Sunday, August 16, 2009

MV answers: SPACES CREATED BY EXTRACTED TEETH DON'T LAST LONG

Now you might say, "my uncle had a tooth extracted and that space is still there" and you know what, you are probably right. But teeth do drift.

It's a phenomenon that dentists and orthodontists have come to depend on and something that usually comes as a surprise to patients. I'm going to explain what's called mesial drift and vertical drift.

Now you probably already understand the drift part, so let's talk about mesial and vertical. Mesial means the middle or towards the middle. Vertical means up and down.

When teeth are pulled, the mouth immediately knows something is missing and it wants to fill the gap. In mesial drift, the teeth behind the space push or drift towards the middle of the mouth. In vertical drift, the tooth that normally chews with the newly extracted tooth (opposing tooth) will look for its partner so to speak, and push or drift into the space. When a tooth comes through the gums it's called erupted. When it moves farther than it's limit it's called supererupted. Vertical drift is not the same as eruption.

Mesial drift looks like this: (notice how the tooth is slanted towards the new space)

Vertical drift looks like this: (notice how the tooth below the space is higher than the tooth next to it)



So this raises a few questions:

When it comes to mesial drift, when does it stop? When it hits another tooth, when it's stopped by braces or sometimes, it doesn't occur to the point that its noticeable.

Why does vertical drift or supererution occur? I like to think that the teeth were made to chew and as long as one tooth doesn't feel it's partner, it's going to try to find it. Teeth stop drifting vertical when they can chew against something.

If you're worried you have mesial drift or vertical drift OR if you're worried that you may experience either of these after an extraction, talk to your dentist about your concerns.


images courtesy of: www.banffcanmoredentalcare.com/cosmetic.htm and www.ijortho.ir/chapters.asp?volume=1&subject=52

jiggywiggy asks: "CAN HAWLEY RETAINERS FIX A SLIGHT OVERBITE?"

"ok so i had braces for a year and 5 months but when my braces are removed, I still have this slight overbite that I'm just totally annoyed by. Its not major, its like 3mm from the lower teeth. And now I'm wearing hawley retainers 24/7. Can hawley retainers fix this?

I'm 15 btw if that helps."



3mm is normal.

Hawley retainers are great for keeping the teeth in the same arch the braces put them in. The only movement they will allow is for any open space between the chewing surfaces of your teeth to close.

They won't correct or change an overbite but 3mm is so slight it's really not much to worry about. Now if it were 5mm or greater... then you would have a problem that the braces would've fixed.

Good job for wearing your retainer tho ;)

idk asks: "CAN I GET A BRACE THAT STRAIGHTENS ONLY ONE TOOTH?"

"my front tooth is the only crooked tooth in my mouth soo i was wondering if i could put a brace on two teeth that would straighten one tooth instead of getting a whole mouth full of metal which is totaly unnecessary."



If you have even one tooth that needs to move, other teeth around that one will need to move too, just to make space. Even if the rest are perfectly straight- they all need to move for that one tooth to fit.

As far as putting the braces on only TWO teeth, here's the problem:
Let's say you did move those teeth BUT in the process of moving those, other teeth around them were pushed by the bone reconstructing for the other two. Even if the other teeth didn't need to push away to make space, a good orthodontist would put a bracket on each tooth to make sure they moved or didn't move. Whichever was necessary.

fxyky88 asks: "WISDOM TEETH - AFTER REMOVAL?"

"I had all four wisdom teeth out last Tuesday in the hospital under G.A. Followed 'rules' very carefully and went for my follow up today at the dentist's. He did a syringe rinse and said everything looked good, no infection, no dry socket and absolutely nothing in the sockets.
Now since i've been home my gums on the bottom are very tender and I think the 'holes' are on the sides of my mouth, the top feels like that too..is that normal? My left lower lip and a bit of my chin is still numb (I know that's normal) it's just really annoying and i'm having trouble with my S's and T's when I talk, sounds like I have a lisp..can't even say lisp lol. I was taking an antibiotic for 5 days starting the day of surgery - Amoxicillin. It left my mouth and tongue covered in little white dots, oral thrush or somethin, it's a fungus and goes away on it's own, or supposed to. It's only been 2 days since I finished the bottle, the inside of my bottom lip is getting better - clearing up, but the insides of my cheeks are still the same, I would like it to clear up, i've been rinsing everyday 3 times a day with salt water and mouthwash.
When I bite down with my molars, they don't align like they used to, when I'm fully healed, will my teeth be alright? I really don't want to have any problems later on, I already need some work on my teeth and I won't be covered under my insurance anymore starting next week.
As for food, I tried to ask the dentist today what I should still stay away from but his answer was kinda vague. I know popcorn and chips and anything crunchy is a no no for a couple months at least. Nothing small like rice, nuts, seeds. But i'm really sick of eating mush everyday (mashed potatoes, pudding, soup, jello) When can I eat real food, like meat...and actually chew with my molars?"



Ok that's a lot to answer...

Thrush: Nystatin is a prescribed medication that will clear it up. Swish. Swallow.

Reason you have Thrush: the organism Candida Albicans is constantly present everywhere on our body but other organisms living nearby keep it in check. The problem with taking an antibiotic is that the normal flora that keeps Candida in check dies off and lets the Candida to go crazy. It's called a super infection. In text books it's called Candiasis, in the mouth, it's called Thrush, anywhere else its a yeast infection.

DO NOT be tempted to eat anything hard or crunchy before your jaw heals. You have giant holes in your jaw and when you crunch down, you might end up crunching your jaw in half. Meat is ok in a few weeks as long as it's soft. Cut it in tiny pieces to minimize chewing.

The molars will move a little but they'll find each other. :)

sam asks: "CAN A DENTAL ASSISTANT CROSS TRAIN INTO BECOMING A DENTAL HYGIENE?"

"im planning on becoming a dental assistant first, but i would like to become a dental hygiene afterwards is this possible?"



You can become an assistant through on-the-job training or through a school for certification

To be a hygienist however you need to go to an accredited institution and be licensed by your state. Sometimes, the program you might be applying to for hygiene will give you extra points for being an assistant beforehand but it's not like being promoted or grandfathered in.

Oh, and I hope u do great! Dental hygiene is an awesome job!

Chewy Bar asks: "ANYTHING ABOUT ELIZIBETHAN TIMES DENTAL HYGIENE?"

"Anything about Teeth or Dental hygiene in the Elizibethan era?"



The Elizabethan Era associated with Queen Elizabeth's reign from 1558–1603.

According to the timeline on the ADA's website:
1530—The Little Medicinal Book for All Kinds of Diseases and Infirmities of the Teeth (Artzney Buchlein), the first book devoted entirely to dentistry, is published in Germany. Written for barbers and surgeons who treat the mouth, it covers practical topics such as oral hygiene, tooth extraction, drilling teeth, and placement of gold fillings.

1575—In France Ambrose Pare, known as the Father of Surgery, publishes his Complete Works. This includes practical information about dentistry such as tooth extraction and the treatment of tooth decay and jaw fractures.

Hope that helps :)