Impacted Wisdom Tooth

For 90% of us, wisdom teeth need to come out. Why is this? The simple reason is this that our jaws were only designed to accommodate 28 teeth and most of us are born with 32. This leads to what we call “Impacted Wisdom teeth”, meaning that when our 3rd molar comes in, it is not able to erupt into the proper space, causing discomfort, gum infection, and pressure and movement against your other teeth. It is best to take them out before they become painful or infected.

For the vast majority of impactions, we are able to remove them with minimally invasive surgical techniques that do not require you to be sedated. If needed, we can prescribe you a light sedative pill to make your experience pleasant and painless.

Afterwards, you can expect some mild to moderate soreness and swelling that we control with an anti-inflammatory such as ibuprofen, and ice for up to 48-hrs. It is proven that the post-operative pain is significantly less when you are not in a state of acute infection so prevention is key. Removing wisdom teeth around age 18-21 is the best way to prevent this common emergency.

Broken Tooth

Teeth can fracture for a variety of reasons:

⋅ Bite issues
⋅ Fillings that are broken down
⋅ Trauma or accidents
⋅ Decay that weakens the inside of the tooth and causes structural damage

The solution to a broken tooth is usually a crown or cap, which is a restoration that covers the entire tooth and splints it together, or a dental bonding, which is a white filling made from composite that is used to repair more minor fractures rather quickly.

Toothache

When the innermost part of the tooth, the nerve, becomes irritated either by a very large cavity or by trauma from abnormal wear or grinding, this necessitates that we perform a root canal in an effort to save the tooth. The majority of people have been lead to think that his is a painful procedure but it is actually completely painless with the advent of powerful dental anesthetics. We carefully remove any decayed or infected tooth structure, and then we use a series of instruments to remove, clean, disinfect the canals where the nerve resides. We then fill the canals with a special sealer so that it does not become re-infected and lastly we crown the tooth so that it remains strong and you are able to properly chew and function.

Although we are always here to help with a toothache, most of the time this can be avoided by restoring teeth with dental fillings BEFORE they become more costly and more painful. It is also much more advantageous to keep as much healthy tooth structure rather than needing more extensive dentistry which is why we always review your diet and homecare to make sure new cavities are being prevented.

Abfractions or recession defects can be restored quite easily by applying a desensitizing agent or by bonding a composite material to the root structure. This works immediately to help with sensitivity but we can use this as a warning sign to figure out a longer term fix.

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TO SCHEDULE AN APPOINTMENT

954.751.3246

Sensitivity & Abnormal Wear

As we get older and our teeth begin to shift, wear patterns from enamel loss begin to form. Missing teeth , migration, rotated teeth and crowded front teeth lead to gum recession and “abfracted” or “notched-out” root structured which can be extremely sensitive and lead to further decay and loss of tooth structure. Keeping your teeth straight with Invisalign or other aligner therapy is the best remedy for preventing future dentistry. Not only will your teeth look better cosmetically, but a correct bite will lead to more even forces on each tooth.

Abfractions or recession defects can be restored quite easily by applying a desensitizing agent or by bonding a composite material to the root structure. This works immediately to help with sensitivity but we can use this as a warning sign to figure out a longer term fix.

Before and After Photos

Below are before and after transformations from some of our patients. Call us today and see how we can help you.
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