Posts for: July, 2017
A few days before the Oscars, Vanity Fair magazine asked Academy Awards host Neil Patrick Harris to name his most treasured possession. Was it his Tony award statuette for best leading actor in a musical? His star on the Hollywood Walk of Fame? The stethoscope he wore while playing teenaged doctor Doogie Howser on TV? No, as it turns out, the 41-year-old actor’s most treasured possession is… his wisdom teeth. Yes, you read that correctly. “Oddly, I still have my four wisdom teeth,” Harris said. “I refuse to let them go or I’ll lose my wise parts.”
How odd is it for a 41-year-old to have wisdom teeth? Actually, not that odd at all. While it is true that wisdom teeth are often removed, there’s no one-size-fits-all approach to this. It all depends on whether they are causing problems now, or are likely to cause problems in the future.
The trouble wisdom teeth cause is related to the fact that they are the last molars to come in, and that molars are large in size. By the time wisdom teeth appear between the ages of 17 and 21, there often is not enough room for them in the jaw. Sometimes it’s because you may have inherited a jaw size that’s too small for your tooth size; and generally speaking, the size of the human jaw has evolved to become smaller over time.
If room is lacking, the adjacent molar (that came in earlier) can interfere with the path of eruption — causing the wisdom tooth to come in at an odd angle. The wisdom tooth can hit up against that other tooth, possibly causing pain or damaging the adjacent tooth. This is known as “impaction.” Sometimes the wisdom tooth breaks only partway through the gum tissue, leaving a space beneath the gum line that’s almost impossible to clean, causing infection. A serious oral infection can jeopardize the survival of teeth, and even spread to other parts of the body.
If a wisdom tooth is impacted, will you know it? Not necessarily. A tooth can be impacted without causing pain. But we can see the position of your wisdom teeth on a dental x-ray and help you make an informed decision as to whether they should stay or go. If removal is the best course of action, rest assured that this procedure is completely routine and that your comfort and safety is our highest priority. If there is no great risk to keeping them, as Neil Patrick Harris has done, we can simply continue to monitor their condition at your regular dental checkups. It will be particularly important to make sure you are reaching those teeth with your brush and floss, and that you keep to your schedule of regular professional cleanings at the dental office. All healthy teeth are indeed worth treasuring.
If you would like more information about wisdom teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”
Most of us wouldn't think of buying a new car without a “test drive.” It's a serious investment, so you want to make sure you're comfortable with your new ride.
Like an auto purchase, the plan you and your dentist agree on to cosmetically enhance your teeth and gums — a “smile makeover” — is a significant investment. Wouldn't it be nice to “test drive” your future smile before you undergo any procedures?
Actually, you can — two ways, in fact. For one, your dentist could use computer imaging software that alters a photo of your face to show how your smile will appear after dental work. These computer enhancements are a great planning tool for making decisions on the look you want to achieve.
But even the best computer images only provide a static, two-dimensional representation of your new smile. It can't capture all the angles and movement dynamics of any proposed changes. That's where the other way, a trial smile, is a true test drive — you can see your future smile in action.
With a trial smile, your dentist temporarily places tooth-colored material called composite resin on your teeth to simulate the proposed changes. The resin can be shaped and sculpted to create a life-like replica that you'll be able to view in all three spatial dimensions. What's more it will give you a chance not only to see what your new smile will look like, but to actually experience how it feels in your mouth.
Creating a trial smile is an added expense and it's only available during your consultation visit — the dentist will need to remove the resin before you leave. But you'll still be able to get a good impression of what your final smile will be like. You'll also be able to take photos you can show to family and friends to get their impressions of your proposed new look.
A trial smile allows you to know beforehand what your dental work investment will provide you, and even fine-tune your makeover plan before work begins. With this particular kind of “test drive” you'll have greater assurance that you'll be happy and satisfied with the end results.
If you would like more information on trial smiles, 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 “Testing Your Smile Makeover.”