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Posts for: November, 2017

By Chattanooga Periodontics & Dental Implants
November 26, 2017
Category: Dental Procedures
JulianneHoughSharesaVideo-andaSong-AfterWisdomTeethComeOut

Once upon a time, celebrities tried hard to maintain the appearance of red-carpet glamour at all times. That meant keeping the more mundane aspects of their lives out of the spotlight: things like shopping, walking the dog and having oral surgery, for example.

That was then. Today, you can find plenty of celebs posting pictures from the dentist on social media. Take Julianne Hough, for example: In 2011 and 2013, she tweeted from the dental office. Then, not long ago, she shared a video taken after her wisdom teeth were removed in December 2016. In it, the 28-year-old actress and dancer cracked jokes and sang a loopy rendition of a Christmas carol, her mouth filled with gauze. Clearly, she was feeling relaxed and comfortable!

Lots of us enjoy seeing the human side of celebrities. But as dentists, we’re also glad when posts such as these help demystify a procedure that could be scary for some people.

Like having a root canal, the thought of extracting wisdom teeth (also called third molars) makes some folks shudder. Yet this routine procedure is performed more often than any other type of oral surgery. Why? Because wisdom teeth, which usually begin to erupt (emerge from beneath the gums) around age 17-25, have the potential to cause serious problems in the mouth. When these molars lack enough space to fully erupt in their normal positions, they are said to be “impacted.”

One potential problem with impacted wisdom teeth is crowding. Many people don’t have enough space in the jaw to accommodate another set of molars; when their wisdom teeth come in, other teeth can be damaged. Impacted wisdom teeth may also have an increased potential to cause periodontal disease, bacterial infection, and other issues.

Not all wisdom teeth need to be removed; after a complete examination, including x-rays and/or other diagnostic imaging, a recommendation will be made based on each individual’s situation. It may involve continued monitoring of the situation, orthodontics or extraction.

Wisdom tooth extraction is usually done right in the office, often with a type of anesthesia called “conscious sedation.”  Here, the patient is able to breathe normally and respond to stimuli (such as verbal directions), but remains free from pain. For people who are especially apprehensive about dental procedures, anti-anxiety mediation may also be given. After the procedure, prescription or over-the-counter pain medication may be used for a few days. If you feel like singing a few bars, as Julianne did, it’s up to you.

If you would like more information about wisdom tooth extraction, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”


By CHATTANOOGA PERIODONTICS & DENTAL IMPLANTS
November 15, 2017
Category: Oral Health

Do you need a deep cleaning? Scaling and root planing, otherwise known as deep cleaning, is considered the first line of treatment for gum diseasepatients with periodontal (gum) disease. Dr. Charles Felts and Dr. Elizabeth Felts Randall of Chattanooga Periodontics & Dental Implants, which is located in Chattanooga, TN, offer deep cleanings to their patients.

What is periodontal disease?

Periodontal disease is an infection of the structures around the teeth and is caused by plaque. The symptoms of gum disease include pain in your mouth, and swollen, red, or bleeding gums. Healthy gums should look pink and firm, not red and swollen. When gum disease is left untreated, it can worsen over time and impact the integrity of your gums and teeth in a serious way.

What is scaling and root planing?

Scaling and root planing helps improve the health of your gums, preventing bone and tooth loss. Scaling and root planing involves removing the plaque and calculus, also called tartar, on the root surfaces of periodontal pockets in order to get rid of the bacteria that cause periodontal disease. 

When do you need a deep cleaning?

A deep cleaning is done if your dentist determines that you have calculus and plaque under your gums or your gums have started to pull away from your teeth. The American Academy of Periodontology recommends dental practitioners offer scaling and root planing when X-rays show bone loss and an exam reveals one or more periodontal pockets greater than 4 millimeters deep. 

How effective are deep cleanings?

A deep cleaning is one of the most effective ways to treat periodontal disease before it becomes severe. If you maintain great dental hygiene after the procedure, the progression of periodontal disease should stop and your gums will eventually heal and become pink and firm again.

Left untreated, periodontal disease can wreak havoc on not only your oral health but also your overall health. Call Chattanooga Periodontics & Dental Implants at 423-756-2450 now to schedule an appointment for a deep cleaning in Chattanooga, TN. We will help you get rid of gum disease once and for all.


By Chattanooga Periodontics & Dental Implants
November 11, 2017
Category: Dental Procedures
Tags: dental implants  
ImmediateImplantsHelpyouAvoidDisruptionsinYourAppearance

Dental implants are widely recognized as the best tooth replacement option available. For most people, though, it’s a long process: after a tooth is extracted the socket is allowed to heal and fill in with new bone before implant surgery: that can take anywhere from two to five months. Afterward, there’s usually a two– to three–month period after the implant is placed before the permanent crown (the visible tooth) can be attached.

Without adequate bone present the implant’s long-term stability might be compromised. Furthermore, the implant’s durability is dependent upon bone growth around and attaching to its titanium post after surgery in a process known as osseo-integration. These two considerations indeed serve a critical function in the implant’s ultimate success.

In recent years, however, a variation to this traditional implant process has emerged that allows for immediate implantation right after extraction. Besides combining extraction and implantation into one surgical procedure, immediate implants minimize the disruption to a person’s appearance (especially with visibly prominent front teeth) when combined with a provisional crown.

Immediate implants joined together that replace a full arch of teeth can receive biting forces and succeed. Individual implants that replace single teeth, however, won’t work in all situations and must be undertaken with care to ensure long-term success. Because there may be less available bone, the implant must fit snugly within the socket to maintain as secure a hold as possible. The surgeon must also take care not to damage too much of the gum and bone tissue when extracting the tooth, which could affect both the integrity of the implant and its appearance in the gum line.

Temporary crowns may be attached during the implant surgery, but they’re installed for appearance’ sake only. For individual crowns, they must be designed not to make contact with the teeth on the opposing jaw to avoid generating biting forces that will cause the implant to fail and stop the bone-healing process that occurs with osseo–integration.

If you’re considering dental implants, it’s important to discuss with us which type of procedure, traditional or immediate, would be best for you, and only after a comprehensive examination of your mouth and jaw structure. Regardless of the approach, our goal is to provide you with a smile-transforming restoration that will last for many years to come.

If you would like more information on the dental implant process, 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 “Immediate Implants.”