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Posts for: January, 2022

OlympiansPoleVaultingAccidentPutstheSpotlightonDentalInjuries

British pole vaulter Harry Coppell had an unpleasant mishap right before the Tokyo Olympic games. During a training vault, Coppell glanced the top bar to loosen it, which then fell on top of his face on the mat. The impact broke one of his front teeth nearly in two and severely damaged others.

Coppell posted the accident on Instagram, along with a photo of the aftermath. "I hope @tokyo2020 has a good dentist around," he quipped in the caption. Alas, after several hours with a dentist, one of the injured teeth couldn't be saved, although the chipped tooth remained. Needless to say, the Olympian's smile took a beating along with his teeth.

Fortunately, through the marvels of cosmetic dentistry, Coppell can eventually regain his attractive smile. Still, though, his experience is a blunt reminder that sports and other physical activities do carry some risk for dental injury, especially for active young adults and children.

A chipped tooth is the most common outcome of a traumatic dental injury, but not the only one: you might also suffer from a displaced, loosened or even knocked-out tooth. And, even if the teeth don't appear injured after face trauma, there could be underlying gum and bone damage that requires prompt emergency care from a dentist.

Of course, preventing a dental injury is far better than treating one that has occurred—and wearing an athletic mouthguard is your best bet for dodging such a bullet. A mouthguard's soft plastic helps absorb the force of a hard impact so that the teeth and gums don't. This important protective gear is a must for anyone who plays sports like football or basketball, or enjoys physical activities like trail biking.

When it comes to mouthguards, you have two general categories from which to choose. The first is called a "boil and bite," often found online or in sporting goods stores. These usually come in general sizes that can be customized further by softening in hot water and then having the wearer bite down while it's soft (hence the name). This personalizes the guard to fit the individual wearer.

The other category is a custom mouthguard created by a dentist from an impression of the wearer's mouth. Because of this specialized fit, custom mouthguards aren't usually as bulky as boil and bites, and are typically more comfortable to wear.

The key point, though, is that a mouthguard can help you avoid a serious dental injury, regardless of which category you choose. It could mean the difference between a forgettable incident or dental damage that could impact your life for years to come.

If you would like more information about preventing and treating dental injuries, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Athletic Mouthguards.”


By Paul F Levy, DDS, PC
January 18, 2022
Category: Oral Health
Tags: loose tooth  
YouNeedtoActFasttoSaveaLooseTooth

Some things in life are almost guaranteed to make you go, "Uh, oh"—your car won't start, your a/c goes out, or, worse yet, you get an unexpected letter from the IRS.

Here's another: One of your teeth is loose. And, if you don't act quickly, that loose tooth may soon become a lost tooth.

But first, we need to find out why it's loose. It's usually due to one of two types of injury related to your bite. One type is called primary occlusal trauma. This results from your teeth encountering higher than normal biting forces. This often happens if you habitually gnash or grind your teeth together outside of normal functions like eating or speaking.

The other type is secondary occlusal trauma. In this case, the supporting gum tissues and bone have been weakened or lost by disease, with the gum tissues possibly becoming detached. Without this support, even normal biting forces could loosen a tooth.

Our treatment approach for a loose tooth may differ depending on which of these is the cause. For primary occlusal trauma, we want to reduce the biting forces that have contributed to loosening the tooth. One way to do this is to create a mouthguard that when worn prevents teeth from making solid contact during grinding episodes.

For secondary trauma, we want to first focus on treating any gum disease responsible for weakening the gum tissues. Once we have it under control, the gums and bone tissues can heal and possibly regain and strengthen their attachment with the tooth.

At the same time, we may also need to stabilize a loose tooth to prevent its loss. This usually involves splinting, whereby we use neighboring healthy teeth to support the loose tooth. One way to do this is to attach a metal strip across the backs of the loose tooth and its more stable neighbors, or by way of a channel cut through the top biting surfaces of the teeth.

If a loose tooth regains its attachment with the gums and bone, it may stabilize and any splinting can be removed. If not, splinting may become a permanent solution. Either way, prompt treatment can help us save your loose tooth.

If you would like more information on treating loose teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Loose Teeth: Biting Forces Can Loosen Teeth.”


By Paul F Levy, DDS, PC
January 08, 2022
Category: Oral Health
Tags: shingles  
ACaseofShinglesCouldImpactYourUpcomingDentalVisit

Most childhood sicknesses are highly treatable and quickly fade from memory afterward. But there's one viral infection that can reappear years later, albeit in a different form and this time it might not be as forgettable. It could even impact your dental care.

Varicella, more commonly known as chicken pox, is a viral infection that mainly affects children. Fortunately, the itchy blisters and other symptoms associated with it usually clear up on their own. But the virus itself, varicella zoster virus (VZV), can remain behind and become dormant.

Fast-forward a few decades, and the child once with chicken pox is now an adult, usually over 50. In 20-30% of former chicken pox patients, the virus reactivates as a new infection known commonly as shingles.

Shingles often begins with an itching, burning or numbing sensation on the skin that develops into a severe rash. Because of its effect on surface nerves, the rash often takes on a striped or belt-like pattern on the skin. A shingles outbreak can also cause fever, fatigue and pain, the latter of which in rare cases can be quite severe.

Shingles in its early stages is also highly contagious, transmitted easily through either physical contact with the skin lesions or through airborne secretions. This is especially troubling for certain groups: pregnant women, patients undergoing cancer or other serious disease treatment, or those with compromised immune systems. For them, shingles can pose a significant risk for complications.

Because of its easy transmission, and the danger it can pose to certain groups, dentists typically postpone treatment—even routine dental cleanings—for patients experiencing a shingles outbreak, especially a facial rash. Once their outbreak subsides, those procedures can be rescheduled.

If you develop what you think is shingles, you should seek medical attention as soon as possible. Certain prescribed antiviral medications can ease the symptoms and hasten recovery, but they're most effective if started within three days of the onset of the disease. There's also an effective vaccination for shingles recommended for people over 60 to help avoid the disease altogether.

One other thing! If you do develop shingles and have an upcoming dental appointment, let your dentist know. Better to reschedule your visit after you've recuperated than to put others' health at risk.

If you would like more information on shingles and dental care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Shingles, Herpes Zoster.”