Although kids are resilient, they're not indestructible. They're prone to their share of injuries, both major and minor—including dental injuries.
It's common for physically active children to suffer injuries to their mouth, teeth and gums. With a little know-how, however, you can reduce their suffering and minimize any consequences to their long-term oral health.
Here are 4 types of dental injuries, and what to do if they occur.
Chipped tooth. Trauma or simply biting down on something hard can result in part of the tooth breaking off, while the rest of it remains intact. If this happens, try to retrieve and save the chipped pieces—a dentist may be able to re-bond them to the tooth. Even if you can't collect the chipped pieces, you should still see your dentist for a full examination of the tooth for any underlying injury.
Cracked tooth. A child can experience intense pain or an inability to bite or close their teeth normally if a tooth is cracked (fractured), First, call the dentist to see if you need to come in immediately or wait a day. You can also give the child something appropriate to their age for pain and to help them sleep if you're advised to wait overnight.
Displaced tooth. If a child's tooth appears loose, out of place or pushed deeper into the jaw after an accident, you should definitely see a dentist as soon as possible—all of these indicate a serious dental injury. If they're unavailable or it's after hours, your dentist may tell you to visit an emergency room for initial treatment.
Knocked-out tooth. Minutes count when a tooth is knocked completely out. Quickly locate the tooth and, holding it only by the crown and not the root, rinse off any debris with clean water. Place it in a glass of milk or attempt to place it back into the socket. If you attempt to place it back into the socket, it will require pressure to seat the tooth into position. You should then see a dentist or ER immediately.
A dental injury can be stressful for both you and your child. But following these common-sense guidelines can help you keep your wits and ensure your child gets the care they need.
Nina Parker, the host of Love & Hip Hop for six seasons, is now busy with the new game show Blockbusters and her own talk show The Nina Parker Show. But even with a full plate, she took time recently for some personal care—getting a new smile.
Parker's fans are familiar with her noticeable tooth gap. But a video on TikTok in February changed all that: In the video, she teasingly pulls away a mask she's wearing to reveal her smile—without the gap.
Parker and other celebrities like Madonna, Michael Strahan and David Letterman are not alone. Teeth gaps are a common smile feature, dating back millennia (even in fiction: Chaucer described the Wife of Bath as being "gap-toothed" in The Canterbury Tales).
So, what causes a tooth gap? Actually, a lot of possibilities. The muscle between the teeth (the frenum) may be overly large and pushing the teeth apart. There may be too much room on the jaw, so the teeth spread apart as they develop. It might also have resulted from tongue thrusting or late thumb sucking as a child, influencing the front teeth to develop forward and outward.
A tooth gap can be embarrassing because they're often front and center for all the world to see, but they can also cause oral health problems like complicating oral hygiene and increasing your risk for tooth decay. They can also contribute to misalignment of other teeth.
Fortunately, there are ways to alleviate a gap. One way is to move the teeth closer together with either braces or removable clear aligners. This may be the best approach if the gap is wide and it's contributing to misalignment of other teeth. You may also need surgery to alter the frenum.
You can also reduce less-pronounced gaps cosmetically with dental bonding or porcelain veneers. Bonding involves applying a type of resin material to the teeth on either side of the gap. After some sculpting to make it appear life-like, we harden the material with a curing light. The result is a durable, tooth-like appearance that closes the gap.
A veneer is a thin wafer of porcelain, custom-made to fit an individual patient's tooth. Bonded to the front of teeth, veneers mask various dental flaws like chips, deformed teeth, heavy staining and, yes, mild to moderate tooth gaps. They do require removing a small amount of enamel on the teeth they cover, but the results can be stunning—completely transformed teeth without the gap.
Getting rid of a tooth gap can be a wise move, both for your smile and your health. You may or may not take to social media to show it off like Nina Parker, but you can feel confident to show the world your new, perfect smile.
If you would like more information about treating teeth gaps and other dental flaws, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Space Between Front Teeth.”
Losing teeth can make it more difficult to eat, not to mention the effect it can have on your smile. But that could be just the beginning of your problems. Missing teeth can contribute to extensive bone loss within your jaws and face. Here's why.
Bone is like any other living tissue—cells develop, function and eventually die, and new cells take their place. Forces generated during chewing stimulate this new growth, helping the jawbone maintain its normal volume and density.
But you lose this stimulus when you lose teeth. This can cause a slowdown in bone cell regrowth that can eventually diminish bone volume. And it can happen relatively quickly: you could lose a quarter or more of jawbone width around a missing tooth within a year.
As this loss continues, especially in cases of multiple missing teeth, the bone can eventually erode to its base level. This loss of dental function can make chewing more difficult, place more pressure on the remaining teeth and adversely affect facial appearance. It could also prevent an implant restoration to replace missing teeth.
Dentures and other forms of dental restoration can replace missing teeth, but not the chewing stimulus. Dentures in particular will accelerate bone loss, because they can irritate the bony gum ridges they rest upon.
Dental implants, on the other hand, can slow or even stop bone loss. Implants consist of a metal post, typically made of titanium, imbedded into the jawbone at the site of the missing tooth with a life-like crown attached. Titanium also has a strong affinity with bone so that bone cells naturally grow and adhere to the implant's surface. This can produce enough growth to slow, stop or even reverse bone loss.
This effect may also work when implants are combined with other restorations, including dentures. These enhanced dentures no longer rest on the gums, but connect to implants. This adds support and takes the pressure off of the bony ridge, as well as contributes to better bone health.
If you've lost a tooth, it's important to either replace it promptly or have a bone graft installed to help forestall any bone loss in the interim. And when it's time to replace those missing teeth, dental implants could provide you not only a life-like solution, but a way to protect your bone health.
If you would like more information on dental implants, 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 “The Hidden Consequences of Losing Teeth.”
Disasters are an unfortunate part of life—and not just on the epic scale of a hurricane, flood or earthquake. You could easily find yourself having your own "personal pizza"-sized disaster—a car accident, a sports injury or even a tumble on a leisurely hike. And oftentimes, the consequences could affect your mouth, teeth or jaws.
We can't always account for every variable in life, but we can prepare for possible disasters, big or small. That includes being ready for a possible dental injury.
September is National Preparedness Month, when safety and emergency professionals seek to raise awareness about what people can do to prepare for when disaster strikes. When it comes to protecting you and your family's oral health, here are a few things you can do to stop or lessen the impact of a dental injury.
Use a mouthguard. These soft, plastic appliances that fit in the mouth cushion the force of a hard blow to the face and jaws. They're a must for any contact sport like football or basketball, but also for other outdoor activities like trail biking. It's also worth the investment in comfort and effectiveness to have your dentist create a mouthguard customized just for you.
Create a dental first aid kit. It's a good idea to carry along a first aid kit during sports or other physical activities. It's a great idea to include a few extra items in case of injuries to the teeth or gums. A dental mirror and flashlight, medical-grade gloves, "Save a Tooth" kits (for knocked out teeth) or even tea bags to help stop bleeding gums are handy to have if you or someone with you suffers a dental-related injury.
Know what to do in case of dental injury. As careful as you might be, you can't completely eliminate the risk of dental injury, so it's wise to know how to render specific first aid for a variety of mouth-related injuries. To that end, we've provided a free dental injury field guide that you can print to review or to include in your emergency first aid kit.
Locate dental providers away from home. Serious injuries that result in loose, knocked out or misaligned teeth need immediate dental care. No problem if your regular dentist is close at hand—but what if you're out of town or on vacation? Before you go, locate a dental provider at your destination that you can see in case of emergency, and keep their contact information close at hand.
It's no fun going through an adverse event, especially with the possibility of injury. It's even worse to meet disaster unprepared. By following these guidelines, you can have a better handle on the injury risks to you and your family's dental health.
If you would like more information about protecting your teeth from injury, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “An Introduction to Sports Injuries & Dentistry.”
Although they can be expensive upfront, dental implants often prove to be a wise investment in the long-term. With a success rate that outperforms other teeth replacement restorations, dental implants could be the answer to a more attractive smile that could last for decades.
But while their success rate is high (95% still functioning after ten years), they can and do occasionally fail. Of those that do, two-thirds happen in patients who smoke.
This unfortunate situation stems from smoking's overall effect on dental health. The nicotine in tobacco constricts oral blood vessels, inhibiting the flow of nutrients and antibodies to the teeth and gums. Inhaled smoke can scald the inside skin of the mouth, thickening its surface layers and damaging salivary glands leading to dry mouth.
These and other effects increase the risk for tooth decay or gum disease, which in turn makes it more likely that a smoker will lose teeth than a non-smoker and require a restoration like dental implants. And blood flow restriction caused by nicotine in turn can complicate the implant process.
Long-term implant durability depends on bone growth around the imbedded implant in the ensuing weeks after implant surgery. Because of their affinity with the titanium used in implants, bone cells readily grow and adhere to the implant. This integration process anchors the implant securely in place. But because of restricted blood flow, the healing process involved in bone integration can be impaired in smokers. Less integration may result in less stability for the implant and its long-term durability.
To increase your chances of a successful implant installation, you should consider quitting smoking and other tobacco products altogether before implant surgery. If that's too difficult, then cease from smoking for at least one week before surgery and two weeks after to better your odds of implant success. And be as meticulous as possible with daily brushing and flossing, as well as regular dental visits, to reduce your risk of disease.
There are many good reasons to quit smoking. If nothing else, do it to improve your dental health.
If you would like more information on tobacco use and dental 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 “Dental Implants & Smoking.”
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