Posts for: September, 2020
Dentists and oral surgeons remove millions of teeth every year, most without any adverse aftereffects. But about 2% of patients experience a dry socket, a condition that, although not dangerous to health, can be quite painful.
Also known as alveolar osteitis, a dry socket occurs when the blood clot that normally forms right after extraction doesn't form or becomes lost later. The clot serves as a barrier for the underlying bone and nerves during the healing process; without it these tissues can become irritated from contact with air, food or fluids.
Dry sockets (which usually occur in the back, lower molars) are fortunately rare, mainly in patients over 25, smokers or women using oral contraceptives. Patients also have a higher risk of developing a dry socket if they attempt certain activities too soon after tooth extraction like vigorous chewing or brushing that may dislodge the protective clot.
You can reduce your chances of a dry socket after a tooth extraction with a few simple guidelines. Unless advised otherwise by your dentist, avoid brushing the day after extraction and gently rinse the mouth instead. It also helps to avoid hot liquids and eat softer foods for a few days. If you smoke, you should avoid smoking during this time and use a nicotine patch if necessary.
Over the next few days, you should remain alert for any signs of a dry socket, often a dull, throbbing pain that radiates outward toward the ears, and a bad taste or mouth odor. A prompt visit to the dentist will help alleviate these symptoms, often in just a few minutes.
To treat it, a dentist will typically irrigate the socket and apply a medicated dressing, which you would need to change every other day for up to a week. After that, you'll leave the dressing in place for a while as you heal.
A dry socket doesn't interfere with the healing process: Your extraction site will heal whether or not you have one. But prevention and treatment for a dry socket will help ensure your healing after an extracted tooth is much less uncomfortable.
If you would like more information on dry socket after tooth extraction, 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 “Dry Socket.”
Celebrities’ controversial actions and opinions frequently spark fiery debates on social media. But actress Dakota Johnson lit a match to online platforms in a seemingly innocent way—through orthodontics.
This summer she appeared at the premier of her film The Peanut Butter Falcon missing the trademark gap between her front teeth. Interestingly, it happened a little differently than you might think: Her orthodontist removed a permanent retainer attached to the back of her teeth, and the gap closed on its own.
Tooth gaps are otherwise routinely closed with braces or other forms of orthodontics. But, as the back and forth that ensued over Johnson’s new look shows, a number of people don’t think that’s a good idea: It’s not just a gap—it’s your gap, a part of your own uniqueness.
Someone who might be sympathetic to that viewpoint is Michael Strahan, a host on Good Morning America. Right after the former football star began his NFL career, he strongly considered closing the noticeable gap between his two front teeth. In the end, though, he opted to keep it, deciding it was a defining part of his appearance.
But consider another point of view: If it truly is your gap (or whatever other quirky smile “defect” you may have), you can do whatever you want with it—it really is your choice. And, on that score, you have options.
You can have a significant gap closed with orthodontics or, if it’s only a slight gap or other defect, you can improve your appearance with the help of porcelain veneers or crowns. You can also preserve a perceived flaw even while undergoing cosmetic enhancements or restorations. Implant-supported replacement teeth, for example, can be fashioned to retain unique features of your former smile like a tooth gap.
If you’re considering a “smile makeover,” we’ll blend your expectations and desires into the design plans for your future smile. In the case of something unique like a tooth gap, we’ll work closely with dental technicians to create restorations that either include or exclude the gap or other characteristics as you wish.
Regardless of the debate raging on social media, the final arbiter of what a smile should look like is the person wearing it. Our goal is to make sure your new smile reflects the real you.
If you would like more information about cosmetically enhancing your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Space Between Front Teeth” and “The Impact of a Smile Makeover.”
After years of research, we're confident in saying that brushing and flossing daily are essential for maintaining a healthy mouth. A mere five minutes a day performing these tasks will significantly lower your risk of dental disease.
We're also sure about the essentials you'll need to perform these tasks: a soft-bristled toothbrush using fluoride toothpaste, and a roll (or picks) of dental floss. The only deviation might be a water flosser appliance instead of flossing thread.
Unfortunately, some folks deviate even more from the norm for both of these tasks. One of the strangest is a social media trend substituting regular toothpaste with substances containing activated charcoal. The proponents of brushing with charcoal claim it will help whiten teeth and kill harmful microorganisms. People brushing with a black, tarry substance also seem to make for good “gross-out” videos.
There's no substantial evidence to support these claims. Perhaps proponents of charcoal's whitening ability are assuming it can remove stains based on its natural abrasiveness. It could, however, remove more than that: Used over time, charcoal could wear down the protective enamel coating on your teeth. If that happens, your teeth will be more yellow and at much greater risk for tooth decay.
When it comes to flossing (or more precisely, removing food material from between teeth), people can be highly inventive, substituting what might be at hand for dental floss. In a recent survey, a thousand adults were asked if they had ever used household items to clean between their teeth and what kind. Eighty percent said they had, using among other things twigs, nails (the finger or toe variety) and screwdrivers.
Such items aren't meant for dental use and can harm tooth surfaces and gum tissues. Those around you, especially at the dinner table, might also find their use off-putting. Instead, use items approved by the American Dental Association like floss, floss picks or toothpicks. Some of these items are small enough to carry with you for the occasional social “emergency.”
Brushing and flossing can absolutely make a difference keeping your teeth and gums healthy. But the real benefit comes when you perform these tasks correctly—and use the right products for the job.