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Should I expect complications when my abscessed tooth is pulled?

By Oral Health, Root Canal Treatment

I had a horrible toothache for about 5 months and finally went to the dentist. Well I went to an emergency dentist because I don’t have a regular dentist. She said that I had an abscess but she couldn’t get me numb to get the tooth out. I have antibiotics and another appointment late next week. I am worried that she won’t be able to get the tooth out even if she can get me numb. Should I expect complications my abscessed tooth is pulled? Janele

Janele – An abscess is a pocket of pus caused by an infection. A tooth abscess occurs in or around a tooth root.  It may or may not be painful.

If a tooth is injured, has a cavity, or experiences trauma, an infection can occur. When the pulp, or soft tissue inside the tooth, becomes infected and inflamed, the infection can spread to the tooth root, and an abscess will form.

Properly Treating an Abscessed Tooth

Instead of extracting an infected tooth, an abscess is commonly treated with a root canal treatment. The infection is removed from the tooth, the space is filled with a special dental filler material, and the tooth is sealed. A dental crown may be required to protect the tooth.

On rare occasions, root canal treatment isn’t enough to save your tooth, and endodontic surgery is required. A specialist can locate hidden canals in your tooth that may still harbor the infection. He or she will determine which methods are best to preserve your tooth.

And that’s the goal—tooth preservation. Based on the information you provided us, we don’t understand why there are plans to extract your tooth. We recommend that you receive a second opinion from an experienced dentist who will examine, and likely x-ray your tooth, to determine the best treatment.

Extracting a tooth leads to other issues, including bone shrinkage in the area of the missing tooth, adjacent teeth start to drift into the position of the missing one, and your bite may be affected and eventually cause jaw and facial pain. When a tooth is extracted, for optimum oral health, it will need to be replaced. No form of tooth replacement is as good as a natural tooth.

You would benefit if you take the time to receive a second opinion to find out if your tooth can be preserved.

This post is sponsored by Naperville Dental Specialists.

My son’s gums bleed when he brushes his teeth

By Gum Disease, Oral Health, Pediatric Dentist

I finally got our 4 yr old into brushing his teeth twice a day. He actually started liking it. I was surprised. 2 weeks ago he was brushing and I was helping and his gums started bleeding. I had him rinse his mouth and everything was okay. I figured maybe he was brushing too hard, so I told him to do it softly. That seemed to work until last week. He was brushing his teeth on 2 different occasions and the gums started bleeding again. I am trying to be calm about this because he is just comfortable with brushing his teeth and I don’t want him to freak out or think that brushing teeth means bleeding gums. I know that he isn’t brushing too hard any more. Does he have gum disease at 4? Thanks. Tuscany

Tuscany – There are several possible causes of your son’s bleeding gums. For an accurate diagnosis, though, schedule an appointment with your son’s pediatric dentist.

One possible cause is dry mouth. Does your son breathe with his mouth open? Does he drink plenty of water daily? Or is he taking medication that has dry mouth as a side effect? Any of these factors can cause the gums to become tight, dry, and more likely to bleed.

Vigorous brushing is another cause of bleeding gums, but you have mentioned that your son isn’t brushing his teeth tooth hard. Continue to monitor him to ensure that he isn’t brushing aggressively. A soft-bristled toothbrush should be used.

There are certain medical conditions, including some auto-immune conditions that can cause gums to bleed easily. Bleeding gums may be related to the beginning stages of periodontal (gum disease).

Again, we encourage you to schedule an appointment with your son’s pediatric dentist for accurate diagnosis and treatment. If you have already seen a pediatric dentist about the issue, consider getting a second opinion and speaking with your medical doctor about it.

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

Why does my 5 yrs old’s breath smell so bad?

By Oral Health, Pediatric Dentist

My 5 yr old daughter has horrible breath. It even takes my breath away sometimes when I smell it. It’s not an oral hygiene thing. At least I don’t think it is. I floss and brush her teeth morning and night. I also make a little baking soda mouthwash for her to gargle with every day but it doesn’t help. When I take her to the dentist, even she talks about brushing out the ‘bad breath monsters’. Really I have done all that I know to do. I asked the pediatric dentist and she keeps saying that I should brush and floss my daughter’s teeth. I do that already. This is really bothering me and I know that eventually my daughter will start being teased because the smell of her breath is really horrible. I am wondering what else I can do or what can be causing the problem. thank you – Oksana

Oksana – You can start by having a conversation with your daughter’s dentist. Let the dentist know your daily routine for your daughter’s oral hygiene. Then ask the dentist for an exam to help determine what’s causing the bad breath. Also ask if the dentist has any ideas for what is causing the problem. If you don’t get a satisfactory response, you may need to choose a new dentist.

Also, ask your family doctor or pediatrician about the problem. At times, there are medical factors that can cause bad breath in children. We are by no means diagnosing your daughter’s case, but listed below are some causes of bad breath in children.

  • A medical condition – Allergies, sinus issues, tonsillitis, or other medical conditions can cause bad breath.
  • Dry mouth – Certain medications can cause dry mouth, and so can a lack of saliva production. Ensure your child drinks plenty of water to keep his or her mouth moist.
  • Oral infection – Cavities or a mouth sore can cause bad odor.
  • Food – Certain foods have odors that linger, including garlic and onions.
  • Bacteria on the tongue – It’s important to gently brush the tongue, too. A buildup of bacteria on the tongue will cause a foul odor. A tongue scraper can be carefully used.
  • Breathing through the mouth – This will quickly dry out the mouth and cause odor. If your child breathes through his or her mouth due to sinus or allergy issues, addressing the issue can make breathing with the mouth closed much easier. Give your child plenty of water to drink.

The above causes are possibilities. An examination from your child’s pediatric dentist and medical doctor will help identify the cause, as well as the best treatment.

 

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

For teeth’s sake! May have a little milk with my tea?

By General Dentistry, Oral Health

Each day, approximately 158 million Americans drink tea. What’s that have to do with your teeth? Tea stains your teeth—in fact, because of its higher tannin content, it’s more likely to stain your teeth than coffee. Tannin is a compound that gives tea its dark color.

Of course brushing your teeth daily can help limit surface stains in tooth enamel, and so can rinsing your mouth with water after drinking tea. But research shows that adding a little milk to your tea can help prevent stains in tooth enamel.

The study, published in the November 2014 issue of the International Journal of Dental Hygiene, shows that the casein protein in milk binds the tannins in tea and limits their staining properties. The study showed that the effectiveness of milk on teeth is greater than whitening toothpaste and comparable to some bleaching gels!

Many people like their tea “straight,” without milk or cream. But for those who can tolerate a little milk in their tea, in addition to diligent oral hygiene and regular dental cleanings, it can help keep your teeth white!

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

 

Does your child grind his or her teeth?

By Oral Health, Pediatric Dentist

Teeth grinding is a common habit among young children—particularly those under 11 years old. It is so common that it should only be a concern if it happens at night, or if it is causing tooth pain or is wearing down teeth.

During intense concentration or stressful situations, a child may unconsciously grind his or her teeth. If you make him or her aware of the problem, and remind the child each time you see him or her doing it, it may be enough to help break the habit.

Often teeth grinding or bruxism occurs during sleep. Bruxism is common in young children who snore or breathe through the mouth while asleep. In these cases teeth grinding may be related to sleep apnea or enlarged tonsils.

When older teens grind their teeth, it may be done in association with smoking, or alcohol or drug use. Medication, trauma, and certain diseases, including cerebral palsy, Down syndrome, and epilepsy may contribute to bruxism.

Most bruxism is related to some type of anxiety or stress. Be sure to have your child’s teeth examined regularly. If your pediatric dentist determines that bruxism is affecting your child’s teeth or bite, he or she may recommend a nightguard, or refer you to a specialist.

This post is sponsored by Dr. Anthony LaVacca of Naperville Dental Specialists.

help! what should i do about a mouth ulcer?

By Oral Health

i was hoping that it would go away but it’s been 2 weeks so i am thinking that maybe there’s a problem or something special that i need to do. how do i get rid of a mouth ulcer? peter

Peter – There are various causes of an ulcer in your mouth. The ulcer is usually not serious and goes away within two weeks. Some ulcers last longer. A tooth infection, or abscess, can cause a sore in your mouth. A virus or bacteria may also be the cause, and certain conditions or diseases may result in mouth ulcers. Do you have a fever or a general feeling that something is making you ill? If you have these additional symptoms, see your dentist or medical doctor right away.

If you have no additional symptoms, you can consider using antibacterial treatment that is made specifically for mouth sores. If you don’t get any relief in a few days, schedule an appointment with your dentist. He or she will examine the ulcer, and if necessary perform a blood test or biopsy to determine the type of mouth ulcer you have and how it should be treated.

If you prefer, you can schedule an appointment with your dentist or doctor right way, without trying to take care of the mouth ulcer yourself.

This post is sponsored by Naperville dentist Dr. Anthony LaVacca

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