While minor gum recession can be treated by your dentist with deep cleaning and antibiotics, serious gum recession can only be treated with oral surgery. A loss of bone and gum pockets that are very deep require gum surgery to address the pain and damage left by acute gum recession.
Three treatments are used primarily in the treatment of serious gum recession, in order of invasiveness: pocket depth reduction, regeneration, and soft tissue graft. Pocket depth reduction involves a deep cleaning of the affected area. The periodontist folds the gum tissue back and utilizes tooth scaling and root planing to remove any tartar and plaque built up around the tooth. Once the gum pockets are clean, the surgeon pulls the gum tissue gently around the tooth, eliminating the deep pockets altogether or significantly reducing their depth.
Regeneration utilizes a similar treatment to pocket depth reduction, but it also addresses any bone loss that occurred due to acute gum recession. In this process, a regenerative agent such as graft tissue, membranes or tissue stimulating proteins is added to the affected area. The gum tissue is then tucked into place and stitched down. Over time, the regenerative agent will work to rebuild lost bone and tissue, leaving healthy and thriving tissue behind.
The most common soft tissue graft is taken from the patient’s own mouth, either by removing tissue from the roof of the mouth or from the gum tissue near the affected tooth. The healthy gum tissue is placed in the affected area, over the exposed tooth root, protecting it from infection and damage.
To prevent the need for oral surgery to address your receding gums, have good oral hygiene habits. Brush, floss and see your dentist twice a year for checkups and professional cleanings. Talk to your dentist if you have any other questions about how to reverse or prevent gum recession.
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One of the most misunderstood procedures in dentistry is root canal treatment. If your dentist recommends this procedure, you might be quick to turn to the internet or other sources to learn about it. Unfortunately there is a lot of unreliable information out there, which can scare you away from needed treatment.
There are some common myths that circulate about root canal therapy. Instead of avoiding treatment, learn the truth about this procedure that may be the most effective way to save a damaged tooth.
Myth: Root canal treatment is very painful.
Truth: This procedure often serves to relieve pain instead of creating it. With the anesthetics and sedation dentistry available today, in most cases the procedure feels like simply getting a filling.
Myth: You don’t need root canal treatment unless you are experiencing severe tooth pain.
Fact: Pain is not always present when root canal therapy is advised by your dentist. A tooth that has died may no longer trigger pain, but treatment is necessary to eliminate infection and save the tooth. Diagnostic tests are available to help your dentist diagnose tooth problems even when pain is not present.
Myth: The benefits of root canal treatment are short-lived.
Fact: This treatment provides durable and long-lasting results, potentially for a lifetime. Since the tooth is usually topped with a crown, it can be protected indefinitely.
Myth: Root canal treatment causes illnesses.
Fact: This is one of the most common misconceptions you might run across on the internet. Based on very old research that has been proven to be wrong, the myth still exists that root canal therapy might cause various diseases. Instead, root canal treatment is safe and only improves your oral and overall health.
Myth: Tooth extraction is an adequate alternative to root canal therapy.
Fact: Dentists agree that saving your natural tooth is almost always preferred over a traumatic procedure like tooth extraction. The benefits of keeping your restored real tooth are better than having a hole in your smile or requiring tooth replacement solutions.
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Even though regular checkups and proper dental hygiene greatly decrease the need for root canal treatment, the fact remains that it is one of the most common procedures performed by dentists today. What are some of the most common reasons you might need this dental solution?
Decay:
The primary cause for root canal procedures is decay that has entered the tooth pulp chamber and progressed to the point of causing infection or abscesses. Pain and tooth sensitivity often accompanies severe decay. Root canal treatment is the best way to avoid tooth extraction and restore oral health.
Trauma:
If a tooth endures strong force such as from a sports injury, car accident or fall, the trauma can damage the tooth so badly that root canal treatment is needed. Even if trauma isn’t completely evident at first, a severed nerve to the tooth can cause it to die over time.
Genetics:
Traits of teeth like their strength are passed along through genes. Some people inherit soft teeth that are more prone to decay, making it difficult to avoid decay even with diligent oral hygiene.
Tooth fracture:
A tooth can be fractured through chewing hard foods or ice, teeth grinding or clenching, or habits like nail biting. Even hairline fractures may allow bacteria to enter the tooth’s pulp and cause infections. Once the bacteria takes hold, root canal treatment may become necessary.
Deep cavity:
Deep cavities within teeth can allow infections to thrive, eventually causing the tooth to become inflamed or die. A deep cavity isn’t necessarily painful, so patients may not even realize they have an infection. Regular dental checkups help catch cavities early, before they are able to become so deep and serious.
Previous dental work:
Extensive or repeated dental work can cause trauma to teeth nerves and associated inflammation, making root canal therapy an important solution.
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Gum disease is a serious problem. You should treat it as soon as possible following the recommendations of your dentist. Also known as periodontal disease, it has several treatments, depending on the severity of the issue.
Your first course of action is to completely revamp your oral hygiene habits. Daily flossing and brushing following meals are essential habits to develop. You must have a clean mouth before you go to bed. If you smoke, you should stop. Your mouth’s health depends on it.
If you haven’t been keeping up with your professional checkups and cleanings, you need to start again. Long-term gum health is greatly impacted by the plaque, tartar, food debris and bacteria left on teeth. Hardened calculus, or calcified plaque, can be removed using a process called scaling. This process may require local anesthesia.
Your progress will be evaluated by your dentist to see if your gum tissue is recovering. With enough progress and response to treatment, your gum disease treatment may not progress beyond these initial steps; however, for more severe cases of gum disease, you may require oral surgery.
Surgical procedures are available that can regenerate and repair the soft gum tissue in the mouth, as well as hard tissues such as bone or teeth. Your oral surgeon will want to reduce or completely eliminate gum pockets, or open areas beneath the gum line, improving and renewing gum to tooth attachment. Normal oral functions and aesthetic appearances are aimed to be restored.
There are many sedation dentistry options available to patients treating their gum disease with oral surgery. Talk to your dentist to see what’s appropriate for your specific needs.
Don’t wait to treat your gum disease. Do what you need to do to ensure a lifetime of better oral hygiene and gum health.
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If oral surgery is in your future, you might be worried about what’s to come. The way to relieve that worry is to talk to your oral surgeon. Your oral surgeon has the experience and knowledge necessary to guide you through whatever concerns or questions you may have. Here is a guide to some of those questions and answers:
How will I handle pain following surgery?
- In many cases, you will have been prescribed narcotic pain relievers. If you are taking narcotics, take them only as recommended and do not mix them with over-the-counter pain relievers or alcohol. Driving while on narcotics is dangerous and can have serious consequences for you personally and for others. If you weren’t prescribed any medication, use anti-inflammatory analgesics such as ibuprofen or naproxen sodium.
What will happen to my stitches in the days following surgery?
- Some stitches will be designed to dissolve over time and will not need to be removed. Others will not come out on their own and will need to be removed at a subsequent appointment. In many cases, losing a single stitch or two in the days following surgery isn’t serious; however, for bone-graft treatments, it is problematic and you should contact your surgeon immediately.
Can I eat normally after surgery?
- Immediately after surgery when you’re still experiencing any mouth or tongue numbness, don’t eat anything. You could mistake the soft tissues of your mouth for food and do serious damage to your mouth without realizing it. After your numbness subsides, consume soft foods of tepid temperatures for several days to allow for healing. Talk to your surgeon to learn when you can resume normal eating patterns as dictated by your particular surgery.
What other tips do you have?
- Stay hydrated and rest as much as possible to facilitate complete and quick healing. Call your surgeon if you have excessive bleeding or pain that doesn’t lessen with time. Be aware of signs of infection (swelling, redness, odorous or sour discharge) at the surgical site and seek professional care when needed.
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Getting back your ability to smile and eat with a complete set of teeth is one of the great benefits of dentures. To prevent infections, sores, or further tooth damage, it is important to maintain dentures properly. Here are some ways that dentists advise to keep your dentures in great condition.
Cleaning
Rinse your dentures well after meals to remove food particles and avoid stains. Brush them daily with a soft toothbrush to remove plaque and deposits. Use a mild soap or product that your dentist recommends, but avoid harsh toothpaste or strong cleaners.
Soaking
Soak your dentures in water or cleaning solution when you are not wearing them, especially overnight. This helps keeps them from drying out or becoming misshapen. Do not use hot water.
Rinsing
If you use a cleaning solution, rinse your dentures well before putting them back in your mouth. Avoid swallowing denture cleaning solution because it can cause stomach upset.
Handling
Handle your dentures very carefully so that you don’t drop them or bend them. Clean them over a basin filled with water, so that if they fall they shouldn’t be damaged.
Visiting your dentist
Maintain regular checkups with your dentist to get both your mouth and your dentures examined. Most dentists recommend visits every six month for ideal results. See your dentist sooner if your dentures are not fitting well, are causing irritation, or have become loose.
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