Posts for: July, 2018
The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.
In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?
The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.
Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.
So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”
Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.
If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”
Dental extractions are almost always a last resort, but sometimes they are necessary when other restorative procedures are not enough to save a broken, loose, or severely decayed tooth. If you need to have a tooth extracted, there are a number of tooth replacement options available to help preserve your oral health and improve your smile. The dentists at Mapledale Family Dentistry in Woodbridge, VA, offer general and cosmetic dentistry services for patients of all ages.
Family Dentistry in Woodbridge, VA
If a tooth is damaged beyond repair due to trauma or severe tooth decay, the dentist will recommend extraction to avoid further complications and alleviate existing symptoms like pain or an infection. In other cases, a tooth may otherwise be healthy but need to be extracted due to crowding or bite and alignment problems. Wisdom teeth (third molars) are frequently extracted for crowding issues or because they are impacted (fully or partially blocked beneath the gums, preventing them from erupting properly).
Types of Dental Extractions
Some extractions are more complicated and may require a surgical extraction. A surgical extraction requires making a small incision in the gums to safely remove the tooth from the socket. Wisdom teeth are often removed through a surgical extraction, but they are also used to remove a tooth that has not fully erupted, or if a tooth breaks at the gum line.
A simple extraction does not require an incision. Instead, the dentists loosen the tooth and gently removes it with a pair of forceps. In some cases, the dentist may decide that a surgical extraction is necessary during the procedure if a complication develops, most commonly if the crown breaks during a simple extraction.
Find a Family Dentist in Woodbridge, VA
The best way to avoid extractions and oral health problems is with prevention, starting with regular dental exams and cleanings. For more information, contact Mapledale Family Dentistry by calling (703) 580-9900 to schedule an appointment with one of our dentists today.
When your braces finally come off, you’ll hopefully be astounded by what you see –once-crooked teeth replaced by a more attractive smile. But you might also see something you didn’t expect: noticeable white spots on some of your teeth.
These spots called white spot lesions (WSLs) appear lighter than the surrounding tooth enamel due to mineral loss just beneath the surface. This happens because bacterial or food acids have contacted the enamel surface for too long and dissolved the underlying calcium and other minerals. This results in a small discolored and chalky-like area in the enamel.
WSLs are common during orthodontics because wires and brackets create hard to reach places for brushing and flossing, which can accumulate bacterial plaque. The bacteria produce acid, which weakens the enamel at these places. The tiny white spots that result are more than just unattractive—they can become entry points into the tooth for decay. That’s why they should be dealt with as soon as possible—and preferably before they’re created.
To that end, you’ll need to do as thorough a job as possible brushing and flossing while undergoing orthodontic treatment. To improve your thoroughness try using an interproximal toothbrush that can maneuver more closely around braces hardware than a regular brush. You can also improve your flossing with a floss threader or a water flosser, a device that sprays pressurized water to loosen and flush away plaque.
If you do develop WSLs, there are some things we can do to treat them. We can attempt to re-mineralize the affected enamel with the help of topical fluoride (either pastes or gels for home use or with an office application) or a re-mineralizing agent. We can also use techniques like microabrasion, which restores damaged areas beneath the surface, or inject a liquid, tooth-colored resin beneath the WSL’s surface to improve appearance and protect against decay.
If while wearing braces you do notice any white spots or other tooth discoloration let your dentist or orthodontist know right away. The sooner your dental providers can begin dealing with potential WSLs the better your chances for a healthy and beautiful outcome after braces.
If you would like more information on oral hygiene while wearing braces, 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 “White Spots on Teeth During Orthodontic Treatment.”
In summer, there is no shortage of occasions to show off your smile. Whether attending a wedding, graduation celebration, family reunion or neighborhood barbecue, you’ll want to look your best. But if your smile doesn’t shine as brightly as you’d like, a trip to the dental office may just be the confidence-booster you’re looking for. Here are some popular techniques to enhance your smile:
Teeth cleaning. A professional cleaning can make your mouth feel fresh and add sparkle to your smile. The dental hygienist uses special tools to get rid of plaque and tartar that you cannot remove during your oral hygiene routine at home. In addition, hygienists use a tooth-polishing tool that removes surface stains.
Professional whitening. Professional teeth whitening can achieve excellent results in one short office visit. But if you have several weeks before the big event on your calendar, you can also get winning results at home using custom-made whitening trays from the dental office. Either way, your smile can sparkle at summer celebrations.
Cosmetic bonding. If your teeth have small chips or cracks, cosmetic bonding may be a good option for you. In bonding, tooth-colored material is shaped to the tooth and hardened with a curing light. The procedure—generally done in one office visit without anesthesia—is relatively inexpensive, and the result is very natural-looking.
Porcelain veneers. If you are unhappy with the color, shape, size or spacing of your teeth, long-lasting dental veneers can give your smile a whole new look. Veneers are wafer-thin porcelain shells that are bonded to the tooth’s surface. Because they may be crafted in a dental lab, they may require two to three visits to the dental office over a few-week period.
With so many options, it’s easy to put your best smile forward at all your summer gatherings. We can help. If you have any questions about brightening your smile, please contact our office or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Whitening” and “Porcelain Veneers.”