Posts for: July, 2019
Your child's permanent teeth come in gradually, starting just as they begin losing their primary ("baby") teeth and not ending until late adolescence or early adulthood. That's when the third molars or "wisdom teeth" close out the process.
Because of their late arrival, wisdom teeth have a high potential for dental problems. With a greater chance of crowding or obstruction by other teeth, wisdom teeth often get stuck fully or partially below the gums and bone (impaction) or erupt out of position. In one study, 7 in 10 people between the ages of 20 and 30 will have at least one impacted wisdom tooth at some time in their lives.
It's not surprising then that wisdom teeth are among the most extracted teeth, to the tune of about 10 million per year. Besides those already diseased or causing bite problems, many are removed preemptively in an attempt to avoid future problems.
But wisdom teeth usually require surgical extraction by an oral surgeon, which is much more involved than a simple extraction by a general dentist. Given the potential consequences of surgical extraction, is it really necessary to remove a wisdom tooth not creating immediate problems?
That's not an easy question to answer because it's often difficult to predict a wisdom tooth's developmental track. Early on it can be disease-free and not causing any problems to other teeth. But as some researchers have found, one in three wisdom teeth at this stage will later develop disease or create other issues.
For many dentists, the best approach is to consider extraction on a case by case basis. Those displaying definite signs of problems are prime for removal. But where there are no signs of disease or other issues, the more prudent action may be to keep a watchful eye on their development and decide on extraction at some later date.
More than likely, your dentist will continue to have an ongoing discussion with you about the state of your child's wisdom teeth. While extraction is always an option, wisdom teeth that aren't yet a problem to dental health may be best left alone.
Sometimes, looking at old pictures can really bring memories back to life. Just ask Stefani Germanotta—the pop diva better known as Lady Gaga. In one scene from the recent documentary Five Foot Two, as family members sort through headshots from her teen years, her father proclaims: "Here, this proves she had braces!"
"If I had kept that gap, then I would have even more problems with Madonna," Lady Gaga replies, referencing an ongoing feud between the two musical celebrities.
The photos of Gaga's teenage smile reveal that the singer of hits like "Born This Way" once had a noticeable gap (which dentists call a diastema) between her front teeth. This condition is common in children, but often becomes less conspicuous with age. It isn't necessarily a problem: Lots of well-known people have extra space in their smiles, including ex-football player and TV host Michael Strahan, actress Anna Paquin…and fellow pop superstar Madonna. It hasn't hurt any of their careers.
Yet others would prefer a smile without the gap. Fortunately, diastema in children is generally not difficult to fix. One of the easiest ways to do so is with traditional braces or clear aligners. These orthodontic appliances, usually worn for a period of months, can actually move the teeth into positions that look more pleasing in the smile and function better in the bite. For many people, orthodontic treatment is a part of their emergence from adolescence into adulthood.
Braces and aligners, along with other specialized orthodontic appliances, can also remedy many bite problems besides diastema. They can correct misaligned teeth and spacing irregularities, fix overbites and underbites, and take care of numerous other types of malocclusions (bite problems).
The American Association of Orthodontists recommends that kids get screened for orthodontic problems at age 7. Even if an issue is found, most won't get treatment at this age—but in some instances, it's possible that early intervention can save a great deal of time, money and effort later. For example, while the jaw is still developing, its growth can be guided with special appliances that can make future orthodontic treatment go quicker and easier.
Yet orthodontics isn't just for children—adults can wear braces too! As long as teeth and gums are healthy, there's no upper age limit on orthodontic treatment. Instead of traditional silver braces, many adults choose tooth-colored braces or clear aligners to complement their more professional appearance.
So if your child is at the age where screening is recommended—or if you're unhappy with your own smile—ask us whether orthodontics could help. But if you get into a rivalry with Madonna…you're on your own.
If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Orthodontics For The Older Adult.”
It’s July—and that means it’s National Park and Recreation Month! If you’re like a lot of families, you might already be planning a trip to one of the nation’s 58 national parks, or one of the thousands of state outdoor recreational areas across the country.
Temporarily escaping the stresses of daily life in the great outdoors is a wonderful way to refresh both the soul and the body. But that’s not an excuse to neglect all your responsibilities. That includes making provisions to care for your teeth while you’re away from home—you are bringing them with you, aren’t you?
Here are three ways you can take care of your teeth during your outdoor getaway.
Keep up your daily hygiene. While you’re packing extra socks, granola and moleskin, be sure to include your toothbrush, toothpaste and floss. Just a few days of neglecting your regular oral hygiene can give bacterial plaque a chance to build up. You could even come back from your trip with the beginnings of gingivitis, an early form of gum disease. If you’re trying to pack light, take along travel-size toothpaste tubes or pre-threaded floss picks to make it easier.
Eat dental-friendly snacks and food. Escaping your usual dietary choices doesn’t mean you should take a vacation from good nutrition. Whether you’re in camp or on the trail, eat whole fruits, grains or cheeses, and avoid snacks and foods with added sugar that feeds disease-causing bacteria in the mouth. The same goes for beverages—keep your intake of sodas and sports or energy drinks (all loaded with added sugar and acid) to a bare minimum. Instead, hydrate with water.
Be prepared for emergencies. Exploration through hiking, canoeing and other physical activities is a great part of the outdoor park experience. But it also increases your risk of injury, especially in rough terrain. Before you head out, take some time to research medical and dental resources near your vacation destination in case you or a family member will need immediate care. Having that information handy can save time in the event of an emergency.
An outdoor park trip can be the experience of a lifetime. Just be sure to follow these simple tips to care for and protect your teeth. Doing so will help ensure that your memories of this summer’s outing will be pleasant ones.
If you would like more information about caring for your dental health at home or away, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”