Posts for: April, 2017
We've all done it — suddenly bit the inside of our mouth while chewing food. All too often our cheek, lip or tongue finds itself in the way of our teeth.
The small wound caused by these types of bites usually heals quickly. But it's also common for the natural swelling of these wounds to cause the skin to become prominent and thus more in the way when we eat. As a result we bite it again — and again. If bit a number of times, the old wound can form a bump made of tougher tissue.
Also known as a traumatic fibroma, this growth is made up of a protein called collagen that forms into strands of fibers, similar to scar tissue or a callous. As you continue to bite it, the fibers form a knot of tissue that becomes larger with each subsequent bite and re-healing.
Unlike malignant lesions that form relatively quickly, these types of lumps and bumps usually take time to form.Â They're not injurious to health, but they can be irritating and painful when you re-bite them. We can alleviate this aggravation, though, by simply removing them.
The procedure, requiring the skills of an oral surgeon, periodontist or a general dentist with surgical training, begins with numbing the area with a local anesthetic. The fibroma is then removed and the area closed with two or three small stitches. With the fibroma gone, the tissue surface once again becomes flat and smooth; it should only take a few days to a week to completely heal with mild pain medication like ibuprofen to control any discomfort.
Once removed, we would have the excised tissue biopsied for any malignant cells. This is nothing to cause concern: while the fibroma is more than likely harmless, it's standard procedure to biopsy any excised tissue.
The big benefit is that the aggravating lump or bump that's been causing all the trouble is no more. You'll be able to carry on normal mouth function without worrying about biting it again.
If you would like more information on minor mouth sores and wounds, 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 “Common Lumps and Bumps in the Mouth.”
Some people are lucky — they never seem to have a mishap, dental or otherwise. But for the rest of us, accidents just happen sometimes. Take actor Jamie Foxx, for example. A few years ago, he actually had a dentist intentionally chip one of his teeth so he could portray a homeless man more realistically. But recently, he got a chipped tooth in the more conventional way… well, conventional in Hollywood, anyway. It happened while he was shooting the movie Sleepless with co-star Michelle Monaghan.
“Yeah, we were doing a scene and somehow the action cue got thrown off or I wasn't looking,” he told an interviewer. “But boom! She comes down the pike. And I could tell because all this right here [my teeth] are fake. So as soon as that hit, I could taste the little chalkiness, but we kept rolling.” Ouch! So what's the best way to repair a chipped tooth? The answer it: it all depends…
For natural teeth that have only a small chip or minor crack, cosmetic bonding is a quick and relatively easy solution. In this procedure, a tooth-colored composite resin, made of a plastic matrix with inorganic glass fillers, is applied directly to the tooth's surface and then hardened or “cured” by a special light. Bonding offers a good color match, but isn't recommended if a large portion of the tooth structure is missing. It's also less permanent than other types of restoration, but may last up to 10 years.
When more of the tooth is missing, a crown or dental veneer may be a better answer. Veneers are super strong, wafer-thin coverings that are placed over the entire front surface of the tooth. They are made in a lab from a model of your teeth, and applied in a separate procedure that may involve removal of some natural tooth material. They can cover moderate chips or cracks, and even correct problems with tooth color or spacing.
A crown is the next step up: It's a replacement for the entire visible portion of the tooth, and may be needed when there's extensive damage. Like veneers, crowns (or caps) are made from models of your bite, and require more than one office visit to place; sometimes a root canal may also be needed to save the natural tooth. However, crowns are strong, natural looking, and can last many years.
But what about teeth like Jamie's, which have already been restored? That's a little more complicated than repairing a natural tooth. If the chip is small, it may be possible to smooth it off with standard dental tools. Sometimes, bonding material can be applied, but it may not bond as well with a restoration as it will with a natural tooth; plus, the repaired restoration may not last as long as it should. That's why, in many cases, we will advise that the entire restoration be replaced — it's often the most predictable and long-lasting solution.
Oh, and one more piece of advice: Get a custom-made mouthguard — and use it! This relatively inexpensive device, made in our office from a model of your own teeth, can save you from a serious mishap… whether you're doing Hollywood action scenes, playing sports or just riding a bike. It's the best way to protect your smile from whatever's coming at it!
If you have questions about repairing chipped teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”
What's so special about dental implants — and why should you consider one to replace a missing tooth?
Although they've only been widely available for thirty years, dental implants have climbed to the top of tooth replacement choices as the premier restorative option. Since their debut in the 1980s, dentists have placed over 3 million implants.
There's one overriding reason for this popularity: in structure and form, dental implants are the closest replacement we have to a natural tooth. In fact, more than anything else an implant is a root replacement, the part of the tooth you don't see.
The artificial root is a titanium post surgically imbedded into the jaw bone. Later we can attach a porcelain crown to it that looks just like a visible tooth. This breakthrough design enables implants to handle the normal biting forces generated in the mouth for many years.
There's also an advantage in using titanium dental implants. Because bone cells have a special affinity to the metal, they will grow and attach to the implant over time. Not only does this strengthen the implant's hold within the jaw, the added growth also helps deter bone loss, a common problem with missing teeth.
It's this blend of strength and durability that gives implants the highest success rate for any tooth replacement option. Over 95% of implants placed attain the 10-year mark, and most will last for decades.
Dental implant treatment, however, may not be possible in every situation, particularly where significant bone loss has occurred. They're also relatively expensive, although more cost-effective than other options over the long term.
Even so, implants can play an effective and varied role in a dental restoration. While single implants with attached crowns are the most common type of replacement, they can also play a supporting role with other restorative options. As few as two strategically placed implants can provide a more secure connection for removable dentures or fixed bridges.
You'll need to first undergo a thorough dental examination to see if implants could work for you. From there, we'll be happy to discuss your options for using this "best of the best" restoration to achieve a new, beautiful smile.
If you would like more information on dental implants, 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 “Dental Implants 101.”