Posts for: December, 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.”
Dental implants are considered today’s premier method for restoring missing teeth. Obtaining an implant, though, is often a long process and the implants themselves must be surgically placed within the jaw bone. Nothing to worry about, though: implant surgery is a minor to moderate procedure akin to a surgical tooth extraction.
Still like any surgery, this procedure does involve cutting into the soft tissues of the gums and could allow oral bacteria to enter the bloodstream. While most bacteria in the mouth are harmless (and even beneficial) a few strains can cause disease. For some people, especially those with certain heart conditions or joint replacements, this could potentially cause serious issues in other parts of their body that might be highly susceptible to infection.
To guard against this, it’s been a long-standing practice in dentistry to prescribe antibiotics to certain high risk patients before a procedure. Although this departs from the normal use of antibiotics for already occurring infections, due to the circumstances this has been deemed an acceptable measure to prevent disease.
In the past, the categories of patients for which preventive antibiotics were appropriate had been more extensive. In recent years, though, both the American Dental Association and the American Heart Association have adjusted their recommendations. Today, your dental provider may recommend antibiotic pre-treatment if you have a prosthetic (artificial) heart valve, a history of infective endocarditis (inflammation of the inner linings of the heart), a heart transplant or certain congenital heart conditions.
While physicians may still recommend premedication with antibiotics for patients with joint replacements, it’s not as blanket a standard as it might once have been. It’s now only recommended for certain cases, such as patients who’ve received a prosthetic joint within the last two years.
There’s still an ongoing debate about the effectiveness of antibiotic pre-medication. However, there’s evidence medicating before procedures with antibiotics can be beneficial in avoiding infection. If you fall into one of the categories just mentioned or are concerned about infection, feel free to discuss with your dentist if using antibiotics before your implant surgery is wise move for you.
If you would like more information on antibiotic treatment before oral surgery, 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 “Implants & Antibiotics: Lowering Risk of Implant Failure.”
A lot of people don’t like dental work because they believe it will be painful or uncomfortable. There’s an anatomical reason to back up that concern — the mouth with its dense network of nerves in the teeth and gums is one of the most sensitive parts of the human body.
But modern dentistry has helped solve much of the problem of pain with advances in local anesthesia. Using substances that temporarily block electrical impulses within the nerves of a selected area of oral tissues, there’s a good chance you’ll feel little to no discomfort even during moderately invasive procedures.
Unfortunately, you might have heard some complaints from others about local anesthesia that might make you wary of it. Many of these complaints, however, aren’t fully based on all the facts. So, let’s set the record straight about local anesthesia and what you can expect.
No need to be afraid of needles. Nobody enjoys the painful prick from an injection needle, and some people are highly fearful of them. But although it’s necessary to use a needle to deliver anesthesia to deeper levels of tissue, it’s possible you won’t feel it. That’s because we’ll typically apply a topical numbing agent to the skin surface that deadens the top layers where we insert the needle.
That numb feeling afterward won’t last long. One of the chief complaints in the past about local anesthesia was the irritating numbness that could long linger after a procedure. Today, however, with more advanced anesthetics and formulae, we’re better able to gauge the duration of the medication’s effect. This has greatly reduced the length of time afterward your mouth might have that awkward numbing sensation.
Anesthesia isn’t necessary for every procedure. Unless you have hypersensitive teeth, a lot of dental procedures don’t require anesthesia. Your enamel, for example, has no nerves and actually serves as a kind of “muffler” for sensations to lessen their effect. Cleaning your teeth or removing portions of the enamel can normally be performed without the need for numbing medication.
For procedures, though, where pain could be a factor, local anesthesia can make all the difference in the world. In these cases, anesthesia is your friend — it can help you receive the dental care you need without the discomfort.
If you would like more information on pain-free dentistry, 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 “Local Anesthesia for Pain-Free Dentistry.”