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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Oral surgery to correct problems with the jaw is known as orthognathic surgery. Jaw issues can result from birth defects, changes due to growth, or injury or trauma to the face. While orthodontics can correct bite problems when only the teeth are involved, oral surgery may be required when repositioning of the jaw is necessary to correct the issue. If you suffer from any of the following concerns, orthognathic surgery may be a consideration:
- Difficulty chewing, biting or swallowing
- Problems with opening and closing your mouth, or with speaking
- Persistent jaw or temporomandibular joint pain
- Clenching or grinding of teeth causing excessive wear to the teeth
- Inability to make the lips meet without straining
- Un-proportional facial appearance or protruding jaw
- Malocclusion, open, or incorrect bite
- Recessive lower jaw and chin
- Sleep apnea and breathing problems
Most jaw surgeries are performed completely in the mouth, so no facial scars are visible. The oral surgeon makes cuts in the jawbone and then moves them to the correct position. Once the jaw is correctly aligned, screws and bone plates are placed to secure the jaw into the new position. Sometimes it may be necessary to add extra bone to the jaw from your hip, leg, or rib.
Orthognathic surgery is performed by an oral and maxillofacial surgeon usually in a hospital setting. Recovery time from jaw surgery takes three to six weeks. Your general or family dentist should be able to refer you to a skilled oral surgeon for a consultation and examination to determine a treatment plan. Jaw surgery can improve not only your facial appearance, but also chewing, speaking and breathing functions.
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If you or a loved one is scheduled to have or has recently had oral surgery, you probably have a lot of questions. Here are some of the most common questions:
- One of my stitches came out after my surgery, should I be worried? Losing a stitch isn’t a problem. In the majority of cases, stitches are put in place during surgery to assist in clot formation and bleeding control. If you have undergone a bone-graft procedure, however, contact your surgeon because you may need to be seen immediately.
- What can I eat after surgery? Immediately following surgery, eat only soft foods of tepid temperature. Avoid very hot or very cold foods. Eat nothing that is crunchy or chewy so you won’t damage the surgical site.
- I am having a lot of pain following my procedure, what should I do? If you have been prescribed pain medication, take it as recommended. If no prescription was given, use over-the-counter medicines containing natural anti-inflammatory properties such as ibuprofen. Stay hydrated by drinking room temperature water and get plenty of rest.
- I had a tooth extracted, how can I tell if I have a dry socket? Dry socket is the result of the loss of the blood clot present in the extraction site. Smoking, using a straw, poor oral hygiene or failure to rest properly following the extraction procedure can lead to this condition. Typically dry socket will present within one week of extraction and is treated with sterile wash and pain-relieving, medicated gauze.
- I had a procedure this morning and am still bleeding. Is that normal? Bleeding following extractions or other surgical procedures is common. If you are bleeding more than normal, bite down on some sterile gauze or a damp teabag for twenty or thirty minutes. Don’t keep removing the gauze to look for blood; that can make the bleeding worse. Call your surgeon if you feel your bleeding is excessive.
Your oral surgeon can answer these questions and more. Don’t hesitate to call the surgeon’s office to get the peace of mind you require to heal comfortably following your procedure.
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