Posts for: December, 2017
You don’t have to be a dental professional to appreciate a beautiful smile. Likewise, you’ll also know when something’s not quite right with one.
Such can be the case when a tooth fails to erupt properly, causing most or all of the crown to remain below the gum line, a condition known as impaction. Upper canines (or “eyeteeth,” for their location in the arch under the eyes) are especially susceptible to impaction: located on either side of the lateral incisors, which are on either side of the central incisors (the two center front teeth).
The upper canines are important both for function and appearance. Working with their lower counterparts they help cut through food as we chew, so you lose some of that efficiency when they don’t erupt properly. Impacted teeth are susceptible to abscesses and cysts, and can impinge upon and damage the roots of other teeth. And just as importantly, their absence also disrupts the smile as nearby teeth tend to move or “drift” toward the open space.
Rather than remove the impacted canines as is often done with back teeth, it may be more advantageous for both function and appearance to “coax” them into full eruption. This requires first pinpointing their exact location below the gums using x-rays or cone beam 3-D imaging.
If the teeth are in reasonably good position we must first prepare them for orthodontic treatment by surgically exposing the crown from the gums and bonding a small bracket to it. We then attach a small gold chain to the bracket that extends outside of the gums when we suture them back into place. The chain is attached to orthodontic hardware that exerts pressure on the impacted tooth for several months to “pull” it out into the arch.
This procedure has the best chance of success if undertaken before the end of jaw development in early adulthood. Otherwise, it may be better to remove the impacted canines and replace them with dental implants, followed by orthodontic treatment of other teeth to restore their proper position and bite relationships. In either case, your impacted upper canines don’t have to be a problem — we can restore both your mouth function and your smile.
If you would like more information on impacted teeth and treatment options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Exposing Impacted Canines.”
Laying out goals for the New Year is a great way to inspire yourself to make positive changes that can improve your health. For example, many habits—both good and bad—affect the health of your teeth and gums. Here’s a list of risky habits to kick, and mouth-healthy habits to adopt:
Habits That Risk Oral Health
Smoking. As if oral cancer weren’t enough to worry about, smoking also promotes gum disease and tooth loss. According to the U.S. Centers for Disease Control, smokers have double the risk of gum disease compared to nonsmokers. And according to the Academy of General Dentistry, smokers are about twice as likely to lose their teeth as nonsmokers. For help quitting, visit smokefree.gov.
Snacking. Nibbling all day can create the perfect conditions for tooth decay—especially if your snacks contain sugar and other carbohydrates. Sticky snacks like cookies, crackers, chips and candy bars that cling to teeth tend to remain in the mouth and attract decay-causing oral bacteria. The acid these bacteria produce can penetrate the enamel of your teeth, causing cavities.
Soft Drinks. Speaking of tooth-eroding acid, soft drinks have plenty of it. And this includes both regular and diet varieties of soda, sweetened iced tea, sports drinks and so-called energy drinks. The healthiest drink for your teeth is water!
Brushing. You probably brush your teeth every day already, but are you doing it correctly? To get the most benefit from this healthy habit, brush twice each day for a full two minutes each time. Use a soft-bristled toothbrush with toothpaste that contains fluoride, and don’t scrub too harshly!
Flossing. Yes, it’s worth the effort! If you don’t floss, you’ll miss cleaning about 40% of your tooth surfaces. A toothbrush just can’t reach in between teeth, where decay-causing dental plaque can hide. If you find dental floss difficult to work with, try using disposable floss holders.
Regular Dental Checkups. Keep up a regular schedule of professional teeth cleanings and exams! This allows us to remove any hardened dental plaque (tartar) that has built up on your teeth, screen you for oral cancer, and treat minor dental problems before they become major ones. Plus, it’s a great opportunity to review your at-home oral hygiene.
If you have any questions about how to improve your oral health, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “10 Tips for Daily Oral Care at Home” and “10 Tips to Help You Stop Smoking.”