Bleeding gums

Bleeding gums can be a sign that you are at risk for, or already have, gum disease. However, persistent gum bleeding may be due to serious medical conditions such as leukemia and bleeding and platelet disorders.

Considerations

It is important to follow the instructions from your dentist in order to maintain healthy gums. Improper brushing and flossing technique may actually irritate or traumatize the gum tissue.

Causes

Bleeding gums are mainly due to inadequate plaque removal from the teeth at the gum line. This will lead to a condition called gingivitis, or inflamed gums.

If plaque is not removed through regular brushing and dental appointments, it will harden into what is known as tartar. Ultimately, this will lead to increased bleeding and a more advanced form of gum and jawbone disease known as periodontitis.

Other causes of bleeding gums include:

• Any bleeding disorder
• Brushing too hard
• Hormonal changes during pregnancy
• Idiopathic thrombocytopenic purpura
• Ill-fitting dentures
• Improper flossing
• Infection, which can be either tooth- or gum-related
• Leukemia
• Scurvy
• Use of blood thinners
• Vitamin K deficiency

Home Care

Visit the dentist at least once every 6 months for plaque removal. Follow your dentist's home care instructions.

You should brush your teeth gently with a soft-bristle toothbrush after every meal. The dentist may recommend rinsing with salt water or hydrogen peroxide and water. Avoid using commercial, alcohol-containing mouthwashes, which aggravate the problem.

Flossing teeth twice a day can prevent plaque from building up. Avoiding snacking between meals and reducing carbohydrates can also help. Follow a balanced, healthy diet.

Other tips:

• Avoid the use of tobacco, which aggravates bleeding gums.
• Control gum bleeding by applying pressure directly on the gums with a gauze pad soaked in ice water.
• If you have been diagnosed with a vitamin deficiency, take recommended vitamin supplements.
• Avoid aspirin unless your health care provider has recommended that you take it.
• If side effects of medication are irritating, ask your doctor to recommend another medication. Never change your medication without consulting your doctor.
• Use an oral irrigation device on the low setting to massage the gums.
• See your dentist if your dentures do not fit correctly or if they are causing sore spots in your gums.

Above article from: www.nim.nih.gov

David J. Piroli, DDS, PA
General & Cosmetic Dentistry
(561)746-3290
1620 North US Highway 1, Suite 2
Jupiter, FL 33469

Wisdom Teeth

Wisdom teeth, also referred to as third molars, get their name by being the last teeth to come in during young adulthood. As part of a dental visit, your dentist will examine you to determine if your wisdom teeth are healthy and properly positioned.

Every patient is unique, but in general, wisdom teeth may need to be removed when there is evidence of changes in the mouth such as:

• pain
• infection
• cysts
• tumors
• damage to adjacent teeth
• gum disease
• tooth decay (if it is not possible or desirable to restore the tooth)

Your dentist or specialist may also recommend removal to prevent problems or for others reasons, such as when removal is part of an orthodontic, restorative or periodontal treatment plan.

In addition, the condition of your mouth changes over time. Wisdom teeth that are not removed should continue to be monitored, because the potential for developing problems later on still exists. As with many other health conditions, as people age, they are at greater risk for health problems and that includes potential problems with their wisdom teeth. Regular dental visits are important so your dentist can evaluate not just your wisdom teeth but your overall oral health to help you prevent and manage dental disease and achieve optimal oral health.

Above article from: www.MouthHealthy.org

David J. Piroli, DDS, PA
General & Cosmetic Dentistry
(561)746-3290
1620 North US Highway 1, Suite 2
Jupiter, FL 33469

Dental Health With Crooked Teeth and Misaligned Bites

There are several reasons why some people's teeth grow in crooked, overlapping, or twisted. Some people's mouths are too small for their teeth, which crowds the teeth and causes them to shift. In other cases, a person's upper and lower jaws aren't the same size or are malformed, resulting in either an overbite, when there is excessive protrusion of the upper jaw, or an under bite, when the lower jaw protrudes forward causing the lower jaw and teeth to extend out beyond the upper teeth.

Most often crooked teeth, overbites, and under bites are inherited traits just as the color of your eyes or size of your hands. Other causes of misaligned bites are early loss of baby or adult teeth; improper fit of dental restorations (for example, fillings or crowns); gingivitis (gum disease); undue pressure on the teeth and gums; misalignment of jaw after severe facial injury; tumors of the mouth or jaw; or common oral health problems in children such as thumb sucking, tongue thrusting, pacifier use beyond the age of three, or prolonged use of a bottle.

What Problems Come With Crooked Teeth and Misaligned Bites?

Crooked teeth and misaligned bites can:

·      Interfere with proper chewing.

·      Make keeping teeth clean more of a challenge, increasing the risk of tooth decay, cavities, and gingivitis.

·      Strain the teeth, jaws, and muscles, increasing the risk of breaking a tooth.

·      Make people feel self-conscious about their appearance and affect their self-esteem.

How Do I Know if My Teeth Are Crooked or My Bite Is Misaligned?

While you can see for yourself if your teeth are crooked, your dentist can determine if your problem warrants treatment. Your dentist will look for the following signs:

·      Abnormal alignment of your teeth

·      Abnormal appearance of your face

·      Difficulty or discomfort when chewing or biting

·      Speech difficulties, including a lisp

Your dentist will usually refer you to an orthodontist --a dentist who specializes in the diagnosis and treatment of crooked teeth and misaligned jaws.

What Tests Can I Expect at the Orthodontist?

The orthodontist will likely take X-rays, photographs of your face, and teeth impressions to determine if and what type of treatment is needed. X-rays provide information on the position of your teeth and roots and if any teeth have yet to come through the gums. Special cephalometrics or panoramic X-rays show the relationship of the teeth to the jaws and the jaws to the head. Your orthodontist may also want to take regular photographs of your face to further examine the relationship between your teeth, jaws, and head. Finally, impressions may be made of your teeth. This is done by having you bite down on a soft material that is later used to create an exact copy of your teeth.

How Are Crooked Teeth and Misaligned Bites Treated?

Once a diagnosis is made, your orthodontist can decide the best treatment for your teeth or misaligned bite. For some people, a removable retainer (to stabilize the new position of teeth) will be all that's needed to correct the problem. Removal of one or more teeth may be required if overcrowding is the main problem. For most people, braces are necessary to correct the problem. In rare and extreme cases, such as an extreme overbite or under bite, an operation may be necessary.

Above article from: WebMD.com

David J. Piroli, DDS, PA
General & Cosmetic Dentistry
(561)746-3290
1620 North US Highway 1, Suite 2
Jupiter, FL 33469