Your teeth and gums have a highly sensitive network of nerves. But while it can signal even the most subtle discomfort we may not be able to identify the cause with pinpoint accuracy. As a result, tooth pain could indicate more than one kind of problem including a decayed tooth, root sensitivity, infected gum tissues (like an abscess) or a dying pulp signaled by diseased nerve tissue inside the tooth.
On the other hand, not all tooth pain is the same: it can be dull or sharp, continuous or intermittent. It can feel like a constant, throbbing ache or a sharp wince when you eat or drink something cold or hot, or when you bite down. These differences could point our diagnostic examination in the right direction.
For example, sharp, throbbing pain could indicate deep tooth decay, especially if it suddenly stops. That would likely mean the nerves within the tooth pulp under attack by the infection have died and can no longer transmit pain. The infection, on the other hand is still very much active — this usually requires a root canal treatment (cleaning out the pulp and root canals of diseased and dead tissue and filling the empty spaces) if we’re to save the tooth.
If, however, you’re experiencing sensitivity from temperature or pressure, we could be facing at least a couple of scenarios. For one, your tooth could be fractured. More likely, though, periodontal (gum) disease triggered by bacterial plaque has caused the gum tissues to shrink back (recede) from the affected teeth so that the sensitive dentin layer is exposed and no longer protected by the gum tissue.
If we diagnose gum disease, we’ll need to aggressively remove bacterial plaque from all tooth and gum surfaces. This procedure might require more than one appointment and the possibility of surgery if we encounter deep pockets of infection, especially around the roots. If gum recession is severe you may also need grafting surgery to replace the missing gum tissue or to re-cover the exposed areas of your teeth.
So, knowing the source of tooth pain will direct the course of treatment to follow. With proper treatment, though, the chances are good we can not only restore your teeth and gums to optimum health but we can end the pain.
If you would like more information on treating tooth pain, 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 “Confusing Tooth Pain.”
Via a recent Instagram post, pop diva Ariana Grande became the latest young celebrity to publicly acknowledge a dental milestone: having her wisdom teeth removed. The singer of hits such as “Break Free” and “Problem” posted an after-surgery picture of herself (wearing her signature cat-eye eyeliner), with a caption addressed to her teeth: “Peace out, final three wisdom teeth. It’s been real.”
With the post, Grande joined several other celebs (including Lily Allen, Paris Hilton and Emile Hirsch) who have shared their dental surgery experience with fans. Will "wisdom teeth removal" become a new trending topic on social media? We aren’t sure — but we can explain a bit about the procedure, and why many younger adults may need it.
Technically called the “third molars,” wisdom teeth usually begin to emerge from the gums between the ages of 17 and 25 — presumably, around the same time that a certain amount of wisdom emerges. Most people have four of these big molars, which are located all the way in the back of the mouth, on the left and right sides of the upper and lower jaws.
But when wisdom teeth begin to appear, there’s often a problem: Many people don’t have enough space in their jaws to accommodate them. When these molars lack sufficient space to fully erupt (emerge), they are said to be “impacted.” Impacted teeth can cause a number of serious problems: These may include pain, an increased potential for bacterial infections, periodontal disease, and even the formation of cysts (pockets of infection below the gum line), which can eventually lead to tooth and bone loss.
In most cases, the best treatment for impacted wisdom teeth is extraction (removal) of the problem teeth. Wisdom tooth extraction is a routine, in-office procedure that is usually performed under local anesthesia or “conscious sedation,” a type of anesthesia where the patient remains conscious (able to breathe normally and respond to stimuli), but is free from any pain or distress. Anti-anxiety medications may also be given, especially for those who are apprehensive about dental procedures.
So if you find you need your wisdom teeth extracted, don’t be afraid to “Break Free” like Ariana Grande did; whether you post the results on social media is entirely up to you. If you would like more information about wisdom tooth extraction, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”
How cosmetic bonding from your Sacramento and Folsom dentist can help your smile
Cosmetic bonding is a versatile procedure which combines both art and science to create a uniquely beautiful smile. There are many benefits to cosmetic bonding, and many ways the procedure can enhance your smile. Drs. Anthony and Julianne Digiorno at Digiorno Dental Fitness want to share the facts about this amazing procedure. They have two convenient office locations in Sacramento and Folsom, CA to help you.
So, what is cosmetic bonding? The procedure uses composite, a unique liquid resin that can be sculpted and shaped to match your teeth perfectly. The composite is artfully applied in liquid form, and then hardened using a high-tech ultraviolet light. As a finishing touch, the composite is polished to a beautiful shine.
Many people choose cosmetic bonding because treatment is:
- Non-invasive; treatment does not remove tooth structure.
- Painless; treatment does not require anesthetic.
- Quick; treatment only takes one appointment.
- Inexpensive; treatment is far less than other cosmetic dental treatments.
Cosmetic bonding is one of the most versatile procedures available because it can:
- Restore the surface of worn-down teeth
- Restore the shape of chipped teeth
- Restore full use of broken teeth
- Eliminate cracks and defects in teeth
- Change the shape or color of teeth
You can also cosmetically change the appearance of teeth which is normally done with lengthy orthodontic treatment. Cosmetic bonding can:
- Make rotated teeth look straight
- Close small spaces between your teeth
- Make overlapped teeth look properly aligned
If you want to give your smile a new look and save time and money too, cosmetic bonding is the procedure for you! If you don’t want to be numb after treatment, cosmetic bonding is for you too!
To begin the road to your new smile, call and schedule a consultation with Drs. Anthony and Julianne Digiorno at Digiorno Dental Fitness in Sacramento and Folsom, CA. Find out what cosmetic bonding can do for you by calling today!
If you’ve lost some teeth you may eventually want to replace them with dental implants. Implants by far are the restoration of choice due to their life-likeness and durability. But those advantages don’t come cheaply — implants can be expensive especially for multiple teeth.
If you’re forced to wait financially for implants, you still have other intermediary options like a removable partial denture (RPD). The conventional RPD has a rigid acrylic base colored to resemble gum tissue supported by a metal frame with attached prosthetic (false) teeth at the missing teeth locations. They’re held secure in the mouth through metal clasps that fit over the remaining teeth.
But these conventional RPDs can sometimes be uncomfortable to wear and don’t always cover the bottom of the gum completely. If this is a concern, you might consider an alternative: flexible RPDs. The base of this RPD is made of a form of flexible nylon rather than acrylic plastic. They’re much more lightweight but still fit securely in the mouth with thin plastic extensions rather than metal clasps. The base can also be more easily formed to cover areas where gum tissue may have receded.
While flexible RPDs hold up better to wear and tear than their conventional counterparts, they must still be maintained like any other appliance. They can accumulate plaque (bacterial biofilm) responsible for tooth decay and periodontal (gum) disease, so daily thorough cleaning is a must. And if there fit becomes loose they can be more difficult to reline or repair than other types of dentures.
They also share a common weakness with other dentures — they can’t prevent and may even stimulate bone loss. As bone ages, old cells dissolve and new ones form to take their place. As we eat and chew our teeth transmit the forces generated through the teeth to the bone to stimulate it to grow. RPDs and other dentures can’t transmit this stimulus, so the bone replaces much slower to the point that the bone volume can diminish.
That’s why it’s best to consider any RPD as a temporary solution until you can obtain an implant for a more permanent and bone-friendly option. In the meantime, though, an RPD can provide you with a great solution for both form and function for missing teeth.
If you would like more information on RPD choices, 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 “Flexible Partial Dentures: An Aesthetic Way to Replace Teeth Temporarily.”
Major league baseball player Aaron Judge made news in July by breaking Joe DiMaggio's record for most home runs scored by a New York Yankees rookie. Then he made news again, this time for breaking something else. Following their game-winning home run against the Tampa Bay Rays in the 11th inning, the Yanks met for a spontaneous victory celebration at home plate. It was all fun and games… until an errant helmet accidentally slammed into Judge's mouth, breaking off half his left front tooth. Ouch!
Even if you're not playing big-league baseball, accidents sometimes happen. So what's the best dental treatment if you chip or break a tooth? It all depends on how much is broken off.
When a tooth has a small chip in it, dental bonding may be sufficient. Layering on tooth-colored bonding material results in a natural look, and it can be completed in one dental visit. However, bonding material in time will discolor, and it is not as strong as real tooth structure, so eventually it may need re-treatment.
Dental veneers or crowns may be used to restore more seriously damaged teeth. Veneers, thin porcelain shells that cover the front surface of teeth, can be used to restore minor to moderate chips. A crown (“cap”) is used when the damage is greater and more structural support is required. A crown replaces the visible part of the tooth above the gum line.
When the soft pulp tissue inside the tooth is damaged, root canal treatment will be needed to save the tooth. Despite the outdated rumors some people have heard, root canal procedures don't cause pain — they actually relieve it. During the procedure, exposed or infected pulp is removed and the inside of the tooth is sealed. Then a lifelike crown is placed so the tooth looks as good as new.
If the tooth cannot be saved — for example, it breaks off below the gum line — a dental implant may be your best option. Dental implants are small titanium posts that are surgically inserted and then capped with an artificial crown. Implant-supported teeth can last a lifetime and are usually indistinguishable from natural teeth.
So what happened with Judge's tooth? Thanks to a Friday morning visit to the dentist, he was smiling again with a temporary crown — and smiling over the fact that his tooth garnered more attention than the Yankees' dramatic 11th inning win.
If you have questions about cosmetically-pleasing tooth restorations, please contact our office or schedule a consultation. (If you have a dental injury, call us immediately!) You can learn more in the Dear Doctor magazine articles “Dental Implants” and “A Step-by-Step Guide to Root Canal Treatment.”
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