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You may have bitten down on a hard food or object, or perhaps you had a cavity that weakened your tooth. Either way, your tooth is now broken, and the steps you take to care for it will determine whether you get to keep your natural tooth or not. Millions of people suffer from broken teeth every year, so you are not alone. However, that does not mean your newly cracked tooth does not need immediate attention.

What is a broken tooth?

A broken tooth is one that has been fractured, chipped, cracked, broken apart, or completely knocked out of the mouth. You may or may not feel your tooth break, depending on the extent of the break and whether your tooth was decaying prior to the break. It is usually very easy to diagnose a broken tooth, because the evidence will be visible. In the case of hairline cracks in the teeth, you may start to note a sensitivity to hot or cold in the neighborhood of the fracture.

The Right Way to Handle a Broken Tooth

As soon as you know your tooth is broken, chipped, or fractured, make an appointment to visit our emergency dental office. Even the tiniest fractures require attention: bacteria can infect the fractured area, which could cause you to lose the tooth altogether.

Until you are in our office, you can manage your pain using over-the-counter pain medication, such as Tylenol, or you can apply a cold compress to prevent swelling and inflammation. Be sure to rinse your mouth with warm salt water after every meal until you are able to visit us.

Keep in mind that while pain medication is an effective way to manage a broken tooth at home, it is only a temporary fix. Broken teeth should not be treated solely at home, and over-the-counter solutions are not substitutions for professional dental care. Failing to make an appointment with Dr. Matthew Hilmi after breaking or chipping a tooth can place your health at risk.

Treatment

Treating your broken tooth will depend on the type of break you have and how much of the tooth is affected. A minor chip or tiny fracture line may easily be repaired with bonding. On the other hand, a more serious break that exposes the tooth's pulp may require a root canal or extraction to prevent infection. Ultimately, our team here at Mid-Hudson Oral and Maxillofacial Practice will explain to you the best treatment plan based upon our evaluation of the condition and extent of your break.

If you have broken, cracked, chipped, or fractured one or more of your teeth, don’t hesitate to contact our office immediately. We specialize in emergency dental care and are available to serve you 24 hours a day, seven days a week.

Gum (gingival) recession occurs when gums recede from the tops of the teeth enough to expose sensitive roots. People typically experience increased sensitivity to sugary or cold foods when gums no longer cover and protect teeth roots. In addition, untreated gum recession may lead to loosening of teeth and accelerated tooth decay, something Dr. Matthew Hilmi see all too often.

Causes of Gum Recession

• Periodontal disease – a serious oral disease arising from poor oral habits
• Gingivitis – gum disease characterized by bleeding and swollen gums
• Aging
• Overly aggressive brushing and/or flossing – brushing hard in a scrubbing fashion will erode gum tissue at the roots of teeth
• Genetic predisposition to gingival recession – having inherited thin, insufficient gum tissue facilitates gum recession
• Bruxism – a condition where someone regularly grinds their teeth, usually during sleep
• Chewing tobacco/smoking – promotes chronically dry mouth and reduced gum health

Periodontal gingivitis may also cause causing drooping of the gums instead of gum recession. A gingivectomy removes excess gum tissue weakened by bacterial decay while a gingivoplasty can reshape gums around the teeth. If sagging or receding gums are left untreated, they may develop pockets (gaps) that provide hiding places for food particles, mucus and other mouth debris conducive to anaerobic bacteria growth. As the most destructive type of oral bacteria, anaerobic bacteria is responsible for tooth decay, cavities, gum disease, and chronic halitosis.

Treatments for Gum Recession

Corrective actions need implemented as soon as possible to reverse gum recession by addressing the cause. For example, people who brush with hard-bristled toothbrushes should switch to a soft-bristled toothbrush and brush more gently. If gum recession is the result of poor oral hygiene, improve oral hygiene habits by brushing after meals, flossing, rinsing with non-alcoholic mouthwash, and getting dental checkups and cleanings every six months. For severe cases of gum recession, soft tissue grafts can add gum tissue to exposed roots by removing tissue from the person's palate and attaching it to existing gums at the area of recession via laser surgery.

If you’re worried about gum recession, visit our Kingston office and talk to a member of our team.

You have a pain along the back of your jaw. You think it may be an impacted wisdom tooth struggling to make its appearance. But you aren't sure you need a dentist to see it. The pain is only minor, and popping a few aspirin makes it feel fine after a day or two.

Patients in similar situations like yours come in to see Dr. Matthew Hilmi every day with the same problem. They don't realize that this simple, recurring pain from an impacted wisdom tooth can lead to more serious problems. It will also lead to a procedure called oral surgery.

What Is oral surgery?

Oral surgery, also called oral and maxillofacial surgery, is a dental surgical procedure that treats diseases and injuries along the teeth, jaw, and facial bone area of the face. Treatments can consist of surgery that will remove the problem tooth, install implants and other orthodontic appliances, remove abnormal tissue growths, and treat infected gums.

What types of oral surgery treatment are available?

Oral surgery can treat a number of patient problems that you have probably heard of, and others that you may not have considered. Oral surgeons will address issues such as impacted teeth by removing the tooth, fix tooth loss by surgically adding dental implants, and treat certain jaw disorders that create facial pain (TMJ disorders).

In addition to these normal dental procedures, oral surgeons will also remove growth of tissues for a biopsy to be performed. This helps identify cysts and tumors that form in the mouth. Oral surgeons can treat facial infections that can lead to life-threatening situations for patients. They can even help you, and your spouse, sleep better at night by performing surgery to alleviate snoring or sleep apnea problems.

When should you go to an oral surgeon?

Never wait until the pain increases to the point where you can't sleep at night or the pain affects your concentration at work. The sooner you see Dr. Matthew Hilmi who can diagnose and identify the problem, the faster you can be on the road to having good dental hygiene. If you experience any type of facial trauma, something happens with your existing dental appliances where it's becoming difficult to eat, or you notice swollen and bleeding gums, seek dental help immediately.

You don't have to suffer through the pain. With our expert and caring help, we will get you smiling again.

Sometimes people feel a tiny bit nervous when they sit in the dental chair. And sometimes it’s more than a tiny bit. If your anxiety over oral surgery is leading you to postpone necessary wisdom tooth extraction, if worrying about an apicoectomy outweighs saving an infected tooth, if dreading an implant procedure means you would rather live with tooth loss than give us a call—give us a call! Sedation dentistry might be just the procedure you need to make dental anxiety a thing of the past.

Depending on your preferences, there are several levels of sedation Dr. Matthew Hilmi can provide to make your visit more comfortable.

• Minimal Sedation—this type of sedation leaves you calm and conscious, and you respond normally to verbal directions.
• Moderate Sedation—sometimes called “conscious sedation,” this option will leave you awake, relaxed and able to follow directions, but you will probably have little memory of the procedure afterward.
• Deep Sedation—a deeper level of sedation where you cannot be roused easily or respond to instructions. It is unlikely you will remember much or any of the dental treatment.

Oral and maxillofacial surgeons have four to six years of advanced education in hospital-based surgical residency programs following dental school. As part of their surgical studies, they train to administer and monitor all forms of anesthesia. Because anesthesia in all its varieties is a regular part of our practice, we have the medical knowledge and skill to provide you with a safe and comfortable sedation experience.

And we will prepare you with all the information you need to decide on any dental treatment, including sedation. We will describe the procedure in detail, and discuss any possible risks. If you have any health conditions or take any medications that might interfere with sedation, we can discuss your options with you and your doctor to make sure you are a good candidate. We will explain any preparations you should take, and let you know if there is a window of recovery time needed in our office while the sedation wears off.

Don’t let yourself suffer dental pain or discomfort because you suffer from dental anxiety! Please call our Kingston office to discuss your sedation options. Whatever you choose oral, inhaled, or IV sedation, we are trained to administer your treatment gently and safely. Above all, we want to help you keep your smile the heathiest it can be, and that only happens with proper dental care. Let us work with you to make that care as comfortable and stress-free as possible.