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Wisdom teeth: the whys and wherefores

640px-Wisdom_teeth_1Wisdom teeth tend to form during the late teens and early twenties. A throwback to an earlier era of human development, wisdom teeth are now superfluous at best and a very painful complication at worst.

When should wisdom teeth be removed?

As always, your dentist knows best. That moment will always occur before pain from wisdom teeth growth becomes an issue – but if you’re not getting your teeth checked regularly, they can come in without warning, causing tenderness, redness, swelling and pain.

Will I have to go to hospital?

In most cases, the work can be done in-house: in rare cases, your dentist will recommend a hospital visit. Don’t panic: this only means that the hospital is better equipped to deal with the problem, and you will be in and out on the same day.

How is the wisdom tooth removed?

As always, there’ll be a local anaesthetic injection to numb the tooth and surrounding area. If the tooth hasn’t broken through, there’ll be a small cut in the gum to get to it.

In some cases, the tooth will need to be cut into smaller pieces to make it easier to remove. In others, the tooth will need to be rocked back and forth to widen the socket before taking it out.

Dissolving stitches can be used on areas of the gum that have been opened. In some cases, you’ll be asked to bite on gauze in order to help a blood clot form in the empty socket, and you may be prescribed a course of antibiotics.

Here at CK Dental in Bristol, we understand the fears surrounding wisdom teeth removal. After all, for most patients, it will be their first adult experience with tooth extraction. But we always see the procedure as an essential preventative measure that can prevent future complications with the wisdom tooth itself and adjacent teeth.

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Interdental brushes: the facts

TePe_Interdental_Brushes_originalInterdental brushes do exactly what it says on the tin: they’re designed to work between the teeth to remove food debris and plaque that ordinary toothbrushes can’t get to.

Here at CK Dental in Bristol, we tend to think of them as a more precise (and reusable) upgrade of dental floss, and one that can significantly improve gum health. We offer the following advice;

Check the wire

There are cheaper versions on the market, but we recommend brushes with plastic-coated wire, particularly if you have implants. An uncoated brush could scratch the implant and give bacteria somewhere to hide.

One size doesn’t fit all

Just like each tooth is unique, so are the gaps between them. Your first experiences with interdental brushes will take time, as you need to work out which brushes provide the perfect fit for each individual gap.

Don’t push too hard

The ideal brush size is one that provides a snug fit in each gap. If you experience resistance or discomfort when using an interdental brush, stop immediately and try approaching the gap from another angle – and if that’s not working, step down and try a smaller brush that fits.

Mind the gap

Over time, you may find that the brush you’re using in a certain gap doesn’t provide a snug fit any more. No need to panic: this is most likely a good thing. In most cases, it means that the inflammation of the gum is receding. Swap in a brush that fits and carry on.

It’s a supplement, not a replacement

In other words, you’ll still have to use an ordinary toothbrush as part of your daily oral hygiene regime. Also, using interdental brushes should be a daily routine – once or twice a week isn’t good enough.

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How to get your kids over their fear of the dentist

children-961685_960_720Although dental care is very low on the list when it comes to your child’s health issues, it won’t be too long before they’ll need to be registered for treatment – and the importance of getting them into the routine can’t be overstated.

A lot of adults with dentalphobia can point to a bad experience in their childhood which explains their fear of the dentist, which can lead to all manner of problems in later life.

CK Dental of Bristol has put together the following guide for parents:

Start them early

Dentists recommend that your children’s first visit to the dentist should commence around their first birthday. Two reasons for this: it’s essential that your children get their teeth checked out as soon as possible in order to keep on top of any potential problems, and it gets your kids used to the idea that regular dental check-ups are nothing to be scared of.

Don’t tell them about your early experiences

…even if they were positive ones, and especially if they weren’t. It’s unfair on your child to be told that things are better now than in your day – they’ll only pick up on the negative experiences.

Let them play at dentists

They’re probably already playing Doctors and Nurses, so make sure to add dental treatment into their routine. Use their toothbrush to count their teeth, and let them do likewise to you. And keep it simple: no drill sounds or extractions.

Let them see you get checked out

This always helps. Kids are endlessly fascinated in what their parents get up to, so letting them get used to the environment (whilst not having anything done to them) is a great introduction to dental care.

Schedule appointments as early as possible

As with adults who fear the dentist, the earlier in the day appointment is set, the less time your child will have to fret about the visit.

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Can vaping affect your dental health?

vapingYou can’t fail to notice that thousands of regular smokers are switching from cigarettes to vaping. According to a government review in 2015, the current best estimate is that vaping is 95% less harmful than cigarette smoking, and the use of e-cigarettes is a proven aid to help smokers quit for good.

Here at CK Dental in Bristol, we’re getting a lot of enquiries from clients who have either already made the switch from smoking to vaping, or are giving it serious thought. So what are the implications for your dental health?

Does vaping stain the teeth?

Whilst being completely aware that the study of vaping and its health implications are still in their infancy, we know that the majority of staining from cigarette smoking is caused by tar.

Vape ‘smoke’ consists of a mixture of Propylene Glycol, Vegetable Glycerin, flavouring and optional nicotine. Therefore, switching to vaping is far kinder to the colour of your teeth.

However, this doesn’t mean that vaping is completely off the hook when it comes to dental health. Although ex-smokers will experience cosmetic benefits after making the switch, there’s still a chance that they risk long-term gum damage.

Nicotine and oral health

Even though the delivery of nicotine via vaping is much safer than from traditional smoking, that nicotine acts as a vasoconstrictor – meaning it reduces the flow of blood around the gum area, denying your gums the oxygen and nutrients they need and destroying tissue.

Nicotine also prevents the mouth from producing sufficient saliva (causing bad breath) and in some cases causes teeth-grinding.

The solution for new vapers is simple: start stepping down on the nicotine intake as soon as possible, with a view to vaping 0% nicotine e-juice as soon as possible.

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