Posts for: December, 2013
That “squeaky clean” feeling on your teeth might be the most noticeable result of a professional cleaning performed by a dental hygienist. Rest assured, though, there's more to it — regular professional cleanings yield long-term benefits to your oral health.
A basic procedure known as coronal cleaning removes plaque (bacteria and leftover food deposits) on the crowns, the visible portion of the teeth. If you are showing signs or are at risk for gum disease (a bacterial infection of the gum tissue) your hygienist may also initiate cleaning below the gum line with a procedure called scaling. This common technique removes plaque and tartar (hard deposits) above and below the gum line using either a traditional set of hand instruments (known as curettes) or an ultrasonic scaler, a device that uses vibrations from ultrasonic frequencies and water to remove plaque and tartar.
Root planing takes the cleaning even deeper, using curettes to remove plaque and tartar adhering to tooth roots. This is typically necessary for patients with advanced gum disease, and may need to be repeated over a number of visits as inflammation subsides.
Polishing is another common hygienic procedure performed both above and below the gum line. It's the procedure you most associate with that feeling of smoothness after a cleaning. The hygienist will typically apply to the teeth polishing paste held in a small rubber cup attached to a motorized device. As the motor rapidly rotates the rubber cup, the paste works into the teeth to remove surface stains and bacterial plaque. While it's considered a cosmetic procedure, it's more accurately defined as a prophylaxis, a dental term derived from the Greek meaning to guard or prevent beforehand.
Professional cleaning performed by a dental hygienist is only one half of an overall hygiene plan; the other half is your own daily habit of brushing and flossing. Both your daily hygiene and regular dental checkups and cleanings will go a long way toward preserving your teeth as they were meant to be — for a lifetime.
If you would like more information on teeth polishing, 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 “Teeth Polishing.”
The lengths that some comedians will go to for a laugh! Actor Ed Helms, as dentist Stu Price, pulled out his own tooth in the movie The Hangover. Or did he? Turns out Helms really is missing a tooth, which never grew in. When he was in his late teens, he received a dental implant to make his smile look completely natural.
Helms told People magazine he wasn't exactly eager to remove the implant crown that had served him so well for almost 20 years, but there was no better way to do the famous tooth-pulling scene.
“We started to do different tests with prosthetics and blacking it out and nothing worked,” Helms told the magazine. Helms' dentist said it would be okay to take the implant crown out. “My dentist was really into it,” Helms said. The rest is movie history!
Congenitally missing (“con” – together with; “genital” – relating to birth) teeth are inherited and actually quite common. More than 20% of people lack one or more wisdom teeth, for example. These would not usually be replaced if missing (in fact, wisdom teeth are often removed) but it's a more serious issue when the missing tooth is in the front of the mouth — and not just for aesthetic reasons.
When a particular type of tooth is missing, it disrupts the pattern and function of the teeth. If left alone, sometimes the existing teeth will shift to close the gap. It's like removing a brick from an arch — the rest of the bricks would fall together in a different formation (or collapse entirely). And when upper and lower teeth don't come together properly, they can't function well.
The best treatment for this type of situation is the one Ed Helms had: a dental implant. They look and function like real teeth and do not attach to or damage adjacent teeth as other tooth-replacement options might.
It is important that a child with a congenitally missing tooth wait until jaw growth is complete — different for every person but usually in the late teens — before getting an implant. Otherwise, the artificial tooth might eventually appear too short when the person has stopped growing. In the meantime, there are temporary tooth replacements that can be made.
If you would like more information about options for congenitally missing teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “When Permanent Teeth Don't Grow.” Dear Doctor also has more on “Teenagers & Dental Implants.”
Although sometimes controversial, body piercing has exploded in popularity, especially among young people. Aside from the social debate about such practices, there are health risks to consider. Oral piercings, in particular — especially of the tongue — could have an adverse effect on your dental health.
The trouble begins with the piercing procedure itself. The tongue is composed of a number of muscle groups that given its wide range of function require a lot of energy. To supply this energy the tongue has a large network of blood vessels; during a piercing it's not uncommon for profuse bleeding to occur. The tongue also contains a lot of nerve fibers — a piercing may result not only in severe pain, but in possible nerve damage too.
The tongue bolt, the most common tongue piercing, can cause a lot of damage in the mouth during wear, such as tooth chipping and increased sensitivity. It can also interfere with oral hygiene and contribute to the growth of tooth decay and gum disease. And, as with any cut or abrasion to soft tissue, piercings increase the risk of infection.
There are also issues if and when you decide to give up the tongue bolt — fortunately, though, not to the same degree as during wear. Cuts to the tongue tend to heal quickly, so the piercing hole may fill in spontaneously. In some circumstances, however, a surgical procedure (similar to one performed on large ear piercings) may be required to repair the piercing hole.
For the long-term sake of your oral health, we would advise against having your tongue or lips pierced. And, if you already have a piercing, please consider giving it up — in the long run you'll be doing your teeth, gums and other tissues in your mouth a favor.
If you would like more information on oral piercing and its effects, 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 “How to Help Your Child Develop the Best Habits for Oral Health.”