Dental Arts of Wyomissing Blog
Posts for: September, 2016
There's a lot of emphasis — well-placed, of course — on preventing and treating tooth decay. But there's another dental disease just as dangerous to your oral health and nearly half of U.S. adults have it. It's actually a group of diseases known collectively as periodontal (gum) disease.
Gum disease is similar to tooth decay in one respect: they're both triggered by bacteria. These microorganisms thrive in a thin film of food particles called plaque that collects on tooth surfaces.
Certain bacteria can infect gum tissues and trigger inflammation, a response from the body's immune system to fight it. As the battle rages, bone loss can occur and the gums weaken and begin to detach from the teeth. Without treatment, you could eventually lose affected teeth.
Like tooth decay, the best approach with gum disease is to prevent it, and by using the same techniques of daily brushing and flossing. These actions loosen and remove plaque built up since your last brushing. It's also important you visit us at least twice a year for cleanings that remove hard to reach plaque and calculus (hardened plaque deposits).
If despite your best efforts you do contract gum disease, the sooner you see us for treatment the lower the long-term impact on your health. The treatment aim is the same as your daily hygiene: to remove plaque and calculus. We use specialized hand instruments or ultrasound equipment to mechanically remove plaque; more advanced cases may require the skills of a periodontist who specializes in caring for structures like the gums that support teeth.
So, defend yourself against gum disease by brushing and flossing daily, and visiting us regularly for dental cleanings and checkups. If you notice bleeding, swollen or painful gums, see us as soon as possible for diagnosis and treatment. Don't let tooth decay's evil twin ruin your oral health or your smile.
If you would like more information on the prevention and treatment of gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “When to See a Periodontist.”
We've all done it — suddenly bit the inside of our mouth while chewing food. All too often our cheek, lip or tongue finds itself in the way of our teeth.
The small wound caused by these types of bites usually heals quickly. But it's also common for the natural swelling of these wounds to cause the skin to become prominent and thus more in the way when we eat. As a result we bite it again — and again. If bit a number of times, the old wound can form a bump made of tougher tissue.
Also known as a traumatic fibroma, this growth is made up of a protein called collagen that forms into strands of fibers, similar to scar tissue or a callous. As you continue to bite it, the fibers form a knot of tissue that becomes larger with each subsequent bite and re-healing.
Unlike malignant lesions that form relatively quickly, these types of lumps and bumps usually take time to form.Â They're not injurious to health, but they can be irritating and painful when you re-bite them. We can alleviate this aggravation, though, by simply removing them.
The procedure, requiring the skills of an oral surgeon, periodontist or a general dentist with surgical training, begins with numbing the area with a local anesthetic. The fibroma is then removed and the area closed with two or three small stitches. With the fibroma gone, the tissue surface once again becomes flat and smooth; it should only take a few days to a week to completely heal with mild pain medication like ibuprofen to control any discomfort.
Once removed, we would have the excised tissue biopsied for any malignant cells. This is nothing to cause concern: while the fibroma is more than likely harmless, it's standard procedure to biopsy any excised tissue.
The big benefit is that the aggravating lump or bump that's been causing all the trouble is no more. You'll be able to carry on normal mouth function without worrying about biting it again.
If you would like more information on minor mouth sores and wounds, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Common Lumps and Bumps in the Mouth.”
Root canal treatments are an essential part of dental care — countless teeth with deep decay would be lost each year without it. Now, this traditional dental care procedure is advancing to a new level of precision through lasers.
Root canal treatments have a simple goal: access a tooth's infected pulp and root canals, clean out the infected tissue and fill the empty pulp chamber and canals with a special filling. Once filled, the access is sealed and a porcelain crown later placed for additional protection against re-infection.
In the traditional procedure, we perform these steps manually with a dental drill and hand instruments. We may also need to remove a good portion of tooth structure, both healthy and infected tissue. A laser, on the other hand, is a highly focused beam of light with the ability to interact with healthy and infected tissues differently: destroying infected tissue while having no effect on nearby healthy tissue. The end result: we may be able to remove less healthy tissue with lasers than with the conventional procedure.
Lasers are also helpful with softening and precisely molding the filling material within each canal's particular shape. And, early reports seem to indicate a higher degree of comfort for patients (less drill noise and need for anesthesia), less bleeding and faster recovery times than the conventional approach.
But as a tool for root canal treatments, lasers do have a couple of disadvantages. While light travels in a straight line, root canals are rarely straight — conventional instruments with curved designs usually accommodate odd canal shapes better than a laser. Lasers can also raise temperatures within a tooth that can damage healthy tissue, both within the pulp and outward into the dentin.
Still, lasers for root canal treatments appear promising with some dentists using a combination of lasers and manual techniques to garner benefits from both approaches. While you won't see lasers replacing the traditional root canal treatment anytime soon, the future looks bright for more efficient ways to treat deep tooth decay.