You’re sitting in your dentist’s chair for your checkup, and you hear the dreaded words that you have a cavity. Is it really a cause for panic? Modern advances in equipment and methods may surprise you about what really happens when you get a filling. Let’s learn what to expect if you need this procedure.
The first thing you and your dentist will discuss is the type of filling that is best for you. One choice is an amalgam filling. It is known for its durability, but contains a small amount of mercury which raises concerns among some patients. Another option is a resin composite filling, which is a newer material that contains more plastics. Many patients like this option because its white color is less noticeable in your mouth, but it lasts only about half as long as an amalgam filling.
The first step of the process is numbing the area, unless the cavity is very small and it’s unnecessary. First, the dentist will rub a topical numbing agent on the area, and will give you an injection after it takes effect. Many patients don’t even feel the injection after the topical numbing.
Next, the dentist will separate the area being worked on from the rest of your mouth using a rubber dam or a bite block. Once your mouth is ready, your tooth will be drilled and the decay will be removed.
The actual filling will be placed after the decay is gone. If you are receiving an amalgam filling, the hole will be filled with the metals. It will be pushed down to ensure all of the space is full, and then any overflow will be removed to make the tooth smooth. If you are getting a composite filling instead, the dentist will put some blue acid in the hole to create small holes for bonding the material. The acid is then rinsed, and a bonding agent is applied. Then the composite material will be added. A blue light will be used to harden and strengthen the material. Finally, the filling will be filed to make it smooth.
Having an accident that involves your teeth can be one of the scariest types of trauma. It’s not only painful, but brings to mind images of a broken or gapped smile. Unfortunately, reports suggest that over half a million people seek treatment in the emergency room each year for dental related issues. Many emergency rooms are not equipped or trained to handle dental problems, so sometimes all you can do is wait to see your dentist.
Since it’s impossible to know exactly when an accident will happen, it’s a good idea to be prepared with items helpful in a dental emergency. Suggested items to include in a dental emergency kit are gauze, Q-tips, salt packets, a small container, over-the-counter pain medication, and sugarless gum. Also include the phone number for your dentist.
If your mouth is damaged in an accident, first rinse your mouth with warm salt water. Follow the directions on the label to take pain medication if necessary. If inner parts of your tooth like the nerves or dentin have been damaged, try covering the area with sugarless gum to protect it until you can get professional treatment.
Sometimes oral injuries can be handled at home until your dentist is available, but more serious situations require seeking care immediately from an emergency dental facility. Some symptoms that usually suggest immediate treatment include facial swelling that is accompanied by a toothache, or uncontrollable bleeding.
If your tooth is knocked out, find it and rinse it with water. Gently try to replace it in the socket. If it can’t be reinserted, place it in a small container with milk or slightly salty water. Ideally, you need to see your dentist within the first couple of hours in order to restore a dislodged tooth.
Following this advice for emergency dental care will help you handle the situation more calmly and know what to do if it happens to you or someone you are with.
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The fact is that the health care provider most people should see the most is their general dentist. Because this branch of healthcare is uniquely targeted at preventing disease and promoting good hygiene, general dentistry can help you avoid oral concerns and maintain a healthy and attractive smile.
General dentists are the most common providers for dental treatment for patients of all ages. Routine dental visits involve examinations, sometimes diagnostic tests, professional cleanings, and discussions about concerns. If your checkup reveals issues that require further treatment, most general dentists perform required procedures. However, your general dentist may refer you to a specialist for complex treatments.
What does a general dentist do? Differing from specialists who focus on a certain area of oral care, general dentists offer a wide variety of services.
Preventive services – The goal of preventive dentistry is to stop disease before it has a chance to progress. Regular exams, diagnostic images, and professional cleanings are part of prevention. Proper oral hygiene techniques will also be discussed.
Restorative services – Procedures for dental problems falls into this category, including fillings, crowns, gum disease remedies, dentures and more. Some general dentists also offer specialized treatments like root canal therapy and dental implants.
Overall oral health services – Some dental problems are reflected in overall health concerns. Diabetes, cardiovascular disease, pregnancy complications and other problems may arise. General dentists can identify issues like these and offer treatment or direct you to the right specialist.
Cosmetic services – Many general dentists offer cosmetic treatments such as dental veneers, teeth whitening, bonding, orthodontics and more.
When should you visit your general dentist? Experts recommend getting checkups every six months, or more often if you have an issue that should be addressed like a toothache or gum bleeding. Cosmetic appointments can be made at any time. The main thing is seeing your general dentist regularly so you can benefit from preventive care.
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Wisdom teeth are the third set of molars, and usually emerge in the late teens or early twenties. Standard dental practice is to remove wisdom teeth prior to them being fully formed when the roots have not yet had a chance to develop and fully root into the jaw. Younger patients usually have an easier recovery from surgery and many dentists believe early removal prevents future dental problems associated with wisdom teeth.
If your wisdom teeth were not removed as they emerged, there are some signs and symptoms that would indicate the need for extraction including:
Wisdom teeth that are impacted, which means they have become trapped in the jawbone or gums.
Wisdom teeth that are emerging at an awkward angle, causing pressure on adjacent teeth.
Wisdom teeth that do not fit in your mouth, causing crowding of the surrounding teeth as well.
Wisdom teeth that are suffering from decay or disease caused by the inability to keep them cleaned properly.
Wisdom teeth that have developed fluid-filled cysts near the gumline.
Wisdom teeth that are causing pain due to any of the above reasons.
The decision about whether or not to remove your wisdom teeth should be made in consultation with your dental professional. Your dentist or oral surgeon can assess the position and health of your wisdom teeth and make a recommendation for treatment.
If extraction is recommended, they may choose to extract one tooth or all four molars at once. Recovery from the outpatient procedure takes just a few days, and you will quickly be back to normal. Contact our dental office if you are experiencing any of these symptoms listed to determine if you should consider wisdom tooth removal to ensure your future good oral health.
Whether you are a teenager or an adult, you may have pain associated with your wisdom teeth. In a perfect situation, these back molars erupt last and fit right into your mouth without problems. Many people are not so lucky, however. It is common for these teeth to attempt to come in, but have nowhere to grow in the space where your other teeth are already established. This can result in a very painful toothache.
The first step you should take is visiting your dentist, where x-rays will be taken to see exactly what is happening in your mouth. The x-rays will be examined to determine the angle the teeth are growing, how much room is available for them to develop, and if there is any infection present. Depending upon the examination results, surgery may be necessary to remove your wisdom teeth.
Your dentist will look for signs that indicate your wisdom teeth need to be removed. The main indications for tooth removal include:
A tooth embedded in your gums
A tooth that is only partially erupted
The presence of a cyst around the tooth
A tooth growing in an awkward angle
If your dentist recommends removal, it is usually suggested to have it done as soon as possible to avoid further problems and continued pain. Sometimes it is necessary to remove only a single tooth, and in other cases multiple teeth may need to go. The complexity of the removal depends on whether the teeth are embedded, the angle of growth, and other issues. Your dentist will advise you on the safest and most effective plan for taking care of your wisdom teeth and getting rid of the pain.
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Most dental professionals recommend having third molars, or wisdom teeth, removed in early adulthood, preferably before they are fully formed and rooted into the jaw. Generally, this means having wisdom teeth extracted between the ages of 17 and 25. Waiting until you are older to have wisdom teeth removed can have considerable risks and complications.
Wisdom teeth that are not removed create the following risks:
Impaction caused by wisdom teeth that do not have sufficient room to grow, causing pain and potential disease and damage to adjacent teeth.
Tooth decay from wisdom teeth that are difficult to keep clean.
Infection caused by bacteria that is harbored in the wisdom tooth eruption site.
Growth of tumors and cysts caused by severely impacted wisdom teeth.
For patients who need to have wisdom teeth removed later in life, complications can include:
More complicated removal surgery to eliminate deeply rooted or impacted wisdom teeth that results in longer surgery recovery time.
Roots that have grown close to the nerve that affects the feeling in the lower lip might be injured in surgery, causing permanent nerve damage.
If you or your young adult have emerging wisdom teeth, schedule a consultation with your dentist to determine if and when they should be removed. While some patients will not need to have their third molars extracted, in most cases, having wisdom teeth removed as they are erupting can help to avoid a host of future problems. When wisdom tooth extraction is performed early, recovery time and risk of complications are drastically reduced for most patients.
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