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Getting to the Root of the Problem

While our roots are well protected, they’re not indestructible! Several conditions can damage them. But we’re not just about problems—we also have some suggestions to keep your roots solid and intact for a lifetime.

• Traumatic Injury

A blow, a fall from a bike, a sports injury—any trauma which can hurt your visible tooth can hurt your roots as well. And it’s not just accidents that cause harm. Cracks in the tooth caused by oral habits like chewing on ice, pencils, or other hard objects can lead to root fractures.

You can help prevent root injuries by wearing a mouth guard whenever you are engaged in contact sports or any physical activity that might cause damage to your face or mouth. If you have harmful oral habits, talk to Dr. Matthew Hilmi about how to break them. And if you do suffer a dental injury, see us as soon as possible to avoid more serious complications.

• Bruxism

Bruxism, or tooth grinding, is most often an unconscious habit that takes place while you sleep. Grinding puts enormous pressure on teeth and their roots. The damage can be obvious, with cracked and worn crowns, but your roots can be affected, too. The strain of this constant pressure can stretch the periodontal ligament, causing loose teeth.

Night guards are one of the easiest ways to relieve pressure on individual teeth and roots. Your dentist can fabricate a night guard which will provide comfortable, effective protection for your teeth and jaw.

• Infected or Injured Roots

Any infection or trauma which injures the pulp of the tooth will affect the roots as well. Most of us are familiar with root canal treatment, where infected or damaged pulp is removed, and the insides of the pulp chamber and canals are cleaned, shaped, and filled. A crown is usually placed afterward to cap and protect the tooth. 

Sometimes, however, an infection can persist after root canal treatment. An oral surgeon is a specialist in treating complex medical conditions of the face, mouth, and jaw. We may have been recommend to you if a surgical procedure is needed to treat infection around or in the root.

When infections persist near the tip of a root, an apicoectomy is a common surgical treatment. In this procedure, Dr. Matthew Hilmi will carefully remove a few millimeters from the tip of the tooth, then clean the infected parts of the root and the tissues around it before sealing the root tip.

Other surgical options are available to help prevent extractions when there’s a root problem. A healthy molar with only one root seriously damaged by infection, trauma, or decay can be treated with a root amputation. Here the injured root is surgically removed, preserving the remaining roots and crown. If part of the crown is damaged as well, Dr. Matthew Hilmi can perform a hemisection, dividing the tooth to save as much of the undamaged root and crown as possible.

• Gum Recession

Taking care of your gums is one of the best ways to protect your roots.

Gums often recede as we age, leaving part of the root exposed. Gum disease, failure to brush and floss regularly, and heavy-handed brushing can also lead to gum recession. The newly revealed cementum is now exposed to the plaque and acids that cause cavities in our enamel, and, since it’s not as strong as enamel, cementum is more vulnerable to erosion and cavities progress more quickly.

When more severe recession takes place, the gums pull away from the teeth, creating pockets which become home to plaque and bacteria. Left untreated, infection and inflammation can develop, attacking teeth, connective tissue, and bone.

Scaling and planing procedures which clean the root surface can help. If you could benefit from soft-tissue grafting to replace lost gum tissue, schedule a visit to our Kingston office to discover your options.

Healthy roots help you keep your teeth for a lifetime, so it’s important to see Dr. Matthew Hilmi as soon as possible if you have any symptoms of potential problems:

• Constant pain in tooth, gums, or jaw
• Pain when biting down
• Loose teeth
• Tooth discoloration
• Sensitivity to hot and cold
• Swelling or pain in the gums around a tooth

Do your part by keeping up with daily brushing and flossing, visiting Dr. Matthew Hilmi for exams as recommended, and making an appointment if you are feeling any pain or discomfort. If you could benefit from surgical treatment, talk to your oral surgeon about the most effective treatment options for your individual needs. Strong roots are essential to our oral health, and a lifetime of healthy smiles is something we’re all rooting for!

Dental implants are an increasingly popular choice when we need to replace a lost tooth or teeth. The reasons for choosing an implant are clear: implants look just like our natural teeth, are firmly anchored in the jaw just like our natural teeth, and are easy to clean and care for just like our natural teeth.

Not as clear? Whether your insurance will cover your implant procedure. Because implants are often more expensive than other replacement options, it’s important to learn just what your insurance plan provides, and what your out-of-pocket expenses will be. What do you need to know?

Know your policy

Dental and medical plans vary widely, from individual to individual, company to company, and state to state. Depending on your specific policy, you might be covered for part or most of the cost of a procedure, or your plan may provide no coverage at all. It pays to find out ahead of time!

Know the reason for your procedure

Your coverage may be affected by the reason for your procedure and whether it’s seen as medical or dental.

• If your dental insurance policy considers an implant to be a cosmetic or an elective treatment, implant surgery may not be covered. However, the cost of the crown restoration could be, at least in part.
• If implants are used to anchor a bridge or a denture, your dental policy might provide partial coverage, at least to the monetary extent that the insurance company would cover standard bridges or dentures.
• If you are suffering medical complications because of tooth loss due to illness, accident, or injury, your medical health insurance could cover some of your expenses.

 Know your plan’s annual and lifetime limits

If you do have dental coverage, there might be limits imposed on the kind and number of procedures allowed during a calendar year. You could also have yearly maximum benefits or lifetime maximum benefits, after which your expenses will be out-of-pocket.

Find out which steps of the implant procedure are covered

The implant process can require different steps, some of which may be covered by insurance while others are not. Depending on your needs, these steps can include:

• Extraction
• Bone grafting
• Implant surgery
• Crown restoration
• Anesthesia

Your policy may or may not cover any of these individual procedures, so it’s always best to discover exactly what’s involved in your implant treatment before you begin.

Know how to find out what you need to know!

• Talk to our Kingston office before you schedule surgery. Oral and maxillofacial surgeons are experts in implant procedures, and can provide you with an explanation of just what services will be involved at every stage of your implant treatment, as well as a pre-treatment estimate.
• Talk to your dental insurer to see exactly what coverage they provide for the procedure or procedures you might need.
• And don’t forget to touch base with your medical insurer if you need implants as the result of a medical condition, accident, or injury.

Finally, talk to Dr. Matthew Hilmi again! We want to make sure that you receive all of the coverage that you are entitled to, and that your implant procedure is as affordable as it can be for this lifetime investment in your oral health. Whether it’s working with you to make the most of your insurance coverage, or working with you to discuss a financing plan that fits your budget, we will do their best to provide the clear answers you need.

We probably all remember sitting through history lessons during our schooling years. Revolutionary war heroes, English royals, and pop-culture icons filled the pages of our textbooks. Although you may recall a detail or two about their historical significance, how much do you know about their teeth?

Picture England in the mid 1500s. People wore frilly clothes as they hustled along the street, and talked about the latest import from the Indies: sugar. Wealthy Brits did not hesitate to indulge their sweet tooth, and it was no different for the monarch, Queen Elizabeth I.

The queen was especially fond of sweets, but not so fond of the dentist. Her teeth rotted; they turned black and gave off a foul odor. Eventually, Elizabeth lost so many teeth that people found it difficult to understand her when she spoke.

Flash forward to the Revolutionary-era colonies in the 1770s and we encounter the famous dentures of George Washington. They were not made of wood, but rather a combination of ivory and human teeth, some of which were his own pulled teeth and some he purchased from slaves.

Washington did not practice proper dental hygiene throughout his life. He began to suffer dental problems as early as age 24, when he had his first tooth pulled. By the time he was inaugurated in as the first president in 1789, he had only one tooth remaining in his mouth, which was pulled in 1796.

Washington’s dentures were made too wide and never quite fit his mouth properly. He complained that they were painful to wear and caused his jaw to protrude visibly outward.

If you’ve heard of Doc Holliday, you know him as the gun-toting, mustached criminal that ran the Wild West in the late 1800s. You might be surprised to learn that John Henry “Doc” Holliday actually had a career as a dentist.

He graduated from dental school in 1872 and began to practice in Griffin, Georgia. Holliday was later diagnosed with tuberculosis and his violent coughing fits during exams drove patients away. Jobless, he packed his bags for Texas and spent the rest of his days running from town to town as a criminal.

The Beatles brought pop music and British culture to their fans, as well as … teeth? In the mid-1960s, John Lennon had a molar removed that he presented as a gift to his housekeeper, Dorothy. Dorothy’s daughter was a huge fan of the Beatles and he thought she might like to a keepsake. Her family held onto the tooth until 2011, when they auctioned it off to a Canadian dentist for $31,000.

These historical figures had very different experiences with their teeth, but it’s safe to say a bit of extra brushing and flossing could’ve saved them a lot of trouble. Whether you’re queen, president, or an average citizen, it’s up to you to practice good dental hygiene!

Ask a member of our team at our Kingston office if you have any questions about how to keep your teeth in top shape!

The Fun Facts about Wisdom Teeth

Wisdom teeth are the third set of molars that come in behind the rest of your teeth. Why humans even have them is a common question. It could be that they do not fit in the average mouth because fewer people lose teeth nowadays due to improving dental hygiene. Some have suggested that human ancestors needed these teeth to maintain a diet that was rough and difficult to chew, whereas today’s diet fails to meet the same requirements and renders these molars relatively useless.

For many individuals in their late teens and early twenties, pain in the mouth can arrive suddenly and with a vengeance. The discomfort in their jaw turns out to be their wisdom teeth joining the party. If you happen to be dealing with these newcomers, you’ve probably got a few questions, the least of which might be: “Why does wisdom hurt so much?!”

Why do wisdom teeth cause so many problems?

Not all people experience problems with their wisdom teeth. Some are actually able to keep them because their teeth came in straight, and there’s enough room in their jaw to care for them properly.

For the vast majority of individuals, however, the teeth fail to find enough space and come in at odd angles or are unable to surface at all and create a number of problems as a result.

Common problems include:

• Damage to surrounding teeth due to the pressure from the surfacing teeth
• Infection that causes the surrounding gums to swell and become painful
• Tooth decay due to the lack of room to properly clean the teeth
• Impaction (when the tooth is unable to break through the skin)
• A cyst that may damage the jaw, surrounding teeth, and nerves

Undergoing a common oral surgery fairly early in life is believed to make recovery easier, but you should allow yourself and your mouth time to heal.

Many people disagree about the purpose of these seemingly vestigial tools, but the fact remains that whatever their original purpose may have been, wisdom teeth have the potential to cause problems for people today. If and when you encounter these teeth, or the problems they can raise, contact Dr. Matthew Hilmi or our team at Mid-Hudson Oral and Maxillofacial Practice.