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The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

• Completely erupted and non-impacted
• Completely functional
• Painless
• Free of decay
• Disease-free
• Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Dr. Scott Nelson, Dr. Kevin Kooiker, Dr. Joe Williams, and Dr. Jon Hekman; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Dr. Scott Nelson, Dr. Kevin Kooiker, Dr. Joe Williams, and Dr. Jon Hekman and our team at Nelson Family Dentistry may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Dr. Scott Nelson, Dr. Kevin Kooiker, Dr. Joe Williams, and Dr. Jon Hekman, please give us a call at our convenient Zeeland, MI office!

Gum disease can be painful and lead to missing teeth if you don’t treat it properly. However, there are plenty of things you can do to lower your risk of getting gingivitis and periodontitis. Here are five easy ways to prevent gum disease.

1. Brush your teeth.

Basic oral hygiene is the first line of defense against gum disease. The reason is due to the way gum disease progresses. There are bacteria in your mouth that produce a sticky substance called plaque. Plaque can build up and form tartar. Together, plaque and tartar lead to the painful symptoms of gum disease. You can remove plaque from your teeth with regular careful brushing, but you can’t remove the tartar with your regular toothbrush. So, it’s best to brush at least twice a day, or after each meal, to continuously remove plaque from your teeth. Also floss your teeth and use mouthwash to prevent the bacteria in your mouth from having anything to eat.

2. Stop smoking.

Smoking is a major risk factor for gum disease. Your risk of getting gum disease if you’re not a smoker is one-seventh the risk of someone who does use tobacco. It’s also worth quitting smoking even once you do get gum disease, since treatment is less effective when you’re using tobacco.

3. Eat right.

Gingivitis is a bacterial infection, and a strong immune system helps fight it. Many nutrients are essential for a well-functioning immune system. For example, eat plenty of fruits and vegetables, such as citrus fruits, broccoli, and strawberries, for their vitamin C, which is an antioxidant. Vitamin E, which is another antioxidant, is in nuts, plant-based oils, and wheat germ.

4. Visit our Zeeland, MI office regularly.

You might not be able to detect that you have gum disease, even if you watch for symptoms. Dr. Scott Nelson, Dr. Kevin Kooiker, Dr. Joe Williams, and Dr. Jon Hekman can detect signs of gum disease before you do.

5. Catch it early.

Since only we can remove tartar once it forms, keep watching for signs of gum disease. They include sensitivity while brushing your teeth or when eating hot, cold, or sugary foods, painful or bleeding gums, and loose teeth. You might also notice that you have bad breath for no reason. Make an appointment with at our Zeeland, MI office if you think you may have gum disease.

Many parents worry that their children’s teeth are not falling out on time. A lot of concerned parents want to know: When will my child lose his or her first baby tooth? At what age should the last tooth fall out? Is there a specific order in which the teeth are lost?

Dr. Scott Nelson, Dr. Kevin Kooiker, Dr. Joe Williams, and Dr. Jon Hekman and our team explain that a child's 20 baby teeth (primary teeth) typically come in by age three and begin to loosen and fall out on their own to make room for permanent teeth, which usually appear by the time your child is six. It is important to know that timing may vary, and girls typically lose their baby teeth earlier than boys. The last baby teeth will likely fall out by the time your child is 13.

So, which teeth do children lose first? Baby teeth tend to fall out in the order in which they came, which means the lower center incisors are usually the first to go when your child is between six and seven years old. The next teeth your child will lose are his or her top center pair, also called the upper central incisors.

It’s important to note that if a child loses a baby tooth early as a result of decay or an unforeseen accident, his or her permanent tooth may erupt early and potentially come in crooked due to limited space. If your child suffers an injury or has tooth decay, we encourage you to give us a call to set up an appointment with Dr. Scott Nelson, Dr. Kevin Kooiker, Dr. Joe Williams, and Dr. Jon Hekman.

While we know some children couldn’t be more excited to lose their baby teeth, we know others are anxious about this childhood milestone. When your child starts to lose teeth, our team at Nelson Family Dentistry encourages you to stress the importance of proper dental care on a daily basis.

Remember to:

• Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
• Help your child floss his or her teeth at bedtime.
• Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks, such as candy and soda.
• Schedule regular dental visits for your child every six months.
• Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

To learn more about baby teeth, or to schedule your child's next visit with Dr. Scott Nelson, Dr. Kevin Kooiker, Dr. Joe Williams, and Dr. Jon Hekman at our Zeeland, MI office, please give us a call today!

Regular visits to the dentist are important for people of all ages. Seeing Dr. Scott Nelson, Dr. Kevin Kooiker, Dr. Joe Williams, and Dr. Jon Hekman as recommended provides preventive care for oral diseases. If a disease is already present, early detection can prevent hefty dental bills and further damage to the teeth and gums. Once you have made the decision to visit Nelson Family Dentistry, you may ask yourself, “What happens during my hygiene appointment?”

Preparation

Arrive at your appointment a few minutes early and bring along any insurance cards or medical information. While it may seem irrelevant, a full medical history can be important, since certain conditions include symptoms that occur inside the mouth.

Initial appointment

In some offices, the first appointment is a screening appointment, during which a dental hygienist will go over your medical and dental history with you, assess the condition of your teeth and gums, then schedule a future appointment to complete the cleaning and any other treatments you may need. In other offices, the screening and cleaning will be done over the same appointment. The dental hygienist may:

• Count your teeth
• Clean your teeth by using a small tool to scrape them in order to remove plaque
• Brush and floss your teeth
• Apply a fluoride treatment using foam that sits on your teeth within a tooth mold, or a gel that can be “painted” on with a small brush
• Inspect your teeth for cavities or signs of decay
• Administer oral X-rays. You will be covered with a special blanket to protect your body and then given a small piece of plastic on which to bite.

Seeing the dentist

After the dental hygienist completes his or her portion of the appointment, the dentist will usually come in and inspect your teeth. After an initial inspection, the dentist may:

• Perform a quick tooth count as well as a more thorough inspection, looking for signs of decay in and around the teeth
• Use a small tool called a “probe” in order to check for signs of gum disease around the base of your teeth
• Visually inspect the skin around your mouth, called the “mucosa”

If you need any further dental work completed, you will usually be required to make an additional appointment. To learn more about hygiene visits, or to schedule an appointment with Dr. Scott Nelson, Dr. Kevin Kooiker, Dr. Joe Williams, and Dr. Jon Hekman, please give us a call at our convenient Zeeland, MI office!