What Is a Dental Bridge?

Sometimes known as a fixed partial denture, a dental bridge is a form of dental restoration that is used to bridge the gap when you have one or more missing teeth. By adjoining adjacent teeth and replacing the missing tooth with a false replica, you can restore your smile and avoid the embarrassment often associated with having a missing tooth. Simply put, a bridge is false tooth, also known as a pontic that is connected to two crowns made from porcelain. In turn, these crowns are affixed to nearby teeth almost literally creating a bridge over a gap created by missing teeth.

There are different types of bridges, each appropriate for different parts of your mouth. The first type of bridge commonly used in cosmetic dentistry is the traditional fixed bridge. Fixed bridges, unlike dentures can not be removed from your mouth. In this standard form of a dental bridge, the pontic is attached to crowns which are similarly attached to the teeth on either side of the missing tooth. One or more missing teeth can be replaced by a traditional fixed bridge.

In addition, the resin bonded bridges are another common form of bridge. Resin bonded bridges are mostly used to replace missing front teeth and tend to be less expensive than other types of dental bridges. The resin bonded bridges provide an especially effective treatment when the bridge is formed between healthy teeth that do not have fillings. In the case of the resin bonded bridge, the pontic is attached using metal bands that are bonded to healthy teeth with resin that is virtually invisible. Resin bonded bridges tend to be easier to prepare and have less of an impact on adjacent teeth.

Finally, cantilever bridges are used in areas of your mouth that are under the least amount of stress. Similar to resin bonded bridges, cantilever dental bridges are good for your front teeth and are especially effective in situations where the gap is next to only one healthy tooth. Cantilever bridges require that the pontic is anchored to one or more natural teeth on just one side.

Dental bridges can be an excellent, cost reducing treatment for missing teeth. When compared with dental implants, dental bridges are a more temporary solution but they are also less expensive. Furthermore, this type of solution provide a natural appearance and the procedure usually requires only one or two visits. While dental bridges look real and can last up to 10 years, they can increase temperature sensitivity for the first few weeks after treatment. In addition, proper oral hygiene becomes more important when you have a bridge as the build up of bacteria on teeth and gums may become infected.

If you have missing teeth but otherwise good oral hygiene, you should speak to your dentist about dental bridges. Spaces left open in your mouth may cause your teeth to drift out of position, not to mention the stigma attached with having missing teeth.

Source by Vadim A Kotin


Careers in Dentistry

Dentistry is the branch of medical science that deals with the prevention, diagnosis and treatment of the teeth, gums, jaws and other related structures of the mouth. It includes the repair as well as replacement of defective teeth in order to cure and infuse confidence in the person.

Dental practice generally includes filling cavities, treating gums related problem, removal of the decayed teeth and the nerves of the teeth as well as replacing lost teeth with dental plates. Gold, silver, amalgam or cements with fused Porcelain Inlays are often used in order to fill the visible gaps in teeth. They may even treat teeth with fluorides in order to prevent and control tooth decay. Preventive dentistry is very significant, as it deals with the frequent examination of a patient’s teeth at regular intervals. It has the benefit of detecting and treating a disease before it starts troubling the patient seriously.

There are a number of career options in dentistry. This includes private practice that could be done in the form of solo practice, associateship and solo group practice. There is also retail dentistry, consultation dentistry, oral pathology, oral and maxillofacial radiology, endodonctis, orthodonctis and pediatric dentistry.

Private Practice

a) Solo Practice: Solo practice calls for an acute sense of responsibility for managing and planning every detail related to dental office and practice. There are certain factors that need to be kept in mind before establishing a solo practice, such as location, prevalent economic condition of the community, size of the community, relative number of patients and the availability of specialists in that particular area.

b) Solo- group Practice: Solo group practice is the variation of solo practice. In this kind of practice where two or more dentists share day-to-day operations among them. Dentists share specific operational and equipment charges, but possess complete discretion power over their specific practices.

c) Associateship: An associateship is an agreement that deals with the hiring of dentists by an established practice owner or owners. It creates a relationship between employer/employee with financial reimbursements in the form of salary and/or bonus. The employee- dentist agrees to work for a specified period, using the already established facilities, equipment, supplies and staffs.

Retail Dentistry: Retail dentistry refers to the dental services that are delivered in a commercial retail form. They can either be dental operations located inside large retail departmental stores or practices that make use of retail type management and marketing techniques.

Consultation Dentistry: Consultation dentistry deals with dentists who are employed by insurance companies as consultants. These posts are mainly part- time and salaries are based on per case handled, which is negotiable with the employing bureau.

Oral Pathology: Oral pathology involves the microscopic examination of tissues that are suspected to be abnormal and/or pathologic. Through the use of developed diagnostic methods and abnormal condition of oral and perioral tissues are identified, diagnosed and treated in order to improve the health of the patient.

Pediatric Dentistry: Pediatric dentistry refers to the practice and imparting of knowledge about the comprehensive, preventive and therapeutic oral health care designed especially for children ranging from infants to adolescence.

There are immense possibilities of growing fast in the field of dentistry. At the same time, it requires patience and sincerity on part of students to achieve success. One can develop both personally and professionally in the field of dentistry.

Source by Tony Jacowski


Dog Training – Leash Problems (Leashphobia)

Situation #1 – To leash or not to leash?

In this article I am going to discuss on the problems and solutions to typical dog owners regarding a leash.

Leash Problems

Exercise is a major part of our dogs’ lives. Cesar Millan, the “Dog Whisperer”, tells us that to maintain a healthy relationship with our beloved pooches, that relationship should consist of 50% physical exercise, 25% discipline, and 25% affection. Now that’s a lot of exercise!

In order for us to be able to enjoy exercising our dogs as much as they need, it’s important for them to behave well both on the lead.

Unfortunately, there are many dogs out there who are afraid of the leash itself- resulting in neurotic, fearful, submissive behavior whenever the lead comes out. Think of having a rope tied around your neck and having restriction to your movements! ugh…thats exactly how our dogs feel too!

However…in this newsletter, we’ll take a look at the most effective way to deal with what many dogs face with “leashphobia”.


The majority of the time, the sight of the leash is enough to bring a fit of joy – the dog knows that leash = master taking me for a walk, and in return all i have to do is to be obedient.

However on the other hand, for some dogs, though, the leash is associated with fear and submissiveness more than anything else. Perhaps the leash was used in a negative way with a previous owner – as a tool for dragging the dog around and used to confine the dog for long hours at a time. In some extreme cases, dogs have even been whipped with the leash as punishment.

Or perhaps your dog is just very highly strung, and is prone to developing phobias seemingly arbitrarily. Although fear of the leash can have a severely negative impact on your walks with your beloved dog, however the good news is that it’s easy to cure. You just need some patience and some basic equipment.

REQUIREMENTS (items,skills,knowledge)

– A leash, made of webbing or leather *make sure its not too thin otherwise it would choke your dog! Best to get it from your pet store. Approximately 5 feet (1.25 meters) is a good length, as it enables control without risk of the dog getting entangled in the leash when out walking. Chain-link leashes aren’t recommended, as they’re hard on the hands – and also can hurt the dog in the face, which isn’t something you’d want to inflict on any dog, let alone one that’s suffering from fear of the leash!

– A good-quality collar, again made of leather or nylon webbing. *make sure its not too thin otherwise it would choke your dog! Best to get it from your pet store. If you’re using one with a snap-lock, make sure it’s safety-approved and won’t come undone under pressure. Slip-chain collars (also known as ‘choke – chains’ or ‘check-chains’) should never be used on an unattended dog, as they’re a training tool, not a real collar.

– A little bit of time, and a little bit of patience. Remember your dog is your best friend! (:


– Your aim here is to get your dog to be accustomed with the lead a little bit at a time, keeping him well within his comfort zone at each step of the way. Because he’s already got a fear of the leash, some discomfort in its presence is to be expected, but watch out for signs of extreme fear: hyperventilating, drooling, submissive urination, rolling eyes (often showing the whites).

So step one: remember to take baby steps at all times!

– If he’s really afraid of the leash, you’ll need to accustom him to it very slowly indeed. Practice leaving it out in full view, preferably in ‘fun’ places: next to his food bowl, in preferred play areas, near his bed. Let him know that leash is his friend, get acquainted with it!

– Once he’s stopped reacting to the sight of it, introduce the leash to him in a more active manner. You can do this by wrapping it around your hand as you pet and groom him. Hold the leash in your hand as you prepare his food; sit by him and stroke him, with the leash wrapped around your hand, as he eats. Keep this up until he’s stopped showing any signs of discomfort – it may take some time, but remember that you’re aiming to accustom him comfortably to the leash. Any rushing is counterproductive.

– When he’s not showing any signs of nervousness with this level of progress, you can start attaching the leash to his collar. Put him in a sit-stay, using a firm, calm voice, and clip the leash on. Don’t make a big deal out of it: your dog will take his emotional and psychological cues from your behavior. If you act as though it’s not a big deal, he’ll follow your lead.

– Once the leash is on, give him some time to get used to the sensation of something hanging off his neck. He may get a little panicky at this stage, and start pawing at his neck and trying to rub the leash off along the ground. If he’s showing signs of nervousness, distract him with a game: a short game of tug-o’-war (providing he knows to drop the toy when you’ve had enough) is a good idea; if he can run without getting tangled in the leash, play a short game of fetch; or, if the two of you are outside in a safely enclosed area, you can go for a short walk. Don’t attempt to touch the leash at this stage, just let him walk around freely.

– Take the leash off after five minutes or so, and praise him lavishly for being such a good boy. Give him a couple of small, tasty treats, and lots of petting. A FED DOG IS A HAPPY DOG ((:

– Repeat these last three steps several more times before progressing to the next level: you want to give him plenty of opportunities to get used to the sensation of the leash itself before you start using it to control his walking. The more positive associations he forms with the leash (which he will do through the games, walks, and treats while wearing it), the better for his progress.

– Next, it’s time for a short obedience-training session while he’s wearing the leash. Five minutes is plenty: practice a sit-stay and the recall command (“come”) while he’s wearing the leash. This will reinforce your authority and leadership, and remind him that he’s still expected to obey you while wearing the leash.

– When he’s readily obeying your commands with the leash on, you can take him for a short walk while he’s wearing it. If he’s jumpy, do not reinforce his nervousness by rewarding him with attention. Simply ignore him and carry on walking. Remember, he takes his cues from you, so keep calm and wait for it to pass.

– If, at any point, you feel that he’s simply too nervous to proceed (for example, if he’s still panicking after three or four minutes of walking on the leash), go back to the level at which he was last 100% comfortable. Wait a few days at this stage before attempting to proceed.


– Remember to be patient! Don’t attempt to rush your dog’s progress: using force is counterproductive to your end goal. You’re teaching him to relax and be calm around the leash – if you get stressed or frustrated with his lack of progress, he’ll be able to tell, and his anxiety levels

will increase, not decrease.

– Remember not to indulge his nervousness or coddle him if he plays up or gets nervous. If you react to his crying and trembling with petting and cooing, you are telling him that it’s OK to feel like that. If he’s nervous, either ignore it and carry on, or distract him with a game or short walk. If he’s still panic-stricken after three or four minutes, revert to the previous step and give it more time.

– This should go without saying, but never correct or punish him for skittishness or nervous behavior – again, it’s counterproductive in the extreme.

Source by Douglas Teo


Role of Bone Grafting in Dental Implants

The moment patients hear their dentist or surgical specialists mention “bone grafts”, often you see the backs of patients as they rapidly head for the door. Often times patients are never truly educated on why bone grafts are needed. Not every dental implant case requires bone grafting, but a fair number of them do. Patients must understand that bone provides the foundation for the support of the implant. The bone, depending on the type of restoration desired, must have adequate height, width and positioning for dental implant placement. Additionally, the bone normally has to be at or near the same level as the adjacent bone.

Imagine the bone being the foundation for the construction of a house. It must be solid and level. It isn’t that different in the mouth. After you have an extraction or have a tooth missing for some time, the bone deteriorates (atrophies). The alveolar bone (the bone that houses teeth and their roots) atrophies typically in width greater that in height, but both components are involved. If the bone is too thin, an implant cannot be placed because the body of the implant will not be covered by bone circumferentially. If the bone is not high enough, the implant could be too close to adjacent anatomic structures. Moreover, even if an implant could be placed, but the bone is not at the same level as the adjacent bone, the implant may not be hygienic, it may be very unaesthetic and/or create a periodontal issue for the patient. A general rule of thumb for implants surgeons, is to reconstruct the foundation for the implant back to ideal prior to placing an implant or implants.

There are many types of bone grafts. Normally, when a tooth is removed, banked bone (called an allograft) or a xenograft (bone from another species, typically bovine or cow) is placed into the socket. Additionally a resorbable collagen membrane is placed over the bone to prevent the gum tissue from invading the socket site. Occasionally, in an extraction site without grafting, the gum tissue invades into the socket before bone can heal and some loss of width more so than height occurs. The bone graft to preserve the socket is called an alveolar preservation procedure. Normally after three to four months, the implant can then be placed.

If the bone is too thin and/or too short, autogenous bone grafting is usually needed. Autogenous bone grafting is typically taking bone from one part of the body and transferring to another. For most situations in the mouth, bone can be taken from non-tooth bearing areas (at or above the wisdom tooth site called the ramus), from the front part of the chin, the site where the upper wisdom tooth once was (tuberosity), the malar buttress (where the bottom of the cheek bone meets the upper jaw), or from tori. Tori are naturally occurring bone outcroppings of the upper and/or lower jaws. This anomaly is seen 5 to 10% of the population. The site where the bone is taken is called the harvest site. The donor site, where the bone is to be placed, is prepared to accept the block of bone or particulated bone. Particulated or ground up or scraped bone is placed into a defect or into a titanium mesh or titanium reinforced Gore-Tex (PTFE-Polytetrafloroethylene). If a block of bone is taken, once the donor site is prepared, the block is secured to the site using titanium or stainless steel bone screws. After a period of healing, typically 5-6 months, the mesh, Gore_tex or bone screws are removed and the implant(s) are placed.

Bone of the upper back jaw often does not atrophy horizontally significantly. However, vertical atrophy causes the alveolar bone to shrink upwards and approaches the bottom portion of the maxillary sinus. Then a decision has to be made whether to add bone vertically to the upper jaw (maxilla) or elevate the sinus. The sinus is a hollow cavity of the skull lined by a membrane (Schneiderian membrane). The membrane consists of respiratory epithelium or ciliated columnar epithelium. The cilia are little hairs that beat and clear the sinus of fluid and mucus. When there isn’t enough bone present, the sinus can be elevated and bone placed under the membrane. The procedure consists of an approach to the sinus from either the alveolar ridge (where the tooth was) or from the side (cheek side of the jaw). Access is made into the sinus without tearing the membrane and elevating the membrane off of the bone. The mobilized membrane creates the matrix to contain the bone graft. The bone graft can be an autogenous, an allograft, and/or a xenograph. Depending on the amount of bone present at the time of surgery, the implant can be placed at the same time or in a secondary procedure 5-6 months later.

Often times patients are more concerned with the harvest site or the taking of the bone graft rather than the placement of the graft. Are there other options besides using the patient’s own bone? Yes, there are other alternatives to consider. One option is an allograft block. It is a block of bone taken from a human cadaver and treated to remove all disease and protein that cause rejection. However in most cases, the amount of resorption is unpredictable. What that means, is it is hard to determine how much of the bone graft will actually stay behind. Additionally, some times the bone can incorporate but never get fully turned over by your body. Typically when allografts are placed, they are resorbed by your body and replaced by your natural bone within the matrix of the graft placed. Your skeleton is not static and constantly rids itself of old bone and turns over new bone. This process happens to about 0.7% of your skeleton everyday. The area that has the most turnover is the mouth where the teeth and periodontal ligament meet the bone. With these allograft blocks and with xenografts, some of the graft material occasionally never gets turned over and can have a poor blood supply. Implants placed into this bone can suffer bone loss and failure. The other option is human recombinant bone morphogenic protein. Commonly called BMP, this protein actually signals the body to put bone where the protein is placed. For sinus lifts, a collagen membrane is soaked in BMP and placed into the sinus. After 6 months or so, implants can then be placed. Success rates are relative on par with autogenous bone grafts. Patients often elect this procedure when they wish to avoid bone harvesting. The only negative is the cost of the protein which can be a few thousand dollars by itself.

When there isn’t enough bone that can be obtained from the mouth, the bone must be harvested from elsewhere. Typically for dental implant procedures, bone can be obtained from the anterior (front part of the hip), the tibia (big bone of the lower leg), or the skull. The hip and the tibia are typically used. Some of these procedures can be done in the office, but some require hospitalization. Other options to bone grafting can be distraction osteogenesis. The is where a cut in the bone is made and freed up from the mandible or maxilla but still left attached to the tissue one side. Therefore the freed up piece of bone still has a blood supply. The freed up part of the bone, called the transport bone, is attached to a device with screws and the other end of the device is attached to part of the bone where the freed piece came from. Slowly over time, the device is activated and slowly spreads apart. If done properly, as the bone segments are moved apart, bone fills in gap and “new” bone is grown. The difficulties with the procedure is controlling the direction of the transported bone segment, the patient tolerating the device for several weeks and the transported bone is occasionally too thin for implants and requires further grafting.

In the lower jaw, if there is not enough height, one other option beside bone grafting is nerve lateralization. If the bone is wide enough, what typically limits vertical placement of implants is the position of the inferior alveolar nerve canal. This is an intrabony canal that houses the nerve that supplies feeling to the lower teeth and to the lip and chin. It is the nerve that makes your lip and chin feel fat after the dentist numbs your lower arch for treatment. To gain height for implants, the nerve canal can be unroofed from the side and moved away, the implants placed and then the nerve redraped. Obviously there is some risk of nerve damage in this procedure and is usually a secondary consideration to bone grafting.

When patients understand why bone grafts are needed, the case acceptance rates improves dramatically. Patients must have a firm understanding of the procedure and reasoning behind procedures to reduce their reluctance to proceed. Understanding that creating the ideal foundation for implants improves dental implant success, longevity, function and greatly reduces post-implant complications, motivates patients not to compromise their dental implant treatment plan. Therefore, dentist and specialist must take their time to explain not only the procedure but the reasoning behind bone grafting for dental implants.

Source by W. B. Bohannan DDS, M.D.


What is the Purpose of Bone Grafting?

For patients that are seeking out dental implants, they may go to the dentist and hear that they are going to have to have to undergo bone grafting before they are able to have their dental implants placed. The obvious questions that follow involve what bone grafting is and the purpose of bone grafting.

What Is Grafting?

Bone Grafting is the procedure of adding bone to an area of the mouth where it is missing. It can be used in any area of the mouth where it is needed. When adding it to a patient’s mouth, the dentist will use one of three types of bone: autogenous, allograft, or alloplasts. Autogenous bone belongs to the patient receiving it. Allograft bone refers to a donor and alloplasts are synthetic substitutes. The dentist may use a combination of the above as well.

In conjunction with the bone, the dentist may add PRP, a healing agent that comes from your blood and is accessed through the IV. The area will be closed off with either artificial collagen or donor membrane.

Why Is It Performed?

Bone grafting is performed for two reasons: to create enough bone for dental implants or to fill out deterioration under the gums. Bone creation is often needed when a patient has been without teeth for a while or for another reason has lost bone in the area where the implant will be placed. The dental implant will need the bone in order to hold it in place. If the bone grafting is to fill out the bone alone, the reason is generally cosmetic or for gum contour reasons.

Time Frame

Many times the dental implant can be placed at the same time the bone grafting surgery is performed. However, this will often depend on the facility that your implants and grafting are being conducted in and the size of the area that has to be grafted.

When grafting is done before the implant is placed, healing time for the bone to heal prior to having the implant placed can be from 4 to 6 months.

Source by Dr. Lee Fitzgerald


What to Expect From an Oral Surgeon

An oral surgeon is a specialized provider of dental care. His or her job is to help you to restore health to your mouth or to make other changes that improve the look, function or deformity present. Take into consideration seeing these professionals when your dentist recommends it or when you feel you need to make significant changes that your typical dental care provider does not make. It is not always possible to choose the proper when to seed these providers. In some cases, you just need to.

Initial Meeting

During your initial consultation with the oral surgeon, he or she will perform an exam to find out what is happening within your mouth. In addition, any previous information from your standard dentist is also reviewed. The goal here is to learn what the problem is, what the extent of the problem is and what can be done to improve it. In most situations, these providers will work with you through non-surgical steps whenever possible to make the changes needed. In other words, do not expect to have surgery during that first meeting or at all.

When Non-Surgical Options Do Not Work

In some situations, surgical procedures are the only way you can improve your overall health and get through the problem. This is when these professionals will offer you options. The invasiveness of the procedure will depend on what needs to be done. In some cases, you will only need a local anesthetic. In other situations, you will need to be under general anesthesia. If you do need to have this type of procedure, the doctor will tell you exactly what to expect prior to having it.

Get Your Needs Met

Just like hiring a dentist or any other provider of a service to you, it is critical to choose someone you have faith in to do a great job. That often means learning about the provider’s experience and training in the type of surgery you need. It also means understanding what your options are and knowing if the provider is listening to any concerns you have. You should be well aware of any risks or potential complications going into this procedure.

An oral surgeon can help you to overcome the problems you are dealing with in some situations. To find out if he or she can help you, schedule an initial consultation to talk about your condition. Find out what your options are. Find out what you can do to avoid surgery or if you are dealing with a condition that requires you to take this type of more invasive step. For many, surgery is the best move to make to get to a better level of overall health.

Source by Andrea Avery


Dental Implant Procedure and Recovery

Many dental patients are concerned when they hear the words dental implants. These restorative devices should not be so intimidating. Prosthodontists use them to support dental health and preserve people’s abilities to chew, talk and otherwise enjoy life.

What Are Dental Implants?

History tells us that people have been using dental implants for thousands of years. Ancient Egyptians and Mayans apparently used bone and wood to create false teeth. George Washington used wooden teeth.

Thankfully, science has advanced so that we do not have to depend on these materials any more. Dental implants are typically made from titanium today. They are surgically inserted in the jaw to take the place of teeth and their roots. Additionally, implants do much more than simply sit in place of dental structures. They support the surrounding teeth as well. Implanted into the jaw, they support various other dental prosthetic devices, such as crowns, bridges and dentures.

Dental Implant Procedure

Dental patients may notice that there is a lot of preparation before an implant procedure. The oral surgeon must identify the exact location, form and structure of the jaw and mouth. For example, depending on the future location of the implant, he may need to identify the proximity of the sinus cavity or the inferior alveolar nerve canal in the jaw. Aside from the usual dental X-rays, CT scans of the area may be required as well. It is important to know the exact shape of the jaw and amount of bone that can support the implants in order to avoid complications but also to prepare an implant that will fit exactly in place.

Once the planning has been finished, the oral surgeon can begin the actual procedure. It is necessary to make some sort of incision into the gums over the place where the implant will be inserted.

The implant is set in place without any other permanent adornment. It must be given time to let natural bone grow over it and set it in place firmly. Then, a prosthodontist can place crowns or other prostheses over the implant.

Recovery from Dental Implant

There is a great deal of debate over the proper amount of recovery time required to let the implant heal properly before placing a prosthesis on it. The general practice is to allow anywhere from two to four months for healing before adding the stress of a prosthesis, or four to six months if bone grafting is involved.

In very selected cases, a temporary prosthesis can be inserted on the same day of implant placement, possible if certain clinical criteria are meant.

Implants generally have a high success rate, although this is dependent on the type of procedure needed and the skill of the surgeon making the dental implant. So choosing the right dental surgeon to carry out the procedure is very important.

Source by Rose T Teo


The Dreaded Dental Surgery – Wisdom Tooth Removal

Removal of wisdom teeth is one of the most feared dental procedures. Everyone has heard a horror story about dry socket or infections that occurred after the removal of wisdom teeth. What many people don’t realize is that wisdom tooth removal can be simple and pain free if done early enough. Most dentists will monitor the growth and placement of these teeth during the teen years. They will recommend removal when the time is right based on the patient’s age and the development of the teeth. It is important to stay on track with regular dental checkups to make sure these teeth are removed at the optimal time.

Wisdom teeth usually erupt between the ages of 17 and 24. There are normally four teeth that come in, two on top and two on bottom. Some people never get all four teeth in a condition called hypodontia. Wisdom teeth are known as third molars because they are in the back of the mouth behind the second molars. Dentists usually recommend removal of these teeth early on to avoid major dental complications that can arise as time goes by. The older a patient is, the more difficult removal can be because the teeth are more firmly attached to the jaw. What should be a simple dental procedure gets much more complicated the longer it is neglected.

Removal of wisdom teeth is suggested due to the lack of space on the jaw for this extra tooth. Typically the jaw is not large enough for these extra teeth and as a result, the rest of the teeth will end up being very crowded. Many times the tooth will grow in sideways or at an angle due to the limited space and curvature of the jaw. When this happens, the tooth is considered to be impacted and complications can arise. Impacted wisdom teeth can damage the teeth next to them and require extra dental procedures to fix the adjacent teeth. Infections can also arise as food can get trapped between the crowded teeth or under the gums where it is harder to floss.

It is up to the patient to decide if he is ready to have his wisdom teeth removed, however, most dentists will encourage removal while it is still a simple dental procedure. Complications can arise if wisdom teeth are not removed at the suggested time. The older the patient, the higher the risk of nerve damage following the procedure. As a result, paresthesia, or numbness of the chin, lips, or tongue can occur. Paresthesia can last from several days to several months. This condition is rare in teenagers and as high as 10% in people older than 35. Cysts and tumors can also develop if given enough time. Not to mention that the healing process will be much quicker and easier on younger patients.

While wisdom tooth extraction can be a simple and pain free dental experience, there are risks of complications regardless of the patient’s age. Dry Socket is the most common complication. In dry socket, the blood clot has become dislodged from the hole where the tooth was. This condition is extremely painful and is not easily alleviated with pain medications. Patients are encouraged not to smoke or drink out of straws to avoid dry socket. Abscess, swelling, soreness and excessive bleeding are also other potential complications. The dentist can evaluate any problems experienced and either recommend additional dental treatments or prescribe antibiotics or painkillers.

Source by Michael Russell


The Side Effects of an Wisdom Tooth Removal

Most Oral Surgery procedures such as dental extractions are traumatic to some degree. It involves the application of force to an area of the human body and often the use of surgical drills. For most individuals the side effects are predictable and the results are as desired. However there are many unwanted side effects which must be dealt with as they arise.

The side effects of Oral Surgery procedures can be unpleasant and include predictable effects such as pain and swelling of the affected area which will take from one week and ten days to resolve.

Other common but unpredictable side effects include dry socket is an intense pain after an extraction which is not relieved by painkillers and typically lasts about 2 weeks, but may last much longer. There is no treatment. It will resolve in time and heal normally once the pain has passed.

Ulceration of the skin of your mouth may occur after the removal of wisdom teeth or other procedure. The ulceration is often quiet painful and will resolve in approximately 10 days. There are many causes of the ulceration including biting your self while numb, trauma from the procedure, stress etc. Difflam Mouth Wash is helpful at easing the pain of ulceration.

Numbness of the skin of the lips, cheek, and tongue is a well recognized and unpredictable side effect of nearly any Oral Surgery procedures but it is especially associated with the removal of lower wisdom teeth and other surgical procedures at the back of your lower jaw and with surgical procedures on your lips. The numb feeling or altered sensation is usually temporary. The numb feeling may be permanent, however this is rare. There is no treatment to correct a numb feeling or altered sensation after surgery.

Fracture of associated teeth. Teeth with large fillings are weak. If a weak tooth is very close to a surgical site the tooth may break or the filling may fall out. This is an unfortunate, relatively common and unpredictable side effect which is a result of past decay which has weakened your tooth. Normally the broken tooth is left alone. When you have recovered from the extraction you return to your dentist to have the tooth fixed.

Loose Teeth. Teeth beside an extraction site or other surgical site will often be loose at the completion of a procedure. This is very common and is usually because there is less bone holding your teeth than before. In most instances the teeth will firm up in several weeks if left alone and no pressure applied to them.

Oral-Antral fistula. Your upper jaw contains a hollow cavity and the cavity is called a sinus. This sinus is connected to your nose. The creation of a hole from your mouth into a sinus of your top jaw is relatively common. This allows fluid from your mouth to come out of your nose when you drink and must be surgically closed.

Teeth displaced into the Sinus. Your top back teeth may be displaced into the sinus cavity of your top jaw. If the tooth causes no symptoms it may be left where it is. If it becomes painful or infected it must be removed.

Swallowing or Inhaling fragments of teeth. Thank-fully a rare event. The extraction of teeth involves applying considerable pressure. It is not always possible to predict the effect of applying this pressure. When a tooth breaks into multiple pieces, the fragments must be removed from your mouth. Sudden or unexpected movement from a patient can result in you swallowing a tooth or piece of a tooth. If this happens you must have a chest x-ray to make sure you have not inhaled the tooth into your lungs. Swallowed teeth will pass through you. Inhaled teeth must be removed from your lungs.

A Broken Jaw. A fracture of your jaw bone either completely or incompletely is a rare event which does occur. It is unpredictable and often only discovered several weeks after it has happened. The nature of the fracture will determine the treatment you need.

Persistent Pain. A very rare but recognized result of any procedure is persistent pain in the area of your mouth where you had surgery which will not respond to painkillers, antibiotics or other conventional treatment. The pain may persistent for such a long time as to be considered permanent. There is no cure for such a pain. There are many rare, unpredictable side effects which will occasionally happen. The traumatic nature of wisdom teeth removal and dental extractions in general makes it impossible to predict every possible side effect. Your surgeon will make every effort to avoid unwanted side effects and to aid your recovery when they do occur. If you ever have any concerns after surgery be sure to contact your surgeon.

Source by Dermot Murnane


Tooth Extraction – Why Is It Necessary?


Tooth extraction can be defined as the removal of a tooth from its socket in the bone.

Your dentist always aims to save your tooth; however there could be circumstances wherein your tooth has to be extracted.

In the early days of human history many of the illnesses were attributed to tooth infections. Since there was no antibiotics in those days tooth extraction was performed for curing the illness.

Different tools were being used for extracting tooth at various points of time. The first one was invented by Guy de Chauliac in the fourteenth century and this was known as the dental pelican. This was the main tool that was being used until 18th century wherein dental key replaced dental pelican as an extraction tool. Dental key is replaced by modern forceps in 20th century and this is the main tool used at present for tooth extraction. Dental extractions vary widely and to facilitate different types of extractions a wide variety of instruments are being used.

Reasons for extracting tooth

Normally, whenever there is a tooth breakage or tooth damage due to tooth decay the dentist try and repair the tooth by various means such as filling, fixing a crown etc. However, there are times at which the tooth damage is so much that it cannot be repaired and under such circumstances he has no choice other than extracting the tooth. This is the common reason for tooth extraction.

In addition many illnesses and drugs necessitate tooth extraction because they weaken the immune system and cause infection of the tooth. These are – cancer drugs, dental caries, gum diseases, extra teeth, fractured tooth, organ transplant, orthodontic treatment, radiation treatment and wisdom teeth.

Types of extraction

There are two types of tooth extractions – simple and surgical.

  • Simple extractions – these are performed on teeth that are externally visible in the mouth and can easily be done by general dentists. The dentist gives a local anesthetic injection before he extracts the tooth.
  • Surgical extractions – these are performed on teeth that are not possible to be accessed easily; this could happen if the teeth are broken under the gum line or partial eruption of the teeth. In such a case the surgeon has to cut and pull back the gums thereby providing access to removing the bone or a piece of the tooth. Surgical extractions require a specialist oral surgeon.

Pre-extraction considerations

Prior to extraction of your teeth your oral surgeon or dentist will find out about your medical and dental histories; also he might take X-ray of the affected area. He also might prescribe antibiotics if you have infected tooth, weak immune system or any medical problems.

Post-extraction considerations

  • For simple extractions your dentist might prescribe OTC anti-inflammatory drug like ibuprofen.
  • For surgical extractions your dentist might prescribe pain medications for a few days and switch over to NSAID.
  • Once your tooth is extracted your dentist will make you bite a gauze piece for facilitating clotting and you must not disturb this clot on the wound.
  • You have to use ice packs to contain the swelling after surgery. Use warm compresses when your jaw becomes stiff.
  • Most of the stitches will disappear within one or two weeks. Warm salt water rinsing might dissolve the stitches. Left over stitches will be removed by your dentist.
  • Avoid smoking or spitting after the surgery because this could remove the clot out of the tooth hole thereby increasing the bleeding and resulting in dry socket.

Risk factors

The risk factors due to tooth extraction are – infection, extended bleeding, swelling, dry socket, nerve injury, tooth damage, incomplete extraction, fractured jaw, and hole in the sinus, sore jaw muscles or joint and numbness in the lower lip.

Source by Padmanabhan Vaidyanathan