Posts for: October, 2015

By Kent S. Denton, D.D.S., P.A.
October 28, 2015
Category: Dental Procedures
TomHanksAbscessedToothGetsCastAway

Did you see the move Cast Away starring Tom Hanks? If so, you probably remember the scene where Hanks, stranded on a remote island, knocks out his own abscessed tooth — with an ice skate, no less — to stop the pain. Recently, Dear Doctor TV interviewed Gary Archer, the dental technician who created that special effect and many others.

“They wanted to have an abscess above the tooth with all sorts of gunk and pus and stuff coming out of it,” Archer explained. “I met with Tom and I took impressions [of his mouth] and we came up with this wonderful little piece. It just slipped over his own natural teeth.” The actor could flick it out with his lower tooth when the time was right during the scene. It ended up looking so real that, as Archer said, “it was not for the easily squeamish!”

That’s for sure. But neither is a real abscess, which is an infection that becomes sealed off beneath the gum line. An abscess may result from a trapped piece of food, uncontrolled periodontal (gum) disease, or even an infection deep inside a tooth that has spread to adjacent periodontal tissues. In any case, the condition can cause intense pain due to the pressure that builds up in the pus-filled sac. Prompt treatment is required to relieve the pain, keep the infection from spreading to other areas of the face (or even elsewhere in the body), and prevent tooth loss.

Treatment involves draining the abscess, which usually stops the pain immediately, and then controlling the infection and removing its cause. This may require antibiotics and any of several in-office dental procedures, including gum surgery, a root canal, or a tooth extraction. But if you do have a tooth that can’t be saved, we promise we won’t remove it with an ice skate!

The best way to prevent an abscess from forming in the first place is to practice conscientious oral hygiene. By brushing your teeth twice each day for two minutes, and flossing at least once a day, you will go a long way towards keeping harmful oral bacteria from thriving in your mouth.

If you have any questions about gum disease or abscesses, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Periodontal (Gum) Abscesses” and “Confusing Tooth Pain.”


EarlyOrthodonticTreatmentCouldLessenSeverityofCertainBiteProblems

You’ve been concerned for some time about your child’s bite, so you’ve visited an orthodontist for an evaluation. Even though your child is quite young and still with primary teeth, the orthodontist recommends they begin wearing a retainer device, with the possibility of braces in a few years.

That may at first sound like an overly extensive treatment plan. For certain bite problems, however, undergoing an early stage of orthodontic treatment could reduce or even eliminate the need for more advanced and costly treatment later.

An example of such a problem is a crossbite, also known as an underbite. With this type of malocclusion (bad bite) the lower front teeth bite in front of the upper front teeth rather than behind them as in a normal bite relationship. Because the teeth and jaws are still in development (including the primary teeth, which are preparing the path for the permanent teeth erupting later), wearing a retainer device could exert just enough pressure to influence the teeth toward a better alignment.

In essence, the goal of early orthodontic treatment is to intercept a bite problem ahead of time and prevent it from becoming a more serious one later. If early treatment isn’t undertaken or delayed until after the eruption of the permanent teeth, it will be much more difficult, if not impossible, to correct the malocclusion. Even if the initial treatment doesn’t correct the problem it could at least lessen its severity so that future treatment like braces or clear aligners can correct it with less difficulty and cost.

By getting an early start on bite problems, you’ll increase the chances your child will achieve an optimum bite when they reach adulthood. Not only will this enhance their appearance, it will greatly benefit their overall health and mouth function. In these cases, early orthodontic treatment could make all the difference in the world.

If you would like more information on orthodontic treatment for children, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Preventative & Cost Saving Orthodontics.”