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There are some pretty exciting rewards to look forward to as you transition from your mid-teens to your 20s. Driving! Voting! Graduation! But there is one rite of passage that you might not be looking forward to quite so much: getting your wisdom teeth. What are wisdom teeth? When are they a problem? And, most important, how can Dr. John Zarrella and Dr. Peter C. Rider help?

Children have 20 baby teeth that are replaced as they grow up with 32 adult teeth. The last to arrive are the four third molars more commonly known as wisdom teeth. But that “32” number is a little flexible. Some people never develop wisdom teeth at all. You can stop reading here if you are one of this carefree group. The rest of us have from one to four wisdom teeth. Some people have enough room in their mouths to accommodate wisdom teeth without affecting the alignment of their other teeth or their bite. But for many of us, wisdom teeth extraction is often the best and healthiest option.

When do wisdom teeth become a problem? Most generally, when there is simply no room for them to erupt properly. As a result, the wisdom teeth become “impacted.” An impacted tooth can cause you trouble in a number of different ways.

• Completely Impacted Tooth

Some wisdom teeth never erupt at all, staying within the jawbone. If there are no problems with these teeth, your dentist might recommend leaving them in place. If your other teeth become crowded or otherwise affected, if cysts develop, or if other complications arise, these teeth should be extracted. Even if you are symptom free, regular exams and X-rays at our Ashland office are important for monitoring the condition of impacted wisdom teeth to make sure they remain problem-free.

• Partially Erupted Tooth

A wisdom tooth can also begin to erupt, but never break completely through the gum tissue. The tooth and gum area can’t be cleaned properly, trapping food particles and bacteria. The gums can become easily irritated and even infected, and these teeth are much more prone to decay. When infection and rapid decay are present, extraction is often considered the best treatment option.

Dr. John Zarrella and Dr. Peter C. Rider might be the first to mention your wisdom teeth at your regular checkup, or you might be surprised to see a new tooth appearing while you are doing your nightly brushing and flossing. Impacted wisdom teeth can be symptom-free, or may present with pain, redness, swelling, or bad breath. Whenever the first signs of wisdom teeth appear, it’s time to discuss your options.

Your dentist or oral surgeon is your best resource for helping you decide on the wisest course of action for your wisdom teeth, whether it’s extraction or regular monitoring. After all, transitioning to adulthood is even more rewarding with a beautiful healthy smile.

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Dr. John Zarrella and Dr. Peter C. Rider and our team at Zarrella Dentistry want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Ashland office if you have any questions about water picks, or ask Dr. John Zarrella and Dr. Peter C. Rider during your next visit!

Nobody can predict a dental emergency. That’s what makes them so terribly inconvenient. The good news is that our office is always available to assist you, so there’s no reason you should minimize an emergency.

Among the most common emergencies we see are lost fillings, lost crowns, and broken dentures. Lost fillings and lost crowns are very similar. A key difference, however, is that fillings are used to repair cavities but crowns are used to cover broken or damaged teeth.

Over time, it’s not uncommon for fillings and crowns to grow loose and fall out. If you lose a crown or a filling, hot or cold temperatures will likely begin to trigger pain because of the exposed tissue. The discomfort might seem manageable, but it’s better to get these situations fixed as soon as possible so you can avoid getting food stuck or developing an infection.

Unlike a busted filling or crown, a broken denture is more likely to make itself known constantly, every day. It can make chewing, swallowing, and eating properly difficult. Depending on the damage, you may require a new denture altogether.

If you’re experiencing any problems with your dentures, or suspect that they might be broken, it’s best to contact our Ashland office immediately to avoid further damage. Dr. John Zarrella and Dr. Peter C. Rider and our team are always here to help, especially when your dental health is at risk.

These things happen, so don’t feel embarrassed and please don’t hesitate to give us a call as soon as you notice or suspect something’s wrong! Get in touch with us … the sooner the better.

Fluoride is a naturally found ion with a history of greatly reducing the incidence of tooth decay in children. However, over the past decade, people have increasingly consumed bottled water, most of which does not contain fluoride, and children are no longer getting the recommended dosage of fluoride. In addition, many areas do not add the optimum amount of fluoride to the town drinking water.

Everyone’s dental needs are different. The amount of fluoride a person needs is determined by age (children), tooth sensitivity, risk for cavities, and medical conditions. When a patient needs additional fluoride it can be applied in a foam or varnish.

Children receive additional topical fluoride because teeth in the early development stages have a higher mineral uptake. The future strength of the enamel depends on this. When a tooth absorbs the fluoride ion, it creates hydroxyapatite, a harder mineral compound than enamel alone.

Those who have a dry mouth from medication also need extra fluoride. A daily fluoride rinse and a semi-annual fluoride varnish treatment are standard. If you are on medicine for high blood pressure, anxiety, diabetes, depression, or cholesterol, you may fit in this category.

Cancer treatments can also greatly impact your oral health. Fluoride varnish treatments prior to, during, and after radiation and chemotherapy can be beneficial. There are other mouth conditions which coincide with cancer treatments which make it difficult to brush and floss daily, and can contribute to an increased risk for decay. An infection during cancer treatment can be especially harmful, which is why preventive measures are important.

Fluoride treatments, administered topically, are highly beneficial in preventing decay. Feel free to call Zarrella Dentistry to schedule an appointment or if you have any questions.