Posts for tag: lavergne dentistry

Question: Is tongue piercing safe?

 

Answer: Oral piercing has become fashionable over the last decade. While oral piercing can involve the lips,cheek, uvula, the tongue remains to be the most commonly pierced. Tongue piercing involves placing a "barbell"-type stud through the tongue.

 

There are several common risks associated with tongue piercing.

Infection- This is possibly due to nonsterile techniques and/or improper care after the piercing. Treatment can include antiobiotic therapy, localized cleaning and oral hygiene instructions. Serious infections, involving the tongue, jaw and chin can require emergency medical treatment.

 

Chipped or Broken Teeth- Usually occurs through biting the barbell especially in new piercings with the initial longer barbell. To minimize the risk, a shorter barbell or made of acrylic/plastic should be worn.

 

Enamel Loss- Most commonly occurs at the back of the teeth through repeated rubbing against the jewelry. A shorter barbell or one made of non-metallic material can also be worn to prevent enamel loss.

 

Gum recession- Over time, repeated contact between the tongue ring and the gums can lead to receding gums especially with long stem barbells. Smaller tongue rings can reduce the risks of receding gums.

 

Future considerations for the tongue ring user:

 

1. Replacing metal barbell with a shorter, plastic based barbell.

2. Using antiseptic mouthrinse, such as Listerine on a daily basis and brushing the tongue regularly.

3. Exercise conscious control of the movement of tongue jewelry during chewing or speech.

 

Please contact Dr.Glasmeier if you have any questions re: tongue rings.

Question: Is oral/IV sedation safe during pregnancy?

 

Answer: Typically sedation is not recommended during pregnancy due to the effects of the sedative drugs but also from local anesthetics. It is known that some sedatives can potentially be "teratogenic" which refers their negative effects on the fetus. Any medications that can possibly pass over the placenta can cause potential problems with normal development and nutrition. It is because of this that sedation as well as most dental treatment is typically deferred to the 2nd trimester.

 

It is not recommended during the 1st trimester because of early fetal development and also contraindicated late in the 3rd trimester due to the stress of the drugs/treatment than can promote premature labor. The 2nd trimester is typically the safest of the 3 trimesters but I prefer to defer all treatment until after pregnancy.

 

The exceptions to this is cleanings, exams and emergency treatment that would be more harmful if actually deferred. Talk to your dentist about what treatment is safe and achievable during pregnancy. If the dentist in unsure, he may consult your OB/GYN for treatment recommendations. Re: sedation, nitrous oxide is the only form of sedation/analgesia I would be comfortable administering during pregnancy.

 

Dr.Glasmeier

I have a strange dent in one of my front teeth...it's small, but noticeable. I pointed it out to my dentist and he asked if I used a hard bristle brush, which I don't. Otherwise he didn't seem too concerned about it, which I find odd. Since this is a front tooth I'm particularly concerned about it. Can you help?

 

Your dentist is probably right. "Dents" or missing enamel around the gumline can be caused by different things. Please visit my website to read about abrasion, erosion and abfraction as these are all phenonenoms that can contribute to this. Your dentist wasn't concerned because it is a very common finding and unless you are having symptoms (cold, touch, sweet sensitivity), he probably treatment was not necessary.

 

What he was eluding to is that if you brush too hard or use a hard bristle brush, you can physically wear away the enamel off the tooth down by the gumline. I call this "toothbrush abrasion" and I see it on 4 out of every 5 patients. Brushing too hard can setup these areas for sensitivity and increased the chances of cavities.

 

Talk with your dentist as they might be able to put a filling on the area to make the surface smoother and prevent sensitivity!

 

Dr.G