Posts for: August, 2018

SingerDuaLipaSeestheWisdominPostponingTourDates

When die-hard music fans hear that their favorite performer is canceling a gig, it’s a big disappointment—especially if the excuse seems less than earth-shaking. Recently, British pop sensation Dua Lipa needed to drop two dates from her world tour with Bruno Mars. However, she had a very good reason.

“I’ve been performing with an awful pain due to my wisdom teeth,” the singer tweeted, “and as advised by my dentist and oral surgeon I have had to have them imminently removed.”

The dental problem Lipa had to deal with, impacted wisdom teeth, is not uncommon in young adults. Also called third molars, wisdom teeth are the last teeth to erupt (emerge from beneath the gums), generally making their appearance between the ages of 18-24. But their debut can cause trouble: Many times, these teeth develop in a way that makes it impossible for them to erupt without negatively affecting the healthy teeth nearby. In this situation, the teeth are called “impacted.”

A number of issues can cause impacted wisdom teeth, including a tooth in an abnormal position, a lack of sufficient space in the jaw, or an obstruction that prevents proper emergence. The most common treatment for impaction is to extract (remove) one or more of the wisdom teeth. This is a routine in-office procedure that may be performed by general dentists or dental specialists.

It’s thought that perhaps 7 out of 10 people ages 20-30 have at least one impacted wisdom tooth. Some cause pain and need to be removed right away; however, this is not always the case. If a wisdom tooth is found to be impacted and is likely to result in future problems, it may be best to have it extracted before symptoms appear. Unfortunately, even with x-rays and other diagnostic tests, it isn’t always possible to predict exactly when—or if—the tooth will actually begin causing trouble. In some situations, the best option may be to carefully monitor the tooth at regular intervals and wait for a clearer sign of whether extraction is necessary.

So if you’re around the age when wisdom teeth are beginning to appear, make sure not to skip your routine dental appointments. That way, you might avoid emergency surgery when you’ve got other plans—like maybe your own world tour!

If you would like more information about wisdom tooth extraction, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”


HowtoTreattheProblemofTeeththatNeverDeveloped

About one-quarter of people have teeth that never developed. While most of these congenitally missing teeth are wisdom teeth, they can also include premolars or lateral incisors (the teeth right next to the two front teeth, the central incisors).

Missing teeth can have an adverse effect on smile appearance. But that’s not all: because each type of tooth performs a specific function, one or more missing teeth can lead to bite problems and disruption of dental function. In the case of missing lateral incisors, the canines (eye teeth) normally positioned beside and toward the back of the mouth from them may begin to drift into the empty space and grow next to the central incisors. This can result in greater difficulty chewing and a smile that “doesn’t look right.”

To correct this situation, we must often first attempt to orthodontically move any out of place teeth to their normal positions. This re-establishes the space needed for the missing teeth to be replaced, which we can then restore with prosthetic (artificial) teeth. If the permanent restoration of choice involves dental implants, we’ll usually need to wait until the completion of jaw development around early adulthood. In the mean time, we can use a retainer appliance to hold the teeth in their new positions with prosthetic teeth attached to fill the empty space for a better smile appearance in the interim.

The real issue is timing—beginning orthodontic treatment when appropriate to a person’s oral development, as well as completing the implant restoration when the mouth has matured sufficiently. There are other considerations such as bone volume, which may have diminished due to the missing teeth. At some point we may need to consider grafting to build up the bone sufficiently to support dental implants.

This all may entail a team approach by various specialties like orthodontics, periodontics and implantology. Working together and coordinating within a timely schedule, a mouth and smile marred by undeveloped teeth can be transformed.

If you would like more information on treating smiles with underdeveloped permanent teeth, 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 “When Permanent Teeth Don’t Grow.”


TakeYearsoffYourSmilebyTreatingAge-RelatedDentalProblems

You may be able to slow the aging process with healthy habits but you can’t stop it. Every part of your body will change, including your teeth and gums. And even with great dental hygiene and care, there are at least two aging outcomes you may not be able to avoid: discoloration and tooth wear.

Fortunately though, we have ways to counteract these effects and help you enjoy a much younger-looking smile. These techniques range in complexity and cost, but when tailored to your individual situation they can make a world of difference and restore your confidence in your smile.

Brightening teeth that have yellowed with age can be as simple as undergoing teeth whitening.┬áThe bleaching solution in this procedure (performed in the office or at home with a prescribed kit) can minimize enamel staining built up over the years. It can even be performed with some control over the level of desired brightness. Although whitening isn’t permanent, with proper care and regular touch-ups you can keep your youthful, dazzling smile for some time.

Tooth whitening, however, may not be enough in some cases of discoloration. If so, you can gain a bright new smile with porcelain veneers or crowns. A veneer is a thin layer of tooth-colored material bonded to the front of a tooth; a porcelain crown completely covers a tooth and is usually cemented onto it.

Normal tooth wearing can also affect the appearance of older teeth, making them look shorter and with less rounded edges than younger teeth. Veneers and crowns can be utilized for this problem too, as well as enamel shaping with a dental drill to minimize those sharp edges and project a softer, younger appearance. In extreme cases, surgically reshaping the gums can give teeth a longer and a more natural look.

These are just a few of the ways we can address these two aging problems, as well as others like receding gums. Depending on your situation, it’s quite possible we can help you take years off your smile.

If you would like more information on cosmetic answers to aging teeth, please contact us or schedule an appointment for a consultation.




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