Posts for: August, 2013
It was one of those things that seemed like a good idea at the time. Maybe it was years ago, or maybe it was yesterday — at some point in your past life you had your tongue pierced and a metal bolt inserted. But now you are wondering whether you made a bad decision. If you have the bolt removed from your tongue, will your mouth go back to being the way it was before the piercing?
The answer is yes, your oral health will improve when you remove a tongue bolt. There are many reasons for this. Your tongue has a rich blood vessel supply to fuel its energy needs and heals quickly.
Some people suffer from chronic pain as long as the bolt is in place. In addition to pain, tongue piercing is associated with other risks. The bolt can chip your teeth or cause tooth sensitivity. It can also cause your gums to recede from your teeth. You may also suffer from inflammation and infection in your gums. This can lead to bone loss and ultimately to loss of teeth.
A piercing and tongue bolt can also cause damage to the nerves in your tongue. This causes pain for some people until the bolt is removed. Your tongue is well supplied with nerves as well as blood vessels. That is why biting your tongue hurts and bleeds a lot, another good reason for not having a piercing.
So what happens if you have the bolt removed? In most cases conditions in your mouth will return to normal. We will want to monitor your condition after removing the bolt to make sure it has not caused collateral damage to your gums and teeth and other oral structures.
Removing the bolt will leave your tongue with a hole that is likely to close spontaneously. If it does not close, a small surgical procedure can remove the skin that lines the holes, which are then stitched closed. This procedure is done with local anesthesia so you don't feel anything, and healing is usually quick and without complications.
The old saying, “If it ain't broke, don't fix it,” doesn't really apply when discussing your wisdom teeth. It's great if they are not bothering you, but don't wait for problems to develop before you take action. This may seem counter-intuitive, but you should know that the best time to have your wisdom teeth removed is when they are not causing problems.
Why do wisdom teeth cause problems?
Wisdom teeth are so-called because they appear at ages 17 to 25, the age of supposedly attaining wisdom. They are also known as third molars and are farthest back in your jaws. For some people they come through the gum-line only partially, or they may not erupt into the mouth at all. Unerupted they have the potential to cause problems associated with the neighboring teeth and surrounding gums.
You may have heard of “impacted” wisdom teeth. This means that they are impacted or forced against neighboring structures, teeth or bone that prevent them from coming into the mouth in correct biting position. Since they are your last teeth to come in, space for them may be severely limited. They may push into the teeth that are already in place, becoming stuck as they try to erupt. When wisdom teeth are trapped like this below the gum line and are pushing against neighboring teeth, these molars can cause problems such as infections, cysts, or gum disease.
My wisdom teeth seem OK, so why remove them?
The dilemma is that if you wait until you feel pain connected with your wisdom teeth, their neighboring teeth may already be in trouble.
Another reason to remove these back teeth before they cause problems is that it's a good idea to have your surgery while you are young. Younger, healthy patients with no infections at the site have the best chance of having their wisdom teeth extracted without complications, with an easier recovery and uneventful healing.
Of course, each situation is different. Make an appointment with us for an examination and a consultation to discuss the risks and benefits of removing your wisdom teeth. For more information read the article “Removing Wisdom Teeth” in Dear Doctor magazine.
There are a number of materials and techniques available in cosmetic dentistry that help us improve our patients' smiles. Porcelain veneers stand out as one of the most popular and least interventional of these options.
As the name implies, a veneer is a thin layer of dental restorative material that covers the original tooth surface. Veneers don't require an extensive amount of tooth preparation or removal of sound tooth structure, as with a crown or bridge.
Veneers are made of dental porcelain, a material compatible with living tissue and with a very life-like appearance. The dentist as artist can fashion the porcelain to precisely imitate an individual's natural teeth, including the natural color and hue of surrounding teeth.
Are porcelain veneers an option for you? Only a smile analysis in our office can determine that. Your teeth must be in a somewhat normal position. The teeth in question must have a sufficient amount of remaining tooth structure to support veneers. And you must have symmetrical gum contours that will allow for proper framing of the teeth, which will enhance the final cosmetic result.
If your current dental health meets these criteria, then porcelain veneers could help correct spaces between teeth that aren't too wide, improve poor color, or address poor shape, contours or minor bite problems. Veneers, however, do have their limitations. They aren't effective if you have poor tooth position, if the root positions are widely out of line, or if you have a poor profile. Some form of orthodontics may be needed initially for these situations.
That being said, porcelain veneers are an excellent long-term option in the right situation. Depending on your individual circumstance and how you care for your teeth, a veneer application can last for several years, or if they come loose or become chipped they can be repaired in most cases. The material is strong enough to withstand normal pressures exerted during chewing or biting, as long as you avoid activities like opening nutshells with your teeth or chewing on very hard candy.
Overall, porcelain veneers can give your smile a whole new look with little impact on your remaining tooth structure.
If you would like more information on porcelain veneers, 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 “Smile Design Enhanced With Porcelain Veneers.”
Your general and oral health go hand in hand — whatever is going on with the rest of your body can also affect your teeth, gums and other mouth tissues. That's why it's essential that you eat a diet with the right balance of healthy foods, while cutting back on unhealthy ones that contribute to tooth decay and other health issues.
When we refer to healthy foods, we mean foods with high nutritional value. These kinds of foods provide nutrients (carbohydrates, proteins, fats, vitamins, minerals and water) that build strong bodies (including teeth and gums), fight disease and help our bodies maintain good function on the cellular level.
A healthy diet has three components: variety, eating several different kinds of foods with a wide range of nutrients; balance, eating a proper portion from different food groups; and moderation, eating portions that are enough to meet energy needs and cellular health while not overindulging. It's important to remember that excess carbohydrates, proteins and fats are stored as body fat, which has an impact on a healthy weight.
In addition, you should also bear in mind how certain foods can have a direct effect on your teeth and gums. Foods with added sugars (such as refined sugar or corn syrup) and starches are a rich food source for decay-causing bacteria; naturally occurring sugars found in fresh fruits, vegetables and dairy products are not as great a threat. In this regard, the best approach is to decrease the amount of processed foods in your diet, while increasing your intake of whole foods.
You can also help deter tooth decay with certain foods. Eating cheese after a sweet snack helps prevent an increase in the mouth's acidic level, a contributing factor in tooth decay. Eating plant foods that require chewing stimulates saliva, which also helps prevent a rise in the acidic level.
Proper nutrition is a key component in maintaining overall good health. It's just as important for keeping your teeth and gums healthy and functioning.
If you would like more information on nutrition and the part it plays with your oral health, 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 “Nutrition: Its Role in General and Oral Health.”