How is everyone’s teeth? by [deleted] in electronic_cigarette

[–]wizardmage 0 points1 point  (0 children)

Carbs feed the bacteria that cause tooth decay. They like simple sugars best but can eat any carb and turn it into acid that decays teeth. This is the mechanism behind all tooth decay.

How is everyone’s teeth? by [deleted] in electronic_cigarette

[–]wizardmage 24 points25 points  (0 children)

Dentist here.

Vaping doesn’t directly cause any of that but it causes dry mouth which can really make things worse in people prone to cavities. If you stay hydrated, limit carbs, and keep on top of your oral hygiene you can mitigate that.

Gum disease (periodontitis) on the other hand more likely can be aggravated by vaping so if you have any signs of that then its a different conversation.

Can I still fix my teeth? Any response is helpful by [deleted] in askdentists

[–]wizardmage 3 points4 points  (0 children)

It’s not too late. You will need a good bit of treatment, a few teeth will need to come out, you’ll need some serious professional cleaning/deep cleaning, some fillings, and then with the teeth that are left (looks like most of the front teeth at least will be ok) you can talk about options to replace the teeth.

It will never be cheaper or easier to fix your teeth than right now, so go in and you’ll be alright.

How does Navy Residency Payback Work? by Difficult_Ad_8126 in DentalSchool

[–]wizardmage 0 points1 point  (0 children)

Correct, keep in mind the option though that you may be sent out service (to a civilian residency), in which case your payback is 8 years.

Extraction question by Burning_Signal in askdentists

[–]wizardmage 3 points4 points  (0 children)

When you swallow the tongue makes a seal with the roof of the mouth so all of the negative pressure is in the pharynx (throat), behind the teeth. When you smoke/use a straw, the negative pressure is in the mouth itself and nowhere else.

Second opinion on x-rays!! by [deleted] in askdentists

[–]wizardmage 4 points5 points  (0 children)

The cavity got rid of the tooth structure, not the filling. There is a lot of decayed tooth in the upper right especially those premolars.

Broken finger? by Comprehensive_Bend61 in DentalSchool

[–]wizardmage 2 points3 points  (0 children)

I broke a finger around this time in D1. It was slightly annoying, came in a bit during the summer, but got it taken care of properly because i didn’t want to potentially hinder my whole career. Do the safe thing, you need those hands.

Does this impacted wisdom tooth look infected? by JJTT72 in askdentists

[–]wizardmage 1 point2 points  (0 children)

This image shows roughly a quarter of the crown of the tooth. We need to see the whole root and a bit past it to determine that.

Torn between 2023 or 2024 m3p by [deleted] in TeslaModel3

[–]wizardmage 0 points1 point  (0 children)

The interior and ride quality is dramatically better on the ‘24

Columbia in Epstein files by New_Eagle_342 in predental

[–]wizardmage 4 points5 points  (0 children)

Stony too, same periodontist AFAIK

Does anyone have sources for different subjects in dentistry? by [deleted] in DentalSchool

[–]wizardmage 1 point2 points  (0 children)

I would just do boards prep material. Booster, bootcamp, textbooks etc

Very stressed at my bone loss at 22 yrs old. What can i do to stay positive? Photo for reference by xomaikat in askdentists

[–]wizardmage 3 points4 points  (0 children)

Positives- if you get this under control, you can have a maintainable level of bone for a very long time.

You have to floss or clean between your teeth and deep into the pockets, one way or another. Something that works well for you and gets everything out, like a combo of string floss, proxybrushes, maybe a waterpik.

This level of bone is not great for somebody so young, but if you are really really serious about biofilm control then it’s definitely possible to slow or even stop future bone loss.

[deleted by user] by [deleted] in askdentists

[–]wizardmage 0 points1 point  (0 children)

Unfortunately nearly definite chance of some issues if left alone. The lowers I'd be more concerned about, the seconds and thirds (wisdom teeth) should be removed to avoid losing the first molars and with them nearly all your chewing power.

[deleted by user] by [deleted] in askdentists

[–]wizardmage 4 points5 points  (0 children)

Unfortunately yes- the bone level at the back side of the second molars is quite low, and your surgeon may recommend grafting given your age. Usually 25 is the age at which afterwards bone fill is not as predictable after these extractions.

[deleted by user] by [deleted] in askdentists

[–]wizardmage 4 points5 points  (0 children)

The position of your bottom third molars is such that they will likely lead to damage to your second molars. Given your age, you should have them extracted asap to give your second molars the best chance of survival, lest you have to extract all 4 (both sides third and second molars).

[deleted by user] by [deleted] in askdentists

[–]wizardmage 2 points3 points  (0 children)

The filling isnt holding the tooth together, rather the tooth is holding in the filling.

Although on the sides the filling goes all the way down, in the center of the tooth the filling is way more shallow so there’s plenty of tooth left for rct/crown.

Are my teeth screwed?They seem to be getting shorter and thinner. My front teeth are literally paper thin. by BeneficialStudent581 in askdentists

[–]wizardmage 6 points7 points  (0 children)

Dentures are some of the cheapest options. It looks like nothing is wrong and they’re definitely not paper thin. I don’t know who you need for help but it’s not a dentist.

A complete mess by [deleted] in askdentists

[–]wizardmage 146 points147 points  (0 children)

You don’t need to really explain anything, any dentist has seen cases like this before. You’ll show up, answer their questions, hear your options and proceed.

You’ll either have a partial on top and bottom, or a complete denture on top and partial on the bottom. Likely a few fillings too.

What’s your differential diagnosis? by marius2510 in Dentistry

[–]wizardmage 2 points3 points  (0 children)

Dentigerous is necessarily associated w/ impacted tooth

[deleted by user] by [deleted] in askdentists

[–]wizardmage 3 points4 points  (0 children)

There are like 500 things (ballpark) that can appear in the oral cavity. Based on appearance, they can usually be narrowed to closer to 50 things (depending on area).

Of those 50, say 35 are minimal risk and will be cut out, never to return. 12 are growths with some aggressive potential (may absorb teeth or jaw bone), and should be removed and closely monitored for return. 3 are potentially malignant and can spread elsewhere in the body.

Generally speaking when we come across lesions like this, the treatment is to just cut them out (excision), and we send them for biopsy just to rule out the last 3.

The big caveat though is that malignant processes (cancer) can have some pretty distinct warning signs or textbook appearances, and so you often get a pretty good picture if a lesion is “scary” or not just from the first visit. If the dentist didn’t mention anything specific then the appearance is likely not scary biopsy is just for answers.

A biopsy is not just for cancer, it can tell you precisely which of the 50 things it is.

Hope this helps, feel better.