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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 Dr. Meuselbach at our West Chester 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!

Pregnancy involves a lot of alterations in your health. Robert Scott Meuselbach DDS is here to help you understand the oral health aspects of your pregnancy.

As you may already know, your body becomes more susceptible to bacterial complications. In terms of oral health, you may be at a higher risk for gingivitis and periodontal disease during the course of your pregnancy.

The hormonal changes in your body can create a more welcoming environment for gum infections, including gingivitis. Although you may continue to brush and floss on a regular basis, and maintain your schedule of cleaning appointments, you are still prone to an increased risk of gingivitis. Your gums may feel more sensitive and become more prone to bleeding because of the increased amount of blood flowing through your body. This can also be a side effect of periodontal disease, which nearly 40% of pregnant women have.

In order to avoid painful dental visits, you should attempt to brush more than twice a day and always floss regularly. We recommend investing in a good mouthwash for extra protection against plaque buildup. Other oral conditions to watch out for during pregnancy include oral gingival lesions, tooth mobility, tooth erosion, and dental caries.

Keeping your oral health in top shape will prevent bacteria from circulating to other places in your body during pregnancy. Your immune system is more likely to be compromised, which means you generally face an increased risk for illnesses.

Don’t forget that you share nutrients and pathogens with your baby, so it’s crucial to reduce your risks in every possible way. If you think you may be experiencing an oral health issue during your pregnancy, please call our West Chester office to schedule an appointment, and we will be happy to help you.

The “Back to School” ads are out already? Halloween candy’s showing up in stores? Just a minute—summer isn’t quite over yet! While the days are still warm, let’s look at a few cool ways to keep your smile bright with some healthy dental options:

• Healthy Drinks

Hot summer days mean it’s time to hydrate. But sodas, fruit drinks, and sports drinks can have a lot of added sugars, which can mean added cavities. They can also be quite acidic, and acids break down tooth enamel. So, what to reach for on a hot day? Water!

Water is a good choice whenever you’re thirsty. Water is essential for healthy bodies and for healthy teeth and gums, too. Water helps wash away food particles that feed the cavity-causing bacteria in plaque. Acids in our foods and drinks break down tooth enamel, and water helps balance out those acids. If you have fluoridated water, fluoride makes enamel stronger and even helps reverse early decay. And it’s easily available and very cost effective!

• Healthy Gear

Make sure that healthy smile you worked so hard for stays looking its best with protective gear:

• A mouthguard will help protect your teeth and mouth from contact with hard surfaces and hard bodies when you’re enjoying biking, baseball, hoops, and other activities.
• If you have a retainer, wear it as directed. Retainers keep your teeth from moving out of position while your jawbones rebuild strong bone tissue around them.
• If you suffer from bruxism, your nightguard protects your teeth and jaws from tooth-grinding damage, so don’t forget to use it nightly.

Your appliances protect you, so return the favor and make sure your appliances stay healthy by cleaning them after use and storing them in their protective cases.

And remember to replace another piece of protective equipment regularly—your toothbrush. If you haven’t replaced your toothbrush for several months, it’s time to go shopping. Toothbrushes wear down over time, and, after three months or so, can’t clean plaque as effectively. Which reminds us . . .

• Healthy Habits

Even as we take advantage of the end of summer with last minute camping, or travel, or action-filled weekends, one thing should stay on schedule—regular brushing and flossing.

You should be brushing twice a day, for two minutes each time. If it’s hard to time yourself, try playing a favorite two-minute song or using a timer or even a brushing app. And don’t forget to floss! Floss gets into spaces where bushes can’t to remove plaque. Floss once a day to keep your teeth their cleanest.

Finally, don’t forget to schedule regular dental appointments at our West Chester office for a cleaning and exam with Dr. Meuselbach.

Summer’s almost over, but these healthy tips work in fall, winter, and spring, too—for a smile that’s sunny and bright all year long!

Congratulations! Your child is beginning to leave her bottle behind and has started to use her first sippy cup. And the best training cup is one that makes the transition from bottle to cup an efficient, timely, and healthy one.

The Right Training Cup

While a “no spill” cup seems like the perfect choice for toddler and parent alike, those cups are designed much like baby bottles. The same valve in the no-spill top that keeps the liquid from spilling requires your child to suck rather than sip to get a drink. If your child’s cup has a top with a spout, she will learn to sip from it. Two handles and a weighted base make spills less likely.

When to Use a Training Cup

Children can be introduced to a sippy cup before they are one year old, and we suggest phasing out the bottle between the ages of 12 and 24 months. Use a sippy cup as the source for all liquids at that age, and only when your child is thirsty and at mealtime to avoid overdrinking. The transition from sippy cup to regular cup should be a swift one.

Healthy Sipping Habits

The best first option in a sippy cup between meals is water. Milk or juice should be offered at mealtimes, when saliva production increases and helps neutralize the effects of these drinks on young teeth. And don’t let your child go to sleep with anything other than water—falling asleep with a cup filled with milk, juice, or other sugary drinks means these liquids stay in the mouth overnight. Finally, while a sippy cup is convenient and portable, don’t let your young child walk and sip at the same time to avoid injuries.

When your child comes to our West Chester office for her first visit, please bring any questions you might have about training cups. We would be glad to share ways to make the move from bottle to cup both successful and safe!