Posts for tag: periodontal disease

By Peter Brusco DMD
March 11, 2019
Category: Dental Procedures

Molar Tooth ExtractionHow your dentist in Kinnelon, New Jersey, can save your smile

It may seem strange, but sometimes removing a tooth is the right choice. Common causes include if a tooth is severely decayed and can’t be repaired with a filling, or if there is infection around the tooth that can spread to healthy teeth and tissue, dramatically affecting the overall health of your smile. You may also be in a lot of pain!

There are common signs and symptoms indicating you may need to have a tooth extracted. Read below to learn more, and contactDr. Peter Brusco in Kinnelon, New Jersey, if you feel that you could use treatment.

 

More about Tooth Extraction

Many teeth can be repaired with a simple dental filling, with or without root canal treatment. However, there are teeth that remain painful even after treatment. If you have periodontal disease, that can also lead to the need for tooth extraction.

You may to have a tooth extracted if you have:

  • Severe pain after a dental filling has been placed
  • Severe pain after root canal treatment
  • Lost bone support around a tooth, making the tooth mobile

You may need a tooth extraction for reasons other than pain and disease, for example, teeth are often removed before orthodontic treatment. If there is not enough room, or if it will make moving other teeth into correct position faster and easier, your orthodontist may suggest removing specific teeth.

The most common healthy teeth to be removed, however, are wisdom teeth. This is your third set of permanent molars, and most people don’t have room in their jaws for them. As a result, wisdom teeth are often removed between the ages of 18 and 25. If wisdom teeth are left in, there is a chance they will form cysts which can cause bone destruction and other issues.

 

Give us a Call!

These are just a few of the reasons why you might need a tooth extraction. Only your dentist knows for sure whether a tooth should be taken out or not. If you have a painful tooth, don’t wait for it to get worse. Instead, just pick up your phone and call Dr. Peter Brusco in Kinnelon, New Jersey. Dial (973) 838-5862 today and save your smile!

YourCaseofGingivitisCouldDevelopintoSomethingMoreHarmful

That bit of gum bleeding after you brush, along with redness and swelling, are strong signs you have gingivitis, a form of periodontal (gum) disease. Without treatment, though, your gingivitis could turn into something much more painful and unsightly — a condition commonly known as “trench mouth.”

Properly known as Acute Necrotizing Ulcerative Gingivitis (ANUG), the more colorful name arose from its frequent occurrence among soldiers during World War I. Although not contagious, many soldiers contracted it due to a lack of means to properly clean their teeth and gums and the anxiety associated with war. Inadequate hygiene and high stress still contribute to its occurrence today, along with smoking, medications that dry the mouth and reduced disease resistance — all of which create a perfect environment for bacterial growth.

ANUG can arise suddenly and be very painful. The cells in the gum tissue begin to die (“necrotizing”) and become swollen (“ulcerative”), especially the small triangle of gum tissue between the teeth called the papillae, which can appear yellowish. Patients also encounter a characteristic foul breath and taste. Untreated, ANUG can damage tissue and contribute to future tooth loss.

Fortunately, antibiotics and other treatments are quite effective in eradicating bacteria that cause the disease, so if caught early it’s completely reversible. We start with a complete examination to confirm the diagnosis and rule out other possible causes. We then attempt to relieve the pain and inflammation with non-steroidal, anti-inflammatory drugs like aspirin or ibuprofen and begin antibiotic treatment, most notably Metronidazole or amoxicillin. We may also prescribe a mouthrinse containing chlorhexidine and mild salt water rinses to further reduce the symptoms.

We must also treat any underlying gingivitis that gave rise to the more acute disease. Our goal here is remove any bacterial plaque and calculus (hardened plaque deposits) that have built up on tooth surfaces, particularly below the gums. Only then can we fully bring the disease under control.

It’s also important you become more consistent and effective with daily brushing and flossing, quit smoking, reduce undue stress, and get better rest and nutrition. Establishing these new habits and lifestyle changes will help ensure you’ll never have to experience trench mouth again.

If you would like more information on ANUG and other periodontal gum conditions, 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 “Painful Gums in Teens & Adults.”

PeriodontalSurgerymaybeNeededtoHaltGumDiseaseandEncourageHealing

There’s only one way to effectively halt the progressive damage of periodontal (gum) disease — completely remove the bacterial plaque and hardened deposits (calculus) from above and below the gum line that are causing the infection. Although we can accomplish this in most cases with hand instruments called scalers, ultra-sonic equipment or both, some cases may require periodontal surgery to access and clean deeper “pockets” of infection.

As this damaging disease progresses, the supporting bone dissolves and the gum tissues will begin to detach from a tooth, leaving an open space known as a “periodontal pocket.” Besides plaque and calculus pus may also form as a result of the infection. All of this material must be removed from the pocket before healing and, hopefully, tissue reattachment can begin.

Shallow pockets near the gum line are usually accessed and cleaned with hand instruments. But deeper pockets (5 millimeters or greater in depth) may require a surgical procedure to completely clean the area also allowing for regenerative procedures to be done to regain attachment. This will reduce the depth of the periodontal pockets that will make them more accessible for future cleanings and maintenance. Flap surgery is a common type of such a procedure: a small opening (similar to the flap of a letter envelope) is surgically created in the gum tissue to expose the area of infection around the tooth root and bone.

There are also other types of periodontal surgery for repairing and stimulating regeneration of damaged gum tissues. Using grafts or other enhancements, these plastic surgical techniques are especially useful where gum tissues have receded above the natural gum line, leaving more of the underlying tooth below the enamel exposed to disease. These procedures have become more effective in recent years with the development of specialized technologies called “barrier membranes” and biologic growth factors. These materials have allowed bone grafts to be more successful as this technology is engineered for targeted tissue growth and repair, and then dissolve at an appropriate point in the regeneration process.

Periodontal surgery isn’t appropriate for every situation. Still, these procedures do play an important role for many patients to put a halt to the damage caused by gum disease.

If you would like more information on surgical procedures for gum disease, 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 “Periodontal Surgery: Where Art Meets Science.”



Kinnelon, NJ Dentist
Peter Brusco DMD
170 Kinnelon Rd # 29A
Kinnelon, NJ 07405
(973) 838-5862
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