Each year millions of people endure repeated episodes of congestion, coughing and headaches, all the miseries that come with a sinus infection. Although it seems like all the action is occurring around the nose and upper face, the actual cause could be emanating from somewhere else—your teeth.
It can all begin with decay forming a small cavity in one of the upper back teeth. If it isn't caught and treated early, the decay can spread into the tooth pulp and root canals, tiny passageways to the root and bone. This may or may not cause a severe toothache or sensitivity as the tooth's nerves respond to the infection. These nerves, though, most often eventually die and the pain, if present, will subside—but not the infection.
Left untreated, the infection may then advance into the bone around the root tip, breaking it down and giving bacteria an entryway into the floor of the maxillary sinus that rests just above the upper jaw. Here bacteria can take up residence, occasionally flaring into a sinus infection. This chronic infection could go on for years with allergies mistakenly taking the blame.
If you have frequent bouts of sinusitis, a possible dental connection may be worth investigating. And in the dental profession, there may be no better “detective” for this than an endodontist. Specializing in interior tooth problems and treatments, an endodontist has the diagnostic equipment like CT or 3-D cone beam scanning to accurately image the teeth and upper jaw. With their advanced diagnostics, they're in the best position to uncover hidden tooth decay contributing to sinus problems.
Endodontists are also skilled in treating advanced tooth decay. The main procedure is known as root canal treatment, in which the dentist drills into the tooth's interior to remove infected tissue from the pulp and root canals. They then fill these empty spaces, seal and then crown the tooth for added protection.
After treatment and following up with your physician, you may find your sinus infections are less frequent. And by promptly seeking treatment at the first sign of tooth pain or sensitivity, you might prevent chronic sinusitis from even developing.
If you would like more information on how dental disease can affect overall health, 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 “Sinusitis and Tooth Infections.”
One of the major signs that a young person's dental development is nearing completion is the eruption of the last four permanent teeth: the third molars, located rear-most on either side of both the upper and lower jaws. But the advent of these molars, also called wisdom teeth, isn't always a cause for celebration: They can give rise to serious dental problems.
Wisdom teeth often arrive on an already crowded jaw, making them subject to erupting out of position or becoming impacted, totally or partially submerged in the gums. This can cause harm not only to themselves, but also to other teeth: They can impinge on and damage the roots of their neighbors; impede brushing and flossing and increase the risk of disease; and skew the alignment of other teeth to create poor bites that affect dental health and function.
Wisdom teeth are considered so prone to these problems (an estimated 70% between ages 20 and 30 have at least one impacted molar) that it's been a common practice to remove them before they show signs of disease or poor bite development. As a result, third molar extractions are the most common surgical procedure performed by oral surgeons.
But the dental profession is now reevaluating this practice of early removal. On the whole, it's difficult to predict if the eruption of wisdom teeth in a particular person will actually lead to problems. It may be premature, then, to remove wisdom teeth before there's sufficient evidence of its necessity.
As a result, many dentists now follow a more nuanced approach to wisdom teeth management. An impacted wisdom tooth that's diseased or contributing to disease is an obvious candidate for removal. But if the eruption is proceeding without signs of impaction, disease or poor bite development, many providers recommend not removing them early. Instead, their development is allowed to continue, although monitored closely.
If signs of problems do begin to emerge, then removal may again be an option. Until then, a more long-term watchful approach toward wisdom teeth may be the best strategy for helping a young person achieve optimal dental health.
If you would like more information on managing wisdom teeth treatment, 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 “Wisdom Teeth: Coming of Age May Come With a Dilemma.”
Do-It-Yourself (DIY) is a deeply held American trait for building, renovating or repairing things without the services of a professional. The Internet has only made this tradition easier: There are scores of videos showing people how to do things on their own like build a deck, fix a dryer or bake an award-winning soufflé.
But some things are best left to the experts, which if you tried to do using too little knowledge or a lot less training could turn out disastrous. A prime example is becoming your own orthodontist and using dubious home methods to straighten your teeth. If that sounds preposterous, the American Association of Orthodontists recently reported it does happen, with one in ten of their members saying they have treated patients who attempted their own smile-straightening projects.
Often found on social media, these methods usually involve household items like rubber bands or dental floss to straighten teeth. Like other forms of DIY, the object is to save money. In the end, though, these self-orthodontic methods could result in dental damage that could cost much more to repair (if indeed it's repairable) than what might have been spent with professional orthodontics in the first place.
Utilizing extensive training, experience and artistry, orthodontists work with the mouth's natural ability to move teeth in a precise manner for a planned outcome. They carefully consider each individual patient's jaw and facial structures, along with the severity and complexity of their bite problem, as they design and implement a treatment plan involving braces, clear aligners or other orthodontic appliances.
A rigged homemade device to move teeth can't adequately take these factors into account. As a result, you may be risking permanent gum and bone damage—and you may even lose teeth in the process. Even if repairable, such damage could require oral surgery, cosmetic dentistry or more extensive orthodontic procedures.
In the end, you're highly unlikely to be successful at DIY orthodontics—and you won't save any money. A healthy and beautiful smile is well worth the cost of professional, high-quality orthodontics.
Keeping your teeth and gums healthy doesn't require an elaborate plan. It's simple: Besides twice-a-year dental visits, the most important thing you can do is brush and floss every day to remove accumulated dental plaque.
The bacteria that live and breed in this thin biofilm is the main catalyst for both tooth decay and gum disease, the top two diseases that endanger teeth. Brushing and flossing removes this buildup and thus reduces the long-term risk for either disease.
Unfortunately, the message on these important hygiene tasks hasn't resonated with “Millennials,” the first generation to reach adulthood in the 21st Century and new millennium. One recent survey of 2,000 members of this age group found only about 30% brushed their teeth at least once a day, with many skipping the task for two days at a time.
If brushing has taken a beating among millennials, you can well imagine the state of flossing. Unfortunately, the news media has helped this along: Just a few years ago, the Associated Press reported a study that concluded flossing's role as a dental disease deterrent hadn't been proven. A follow-up study a year or two later by the University of North Carolina pushed back on the original AP story with findings of lower risk of tooth loss among flossers than non-flossers.
This decline in oral hygiene practices among millennials has had an unsurprisingly negative effect. Recent statistics indicate that one in three people between the ages of 18 and 34 have some form of untreated tooth decay. As this generation ages this may inevitably result in more extensive dental treatment and higher rates of tooth loss unless the trend toward hit and miss dental care makes a complete U-turn.
The good news is that it may not be too late for many of those slacking on daily care. All that's needed is to heed the same dental advice their grandparents and parents were given: Brush twice and floss once every day.
No matter what your age, consistent daily brushing and flossing still remains essential to keeping potential dental disease at bay. These twin hygiene tasks remain the solution to good dental health throughout your life.
Here's the bad news on the overall state of dental health in the United States: Over 120 million people have one or more missing teeth—roughly one American in three. But there's also good news: We can replace missing teeth with a number of effective restorative methods. At the top of the list are dental implants, highly regarded by dentists and patients alike as the most lifelike and functional tooth replacement system available.
Dental implants have been growing in popularity since their introduction in the 1980s. Their structural design and construction have continued to improve, giving patients even more options for implant-based tooth replacement.
To bring greater attention to the benefits of this popular restoration, the American Academy of Implant Dentistry (AAID) designated August as Dental Implant Month in 2016. In recognition, here are 3 of those benefits you might gain from choosing dental implants to replace your missing teeth.
Durability. Unlike other restorations such as conventional dentures or bridges, implants replace the entire root structure of the tooth. To be more precise, implants are a tooth root replacement in the form of a post imbedded securely in the jawbone. As the bone grows around and attaches to the implant, it develops a durable and highly functional hold that can last for decades.
Adaptability. Many people assume dental implants are used only to replace individual teeth, but implants can also support multi-tooth restorations. A few strategically placed implants can securely attach a partial or total bridge to the jaw, or provide added support for a removable denture.
Affordability. At first glance, an implant's initial cost places it at the high end of the scale for tooth replacement options. But because of their long-term durability and high success rate (greater than 95% still in place after ten years), implants may cost less in the long run than lower-priced restorations that may require repair or replacement sooner.
Although they have a wide range of applications, implants aren't suited for some dental situations. Because implants require a minimum amount of bone present in the jaw, for example, extensive bone loss might nullify them as a current option. Even in this case, though, grafting therapy to rebuild the bone could make it possible to place dental implants at some point in the future.
If you've recently lost a tooth or you have an older restoration you'd like to replace, dental implants might be a great option for you. Your first step is an initial exam and consultation to find out if this premier dental restoration is right for you.
If you would like more information about dental implants, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Dental Implants: Your Third Set of Teeth.”
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