Tooth extraction healing. – How long does it take? / What can you expect? / Precautions and restrictions.

 

By Animated-Teeth.com

 Many factors contribute to the time frame of your tooth extraction recovery. Read more about the healing process! The Woodview Oral Surgery Team

Once your tooth’s extraction process has been completed, you’ll no doubt want to know how long it will take for its socket to heal.

We’ve broken our discussion of this subject into the following time frames following your extraction:

Wound size matters.

The type of healing progress that’s taken place at each of the above stages will generally be the same for any extraction. But you’ll need to keep in mind that larger, more involved wounds simply take longer to fully resolve than comparative smaller ones.

So if you’ve just had a wisdom tooth surgically removed, your healing time frame will extend out longer than someone who just had a lower incisor or baby tooth out.

Related issues this page covers:

How much time will you need to take off after your extraction?

It only makes sense that as a patient you’ll need to know how long you may need to limit your activities or take time off from work or school after having your tooth removed.

While your dentist is in the best position to know, this page explains how different factors can affect the decision about “if” or “how long.”

An x-ray of a tooth socket after having its tooth pulled.

X-ray of empty tooth socket.

When can future dental work be started?

In the case where a tooth that’s been pulled will be replaced, we explain how extraction site healing affects the timing of future dental work.


A) The initial 24 hours following your tooth extraction.

What will you notice?

As far as seeing changes, during the first 24 hours after your surgery you really won’t be able to visualize all that much in terms of actual extraction site healing.

Tooth sockets immediately after the extraction process.

Picture of sockets immediately after tooth extraction.

Blood clots have begun to form.

You should, however, notice that:

Additionally …

  • You’ll probably find that the region immediately adjacent to the tooth’s empty socket is tender when touched and feels irregular and different to your tongue.
  • It’s also possible (especially in the case of a relatively involved or difficult extraction) that you’ll find some degree of swelling has formed, both in the tissues that surround your extraction site and possibly your face too.

    If so, this swelling should peak within the first 24 hours and then start to subside.

What’s taking place with the gum tissue around your extraction site at this point?

While you’ll notice nothing, the reattachment and new growth of gum tissue begins at the edges of your wound as early as 12 hours post-extraction.

What’s going on inside your tooth’s socket?

At just 24 hours after your extraction, the focus of the activity inside your socket revolves around the blood clot that’s formed.

The clot itself is composed of platelets (sticky cell fragments that initiated the clot’s formation) and red and white blood cells, all embedded together in a fibrin gel. (It’s the fibrin gel that gives the clot its semi-solid consistency.)

Starting at this point and continuing on during the days that follow, platelets in the clot and other types of cells attracted to it begin to produce chemical factors and mediators that initiate and promote the healing process.

Restrictions on activities. / How much time will you need to take off?

The amount of postoperative rest and recuperation you require will vary according to the circumstances of your extraction process.

a) With routine extractions.

Most patients are probably best served by just going on home after their tooth extraction and taking it easy.

  • Doing so will give you some privacy and adjustment time during that awkward period while your anesthetic is wearing off and your site’s bleeding is coming to an end.
  • It will also give you an opportunity to familiarize yourself and get in sync with your dentist’s all-important postoperative instructions.

Possible guidelines.

Returning to routine non-strenuous activities (going to an office job, attending class, shopping) the next day should present no problem. If you have more aggressive or involved activities in mind (including during the next several days) you should clear them with your dentist.

Generally speaking, for people who are healthy who have had the easiest, most routine kind of extraction:

  • After a short period of recuperation, you may be able to return to non-strenuous activities even the same day of your surgery.
  • With extractions involving small-sized wounds whose bleeding has been easily controlled (think small single-rooted tooth vs. large multi-rooted molar), returning to moderate physical activity the day following your extraction may be permissible too.

Ask your dentist for instructions. And of course, it always makes sense to error on the side of caution.

b) With difficult or involved extractions.

In the case of relatively involved or difficult extractions, or cases where some method of patient sedation has been used, your dentist may feel strongly that you must limit your activities during the initial 24 hour period following your surgery.

  • In regard to strenuous physical activities, their concern may extend for some days after your surgery too, you’ll need to ask.
  • As far as participating in routine non-strenuous activities (school, desk work, running errands) the following day, even with your dentist’s OK the way you feel (or look, if pronounced swelling has occurred) may factor into your decision about how active to become.

It’s important to follow their recommendation, your safety may be involved. And remember, the way you take care (or don’t take care) of your extraction site during this initial period will set the stage for the healing process that follows.

c) Taking time off / Sick leave – What research studies have found.

Here are some examples of what researchers have reported about the amount of time off patients typically require after having wisdom teeth taken out (a level of surgery that is frequently more involved than just a routine tooth extraction).

Lopes (1995)

This paper followed the healing outcomes of 522 patients that had 3rd molars removed (from the simplest to very involved surgeries). 81% of the patients took time off from work, for an average of 3 days (with a range of 0 to 10 days). 19% of the patients took no time off.

Hu (2001)

This study also evaluated patient healing outcomes associated with 3rd molar extractions (about 2000 of them). It found that on average patients missed 1.2 days of work, or were unable to perform normal daily activities.

40% of the teeth removed were erupted (had come through the gums into relatively normal position). Removing erupted teeth typically creates less surgical insult than impacted ones, thus possibly explaining the lower amount of recuperation time reported by this study.

Pictures showing progress of tooth extraction site healing over time.

B) Extraction site healing – Weeks 1 and 2.

What will you notice?

During the first two weeks following your surgery you should be able to notice that the gum tissue that surrounds your extraction site has completed a significant amount of repair.

  • In comparison to skin on the outside of your body, oral soft tissue wounds generally heal more rapidly.
  • As a point of reference, it’s usually considered that enough gum tissue healing has taken place by days 7 through 10 that stitches can be removed.

Especially towards the end of this time frame, your extraction area should look much improved and shouldn’t pose any significant problems.

How much will your socket have closed up?

The total amount of healing that’s been able to take place by this point in time (weeks 1 & 2) will be influenced by the initial size of your wound.

  • The sockets of smaller diameter, single-rooted teeth (such as lower incisors) may appear mostly healed over by the end of two weeks. The same goes for baby teeth.
  • Wider and deeper wounds left by comparatively larger teeth (canines, premolars) or multi-rooted ones (molars), or wounds resulting from surgical extractions (like needed to remove impacted wisdom teeth), will require a greater amount of time to heal over and show signs of filling in.

    So in these types of instances, the contours of the gum tissue in the region may still show quite an indentation or divot in the area of the tooth’s socket.

What’s going on inside your tooth’s socket during this time frame?

During the first week after your extraction, the blood clot that originally formed will be colonized and ultimately replaced by granulation tissue (a kind of primordial highly-vascularized collagen-rich tissue).

Then as a next stage, mesenchymal cells (“adult” stem cells) will begin to organize within this granulation tissue. They will ultimately differentiate into more specialized types of cells such as bone tissue.

Restrictions on activities.

Since the new tissues that form during this time frame are quite vascular (contain a large number of blood vessels), if you inadvertently traumatize your extraction site it’s likely to bleed easily. So be careful when eating foods or brushing.

You can also expect this newly formed tissue to be tender if accidentally touched or prodded. But other than that, at this point you’ll probably find your extraction area to be of minimal concern and does not need to be a major consideration in regard to performing routine activities.


C) Extraction site healing – Weeks 3 and 4.

What will you notice?

By the end of the 3rd to 4th weeks after your tooth extraction, most of the soft tissue healing will have taken place.

You’ll probably still be able to see at least a slight indentation in your jawbone that corresponds with the tooth’s original socket (hole).

Where large teeth have been removed (or a lot of bone was removed during the extraction process like with impacted wisdom teeth), a relatively significant indentation may still remain. It may persist, even for some months.

What’s going on inside your tooth’s socket at this point?

During this phase mesenchymal cells will continue to proliferate and organize within the socket’s granulation tissue. Many of these cells will transform into bone cells, with the first bone tissue formation occurring along side the bony walls of the tooth’s socket.

Restrictions on activities.

You may notice that the new gum tissue that has formed has some tenderness, like when jabbed by hard foods. But even this type of trauma shouldn’t result in significant amounts of bleeding.


D) Bone healing – Filling in the socket.

When you have a tooth ‘pulled,’ it’s the healing of your jaw’s bone tissue (as opposed to your gums) that takes the greatest amount of time.

Despite the fact that new bone formation begins as early as one week post-op, it may take on the order of 6 to 8 months for this process to have substantially filled in your tooth’s empty socket.

What will you notice?

During the initial weeks of the healing process that follows your extraction it will be easy for you to see and feel the pronounced ‘hole’ left in your jawbone.

In some cases it may be deep enough that it traps food and debris. (Especially large or deep sockets may require “irrigation” to keep them clean during the early weeks of healing.)

A healed extraction site.

Picture of healed extraction site showing alveolar ridge resorption.

Note the sunken appearance of the bone (in both height and thickness) due to ridge resorption.

The shape of your jawbone will change.

Your tooth’s socket will ultimately fill in and smooth over but the shape of the bone in the immediate area of your extraction site will change.

  • Some of the bone’s original height will be lost during the healing process and as a result never again lie at a level as high as where it originally abutted the tooth. (The contours of the bone in the region of the extraction space will look somewhat sunken.) (Pagni 2012)
  • There will also be a reduction in the width of the jawbone. Usually this is more pronounced on the cheek or lip side, as opposed to the palate or tongue side.

    Studies have shown that the dimensional changes associated with premolar and molar extraction healing can run as high as 50% of the bone’s width at 12 months post-op. (Walker 2017)

Collectively these changes are referred to as “resorption of the alveolar ridge” (the alveolar ridge is that portion of the jawbone intended to hold teeth). And overall the effect of this resorption process is one that results in a narrower and shorter ridge.

One long-term study (measurements were taken 2 to 3 years post-extraction) reported alveolar ridge shrinkage on the order of 40 to 60%. (Pagni 2012)

How long do these changes take?

Ultimately the amount of time it takes for healing, and thus for the “final” shape of the ridge to form, will greatly depend on the size of the original wound. Larger wounds (i.e. multi-rooted teeth like molars, surgical sites from impacted wisdom tooth removal) will take longer to heal and will result in a greater degree of alveolar ridge changes.

  • Overall, the rate of resorption (and therefore bone shape changes noticed) will be greatest during the first month post-op.
  • At 3 months, two-thirds of the changes will have occurred. By 6 to 12 months out, the bulk of the transformation will have completed.
  • Beyond that, some level of continued resorption will continue throughout the patient’s lifetime, albeit at an ever reducing rate (estimated around 0.5 to 1.0% per year).

(Schropp 2003, Van der Weijden 2009, Pagni 2012)

X-ray showing tooth socket bundle bone.

Immediately after an extraction, the outline of the socket is easily seen.

FYI: Bundle Bone

If your dentist takes an x-ray right after you’ve had your tooth pulled, it will show a whitish outline surrounding your tooth’s socket (see our graphic).

This is called “bundle bone” and it is that layer in which the fibers that anchored your tooth in place (its periodontal ligament) were embedded.

Over time as healing takes place and new bone is formed in the socket, this layer will slowly resorb (be broken down and dispersed by your body) since the tooth is now gone and it no longer has a function.

After about 18 months or so it will have totally disappeared and the outline of the socket will have been mostly lost.

Restrictions on activities.

Don’t expect to be incapacitated, or even inconvenienced, during the 6 to 8 month time period required for bone healing. It’s a slow gradual process during which you really shouldn’t notice anything going on at all.

Bits and fragments.

The exception might be the case where you discover a small piece of broken tooth or necrotic bone poking through the surface of your gums (your body’s attempt to eject the object).

In most cases these fragments are only of minor concern and are easily removed. This link: Bone and tooth fragments explains this issue in greater detail.


Treatment timing – Making plans to replace your missing tooth.

The fact that it takes as long as 6 to 12 months for the bulk of the jawbone’s healing process to take place doesn’t mean that you have to wait that long until your empty space can be filled in with a replacement tooth.

A healing period may be needed.

With some types of restorations (dental bridges, partial dentures, some kinds of dental implants) there is typically a healing ‘wait’ period that must be adhered to for best results. For many cases this may be on the order of just 1 to a few months. With others, it may be 6 months or longer before the final prosthesis should be placed.

The general idea is that the dentist wants to wait for your socket’s healing process to have progressed to a point where the changes it creates in the shape of the jawbone (see discussion above) won’t substantially adversely affect the fit, function or appearance of the replacement teeth.

But even if some sort of wait period is required, your dentist should have some type of temporary tooth or appliance that can be placed or worn until that point in time when your jawbone’s healing has advanced enough.

 

Source: https://www.animated-teeth.com/tooth_extractions/a-tooth-extraction-healing-times.htm?

What Is Oral Surgery and How Is It Used?

 

By Verywell

💉From tooth extraction to the treatment of diseases, oral surgery is a common procedure used to correct different mouth conditions. Find out how it can help you! The Woodview Oral Surgery Team

When you hear the words “oral surgery,” you may think of a hospital setting, general anaesthesia, and one or more days in recovery from this type of dental procedure. Because of that, you might be surprised to learn what is actually considered oral surgery in dentistry.

Many dental procedures performed in a general dental office are considered oral surgery and patients who require such procedures are booked for it without the inconvenience of being put on a waiting list in a different office for treatment.

Here are some examples of oral surgery procedures.

Tooth Extractions

The most recognized form of oral surgery is tooth extraction. Reasons for tooth extraction can include:

  • impacted or partially erupted wisdom teeth
  • teeth beyond repair either from tooth decay, root fracture, or trauma
  • primary teeth that have failed to fall out, preventing the eruption of permanent teeth
  • orthodontic treatment plans, which may require the removal of some teeth to reduce crowding and achieve the optimum result

Corrective Jaw Surgery

Orthognathic surgery, known as jaw surgery to most, is performed by an oral and maxillofacial surgeon. Common reasons for jaw surgery include:

  • TMJ (short for temporomandibular joint pain) and dysfunction caused by trauma or deformation
  • major or minor trauma to the jaw
  • malocclusion or incorrect bite
  • clenching, or grinding of the teeth, which causes excessive tooth wear
  • difficulty chewing, eating, opening and closing the mouth, or talking
  • incorrect jaw position, which can lead to an out-of-proportion facial appearance

Your dentist will refer you to see an oral surgeon if he or she feels your situation will benefit from a surgical treatment option.

Dental Implants

Dental implants are becoming a common procedure to replace missing teeth or to provide stability to a new or existing denture.

Performed by a dentist or oral surgeon, the procedure for placing a dental implant may vary depending on the technique used by the dentist or surgeon, and by the type of implant used. Most people who have had a dental implant report the recovery was similar to that of a tooth extraction, and they were able to return to normal eating within a week of the procedure.

Detection and Treatment of Diseases

This year alone, more than 34,000 Americans will be diagnosed with oral cancer, resulting in 8,000 deaths.

Dentists are trained to detect oral cancer, as the signs of this devastating disease typically go unnoticed and are not easily detected.

If your dentist discovers something suspicious in an area of your mouth, face, neck, or jaw that may have an underlying problem, a biopsy may be performed to further diagnose a possible condition. A biopsy is usually a surgical procedure that is used to remove a piece of tissue in an area of the body that is suspected as being diseased.

You may be referred to an oral surgeon for the biopsy, but in some cases, this procedure may be performed by your general dentist. Oral surgery is commonly used to treat oral cancer and may be used as a combination treatment with radiation therapy.

 

 

Source: https://www.verywell.com/what-is-oral-surgery-1059375?

What Is Oral Surgery And Why Would I Need It?

 

By The Happy Tooth

🤔You might need an oral surgery in certain cases. Distinguish its difference from the maxillofacial surgery and when might you need them. The Woodview Oral Surgery Team

What Is Oral Surgery And Why Would I Need It?

If your dentist refers you to an oral surgeon, your internal alarm may go off, causing anxiety or fear. But fear not. Instead, take in this little dose of information that answers, “What is oral surgery and why do I need it?”

Distinguishing Dental Duties: What is Oral Surgery?

First, let’s clarify that asking “what is oral surgery” and what is oral and maxillofacial surgery” are one in the same. Oral refers to your mouth, while maxillofacial refers to your jaws and face.

An oral and maxillofacial surgeon may diagnose, treat or perform surgery to resolve injuries or issues in the head, neck, face, jaws and hard and soft oral tissues. Oral and maxillofacial surgery is recognized internationally as a surgical specialty.

In fact, to become an oral surgeon, one must earn a four-year graduate degree in dentistry and complete a hospital oral and maxillofacial surgery residency program for a minimum of 4 years. This program includes specialized training in anesthesia and pain control.

If your dentist refers you to an oral surgeon, it does not necessarily mean you have a challenging case to treat! It simply means there is a specialized surgeon who can better treat your case.

When Might You Need an Oral Surgeon?

You might need oral surgery for something as common as dental implants, or for the treatment of a tumor or cyst in the jaw, for example. So oral surgery can solve cosmetic or reconstructive needs. Your dentist might also refer you to an oral and maxillofacial surgeon for:

  • Facial pain or TMJ/TMD
  • Wisdom teeth issues
  • Misaligned jaw
  • Reconstructive surgery following an injury
  • Cleft lip and palate surgery
  • Cancer in the face, jaw or neck area
  • Obstructive sleep apnea

The Happy Tooth is Your Trusted Source for Family and Cosmetic Services

As a patient of The Happy Tooth, you will receive quality, pain-free treatment from board certified dentists and orthodontists. We will be honest and thorough as we perform regular dental work or oral surgery such as tooth extractions, dental implants, and other tooth replacement options. If we feel you need an oral surgeon, we will answer all your questions to help make your treatment as pain-free as possible!

 

Source: https://happytoothnc.com/what-is-oral-surgery/?

 

Oral treatments and dental health > Caring for Teeth

By dentalhealth.org
Proper care of our teeth is essential to prevent different gum diseases. Follow these tips to keep your mouth healthy! The Woodview Oral Surgery Team
Why are my teeth so important?

Your teeth vary in shape and size depending on where they are in your mouth. These differences allow the teeth to do many different jobs. Teeth help us to chew and digest food. They help us to talk, and to pronounce different sounds clearly. Finally, teeth help to give our face its shape. A healthy smile can be a great asset; and because this is so important, it makes sense to give your teeth the best care possible.

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What can go wrong?

Tooth decay can be painful and lead to fillings, crowns or inlays. If tooth decay is not treated, the nerve of the tooth can become infected and die, causing an abscess. This may then need root canal treatment or even for the tooth to be removed. It is very important that you keep up a good routine at home to keep your teeth and gums healthy. Gum disease is common and, if left untreated, may lead to bone loss around the teeth. In some cases it may lead to loose teeth and teeth being lost. Gum disease is preventable. It can be treated and kept under control with regular cleaning sessions and check-ups, preventing further problems. If teeth are lost, it may be necessary to fill the gaps with bridges, dentures or implants.

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How do I keep my teeth and gums healthy?

It is easy to get your mouth clean and healthy, and keep it that way. A simple routine can help prevent most dental problems:

  • brushing your teeth last thing at night and at least one other time during the day, with a fluoride toothpaste
  • cleaning between the teeth with ‘interdental’ brushes or floss at least once a day
  • good eating habits – having sugary foods and drinks less often, and
  • regular dental check-ups.

Although most people brush regularly, many don’t clean between their teeth and some people don’t have regular dental check-ups. A few small changes in your daily routine can make a big difference in the long term. Your dental team can remove any build-up on your teeth and treat any gum disease that has already appeared. But daily dental care is up to you, and the main weapons are the toothbrush, toothpaste and interdental cleaning (cleaning between your teeth).

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What is plaque?

Plaque is a thin, sticky film of bacteria that constantly forms on your teeth.

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How can plaque cause decay?

When you eat foods containing sugars and starches, the bacteria in plaque produce acids, which attack tooth enamel. The stickiness of the plaque keeps these acids in contact with your teeth. After constant acid attack, the tooth enamel breaks down forming a hole or cavity.

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How can plaque cause gum disease?

If plaque is not removed by brushing, it can harden into something called ‘calculus’ – another name for it is ‘tartar’. As calculus forms near the gumline, the plaque underneath releases harmful poisons causing the gums to become irritated and inflamed. The gums start to pull away from the teeth and the gaps become infected. If gum disease is not treated promptly, the bone supporting the teeth is destroyed, and healthy teeth can become loose and fall out. Severe gum disease can lead to teeth falling out and needing to be replaced.

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How can I prevent gum disease?

It is important to remove plaque and bits of food from around your teeth as this will stop your gums from becoming inflamed and swollen, and becoming infected. If you leave plaque on your teeth it can harden into tartar, which can only be removed by the dental team. It is important to keep up your regular appointments so that your teeth can have a thorough cleaning if they need it.

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Which type of toothbrush should I use?

Different types of toothbrushesYour dental team will be able to recommend a toothbrush suitable for you. However, adults should choose a small- to medium-sized brush head. This should have soft to medium, multi-tufted, round-ended nylon bristles or ‘filaments’. The head should be small enough to reach into all parts of the mouth: especially the back of the mouth where it can be difficult to reach. Children need to use smaller brushes but with the same type of filaments.

You can now buy more specialised toothbrushes. For instance, people with sensitive teeth can now use softer-bristled brushes. There are also smaller-headed toothbrushes for people with crooked or irregular teeth.

Some people find it difficult to hold a toothbrush, for example because they have Parkinson’s disease or a physical disability. There are now toothbrushes which have large handles and angled heads to make them easier to use.

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How do I know if I have gum disease?

Gum disease is generally painless, even though it damages the bone supporting the teeth. Gum disease (gingivitis) will usually show itself as red, swollen gums that bleed when you brush or clean between your teeth. Many people are worried when they notice their gums are bleeding and then brush more gently, or stop altogether. In fact, it is important that you continue to clean regularly and thoroughly if you are to fight the gum disease. If the bleeding does not go away within a few days see your dental team to ask for their advice.

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How do electric toothbrushes work?

A power brush has an oscillating rotating or vibrating head, which provides a large amount of cleaning action with very little movement needed from the user, although you do need to position the brush correctly.

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Why is brushing important?

Daily brushing and cleaning between your teeth is important because it removes plaque. If the plaque isn’t removed, it continues to build up, feeding on the bits of food left behind and causing tooth decay and gum disease.

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Do electric toothbrushes clean better?

Tests have shown that power toothbrushes are more effective at removing plaque. Those with heads that rotate in both directions (‘oscillating’ heads) are the most effective. Everyone can use a power brush. They are particularly useful for people with limited movement of the arm or hand, such as disabled or elderly people, who often find that using a normal toothbrush does not allow them to clean thoroughly. Power brushes can also be better for children as they may be more likely to brush regularly because of the novelty of using a power brush. Discuss the idea with your dental team to find out if you would benefit from using a power brush.

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How should I brush?

How should I brush my teethBrushing removes plaque and bits of food from the inner, outer and biting surfaces of your teeth.

Here is one way to remove plaque – discuss with your dental team which is the best for you:

  1. Place the head of your toothbrush against your teeth, then tilt the bristle tips to a 45-degree angle against your gumline. Move the brush in small circular movements, several times, on all the surfaces of every tooth.
  2. Brush the outer surface of each tooth, upper and lower, keeping the bristles angled against your gumline.
  3. Do this again, but on the inside surfaces of all your teeth. To clean the inside surfaces of your front teeth, tilt the brush vertically and make several small, circular strokes with the front part of the brush.
  4. Brush the biting surfaces of your teeth.
  5. Brush your tongue to help freshen your breath and clean your mouth by removing bacteria.

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How often should I brush my teeth?

Be sure to brush thoroughly with a fluoride toothpaste last thing at night and at least one other time during the day. If you regularly keep getting discomfort or bleeding after brushing you should see your dentist.

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How do I know if I have removed all the plaque?

You can stain the plaque with special dye, which you can paint onto your teeth with a cotton bud, or you can use special disclosing tablets. You can get these from your dental practice or pharmacy. The stain is harmless and will show any areas of your mouth which need better brushing. Look particularly at where your teeth and gums meet. Further brushing will remove the stained plaque.

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How often should I change my toothbrush?

Worn-out toothbrushes cannot clean your teeth properly and may damage your gums. It is important to change your toothbrush every two to three months, or sooner if the filaments become worn. When bristles become splayed, they do not clean properly.

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Should I use a fluoride toothpaste?

Yes. Fluoride helps to strengthen and protect teeth, which can reduce tooth decay in adults and children.

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What sort of toothpaste should I use?

As well as regular family toothpastes, there are many specialised toothpastes. These include tartar control for people who get tartar build-up, and a choice of toothpastes for people with sensitive teeth. ‘Total care’ toothpastes include ingredients to help fight gum disease, freshen breath and reduce plaque build-up. ‘Whitening’ toothpastes are good at removing staining to help restore the natural colour of your teeth, but are not strong enough to change the natural shade of the teeth.

Some children’s toothpastes only have about half the fluoride that adult toothpastes have. They only give limited protection for the teeth. If your children are under 7 you should supervise them when they brush their teeth. Encourage them not to swallow the toothpaste and to just spit, not rinse, after brushing.

To have a clean and healthy mouth you need to use the correct dental-care products. Ask your dental team to tell you what choices there are and to give their recommendations.

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How much toothpaste should I use?

You do not need to cover the head of your brush in toothpaste. A pea-sized amount is enough. Children should use a pea-sized smear of toothpaste.

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Should my gums bleed when I clean in between my teeth?

Your gums may bleed or be sore for the first few days that you clean between your teeth. This should stop once the plaque is broken up and the health of your mouth has improved. If the bleeding does not stop, tell your dental team. It may be that you are not cleaning correctly, or that your teeth and gums need a more thorough clean by your dental team.

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How should I clean between my teeth?

You can clean between your teeth with an ‘interdental’ brush or dental floss. Cleaning in between your teeth removes plaque and bits of food from between your teeth and under your gumline – areas a toothbrush can’t reach. When flossing or using interdental brushes, keep to a regular pattern and remember not to miss any teeth. It helps to look in the mirror. Don’t forget the backs of your last teeth. It is also very important to clean around the edges of any crowns, bridges or implants. You should clean between your teeth at least once a day. Your dental team can show you how to clean between your teeth properly.

Interdental brushing

Interdental brushes come in various sizes. It may be helpful to ask your dentist or hygienist to show you the correct sizes for your mouth.
Hold the interdental brush between your thumb and forefinger. Gently place the brush through the gap between your teeth. Do not force the brush head through the gap. If the brush splays or bends then it is too big – you will need a smaller brush head for this space.

Flossing

  1. Break off about 45 centimetres (18 inches) of floss, and wind some around one finger of each hand.
  2. Hold the floss tightly between your thumbs and forefingers, with about an inch of floss between them, leaving no slack. Use a gentle ‘rocking’ motion to guide the floss between your teeth. Do not jerk the floss or snap the floss into the gums.
  3. When the floss reaches your gumline, curve it into a C-shape against one tooth until you feel resistance.
  4. Hold the floss against the tooth. Gently scrape the side of the tooth, moving the floss away from the gum. Repeat on the other side of the gap, along the side of the next tooth.
  5. Don’t forget the back of your last tooth. When flossing, keep to a regular pattern. Start at the top and work from left to right, then move to the bottom and again work from the left to right. This way you’re less likely to miss any teeth.

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Are ‘oral irrigators’ useful?

Oral irrigators use a stream or jet of water to remove plaque and bits of food from around your teeth. They can be particularly helpful if you wear an orthodontic appliance (‘brace’) or a fixed bridge that is difficult to clean, or if you find it difficult to use interdental brushes or floss.

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Should I use a mouthwash?

A fluoride mouthwash can help prevent tooth decay. Your dental team may recommend an antibacterial mouthwash to help control plaque and reduce gum disease. If you find that you are regularly using a mouthwash just to freshen your breath see your dental team, because bad breath can be a sign of unhealthy teeth and gums or of poor general health.

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Can my diet help?

Many people think that it is a high level of sugar in your diet that causes decay, but this is not true. It is how often you have sugar in your diet, not the amount, that causes problems. It takes up to an hour for your mouth to cancel out the acid caused by eating and drinking sugar. During this time your teeth are under attack from this acid. It is therefore important to limit the number of attacks by having sugary foods and drinks just at mealtimes. Chewing sugar-free gum and drinking water after meals or snacks can also help to cancel out the acid more quickly.

As well as causing decay, sugary fizzy drinks, fruit juices, sports drinks, and wine can be acidic – which can also cause ‘dental erosion’. This is when the acid in foods and drinks gradually wears away the hard enamel coating of the tooth. This may lead to the tooth being sensitive.

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How should I clean my dentures?

It is just as important to clean dentures as it is to clean your natural teeth. Food can become caught around the edges of dentures and clasps, and the food can rot if you do not clean them thoroughly.

You should keep a separate toothbrush for cleaning your dentures. The general rule is: brush, soak and brush again. Clean your dentures over a bowl of water in case you drop them. Brush your dentures before soaking them, to help remove any bits of food. Soak the dentures in a specialist cleaner for a short time and then brush the dentures again. Brush them like you would your natural teeth. Make sure you clean all the surfaces of the dentures, including the surface which fits against your gums. If you notice a build-up of stains or scale, have your dentures cleaned by your dental team. Most dentists still recommend a small- to medium-headed toothbrush.

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I have implants, do I have to do anything special?

Your dental team or oral surgeon will tell you how to care for your implants after surgery. It is very important to make sure you clean them regularly and thoroughly to prevent gum disease and possible infection. Follow the instructions your dental team or oral surgeon gives you.

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Why should I visit the dental team regularly?

It is always better to prevent problems rather than have to cure them when they happen. If you visit your dental team regularly you will need less treatment and they will spot any problems earlier, making any treatment easier.

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Final words

Good dental health begins with you. By following these simple tips you can keep your mouth clean and healthy:

  1. Brush your teeth for two minutes, last thing at night and at least one other time during the day, using fluoride toothpaste.
  2. Use a toothbrush with a small- to medium-sized head.
  3. Use a toothbrush with soft to medium, multi-tufted, round-ended nylon bristles.
  4. Consider using a power toothbrush.
  5. Use small, circular movements to clean your teeth.
  6. Change your toothbrush regularly, and at least every 3 months.
  7. Clean between your teeth every day using interdental brushes or dental floss.
  8. Have sugary drinks and foods less often.
  9. Visit your dental team regularly, as often as they recommend.

 

Source: https://www.dentalhealth.org/tell-me-about/topic/caring-for-teeth/caring-for-my-teeth

The 30 Best Foods for Healthy Teeth and Gums

By nano-b
🍴 No matter how strict your oral hygiene routine, if you don’t watch your diet you are still putting your oral health at risk. The Woodview Oral Surgery Team

The Surprise Path to Perfect Teeth

Teeth are important! No wonder most of us take a really good care of them. Brushing, flossing, scraping our tongue, using mouthwash, we do a lot. Our mouth might very well be the part of our body we take the most care of and yet tooth decay and gum disease are still some of the most prevalent diseases in the world. How come? The answer might hide in the fridge!

Surprising or not, the difference between a healthy smile and frequent visits to the dentist might be your diet. Even if you have a perfect oral hygiene routine, it might be hard to keep your teeth healthy, if you don’t watch what you eat.

Too often, we see food as being only the villain when it comes to oral health. After all, it’s sugars and acids from food and drinks that do most of the damage to our teeth. However, there are many types of food that not only don’t harm your teeth as much but can even give a big boost to your oral health.

From preventing cavities and periodontal disease to even freshening your breath and whitening your teeth, the foods on this list can match the claims of the fanciest toothpaste and mouthwashes on the market. Most of them are actually pretty tasty as well, so take out your shopping list and get ready to add some teeth-friendly goodies.

How some foods help your teeth and gums stay healthy 

Your teeth and gums are a part of your body, and as every other part, need good nutrition to function properly. Specific nutrients are most beneficial for different parts of your body, so let’s see which are the most crucial elements for healthy teeth and gums.  (You can read which are the worst nutrients for your teeth and gums here )

Foods rich in calcium and phosphorous

Tooth enamel is, well, minerals. Different acidic foods and drinks may cause erosion of the enamel, so to make your teeth strong again you need to put some minerals back and try to restore what is lost. The main heroes here are calcium and phosphorous. These elements are the building blocks of enamel and consuming foods rich in them is a necessity if you want to keep your teeth strong and healthy.

* Best sources (calcium) – yogurt, cheese (hard, aged), seafood, milk (low-fat), tofu, almonds

* Best sources (phosphorous) – pumpkin seeds, fish, Brazil nuts, red meat, eggs, tofu, broth

Firm, crunchy foods high in water

Hard, crunchy foods that contain lots of water are great for your teeth more than one way. First, chewing produces more saliva, which is the best natural neutralizer of the bacteria that causes cavities. Second, the texture of these foods also makes them naturally abrasive, so they gently scrub and clean teeth surfaces, removing plaque and food particles. It has to be raw fruits and vegetable though, so this is not an excuse to munch on chips and crackers.

* Best options: celery, apples, cucumbers, carrots

Foods rich in vitamin D

Vitamin D is crucial for your overall health, but it’s really important if you want healthy teeth as well.The main reason is it helps your body to absorb calcium better.

* Best sources: sunlight (You can’t eat sunlight, but it still is the best natural source of Vitamin D), fish, egg yolks, cod liver oil

Foods rich in vitamin C

Vitamin C is powerful! It can strengthen blood vessels and reduce inflammation, which may help your gums stay healthier . Vitamin C is also required for the production of collagen, a key protein that helps you fight periodontal disease. Without Vitamin C, your gums become sensitive and more susceptible to the bacteria causing periodontal disease.

* Best sources: bell peppers, oranges, kiwi, strawberries, broccoli, kale

Foods rich in antioxidants

When it comes to their health benefits, antioxidants have almost celebrity status. How do they help your mouth stay healthy? Antioxidants fight the bacteria that cause inflammation and periodontal disease. They help protect gums and other tissues from cell damage and bacterial infection.

* Best sources: apples, berries, grapes, raisins, nuts, beans

Foods containing probiotics

When it comes to bacteria in your body, there are tons of both good and bad bacteria. Probiotics are some of the best ones. More research is needed here, but there is already some evidence  that probiotics may help decrease plaque and promote healthy gums.

* Best sources: yogurt, kombucha, sauerkraut, miso, and other fermented foods

Foods rich in anthocyanins, arginine and polyphenols

There are many other elements that might be beneficial for oral health. More research is needed, but some of the most promising candidates are anthocyanins  (which may prevent the attachment of plaque on the teeth and fight oral cancer), arginine  (an important amino acid which may disrupt the formation of plaque and reduce chances of cavities) and polyphenols  (which may slow the growth of bacteria leading to plaque, preventing gum disease, cavities and bad breath).

* Best sources (anthocyanins) – berries, grapes, cherries, plums, eggplant

* Best sources (arginine) – meat, soy, nuts

* Best sources (polyphenols) – tea (black and green), berries, flaxseed, cocoa

30 of the best foods for healthy teeth and gums

So far we’ve gone over why your diet is important for your teeth and over some of the basic science behind the connection between oral health and what you eat. What is left is to give you the complete list of some of the best foods for your mouth. So, here it is! (Or you can click here to see The 25 Worst Foods and Drinks for Your Teeth and Gums. )

1) Cheese

Do you like cheddar? It’s rich in calcium. In addition, cheese lowers the acid level in your mouth, which plague hates it for. What’s more, chewing on hard cheeses increases saliva production, which washes off some of the bacteria in the mouth. Want to munch on some not-so-goo-for-your-teeth snacks like crackers – add some cheddar and you’ll mitigate the damage. Just remember, hard, aged cheeses are the best options.

2) Milk

Together with water, milk is the best drink when it comes to your teeth. It’s rich in calcium and other important elements. Milk also lowers the acid levels in the mouth, which helps fighting tooth decay.

3) Water

Your teeth’s superhero! Water helps wash away food particles and keeps your saliva levels high. Saliva is actually your mouth’s best defense against tooth decay because it contains proteins and minerals that naturally fight plaque and if you stay hydrated, you have an unlimited supply of it.

4) Leafy greens (spinach, broccoli, kale)

Super healthy, leafy greens are rich in calcium, folic acid and lots of important vitamins and minerals that your teeth and gums love.

5) Fish (fatty fishes, wild salmon, tuna)

Rich in minerals and important vitamins like Vitamin D, fish are a crucial part of any teeth-friendly diet.

6) Meat

Most meats are great for your oral health. They are packed with some of the most important nutrients mentioned above. Red meat and even organ meats are especially beneficial.

7) Black and Green Tea

Think polyphenols! Polyphenols have been known to reduce bacteria and toxic products of bacteria in the mouth. Tea also tends to be rich in fluoride, which is a well known necessity for healthy teeth. It’s best if you drink it unsweetened as sugar and even honey could ruin the party.

8) Nuts

Nuts are full of health benefits for your teeth. They are packed with tons of important elements like calcium and phosphorus. Especially beneficial are almonds, Brazil nuts and cashews, which help to fight bacteria that lead to tooth decay.

9) Gum

This one is a no-brainer. Chewing gum boosts saliva production, washing away bacteria and food particles.

10) Cranberries (fresh)

Rich in polyphenols (just like tea), which keeps plaque at bay, thus lowering the risk of cavities. Fresh cranberries are especially effective at disrupting the process of plaque formation.

11) Oranges

Most citrus fruits are really acidic, which is not good for your teeth, but oranges are least acidic of all, and have all the health benefits that you can expect from fruits.

12) Strawberries

If you want perfect teeth, you better love strawberries! They are packed with Vitamin C, antioxidants and also malic acid, which could even naturally whiten your teeth.

13) Yogurt

Yogurt definitely ticks more than one good box for your oral health. It’s packed with calcium and probiotics that protect you against cavities, gum disease and even bad breath.

14) Carrots

Carrots are so tasty and full of tons of the most important minerals and vitamins for your mouth that they deserve a special mention. No wonder Bugs Bunny has perfect teeth.

15) Apples

Will an apple a day keep the dentist away? Probably not, but it will certainly help. It’s packed with key nutrients and vitamins.

16) Garlic

The allicin that is contained in garlic has strong antimicrobial properties . So, it helps you fight tooth decay and especially periodontal disease.

17) Ginger

Ginger is amazing in many ways. When it comes to oral health it might freshen your breath and inhibit bacteria growth.

18) Whole grains

Consumption of whole grains (oatmeal, brown rice) lowers the risk of gum disease.

19) Pears

Unlike many acidic fruits, raw pears are good at neutralizing acids, which makes them a perfect snack at any time.

20) Kiwis

Kiwis have one of the highest concentrations of vitamin C.

21) Onions

When eaten raw, onions have powerful antibacterial properties especially against some of the bacteria that causes cavities and gum disease.

22) Shiitake mushrooms

These tasty Asian goodies are plague’s nightmare. They contain lentinan, a natural sugar that disrupts the formation of plaque on your teeth.

23) Celery

Celery is so good for your teeth it’s worth a special mention. It’s in many ways the perfect snack for good oral health and is the closest we have to nature’s floss.

24) Soy

A diet that includes soy may help promote healthy gums.

25) Wasabi

Sushi just got better for your teeth! There is some evidence wasabi stops bacteria from sticking to your teeth.

26) Sesame seeds

High in calcium and very efficient at scrubbing plaque off your teeth while you chew them.

27) Sweet potatoes

A healthy dose of vitamin A will do lots of good things for your enamel and gums.

28) Raisins

This is a surprise entry, as raisins even appear as the bad guys in some places when it comes to their effect on teeth. However, they are a source of phytochemicals like oleanolic, which may kill cavity-causing bacteria. They are also rich in antioxidants.

29) Black coffee

An even more surprise entry! However, a series of recent studies  have shown that black coffee could protect your teeth from tooth decay and actually help fight plaque. There of course is a small catch, the coffee needs to be black and unsweetened.

30) Red wine

Wait a second! Haven’t we been told hundreds of times to avoid red wine in order to protect our teeth? Well, yes…and no! According to a study  in the Journal of Agricultural and Food Chemistry, a glass of red wine can have a strong antimicrobial effect against cavities causing bacteria. Cheers to these brave scientists!

Always remember the basics

It feels great to munch on tasty foods, which you know are great for your oral health. However, don’t forget what your dentist has taught you. Even after the healthiest entries of this list, it’s always a good idea to clean your teeth in some way from the remaining food particles, sugars, and acids. Brushing, of course, should be your top choice, but if it’s not an option at the moment, you can get a gum or at least drink some water.

 

Source: https://nano-b.com/blogs/news/the-30-best-food-for-healthy-teeth-and-gums?

 

Gum Disease

By Colgate
Discover the causes, symptoms, diagnosis, and ways to prevent the gum disease from damaging your oral health. The Woodview Oral Surgery Team

Definition

Gum disease is an inflammation of the gum line that can progress to affect the bone that surrounds and supports your teeth. The three stages of gum disease — from least to most severe — are gingivitis, periodontitis and advanced periodontitis.

Signs & Symptoms

Gum disease can be painless, so it is important to be aware of any of the following symptoms:

  • Gums that easily bleed when brushing or flossing
  • Swollen, red or tender gums
  • Gums that recede or move away from the tooth
  • Persistent bad breath or bad taste in mouth
  • Loose teeth
  • A change in the way your teeth come together
  • A change in the fit of partial dentures
  • Visible pus surrounding the teeth and gums
  • Sharp or dull pains when chewing foods
  • Teeth that are overly sensitive to cold or hot temperatures

Cause

Bacteria in plaque, a sticky, colorless film that constantly forms on your teeth, cause gum disease. If plaque is not removed it can harden and turn into tartar (calculus). Additionally, dental plaque will continue to form on the tartar. Brushing or flossing cannot remove tartar; a dental professional will need to conduct a dental cleaning to remove it.

Diagnosis

If not removed through daily brushing and flossing, plaque turns into tartar, which becomes a rough and retentive surface encouraging further build up plaque. The plaque bacteria can infect your gums and teeth, and eventually, the gum tissue and bone that support the teeth will be impacted. There are three stages of gum disease:

  • Gingivitis – This is the earliest stage of gum disease. It is the inflammation of the gums, caused by dental plaque buildup at the gum line. You may notice some redness or swelling of the gums, or some bleeding during brushing and flossing. At this early stage gum disease can be reversed since the bone and connective tissue that hold the teeth in place are not yet affected.
  • Periodontitis – At this stage, the supporting bone and fibers that hold the teeth in place are irreversibly damaged. The gums begin to form a pocket below the gum line, which encourages penetration and growth of plaque below the gum line. Professional periodontal therapy and improved personal oral hygiene can usually help prevent further damage to the gum tissue and supporting tissue and bone.
  • Advanced Periodontitis – In this more advanced stage of gum disease, the fibers and bone of your teeth are being destroyed, which can cause your teeth to shift or loosen. This can affect your bite and how you eat and communicate. If aggressive periodontal therapy can’t save them, teeth may need to be removed by a dental specialist. Your dentist will provide restorative options if teeth are removed due to periodontal disease.

Prevention

Proper brushing and flossing go a long way toward keeping gum disease at bay. Using an antibacterial toothpaste or mouth rinse can kill bacteria and lessen the amount of plaque in your mouth. Removing dental plaque is the key to preventing gum disease and improved mouth health.

Treatment

A professional cleaning by your dentist or dental hygienist is the only way to remove plaque that has built up and hardened into tartar. By scheduling regular checkups — twice a year — early stage gum disease can be treated before it leads to a much more serious condition.

If gum disease is more advanced, scaling and root planning can be performed to treat diseased periodontal pockets and gum infection. A dental hygienist uses an ultrasonic scaling device to remove plaque, tartar and food debris above and below the gum line, and hand scales the tooth and root surfaces to make them smooth and disease free. Laser treatments are also sometimes used to remove tartar deposits. If periodontal pockets are more than 5 millimeters deep, that is, if you have moderate to severe periodontitis, gingival flap surgery may be performed by a periodontist to reduce periodontal pockets, as well as bone grafting to restore lost bone.

Related Conditions

According to the Centers for Disease Control and Prevention (CDC), researchers have discovered potential associations between gum disease and other serious health conditions. If you have diabetes, for example, you are at higher risk of developing infections, such as periodontal disease. The CDC reports that gum disease may be connected to damage elsewhere in the body. Recent published research studies suggest an association between oral infections and conditions such as diabetes, as mentioned above, heart disease, and stroke. Further research is being conducted to examine these connections.4

 

Recovery After Oral Surgery

By Shawn Watson, Very Well

💊Always follow the post-operative instructions of your dentist for your optimum recovery! The Woodview Oral Surgery Team

Recovery should be your number one concern after oral surgery. Always follow the post-operative instructions provided by your surgeon or dentist to prevent any risk of infection or trauma to the surgical site. Follow these general guidelines after ​oral surgery for rapid recovery and optimum healing.

Bleeding After a Tooth Extraction

Bleeding after a tooth extraction is normal and slight bleeding may be noticed for up to 24 hours after surgery. Use the gauze that was provided to you, and bite down with firm pressure for one hour. You should remove the gauze gently. It may be necessary to take a sip of water to moisten the gauze if it feels stuck to the tissue. Doing this will prevent the bleeding from reoccurring. If you continue to have bleeding in the surgical area, contact your dentist or surgeon. They may instruct you to bite on a moist black tea bag. The tannic acid in the tea has been shown to reduce bleeding and assist with clotting.

Swelling

Swelling is a normal response to various types of surgery. Keep your head elevated with pillows as mentioned above. You may use an ice pack on the outside of your face for the first 24 hours after oral surgery. Swelling is usually completely gone within 7 to 10 days after oral surgery. Stiffness in the muscles of the face is also normal and may be noticed for up to 10 days after oral surgery. You may see slight bruising, typically if the surgery involved your lower wisdom teeth. If you have any concerns about swelling, or swelling has not reduced after 7 to 10 days, contact your doctor.

Pain After Oral Surgery and Medications

Pain after oral surgery varies depending on the extent of the procedure. Your dentist or surgeon will prescribe any necessary pain management medication. Follow the instructions for your medication carefully and always consult with your dentist or surgeon before taking any ​over-the-counter medications with your prescriptions. If you have been prescribed an antibiotic, always take all of the medication prescribed to you to prevent infection.

Rest and Recovery

Rest for at least two days after oral surgery. Physical activity is not recommended for 2 to 3 days after your surgery. Typically, you should be able to resume normal daily activities within 48 hours after surgery.

Oral Hygiene After Oral Surgery

Vigorous rinsing and spitting should be avoided for 24 hours. Brush gently and flossif able to open wide enough. Lightly rinse your mouth with water, avoiding mouthwash. Let the water fall out of your mouth on its own. After 24 hours, consider rinsing with a saline or salt water solution. This will naturally help keep the surgical site clean, aiding in the healing process. Prepare your saline solution by placing one tablespoon of salt in one cup of warm water. Do not swallow the saline solution. Repeat this as necessary throughout the day. If you have had an extraction, do not attempt to remove anything from the tooth socket (hole). Rinsing lightly will dislodge any food particles from the site.

Tobacco Use

Do not smoke for at least 24 hours after oral surgery. Smoking delays healing and may cause a very painful infection called a dry socket. This condition is a painful infection that will need to be treated by your dentist. Avoid the use of smokeless or chewing tobacco until complete healing has occurred. If you have had an extraction, the pieces from the tobacco may enter the extraction site, causing pain and discomfort in the socket.

Source: https://www.verywell.com/recovery-after-oral-surgery-1059383

Wisdom Teeth Anesthesia Options

 

By: Donna Pleis, Colgate

Can you opt for a PAINLESS wisdom tooth removal? Find out how. The Woodview Oral Surgery Team

If your dentist recommends removing your wisdom teeth because they’re decayed or aren’t erupting correctly in your mouth, don’t panic. As daunting as it sounds to have teeth extracted, this common process may not even be something you remember if you opt for wisdom teeth anesthesia – one area of sedation dentistry.

What Is Sedation Dentistry?

Fear or anxiety over dental treatment is common for most people, especially when facing surgical procedures. Sedation dentistry uses medications to relax normally uncomfortable patients, explains the Academy of General Dentistry (AAG), thereby helping to manage the discomfort these patients experience during dental treatment. In many instances, sedation keeps you somewhat conscious, but you may feel so calm and comfortable that you fall asleep on your own. And with deeper levels of anesthesia, you may not remember anything from the procedure once it’s finished.

Removing Wisdom Teeth

Removing a tooth that’s fully visible in the mouth is a fairly simple procedure; it involves numbing with a local anesthetic, and after a bit of work around the gum, the tooth is out. However, this is usually not the case with wisdom teeth. Located in the back of your mouth, most wisdom teeth don’t have enough room to come in properly and are referred to as impacted. In fact, nine out of 10 people have at least one impacted tooth, states Berks Oral Surgery.

Extracting impacted teeth usually requires the removal of some bone and gum tissue, making the procedure more involved than removing teeth that are positioned normally. And because all four teeth are usually removed at once, most offices recommend some type of sedation during the procedure.

Sedatives and Anesthetics

Before deciding on the best option of anesthesia for your extractions, you and your dentist will need to discuss your anxiety level and the procedure’s complexity. Consider the most common types of sedation used in dental offices today:

  • Local anesthesia is the numbing medication injected into the area of the mouth to be treated. This type of anesthesia blocks the sensation of pain during the procedure.
  • Conscious sedation is typically achieved by taking an oral medication, along with an anti-anxiety pill, shortly before the procedure. The medication will make you drowsy and, if given in larger doses, may cause you to fall asleep during the procedure. You’ll need a ride to and from the dental office when taking this type of medication.
  • Nitrous oxide or “laughing gas” is a controlled mix of nitrous oxide and oxygen that you breathe through a mask placed over your nose. This allows you to feel relaxed and less nervous about the treatment. The effects of the gas wear off quickly, allowing you to safely drive home after the procedure. Oral medication and the nitrous oxide are frequently used together, in which case you will not be able to drive yourself.
  • Intravenous (IV) sedation, according to AAG, is administered by taking medication orally or through a vein. IV sedation works quickly, and although you are conscious and capable of responding to your dentist’s visual signals, you won’t remember much about your appointment. Because Intravenous sedation does not provide pain relief, it is used in combination with local anesthesia. You’ll be groggy and need a ride home after the appointment.
  • General anesthesia is a combination of oral and IV medications that sedate you to a level where you are placed in a level of unconsciousness. Those who are heavily sedated may reach stages of complete unconsciousness. The best part is, once you’re fully awake, you won’t remember anything about the procedure.

    Safety of Wisdom Teeth Anesthesia

    During their hospital-based surgical residency program, oral surgeons become highly trained in all aspects of administering anesthesia. According to the American Association of Oral Surgery and Maxillofacial Surgeons, oral surgeons are also well skilled in airway management, establishing intravenous lines and managing any complications that may arise.

    If you’ve been delaying the necessary removal of your wisdom teeth, sedation can alleviate your apprehension about the procedure. And whichever method of anesthesia you decide on, you can trust your oral surgeon and his highly-trained anesthesia team to provide you with a safe and comfortable dental experience.

Source: http://www.colgate.com/en-us/oral-health/conditions/wisdom-teeth/wisdom-teeth-anesthesia-options-0515

Dentists Use Computers to Make Dental Implants

By WNDU

🖥️Technology has even invaded the dental industry. One of its advantages is the creation of dental implants. The Woodview Oral Surgery Team

When traditional dentistry and reconstruction failed, some people went high-tech.

It’s the stuff of science fiction, now showing up in dental offices.

Dentists and prosthodontists are using computers to make teeth, implants, and dentures.

It’s a process called Computer-Aided Design and Computer-Aided Manufacturing, or CAD CAM.

Irene Hasal has been through the wringer with her teeth. She had many procedures to fix problems and finally got implants. Within a month though, her teeth were breaking.

Then, Dr. Mamaly Reshad, a prosthodontist at Anacapa Dental Art Institute, told her about CAD CAM. A computer scans the patient’s mouth to make a custom image of what’s needed.

“We put it inside the computer like a cartoon, an avatar, and from
there, we create a tooth, a virtual tooth,” Dr. Reshad said. “The virtual tooth becomes a real tooth through a manufacturing process.”

A computer-aided milling machine makes teeth out of a
block of ceramic or composite resin.

Dr. Reshad used CAD CAM for Irene’s whole procedure.

It helped him find the best placement for her implants, and to make the prosthesis.

The CAD CAM process takes much less time than a conventional procedure, which can take weeks. Irene’s case was complicated and took almost a year, but CAD CAM can do one to two teeth in a morning.

“Now because it’s going through this avatar, the computer, it can be
done almost instantaneously,” Dr. Reshad said. “The same day. At least within 2 hours.”

It brought a perfect smile to Irene’s face.

“I can do anything I want now,” Irene said. “They fit great, they’re beautiful and my face is the proper shape. So I couldn’t be happier.”

Dr. Reshad says on average, the procedure costs about 30% less than the conventional method, although it is not typically covered by insurance.

To read the research summary for today’s story, click here.

Article Source: http://www.wndu.com/content/news/Dentists-use-computers-to-make-dental-implants-376456121.html?

The 25 Worst Foods and Drinks for Your Teeth and Gums

By nano-b
🍰️Some of the foods and drinks we consume can also affect the health of our teeth. Time to learn about their negative effects. The Woodview Oral Surgery Team

The Importance of Your Diet for Your Teeth’s Health

Since you are here, you probably know how important your oral health is for your overall wellbeing. You are probably also aware of the importance of your diet for your dental health. It really seems the saying “You are what you eat” rings truer and truer and when it comes to dental health it’s even more important than usual.

We’ve already discussed at great length what the best foods for healthy teeth and gums are in another post. Now, it’s time to see what parts of your diet could put your oral health at danger. Of course, most of us will never be able to eat 100% clean and eliminate all the “dangerous” foods and drinks from our diet, but it is important to know what to pay attention to and how to minimize the potential dangers.

Beware teeth, sugars and acid are here!

We all know the name of the villain when it comes to your teeth – plaque. We also know who plaque’s evil minions are – sugar and acids. These are the main culprits as far as our mouth is concerned as they are personally responsible for enamel erosion, tooth decay and pretty much all dental problems. So, let’s try to find out what categories of foods and drinks are most dangerous to our mouths and hopefully this will be a step forward a better oral health for all.

Highly Acidic Foods

When it comes to your teeth, acidic foods (foods with low Ph rating) could be extremely dangerous. Why? Whether contained in foods or converted from sugars by your mouth’s bacteria, acids can erode your teeth’s enamel, causing cavities and tooth decay. A weaken enamel can also lead to a variety of problems ranging from sensitivity issues to discolored teeth.

Examples of high acidic foods: lemons, pickles, tomatoes, alcohol, coffee.

Examples of low acidic foods: bananas, avocados, broccoli, lean meat, whole grains, eggs, cheese, nuts, vegetables.

Foods High in Sugar

We all know sugar is bad for our teeth, but it’s important to know why exactly. The bad bacteria in your mouth feed on sugars to create acids and cavities are an infection caused by acids. The point here is that sugars in your mouth are often the first step in the process of cavities formation.

It’s virtually impossible to eliminate all sugars from your diet, but it’s important to try to minimize sugar intake (especially refined sugar) as much as possible. It’s also crucial to not let sugar lingers in your mouth for a long time. So, brushing your teeth after meals or at least drinking lots of water is vital.

Examples of foods high in sugar: sugar (duh), soft drinks, candies, dried fruit, desserts, jams, cereal.

Sticky/Chewy Foods

An all-star villain when it comes to your teeth and gums’ health are foods that tend to stick and stay attached to and between your teeth for a very long time. The problem is such food debris turn into a plentiful energy supply for bacteria and their prolonged presence in your mouth allows bacteria to produce much more acid than normal. It’s vital to try to clean your teeth (flossing is best) as fast as possible and not leave sticky foods to linger in your mouth for hours.

Starchy foods and Refined Carbohydrates

Refined carbohydrates are rightfully frowned upon for the many health dangers they pose. When consumed, they turn into sugars immediately in your mouth to kick-start the acid production by bad bacteria.

Many starchy foods, including white bread, potato chips, and pasta, can easily become lodged between teeth and in crevices. While you might not consider them as dangerous as sugar, it’s important to note the starches begin converting to sugar almost immediately by the pre-digestive process that begins in the mouth through the enzymes in saliva.

Foods that Dry Out Your Mouth

Your best defense against oral health issues is saliva. Nature’s most powerful way to take care of your teeth is at hand to help your mouth stay healthy by washing away plaque and bringing back key minerals to your teeth. Saliva prevents food from sticking to your teeth and may even help repair early signs of tooth decay, gum disease, and other oral infections. Unfortunately, when your mouth is dry, the saliva level in your mouth gets low and it can’t do its job properly.

Examples of foods and drinks that dry out your mouth excessively: alcohol, some medicine, coffee, energy drinks.

Very Hard Foods That You Chew On

Enamel is very hard. In fact, it’s the hardest part of your body! However, even it can’t endure you chewing often on very hard foods. It’s important to remember that if something is too hard, it’s not supposed to be chewed.

Many people have the bad habit of chewing on things like ice, hard candy, and unpopped popcorn. Most of the time your teeth handle the hard task, but you can damage your enamel and there is always a danger of chipping off a piece of your teeth. So, make your teeth a favor and avoid chewing on hard substances.

The 25 Worst Foods and Drinks for Your Teeth and Gums

Now we know the basics let’s dive in and see what some of the worst foods and drinks for your oral health actually are.

Disclaimer: Please keep in mind that some of the foods and drinks listed below might have some overall health benefits as well. However, in this post, we are mostly concerned with the effect they have on your dental health. We don’t advocate eliminating all of these foods and drinks from your diet altogether. However, it’s important to be aware of the potential negative effect they have on your mouth’s health and know how to minimize the danger when you happen to consume them.

 

The Worst Drinks for Your Teeth and Gums

1) Soda

Nothing deserves the first spot in this list as much as soda. We all know how bad soda is for pretty much all aspects of our health and oral health is not an exception. A vast number of studies have shown the link between soda consumption and cavities.

The danger is two-fold. First, sodas are highly acidic, and the acids found in them can harm your teeth even more than sugar by striping minerals from your enamel. Hence, even sugar-free (diet) sodas are still pretty bad for your teeth as they contain citric and phosphoric acid. Of course, regular, sugar-containing sodas are even worse, as they have the added danger of providing rich sugar feast for the bad bacteria in your mouth.

2) Sports drinks

Even though sports drinks sound healthy, they are packed with sugar and acids and the potential for cavities and erosion is very significant. A study of the erosive effect of acidic beverages on the teeth found sports drinks to be the most erosive drinks of the bunch. And that was competing with sodas and energy drinks which are among the most acidic drinks available.

3) Energy drinks

The same study from above found energy drinks to be the most acidic beverages, compared to sports drinks, sodas, and 100% juice and the second most erosive (second to only sports drinks). So be warned that in additions to wings, energy drinks might very well give you cavities as well.

4) Alcohol

We know Happy Hour is the biggest reason many of us go to work on Fridays but keep in mind that all alcoholic beverages pose a serious threat to your oral health. Alcohol causes dehydration and dry mouth. This reduces saliva flow which can cause serious problems over time such as tooth decay and gum disease. Sipping on sugary cocktails has the added danger of bathing your teeth in sugar for a long time.

5) Wine

Wine deserves special mention as we know it colors your teeth pretty bad and there are other dangers as well. Being an alcohol, wine dries your mouth and can also make teeth sticky, promoting stain formation. In addition, both red and white wines are very acidic which we already know is pretty bad for your teeth. Keep in mind that while red wine can stain your teeth more, white wines are more acidic, so they might be even more dangerous to your enamel.

6) Coffee

It’s common knowledge how bad coffee stains your teeth, and coffee stains are among the worst for your teeth as they are very resistant. In addition, just like with wine, coffee makes teeth sticky and also dries out your mouth. It gets even worse if you add sugar to sweeten your coffee as there are few things worse for your teeth than sugar.

If that’s not enough, coffee is also acidic, which we know wears down enamel. Of course, we don’t expect you to stop drinking your favorite beverage, but to minimize the damage please drink plenty of water afterward and try to avoid additives like sugar.

7) Fruit juices

Even though not as bad as the drinks listed above, it’s good to know most fruit juices are highly acidic and have been linked to an increased risk of cavities. Of course, 100% fruit juices have some health benefits as well, so just be aware of their acidic nature and at least rinse your mouth with water after drinking them.

The Worst Foods for Your Teeth

8) Sticky/Chewy Candy

The chances of seeing a dentist munch on toffees or other chewy candy are pretty much equal to the chances of seeing a dinosaur. The reason, of course, is dentists know how bad sticky candy is for their teeth. Their high sugar content combined with their sticky nature makes them a nightmare for your teeth and oral bacteria’s favorite snack.

9) Hard candy

The only thing worse than having candy debris stuck at your teeth for a long time is chipping off a piece of your tooth. If you chew hard candies there is always a risk of damaging your enamel and in extreme cases, chipping a piece of your tooth off. So be extremely careful when chewing hard substances in general.

If you don’t chew hard candies but let them melt in your mouth it might be even worse. The problem is hard candies dissolve slowly and saturate your mouth with sugar for a long time, giving bad bacteria plenty of time to produce harmful acid. What’s even worse, many varieties of hard candy are flavored with citric acid which adds, even more, acid to your mouth.

10) Sour candy

Sour candy is so bad for your teeth it also deserves its own mention. Sour candy contains more and different kinds of acids than other varieties. What makes matters worse is you can’t solve the problem by brushing immediately after you eat them, because brushing too soon after consuming highly acidic foods or drinks could damage your enamel even further.

11) Dried fruits

Many people consider this to be a healthy snack choice and there is definitely some merit to that. However, when it comes to dental health, dried fruits spell trouble. The main problem is most dried fruits are very sticky and extremely high in sugar content. They are brimming with a big dose of natural sugars and non-soluble cellulose fiber which makes them as bad for your teeth as chewy candy. Your best alternative is to munch on fresh fruits instead.

12) Citrus Fruits

Yes, they are super-rich in Vitamin C and are loaded with a whole array of health benefits, but they are also loaded with acid which can erode and decay your tooth enamel. Lemon and grapefruit are most acidic, while orange is the least acidic of the group.

So if you enjoy squeezing lemons in your water and sipping on it throughout the day you might need to reconsider as a prolonged acid exposure is really bad for your teeth. It’s better to drink or eat your lemons in one sitting and then drink plenty of water to wash out the acid.

13) Canned fruit

Most fruits have a good amount of natural sugars in them, but canned varieties are infused with lots of added sugar as well which turns them into something you teeth wished you’d avoid. Canned citrus fruit is the worst, as they combine the very high sugar content with naturally contained acids.

14) Crackers

While most crackers don’t contain sugars or acids and don’t stain your teeth they are still pretty dangerous to your teeth. The reason is the refined carbohydrates that quickly break down into sugar! Most crackers also get gooey when you chew them, so they stick between your teeth letting bacteria flourish.

15) Potato chips

Starchy foods like to get stuck between your teeth. As tasty as potato chips are, unfortunately, the starch in it and its mushy texture means it will stay trapped between your teeth for a long time. If possible, rinse with water and floss to remove the trapped debris.

16) White bread

It’s refined carbohydrates to blame again. When you chew on bread the enzymes in your saliva break down the starch into sugar. Now transformed into a gummy substance, the breadsticks between your teeth. To minimize the danger opt-in for whole wheat options instead.

17) Popcorn

We all love snacking on popcorn at the cinema but beware they pose some danger to your teeth as well. First, they can get trapped between your teeth, promoting bacteria growth. Unpopped ones are nasty as well as they are too hard and you can damage your enamel or chip off a tooth.

18) Peanut butter & jelly

Normally, we wouldn’t dare say a bad word against most people’s favorite breakfast, but the high sugar content and the stickiness of the ingredients make it a terrible choice for your teeth and a great one for the bacteria in your mouth.

19) Ice

It’s made out of pure water, so how bad can it be? Well, not at all, unless you decide to chew it. It’s a bad habit many people have, but for the sake of your teeth, please just let ice cool off your drinks and don’t chew on it.

20) Vinegar

We use vinegar mostly in salad dressings, sauces, pickles and some potato chips and it’s important to know it can trigger tooth decay. Studies have shown an increased risk of enamel erosion for people who frequently consume vinegar-containing foods. It’s a crucial ingredient for a tasty salad, but you need to remember to rinse your mouth with water afterward to minimize the potential danger.

21) Pickles

The problem once again is acid. Vinegar is most often the culprit here. It’s what gives pickles their taste and also what makes them dangerous for your enamel. We agree pickles are super tasty on your sandwich, just keep in mind they are a real teeth’s nightmare and make sure to drink some water afterward to minimize the acid.

22) Tomatoes

A surprise entry for sure, the problem your teeth have with tomatoes is they are acidic. Of course, if you eat them as a part of a meal, the danger is minimized. So just keep in mind that acidic foods, in general, are not very welcome by your teeth and drink water afterward to clean your mouth.

23) Breath mints / Cough Drops

Fresh breath is important, but breath mints are probably not the best option. Since they stay in your mouth for a very long time, you are in effect soaking your teeth in sugar. If possible try to find sugar-free options to minimize the danger.

They might soothe your cough, but most cough drops are loaded with sugar as well. In addition, they stay in your mouth for a long time so the potential for dental damage can be serious. Again, sugar-free options are better.

24) Tannic acid

Tannic acid is found in drinks like red wine, coffee, and black tea. These drinks will stain your teeth and make your teeth sticky. Tannins also tend to dry out your mouth, which means your saliva levels will be lowered.

25) Highly pigmented foods

Highly pigmented foods like berries, beets, and curry can easily stain your teeth. Yes, some of them are super-healthy, so please keep eating them, but you need to remember to rinse your mouth to reduce the stains.

Food is Meant to Make You Healthy and Happy

Other than providing you with energy, food is meant to make you healthy and happy, so don’t stress too much on what you eat as long as you follow a few basic principles which will help your teeth and gums stay healthy.

It’s better to avoid substances that have an extremely negative effect on your overall health (like soda), but even if you can’t eat 100% clean, the following principles will help your teeth and gums stay healthier:

 

  • Your mouth needs a rest, so don’t munch on snacks all the time. Leave sufficient time for your mouth to recover and for saliva to naturally replenish minerals to your teeth. Keep your food intake to 3-5 times a day and let your mouth rest between meals.
  • To minimize the danger of some of the foods and drinks on this list (and remember some of them have health benefits as well) try to consume them as a part of a meal, rather than on their own.
  • Brushing after a meal is of course, always a great option. Just remember to wait 20 minutes if you’ve consumed highly acidic foods that have weakened your enamel.
  • If possible, always rinse your mouth with water after a meal and drinks lots of water throughout the day as well.
  • Use a straw when drinking highly acidic beverages to minimize their contact with your teeth.

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