and you’d like to see some changes in how your dentures fit, talk to your dentist to see how using dental implants can improve your denture experience.
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