The NBA's reigning MVP Giannis Antetokounmpo may seem unstoppable, but he proved no match for a troubled tooth. Antetokounmpo, the self-proclaimed “Greek Freak,” missed one of the final three 2020 regular season games for a dental issue that resulted in last-minute oral surgery. According to a Milwaukee Bucks spokesperson, the star underwent “a root-canal like procedure.”
Root canal therapy, often simply called “a root canal,” may be needed when there is an infection inside the tooth. When dental pulp becomes inflamed or infected, excruciating pain can result. Pulp is the soft tissue that fills the inside of the tooth. It is made up of nerves, blood vessels and connective tissue. During root canal treatment, the pulp is removed, the space inside the tooth is disinfected, it is filled with a special material, and then the hole is sealed up.
A root canal is nothing to fear. It relieves pain by getting rid of infection and is so effective that over 15 million of them are performed in the U.S. each year. This routine procedure generally requires only local anesthetic, and your mouth should be back to normal within a day or two after treatment. Antetokounmpo can attest to that, as he returned to play the next day.
However, delaying root canal treatment when you need it can have serious consequences. If left untreated, an infection inside the tooth continues to spread, and it may move into the gums and jaw and cause other problems in the body. So, how do you know if you may need a root canal? Here are some signs:
Lingering sensitivity to hot or cold temperatures. One sign of nerve damage inside your tooth is pain that is still there 30 seconds after eating or drinking something hot or cold.
Intense pain when biting down. You may feel pain deep within your tooth, or in your jaw, face or other teeth. The pain may be hard to pinpoint—and even if it improves at times, it usually comes back.
A chipped, cracked or discolored tooth. A chip or crack can allow bacteria to enter the tooth, and the tooth may darken if the tissue inside is damaged.
A pimple on the gum. A bump or pimple on the gum that doesn't go away or keeps coming back may signify that a nearby tooth is infected.
Tender, swollen gums. Swollen gums may indicate an infection inside the tooth or the need for periodontal treatment.
And sometimes there is no pain, but an infection may be discovered during a dental exam.
Tooth pain should never be ignored, so don't put off a dental visit when you have a toothache. In fact, if a bad toothache goes away, it could mean that the nerves inside the tooth have died, but the infection may still be raging. Also, be sure to keep up with your regular dental checkups. We may spot a small problem that can be addressed before it becomes a bigger problem that would require more extensive treatment.
Remember, for dental issues both large and small, we're on your team! If you would like more information about tooth pain, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Tooth Pain? Don't Wait!” and “Root Canal Treatment: What You Need to Know.”
When you floss (you do floss, right?), you probably notice a sticky, yellowish substance called plaque stuck to the thread. This thin film of tiny food particles and bacteria is the reason you floss and brush in the first place: Because it's the main trigger for tooth decay and gum disease, removing it decreases your risk for disease.
But this isn't the only form of plaque you should be concerned about. That same sticky substance can also interact with your saliva and harden into what's commonly known as tartar. Dentists, however, have a different term: They refer to these calcified deposits as calculus. And it's just as much a source of disease as its softer counterpart.
You might have noticed that this form of plaque has the same name as an advanced type of mathematics. Although dental calculus has little in common with algebra's cousin, both terms trace their origins back to the same linguistic source. The word “calculus” in Latin means “small stone;” it became associated with math because stone pebbles were once used by merchants long ago to calculate sales and trades.
The term became associated with the substance on your teeth because the hardened plaque deposits resemble tiny stones or minerals—and they can be “as hard as a rock” to remove. In fact, because they adhere so firmly it's virtually impossible to remove calculus deposits with brushing or flossing alone. To effectively eliminate calculus from tooth surfaces (including under the gum line) requires the skills and special dental tools of dentists or dental hygienists.
That's why we recommend a minimum of two dental cleanings a year to remove any calculus buildup, as well as any pre-calcified plaque you might have missed with daily hygiene. Reducing both plaque and calculus on your teeth fully minimizes your risk of dental disease. What's more, removing the yellowish substance may also brighten your smile.
That's not to say daily brushing and flossing aren't important. By removing the bulk of plaque buildup, you reduce the amount that eventually becomes calculus. In other words, it takes both a daily oral hygiene practice and regular dental visits to keep your teeth healthy and beautiful.
The humble squirrel—darlings to some, bird feeder-robbing nuisances to others—has its own month. Since 1995, the Squirrel Lovers Club of Chicago has celebrated October as Squirrel Awareness Month to pay tribute to this diverse family of rodents with over 270 species. It's also an opportunity to indulge in our favorite “squirrelly” fact: Squirrels' teeth don't stop growing.
And we do mean grow. A squirrel's four front incisors increase about 6 inches a year—a good thing since squirrels put those teeth through their paces gnawing through hard-shelled nuts and seeds. If they didn't keep growing, you'd see plenty of squirrels with worn-to-nothing front teeth.
We humans have some cause to be envious because, unlike squirrels, our permanent teeth stop growing by the time we reach adulthood. That could be a problem since nearly all of us encounter tooth wear as we age.
And it could be even worse. Bad habits like crunching ice, biting into hard foods or using our teeth as tools can contribute to accelerated wear. Some people also involuntarily clench or grind their teeth, creating higher than normal pressure that can wear down teeth.
Suffice it to say, it's worth the effort to quit conscious bad dental practices to prevent your teeth from wearing faster than normal. A teeth-grinding habit, though, may require more than willpower: We'll need to look at other ways to reduce its effect on your teeth.
First, you may want to try to reduce chronic stress, the top contributor to adult teeth grinding. Better stress management with the help of counseling, relaxation techniques, biofeedback or group therapy can all help reduce the occurrence of this destructive habit.
Such efforts, though, can take time. In the meantime, we may be able to help you reduce the effect of a grinding habit with a custom-made mouth guard. This plastic guard worn in the mouth prevents teeth from making hard contact with each other during grinding, and so it reduces the damaging forces that can wear down teeth.
By the way, if you've already experienced excessive tooth wear, not all hope is lost. We may be able to restore your teeth to normal length with the help of bonded porcelain veneers or crowns. After a thorough evaluation, we can give you options for turning back the “age clock” on your smile.
Our teeth may not continuously grow like squirrels', but we can still protect them from the effects of excessive wear. Good dental practices and habits—and restorative measures when necessary—can keep your smile looking as young as ever.
Each year millions of people endure repeated episodes of congestion, coughing and headaches, all the miseries that come with a sinus infection. Although it seems like all the action is occurring around the nose and upper face, the actual cause could be emanating from somewhere else—your teeth.
It can all begin with decay forming a small cavity in one of the upper back teeth. If it isn't caught and treated early, the decay can spread into the tooth pulp and root canals, tiny passageways to the root and bone. This may or may not cause a severe toothache or sensitivity as the tooth's nerves respond to the infection. These nerves, though, most often eventually die and the pain, if present, will subside—but not the infection.
Left untreated, the infection may then advance into the bone around the root tip, breaking it down and giving bacteria an entryway into the floor of the maxillary sinus that rests just above the upper jaw. Here bacteria can take up residence, occasionally flaring into a sinus infection. This chronic infection could go on for years with allergies mistakenly taking the blame.
If you have frequent bouts of sinusitis, a possible dental connection may be worth investigating. And in the dental profession, there may be no better “detective” for this than an endodontist. Specializing in interior tooth problems and treatments, an endodontist has the diagnostic equipment like CT or 3-D cone beam scanning to accurately image the teeth and upper jaw. With their advanced diagnostics, they're in the best position to uncover hidden tooth decay contributing to sinus problems.
Endodontists are also skilled in treating advanced tooth decay. The main procedure is known as root canal treatment, in which the dentist drills into the tooth's interior to remove infected tissue from the pulp and root canals. They then fill these empty spaces, seal and then crown the tooth for added protection.
After treatment and following up with your physician, you may find your sinus infections are less frequent. And by promptly seeking treatment at the first sign of tooth pain or sensitivity, you might prevent chronic sinusitis from even developing.
If you would like more information on how dental disease can affect overall health, 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 “Sinusitis and Tooth Infections.”
Ed Helms is best known for his role as the self-absorbed, Ivy League sales rep, Andy Bernard, on television's The Office. But to millions of fans he's also Stu, a member of a bachelor trip to Las Vegas in the 2009 movie The Hangover. In it, Stu and his friends wake up from a wild night on the Strip to find some things missing: the groom-to-be, their memories and, for Stu, a front tooth.
In reality, the missing tooth gag wasn't a Hollywood makeup or CGI (computer-generated imagery) trick—it was Ed Helm's actual missing tooth. According to Helms, the front tooth in question never developed and he had obtained a dental implant to replace it. He had the implant crown removed for the Hangover movie and then replaced after filming.
Helms' dental situation isn't that unusual. Although most of the 170 million-plus teeth missing from Americans' mouths are due to disease or trauma, a few happened because the teeth never formed. While most of these congenitally missing teeth are in the back of the mouth, a few, as in Helms' case, involve front teeth in the “smile zone,” which can profoundly affect appearance.
Fortunately, people missing undeveloped teeth have several good options to restore their smiles and dental function. The kind of tooth missing could help determine which option to use. For example, a bridge supported by the teeth on either side of the gap might work well if the teeth on either side are in need of crowns.
If the missing tooth happens to be one or both of the lateral incisors (on either side of the centermost teeth), it could be possible to move the canine teeth (the pointy ones, also called eye teeth) to fill the gap. This technique, known as canine substitution, may also require further modification—either by softening the canines' pointed tips, crowning them or applying veneers—to help the repositioned teeth look more natural.
The optimal solution, though, is to replace a missing tooth with a dental implant which then has a lifelike crown attached to it, as Ed Helms did to get his winning smile. Implant-supported replacement teeth are closest to natural teeth in terms of both appearance and function. Implants, though, shouldn't be placed until the jaw has fully developed, usually in early adulthood. A younger person may need a temporary restoration like a bonded bridge or a partial denture until they're ready for an implant.
Whatever the method, there's an effective way to restore missing teeth. Seeing us for an initial exam is the first step toward your own winning smile.
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