Wisdom Teeth Q / A

Wisdom Teeth Q / A

Also called third molars, wisdom teeth are the last set of teeth to erupt. Usually, people get their wisdom teeth in during their late teens and early 20s. Although some individuals have no trouble with their wisdom teeth, many people end up having these teeth removed because they may become impacted and create dental health issues. Learn more about wisdom teeth with this Q and A:

Do I need to have my wisdom teeth removed?
If your wisdom teeth aren’t causing problems, you can leave them alone. Typically, wisdom teeth are crooked or impacted, which can generate problems with the surrounding teeth. Also, wisdom teeth can be harder to keep clean, so the risk of decay on these teeth is higher.

When should I have these teeth taken out?
For optimal results, most dentists recommend wisdom teeth removal for patients when they are between 16 and 22 years old. The formation of the roots isn’t complete, so you have fewer complications.

Are there any risks?
As with any surgery, you can have issues arise, but the biggest concerns are nerve damage and dry sockets. Older patients have a greater chance of nerve damage because the root has more fully developed. Dry sockets occur when the post-surgery blood clots dislodge.

Does my age matter?
Some adults don’t experience any symptoms until they are in their 30s, 40s, or 50s. You can have these teeth extracted at any point, but when you get older, surgery is more difficult and the recovery takes longer. If you have trouble with your wisdom teeth, contact your dentist right away for a complete exam.

Longview dental office for wisdom teeth – Scott Distefano, DDS

How a Dental Crown or Bridge Can Improve Your Smile

How a Dental Crown or Bridge Can Improve Your Smile

Severely damaged, injured or diseased teeth can lead to not only cosmetic problems with your smile, but also functional ones. Your dentist may recommend dental crowns or dental bridges to treat your dental issues.

Dental crowns are a restorative dental therapy that covers the affected tooth completely, serving as the new outer surface of the tooth. A dental crown maintains the natural roots of a tooth and can prevent extraction. A dental bridge fills the gap left by one or more missing teeth and is affixed to bordering teeth with an anchoring crown.

Both dental crowns and dental bridges are made from a variety of materials that can be designed to match the color of your surrounding natural teeth. As opposed to removable prosthodontics such as full or partial dentures, dental crowns and bridges are permanently bonded to existing teeth or dental implants, allowing them to function and appear as natural teeth.

Dental crowns and bridges have a number of advantages and benefits, such as:

  • Dental crowns protect the natural tooth after a root canal therapy, helping to prevent bacteria re-infecting the tooth that could lead to extraction.
  • Dental bridges restore gapped or missing teeth, providing support to the surrounding teeth, preventing them from shifting in to fill the empty space and affecting your speech, bite and smile.
  • Your dentist can typically place dental crowns and bridges in as few as two appointments.
  • Dental crowns and bridges are both long-lasting, durable therapies, designed to protect your natural tooth for years to come.
  • Dental crowns prevent bone loss by preserving the natural tooth roots, thereby stimulating the jawbone, preventing resorption, or shrinkage, of the bone following extraction.

If you have questions about what a dental crown or bridge can do to improve the form and function of your smile, talk to your dental professional today. You can restore your healthy smile and preserve it for years to come with a dental crown or dental bridge treatment.

Our dental office is located in Longview

Common Reasons for Oral Surgery

Common Reasons for Oral Surgery

Many oral surgeries go beyond simply removing a tooth, and the cause is not always related to poor dental hygiene. Some reasons for oral surgery just can’t be predicted or avoided, such as injuries, birth defects, or cancer. Great strides have been made in oral surgery, especially for restoration and reconstruction techniques. These are some common reasons that oral surgery is advised.

Tooth loss

Replacing missing teeth with dental implants requires oral surgery so that the titanium implant can be inserted into the jaw. Providing an alternative to dentures and bridges, implants offer a secure and permanent solution that looks very natural. Candidates with adequate bone density, good overall health, and who practice proper oral hygiene are considered for implant surgery. After the implant heals, a crown will be placed on top to complete the restoration.

Impacted teeth

One of the most common oral surgeries is to remove impacted wisdom teeth. Often occurring during the late teen to early adult years, wisdom teeth are unable to erupt properly and must be extracted to prevent future problems.

TMJ

Temporomandibular joint disorders involve the joint where the skull and lower jaw come together in front of the ear. Facial pain, headaches, popping, and jaw problems can result, and dentists try to treat the disorder with solutions like splints, physical therapy, and medications. Severe cases can require surgery to fully correct the TMJ problems.

Injuries

Car accidents, sports injuries, and other trauma can cause broken facial bones or jaws. Surgery may be necessary to realign the jaws, wire bones together, and otherwise repair the injury so that normal function and comfort can be restored.

Cleft repairs

Birth defects like a cleft lip or palate are corrected through oral surgery. Usually a series of surgeries over a span of years is needed to improve the appearance and proper function of the areas affected by the birth defect.

Biopsy

Surgery is performed to remove cancerous tumors or lesions in the jaws or facial bones. This is especially true when the joints or connecting muscles and tendons are involved.

 

 

Types of Dental Crown and Bridge Materials Available

Types of Dental Crown and Bridge Materials Available

Restorative dentistry has made incredible advancements in the technology of restorative dental materials, and there are more options than ever today for your dental crown or dental bridge. Zirconium and porcelain have proven to provide lasting strength and durability, exhibiting the most natural cosmetic dental restorations available today. Each tooth in each mouth is different, however, and in some cases, resin composite or metal alloy might be the choice recommended for you.

Metals are a common choice for dental crowns and dental bridges. Gold or palladium alloys, as well as chromium or nickel (base-metal) alloys can be excellent choices. Metal alloy crowns show the least “wear down” over years of use. They almost never chip, break or wear down opposing teeth. The primary complaint about metal alloy materials is that their color is metallic and thereby unnatural. They will not blend with the surrounding teeth, and as such, they are chosen more for back molars where they won’t draw attention.

Dental composite/resin materials are a popular choice that can be made to blend with the surrounding teeth, but they’ve been shown to wear down over time and are more prone to fractures and breaking than other materials.

Porcelain can be fused to metal to form a natural-appearing crown or bridge, and because of their appearance, are a good choice for front or back teeth. Over time, however, discoloration can appear along the gum line as the porcelain wears away, leaving a dark, unsightly line. The porcelain can be fused to zirconium, however, which eliminates the dark line and is a good cosmetic choice for front teeth.

Crowns and bridges can also be made from all-porcelain or all-ceramic materials. These materials are the best choice for natural-looking teeth of the types of dental crown and dental bridge materials available in restorative dentistry today. Because they contain no metal, they are excellent choices for patients with metal allergies. They tend to be weaker and less durable than materials containing metals, however.

Talk to your cosmetic dentist today with any questions you have regarding what type of dental crown or bridge material is best for your smile needs.

Our dental office is located in Longview

Benefits of Dental Crowns and Bridges

Benefits of Dental Crowns and Bridges

If you have severely damaged, diseased or injured teeth, your dentist may recommend crown and bridge treatment. A crown is a dental restoration that fully covers a tooth and becomes the tooth’s new outer surface. A bridge is also a dental restoration that is anchored to natural teeth. However, a bridge replaces and fills the gap left by multiple missing teeth. Both crowns and bridges are made from a variety of materials and can be matched to the color of your natural teeth. Unlike removable dental devices like dentures, crowns and bridges are permanently affixed to existing teeth or implants allowing them to look and function similarly to natural teeth.

In addition to restored function and appearance, crowns and bridges offer a host of additional benefits including:

  • Dental crowns protect and strengthen the natural tooth, helping you to avoid extraction.
  • Crowns are the final step in root canal treatment, protecting the tooth from bacteria that could re-infect the treated tooth.
  • Crowns and bridges restore missing teeth and support the remaining teeth.
  • Your natural bite is restored and maintained with crown and bridge treatment.
  • Placement of crowns and bridges improve your speech, smile and chewing function.
  • Adjacent teeth are prevented from shifting and tilting with crown and bridge treatment.
  • Crowns and bridges are long-lasting, predictable and durable.
  • Placement of crowns and bridges is quick and can usually be completed in as little as two appointments.
  • Alternatives to crown and bridgework, like dental implants, are usually more invasive requiring surgery and possibly bone grafting to place the implant.

Consult with your dentist to find out more about the advantages of crowns and bridges and how they can help to restore your healthy smile.

Our dental office is located in Longview

When Should Wisdom Teeth Be Removed?

When Should Wisdom Teeth Be Removed?

Wisdom teeth are the third set of molars, and usually emerge in the late teens or early twenties. Standard dental practice is to remove wisdom teeth prior to them being fully formed when the roots have not yet had a chance to develop and fully root into the jaw. Younger patients usually have an easier recovery from surgery and many dentists believe early removal prevents future dental problems associated with wisdom teeth.

If your wisdom teeth were not removed as they emerged, there are some signs and symptoms that would indicate the need for extraction including:

  • Wisdom teeth that are impacted, which means they have become trapped in the jawbone or gums.
  • Wisdom teeth that are emerging at an awkward angle, causing pressure on adjacent teeth.
  • Wisdom teeth that do not fit in your mouth, causing crowding of the surrounding teeth as well.
  • Wisdom teeth that are suffering from decay or disease caused by the inability to keep them cleaned properly.
  • Wisdom teeth that have developed fluid-filled cysts near the gumline.
  • Wisdom teeth that are causing pain due to any of the above reasons.

The decision about whether or not to remove your wisdom teeth should be made in consultation with your dental professional. Your dentist or oral surgeon can assess the position and health of your wisdom teeth and make a recommendation for treatment.

If extraction is recommended, they may choose to extract one tooth or all four molars at once. Recovery from the outpatient procedure takes just a few days, and you will quickly be back to normal. Contact our dental office if you are experiencing any of these symptoms listed to determine if you should consider wisdom tooth removal to ensure your future good oral health.