UNDERSTANDING TOOTH EXTRACTIONS: WHAT TO EXPECT

Periodontal disease is often the leading cause of tooth extraction, and if needed, there are several ways that we can go about the procedure. First and foremost, we will administer a numbing agent to the specific area to minimize any discomfort you may feel. Though you may experience slight pressure during the process, you can otherwise expect a comfortable and relaxed experience. If the tooth has matured and emerged from the gum line, our dentist at Dental Partners Lawrence may use specialized dental instruments to gently wiggle the tooth and remove it from the socket. The area will then be thoroughly cleaned, and gauze will be applied to prevent bleeding during the recovery period. However, if the tooth is impacted or still beneath the gum line, such as with wisdom teeth, oral and maxillofacial surgery may be necessary. During this procedure, we will create an incision in the gums and gently lift the flap to access the impacted tooth. If needed, we may have to remove any bone or tissue that is covering the tooth. In some cases, we may need to break the tooth into smaller pieces for removal. Once the tooth has been successfully removed, we will clean the area thoroughly before placing the flap back down and suturing it in place. Following tooth extraction and bone grafting, a blood clot will form in the socket, and we will use gauze to control any bleeding.

Importance Of Replacing The Missing Tooth

The significance of replacing a missing tooth cannot be overstated. When a tooth is extracted, the resulting gap can cause neighboring teeth to shift out of place, resulting in misalignment, difficulties with chewing, or jaw-joint issues. Additionally, these misaligned teeth are more challenging to clean, increasing the risk of gum disease, tooth decay, or even further tooth loss. It is therefore crucial to fill the gap with a dental appliance such as a dental bridge, removable partial denture, or dental implant to prevent these issues from occurring.

What is root canal therapy?

The pulp of a tooth contains nerves, blood vessels, and connective tissue, which help to nourish and maintain the health of the tooth. When the pulp becomes damaged or infected due to decay, injury, or trauma, it can cause significant pain, sensitivity, and swelling. In some cases, the infection can even spread to the surrounding teeth and gums, causing further complications.

Root canal therapy is a dental procedure that aims to remove the infected or damaged pulp from the tooth, clean and disinfect the root canals, and then fill and seal the space with a material called gutta-percha. The procedure is typically performed under local anesthesia, which ensures that the patient is comfortable throughout the treatment.

After the root canal procedure, the tooth may feel sensitive or tender for a few days, but this can usually be managed with over-the-counter pain relievers. In some cases, the dentist may recommend a dental crown or other restorative treatment to help strengthen the tooth and restore its function.

Overall, root canal therapy is an effective and safe treatment option for saving a damaged or infected tooth and preventing the need for extraction. It can help to alleviate pain and discomfort and restore the natural function of the tooth, allowing you to enjoy a healthy and beautiful smile.

What are the symptoms or signs that a root canal is needed?

There are several symptoms and signs that indicate a root canal may be needed. These include:

• Persistent pain: If you experience persistent pain in your tooth, especially when you apply pressure or chew, it could indicate that you need a root canal.
• Sensitivity to hot and cold: If your tooth is sensitive to hot and cold temperatures even after the source of the temperature is removed, this could be a sign of root canal problems.
• Gum swelling: If the area around the affected tooth is swollen, it could indicate an infection that may require a root canal.
• Discoloration: A tooth that has darkened or changed color may be a sign that the nerve of the tooth is damaged and a root canal may be necessary.
• Pus drainage: If you notice pus around the affected tooth, this could indicate an abscess, which often requires a root canal.

If you experience any of these symptoms or signs, it’s important to schedule a consultation with our Lawrence, MA root canal dentist to determine if a root canal is necessary.

What is wisdom teeth removal?

Wisdom teeth are the third set of molars located at the back of your mouth, usually appearing between the ages of 17 and 25. While these teeth can be useful for chewing and grinding food, they can also cause problems if they do not have enough space to grow properly. Wisdom teeth removal is a common dental procedure that is often recommended to prevent potential issues.

The procedure of wisdom teeth removal involves a minor surgical process to extract the teeth. The process is typically performed by an oral surgeon or a dentist, depending on the complexity of the case. Before the procedure, the dentist will administer local anesthesia to numb the area around the wisdom teeth. In some cases, the dentist will administer laughing gas sedation or general anesthesia to put the patient to sleep during the procedure.

It is common to experience some pain and swelling following wisdom teeth removal. Your dentist will provide you with instructions on how to manage any discomfort and prevent infection. It is important to follow these instructions carefully to ensure a smooth and quick recovery.

What are reasons why wisdom teeth might need removal?

There are several reasons why wisdom teeth might need to be removed. Here are some of the most common reasons:

• Lack of space: If there is not enough room in the mouth for the wisdom teeth to fully emerge, they can become impacted and cause pain or infection.
• Crowding: Wisdom teeth can push against neighboring teeth, causing crowding, shifting, and damage to adjacent teeth.
• Angle of growth: If wisdom teeth grow at an angle, they can cause pain, discomfort, and damage to other teeth.
• Decay and gum disease: Wisdom teeth can be difficult to clean properly, increasing the risk of tooth decay and gum disease.
• Cysts and tumors: In rare cases, cysts or tumors can develop around impacted wisdom teeth, causing pain and potential damage to the jawbone.

If you experience any of these symptoms or signs, it’s important to schedule a consultation with our Lawrence, MA dentist to determine if wisdom teeth extraction is necessary.

How can I prepare for wisdom teeth extractions?

Preparing for a wisdom teeth removal procedure can help ensure a smooth and successful surgery and recovery. Here are some tips on how to prepare:

• Consult with our dentist: Before the procedure, it is important to consult with our dentist to discuss any pre-existing medical conditions or medications you are taking that may affect the procedure or recovery process.
• Arrange for transportation: You will likely be under the influence of anesthesia during the procedure and will not be able to drive home. Arrange for someone to drive you to and from the dental office.
• Plan for downtime: Plan to take a few days off work or school to allow for a proper recovery period.
• Stock up on supplies: Before the procedure, purchase soft foods such as soup, yogurt, and smoothies, as well as ice packs to help reduce swelling.
• Follow pre-operative instructions: Your dentist will provide you with instructions on what to do and what to avoid before the procedure. This may include avoiding food and drink for a certain amount of time before the procedure.

By following these tips, you can ensure that you are fully prepared for your wisdom teeth removal procedure and set yourself up for a successful recovery. Schedule a consult with our dentist to determine if a wisdom tooth extraction is necessary.

What is a cavity?

Cavities are a common dental issue that refers to the presence of holes in teeth, caused by decay. Typically, the surrounding area of the cavity will appear dark brown or gray. Bacteria in your mouth, found in plaque, are the main culprits of cavities. These bacteria interact with carbohydrates and sugars in your food, creating an acidic environment that dissolves the protective enamel on the outer layer of your tooth. Once the enamel is compromised, the softer dentin layer is exposed, leading to the formation of a cavity. If left untreated, the decay process will quickly progress and spread deeper into the tooth. It’s essential to maintain good oral hygiene, such as brushing and flossing regularly and avoiding sugary foods, to prevent cavities and other dental problems.

Composite Fillings vs Metal Amalagram

Tooth colored fillings, also known as composite fillings, offer several benefits over amalgam fillings:

Aesthetics: Tooth colored fillings are made of a tooth-colored resin material that can be matched to the natural color of your teeth, making them virtually invisible. In contrast, amalgam fillings are silver or gray in color, which can make them more noticeable, particularly in the front teeth.

Bonding: Tooth colored fillings bond directly to the tooth structure, creating a tight seal that helps to prevent further decay. In contrast, amalgam fillings do not bond as well to the tooth structure and require the removal of healthy tooth structure to hold them in place.

Preservation of Tooth Structure: Since tooth colored fillings bond directly to the tooth structure, less healthy tooth structure needs to be removed during the preparation process. This means that more of the natural tooth can be preserved, which is important for long-term dental health.

Durability: While amalgam fillings have been used for many years and are known for their durability, tooth colored fillings have also been shown to be durable and long-lasting. With proper care, composite fillings can last for many years.

Safety: There are concerns about the safety of amalgam fillings due to the presence of mercury. While the American Dental Association maintains that amalgam fillings are safe, some individuals prefer to use alternative materials, such as tooth colored fillings.

Ultimately, the choice between tooth colored fillings and amalgam fillings depends on the individual’s preferences, the location and extent of the decay or damage, and the dentist’s recommendation. We can help you choose the best option for your needs and preferences.

What are Inlays and Onlays

Dental restorations such as inlays and onlays are an essential part of modern dentistry. When a tooth is damaged due to decay or trauma, it often requires a restoration to restore its function and aesthetics. Inlays and onlays are two types of indirect restorations that are used to repair a damaged tooth. These restorations are custom-made in a dental laboratory and are designed to fit precisely into the cavity of the tooth. Inlays and onlays are often considered an alternative to traditional dental fillings and are commonly used for restoring molars and premolars that have suffered moderate to severe damage. They offer excellent durability, strength, and aesthetic value, making them an ideal choice for patients who want to preserve their natural teeth.

Are Inlays Better Than Fillings?

Similar to the ongoing debate between onlays and crowns, determining whether inlays or fillings are better involves considering multiple factors. Generally speaking, inlays are superior because they can fill larger cavities and are more durable than fillings. The amalgam in fillings can expand and contract due to temperature changes, which can cause cracking in the filling or even the tooth itself. Inlays are custom-made from an impression, which allows them to fit perfectly into the cavity and strengthen the tooth. In some cases, they can increase the tooth’s ability to handle up to 75% more chewing force than before the decay.

However, fillings have their own benefits for many patients, particularly the speed at which they can be placed. In contrast to inlays, fillings can typically be completed in just one visit, as the materials are readily available in the office. They are also less expensive and more widely covered by insurance. Ultimately, while inlays may perform better than fillings, their higher cost reflects their superior performance.