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Your gums are responsible for a large part of your overall oral health. So keeping them healthy and knowing how to detect gum disease is extremely important.

Since it’s often painless, gum disease may go unnoticed and can progress when left untreated. Understanding the causes of gum disease will give you the ability to keep your oral health in great shape:

• Bacteria and Plaque. Good hygiene helps remove bacteria and plaque from teeth. When plaque is not removed, it turns into a rock-like substance called tartar, which can only be removed by a dentist.
• Smoking and Tobacco. Smokers and tobacco users put themselves at a higher risk of developing gum disease. Tobacco use can also stain your teeth, give you bad breath, and increase the risk of oral cancer. It’s best to avoid using tobacco altogether.
• Certain Medications. Ironically, certain medications for other health conditions can increase your risk of developing gum disease. Talk with Drs. Rottschalk, Acker, and Froidcoeur if you have concerns about a medication you are taking. Steroids, anti-epilepsy drugs, certain cancer therapy medications, and oral contraceptives can be among the culprits.
• Medical Conditions. Certain medical conditions can also affect your gum health. Diabetics can have an increased risk of gum disease due to the inflammatory chemicals in their bodies. Talk to our team about your health condition so we can take that into account when treating you.

Luckily, there are actions you can take to prevent gum disease. You should make regular visits to our Fairview Heights, IL office for regular cleanings. It’s also worthwhile to maintain good hygiene habits at home, such as flossing and brushing at least two times every day.

Good oral hygiene practice and visits to our Fairview Heights, IL office can help you eliminate or reduce the risks of developing gum disease!

We’re used to seeing athletes wearing mouthguards at practice or play, because dental trauma is one of the most common (and predictable) sports injuries. But it’s not just athletes who are at risk, and there are some events in our daily lives that we just can’t predict. Car accidents, falls, workplace injuries, even innocent playground structures can take their toll on our smiles.

A major chip or a crack in your tooth is upsetting enough, and should be seen by Drs. Rottschalk, Acker, and Froidcoeur as soon as possible. It’s even more unnerving when a tooth is knocked out completely. The technical term for a tooth which has been knocked out is an avulsed tooth, and it is a true dental emergency.

If you should suffer a partially or completely dislodged tooth, there is a possibility that your tooth can be reimplanted—if the damage isn’t too severe and if you get to our office immediately.

How can a lost tooth be saved? This is possible because of the complex biological engineering that anchors our teeth within the jaw. The root of a tooth is surrounded by the periodontal ligament. This connective tissue attaches the tooth to the alveolar bone of the jaw. When a tooth is knocked out, this ligament splits apart, leaving some tissue on the tooth root and some within the tooth’s socket.

To successfully reimplant a tooth, the connective tissue cells around the root of the tooth need to be vital, so that they can begin to reattach to the connective tissue left in the socket. Over time, this reattachment is complete, and the tooth becomes firmly anchored to the bone again.

It’s important to protect your tooth before you see Drs. Rottschalk, Acker, and Froidcoeur to make sure there will be enough healthy tissue for reattachment. First of all,

• Don’t panic! If you or a friend or family member lose a tooth, call your dentist or your emergency health care provider as soon as possible. You will get specific instructions for your specific situation.

If you are unable to reach a healthcare provider immediately, there are some general rules for taking care of an avulsed tooth:

• Find the lost tooth. Don’t touch the root—use the crown, or top part of the tooth, to pick it up. You are trying to preserve and protect the connective tissue on the root surface.

• If the tooth is dirty, gently rinse it in milk, saliva, or water. Don’t wipe it off, though. You could damage those connective tissue cells mentioned above.

• Place the tooth back in the socket, if possible. Gently hold it in place with your fingers or bite down (again, gently). You can also place the tooth in your mouth next to your cheek.

• If returning the tooth to the socket is not an option, or if you are worried about a child possibly swallowing the tooth, keep the tooth moist. Whole milk or solutions sold just for the purpose of preserving an avulsed tooth are better choices than water, which damage the tissue cells on the root. And never wrap the tooth tightly—this can also damage the connective tissue.

Above all,

• Don’t delay! The faster a tooth is reimplanted in its socket, the greater chance you have of keeping it. Really, every minute counts. Reimplantations are more successful if they take place within 30 minutes. After an hour out of the mouth, your tooth’s chances of successful reintegration are lower—but still worth pursuing!

What will Drs. Rottschalk, Acker, and Froidcoeur do?

• Evaluate the avulsed tooth.

There are variables which can affect whether or not a lost tooth is a good candidate for reimplantation. Trying to replace a baby tooth, for example, could interfere with the formation of the adult tooth. An adult tooth that is broken will probably require a different type of treatment.

• Prevent infection.

You might be given antibiotics and a referral to your medical doctor for a tetanus booster if needed.

• Clean the site.

The socket will be gently irrigated to clean the area and to remove any clots that may have formed which can interfere with the tooth’s placement.

• Recommend or perform a root canal.

Nerves and blood vessels within the tooth’s pulp generally don’t recover after a serious traumatic injury, so a root canal procedure could be necessary to preserve the health of your tooth. This procedure might be done immediately, or might be recommended for a later date.

• Stabilize your tooth.

The tooth must be stabilized after being reimplanted, so Drs. Rottschalk, Acker, and Froidcoeur will use a splint to anchor the tooth to the teeth next to it. The splint can be flexible or rigid, depending on the condition of the alveolar bone. Splinting generally takes from two to eight weeks, and you will be given detailed instructions for taking care of the area while you heal.

Losing a tooth is an alarming experience. But with prompt action, and a trip to our Fairview Heights, IL office, it might be possible to make that loss only a temporary one.

The best way to protect yourself from gum disease is to be proactive: practice good oral hygiene at home and schedule regular checkups and cleanings in our Fairview Heights, IL office.

How do you know if your dental routine is doing the job? There are specific symptoms you might notice when you brush and floss, and less obvious signs of gum disease we look for during your dental exams.

The early stage of gum disease is known as gingivitis. It’s generally caused by poor dental hygiene, although certain diseases, age, hormones, and a number of other factors can also put you at risk. It’s time to talk to Drs. Rottschalk, Acker, and Froidcoeur about your gum health if you notice any of these symptoms:

• Bright red or purple gums
• Swollen gums
• Pain or tenderness
• Bleeding when brushing or flossing
• Persistent bad breath
• Receding gums

And sometimes, there are no obvious symptoms at all. That’s why regular checkups are so important. If you have gingivitis, careful attention to your oral hygiene, professional cleaning, prescription mouthwash, or other treatments as needed can reverse the effects of gingivitis and restore your gums to their normal, healthy state.

Why be so proactive? Because, left untreated, gingivitis leads to more serious gum disease, called periodontitis. The bacteria in plaque and tartar cause inflammation, and inflammation leads the gum tissue to pull away from the teeth, forming pockets which become deeper over time. Here, where brushing can’t reach, bacteria continue to multiply, leading to further inflammation, infection, and the eventual breakdown of gum and bone tissues.

The results of untreated periodontitis can be very serious, including:

• Significant gum recession, leaving roots more vulnerable to decay
• Periodontal abscesses
• Loose teeth, or teeth that shift from their proper positions
• Bone loss in the area surrounding the teeth
• Tooth loss

If we see signs of advanced periodontitis, we may refer you to a periodontist.

Periodontists specialize in the diagnosis, prevention, and treatment of gum disease. After dental school, a periodontal degree requires three years of additional advanced education. Periodontists have the training and skill to perform surgical and non-surgical procedures to treat gum disease, as well as to perform cosmetic procedures and place dental implants.

Periodontists are trained to diagnose and treat periodontitis with a number of procedures which they will recommend based on your specific needs. Among the treatments they provide to restore your gum health:

• Topical, time-release, or oral medication
• Scaling and root planing, non-surgical deep cleaning procedures which remove plaque and tartar above and below the gumline, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth
• Flap surgery to treat persistent gum infection, reduce pocket depth, and re-secure the gums snugly around the teeth
• Bone grafts, gum grafts, and other regenerative procedures which help restore and repair tissue damaged by gum disease

If we recommend a periodontal consultation, be proactive. The best way to protect yourself from the significant consequences of untreated gum disease is to see a specialist in this field. Your periodontist has the knowledge and experience to stop gum disease from progressing, treat damaged bone and gum tissue, and restore your healthy smile.

You may have heard this term the first time you or a friend got your wisdom teeth. That makes sense, as wisdom teeth are the teeth most often impacted in teenagers and young adults. But other permanent teeth can be impacted as well. What exactly do we mean by “impacted teeth,” and what can we do to treat them?

The term “impacted” means that somehow a tooth has been blocked from erupting properly. A tooth may be completely blocked by another tooth, erupt in the wrong space, or even come in from the wrong direction. Depending on the teeth involved, there are several different options for treatment.

From Baby Teeth to Permanent Teeth

Normally, when children lose a baby tooth, a permanent tooth is right there, ready to take its place. But teeth don’t always behave according to plan. Occasionally, that baby tooth just won’t budge, and the permanent tooth starts to erupt behind it. When this happens, a simple baby tooth extraction will often let the permanent tooth move into its proper position on schedule.

A more complicated situation develops when upper teeth are impacted because there isn’t enough space in the mouth for them. In this case, a device called a palatal expander might be used to gradually widen the upper jaw to allow the permanent teeth to erupt without crowding.

In other rare cases, a tooth (often the canine) fails to erupt and may require oral surgery to uncover it, followed by orthodontic treatment to guide it into position.

Impacted teeth can result from other causes as well, and every impacted tooth should be treated as quickly as possible. Left untreated, the teeth can fail to erupt at all or erupt in the wrong place, crowd other permanent teeth, damage the roots of the teeth near them, and lead to difficulties eating and dental pain.

Wisdom teeth

Wisdom teeth are often a problem because there is simply not enough room in the jaw for them.

Wisdom teeth that are completely impacted (still in the jawbone) can sometimes be left alone if they aren’t causing other problems. But if impacted wisdom teeth develop cysts, affect the teeth around them, or lead to other dental complications, they should be extracted.

Partially erupted teeth, those that have begun to emerge through the gums but don’t erupt fully, can be the source of different gum and tooth problems. Because the gum tissue overlaps the tooth, food particles and bacteria can become trapped, leading to rapid tooth decay and even infection. In this case, extraction is probably the best option.

Be Proactive

The term “impacted” actually comes from the Latin root meaning “pushed against.” But teeth that don’t erupt at the right time, in the right place, can have a different kind of impact on dental health and appearance. And the earlier we can catch these problems, the easier it is to treat them.

Regular exams and X-rays with Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office will show the progress of the teeth even before they erupt, and if there will be the space for them to fit in the mouth properly. We may recommend a visit to the orthodontist by the age of seven to see if there are any signs of potential orthodontic problems.

Intervention at an early stage can prevent potential problems from becoming major ones. That is why it’s so important to be proactive when teeth are erupting in children and young adults. After all, a healthy, confident smile makes a real impact!