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Dentists use advanced procedures to save teeth which would have been lost a few decades ago. But sometimes, when a tooth is severely compromised, it just can’t be saved. In this case, extraction is the best and healthiest option. 

When might Dr. Viney Saini recommend an extraction? Conditions which call for extraction could include:

• Extensive Decay

When a tooth has experienced mild to moderate decay, the team at Viney P. Saini Orthodontics can remove the decayed portion, clean the area, and restore the tooth with a filling or a crown. If the decay is too extensive, there won’t be sufficient healthy tooth structure left for a restoration, and extraction will be necessary.

• Severe Gum Disease

The CDC estimates that almost 50% of those aged 30 and older suffer from some form of gum disease, with the number rising to over 70% of adults aged 65 and older. Serious gum disease, or periodontitis, is the leading cause of tooth loss in adults. 

Periodontitis can cause the gums to pull away from the teeth, creating pockets where bacteria multiply and infection develops. Left untreated, infection destroys the connective tissue and bone which hold the teeth in place. Teeth become loose and eventually fall out. When tooth loss is inevitable, extraction can be a healthier option than waiting for the tooth to fall out.

• Serious Infection

When infection reaches the pulp inside the tooth, immediate treatment is necessary. An infected tooth will never get better on its own, and the infection can spread from the tooth to the surrounding gums and bone, creating a pus-filled abscess. 

When caught early enough, a root canal procedure can save your tooth. If root canal treatment isn’t possible or infection keeps recurring, extraction can be the best option to prevent infection from spreading and destroying gum and bone tissue.

• Extensive Cracks or Fractures

Caught early, cracks in the crown of a tooth or small fractures in a tooth root might be treated with root canal therapy or endodontic surgery. When a crack in the crown of the tooth extends below the gumline, or when a vertical fracture begins in the root of the tooth and spreads upward to the crown, the tooth often cannot be saved. 

• Wisdom Teeth

When wisdom teeth have no room to erupt, they may become completely impacted, lodged in the bone and gum tissue. Or they may begin to break through the gums but aren’t able to erupt completely (partial impaction), making them difficult to clean and vulnerable to infection and decay. When wisdom teeth begin to erupt without sufficient space, they can move horizontally or diagonally, putting destructive pressure on the roots of neighboring molars. 

• Trauma

Often a dislodged tooth can be restored to its place in the mouth when the injury is treated early enough and the damage is limited. When a tooth or its surrounding bone and ligaments are so badly damaged from trauma that the tooth can’t be reimplanted or restored with endodontic or surgical treatment, extraction is the healthiest choice.

When decay, gum disease, injury, or other conditions make it impossible to save a tooth, Dr. Viney Saini will recommend extraction to protect your oral health. Dentists who are experts in extractions have the skill and experience needed to:

• gently extract the tooth
• provide you with sedation options before the procedure
• provide options for pain management after the procedure
• give you detailed instructions for aftercare 
• suggest follow-up options such as tooth implants, which can restore your smile with a replacement which looks and functions like a natural tooth

Extraction is never your first choice, or your dentist’s! Proactive tooth and gum care help save teeth for a lifetime. But when a tooth can’t be saved, an extraction is the best option for protecting your oral health. Contact Viney P. Saini Orthodontics in Clarksburg, MD and Frederick, MD for more information today.

It’s peak cold and flu season, a time to be especially conscious about your health. We have some suggestions to help you navigate this contagious time of year, with bonus tips for a healthy smile.

• Wash Up! 

Bacteria and viruses can live for hours and even days on non-porous surfaces like doorknobs, phones, and keyboards. That’s why it’s so important to wash your hands before touching your mouth, nose, and eyes, before brushing and flossing, and before you cook or eat. Washing with plain soap and water will eliminate most germs.

Bonus Tip: Keeping your fingers away from your mouth does more than prevent the transmission of bacteria and viruses. Fingernail biting can damage enamel. Prolonged thumb or finger sucking can affect tooth and jaw alignment. Delicate gum tissue can be injured or infected by broken or dirty fingernails. If you’d like to break harmful oral habits, talk to Dr. Viney Saini for suggestions.

• Stay Hydrated

Hydration supports healthy skin, helps regulate blood pressure and body temperature, and is vital for digestion and other bodily functions. Proper hydration is also important for a healthy immune system and healthy mucous membranes, which will help you fight off colds and flu. Talk to your doctor about your ideal amount of daily hydration, whether from water, other fluids, or water-rich foods.

Bonus Tip: We also need to be hydrated to produce healthy levels of saliva. Saliva washes away food particles and bacteria and helps neutralize enamel-eroding acidity in the mouth.

• Eat Healthy Foods

A healthy diet is crucial for a healthy immune system, with foods such as lean proteins, fruits, vegetables, whole grains, and low-fat dairy products.

Bonus Tip: A balanced diet is good for your oral health, too! We need vitamins A and C for healthy gums and oral tissues, minerals like calcium and phosphorus to keep tooth enamel strong, and dairy products enriched with vitamin D, which enables our bodies to absorb the calcium we get in our diet.

What happens if you become ill despite your precautions? 

• Reduce the Chance of Infecting Others

If you’re ill, you can help stop the spread of germs by limiting contact with other people, covering your mouth and nose when you cough or sneeze, washing your hands frequently, and cleaning the common surfaces in your house which harbor germs. 

Bonus Tip: Sharing isn’t caring when it comes to colds and flu. No matter how close you are to your family members or roommates, your toothbrushes shouldn’t be close at all. Let your brush air-dry in an upright position away from other brushes to avoid contamination. 

• Be Choosy about OTC Medications

If you take sugary cough or cold medications, brush or rinse afterward. Sugar-free cough drops are better for your teeth than sweet lozenges which bathe your enamel in sugar as you let them dissolve. 

Bonus Tip: Don’t bite into cough drops! You risk chipping or cracking a tooth.

• Keep Up with Healthy Habits

Be sure to keep hydrated, especially if you’ve been suffering from vomiting or diarrhea. Get the sleep you need to recover. Eat a well-balanced diet.

Bonus Tip: Stay on top of your dental hygiene and brush and floss as usual, with one caution. Vomiting brings up harsh stomach acids which weaken the mineral bonds keeping tooth enamel strong, so brushing right away can be abrasive. If you throw up, rinse your mouth with water and wait 30 minutes before brushing to allow your enamel to come back to full strength.

• Stay Home When You’re Sick

You’ll get better faster with proper care, which includes getting the rest you need to recover. And you won’t be sharing germs with the people around you.

Bonus Tip: If you have an appointment scheduled with your dentist, reschedule if necessary. Your dental team at Viney P. Saini Orthodontics will be happy to accommodate you to prevent the spread of germs and to make your dental procedure a more comfortable one.

It’s the height of cold and flu season in Clarksburg, MD and Frederick, MD, but you’re not alone! Talk to your doctor about immunizations and other preventative measures. If you do become ill, follow your physician’s recommendations. And if you have any dental concerns, your dental team is prepared with timely advice—at any time of year.

If the scariest part of Halloween in Clarksburg, MD and Frederick, MD is trying to figure out which treats are braces-friendly and which treats are braces-frightful, we have a fiendishly simple suggestion to help keep your brackets and wires safe from harm: ghost any treats which are chewy, crunchy, hard, or sticky!

It’s no mystery how certain candies and treats can cause trouble for your braces. The pulling effect of chewy candies like caramels can pull a bracket right off your tooth. Biting into a hard candy can break a wire. Crunchy treats can get stuck under wires and damage braces. Sticky foods pull on your wires and brackets.

Broken braces are no fun. Loose or detached brackets can be uncomfortable. Bent or broken wires can cause sores and cuts inside your mouth. Damaged braces mean extra trips to the orthodontist for repairs, and can even delay your treatment if the damage is significant or you can’t see your orthodontist right away. 

And chewy, crunchy, hard, and sticky treats have a haunting effect on your dental health as well. These foods stick to brackets and wires and can be difficult to brush or floss away. Cavity-causing bacteria feast on the sugars and food particles left behind, putting you at greater risk for cavities.

So, what specific treats should *vanish* from your candy collection this Halloween? Here are some of the most damaging to braces: 

• Chewy caramels, taffy, fruit chews, gum, and licorice
• Crunchy candied apples, caramel popcorn, peanut brittle, nuts, and popcorn balls 
• Hard and hard-shelled candies, lollipops (especially with gum centers), and jawbreakers
• Sticky gummies, jellybeans, and candy corn

But it’s not all frightful news! There are many spook-tacularly good treats which you can enjoy without putting your braces in jeopardy:

• Peanut butter cups
• Soft chocolate bars (with no nuts or caramel hiding inside!)
• Soft cupcakes
• Pudding cups
• Mint patties
• Ice cream
• Sugar-free gum (if it’s okay with Dr. Viney Saini and your orthodontist)

And here are a few good tricks for keeping your teeth and gums healthy, whether or not you wear braces:

• Brush and floss after treats. 
• Enjoy sweets in moderation. 
• Skip the sour candies. Acidic foods can damage tooth enamel.
• Eat treats with a meal. Eating increases saliva production, which helps neutralize acids and wash away food particles.

Don’t let a damaged bracket or wire spoil your Halloween fun. Talk to the team at Viney P. Saini Orthodontics to learn which candies are a treat for both you and your braces and you’ll stay on the fast track to a boo-tiful, healthy smile!

Fluoride is a mineral that plays an essential role in oral health. In fact, the significant reduction in American tooth decay in recent decades can be attributed to a greater availability of fluoride in public water supplies, toothpaste, and other resources. When it comes in contact with the teeth, fluoride helps protect the enamel from acid and plaque bacteria. In some cases, it can even reverse tooth decay in its earliest stages.

Despite the benefits of fluoride, tooth decay is still common, especially among teenagers. The Centers for Disease Control reports that cavities can be found in more than half of young teens and two-thirds of older teens over age 16. Many of those teens are deficient in fluoride, either due to a lack of public water fluoridation or the use of bottled water. So how can parents ensure their teens are getting the fluoride they need to facilitate strong, healthy teeth?

Monitor Fluoride Exposure

Dr. Viney Saini and our team at Viney P. Saini Orthodontics recommend you start by measuring your teen’s fluoride exposure. Make sure you purchase fluoridated toothpaste for your household, and find out if your tap water is fluoridated. If your teen primarily consumes bottled water, examine the bottle to determine whether fluoride has been added. The majority of bottled waters are not supplemented with fluoride, but those that are will be clearly labeled.

Fluoride Supplementation

Dr. Viney Saini may recommend topical fluoride treatments at routine dental exams. These treatments are painless for your teen and may help establish stronger enamel that is more resistant to plaque and tooth decay. If you have a public water supply that is non-fluoridated, we may recommend fluoride supplementation between visits. These can be administered as drops, tablets, or vitamins.

Keep in mind that fluoride is most important for children and teens under the age of 16. Be proactive about your teen’s oral health by speaking with us about your family’s fluoride needs at your next dental visit.

For more information about fluoride, or to schedule an appointment with Dr. Viney Saini, please give us a call at our convenient Clarksburg, MD and Frederick, MD office!