Unfortunately wisdom tooth pain can be excrutiating to the point where 30% of patient will need wisdom teeth removed.

The reason why many patients need to have their wisdom teeth removed is that their jaw is mismatched to their teeth. When a patients wisdom teeth try to come grow through they are unable to and they become impacted against the teeth in front of them.

This process that happens due to the movement of teeth within the mouth is known as eruption and happens when their is insufficient room in the patients mouth. When movement of teeth happens and it is blocked by gums, other teeth or the jawbone then this is known as impaction and is known as an 'impacted wisdom tooth'. Impacted wisdom teeth can lead to destruction of the patients jaw bone. They can also destroy neighboring teeth, they can lead to lesions and they can also cause possible fracture of the jawbone. In some instances the location of these impactions can also cause inflammation around the patients gums when they erupt. There is also an issue with decay as some part of the mouth become inaccessible and are prone to bacterial decay.

There are a number of issues that can happen and that can result in this:

There could be a cavity in an adjoining tooth: when a patient has impacted wisdom teeth it can often come so close to the tooth in front of them to cause a cavity in the front tooth. This is a serious issue for the patient as unfortunately it can cause the patient to loose not just their wisdom teeth but other teeth also.
There is the possibility that a cysts can develop around the wisdom tooth: this is another very serious issue for a patient as it can eat away at the jawbone. This will in turn cause damage, pain and it is likely that more dental work will be required to remedy the situation.
There are loose gums around the wisdom teeth: The way in which the gums are attached around the wisdom teeth is not as strong as around other teeth. Therefore there is a greater chance that bacteria will breed here. Any patients who are experiencing this will normally have swollen gums. They may even experience exposed nerves or a feeling that the teeth are moving up and down.
Pain issues: when pain issues are so severe the chances are that all of the above problems are now happening. If a patient was to do nothing about their teeth then the situation would be severe and could cause major surgery issues. If you were to wait this long then you could be compromising the teeth next to your wisdom teeth. The sooner you to take care of this the sooner you are preventing a situation whereby other teeth may have to be removed also. It is not uncommon for a dentist to have to remove 8 teeth when he could have just removed 4 at the beginning.
LOOSE OR MISSING FILLINGS

A loose filling may happen when it becomes cracked or worn out and a piece of the filling becomes removed. This is sometimes evident when patients see food particles packed into the biting surface of a tooth. This may be due to a piece having fallen out. Fillings are designed to last a number of years. If you have a loose tooth or a piece is missing or broken then let your dentist know as soon as possible. The issue here is that you could get food particles stuck in the missing portion of the filling. This could cause bacteria to build up which would then cause a dental abcess.



What can you do?

One you realize that there is an issue with a loose or missing tooth then you need to inform your dentist as soon as possible. If possible you will need to set up an appointment as soon as possible so that the dentist can restore the functionality and the condition of that area.

It is possible that the dentist may be able to restore the condition of that area by repairing it. The dentist may



Smooth over the area that has been chipped.
The dentist will place a temporary filling into the tooth until a larger restoration can be added.
the dentist will remove the broken filling and clean out any damaged enamel surrounding the area.
a new filling will be placed firstly making sure that there is no bacteria in there
the dentist may offer a larger restoration such as a crown
The dentist will take an x-ray in order to determine how far down the damage exists and to see if it has extended into the tooth. He will also check around the area around the root of the tooth making sure that no bacteria or infection has spread to the nerve tissue.

Why did the filling break or become damaged.
There are few reasons that a filling may become loose or may fall out:

There could be new decay that has developed around the filling.
The restoration or filling reaching its life expectancy.
the patient may have bit on something that compromised the filling or damaged it.
Benefits of Treating Immediately
A patient replacing their filling in a timely manner is saving themselves from a number of problems:

this will be more cost effective in the long run
this can avoid other problems such as dental abcesses or broken teeth and headaches.
fixing it immediately will allow for the patient a wider choice of restorative options.
by fixing immediately the patient has reduced the risk of decay to other teeth
CROWN OR BRIDGE FELL OUT

A very common dentla emergency is when a patient's crown falls off. This is not a serious situation but many patients especially if it is on one of their front teeth will be embarrassed and have a very strange situation. At times it can be painful as the exposed tooth can be sensitive to temperature. There is also the risk of damaging the post if there has been one placed. If your dentla crown has come off best thing to do is to chew on the other side of your mouth until your dentist can put it back in place.

Here is some helpful advice from Dr Sarji about what to do in such circumstances.

If your crown has fallen off.
If it has fallen off completely firstly remove from you mouth if you have not done already. You may also have lost it in your food or down the sink. You will have to retrieve it.

Here is Dr Sarji's advice:

Call and schedule an appointment as soon as possible so that you can get the crown re-attached. Try and get to the dental office within a few days rather than a week or two incase you damage the post inside the crown.
Bu temporary dental cement from Duane Reade/Walgreens/ CVS usually less than $10.00. Place a small amount onto the crown and place back onto the tooth structure. Be careful chewing for the next few days until you see the dentist.
Use clove oil or the affected area if there is any pain.


Once you get to the dental office.
Dr Sarji will determine if you need a new crown or the old crown can be reattached. If it is an older crown then there could be the possibility of underlying decay. If the crown has become chipped then a minor repair could be possible but if the damage is too much you may need a completely new crown.

If you Need a New Crown?
Dr Sarji will quickly determine if you need a new crown and will advise you of your options. In the past older style traditional crowns are either crowns that are porcelain fused to metal or gold. Gold crowns may not look attractive so the porcelain fused to metal may be the answer or a completely porcelain crown. These are superior in strength and more aesthetic to look at than porcelain fused to metal crowns.

Why it's important not to delay
Many people when they lose a crowns delay this process and this can cause additional problems such as damaging the post, causing bacterial infection, gum overgrowth into the area where the crowns need to be reattached or it could wear down the tooth structure whereby the initial crown will no longer fit. Delay is dangerous so if you lose a crown always best to have a dentist see it as soon as possible.



JAW PAIN - POSSIBLE CAUSES

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BROKEN DENTAL IMPLANTS

BROKEN DENTURES

FACIAL SWELLING

AVULSED TOOTH ( KNOCKED OUT TOOTH)

LOOSE DENTURES



BELOW IS AN ARTICLE FORM OUR BLOG ON EMERGENCY DENTISTRY

Need an Emergency Dentist in the Park Slope Area -We are here to help....

If you are experiencing a dental emergency in the Park Slope Area then we are here to help. Advanced Gentle Dentistry of Park Slope is open 7 days a week and Dr Jim Sarji, a renowned and popular Brooklyn dentist has been offering emergency dental procedures for over 20 years in the Park Slope area.

With caring and attentive staff and the latest in high tech dental technology, Dr Sarji has established himself as one of the most popular and trusted dentists in Brooklyn.

At Advanced Gentle Dentistry of Park Slope we cater to all types of dental emergencies including chipped teeth, broken teeth, lost crowns, root canals and failed root canals, lost fillings and all types of dental pain and jawpain. Advanced Gentle Dentistry of Park Slope is fully equipped with the latest in dental technology and staff that are well trained in how to treat patients with emergency situations.

Dental emergencies unfortunately cannot be ignored, usually because of the pain involved. If you are experiencing a dental emergency it is best to see a dentist as soon as possible. Swelling in the jaw or in around the gums could be signs of a root canal or a more serious issue. The worry is that ignoring it could lead to infection in the other teeth. At Advanced Gentle Dentistry of Park Slope we offer for all emergency dental procedures a team of trusted professionals offering a wide range of emergency care to help you when you need it most.
Toothache and Pain Relief
Firstly upon examination Dr Sarji will offer a comprehensive examination in order to ascertain the cause of the discomfort. From there we implement a comprehensive treatment plan with the primary focus being to save your existing teeth and to prevent decay and infection in your surrounding teeth.
Emergency Extractions
In the event of the need for a dental extraction inlcuding wisdom teeth extraction we are able to accommodate date you at our office as soon as possible. The dental team will explain all the options available and help you understand the procedure before you make a decision.

Emergency Root Canals Treatment
Root canals are serious cases and are not to be ignored. If you think you have a root canal or are experiencing pain and discomfort then it is always best to see the dentists as soon as possible.

Root canals once fixed can last a lifetime. Common symptoms or sign that you may need a root canal or may have a failed root canal may be any one of the following.
You may experience severe toothache while chewing.
You may have sensitivity to hot and cold drinks.
DYour tooth may have become discolored.
There may be swelling or tenderness near the gum line.
There may be persistent or recurring pimple on the gums.
Broken of Failed Crowns
You may have a crown that has failed and has maybe fallen out. Hopefully you will have saved the crown. It is always best to see the dentist as soon as possible to reduce the risk of damage to the post that lies under the crown and to minmize damage to the surrounding teeth. Dr Sarji can quickly determine if there has been damage to the post and what must be done to repair the post and place the crown on top.
Broken Teeth
Broken teeth can usually always be fixed and the way dentists do this in an economical and aesthetic way is to use bonding. Bonding can be used for to save broken or chipped front teeth and often it will look completely invisible to anyone looking at it.

If you find that you have an emergency dental situation and need to see a dentist immediately then call ADVANCED GENTLE DENTISTRY OF PARK SLOPE. We are here to help you with all emergencies every step of the way and our team of professionals will assist you with all insurance paperwork ad explain the co-pays and deductions. Call today on 718-788-8009.
If you find yourself in an emergency situation and need dental care right away, call Advanced Gentle Dentistry of Park Slope today and let our team of professionals assist you.