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Wisdom teeth is the common name for the third adult molar teeth.  They’re generally the last teeth to erupt – at around 18-25 years of age.  Wisdom teeth are situated at the very back of the mouth and although most people have four, it’s not uncommon for only one, two or three to appear.

The issue with wisdom teeth is that they are often impacted and don’t fully emerge through the gum into their correct position.  This is generally caused by a lack of space in the jaw, so wisdom teeth may only partially erupt and be sitting at an angle, putting pressure on the tooth in front and nearby bone.

Impacted wisdom teeth

Impacted wisdom teeth can cause a range of problems, most commonly pain but also infection, ulcers and cysts to form.  Another common problem is for food to become caught in the tight spaces under the flap of gum if the tooth has not fully erupted.   Trapped food increases the risk of decay and can cause bad breath and an unpleasant taste in the mouth.  Bacteria which has built up can also lead to inflammation and a continual low-grade infection.

When wisdom teeth are impacted, or there is a risk of complications developing, removal (extraction) is often recommended.

Removing wisdom teeth

Wisdom teeth can be removed by a general dentist or a dental specialist e.g., an oral surgeon or maxillofacial surgeon. Removal can also be done in a dental surgery or in a hospital, depending on how complex the removal is likely to be. Most upper wisdom teeth can be removed easily under a local anaesthetic.  However, lower wisdom teeth are more likely to be impacted and more difficult to remove. Most commonly, when wisdom teeth are removed in a surgery, local anaesthetic is used. When removal is likely to be more complex and a general anaesthetic is needed, this is done in hospital.

What happens when a wisdom tooth is removed?

Once the anaesthetic is working, the gum is cut around the tooth to uncover it. Special instruments are used to remove the tooth from the surrounding bone. If necessary, the tooth may be divided into portions so it’s more easily extracted.

What happens after a wisdom tooth is removed?

Complications are not common, though some swelling and discomfort is normal for a few days afterwards.  Like any other surgery, there is a risk of bleeding, infection and nerve damage.  Careful attention to oral hygiene with mouthwashes helps to reduce the risk of infection.  Antibiotics are often prescribed before and after wisdom teeth are removed.

How would I know if I have a problem with my wisdom teeth?

Be guided by your dentist who will examine your mouth and may order an x-ray. You may need an OPG X-ray, which will display all your upper and lower teeth on one single film.    If your wisdom teeth have not yet erupted, or are only partially visible, an x-ray will help to see their position, the shape of the roots and where the tooth is positioned in relation to other important facial structures and nerves.    However, every person is unique and wisdom teeth don’t always cause problems. If wisdom teeth are coming through in the right position and only causing slight tenderness, over-the-counter analgesia is often helpful.    If they are, removing impacted wisdom teeth is the most common solution. Book an appointment with your dentist today to have your teeth checked.

 

 

References

https://www.ada.org.au/News-Media/News-and-Release/Latest-News/Wisdom-teeth-To-remove-or-not-to-remove

https://www.dentalhealth.org/wisdom-teeth

https://www.healthdirect.gov.au/surgery/removing-wisdom-teeth#:~:text=Lower%20wisdom%20teeth%20can%20be,your%20tooth%20with%20a%20drill.

https://www.nationaldentalcare.com.au/article/how-do-i-know-if-i-need-my-wisdom-teeth-removed

https://www.nationaldentalcare.com.au/treatments/wisdom-teeth-removal

https://www.teeth.org.au/wisdom-teeth

 

 

The relationship we have with our teeth can be one of the longest and most beneficial we have, so it’s worthwhile taking the time and energy to invest some care and attention so we can keep a healthy smile for life. Read on to understand more about what you can do to maintain good oral health.

• Be an advocate for your teeth. Take a moment to consider what they would say if they could talk for themselves. A clean environment, good nutrition and avoiding harm would be high on their priority list.
• Brush for two minutes, twice a day with fluoride toothpaste to keep your teeth healthy and clean. Avoid rushing when brushing, take your time to remove food debris so bacteria don’t have as much opportunity to multiply.  Remember, saliva flow slows down during sleep so it’s really important to do a thorough job of tooth brushing before going to bed at night.  Don’t forget to brush your tongue as well!
• Use a soft, small-headed toothbrush that can reach all surfaces of your teeth. Replace your toothbrush every three months and when you’ve recovered after being sick. If you struggle to use a manual toothbrush, invest in an electric one. Follow the manufacturer’s or your dentist’s instructions on how to use this properly – just like a manual brush, electric toothbrushes still need sufficient time to work effectively.
• Clean between your teeth every day by using floss or interdental brushes. Some people like to use a combination of both, or even a water flosser. Just remember to be gentle.
• Keep a toothbrush, toothpaste and floss at work and take a couple of minutes after lunch to invest in your mouth. There’s something very refreshing and a little energising about toothbrushing midway through the day. Not to mention the social aspects of having fresh breath.
• Become familiar with the look and feel of your teeth, tongue and gums. Don’t ignore toothache in the hope that it will just go away. Pain is generally a sign of problems and always needs checking. Make an appointment with your dentist if you have a toothache, or if there are any changes in your teeth or mouth.
• Eat a healthy and well-balanced diet that is low in sugar and refined products. All forms of sugar can be damaging to teeth, not just what’s in sweets and sugar crystals. Fruit juice, muesli bars, energy and soft drinks, and even sauces can all contain high amounts of sugar. Get into the habit of reading information panels on food and checking how much sugar is contained.
• Visit your dentist regularly, at least once each year, or as often as recommended. Your dentist will be able to guide you on preventative strategies to maintain your oral health and treat any problems before they become more complex.  Sometimes early detection by dental professionals is the only way to know about oral health changes.
• Drink plenty of water, especially if you’ve had a respiratory infection. We all tend to ‘mouth breathe’ when we have a blocked nose, which can impact the protective benefits of saliva. Sips of water can help to keep the mouth healthy.

Speak with your dentist and book an appointment today to find out more about how to share the love with your teeth.

References

Dental Health Week – Australian Dental Association (teeth.org.au)
Home Page (teeth.org.au)

 

 

 

Over the last few years, cosmetic dentistry has come a long way.  Alongside preventative oral health and restoration, dentists use their expertise to improve the look (aesthetics) of our teeth and enhance our smile.  Depending on what is needed, cosmetic treatments help to lighten, straighten, reshape or repair teeth so they look more natural and intact.  Often, a combination of treatments is done over a period of time and a series of dental appointments.

Cosmetic dentistry includes veneers, crowns, dental bridges, dental implants, tooth whitening and tooth-coloured fillings.

When cosmetic changes are being planned, dentists will ensure that the upper and lower teeth work in harmony to reduce the risk of long-term damage for longer lasting results. Dentists generally work in partnership with dental technicians who make implants, veneers and dental bridges to suit individual needs.  Innovations in dentistry has meant that the majority of cosmetic and restorative procedures can now be carried out in-house that would have in the past required more costly external referrals.

Veneers

Veneers are made from thin slices of porcelain or resin and are designed to sit precisely over the surface of the teeth, similar to the way a false fingernail fits over a natural nail.  A thin layer of the tooth’s enamel is first removed so the veneer can be bonded to the tooth. Veneers are often used to create an even, symmetrical smile, especially to the front teeth which are seen more when smiling and talking.

Dental crowns

A dental crown is a covering for an existing tooth and improves the look of a tooth and the way it works.  They also help to protect teeth which are weak or may have broken. Crowns can be made of gold, metal or ceramic, depending on where it is placed in the mouth and how strong it needs to be.  Crowns can also be needed when too much of the original tooth is missing or after root canal treatment.

Dental bridge

A dental bridge is a permanent solution for people with missing teeth and who would prefer not to wear dentures. Bridges work by attaching a false tooth in between two crowns on the teeth either side of the gap created by the missing tooth (or teeth). Bridges can be made from ceramic materials or ceramics that are bonded to a metal substructure for added strength.

Dental implant

A dental implant is another solution to replace a missing tooth.  Implants are made from titanium, and form a ‘root’ or anchor in the jawbone to attach a crown, bridge or even stabilise full dentures.  Once a restoration is placed on the implant, it is permanent and looks and works like a natural tooth.  Dental implants are considered to be one of the best dental options because they work more like a natural tooth. If they’re looked after, dental implants can last for a lifetime.

Tooth whitening

Tooth whitening helps to remove stains and discolouration from teeth, making them look whiter. Peroxide is the common ingredient used in whitening products and works by increasing oxygen into the tooth enamel, causing it to lighten.  Treatments can be done during dental appointments, or at home using a purpose designed tray which keeps the whitening product in contact with the teeth.

White fillings

For around 150 years, amalgam has been used as a dental filling material.  Although the materials used in amalgam fillings are hard, many people don’t like their appearance and are concerned about potential health risks. White, or resin fillings have become a commonly used alternative because they can be matched to the shade of the tooth.

Remember

Oral hygiene is important throughout life, including when cosmetic dentistry has been done. Many cosmetic dental treatments last a lifetime if they are cared for with daily brushing and flossing. Speak with your dentist about what is right for you. Book an appointment today.

 

Along with skin changes during winter, oral health can also be affected when the weather is cooler. However, people with sensitive teeth and a dry mouth often become acutely aware that a lowered temperature, as well as a decrease in moisture in the air can cause an increase in sensitivity.

There’s not much we can do about the seasons, but there are some things we can try to reduce the likelihood of mouth discomfort when the temperature drops.

Drink frequently to stay hydrated

During winter when colds and the flu peak, and blocked noses are a common symptom, mouth breathing speeds up dehydration.  It’s important to stay well hydrated at any time, but particularly when our immune system is working overtime and fighting off or dealing with an infection.  Keeping the lips and mucous membranes in the mouth moist, helps to support recovery, prevent tissues from becoming dehydrated and teeth from becoming sensitive. Drinking sips of water frequently also helps to maintain saliva flow which is protective against developing tooth decay.

Pop on lip balm to moisturise your lips

Use a lip balm, preferably with a SPF (sun protection factor) to protect your lips from drying and chapping.   If you’re prone to cold sores, keeping your lips hydrated will help to reduce the risk of activating the herpes virus and a cold sore developing. Care well for the delicate skin on your lips and avoid them becoming rough and dry.  Lock the moisture in and keep lip balm close and handy in your desk, pocket or bag.

Care well for your teeth and gums

If your immunity is lowered because of having a cold or the flu, your oral hygiene will need special attention.  Bacteria quickly multiply in the warm, moist area of the mouth, and feed on food particles left on the teeth and gums. Frequent snacking and winter ‘comfort eating’ often leads to changes in the acid level of the mouth which increases the risk of decay.

Remember to floss and brush

At the end of a long day when your warm bed is calling you, it may be tempting to rush your flossing and brushing routine. But it’s worth investing just a couple of minutes into your oral hygiene habits, especially before going to bed when saliva flow slows and there’s less protective ‘buffering’ on the teeth.  Use a timer if you’re prone to rushing- around two minutes is the ideal brushing time.

Take care of sensitive teeth

Use a desensitising toothpaste if you’re prone to sensitive teeth.  These contain compounds which help to cover and heal the patches on the teeth where the protective outer layer has worn away, or is missing. Follow your dentist’s advice about what product is right for you.

Top tips for your mouth during the cold weather

1. Replace your toothbrush regularly and also when you’ve recovered from a cold or the flu.
2. Eat a healthy diet which will support your immune system and reduce your risk of becoming sick.
3. Keep well hydrated and drink plenty of water. Swish your mouth with water after drinking tea, coffee and red wine to avoid your teeth becoming stained.
4. Consider installing a humidifier in your home or office to add extra moisture when it’s cold and dry.
5. Visit your dentist regularly –book an appointment today for a dental check.

 

Quite a few of us think that everyday vitamin and mineral supplements only do good for our health and wellbeing. Around 2/3 of Australians take dietary supplements with this understanding.  Though it’s worth remembering that all drugs, including medications and nutritional supplements, carry a possible risk of side effects. Commonly, the more supplements taken, the higher the risk.

It’s also important to weigh up the benefits against the risk of harm in taking any substance which can cause changes in how the body works.

What can be the adverse effects of supplements on your teeth?

In relation to oral health, side effects from certain supplements can increase the risk of infection, bleeding and inflammation (swelling) and even slow down healing. Supplements may also interact with other medications being taken and enhance, or reduce, their effectiveness.

In the experience of pharmacy experts, drug interactions are often under-identified and the general public are largely unaware of adverse health effects of taking supplements.

It’s important to tell your dentist if you are taking any medication, including vitamin, mineral or herbal supplements. So at your dental appointments, bring a list of any medications, including supplements, that you’re taking. Bring the actual bottle/s or container/s, otherwise, a clear photo so your dentist can check if they’re safe to take and offer you professional guidance.

There are well-known risks of some of the popular ingredients in many nutritional supplements:

• Tooth (and skin) staining from iron supplements and some ingredients in herbal teas.
• Many herbal supplements also contain aspirin which can affect the clotting mechanism of blood. This means there is an increased risk of bleeding for any dental procedure.
• Some herbal ingredients contribute to the risk of developing a dry mouth (xerostomia), which increases the risk of cavities.
• Many herbal supplements are contained in a lolly or ‘gummy’ form. These contain sugar which increases the risk of decay.
• Echinacea increases the risk of infection because it promotes inflammation which impacts healing.
• Turmeric, although popular, increases the risk of bleeding.

Is there other possible harm in taking supplements?

Supplements are still drugs, even though they may not be marketed as such. In Australia, the Therapeutic Goods Administration (TGA) inspects products and ensures they comply with relevant codes, though problems arise when products don’t contain what is stated and when they are in inaccurate concentrations.

Although the pharmaceutical industry is highly regulated, the complimentary medicine industry is not.

Even though supplements are often marketed as being ‘natural’ this is not a guarantee that they are harmless. It’s still possible to be allergic to ingredients and have an adverse reaction to them. It can be difficult to identify the exact cause of a reaction because many supplements are a combination of ingredients, at varying concentrations and not always included in the product information.

There can also be a cost to the individual in delaying more effective treatment, in the hope that taking a supplement will treat a condition.

Speak with your dentist and healthcare providers to let them know of any  medications and supplements you are taking. Book an appointment today to see your dentist.