Blog Bucktown Dental Associates
The main objective of dental treatment is to save teeth. However, tooth extraction is sometimes necessary. When a tooth is extracted, the bone and gum surrounding the extracted tooth often shrink very quickly.
What Happens after Tooth Extraction?
About 40% of alveolar height and 60% of alveolar width is lost within 6 months after tooth. The bone shrinkage causes collapse of the alveolar ridge, loss of width and height of bone, and a defect that may interfere with future tooth replacement by a bridge or a dental implant.
- If a bridge is planned, the defect often causes esthetic failure and compromises the final results.
- If a dental implant is planned, it is best to place the implant at the time of tooth extraction (immediate implant placement). Otherwise, the bone shrinks, causing a defect in width and height of the alveolar ridge. This can prevent tooth replacement with a dental implant. Often these cases require bone grafting (ridge augmentation) before an implant is placed. These problems can be prevented by a procedure called socket preservation or ridge preservation.
What is Socket Preservation?
Socket preservation or ridge preservation is a procedure to reduce bone shrinkage after tooth extraction. Reducing bone shrinkage preserves the alveolar ridge. Socket preservation at the time of tooth extraction can save you the need to have a more invasive procedure in the future to rebuild the lost bone structure around the extracted tooth.
How is Socket Preservation Done?
The tooth is carefully and atrumatically extracted. The socket is filled with a bone graft or a bone substitute. The graft is covered by a membrane, which is sutured in place. The bone graft is remodeled and replaced by the patient’ own bone. Both the bone graft and membrane allow the extraction socket to heal with little if any bone shrinkage. This saves the patient from the need for extensive ridge augmentation to facilitate restorative dentistry. The following post operative was actually taken immediately after the tooth was extracted. Notice that the socket looks full of bone.
Singer LeAnn Rimes was forced to cancel a string of performances recently, as a more pressing engagement came up: a late-night meeting with her endodontist. It turned out that the country-pop star needed some emergency dental work performed while she was on tour. But her die-hard fans needn't have felt left out — Rimes faithfully tweeted each stage of her dental treatment.
The trouble began before she was scheduled to play a show in Ohio. “Waiting on the endodontist to meet me and do a nighttime root canal,” she informed her twitter followers. Instead of performing, Rimes was advised to spend the next few days resting after the emergency treatment. “Happy Friday! I'll be spending mine in bed,” she tweeted after the previous evening's procedure. The following Monday, Rimes returned to the dentist's chair for follow-up treatment.
It turned out that the singer had been battling dental pain for months. “I am so disappointed that I can't make it to my fans tonight.” Rimes explained in a statement. “I had wanted to give them the show they deserved and only wish this tooth pain held out a little longer.”
If there's a moral to this story, it's this: If you have tooth pain, don't wait to see a dentist. Call us right away!
A feeling of constant pain and pressure in your mouth is a clear indication that you may need a root canal. Another telltale symptom is sharp pain when you bite down on food, or lingering pain after eating something hot or cold. Not every symptom is as clear-cut, however — the only way to know for sure whether you need treatment is to come in for an evaluation.
Pain in your teeth or gums may be a symptom of a serious condition. Even if the pain goes away temporarily, an underlying infection generally does not. If a treatment such as root canal therapy is needed, the sooner it is obtained, the better you'll feel. And remember, root canal treatment doesn't cause tooth pain — it relieves it!
If you have any concerns about tooth pain, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “I'd Rather Have a Root Canal” and “Signs and Symptoms of a Future Root Canal.”
We tend to think of aspirin as a harmless medication. It is dispensed over the counter and is the most widely used OTC medication in the U.S. We take it without thinking we may be exposing ourselves to risks. But in certain situations aspirin can cause dangerous side effects.
What is aspirin, and how does it work?
The chemical name for aspirin is acetylsalicylic acid. It is used to reduce mild pain, inflammation and fever. When you take an aspirin, it blocks the formation of prostaglandins, substances your body creates that are associated with inflammation. Prostaglandins cause inflamed tissues to become red and swollen, but they also serve protective purposes, such as forming a barrier that protects the stomach from the acid it produces to digest your food. That's why long-term aspirin use can sometimes cause stomach bleeding and ulceration or other health problems.
Why do cardiac patients take aspirin?
Another effect of aspirin is to prevent blood platelets from clumping together. Blood platelets are structures in the blood, smaller than white or red blood cells, that aid clotting by sticking together at the site of an injury. This effect of aspirin can cause prolonged bleeding, but it may be beneficial to people who have cardiovascular (from cardio, meaning heart; and vascular, meaning vessel) disease with narrowed blood vessels.
Aspirin can keep blood flowing in the obstructed vessels and thus prevent heart attacks and strokes; but it can also increase the risk for strokes that are caused by bleeding in the brain. Most physicians attempt to lower such risks by asking their patients to keep their daily aspirin consumption to a low dose 81 mg “baby” aspirin.
How does aspirin affect your teeth and gums?
Be sure to let your medical and dental professionals know you are taking aspirin, and how much you take. Also tell us about other OTC medications you take, including herbal medications and supplements, because they may interact with aspirin to cause side effects.
If you have been told to take aspirin because of a cardiac condition or procedure, be sure to follow your recommended treatment. Do not suddenly discontinue aspirin therapy; doing so can increase your risk for heart attack and stroke. Ask us if you should stop taking aspirin before a major dental or oral surgery, but do not stop taking it on your own. We will consult with your physician about your medical condition and let you know our recommendation. In most cases you can continue your aspirin therapy without causing excessive bleeding during the dental procedure.
Let’s say you’re traveling to Italy to surprise your girlfriend, who is competing in an alpine ski race… and when you lower the scarf that’s covering your face, you reveal to the assembled paparazzi that one of your front teeth is missing. What will you do about this dental dilemma?
Sound far-fetched? It recently happened to one of the most recognized figures in sports — Tiger Woods. There’s still some uncertainty about exactly how this tooth was taken out: Was it a collision with a cameraman, as Woods’ agent reported… or did Woods already have some problems with the tooth, as others have speculated? We still don’t know for sure, but the big question is: What happens next?
Fortunately, contemporary dentistry offers several good solutions for the problem of missing teeth. Which one is best? It depends on each individual’s particular situation.
Let’s say that the visible part of the tooth (the crown) has been damaged by a dental trauma (such as a collision or a blow to the face), but the tooth still has healthy roots. In this case, it’s often possible to keep the roots and replace the tooth above the gum line with a crown restoration (also called a cap). Crowns are generally made to order in a dental lab, and are placed on a prepared tooth in a procedure that requires two office visits: one to prepare the tooth for restoration and to make a model of the mouth and the second to place the custom-manufactured crown and complete the restoration. However, in some cases, crowns can be made on special machinery right in the dental office, and placed during the same visit.
But what happens if the root isn’t viable — for example, if the tooth is deeply fractured, or completely knocked out and unable to be successfully re-implanted?
In that case, a dental implant is probably the best option for tooth replacement. An implant consists of a screw-like post of titanium metal that is inserted into the jawbone during a minor surgical procedure. Titanium has a unique property: It can fuse with living bone tissue, allowing it to act as a secure anchor for the replacement tooth system. The crown of the implant is similar to the one mentioned above, except that it’s made to attach to the titanium implant instead of the natural tooth.
Dental implants look, function and “feel” just like natural teeth — and with proper care, they can last a lifetime. Although they may be initially expensive, their quality and longevity makes them a good value over the long term. A less-costly alternative is traditional bridgework — but this method requires some dental work on the adjacent, healthy teeth; plus, it isn’t expected to last as long as an implant, and it may make the teeth more prone to problems down the road.
What will the acclaimed golfer do? No doubt Tiger’s dentist will help him make the right tooth-replacement decision.
If you have a gap in your grin — whatever the cause — contact us or schedule an appointment for a consultation, and find out which tooth-replacement system is right for you. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Crowns & Bridgework.”
In our constant battle against infectious disease, the “enemy” is often too close for comfort: hospitals and other medical facilities must be ever vigilant against opportunistic infections their patients may contract while in their care.
Dental offices are no exception. Because even the simplest procedure — a dental cleaning, for example — may result in exposure, providers and patients alike face a possible health risk. We must be especially concerned with blood-borne viral infections — spread by person to person contact through blood — the most serious being hepatitis B and C, and HIV/AIDS.
Hepatitis is a viral inflammatory disease that disrupts the critical functions of the liver, particularly as it cleanses and regulates the blood, and cause serious bodily impairment or death. The virus can be transmitted when the blood from an infected person makes its way into the bloodstream of another person, mainly through cuts or a needle injection. Human immunodeficiency virus (HIV) can lead to the chronic condition AIDS that destroys the body’s immune system; it spreads mainly through sexual contact, as well as through person to person blood contact.
The best defense against the spread of these diseases in dental offices or other healthcare settings is to eliminate as much as possible any opportunity for blood-to-blood contact. To accomplish this, we are are mandated by federal, state and local authorities to incorporate and follow routine safety precautions. The U.S. Center for Disease Control and Prevention (CDC) issues regularly updated comprehensive guidelines for protocols and procedures to disinfect and sterilize equipment and facilities.
We are also mandated by state licensing boards to refresh our knowledge of infection control procedures through continuing education. Such procedures cover every aspect of infection control, from barrier protection — by way of gloves, masks or gowns — to instrument disinfection. Staff at Bucktown Dental Associates receive training on sterilization and professional protection as mandated by OSHA and CDS. You may read more about infection control at Bucktown Dental Associates.
Protecting patients as well as providers from the spread of infection is one of our profession’s highest standards. As a result, incidents of infection among the 170,000 practicing dentists in the United States are rare. You can be assured, then, that we’re taking every precaution to keep you and your family safe from disease when you visit our office.
If you would like more information on dental office procedures to prevent the spread of infection, 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 “Infection Control in the Dental Office.”
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