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When you chip a tooth badly, it can be a very nerve-wracking situation. Dr. Michelle Slezewski and Dr. Paul Engibous and our team want to provide you with some information that can help if you ever suffer a chipped or broken tooth. The most common ways people break their teeth are by biting down on something hard, getting hit in the mouth, falling down, or developing cavities that weaken the tooth and allow it to be broken easily. There are a few things you can do if you find yourself in this situation, however.

First, we recommend that you investigate whether the tooth is partially chipped or completely broken. Unless you are experiencing a lot of pain or bleeding, this should not be treated as an emergency. You may call our office and we will try to schedule an appointment with you as soon as possible. Once we have evaluated the tooth during your appointment, we can start to treat it. For minor chips or cracks, we may simply smooth out the area or fill in the space so the crack doesn’t spread.

If your teeth show severe damage such as a serious break, split tooth, split root, or a decay-induced break, Dr. Michelle Slezewski and Dr. Paul Engibous may need to take more time to fix the problem. If you need emergency dental care because a tooth has fallen out, call our practice immediately to schedule an appointment for that day. If you’re waiting for an emergency appointment, you can rinse your mouth with warm salt water and apply slight pressure to the area to stop the bleeding. We recommend using an ice pack to reduce swelling, but do not take any aspirin because that may increase the bleeding.

If your tooth has completely fallen out of the socket, hold it by the crown and rinse it under running water. Do not let the tooth become dry; instead, place it in salt water or milk until you get to our office. Dr. Michelle Slezewski and Dr. Paul Engibous will determine whether the broken tooth can be salvaged or will need to be completely replaced.

We know how upsetting it can be to chip or break a tooth, which is why we want to guide you through this process. Most chipped teeth are usually just cosmetic problems, fortunately, but we know that dental emergencies can come up rather suddenly. Be sure to schedule an appointment at our Anchorage, AK office as soon as an emergency situation occurs.

You and your dentist are essential partners in making sure you have the best dental care. You do your part by eating a tooth-healthy diet, brushing and flossing as recommended, and seeing Dr. Michelle Slezewski and Dr. Paul Engibous regularly for checkups and cleanings.

And one more essential step you can take for your dental health? Let Dr. Michelle Slezewski and Dr. Paul Engibous know which prescriptions and over the counter medications you’re taking.

Medications Have Oral/Dental Side Effects

We’ve all grown used to hearing “Possible side effects include . . .” at the end of every pharmaceutical commercial. That’s because those unintended side effects can affect our health in any number of unexpected ways—and this includes oral health.

For example, a common side effect of many medications is xerostomia, or “dry mouth.” Because saliva helps keep our teeth and gums healthy by washing away food particles and oral bacteria and by reducing acidity in the mouth, a reduction in saliva production means a greater risk of cavities, gum disease, oral infections, denture discomfort, and bad breath.

Knowing a patient is taking one of the hundreds of medications which cause xerostomia allows Dr. Michelle Slezewski and Dr. Paul Engibous to both monitor the condition and suggest the most effective treatment options to control unpleasant symptoms.

Medications can cause not only dry mouth, but excessive gum tissue growth, oral sores, tooth discoloration, and changes in taste, among other side effects, so knowing which medications you’re taking can provide essential information for the diagnosis and treatment of these conditions.

Medications Interact

Medication might be needed for your dental treatment. Because certain drugs, supplements, and even some vitamins and foods can affect the way our bodies metabolize, absorb, and respond to other medications, we need to know which medicines you’re taking to arrive at your best treatment options.

• There are different classes of antibiotics used to treat oral infections. Knowing your medical history enables Dr. Michelle Slezewski and Dr. Paul Engibous to choose an antibiotic option which won’t interact with your other medications.
• Local anesthetics such as lidocaine, which numb the area to be treated, can also interact with certain medications. Dr. Michelle Slezewski and Dr. Paul Engibous can prescribe an alternative local anesthetic or adjust the dosage as needed.
• If you will be using sedation during your procedure, you have several options, including nitrous oxide gas, oral sedation, or IV sedation. Be sure we know about all of your medications beforehand because of possible interactions. Changes can be made to the type of sedation and/or the dosage as needed.

Medications Impact Treatment

It’s important for Dr. Michelle Slezewski and Dr. Paul Engibous to know if any of your medications will affect standard treatments.

Anticoagulants, for example, are a necessary medication for preventing blood clots from forming, and are often prescribed for certain heart conditions, after joint replacement surgery, or for anyone at risk for developing blood clots. Because these medications prevent the blood from clotting, it’s important to let us know if you are taking such drugs before any kind of oral surgery.

If needed, Dr. Michelle Slezewski and Dr. Paul Engibous can work with you and your doctor to create a treatment plan which will be safe, effective, and designed to work with any of your medications. You should never discontinue taking your prescribed medications before dental work without medical approval, as this can be dangerous.

We need the most up to date information about your health to provide you with the best care possible. Knowing which medications you take and why you take them can help us:

• Diagnose and treat any side effects from non-dental medications which have affected your oral health,
• Prevent drug interactions from occurring, and
• Tailor your treatment to your specific medical needs.

Your prescriptions, over the counter medications, and even herbal supplements and vitamins are essential information. It’s a good idea to make a list before your next appointment at our Anchorage, AK office so you have specific medications and their dosages at hand. It’s one small—but vital—step you can take to work with Dr. Michelle Slezewski and Dr. Paul Engibous for your best dental health!

What to do to prevent gum disease? If left untreated, gum disease can lead to discomfort, infection, and even tooth loss. Bacteria in our mouths form a film called plaque. Plaque sticks to our teeth and can lead to gum inflammation. This inflammation can cause our gums to pull away from the teeth creating “pockets” which are home to infection and result in tooth and bone loss. Since the early stages of gum disease are often invisible, what is the secret to keeping our gums healthy?

Luckily, there is no secret to it at all! Preventing most gum disease is a simply a matter of following well-known guidelines, at home and in our Anchorage, AK office.

 Healthy Habits at Home

• Regular brushing and flossing

At least two minutes of careful brushing twice a day will help reduce bacteria and plaque. Use floss, picks, and other interdental tools to remove plaque from tight areas between the teeth that your brush might miss.

• If you smoke, now is the time to quit!

Smoking weakens your immune system, making it harder to fight infections and to heal. If you need another reason to quit, improving your oral health is a great one. Talk to us about ways to stop.

• Eating well

We all know sugar is no friend to dental health, and encourages bacterial growth. But eating apples, carrots and other crunchy vegetables can help remove food particles and stimulate the production of saliva, which fights bacteria production. Vitamins and minerals help strengthen bones and build healthy gum tissue. And a balanced diet supports not just your oral health, but the health and well-being of your entire body. Ask us for suggestions for a dental-healthy diet.

Regular Checkups and Cleanings

• We recommend a visit to our Anchorage, AK office every six months for a checkup. Dr. Michelle Slezewski and Dr. Paul Engibous can discover and treat gingivitis (early periodontal disease) and recommend a periodontal exam if there are signs of more severe gum disease. There are some individuals who develop gum disease even with great brushing and flossing habits, so it’s important to have a dentist’s evaluation.
• Having your teeth cleaned every six months will remove plaque that brushing alone can’t handle. If there are signs of more serious gum disease, a periodontal cleaning will remove plaque and tartar from both above and below the gumline.

Brushing, flossing, avoiding smoking, eating well, seeing Dr. Michelle Slezewski and Dr. Paul Engibous regularly—there’s no secret here! Talk to us about what you can do and what we can do to keep your gums healthy for a lifetime of beautiful smiles.

It really doesn’t happen very often. But sometimes you bite into something that is much harder than you anticipated. Sometimes you grind your teeth without realizing the pressure you’re putting on them. Sometimes you have a cavity that has stealthily developed beneath an earlier filling. And the result is—sometimes you lose a filling.

What to do when this happens? If you’re at a loss for ideas, we have some suggestions.

• Don’t panic

Usually, a cracked, broken, or lost filling is not an emergency situation. That being said, it’s still important to . . .

• Call us immediately

Dr. Michelle Slezewski and Dr. Paul Engibous will be able to give you the best advice as to how to take care of your tooth until you can make an appointment. And if your dental problem might be a dental emergency, we can make sure you are seen as soon as possible.

• Take care of your tooth

Keep your tooth and the area around it clean. Brush gently to keep food particles away from the newly exposed tooth surface. You can (carefully) rinse around the area with a bit of water or salt water as recommended.

Your lost filling might not inconvenience you at all. But if you feel sensitivity when the tooth is exposed to air, or when you eat hot or cold foods, or if you feel pain when you bite down, let us know. We can recommend some over the counter medications and pain relievers that can help.

If you’re experiencing severe pain, call us at once.

• Diet

This might not be the time for sticky caramels, frozen treats, or extra-hot beverages. Make yourself comfortable by avoiding chewing with your compromised tooth, and postponing foods that could trigger sensitivity.

• Make a dental appointment as soon as you can

Don’t put off treatment, even if the filling was a small one, and even if the tooth is causing you no discomfort.

There might be further damage or decay that should be treated. A tooth that required a large filling is often more fragile than an intact tooth, and might need to be fitted with a crown in order to protect it. A missing filling might reveal deep decay which has exposed the pulp of the tooth to infection or damage, and a root canal might be necessary. A seriously damaged tooth might require extraction. Delaying treatment could result in a more complex restoration.

See us as soon as you discover a problem with your filling, and we will make sure not only that your tooth is treated appropriately, but that the reason for the lost filling is discovered. While no filling lasts forever, if the cause of your lost filling is tooth grinding or decay, it’s important to be proactive to prevent further problems.

Losing a filling? It really doesn’t happen very often. But that’s not a lot of comfort if you do happen to lose or break a filling. If you’re at a loss for what to do next, contact our Anchorage, AK office. You’ll find yourself smiling again in no time!