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When you think of a dental emergency, you may picture teeth that have fallen out or severe tooth pain. But it is not uncommon for wisdom teeth to develop conditions or problems that require urgent care from Dr. Matthew Hilmi and our team at Mid-Hudson Oral and Maxillofacial Practice. Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. If you are experiencing discomfort or pain related to your wisdom teeth, call our office to schedule a wisdom teeth consultation.

Perisoronitis and Infections

You may develop perisoronitis if you have a partially-erupted wisdom tooth that has become inflamed. Often, inflammation is caused by food lodged beneath the gum. Here at Mid-Hudson Oral and Maxillofacial Practice, we can gently search for and remove food debris, as well as clean the affected area and treat it with antibiotics. Do not avoid treatment, however, as untreated perisoronitis can lead to infection, which ultimately places your health at risk.

Crowding and Impaction

When your wisdom teeth erupt, they may cause overcrowding of your teeth, which can have a negative effect on their alignment. This can make it harder for you to clean your teeth properly, and it also increases the chances for developing tooth decay and other oral health problems in the future. For some people, the wisdom teeth never erupt, becoming impacted beneath the gum and causing problems with the neighboring teeth.

If you have an impaction or wisdom tooth crowding, make an appointment with our office soon. We will be happy to evaluate the progress of your wisdom teeth, as well as their effect on the rest of your jaw. Depending on our analysis, we will then discuss your options for treatment and whether extraction might be right for you.

Complications from Wisdom Tooth Extraction

If you have recently had your wisdom teeth extracted, blood clots will have formed in the open sockets the teeth previously occupied. In most cases, the gums heal normally, assuming you follow post-surgical care instructions. However, a small percentage of wisdom tooth extractions do not heal according to plan. If you continue to experience pain or other unusual symptoms following a wisdom tooth extraction, please give us a call. We’ll do everything we can to minimize discomfort and help you heal safely and quickly.

Remember, our team is here to support your dental health in every capacity. We are dedicated to providing excellent service before, during, and after all wisdom tooth procedures, so you can rest assured that your oral health is in good hands.

People undergo oral surgery for a number of different oral- and tooth-related problems, including impacted, infected or abscessed teeth, or problems that cause inflammation. Oral surgery can involve anything from a root canal and similar treatments to the total extraction of a tooth or multiple teeth.

These procedures are designed to eradicate infection, but on occasion, complications occur, and this may cause other types of infection that require further medical attention. The human body has naturally occurring bacteria; some of which are beneficial, but some bacteria have the potential to be harmful. When the body's immune system is compromised either because of chronic illness (such as diabetes, or other conditions that lower resistance,) or surgery, the potential for infection increases.

What to Expect Following Oral Surgery

During the first few hours following surgery you will most likely be numb and should use caution, especially when eating. You will also be given pain medicine along with the suggestion that you not wait until you are in intense pain to take the medication.

Since you won't be able to brush your teeth in the area where the surgery was performed, you may be given a prescription medication to use as a mouth rinse. Gargling with warm saltwater will reduce swelling and help minimize pain. Be careful about what you eat for at least the first 24 hours; Dr. Matthew Hilmi and our team advise sticking to soft foods such as Jello®, yogurt, smoothies, or soups.

Reasons for Concern

Post oral surgery infection is a rare complication and typically happens most often with people whose immune systems are compromised or those who are diabetic. A possible indication of infection following the surgery is bleeding that is present 24 or more hours following the surgery. Some residual blood is natural during the first few hours following surgery, but it subsides and bleeding should no longer be a concern. Although there may be some swelling following oral surgery, this should also subside, and ice can help with that.

Possible Symptoms of Infection

• Throbbing pain that doesn't respond to pain medication indicates a serious problem.
• Many people develop a fever following surgery, but should return to normal by the next day. If you have a low-grade fever that persists, or increases, contact Dr. Matthew Hilmi immediately.
• Increased swelling to the gums, jaw, or face is often indicative of infection, and it generally gets worse as the infection progresses. Seek prompt medical attention.
• Any oozing discharge such as pus is always indicative of an infection and requires treatment.

If you are a patient with compromised immune system or medical problems for which an infection would be serious, an antibiotic will usually be prescribed. The natural presence of bacteria in the mouth increases the likelihood that bacteria could enter exposed areas. That is why it is so important that only sterile gauze pads be placed in the mouth, and that you gargle with warm saltwater and any other antibacterial gargle that has been prescribed. The presence of any or all of the above problems indicates a possible infection, and you should contact Dr. Matthew Hilmi or our team at Mid-Hudson Oral and Maxillofacial Practice.

Eating, talking, smiling—consciously or unconsciously, so much of daily life is influenced by our oral health. And here’s one more thought to chew on: oral health affects digestive health as well.

After all, digestion doesn’t begin the moment food reaches the stomach—it begins before we swallow that very first bite. The digestive process gets its start in two ways:

• Mastication

“Chew your food properly.” Probably every child has heard this piece of helpful advice, because it’s hazardous to swallow large pieces of food. But there’s more to it! There’s a positive benefit for your digestive system when you keep chewing until that mouthful has been pulverized into a uniform, almost paste-like consistency.

But even though chewing food properly leads to easier digestion, dental problems can make the simple act of eating difficult and uncomfortable. Missing teeth or tooth pain can lead to swallowing food before it’s been properly broken down and softened, making it harder for your meal to make its way down the esophagus and more work to digest.

• Saliva Production

As it happens, there’s science behind the expression “mouthwatering.” Saliva contains digestive enzymes. These enzymes help break carbohydrate molecules into smaller sugar molecules, which are easier for our bodies to digest and use for energy. Saliva also contains enzymes, which begin the digestion of fat and helps neutralize acids as we eat.

When your oral health is compromised, the normally smooth operation of your digestive system can suffer as well. Fortunately, you and your dental team have options.

• Relief for Tooth Pain

When eating is painful, or when you avoid putting pressure on a loose or sensitive tooth, you’re probably chewing more cautiously and less thoroughly. You might be dining on soft foods or liquids, avoiding chewier proteins, vitamins, and fibers on the menu.

Recurring tooth pain means it’s time to give Dr. Matthew Hilmia call. If you’ve suffered a traumatic injury, if there are continuing problems with infection after a root canal, if a tooth needs to be extracted, or if you need any kind of surgical treatment, talk to your oral surgeon. Oral and maxillofacial surgeons are surgical specialists, with extensive education and training in the diagnosis and treatment of medical conditions in the face, mouth, and jaw.

• Replacing Missing Teeth

Losing one or more of your teeth has a real impact on your ability to bite and chew as easily as you should. Not only that, when you’ve lost a tooth, your other teeth and your jaw are affected.

Implants are one of the most effective and long-lasting solutions for resuming your normal eating habits. They function like your natural teeth, and, like your natural teeth, stimulate the jawbone as you chew to prevent the bone from shrinking over time.

Oral surgeons like Dr. Matthew Hilmi are specialists in implant procedures. Because they are experts in surgically treating the gum tissue, bones, muscles, and nerves surrounding the teeth, they are ideally qualified to help you restore the function and appearance of your smile.

Whether you need a single implant or a multiple implant, talk to Dr. Matthew Hilmi to learn all about your options.

If you haven’t visited our Kingston office for a while, there’s no time like the present. Restoring your oral health will lead to easier digestion, more enjoyable dining—and a very good reason to smile. Food for thought!

A famous mouthwash company chose the marketing slogan, “Better than flossing.” As a consumer, would you believe a high-end commercial that essentially tells you to stop flossing? Just use this brand of mouthwash and the risk of gingivitis, cavities, etc., is gone. What a wonderful idea! Now for the reality: This is simply not true.

The company that made these claims received some negative feedback for making this false claim. Does this mean that all mouthwashes are ineffective? Absolutely not. It takes a little bit of research to know which mouthwashes are most effective and best suited for you. Here are some key points to remember when choosing a mouthwash.

First, think about why you want to use a mouthwash. If you are at high risk for cavities, you would benefit from a fluoride mouthwash. Check the labels to see which ones contain fluoride.

If you have active gingivitis, a mouthwash with some antibacterial properties would be preferable. Read the labels carefully. You do not want a mouthwash containing alcohol. If you have active periodontal disease, an antibacterial mouthwash is appropriate, though you may want to discuss which kind would be best for your individual needs.

Prescription mouthwashes are also an option. You should pay close attention to the directions, such as how much and how long to use them. There is one brand in particular whose effectiveness can steadily diminish if you use it continually. There can also be side effects you should discuss with our office and/or your pharmacist.

Some great mouthwashes for kids change the color of plaque on their teeth to help them see how they are doing with their brushing. This is a great learning tool for the child and the parent! Why not pick up a bottle for yourself next time you’re at the store and evaluate your own performance?

Beware of claims that a mouthwash can loosen plaque. This is not accurate. Beware of any mouthwash that has alcohol. This is worth mentioning twice. Take care of your taste buds. If you are using a strong mouthwash, it can reduce your sense of taste.

These tips should help you choose the right mouthwash for your needs. Please contact Dr. Matthew Hilmi at our Kingston office with any specific questions!