Tag pain when chewing

Facts About Wisdom Teeth

A large number of people do not have room for wisdom teeth. This may be the result of an evolutionary change because our diet has changed over thousands of years and we don’t eat as many greens and nuts and our jaws are not as big as they used to be. We are seeing more and more people in the past few generations did not even form some of their wisdom teeth. Those who do have wisdom teeth and don’t have room for them will get impacted teeth. When a tooth becomes impacted it can do damage to the tooth in front of it.

Depending on how it’s sitting in the jaw bone(or what happens in most cases) the wisdom tooth will come part way out of the jaw and then the gum tissue surrounding the enamel covered crown of the tooth can’t adhere to the enamel and a pocket forms. Food can get trapped in the pocket and cause an infection caused periocornitis. This infection causes swelling and pus from around the wisdom tooth that will come and go but become more frequent and severe over time. Quite often it is necessary to remove those wisdom teeth and, in many cases, it is a surgical procedure to extract the tooth.

In our office, we provide IV sedation so that the patient isn’t aware of the treatment while it is going on, and will recover better than with just using a local anesthetic. Taking out wisdom teeth is sometimes an elective thing but it is usually best to do it when the patient is younger before the bone becomes dense. Early extraction also gives less likelihood of the wisdom teeth causing damage to the other teeth, caused by the patient’s bite or resorption of the tooth in front of it. If extraction of wisdom teeth is ignored and it is growing into the molar in front of it, the patient may get almost like decay but its resorption similar to the resorption you get when permanent teeth come under the baby teeth and resorp the roots. Sometimes if you ignore it, you will end up losing multiple teeth: the wisdom tooth and the one in front of it, and then the one above it because it doesn’t have a tooth to function against. For these reasons, extraction of wisdom teeth is an important thing to evaluate at an early stage.

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Stabilizing Your Dentures for Comfort AND Function

We have become passionate about learning more about dentures over the past several years. Early in our dental practice we saw a new patient who was in her thirties and had dentures since she was sixteen years old. She had absolutely no bone left and could not wear her dentures. Back then we did everything that was known at the time to help her and this sent us on a quest as life-long students in dentistry. In today’s dentistry we have better answers, but at the time she was still unable to chew with her dentures. Our newest technology gives us options such as bone grafting, implants, and other stabilization. However, if a patient loses their teeth and simply puts plastic over the gums, they are going to be orally handicapped. For this reason, we do the best restoration that we can that is functional and aesthetic. This approach makes the patient look like they should look if they had their original teeth. That was a problem for most dentures in the past because, as the lower jaw shrinks, the neutral zone between the tongue and lip moves back. To keep your denture from having this constant movement of being pushed back and up, you couldn’t support that lower lip like you normally would. That’s why so many people with dentures look older-because they are not supporting the lips plus they wear them way to long and the jaw is over closed. As the jaw is over closed then you get the “Andy Gump” look where the chin almost meets the nose.

One of the things we do with our dentures is to work with our patients so that they can tolerate having their bite over to where it should be. And now, as a standard of care, someone who is missing a lot of bone in the lower jaw, if possible, should have implants. If you can stabilize the denture and support the lip where it should be, it takes years off the patient’s face.

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