Monday, January 7, 2019

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Most oral piercings will result in swelling, redness, tenderness, bleeding and scabbing. Cleaning the area can be more difficult and/or painful, which may cause a decrease in oral health care which could result in infection. Chipped or damaged teeth can happen as a result of poorly placed piercings, or ones that migrate to a new site. In extreme cases, the damage can be so extensive that the tooth has to be extracted and replaced.
Other oral piercing risks include increased chance of trauma, such as yanking or tearing, in the cases of an accident or injury. Overall, oral piercing creates additional risk to your oral health. However, if you choose to get an oral piercing, here are some tips for taking care of it:
  • Get a new, soft bristle toothbrush and brush twice a day to reduce bacteria in your mouth.
  • Stop the use of any tobacco products if you use them as they can irritate swollen tissues.
  • Avoid foods and drinks that can irritate your piercing, including spicy or salty foods, gum and alcohol (including mouthwash).
  • Wash your hands before and after touching, cleaning or replacing oral jewelry to reduce the chance of infection.
  • Use a saline soak to help your piercing heal, but don’t over do it. Twice a day is sufficient.
  • Avoid swimming pools or hot tubs until all external piercings are healed so bacteria doesn’t enter your blood stream.
  • Use anti-inflammatory over-the-counter remedies to help with both swelling and pain.



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Immediately following the initial piercing you can expect (tenderness, swelling?)…and typically they will heal within 10 weeks. But there can be additional oral piercing risks including:
  • Infection
  • Migration or Rejection of Jewelry
  • Metal Allergies
  • Scars
  • Abscess
  • Damage to teeth

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Tongue and tongue area. Tongue piercings vary from single or multiple posts vertically (venom or angel bites), single post horizontally (snake-eyes), or under the tongue/web (frenulum). A single hole through the center of your tongue is considered the safest, and multiple jewelry options allow for a variety of unique looks.
Lips and lip area. Lip piercings can be anywhere near, around, or through the lips. It can also include vampire, smile, or frown piercings which are placed between the gums and lip on the inside of the mouth.
Other oral piercings. Piercing your cheeks, gums and even uvula (the dangling flesh at the back of your throat) all carry risks to your oral health. The skill of the technician, the location of the piercing, and the aftercare will all vary and create different results and healing periods.


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Seems like you can’t go anywhere these days without seeing someone with a pierced lip, pierced cheek, pierced tongue or something far more extreme! Oral piercing seems to be growing in popularity as a form of self-expression and while we’re all for self-expression, as a group of dental professionals, we really don’t like the idea of oral piercing. Why? Because it’s our job to be concerned about your oral health and oral piercing just isn’t good for it. So, here are a few oral piercing risks you should be aware of whether you have one or are considering getting one done.

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Short answer: At least twice a day. And when you forget, do it when you remember. Talk to your dentist about other strategies to put in place to help stay on top of your brushing.
At PERFECT TEETH we are dedicated to helping more people have a healthy smile, which starts with your own daily oral care routine.

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If you forget to brush your teeth sometimes, you are not alone. We all forget things. If you do forget to brush your teeth, do it as soon as you think of it. If it becomes a habit, sadly, your teeth and gums will suffer. Often it is children who lament their forgotten habit, but it can be a problem for adults too. Here are some tips to help you remember and keep your oral care a priority.
Task it. Make it part of your every day grooming routine to brush your teeth. Wake up, use the bathroom, brush your teeth, shower. When it becomes part of a routine, it is easier to remember.
Set a timer. Use your phone, computer or even a friend to remind you when it is time to brush your teeth. Usually in the morning and evening make the most sense, but maybe with your schedule you need it to be right after breakfast and right before bed. Whenever you determine is the best time to brush, alert yourself and do it.
Remind yourself. There is a saying: “out of sight, out of mind”. Help yourself remember by setting out your toothbrush or even posting a note somewhere you are sure to see it. Keeping it top of mind will help you integrate it into your everyday habits.
Substitute sometimes. Carry sugar free gum and/or a sample size mouthwash with you in your bag or purse. When you can’t brush your teeth, take some time for a quick swish of mouth wash or pop some gum in your mouth. This is not a true substitute for tooth brushing, since it does not remove plaque, but it can help.

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Let’s start here. The American Dental Association® recommends brushing your teeth twice a day, flossing and rinsing with alcohol-free mouthwash once a day, and chewing sugar free gum between meals in order to reduce the build up of bacteria that can lead to cavities and gum disease. Your dentist agrees with this.
In addition, you should let a professional “brush your teeth” at least twice a year. In other words, makes sure you are seen in a dental office at least twice a year for x-rays, cleanings and for preventative care, and as needed if you have pain or any dental or oral concerns. A healthy mouth is created from lifelong habits in good oral care, but, what if you forget?

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As human beings, we’re not perfect and know that being forgetful can happen to the best of us. In fact, July 2nd is declared as “I forgot” day! If you are one that finds yourself forgetting to brush your teeth, you may be asking, “How often should I brush my teeth?”.

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The bottom front two teeth are the first teeth to come in, in most cases, followed by the top two. After that, primary teeth fill in on either side, then molars and canines. Later, when your child begins to lose their baby teeth to adult ones, they will be lost in a similar order.

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To help your teething baby, there are several things you can do to reduce his or her discomfort. Remember to also take care of yourself and if you need time away to reduce your frustration, lay your baby in a safe place, such as their crib, and walk away. Make sure caretakers also know to never shake a baby.
Cold compress. Gum pain can be reduced with cold, whether in the form of a frozen teething ring, a wet wash cloth, or even a cold pacifier.
Pain relievers. Talk to your doctor or dentist about over-the-counter pain medication such as Tylenol®. Be sure to use no more than the recommended dosage and not for an extended period of time.
Gnawing. Allow your baby to have items to gnaw on such as clean toys or your fingers. The gnawing motion and pressure helps to relieve the pain as the teeth push through.
Cleanliness. Excess drool can cause chapping around your baby’s mouth, so keep the area clean and dry to limit further discomfort. Also, because they desire to chew on everything they can reach, be sure to have clean items for them to chew to reduce the spread of germs and disease such as thrush. See your dentist if you notice any problematic oral symptoms.

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Not all babies will experience all the symptoms of teething, but most will experience at least one, including:
  • Red, tender or swollen gums
  • A low-grade temperature (less than 101 degrees)
  • Drooling
  • Desire to chew/bite
  • Crying, grouchiness, fussing
  • Changes in sleeping or eating
It is not normal, and a doctor should be seen if your baby experiences a rash, vomiting or diarrhea, coughing or a temperature as these can be symptoms of illness.

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Babies begin having their primary teeth erupt between 6-12 months of age, with teething signs appearing as early as 4 months of age. When the first tooth comes in, or your child’s birthday, is the recommended time for your baby’s visit to the dentist.

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If you have a drooling, grouchy infant at home, you are likely in the midst of baby teething troubles. Not to worry, as parents for decades before you have dealt with this developmental stage. Here’s what to expect of your teething infant as well as tips for soothing your baby during teething.

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While dry socket is relatively uncommon, 2-5% of patients do experience dry socket. If you are one of them, your dentist is the best person to make recommendations on your treatment. These typically include:
• Pain relievers (over-the-counter or prescribed)
• Topical medications
• Avoiding smoking
• Avoiding sugary drinks
• Avoiding using straws
• Following proper oral care practices

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You are at a higher risk for dry socket if you
• Had a wisdom tooth extracted
• Have a history of dry socket
• Use birth control
Smoke
• Had a traumatic extraction (due to an accident or infection)
• Have a history of poor dental hygiene
• Take medication that inhibits blood clotting
When you have a tooth extracted, be sure to use any recommended oral antibiotics or antiseptic solutions and follow your oral surgeon’s post-op instructions on how to prevent a dry socket. These instructions will likely include:
• No rinsing/spitting for 24 hours
• No drinking from straws
• No smoking for 72 hours
• Avoiding crunchy foods (chips, nuts, popcorn, etc.)
• Avoiding alcohol
• Limiting physical activity for 5-7 days

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A dry socket begins when an adult tooth has been removed and the bone and/or nerve in the socket is exposed. Normally, a clot forms to protect the area, but when it doesn’t, anything that is in your mouth- food, fluids, even air, can make the area sensitive and prone to infection.
It is expected to have a small amount of discomfort after a wisdom tooth is extracted, but if you notice intense pain, especially if it is increasing in intensity and/or radiating towards your ear, and/or you experience a bad taste in your mouth, it’s important to contact your dentist.