The last molar teeth in the mouth are called as wisdom teeth. While in some people they erupt completely into the mouth and function with no problem whatsoever, in others, they remain embedded in the bone, erupt incompletely, erupt at an angle, or are covered by bone or a flap of tissue. They are absent in many.
Of late, dentists recommend removal of wisdom teeth, more a preventative than remedial measure. Some of the reasons for wisdom tooth removal are listed below-
Impaction: Often, wisdom teeth do not have enough space to erupt in their normal position. This can only be evaluated properly on an x-ray. If the x-ray shows that the tooth is unlikely to erupt because of being blocked by a root or bone, this needs to be removed.
Pericoronitis: The tooth partially erupts into the mouth but is covered by a flap of gum. This attracts food and bacteria to accumulate, leading to decay and infection, a condition called as pericoronitis. Very common in the lower wisdom teeth, it leads to severe tooth pain, painful swallowing and swelling of the lymph nodes. This is the most common cause for wisdom teeth to be removed. An x-ray will reveal the tooth to be infected and sometimes periapical abscess may also be present.
Cysts: Impacted teeth can develop fluid-filled cysts which can cause severe and even permanent damage to the jaw bone, adjacent teeth and nerves. Dentigerous cysts are the most common type.
Alignment: Misaligned wisdom teeth exert a constant mild pressure on the adjacent teeth which can hamper the alignment and reverse the effects produced by braces. The bite may be altered also, thereby necessitating removal.
Adjacent Tooth Damage: If the malposed wisdom tooth is causing pocket formation or decay in the adjacent teeth, it is time to get them removed.
Recurrent Sinus Infections: With their proximity to sinuses, there could be constant pain and pressure and infection of the sinuses. This is another indication for their removal.
However, not all wisdom teeth need to be removed. If they have erupted fully, are healthy, produce a good bite, and can be cleaned easily, they do not require removal.
During the teenage years and through 20s, check with your dentist on the health of the wisdom teeth. X-rays can be taken to monitor them and for early identification of problems. If they need to be removed, it is easier to take them out when you're young. The bone surrounding the impacted tooth is less dense, and therefore easier. The ability of the body in general and the jaw bones in particular to heal is also better at a younger age. 


Wisdom Teeth - When To Get Them Removed

Did you know that your tooth brush could be home of over a million bacteria including the flu virus, E coli, staph and yeast fungus? But, can your tooth brush really make you fall ill? Luckily, our immune system ensures that toothbrushes do not make us ill. However, in rare cases, the bacteria on a toothbrush can get past our defenses.

The problem lies in how a toothbrush is stored. The bathroom is humid and moist making it the best place for bacteria to multiply. Storing a toothbrush near the toilet further adds to the problem. Here are a few tips to make your toothbrush healthier.

Wash your hands before and after brushing. Also rinse your toothbrush well before putting toothpaste on it. Using hot water is better than cold water.
Change your toothbrush every three months or whenever the bristles are worn out; whichever comes first. In addition, also change your toothbrush after recovering from any illness. If you use an electric toothbrush, change the head every 3-4 months. Children s brushes need to be changed more often than adult s toothbrushes.
Do not share a toothbrush and avoid storing toothbrushes together. If the bristles touch each other, germs could move from one toothbrush to the other.
Toothbrush caps may not be as good an idea as they seem as it traps moisture inside and does not allow the brush to dry properly. Instead, keep your brush submerged in hydrogen peroxide or any alcohol based mouthwash.
Do not store your toothbrush horizontally. Your toothbrush should always be stored vertically with the brush side on top.
When travelling, if you use a toothbrush cap, allow the brush to dry completely before putting the cap on.
Store your toothbrush away from the toilet and away from the sink such that it cannot get contaminated form water that splashes when you wash your hands or face.
If possible, store your toothbrush in your medicine cabinet.
Always put the cover down before flushing the toilet. This will reduce the number of air borne bacteria that can attach themselves to your toothbrush,
Along with your toothbrush also clean out your toothbrush holder regularly.
Do not try sterilizing your toothbrush in a microwave. Toothbrushes are not designed to withstand extreme temperatures and hence this could damage your toothbrush.
Use a mouthwash after brushing to rinse out any bacteria that may be left behind form your teeth or your toothbrush.

Can Your Toothbrush Make You Ill?

Bad breath isn't just an indication of what you eat. Apart from being a turn off for people who come in contact with you, it could also hint at health problems.

Here are 5 reasons that cause bad breath and ways to overcome the same.

1) Unhealthy Teeth And Gums - Most of the bad breath and halitosis problems result due to unhealthy teeth and gums. Basically, people who don't take care of their dental hygiene are prone to the problem. 
Solution - Clean your teeth and rinse your mouth properly to get rid of the annoying rotten egg stench.

2) Lack Of Hydration - If you are not drinking enough water, you can have bad breath. Saliva washes away smell causing bacteria. But not having enough water will lead to lesser saliva, which will lead to dead and rotting cells that will stink. 
Solution - Drink atleast 8-10 glasses of water daily, at regular intervals.

3) Allergies - Nose and asthma related allergies are one of the leading causes of bad breath. 
Solution - Make sure that you get rid of the allergies via proper care. Also, hydrate more when you have any allergy, like sinus problems or tonsil infection, it helps in clearing allergies out.

4) Eating the wrong stuff - Garlic, uncooked onion and too many spices can also lead to bad breath. 
Solution - Use moderate spices and always rinse your mouth after each meal. Also, avoid foods that are high in sugar as they promote more bacteria. 

5) Acid Reflux - If getting gaseous feeling in the pit of your stomach is a common problem for you, then you might have bad breath too. Heartburn, indigestion and acid reflux are common causes of bad breath. 
Solution - Avoid foods that can cause a reflux and try light eating. It will take care of other health problems too.

If you have any questions on improving oral and dental hygiene, please click on 'Consult Privately.

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Bad Breath - 5 Reasons You Might Suffer From It And What Can You Do About It

Unlike other teeth which erupt at specific period of time, the wisdom teeth, in normal adults, erupt anytime from late teenage years to adulthood. The refined food habits in the recent times have reduced the need for a third molar. Also, our jaw sizes have reduced with evolution, and oftentimes, there is less space for these to erupt completely, causing their impaction. The chances of infection developing within the tooth and in the surrounding tissues is very high, requiring removal. Before you go ahead with removal, know the following four things.

Get a buddy: In addition to the effects of anesthesia, there also would be moderate pain and discomfort, depending on how traumatic the extraction was. It is always best to have someone accompany you for the visit. This also helps you reach home safely without having to drive.
Numb tongue and lips: The wisdom tooth removal is done under a local anesthesia where the entire quadrant is numbed before the procedure. Therefore, the chances of chewing on the tongue and the lip are quite high. Be careful to consciously avoid this as there are a lot of people who do not feel pain, but continue to chew on the tongue or lip and end up with injuries.
Pain Management: Once the effect of anesthesia wears off, the pain will slowly set in, and will depend on how traumatic the extraction was. It is always advisable to take a pain killer before the anesthetic effect wears off, usually 30 to 40 minutes after the extraction process is over.
Diet: For the first couple of days, stay on a completely soft diet with nothing spicy, hard, or hot to eat. One of the best things to have after an extraction is an ice cream, which can be continued for a couple of days after the extraction. Yogurt, smoothies, milkshakes, mashed vegetables and well-cooked rice are all good food choices.
Smoking: If you have had an extraction, avoid smoking for at least a week. The negative pressure created during smoking can dislodge the clot that is formed in the tooth socket. This can lead to a complication called dry socket, which can be very painful. Avoid smoking at all costs, especially with wisdom tooth extractions.
Postoperative follow-up: Based on the complexity of the extraction, a postoperative follow-up would be required. Be prompt in following up with your dentist for suture removal, check on socket healing and postoperative irrigation of the surgical site. Resume routine oral hygiene practices as recommended by the doctor.
Wisdom tooth removal requires a little extra caution as compared to a normal extraction, the ideal thing to do is to follow your dentist s advice.

Extraction of Wisdom Tooth - Things To Remember!

Root canal treatment is a procedure to save or repair a decayed tooth. Without proper treatment, the decayed tooth might get infected and adversely affect the health of the gums as well as rest of the teeth. Abscessed tooth (pus formation in a tooth owing to an infection) may also pose as another major complication if this condition is not treated at the right time. In this procedure, the pulp and the nerve of the decayed tooth are removed; this absence of a nerve in your tooth should not affect your daily routine and also not inflict any pain.

When is root canal treatment needed?
Root canal treatment is only required when dental X-rays show that the pulp has been damaged by a bacterial infection. The pulp will begin to die if it's infected by bacteria, allowing the bacteria to then multiply and spread.

The symptoms of a pulp infection include:

pain when eating or drinking hot or cold food and drink
pain when biting or chewing
a loose tooth
As the infection progresses, these symptoms often disappear as the pulp dies. Your tooth then appears to have healed, but the infection has in fact spread through the root canal system.

Further symptoms eventually occur, such as:

pain when biting or chewing returning
swelling of the gum near the affected tooth
pus oozing from the affected tooth
facial swelling
the tooth becoming a darker colour
It's important to see your dentist if you develop toothache. If your tooth is infected, the pulp can't heal by itself.

Leaving the infected tooth in your mouth may make it worse. There may also be less chance of the root canal treatment working if the infection within your tooth becomes established.

Antibiotics   medication to treat bacterial infections   aren't effective in treating root canal infections.

What happens during a root canal procedure?
A root canal can be performed by an endodontist (root canalling specialist) or a dentist. To treat the infection in the root canal, the bacteria need to be removed. This can be done by either:

removing the bacteria from the root canal system (root canal treatment)
removing the tooth (extraction)
At the very onset, an X-ray will be performed to see the size of the infection and the condition of the surrounding gums. The dentist will then apply anesthesia on that spot. It is important to keep the spot as dry as possible. Next, the dentist will put a rubber sheet around your teeth, after which a hole will be drilled to remove the decayed tissues. After the process, you wash your teeth, either with sodium hypochlorite or normal water.

Before having root canal treatment, you'll usually be given a local anaesthetic. This means the procedure shouldn't be painful and should be no more unpleasant than having a filling.

Root canal treatment is usually successful. In about 9 out of 10 cases, a tooth can survive for up to 10 years after root canal treatment.

Root Canal Procedure For Infected Tooth Nerve!

Small painful mouth sores can be anywhere in the mouth lips, soft palate, hard palate, cheeks, gum base, tongue and even on the roof of the mouth. When situated  inside the mouth, they can cause pain during eating or swallowing, especially with hot or spicy foods. A bigger cause for concern is that these mouth sores or mouth ulcers or canker sores could be an indication of an underlying health condition. A lot of chronic diseases, including HIV, herpes, and syphilis, manifest themselves as mouth sores. The following are some of the health conditions to watch out for when you have mouth sores. Each disease has characteristic appearance and so very often are easy to identify.


1. Herpes simplex (HSV1): The herpes simplex virus causes sores on the lips only which are usually painful with red blisters that last about 10 to 14 days. These are caused by herpes simplex virus type 1 and the sores appear about 20 days after contracting the virus. Also, once they enter the system, they can cause recurrent attacks especially when the immunity is low.


2. Canker sore: The most common type of mouth ulcer, they are also known as aphthous ulcers and are usually seen on the soft tissues of the mouth (not the hard palate or the gum base). These are generally innocuous and heal within 5 to 7 days. Do reach out for medical help if there are more than 5 to 6 bouts of canker sores in a year.


3. Oral thrush: Also known as candidiasis, this is where there are whitish lesions on the tongue and the insides of the mouth. Candida is a fungus that is normally present in the mouth, but when the immune system is weakened, it can lead to an infection, orally manifested as white lesions. These are typical and appear in toddlers and in patients with anemia, diabetes, HIV/AIDS, or cancer patients on chemotherapy.


4. HIV/AIDS: Another disease which first can be diagnosed in the mouth is HIV/AIDS. In the first stages of infection, known as acute retroviral syndrome, where the first symptoms of the disease begin to manifest, oral ulcers are one of the first symptoms. With the other associated symptoms, more workup for diagnosis should be done followed by appropriate treatment.


5. Oral cancers: The lining of the inside of the mouth can develop cancer and usually it appears in the form of chronic non healing ulcer that just does not go away. Seen anywhere in the mouth, nonhealing ulcers are a cause for concern and should be investigated and treated.


As seen above, mouth sores may be harmless often, but in some cases, may have something more to tell about the health in some cases. 

Mouth Sores - Could They Be More Than Just a Sore!

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