The NBA's reigning MVP Giannis Antetokounmpo may seem unstoppable, but he proved no match for a troubled tooth. Antetokounmpo, the self-proclaimed “Greek Freak,” missed one of the final three 2020 regular season games for a dental issue that resulted in last-minute oral surgery. According to a Milwaukee Bucks spokesperson, the star underwent “a root-canal like procedure.”
Root canal therapy, often simply called “a root canal,” may be needed when there is an infection inside the tooth. When dental pulp becomes inflamed or infected, excruciating pain can result. Pulp is the soft tissue that fills the inside of the tooth. It is made up of nerves, blood vessels and connective tissue. During root canal treatment, the pulp is removed, the space inside the tooth is disinfected, it is filled with a special material, and then the hole is sealed up.
A root canal is nothing to fear. It relieves pain by getting rid of infection and is so effective that over 15 million of them are performed in the U.S. each year. This routine procedure generally requires only local anesthetic, and your mouth should be back to normal within a day or two after treatment. Antetokounmpo can attest to that, as he returned to play the next day.
However, delaying root canal treatment when you need it can have serious consequences. If left untreated, an infection inside the tooth continues to spread, and it may move into the gums and jaw and cause other problems in the body. So, how do you know if you may need a root canal? Here are some signs:
Lingering sensitivity to hot or cold temperatures. One sign of nerve damage inside your tooth is pain that is still there 30 seconds after eating or drinking something hot or cold.
Intense pain when biting down. You may feel pain deep within your tooth, or in your jaw, face or other teeth. The pain may be hard to pinpoint—and even if it improves at times, it usually comes back.
A chipped, cracked or discolored tooth. A chip or crack can allow bacteria to enter the tooth, and the tooth may darken if the tissue inside is damaged.
A pimple on the gum. A bump or pimple on the gum that doesn't go away or keeps coming back may signify that a nearby tooth is infected.
Tender, swollen gums. Swollen gums may indicate an infection inside the tooth or the need for periodontal treatment.
And sometimes there is no pain, but an infection may be discovered during a dental exam.
Tooth pain should never be ignored, so don't put off a dental visit when you have a toothache. In fact, if a bad toothache goes away, it could mean that the nerves inside the tooth have died, but the infection may still be raging. Also, be sure to keep up with your regular dental checkups. We may spot a small problem that can be addressed before it becomes a bigger problem that would require more extensive treatment.
Remember, for dental issues both large and small, we're on your team! If you would like more information about tooth pain, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Tooth Pain? Don't Wait!” and “Root Canal Treatment: What You Need to Know.”
What's a habit? Basically, it's a behavior you consistently perform without much forethought—you seemingly do it automatically. They can be good (taking a bath every day); or, they can be bad (devouring an entire bag of chocolate chip cookies every day). Our goal, therefore, should be to develop more good habits than bad.
One other thing about habits: we start forming them early. You might even have habits as an adult that began before you could walk. Which is why helping children develop good habits and avoid bad ones remains a top priority for parents.
Good habits also play a major role in keeping your teeth and gums healthy. Habits like the following that your kids form—or don't form—could pay oral health dividends throughout their lives.
Daily hygiene. Brushing and flossing is the single best habit for ensuring healthy teeth and gums. Removing disease-causing plaque on a daily basis drastically reduces a person's risk for tooth decay and gum disease. So, start forming this one as early as possible—you can even make a game of it!
Dental-friendly eating. To paraphrase a popular saying, "Your teeth and gums are what you eat." Dairy, vegetables and other whole foods promote good dental health, while processed foods heavy on sugar contribute to dental disease. Steer your child toward a lifetime of good food choices, especially by setting a good example.
Late thumb-sucking. It's a nearly universal habit among infants and toddlers to suck their thumbs or fingers. Early on, it doesn't pose much of a threat—but if it extends into later childhood, it could lead to poor bite formation. It's best to encourage your child to stop sucking their thumbs, fingers or pacifiers by age 3.
Later-developing bad habits. Children often come into their own socially by the time they've entered puberty. But while this is a welcome development on the road to adulthood, the pressure from peers may lead them to develop habits not conducive to good oral health—tobacco, drug or alcohol use, or oral piercings. Exert your influence as a parent to help them avoid these bad oral habits.
If you would like more information on best dental care practices for children, 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 “How to Help Your Child Develop the Best Habits for Oral Health.”
Millions of Americans live with osteoporosis, a degenerative bone disease that can turn a minor fall into a potential bone fracture. Literally meaning "porous bone," osteoporosis causes the natural marrow spaces in bone tissue to progressively grow larger and weaken the remaining bone.
Many osteoporosis patients take medication to slow the disease's process. But due to the dynamic nature of bone, some of these drugs can have unintended consequences—consequences that could affect dental care.
As living tissue, bone is literally "coming and going." Certain cells called osteoblasts continuously produce new bone, while others called osteoclasts remove older tissue to make way for the new. Drugs like bisphosphonates and RANKL inhibitors interrupt this process by destroying some of the osteoclasts.
As a result, more of the older bone remains past its normal lifespan, helping the bone overall to retain strength. But ongoing research is beginning to hint that this may only be a short-term gain. The older, longer lasting bone is more fragile than newer bone, and tends to become more brittle and prone to fracture the longer a patient takes the drug. This tissue can also die but still remain intact, a condition known as osteonecrosis.
The femur (the large upper leg bone) and the jawbone are the bones of the body most susceptible to osteonecrosis. Dentists are most concerned when this happens in the latter: Its occurrence could lead to complications during invasive procedures like oral surgery or implant placement.
Because of this possibility, you should keep your dentist informed regarding any treatments you're undergoing for osteoporosis, especially when planning upcoming dental procedures like oral surgery or implant placement. You might be able to lower your risk by taking a "drug holiday," coming off of certain medications for about three months before your dental work.
As always, you shouldn't stop medication without your doctor's guidance. But research has shown drug holidays of short duration won't worsen your osteoporosis. If you're already showing signs of osteonecrosis in the jaw, a short absence from your prescription along with antiseptic mouthrinses and heightened oral hygiene could help reverse it.
Fortunately, the risk for dental complications related to osteoporosis medication remains low. And, by working closely with both your dentist and your physician, you can ensure it stays that way.
If you would like more information on osteoporosis and your dental care, 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 “Osteoporosis Drugs & Dental Treatment.”
We all experience that unpleasant "cotton-mouth" feeling now and again. But what if it happens all the time? Chronic dry mouth is more than unpleasant—it could be a medical condition that threatens your oral health.
Chronic dry mouth is a sign you don't have enough saliva present. That's a problem because we need saliva to keep our teeth and gums healthy by neutralizing the oral acid that erodes tooth enamel. Saliva also supplies antibodies to fight infection.
A saliva deficiency could be the result of lifestyle habits like drinking alcohol or smoking, metabolic diseases or treatments like chemotherapy or radiation. More commonly, though, it's a side effect from a medication you're taking.
Given the heightened risk it causes to your teeth and gums, what can you do to alleviate chronic dry mouth?
Review your medications. If you're taking prescribed medications, talk with your pharmacist or doctor about possible oral side effects associated with any of them. If so, it may be possible to switch to an alternative medication without the dry mouth side effect.
Don't use tobacco. Regardless of whether you smoke, dip or chew, tobacco use can interfere with saliva production. Kicking the habit not only improves saliva flow, it may further reduce your risk for oral diseases, especially oral cancer.
Drink more water. Saliva is mainly composed of water—so, be sure your body has plenty of it to facilitate saliva production. It's a good idea to sip extra water throughout the day, and especially before and after you take medication.
Practice oral hygiene. As a general rule, brushing and flossing every day is pivotal in preventing dental disease—but it's especially important with dry mouth. Be sure, then, to brush twice and floss once every day. You should also see your dentist at least every six months for dental cleanings and checkups.
Chronic dry mouth could be setting you up for future dental disease. But taking steps to alleviate it while practicing daily dental care could help you avoid that unhappy outcome.
If you would like more information on alleviating chronic dry mouth, 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 “10 Tips for Dealing With Dry Mouth.”
There are plenty of hilarious videos of groggy patients coming out of wisdom teeth surgery to keep you occupied for hours. While many of these have turned everyday people into viral video stars, every now and then it really is someone famous. Recently, that someone was Seattle Seahawks quarterback Russell Wilson.
The NFL star underwent oral surgery to remove all four of his third molars (aka wisdom teeth). His wife, performer and supermodel, Ciara, caught him on video as he was wheeled to recovery and later uploaded the clip to Instagram. As post-wisdom teeth videos go, Wilson didn't say anything too embarrassing other than, "My lips hurt."
Funny videos aside, though, removing wisdom teeth is a serious matter. Typically, the third molars are the last permanent teeth to erupt, and commonly arrive late onto a jaw already crowded with other teeth. This increases their chances of erupting out of alignment or not erupting at all, remaining completely or partially submerged within the gums.
This latter condition, impaction, can put pressure on the roots of adjacent teeth, can cause abnormal tooth movement resulting in a poor bite, or can increase the risk of dental disease. For that reason, it has been a common practice to remove wisdom teeth preemptively, even if they aren't showing any obvious signs of disease.
In recent years, though, dentists have become increasingly nuanced in making that decision. Many will now leave wisdom teeth be if they have erupted fully and are in proper alignment, and they don't appear to be diseased or causing problems for other teeth.
The best way to make the right decision is to closely monitor the development of wisdom teeth throughout childhood and adolescence. If signs of any problems begin to emerge, it may become prudent to remove them, usually between the ages of 16 and 25. Because of their location and root system, wisdom teeth are usually removed by an oral surgeon through one of the most common surgeries performed each year.
This underscores the need for children to see a dentist regularly, beginning no later than their first birthday. It's also a good idea for a child to undergo an orthodontic evaluation around age 6. Both of these types of exams can prove helpful in deciding on what to do about the wisdom teeth, depending on the individual case.
After careful monitoring throughout childhood and adolescence, the best decision might be to remove them. If so, take it from Russell Wilson: It's worth becoming the star of a funny video to protect both current and future dental health.
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