Because the mouth is one of the most sensitive areas of the body, we go to great lengths to eliminate pain and discomfort associated with dental work. Anesthesia, both local and general, can achieve this during the actual procedure—but what about afterward while you’re recuperating?
While a few procedures may require prescription opioids or steroids to manage discomfort after a procedure, most patients need only a mild over-the-counter (OTC) pain reliever. There are several brands available from a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs like aspirin or ibuprofen work by blocking the release of prostaglandins into the body, which cause inflammation in tissues that have been damaged or injured.
Unlike their stronger counterparts, NSAIDs have fewer side-effects, cost less and aren’t addictive. And unlike opioids NSAIDs don’t impair consciousness, meaning patients can usually resume normal activities more quickly.
But although they’re less dangerous than opioids or steroids, NSAIDs can cause problems if taken at too strong a dose for too long. Its major side effect is interference with the blood’s clotting mechanism, known as “thinning the blood.” If a NSAID is used over a period of weeks, this effect could trigger excessive external and internal bleeding, as well as damage the stomach lining leading to ulcers. Ibuprofen in particular can damage the kidneys over a period of time.
To minimize this risk, adults should take no more than 2400 milligrams of a NSAID daily (less for children) and only for a short period of time unless directed otherwise by a physician. For most patients, a single, 400 milligram dose of ibuprofen can safely and effectively relieve moderate to severe discomfort for about 5 hours.
Some patients should avoid taking a NSAID: pregnant women, those with a history of stomach or intestinal bleeding, or heart disease (especially if following a daily low dose aspirin regimen). If you have any of these conditions or similar concerns, be sure you discuss this with your dentist before your procedure for an alternative method for pain management.
If you would like more information on managing discomfort after dental procedures, 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 “Treating Pain with Ibuprofen.”
March is national nutrition month—a good time to look at the connection between diet and oral health. You probably know that sugar is a major culprit in dental problems. This is because bacteria feed on sugars and create acid that can lead to tooth decay and gum disease. Avoiding sugary foods and drinks as much as possible is a good rule of thumb, but there are some food choices that actually benefit your oral health. Here are nutrition tips that will help keep your smile healthy for life:
Say cheese. Dairy products such as milk, cheese and yogurt contain calcium and phosphorus to build teeth and strengthen the supporting bone. And cheese neutralizes acid in the mouth to help fight cavities and gum disease.
Choose lean proteins. Lean meats, poultry, fish, milk and eggs help strengthen teeth. They are rich in protein and phosphorous, which is essential for building strong bones and teeth.
Eat a rainbow. Fruits and vegetables provide many key nutrients, including vitamins necessary for healing, bone strength, and healthy gums. Besides being nutritious, fruits and veggies scrub your teeth while you chew and stimulate the production of saliva, which is necessary for neutralizing acid and rebuilding enamel.
Nibble on nuts. Nuts contain protein, fiber and healthy fats. They also contain essential vitamins and minerals to keep teeth strong and gums healthy. Further, chewing nuts stimulates saliva production, lowering the risk of tooth decay.
Go for the grains. Studies have shown that eating too many refined carbohydrates such as white bread and sweet bakery items can lead to chronic inflammation, which is a factor in gum disease, heart disease, stroke and other conditions. In contrast, eating complex carbohydrates such as whole grains may reduce inflammation in the body.
What you put in your body can play a big role in preventing tooth decay and gum disease, so choose foods that provide the right building blocks for optimal dental and overall health.
If you’re diligent about brushing and flossing your teeth every day, you might wonder why you need to spend the time in the money on visits to a dentist twice a year. While good oral hygiene at home is a necessity, it’s also important to take the time to have a professional cleaning performed every six months. Dr. Steven Jacobs, your dentist in Ridgewood, NY, explains here why keeping your appointments at Dr. Jacobs Family Dental is so important to the health of your teeth and gums.
What's involved in a professional dental cleaning?
Your cleaning appointments at Dr. Jacobs Family Dental often start with a few quick X-rays that will help your Ridgewood dentist analyze your dental health completely. One of our talented hygienists will then clean, polish, and floss your teeth using a variety of hand-held tools; this usually takes about a half-hour. Dr. Jacobs will then review your charts and X-rays, as well as examine your teeth and gums. Any suggestions for further treatments will be made and, after checking out with our front desk staff, you'll be on your way!
Why are professional teeth cleanings needed?
Regardless of how frequently you brush, there is always some degree of plaque that hardens into tartar, which can lead to cavities and damage to gum tissue. During your cleaning appointment at Dr. Jacobs Family Dental in Ridgewood, we use tools and techniques to eradicate tartar buildup that cannot be removed from the teeth using even the most sophisticated of toothbrushes. The x-rays we routinely take can also help to detect problems like gum disease and decay between the teeth that might not be visible when you look in the mirror. Research has also shown that regular screenings for oral cancer, which we offer during cleaning appointments, is key to early detection and effective treatment.
To schedule a cleaning at Dr. Jacobs Family Dental, contact our office in Ridgewood, NY. We look forward to helping you!
If you've noticed one of your teeth feeling loose, you're right to believe it's not a good thing. Loose permanent teeth are a sign of an underlying problem.
Periodontal (gum) disease is usually the culprit. Caused by bacterial plaque, a thin film of food particles, gum disease causes the tissues that support teeth to weaken and detach. While a tooth can become loose from too much biting force (primary occlusal trauma), it's more likely bone loss from gum disease has caused so much damage that even the forces from normal biting can trigger looseness.
A loose tooth must be treated or you may lose it altogether. If it's from gum disease, your treatment will have two phases.
In the first phase we need to stop the gum infection by removing plaque and calculus (hardened plaque deposits). Hand instruments known as scalers or ultrasonic equipment are usually sufficient for removing plaque and calculus around or just below the gum line. If the plaque extends deeper near or around the roots, we may need to consider surgical techniques to access these deeper deposits.
Once the infection is under control and the tissues have healed, we can then undertake the second phase: reducing biting forces by breaking clenching and grinding habits, doing a bite adjustment for advanced problems and securing loose teeth with splinting.
Although there are different types of splinting — both temporary and permanent — they all link loose teeth to adjacent secure teeth much like pickets in a fence. One way is to bond dental material to the outer enamel of all the teeth involved; a more permanent technique is to cut a small channel extending across all the teeth and bond a rigid metal splint within it.
To reduce biting forces on loose teeth, we might recommend wearing a bite guard to keep the teeth from generating excessive biting forces with each other. We may also recommend orthodontics to create a better bite or reshape the teeth's biting surfaces by grinding away small selected portions of tooth material so they generate less force.
Using the right combination of methods we can repair loose teeth and make them more secure. But time is of the essence: the sooner we begin treatment for a loose tooth, the better the outcome.
If you would like more information on treating loose teeth, 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 “Treatment for Loose Teeth.”
Your smile isn’t the same without healthy gums—neither are your teeth, for that matter. So, maintaining your gums by protecting them from periodontal (gum) disease is a top priority.
Gum disease is caused by bacterial plaque, a thin biofilm that collects on teeth and is not removed due to poor oral hygiene practices. Infected gums become chronically inflamed and begin to weaken, ultimately losing their firm attachment to the teeth. This can result in increasing voids called periodontal pockets that fill with infection. The gums can also shrink back (recede), exposing the tooth roots to further infection.
Although gum disease treatment techniques vary, the overall goal is the same: remove the bacterial plaque fueling the infection. This most often involves a procedure called scaling with special hand instruments to manually remove plaque and calculus (tartar). If the infection has spread below the gum line we may need to use a procedure called root planing in which we scrape or “plane” plaque and calculus from the root surfaces.
As we remove plaque, the gums become less inflamed. As the inflammation subsides we often discover more plaque and calculus, requiring more treatment sessions. Hopefully, our efforts bring the disease under control and restorative healing to the gums.
But while gum tissue can regenerate on its own, it may need some assistance if the recession was severe. This assistance can be provided through surgical procedures that graft donor tissues to the recession site. There are a number of microsurgical approaches that are all quite intricate to perform, and will usually require a periodontist (a specialist in gum structures) to achieve the most functional and attractive result.
While we have the advanced techniques and equipment to treat and repair gum disease damage, the best approach is to try to prevent the disease from occurring at all. Prevention begins with daily brushing and flossing, and continues with regular dental cleanings and checkups.
And if you do notice potential signs of gum disease like swollen, reddened or bleeding gums, call us promptly for an examination. The sooner we diagnose and begin treatment the less damage this progressive disease can do to your gums—and your smile.
If you would like more information on protecting your gums, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Periodontal Plastic Surgery.”
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