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Dental Care: Frequently Asked Questions

Q. How does one care for primary teeth?

A. As soon as the first tooth erupts, primary teeth may be cleaned with a clean, wet wash cloth or wet gauze. The gums should also be gently wiped. If a toothbrush is used, it should be an appropriate size.

Q. Where does decay on the primary teeth occur most often?

A. With inappropriate or prolonged use of the baby bottle, decay may occur on the upper front teeth (incisors). The second most-often occurring site are the upper primary molars, which are found furthest back in the mouth. If there is no spacing between the primary teeth, there is a much greater chance of decay between the primary molars. These teeth should be flossed as soon as they come in.

Q. Why are dental sealants beneficial for children?

A. Dental sealants are protective coatings for the chewing surface of permanent molars. They protect the teeth from decay. Read on for more information.

Q. What is a dental implant?

A. A dental implant is a permanent artificial tooth replacement after a tooth loss.

Q. What is the procedure for receiving dental implants?

A. Dental implats are inserted surgically in two steps. The first step is to insert a "post" into or onto the jawbone. This post will then become the "anchor" for the artificial tooth that will be placed over the "post."

Q. How long is the procedure for dental implants?

A. Getting a dental implant is a two step process. Once te "post" is inserted into the jawbone, the patient will have between three and six months with a temporary restoration. During this period, the bone and gum area around the post will heal to create a strong and healthy bond. Once this bond is complete, an additional set of smaller posts is attached to the original post and then the artificial tooth is secured to the posts. The entire procedure could take anywhere from three to ten months.

Q. Can I eat regularly while the implants are bonding?

A. While th "post" is bonding with your jaw and gums, your dentist will place a temporary artificial tooth on the post. During the bonding period, you will need to eat soft foods.

Q. Do implants require special care?

A. Yes and No. Dental implants need to be brushed, flossed and checked regularly ba dentist, just as you would do with your regular teeth. But dental implants don't need special brushes or pastes.

Q. Can you eat and chew normally with dental implants?

A. Yes. Consider that natural teeth can absorb up to approximately 540 lbs. per square inch of biting pressure and properly placed dental implants can withstand up to approximately 450 lbs. per square inch of the same pressure.

Q. How long should a dental implant last?

A. With proper placement, excellent home care, regular dental visits, and good overall health, dental implants should be permanent.

Q. What are wisdom teeth?

A. Wisdom teeth are the third molars.

Q. Why is it necessary to remove wisdom teeth?

A. It is necessary to remove wisdom teeth to avoid problems, such as an impacted tooth destroying the second molar.

Q. Why do wisdom teeth cause problems?

A. Wisdom teeth generate problems because the shape of the modern human mouth is too small to accommodate these teeth, and they become impacted or unable to come in or move into their proper place.

Q. What problems occur from impacted third molars?

A. Partially erupted wisdom teeth are breeding grounds for bacteria and germs that may cause infection. Cysts and tumors may grow on trapped wisdom teeth.

Q. How is a wisdom tooth removed?

A. Wisdom teeth are remove by surgery. The gum tissue over the tooth is removed, the connective tissue is stripped gently away from the tooth and bone, the tooth is removed, and the gum sutured.

Q. When are lasers used in dentistry?

A. Lasers are used in oral surgery, gum surgery, tooth whitening, cancer sore treatment, and the treatment of gums that have been diseased.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Why Dentists Say No To Smokeless Tobacco

"Dip" ... "Chew" ... "Pinch" ... "Snuff" ... "Dirt" ... "Plug" ... all are different names for smokeless tobacco, a finely ground version of processed tobacco. No matter the name, smokeless tobacco is harmful and puts your health at risk. Chew on these facts (Don't believe it? Talk to dentists):

• About 30,000 new cases of oral cancer will be diagnosed in 1999.*
• More than 8,000 oral cancer patients will die this year.
• Tobacco products cause about 75% of oral cancers affecting the mouth, tongue, lips, throat, and parts of the nose and larynx.
• Nearly 30 cancer-causing substances have been found in smokeless tobacco.
• One can of smokeless tobacco a day delivers as much nicotine as 60 cigarettes!
• You have a 50% greater risk of developing oral cancer with long-term use of smokeless tobacco.
• Cancer Facts and Figures, American Cancer Society, 1999

Smokeless tobacco has been glorified over time by images of "macho" men performing feats of fame and prowess, whether as athletes, rodeo cowboys, or country music stars. In reality, many want to kick the habit, but nicotine is addictive. It's hard for them to quit.

In a survey of major league baseball players, more than a third reported they had mouth sores, white patches, or gum problems. Nearly 60% said they wanted to quit. The nicotine actually decreases performance, causing dizziness and slowed reaction time.

Smokeless tobacco causes problems for your oral health:

• White, leathery patches in your mouth or lips
• Painful sores that may be pre-cancerous or cancerous
• Yellow teeth and permanent tobacco-stained teeth
• Exposed tooth roots from receding gums, likely to become decayed, sensitive, and painful
• Cavities from the sugar added to the tobacco
• Bad breath
• Greater risk for developing oral cancer

Additionally, smokeless tobacco can affect your general health causing:

• Increased blood pressure and heart rate
• A greater risk of heart attack
• Withdrawal symptoms ranging from headaches, moodiness, and problems concentrating when you try to quit
• Cancer that can be fatal

If you use smokeless tobacco, chew all these facts over. Choose to quit. Your health is serious business. Talk to dentists about getting help to quit. Make the right choice -- it's for your body, your health, and maybe even your life.

By Thomas Warner, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.