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When you have a tooth extracted, your body immediately sets to work to help protect the affected area. The blood that collects at the site of the extraction clots to cover and protect the wound. This is a normal response, and protects the nerves and bone that have been exposed with the removal of your tooth. Normally, the gum tissue will close over the area within a few weeks.

But sometimes the clot becomes dislodged or moved before you have a chance to heal. The result is that the nerves and bone in the extraction site are exposed to air and outside substances. Bacteria can contaminate the wound and lead to pain, infection, and further damage. This condition is known as dry socket.

There are certain activities that should definitely be avoided so you are not at risk for dry socket.

• Straws and suction: The action of using a straw causes suction that can dislodge the clot. You can still enjoy the soothing coolness of a milkshake, but use a spoon.
• Spitting: You might be tempted to rinse and spit immediately to clean your mouth, but spitting can also dislodge the clot. We will let you know how to clean your mouth and teeth for the next few days.
• Smoking: Not only does smoking provide a suction effect that can remove the clot, but smoking and chewing tobacco can slow healing as well.

There are also steps you can take to aid the healing process.

• Caring for your extraction site

Dr. Timm will give you instructions on caring for your mouth and teeth for the next few days. Gentle care for the extraction site is vital. And treat yourself gently as well. Rest if you need to, and avoid activities that might impact your wound.

• Think about your diet

Stick to soft foods for the first day or so and chew on the side opposite your extraction site. Carbonated and caffeinated beverages should be avoided, as well as food like peanuts or popcorn that lodge in the teeth.

• Watch for symptoms of dry socket

How do you know if you have a dry socket? Monitor your pain and the appearance of the site after the extraction. For the first few days, you might feel some pain in the immediate area. Pain that intensifies after three or four days is usually not a result of the extraction. An unpleasant odor or taste in your mouth could be a sign of dry socket. You might look in the mirror and notice that the clot is no longer there, or appears to have been dislodged. If any of these symptoms occur, call our Michigan Center, MI office at once. If you are experiencing dry socket, the extraction site needs to be cleaned and protected from further injury, and we can prescribe antibiotics if needed.

Dry socket is a rare occurrence, but if you have any symptoms that concern you, we want to hear about them. We will work with you to make your extraction go as smoothly as possible. Talk to us about your concerns before any procedure, and we will provide detailed information for the healing process. Keep us in the loop as you recuperate, and we will work together to make your recovery a speedy one.

Did you know that there are certain foods you can eat which help to clean your teeth? We call them "detergent foods." In dentistry we look at the impact of food in three ways: the kind of food, how often it is eaten, and when it is eaten. Detergent foods should be the last piece of food you consume during a meal for best results. Think of them as the closest you can get to brushing your teeth.

A healthy diet is important for oral health as well as overall health, but here are some particular foods that can help clean your teeth and mouth:

• Carrots
• Apples
• Celery sticks
• Popcorn
• Cucumbers
• Pears
• Lettuce
• Cheese

As you can see, detergent foods are usually foods that are firm and crisp. They act like scrubbers on and around your teeth and gums and bring your mouth's pH back to 7.0, which is optimal.

Which foods are the worst for your teeth?

Cookies, cakes, breads, chips, crackers, soft drinks, dried fruit, and candies (what many people’s diets are full of) provide carbohydrates (sugar) to the bacteria in your mouth causing an acidic environment and increasing the chance of cavities and decay. These foods are sticky and don't rinse easily from your mouth. Avoid letting these foods sit on your teeth after eating them.

It also depends on how often you consume these foods throughout the day. For example, if you drink soft drinks, it's best to have it all in one sitting instead of sipping it all throughout the day. Doing so causes the perfect environment in your mouth for bacteria to flourish and your saliva never gets the chance to neutralize its pH.

This is where detergent foods can come into play. When you're about to finish your meal, have an apple, celery stick, or carrot. It will act like a "natural toothbrush." Also, try to make these detergent foods the basis for snacks you have throughout the day.

Always remember, these foods are not a replacement for brushing and flossing. You still need good dental hygiene regardless of what you're eating! For more tips and tricks for ideal oral health, ask Dr. Timm the next time you visit our Michigan Center, MI office!

Many studies over the past several years have focused on this question. Since we will all face stressful situations during our life, it is a good question to ask. This question also delves into the mind-body connection—the psychological having an effect on the physical and vice versa.

Studies were performed as far back as the 1940s and continue today. Many of them have shown that stress "downregulates" or hinders cellular immune response. The most common periodontal diseases related to this stress-induced downregulation are gingivitis and periodontitis.

It is believed that stress and depression contribute to a state of chronic inflammation within the body. Stress also raises levels of cortisol in your body, which has been linked in studies to higher levels of tooth loss and deeper pockets between the gums and teeth.

Perhaps the biological side of this equation makes sense, but an important factor is that people who are stressed and/or depressed tend to neglect oral hygiene and other health-promoting activities. The studies seem to support both the behavioral and biological effects as risk factors for periodontal disease.

Here are some things you can do to help prevent stress-related periodontal problems:

• Daily relaxation –You may consider meditation or yoga. Both have been proven effective at easing stress.
• Practice good oral hygiene – Don't let your oral hygiene fall by the wayside. Doing so will obviously have a detrimental effect on your oral health. You should also aim to quit smoking if you do smoke.
• Get regular dental checkups – Getting regular checkups will help you to spot anything that's amiss before it gets out of hand. You can speak with your dentist if you have any pain or concerns and have them take a look.

Stress is something that affects all of us but it can be managed. Each one of us may manage it in a different way. Find what works for you and always make sure to keep up with your oral hygiene routine. For more information about stress-related periodontal issues, schedule an appointment with Dr. Timm at our Michigan Center, MI office.

Like many other parts of the human body, teeth age. You may look at old photos and realize your smile was significantly brighter in the past than it is now. Many adults experience tooth discoloration and find it embarrassing.

The good news is there are treatment options! The first step to recovering your bright smile and finding appropriate treatment is to determine what’s causing the discoloration.

There are multiple reasons for tooth discoloration. Some are under your control, but unfortunately, others may not be. Glance at the list below and see if you can pinpoint the cause of your tooth discoloration.

• Poor Dental Hygiene: This one is obvious. There’s a reason your parents (and dentist) always told you to brush and floss three times a day.
• Genetics: A big part of your dental health is determined by genetics; in other words, what runs in your family. Sometimes people inherit naturally discolored teeth.
• Diet: Do you eat sugary foods often? Drink lots of soda? Gulp more than two cups of coffee a day? Are you an energy drink fan? We’re not pointing any fingers ... but you should do the math.
• Tobacco: Because cigarettes contain nicotine, they can readily stain your teeth. So hardcore smokers often develop prominent brown stains.
• Medications: Medicines such as doxycycline, tetracycline, antihistamines, blood-pressure medications, and antipsychotic drugs can all create tooth discoloration as a side effect. (If you suspect this could be the case for you, don’t ever discontinue your medication without consulting your doctor first!)

Did you find the culprit? Perhaps the easiest way to avoid tooth discoloration in your case might be to make some simple adjustments to your diet and other habits.

Also, when you consume drinks or foods that are high in acid or sugar content, take a moment to rinse your mouth with water afterward. If you’re an avid tobacco user, you may want to reconsider that; especially because it can have deadly effects that go way beyond your smile.

Dr. Timm can also suggest other treatment options. While over-the-counter agents do help, in-office whitening treatments tend to be more effective. If whitening agents don’t alleviate the problem, you may want to consider bondings or veneers.

If you’re worried about discoloration of your teeth, or have any questions about how to treat it, please feel free to reach out to our Michigan Center, MI office! We can help you identify what may be causing the problem and work with you to give you a smile you’ll be proud of.