Effects Of Smoking On Teeth And How To Kick The Habit

 

By: Donna M. Rounsaville, Colgate

 

  It’s No Smoking Day, a holiday we definitely endorse! Smoking takes a toll of smoker, and their teeth. The Woodview Oral Surgery Team

Although they aren’t addressed as often as the rest of the body, the effects of smoking on teeth and the oral cavity are important pieces of information in the process of smoking cessation. Everyone knows smoking is bad for your health, but did you know it is a major contributor to dental problems as well? Although true strides have been made, the tobacco epidemic continues. Nonetheless, according to the U.S. Department of Health & Human Services, opportunities abound for kicking the habit.

Why be concerned with the oral effects of smoking? A healthy smile is paramount for most adults. It is often the first thing people notice when they’re introduced to someone for the first time. And nobody wants a smile that is dull or discolored, let alone emits bad breath. The problem is that routine brushing is only half the solution; it doesn’t remove the stains or reduce halitosis by itself. In addition, seek more frequent dental cleanings. These visits can foster a dialogue that opens a path to quitting.

Effects on Teeth and Oral Cavity

According to the American Dental Association (ADA) Mouth Healthy site, smoking, and tobacco use cause stained teeth, bad breath and a diminished sense of taste. Over time, smoking can hinder your immune system, producing more concerning side-effects that include a reduced ability to recover after surgery. Because of this, smoking is also one of the most significant risk factors associated with gum or periodontal disease, which causes inflammation around the tooth. This irritation can affect the bone and other supporting structures, and its advanced stages can result in tooth loss.

The use of tobacco – especially smokeless tobacco – increases your risk of oral cancer as well, which can be aggressive due to the abundance of blood vessels and lymph nodes in your head and neck.

Ultimately, the effects of smoking on teeth can lead to tooth decay and pose a challenge with restorative dentistry. Because tobacco causes tooth discoloration, the aesthetic results of this treatment are not always ideal – both extrinsic and intrinsic. In addition, gum recession can cause uneven margins on crowns and other restorations.

Smoking Cessation and Your Dentist

Dental health professionals play an important role in smoking cessation and can increase your rate of successfully quitting. According to the University of Wisconsin Center for Tobacco Research and Intervention, the qualities and attributes of the dental team are uniquely poised to combat this stubborn habit. These benefits include:

  • Skills for interviewing and questioning patients about tobacco use
  • Reviewing of medical histories at every visit
  • Educational and motivational skills
  • Trusting relationship and rapport with patients
  • Regular visits that allow for follow-up and support

Dental patients are seen more frequently for oral health appointments than by their primary care providers. Taking advantage of these regular visits can be an important step to the beginning and monitoring a smoking cessation program.

Steps to Take

Using the Centers for Disease Control and Prevention (CDC)‘s five keys for quitting is a terrific way to start a course for successful tobacco cessation. All healthcare providers, especially your dental hygienist and dentist, can provide support and resources. These five steps are:

  1. Get ready by setting a date to quit.
  2. Seek support from your friends and family, as well as your doctor, dentist, counselor, etc.
  3. Practice behavioral distractions (such as the use of Colgate® Wisp® for on-the-go brushing) when the urge to smoke comes up.
  4. Make use of medications – both prescription and over the counter – and use as directed.
  5. Prepare for setbacks and seek help for overcoming obstacles or relapses.

The effects of smoking on teeth, breath, clothes and your health, in general, can all influence a patient’s desire to quit, but a visit to the dentist is an important first step. Dentists and dental hygienists will have a crucial plan that starts the process. Everyone wants white teeth, fresh breath, a healthy mouth and firm gums, and with help from your dental office, you can achieve all of these. It’s never too late to quit being unhealthy.

 

Source: https://www.colgate.com/en-us/oral-health/basics/threats-to-dental-health/effects-of-smoking-on-teeth-and-how-to-kick-the-habit-0115?

Dental paresthesia: Nerve damage as a complication of wisdom tooth extraction or dental injection.

 

By: Animated-Teeth.com

 

😱 Have you heard about Dental Paresthesia? Discover its signs, symptoms, causes, and treatment before you’re at risk! The Woodview Oral Surgery Team

What is paresthesia?

Dental paresthesia is one possible postoperative complication of wisdom tooth removal, or in some cases receiving a dental injection.

It involves a situation where tissues or structures in or around the mouth (lip, tongue, facial skin, mouth lining, etc…) experience prolonged or possibly permanently altered sensation as a result of nerve trauma.

In most cases, the trauma has been caused by an event that has bruised, stretched or crushed the nerve. Less likely, it may have actually been severed.

a) Paresthesia and wisdom tooth removal.

In the case of oral surgery, a person’s risk for experiencing paresthesia correlates with the position of their tooth in its jawbone, in relation to the location of surrounding nerves.

Illustration showing close proximity of a wisdom tooth's root and mandibular nerve.

In situations where a nerve lies relatively close to the tooth being removed, or in surrounding tissues that must be manipulated during the extraction process, it may be traumatized.

What can cause this trauma?

Nerve damage can be caused by:

  • The tooth itself as it’s forced against the nerve.
  • The instruments (forceps, elevators, drills) used to remove the tooth or the bone tissue around it.
  • The instruments used to incise and retract the soft tissues surrounding the extraction site during the procedure.

Which nerves are usually affected?

Most cases of paresthesia occur in conjunction with the removal of lower 3rd molars (wisdom teeth) and, to a lesser extent, 2nd molars (the next tooth forward).

The nerves that frequently lie in close proximity to these teeth (and thus are at risk for damage during the extraction process) are:

  • The mandibular (inferior alveolar) nerve. – This nerve runs the length of the lower jaw. It lies in the center of the jawbone at a level near the tip of the roots of the teeth. Towards its end, it gives rise to the mental nerve that branches out and runs to the lower lip and chin area.
  • The lingual nerve. – This is actually a branch of the mandibular nerve. It runs on the tongue-side surface of the lower jaw and services the soft tissue that covers it. It also branches to, and provides sensory perception for, the tongue.

b) Paresthesia and dental injections.

Beyond surgical procedures, some cases of paresthesia are caused by routine dental injections.

What causes the trauma?

The nerve damage may be due to:

  • Direct trauma caused by the needle itself.

    The largest gauge needle used in dentistry has a diameter of .45mm. In comparison, the nerves most frequently damaged are on the order of 4 to 7 times larger. For this reason, nerve damage, as opposed to severing, is typically the problem.

  • Hematoma formation.

    The movement of a needle through soft tissues may rupture blood vessels, thus allowing the release of blood. Construction of the hematoma that then forms may place pressure on nerve fibers that pass through it.

  • Neurotoxicity of the anesthetic. – The anesthetic is injected may cause localized chemical damage to nerve fibers.

Which nerves are usually affected?

In the vast majority of cases, the risk of paresthesia lies with injections used to numb up lower back teeth.

  • The lingual nerve. – 70% of cases involve this nerve. (See above for a list of tissues it services.)
  • The mandibular (inferior alveolar) nerve. – (See above for a list of tissues this nerve services.)
  • The maxillary nerve. – While extremely rare, this nerve that services aspects of the upper jaw may be affected.

(Smith 2005) [reference sources]

Signs and symptoms of paresthesia.

Signs.

Paresthesia is a sensory-only phenomenon and not accompanied by muscle paralysis.

In most cases, the nerve damage is not identified during the dental procedure but instead as a postoperative complication.

Symptoms.

The patient will notice altered, diminished, or even total loss of sensation in the affected area. One or more senses may be involved (taste, touch, pain, proprioception or temperature perception).

The precise area affected is that service by the damaged nerve. In the case of the mandibular or lingual nerves, that means some aspect the person’s lip, chin, mouth lining or tongue.

Other characteristics.

  • For some people, the sensation may be tingling, numbness or “pins and needles”, similar to the feeling they experience when having a tooth anesthetized for a dental procedure. The difference being that the sensation persists.
  • While muscle function is not affected, the sensory changes experienced can be difficult to deal with. They may affect speech or chewing function, or interfere with activities such as playing a musical instrument.
  • The patient’s quality of life may be significantly affected.

Other characteristics involving dental injections.

On occasion, a person receiving a dental injection may experience an “electrical shock” sensation as the needle makes contact with the trunk of their nerve. (This would be most common with inferior alveolar nerve blocks, the type of injection used to numb lower back teeth.)

Experiencing this phenomenon is not necessarily an indication that paresthesia will occur.

  • As many as 15% of people who do experience this sensation go on to experience some type of complication.
  • 57% of people who do experience paresthesia also experienced the shock.

(Smith 2005)


How long does the numbness/sensory loss last?

For those patients who are affected, one of 3 scenarios will play out.

  • In most cases, the paresthesia is transient, resolving on its own after just a few days or weeks.
  • In some cases, the condition is best classified as being persistent (lasting longer than 6 months).
  • For a small number of cases, the loss is permanent.

See below for details and statistics.


Evaluating a patient’s risk for paresthesia.

A) Location, location, location.

As discussed above, one primary risk factor for paresthesia is simply the proximity of the tooth being extracted to nearby nerves (and therefore increased the likelihood that they’ll be traumatized during the extraction process).

X-ray image showing a good chance of dental paresthesia complications.
Identifying risk using x-rays.

In the case of the mandibular nerve, the dentist’s pre-treatment x-ray evaluation of the tooth can give a hint as to what configuration exists.

The outline of the canal inside the jawbone that houses the mandibular nerve can usually be seen on x-rays. And its apparent closeness to the roots of the tooth planned for extraction can be evaluated.

One difficulty with this technique lies in the fact that the typical x-ray image is just a 2-dimensional representation (a flat picture) of a 3-dimensional configuration. And for this reason, only an educated guess can be made about the precise relationship that exists.

A more definitive picture can be gained using 3-D imaging, such as a Cone Beam CT scan. This technology is becoming more and more commonplace in the offices of oral surgeons, and even some general practitioners.

Risk and impaction type.

A tooth’s precise orientation in the jawbone plays a role in paresthesia risk in two ways: 1) Tooth-nerve proximity. 2) It can greatly affect the surgical difficulty (and thus level of trauma) associated with removing the tooth.

As general rules:

  • Any lower wisdom tooth that’s angled or positioned toward the tongue-side of the jawbone places the lingual nerve at greater risk.
  • Lower full-bony impactions, especially horizontal and mesio-angular ones (pictures), are the type of extraction most likely to result in trauma to the mandibular nerve.

B) Surgical factors.

Research has demonstrated that: 1) The dentist’s level of experience, 2) The surgical technique they use, and 3) The amount of time they require to complete the extraction process – will each play a role in the patient’s risk for experiencing paresthesia.

This is a primary reason why general dentists refer wisdom tooth extractions they anticipate will be challenging to an oral surgeon.

X-ray image showing how full root formation can make an extraction more difficult.

C) Age as a risk factor.

After the age of 25, a person’s risk for experiencing paresthesia is generally considered to increase.

Relatively “older” patients (those over the age of 25, and especially over the age of 35 years) usually have wisdom teeth that have more fully formed roots and denser surrounding bone. Both of these factors tend to increase the difficulty of performing the tooth’s extraction and thus raise the level of trauma involved.

This is one reason why asymptomatic full-bony impacted wisdom teeth that show no sign of associated pathology are often left alone in people over the age of 35.

C) Dental injections.

The vast majority of cases of paresthesia resulting from dental “shots” involve those used to numb up lower back teeth (specifically inferior alveolar nerve blocks).

But as opposed to oral surgery where the patient’s risk can be evaluated during their procedure’s planning stage, there’s no way for a dentist to anticipate beforehand which dental injections might result in this complication.


Paresthesia statistics.

a) As related to wisdom tooth extraction.

In a review of research studies evaluating paresthesia after wisdom tooth extraction, Blondeau (2007) found reported incident rates ranging from 0.4% and 8.4%.

One large study (Haug 2005) evaluated the outcome of over 8,000 third molar extractions. It found an incidence rate of less than 2% for subjects age 25 years and older (as mentioned above, an age group that’s relatively at-risk for this complication).

b) As related to dental injections.

It’s been estimated that roughly 1 out of 27,000 inferior alveolar mandibular blocks (the type of dental injection most used to numb lower back teeth) will result in paresthesia. (This type of injection is the most common culprit.)

At this rate, it’s been estimated that during the course of their career, a dentist could expect to have 1 to 2 patients experience this complication. (Smith 2005)


How long does paresthesia last?

In most cases, a patient’s paresthesia will resolve on its own over time. This can, however, take several months to over a year. In some cases, a person’s sensory loss is permanent.

a) As related to wisdom tooth extraction.

Spontaneous recovery.

In cases associated with wisdom teeth, Queral-Godoy (2005) found that most recoveries took place within the first 3 months. At 6 months, one-half of all of those affected experienced a full recovery.

Persistent paresthesia.

This state is typically classified as an altered sensation that lasts longer than 6 months.

Pogrel’s (2007) review of studies evaluating complications associated with wisdom tooth removal found reported incidence rates of persistent paresthesia ranging between 0% and 0.9% for the mandibular nerve and 0% and 0.5% for the lingual nerve.

b) As related to dental injections.

Spontaneous recovery.

In 85 to 94% of cases, spontaneous complete recovery typically occurs within 8 weeks. Recovery for the mandibular nerve (which is harbored within rigid jawbone) is possibly more likely than for the lingual nerve (which lies in movable soft tissue).

Persistent paresthesia.

Symptoms lasting more than 8 weeks are less likely to fully resolve.

(Smith 2005)

Treating permanent paresthesia.

Testing/mapping paresthesia.

As a way of documenting the extent of a patient’s condition, both initially and as recovery occurs, the affected area can be mapped.

To do so, different types of sensory tests are performed, and those regions (lip, facial skin, tongue, etc…) that respond with no or altered sensation are recorded.

The mapping may include:

  • Light Touch – A small cotton ball is brushed against the skin to see if it can be felt and if the patient can discern the direction of the ball’s movement. Moist tissues (like the lining of the mouth) can be difficult to evaluate with this test.
  • Sharp vs. dull discrimination – Areas are prodded with a pin or other sharp-pointed tool. The patient is asked if they can feel a sensation, and if so whether it feels sharp or dull. A comparison to the same location on the patient’s unaffected side is made also.
  • Two-point Discrimination – A pair of calipers having a pair of sharp points is systematically touched to the affected area, using various distance settings. The patient is asked if they are able to feel this contact as one or two individual points.
  • Taste stimulation – Cotton balls soaked in saline (salt), sugar (sweet), vinegar (sour) or quinine (bitter) solution are drawn across the side of the tongue to see if a taste response is triggered.
Testing frequency.

Some sources suggest that evaluations should be conducted every 2 weeks for 2 months. Then every 6 weeks for the following 6 months. After that, every 6 months for 2 years, followed by yearly evaluation as long as the full recovery has not occurred. (Smith 2005)

Surgical repair.

For those who experience persistent or permanent paresthesia, surgical repair may be possible.

In most cases, this attempt is not taken until 6 to 12 months after the original injury (so to allow time for a repair to occur on its own if it will). The surgery can, however, be performed at an even later time frame.

Repair success rates.

Reported results for surgical intervention vary widely (Pogrel, 2007). Success rates appear to range between 50 and 92%, however, some reported successes only involve partial recovery. Even if just partial recovery was achieved, many patients considered the attempt worthwhile.

Much less information exists for the repair of paresthesia resulting from a dental injection. In some cases, long-term drug therapy has been used to help patients manage their condition.

Source: https://www.animated-teeth.com/wisdom_teeth/t7-wisdom-tooth-paresthesia.htm?

What Are the Most Common Dental Problems?

By: Tammy Davenport, Verywell Health
😄 Understanding common dental problems allow you to take preventive measures to keep a healthy smile. Remember, your mouth can tell you many things about your body. The Woodview Oral Surgery Team

Dental problems are never any fun, but the good news is that most of them can be easily prevented. Brushing twice a day, flossing daily, eating properly and regular dental check-ups are essential steps in preventing dental problems.

Educating yourself about common dental problems and their causes can also go a long way in prevention. Here is a list of common dental problems:

1. Bad Breath

If you suffer from bad breath, you are not alone. Bad breath, also called halitosis, can be downright embarrassing. According to dental studies, about 85 percent of people with persistent bad breath have a dental condition that is to blame.

Gum disease, cavities, oral cancer, dry mouth, and bacteria on the tongue are some of the dental problems that can cause bad breath. Using mouthwash to cover up bad breath when a dental problem is present will only mask the odor and not cure it.

If you suffer from chronic bad breath, visit your dentist to rule out any of these problems.

2. Tooth Decay

Did you know tooth decay, also known as cavities, is the second most prevalent disease in the United States? (The common cold is first.) Tooth decay occurs when plaque, the sticky substance that forms on teeth, combines with the sugars and/or starches of the food we eat. This combination produces acids that attack tooth enamel.

You can get cavities at any age, they aren’t just for children. As you age, you can develop cavities as your tooth enamel erodes, and dry mouth due to age or medications can also lead to cavities.

The best way to prevent tooth decay is by brushing twice a day, flossing daily, and going to your regular dental check-ups. Eating healthy foods and avoiding snacks and drinks that are high in sugar are also ways to prevent decay. Your dentist can recommend further treatments that may help reduce your risk. See seven ways to prevent cavities.

3. Gum (Periodontal) Disease

Gum disease, also known as periodontal disease, is an infection of the gums surrounding the teeth. It is also one of the main causes of tooth loss among adults. Some studies have indicated that there may be a link between heart disease and periodontal disease.

Everyone is at risk for gum disease, but it usually occurs after age 30. Smoking is one of the most significant risk factors. Diabetes and dry mouth also increase your risk. The symptoms include bad breath, red, swollen, tender, or bleeding gums, sensitive teeth, and painful chewing.

There are two major stages of gum disease: gingivitis and periodontitis. Regular dental check-ups along with brushing at least twice a day and flossing daily play an important role in preventing gum disease. You should see your dentist if you have any signs of gum disease so you can get treatment to prevent further complications, such as tooth loss.

4. Oral Cancer

Oral cancer is a serious and deadly disease that affects millions of people. In fact, the Oral Cancer Foundation estimates that someone in the United States dies every hour from oral cancer, but it is often curable if diagnosed and treated in the early stages. It is most often seen in people over the age of 40.

The biggest risk factors are tobacco and alcohol use, including chewing tobacco. HPV, a sexually transmitted wart virus, also increases the risk.

The symptoms of mouth or throat cancer include sores, lumps, or rough areas in the mouth. You may also have a change in your bite and difficulty chewing or moving your tongue or jaw.

Regular dental visits can help catch oral cancer early. You may ask your dentist whether an oral cancer exam is part of their usual checkup. If you notice any of the symptoms or have trouble chewing, swallowing, or moving your tongue or jaw, see your dentist. Learn more in an overview of oral cancer.

5. Mouth Sores

There are several different types of mouth sores and they can be pesky and bothersome. Unless a mouth sore lasts more than two weeks, it is usually nothing to worry about and will disappear on its own.

Common mouth sores are canker sores (aphthous ulcers) that occur inside the mouth and not on the lips. They are not contagious and can be triggered by many different causes. They are only a concern if they don’t go away after two weeks.

Fever blisters or cold sores are caused by the Herpes simplex virus and occur on the edge of the outer lips. They are contagious and will come and go but are not completely curable.

Mouth sores are also seen in oral thrush or Candidiasis, a yeast infection of the mouth that can be seen in infants, denture wearers, people with diabetes, and during cancer treatment.

6. Tooth Erosion

Tooth erosion is the loss of tooth structure and is caused by acid attacking the enamelTooth erosion signs and symptoms can range from sensitivity to more severe problems such as cracking. Tooth erosion is more common than people might think, but it can also be easily prevented. See how to prevent tooth erosion.

7. Tooth Sensitivity

Tooth sensitivity is a common problem that affects millions of people. Basically, tooth sensitivity involves experiencing pain or discomfort in your teeth from sweets, cold air, hot drinks, cold drinks or ice cream. Some people with sensitive teeth even experience discomfort from brushing and flossing. The good news is that sensitive teeth can be treated.

Sensitive teeth can also be a sign of a cracked tooth or a tooth abscess, which needs to be treated by your dentist to prevent losing a tooth or getting an infection in your jaw bone. If you suddenly develop tooth sensitivity, make an appointment with your dentist to see if there is a source that needs to be treated.

8. Toothaches and Dental Emergencies

While many toothaches and dental emergencies can be easily avoided just by regular visits to the dentist, we all know that accidents can and do happen. Having a dental emergency can be very painful and scary. Common problems that require an urgent trip to your dentist include a broken or cracked tooth, an abscessed tooth, or a tooth knocked out in an accident.

Go to a hospital for trauma care if you have a fractured or dislocated jaw or severe cuts to your tongue, lips, or mouth. If you have a tooth abscess that is causing difficulty swallowing or you have developed a fever or facial swelling, get emergency care as well.

9. Unattractive Smile

While an unattractive smile is not technically a “dental problem,” it is considered a dental problem by people who are unhappy with their smile and it’s also a major reason why many patients seek dental treatment.

An unattractive smile can really lower a person’s self-esteem. Luckily, with today’s technologies and developments, anyone can have a beautiful smile. Whether it’s teeth whiteningdental implants, orthodontics or other cosmetic dental work, chances are that your dentist can give you the smile of your dreams.

 

Source: https://www.verywell.com/top-common-dental-problems-1059461?

What Are the Common Side Effects of Dental Implant Surgery?

 

By: Coastal Jaw

🙂Dental implants are proved and tested to be safe. There may be some minimal side effects within a week after the surgery. Read more about the common side effects! The Woodview Oral Surgery Team

Tooth loss is a dental complication that can have a significant impact on a person’s oral health. Whether a single tooth has gone missing or multiple teeth have been lost, the effects on adjacent teeth can be serious. Missing teeth can jeopardize oral functions, compromise the aesthetics of the smile, and even weaken the jawbone. Because of the many disadvantages of tooth loss, it is important that patients address this problem as soon as possible. Implant dentistry offers the strongest and most durable treatment for missing teeth. Dental implants are surgically implanted screws that anchor a full range of dental restorations to closely mimic the natural teeth. Dental implant surgery is associated with some possible side effects. At Coastal Jaw Surgery, we discuss possible dental implant surgery side effects with our patients so that they are fully prepared for their recovery period.

Side Effects

Dental implant surgery is minimally invasive and has been shown to be an overwhelmingly successful treatment option for missing teeth. Still, because it is a surgical procedure, patients should expect to experience some side effects in the days following treatment. These side effects are often minimal and should resolve within a week after surgery. Below are the most common side effects of dental implant surgery:

Pain: During dental implant treatment, the anesthetic will be used to ensure that the patient does not feel any pain. However, in the days after surgery, it is common for the patient to experience some pain or discomfort. The gums directly around the implant site will probably feel sore and tender. This discomfort may extend to the jaw or face as well. In some cases, pain medication will be prescribed. If no medication is prescribed, then over-the-counter medication can be used to control pain. It is important to note that aspirin can increase bleeding, so patients should be sure to use an aspirin-free medication, such as ibuprofen.

Swelling: Swelling is a natural reaction after any type of surgery, so patients should expect to experience some inflammation after dental implant treatment. This swelling is most likely to affect the gums around the incision site and the facial tissues that are closest to the treatment area. Swelling should subside on its own, but patients can use an ice pack to help minimize swelling and relieve any discomfort that may be felt.

Bruising: Bruising is another common side effect of dental implant surgery. Most commonly, patients will experience bruising in the gums and jaw bone around the implant site. This bruising will probably be internal, so it may not be visible. Some patients may also experience noticeable bruising on the cheeks.

The side effects of dental implant surgery are temporary and should diminish on their own. If a patient’s symptoms are not improving, or are getting worse, report this to our dentists immediately. Severe side effects may be a sign of infection or other complications.

Schedule an Appointment

If you would like to learn more about dental implant treatment and whether it may be right for you, schedule an appointment with one of our experienced surgeons at Coastal Jaw Surgery in Palm Harbor, Spring Hill, or Trinity, Florida at your earliest convenience.

 

Source: http://www.coastaljaw.com/common-side-effects-dental-implant-surgery/?

Recovering from oral surgery

 

By: Delta Dental

 

😁 Let’s work together to help you get back to your normal routines after an oral surgery. These tested general guidelines will help ease your recovery! The Woodview Oral Surgery Team

Oral surgery may be required for a variety of reasons. You may have an impacted tooth trapped in the jawbone or a tooth that is poorly positioned and damaging neighboring teeth. It is especially common to have these types of problems with growing wisdom teeth. Oral surgery is also necessary for the placement of dental implants and for a few types of gum treatments.

After surgery, it is normal for the area to be tender for the first few days but, in most cases, over-the-counter pain relief is enough to ease any discomfort. You should avoid aspirin because it thins the blood and can make your mouth bleed. In some cases, your doctor may suggest prescription painkillers. Whatever your method of pain relief, be sure to start taking it immediately after surgery – don’t wait until pain sets in. It’s far easier to prevent pain than to make it go away.

Here are some steps you can take following surgery to promote the healing process:

Do’s

  • Take it easy on the day of your surgery. If you want to lie down, and for the first night following surgery, keep your head propped up with pillows if possible to limit excess swelling and bleeding.
  • Apply ice packs to your face for 15 minutes on and then 15 minutes off to reduce swelling.
  • After the bleeding stops, you can eat soft foods. Stick to a liquid or soft food diet for the first day or two. Examples include soups, yogurts, fruit milkshakes, smoothies and mashed potatoes.
  • If you’ve been given antibiotics, take them as prescribed and make sure you finish the course.
  • Keep your mouth clean. While you may be advised not to rinse for the first 24 hours, after this initial period you should gently rinse four times a day using warm salt water (one teaspoon of salt in a glass of warm water). Be sure to rinse after every meal and snack, making sure that the water removes any bits of food around the surgical area. In some cases, your dentist may recommend a chlorhexidine rinse to kill bacteria and keep the mouth clean.
  • Follow a balanced diet. In particular, eat foods rich in vitamins A and C, which contribute to the healing process. A vitamin C supplement may also be helpful. According to the Academy of General Dentistry (AGD), getting plenty of vitamin C is one way oral surgery patients can ensure timely recovery.

Don’ts

  • Don’t overexert yourself. Don’t bend over or do heavy lifting or strenuous exercise for two to three days after surgery.
  • Avoid hot food or drinks until the numbing wears off. You cannot feel pain while you’re numb, and you may burn your mouth. Also, take care not to accidentally chew your cheek!
  • Don’t chew hard or crunchy foods, such as carrots or popcorn, in the area of the surgery for six to eight weeks.
  • Don’t brush or floss teeth in the surgical area until advised to do so by your dentist. Then, be sure to do so carefully.
  • Try not to smoke for as long as possible after surgery, but at the very least for the rest of the day. Smoking can interfere with the healing process and the sucking motion can dislodge blood clots that are forming as part of the healing process.
  • Avoid alcohol for 24 hours, as it can delay the healing process.

In most cases, if you follow the after-care instructions your dentist gives you, you will heal quickly and without complication. However, you should contact your dentist immediately if you experience any of the following:

  • the dressing on the surgery site becomes displaced
  • excessive bleeding
  • excessive swelling
  • pain so strong that medications cannot control it
  • fever or a reaction to medication.

 

Source: “Avoid dry socket with wisdom tooth extraction.”, “Vitamin C speeds recovery from oral surgery wounds.” Academy of General Dentistry (www.agd.org)

https://www.deltadentalins.com/oral_health/oral_surgery.html?

 

New intraoral scanner challenges the dental market in 2017 – Heron™ IOS

 

By: Dental Products Report

🙂Good news for everyone! 3DISC has announced a new 3D scanner designed for dentists to make digital impressions. This is another product created to improve the modern dental practice and provide an efficient service to dental patients. The Woodview Oral Surgery DC Team

3DISC has announced a new 3D scanner designed for dentists to make digital impressions.

3DISC, a provider of digital X-ray and 3D imaging technology for dental clinics, has announced the upcoming launch of Heron™ IOS, a new intraoral 3D scanner designed for dentists to make digital impressions. The hand-held scanner is challenging the market with its simplicity and ease of use. Comprising a small, lightweight hand and mouthpiece, it is not only a leader in ergonomics but also challenges existing market prices by offering highly competitive pricing without compromising its high quality.

“In the development of Heron™ IOS – our focus has been to bring a scanner to market that easily fits into the modern dental practice and workflows. Sleek and small, lightweight, ergonomic design in a solution that delivers great depth perception, color recognition, and speed. We understand that, first and foremost, the unit had to be precise in order to create digital impressions that the dentist can rely on,” says 3DISC CEO Sigrid Smitt Goldman.

Additionally, the scanner development and design are based on four important cornerstones:

  • Open architecture – With output format STL and PLY. Compatible with most dental CAD systems, ensuring maximum flexibility for lab integration.

  • Price – The exact price is not yet available, but the scanner will be at the low end of the price scale – reasonable and affordable.

  • Ease of use – With the help of live video feed and guidance tools, the user is guided to perform a scan of the full dental arch in a workflow. The scanner itself is intuitive and extremely easy to use with its light and small design, and a rotating tip that provides the best angle for scanning.

  • Productivity – With precision, ease of use and openness comes productivity. It facilitates automation in the dentist’s workflow, as well as great communication options both between the dentist and the lab and between the dentist and patient. A perfect impression makes a perfect fit.

“There is a high-end segment in the industry for fully featured, advanced products and technology, where you naturally pay for innovation, as well as for the premium brands – the Ferraris of intraoral scanners. However, we recognize that dentists and clinics that primarily perform the most common restorations and a limited amount of impressions per year have different needs. With them in mind, we have created a scanner that covers all common features and restorations. Heron™IOS takes its own spot in the middle segment of the market – the “Volkswagen” of scanners – as the sensible and smart choice,” says Thomas Weldingh, executive VP of sales and marketing.

The solution – Heron™ IOS is digital impression taking the smart and cost-efficient way.

The scanner is an optical impression system that creates digital 3D models for dental restorations. It records the tooth morphology, analog impressions or gypsum models for use in CAD/CAM for dental restorative prosthetic devices. A ‘cradle’ holds the scanner when not in use, and each unit comes with order management software for PCs, as well as lab integration with Exocad DentalCAD. The scanner software is set up to aid in the creation of restorations such as Crowns, Bridges, Inlays, Onlays, and Veneers. It also offers premium features such as color capture, shade-matching and a built-in heater to prevent fogging.

3DISC will debut this new scanner at the International Dental Show (IDS) 2017. With this world premiere, 3DISC takes an important step toward further solidifying their position in the dental industry by using its expertise of imaging technologies and creating new products that address the needs of the dental market. The new scanner from 3DISC will be available this year, with shipments expected to begin in Q4.

 

Source: http://www.dentalproductsreport.com/dental/article/new-intraoral-scanner-challenges-dental-market-2017-heron-ios?

Ancient Pompeiians Had Good Dental Health But Were Not Necessarily Vegetarians

By: Kristina Killgrove, Forbes
😄 Despite the lack of the modern technology, the Pompeiians were still able to keep their teeth healthy and strong. Want to discover their secret? Check this out! The Woodview Oral Surgery Team
Results of the CT scans of the plaster casts of Pompeiians who perished in the 79 AD eruption of Vesuvius CKSNY +0%are in, and they are spectacular.  As smoke suffocated the populace and ash fell on their bodies, they were gradually made into pumice shells, their flesh rotting away and leaving bone and teeth.  In the 19th century, archaeologists poured plaster into the pumice shells, creating the twisted but resilient bodies tourists can view when they visit the ruins of the ancient city. Months of research by the Archaeological Superintendency of Pompeii has now revealed images of the inside of these casts — bones, teeth, roots, and all.

While archaeologists have been applying this 21st century technology — 3D scanning and printing the casts as well as CT scanning them — for a while now, today’s news caught my eye because of the dietary implications.  After looking at nearly three dozen people, archaeologists have found little evidence of dental cavities.  What raised my eyebrows, though, was a quote in La Repubblica, “I pompieani avevano denti sanissimi, solo in rarissimi casi scalfiti dalla carie: questo, grazie all’alimentazione vegetariana prevalente e alla quasi totale assenza di zuccheri nel consumo alimentare, come ha spiegato l’odontoiatra specialista Elisa Vanacore.” [“The Pompeiians have healthy teeth, only in the rarest cases marred by decay: this is thanks to a mainly vegetarian diet and to an almost total lack of sugar in the diet, explained dental surgeon Elisa Vanacore.”]  Yes, their diet was likely high in fresh fruits and vegetables, and low in refined sugar.  But that doesn’t make it vegetarian, and vegetarian diets aren’t linked to low frequencies of dental cavities.

When we talk about ancient diets, we’re looking primarily at commonalities – what the average person was eating – while at the same time understanding that omnivores make for a dietarily heterogeneous population.  There is no singular “American” diet, but we can agree that most of us likely consume a large amount of corn-based products, which are cheap and ubiquitous in the form of corn syrup, tortilla chips, popcorn, etc., and that differentiates us from Europeans. In the absence of toothbrushes and toothpaste, we should expect to see different dental health.

However, there is no singular “Roman” diet, particularly in the Empire when goods were moving around at astounding rates, although researchers agree that a heck of a lot of wheat was consumed by all social classes and that olives and olive oil contributed a number of calories and fat to most people’s diets.  Ancient historical sources also seem to agree that no one really liked barley and that millet was only consumed in times of struggle, as both of these grains make inferior bread compared to wheat.  Yet dried millet tended to keep longer than other grains, making it good for storage along with dry legumes like chickpeas, lupin beans, and lentils, the latter another food that was most often consumed in times of shortage.

Ordinary Romans – that is, small farmers, peasants, and rural slaves who made up the majority of the ancient Italian population – likely got a large chunk of their diet from their non-cash crops like millet, legumes, and turnips, at least based on what writers such as Columella, Strabo, and Galen tell us.  Their daily diet would have been a far cry from the exotic foodstuffs found at elite banquets.  As the Roman author Horace writes, “Ieiunus raro stomachus volgaria temnit” (Satires II, 2, xxxviii): A hungry stomach rarely scorns plain food.

In order to find out what kinds of plain food the ancient Italians were eating, bioarchaeologists like me have started to perform carbon and nitrogen isotope analyses of skeletons.  Biochemical analysis isn’t perfect, as it only yields a very macro-view of the diet.  That is, the carbon isotope ratio can provide information about the kinds of plants and grains consumed, and the nitrogen isotope ratio can provide information on the relative amount of legumes and fish consumed.  My own work on people from Imperial-era Rome, largely contemporaneous with these Pompeiians, shows that people were eating a little bit of everything: no one was a true pescatarian, and no one was a true vegetarian.  They were likely eating pork, lentils and chickpeas, and wheat mostly.

But isotopes from bone aren’t the only way to figure out diet, which leads me back to these scanned Pompeiians.  Rate or frequency of carious lesions (dental cavities) is often used as a proxy for diet.  The more sugar you eat, the likelier you are to have dental caries, a progressive disease.  Unfortunately, there are few Roman populations that have been well-studied and well-published in terms of dental pathology data.  The frequency of carious lesions at nearby Herculaneum varies widely depending on which source you read, and the previously published Pompeiian material is equally uneven. Most researchers agree, though, that low sugar consumption probably helped the Pompeiians have decent dental health. But another suggestion is that naturally occurring fluorine levels in the soil around Pompeii (a byproduct of the volcanism in the area) may have protected their teeth.  Without solid data from Pompeii, it’s hard to say whether the rates of dental disease are truly low or high compared to those found in research studies like mine.

New research on the teeth from Pompeii — and potential isotope analyses of the bones — could hold the key to understanding the diet of people living in these rich towns.  While not the uber-elite, many of the residents of Pompeii and Herculaneum were wealthy and could afford high-end food.  Perhaps their dental health was better than the people who’ve been studied at Rome, Portus Romae, and suburban sites.  Additional evidence, as with the zoological and botanical remains from Herculaneum sewers, will certainly be compiled in the near future to form a more well-rounded understanding of the ancient diet at Pompeii.  I am confident it wasn’t wholly vegetarian, but I am more confident that regional variation in dental disease and biochemical composition of bones will show that there wasn’t one “Roman” diet.

 

Source: https://www.forbes.com/sites/kristinakillgrove/2015/09/30/ancient-pompeiians-had-good-dental-health-but-were-not-necessarily-vegetarians/#183aa6651c7c

Dental Implant and Dental Bridge

 

By Prestige Oral Surgery

🤔 Want to know the best tooth replacement method suitable for your condition? Understand the difference between dental implants & dental bridges before you decide. The Woodview Oral Surgery Team

Sometimes it is impossible to avoid the loss of a tooth. Accidents, injuries, and certain types of chronic illness can all lead to unavoidable tooth loss. In rare cases, individuals can also genetically fail to develop all of their permanent teeth.

Missing teeth can be replaced in a variety of different ways. However, the most common treatment decision that most patients must consider when replacing a single tooth is whether to place an implant or a bridge. These tooth replacement methods differ in the way that they are constructed and supported. While both of these replacement methods appear very lifelike, there are significant differences that patients should know. For instance, dental bridges typically require replacement whereas the dental implant can last for decades, if not the rest of a patient’s life. At Prestige Oral Surgery we can help you determine if dental implants are right for your needs.

Dental Implants
The majority of dental professionals regard dental implants as the best tooth replacement option available. This is because dental implants replace the roots of teeth as well as their visible structures. By addressing the loss of a tooth’s root, an implant can support and hold prosthetic crowns and even dentures. Patients with dental implants can eat all kinds of food without discomfort or movement of their prosthetics.

Dental implants are also biocompatible. They are made from titanium. This metal allows for the process of osseointegration, meaning that bone in the jaw will literally integrate to the titanium implant just as it would the root of a tooth. Since the bone holds the implant in place, patients enjoy a very sturdy and durable base for their prosthetic crowns.

Compared to dental bridges, implants and their prosthetics are very easy to care for. Patients will simply brush and floss as normal. The low maintenance aspect of dental implants appeals to many people who are evaluating their tooth replacement options.

Disadvantages Of Bridges
In the past, dental bridges were a very popular method for addressing minimal tooth loss. While bridges are certainly more advantageous than dentures in the fact that they are bonded to natural teeth, they do have limitations. Since they only replace visible tooth structure, patients may experience rapid bone atrophy and have difficulty keeping gum tissue under the bridge clean and healthy. Despite their limitations, bridges may be best for a patient who is not a candidate for dental implants.

 

Source: https://www.prestigeoralsurgery.com/2017/08/22/dental-implant-dental-bridge/?