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There are some pretty exciting rewards to look forward to as you transition from your mid-teens to your 20s. Driving! Voting! Graduation! But there is one rite of passage that you might not be looking forward to quite so much: getting your wisdom teeth. What are wisdom teeth? When are they a problem? And, most important, how can Dr. Dale Scharine and Dr. Mark Pflum help?

Children have 20 baby teeth that are replaced as they grow up with 32 adult teeth. The last to arrive are the four third molars more commonly known as wisdom teeth. But that “32” number is a little flexible. Some people never develop wisdom teeth at all. You can stop reading here if you are one of this carefree group. The rest of us have from one to four wisdom teeth. Some people have enough room in their mouths to accommodate wisdom teeth without affecting the alignment of their other teeth or their bite. But for many of us, wisdom teeth extraction is often the best and healthiest option.

When do wisdom teeth become a problem? Most generally, when there is simply no room for them to erupt properly. As a result, the wisdom teeth become “impacted.” An impacted tooth can cause you trouble in a number of different ways.

• Completely Impacted Tooth

Some wisdom teeth never erupt at all, staying within the jawbone. If there are no problems with these teeth, your dentist might recommend leaving them in place. If your other teeth become crowded or otherwise affected, if cysts develop, or if other complications arise, these teeth should be extracted. Even if you are symptom free, regular exams and X-rays at our Appleton, WI office are important for monitoring the condition of impacted wisdom teeth to make sure they remain problem-free.

• Partially Erupted Tooth

A wisdom tooth can also begin to erupt, but never break completely through the gum tissue. The tooth and gum area can’t be cleaned properly, trapping food particles and bacteria. The gums can become easily irritated and even infected, and these teeth are much more prone to decay. When infection and rapid decay are present, extraction is often considered the best treatment option.

Dr. Dale Scharine and Dr. Mark Pflum might be the first to mention your wisdom teeth at your regular checkup, or you might be surprised to see a new tooth appearing while you are doing your nightly brushing and flossing. Impacted wisdom teeth can be symptom-free, or may present with pain, redness, swelling, or bad breath. Whenever the first signs of wisdom teeth appear, it’s time to discuss your options.

Your dentist or oral surgeon is your best resource for helping you decide on the wisest course of action for your wisdom teeth, whether it’s extraction or regular monitoring. After all, transitioning to adulthood is even more rewarding with a beautiful healthy smile.

You’re biting into something delicious, and, Ouch! You bite into something you didn’t mean to—the inside of your tender cheek.

Painful moments like this happen every now and again. But if you find that more frequent cheek biting means that you’re extra-cautious when eating or speaking, if you wake up with sore cheeks in the morning, or if you catch yourself habitually chewing on your cheeks during the day, it’s time to visit our Appleton, WI office.

Causes of Cheek Biting

Many of us experience the occasional cheek chomp when we’re eating or talking. No fun! Besides the pain, a bite can cause broken skin, inflammation, a canker sore, or a mucous cyst. Luckily, the discomfort from these accidental bites generally resolves after a few days.

Sometimes, though, biting becomes a more frequent annoyance. Regular bites can be caused by several conditions, including:

• Sleep Bruxism

Bruxism is the medical term for tooth grinding. When sleepers unconsciously clench or grind their teeth as they slumber, it’s known as sleep bruxism. Sleep bruxism not only causes tooth damage, jaw problems, and facial pain—that nightly gnashing can mean bites to delicate cheek tissue.

• Problems with Dental Restorations

The placement of a crown, bridge, or implant can cause biting to occur more often if the alignment of your restoration with your other teeth isn’t ideal or has shifted, or if the restoration needs replacement.

• Wisdom Teeth

Most of us don’t have the room to welcome four new—and large—teeth. When wisdom teeth come in, they can lead to cheek bites, especially if they erupt leaning outward toward your cheeks.

• Orthodontic Misalignment

If you notice that you seem to be biting your cheek a lot when eating or speaking, it could be an orthodontic problem.  When your teeth or jaws don’t align properly, if your mouth is small, or if your teeth have shifted over time, your cheeks might feel the consequences.

Treatment Options

Why see Dr. Dale Scharine and Dr. Mark Pflum? A one-time bite can be extremely uncomfortable, and might lead to inflammation or even a sore spot inside your mouth. Usually, both pain and sore spot fade in a short while, and saltwater rinses or oral gels can soothe your injured cheek tissue. Your dentist’s office can give you advice on treating minor bites.

But what about continuous biting? Regular biting injuries can lead to bigger problems. Tissue in the cheeks can thicken or erode. Scar tissue can build up inside the mouth. Ulcers and other sores can become larger and more painful.

If you’ve been biting your cheeks more often, Dr. Dale Scharine and Dr. Mark Pflum can diagnose the cause and offer you treatment options depending on the reason for this frequent biting:

• Sleep Bruxism?

Dr. Dale Scharine and Dr. Mark Pflum might suggest a nightguard to provide protection from the damaging effects of bruxism. Nightguards not only prevent further biting, they give your cheeks the chance to heal. We can custom fabricate a guard for the most comfortable and effective fit.

• Restoration Problems?

If regular cheek biting occurs after you’ve gotten a crown, a bridge, or an implant, visit our Appleton, WI office. This might be a problem that can be resolved with a bit of reshaping, whether removing a bit of the restoration or building up a spot. If a crown or other restoration has shifted or is failing, replacement might be in order.

• No Room for Wisdom Teeth?

Most of us don’t have room in our mouth to accommodate wisdom teeth, and extracting them is a common dental procedure. Wisdom teeth can be the source of many dental problems, including impaction, shifting teeth, and even damage to surrounding teeth. If you see signs that your wisdom teeth are starting to come in, talk to your dentist about your options.

• Orthodontic Problems?

Orthodontic treatment can improve tooth and bite alignment—and can eliminate those painful cheek bites if misalignment is what’s causing them. Modern orthodontic treatment offers patients of all ages more options than ever before, including traditional and lingual braces, clear aligners, and functional appliances.

Whatever the reason for painful cheek biting, you deserve to eat and speak and enjoy your day without constant “Ouch!” moments affecting your comfort and health. If these moments are happening all too often, visit Elite Smiles Dental for the answers to your biting problems.

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, Dr. Dale Scharine and Dr. Mark Pflum and our team at Elite Smiles Dental want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our Appleton, WI office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; Dr. Dale Scharine and Dr. Mark Pflum and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

• Use of tobacco products. Smoking cigarettes, cigars, a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially is a serious risk factor because it contains substances called carcinogens, which are harmful to cells in your mouth.
• Excessive consumption of alcohol. Those who drink alcohol regularly have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
• Excessive sun exposure. Those who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.
• Your age. Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
• Your gender. Oral cancer strikes men twice as often as it does women.
• A history with viral infections, such as human papillomavirus (HPV).
• A diet low in fruits and vegetables.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

• A sore or irritation that doesn’t disappear
• Red or white patches
• Pain, tenderness, or numbness in mouth or lips
• Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
• A change in the way your teeth fit together when you close your mouth

During your next visit, Dr. Dale Scharine and Dr. Mark Pflum will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Appleton, WI office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

Our gums cover and protect the sensitive roots of our teeth and the bone around them. While we often think of gum tissue as a rosy shade of pink, that’s not a hard and fast rule. Just as skin tones vary, gum color can vary from person to person.

Healthy gums can range from light pink to darker pink to hues of brown or black. Because your gums are a good indicator of your oral health, what’s important isn’t your normal gum color, it’s noticing any changes in your normal gum color. These changes could be symptomatic of several different dental and medical conditions.

Pale Gums

• Anemia

If the overall appearance of your gums is paler than usual, anemia is a prime suspect. Anemia is a common condition caused by a low red blood cell count. Hemoglobin in red blood cells delivers the oxygen our tissues need to function properly, and without enough, we suffer symptoms like fatigue, weakness, pallor, faintness, and rapid heartbeat.

Anemia can be caused by an underlying medical condition, or can develop because of other issues, such as iron or vitamin deficiencies, pregnancy, ulcers, certain medications, or heavy menstrual periods. If you have any of the symptoms of anemia, seeing your doctor for a blood test is a good idea.

• Teeth Whitening

Occasionally, gums can also lighten up after a tooth whitening procedure. This is due to tissue irritation caused by the bleaching chemicals. Usually this condition is very temporary.

Ask Dr. Dale Scharine and Dr. Mark Pflum for advice if you experience irritation after home treatments. Having your teeth whitened by a dental professional is one way to make sure your gums get the best protection possible during the process.

Red Gums

• Inflammation

Red gums are a common symptom of gingivitis (early gum disease). Plaque and tartar irritate your gums, and gum tissue reacts to this irritation by becoming inflamed. Left untreated, gingivitis becomes periodontitis (serious gum disease), which can destroy the bone around the tooth and lead to tooth loss.

If you notice signs of gingivitis—redness, swelling, bleeding, bad breath—talk to Dr. Dale Scharine and Dr. Mark Pflum. Often, gingivitis is easily remedied in the early stages by better attention to dental hygiene. Brushing for two minutes at least twice each day and flossing at least once a day are a good base line for keeping gum disease at bay.

• Infection

Redness can also be caused by infection. If you’re experiencing redness, pain, loose teeth, swelling, pus, or fever, it’s important to see Dr. Dale Scharine and Dr. Mark Pflum as soon as possible in case you have an abscess or infected dental cyst. Without treatment, infection can seriously damage gum tissue, teeth, and underlying bone.

• Over-Vigorous Brushing

Brushing too hard or using the wrong brush can cause gum irritation. Do your gums (and teeth!) a favor by using proper brushing technique—massage, don’t scrub—and always use a soft-bristled brush.

Spots of Discoloration

Sometimes you notice a patch of lighter or darker tissue that you haven’t seen before. A spot that is different from the gum tissue around it can be harmless or need further attention.

Contact our Appleton, WI office if you have any recent discoloration, sores, pain, lumps, or any differences in appearance or sensation in your mouth. There are several types of oral cancer and prompt diagnosis and treatment is important to prevent the spread of cancerous cells.

You know your smile better than anyone. Any time you see a change in the usual appearance of your gums, it’s important to see Dr. Dale Scharine and Dr. Mark Pflum. Treating gum problems before they become serious is one of the best ways to keep yourself—and your smile—in the pink of health!