Dealing with wisdom tooth pain

wisdom tooth pain

Understanding Wisdom Tooth Pain

Wisdom teeth don’t really have much use because they’re located at the very back of the mouth. Most of the time, they need to be extracted because they rot easily, particularly if you’re not meticulous with brushing and flossing.

Another reason why most people just choose to have them extracted is because they’re painful to have around, especially when they’re still trying to break through the gums. Since most wisdom teeth grow in crooked, sideways or misaligned, they push other permanent teeth and cause them to shift, which can be rather uncomfortable. On top of that, since wisdom teeth come out late, they tend to mess with the alignment of the teeth that have already grown in.

The pain of having wisdom teeth doesn’t occur for some – there are lucky people with wisdom teeth that come out like regular molars – but for those who experience it, the discomfort can be great. Some experience throbbing pain, especially when chewing food. There are even those who complain that the pain radiates to different parts of the head (leading them to think that the pain’s due to a sinus infection, which does present similar sensations), especially when the teeth are impacted.

Impacted wisdom teeth are truly painful because they can’t emerge properly.

On top of this, they are prone to bacterial infection. Therefore, it’s imperative to have them surgically removed as early as possible. Timely extraction can prevent damage to bones and other teeth.

It’s important to point out as well that impacted wisdom teeth can also put you at risk for cysts and tumors that lead to permanent damage to your jawbone and other teeth. Although tumors rarely form around the tooth, it’s definitely more reassuring to have a mouth that’s not an ideal environment for the development of tumors.

If you have pain in the area where wisdom teeth grow, see your dentist right away. It’s better to establish right away if the sensation is due to these teeth or some other reason. This way, you can get the appropriate treatment and be free from the discomfort and potential complications much faster.

Wisdom tooth pain is no light matter because you simply cannot ignore it; seek dental attention when you start experiencing it.

If you are currently looking for a dentist in Burtonsville, MD to help you deal with wisdom tooth pain, Dr. Aaron Nicholas and our staff would love to meet you. We’re experienced in dealing with all kinds of dental concerns, so contact us today!

What do swollen gums around my teeth mean?

Swollen Gums Around Teeth: Causes and Tips for Quick Relief

No one is immune to dental problems. Even with good at-home oral care routines, there are instances wherein dental issues can happen unnoticed. All of a sudden, you may experience swollen gums around tooth areas. Here are some causes and tips for relieving this dental problem.


Improper Dental Hygiene – Incorrect brushing or flossing is the common culprit of swollen gums because this can leave food debris behind, causing tooth decay and inflammation in the neglected area. Eventually, inadequate oral hygiene can result in gum disease. As such, you must always be on the lookout for red, pale or swollen gums each time you brush and floss.

Abscessed Tooth – This indicates an infection in or around the tooth. Often, this is the result of an untreated cavity causing bacteria to spread through the entire tooth and infect it. When left untreated, this will cost you the tooth. Signs to look out for will include swollen and red gums, a salty taste in the mouth, throbbing pain, and fever.

Canker Sores – These are small, round or oval and shallow lesions with a red border and yellow/white center found inside of the mouth, under or on the tongue, on the soft palate, inside the lips or cheeks, or at the gums’ base. A minor injury from improper dental work, sports mishaps, obsessive brushing, or an accidental cheek bite can trigger canker sores.

An Erupting Tooth – Swollen gums around a tooth can happen to children whose permanent teeth are erupting or to adults whose wisdom tooth is about to erupt. If there is insufficient room for an erupting tooth, this can result in inflamed gums around the teeth.

Allergies – Allergies to coffee, chocolate, spicy foods, cheese, nuts, eggs, or strawberries can cause swollen gums. As much as possible, avoid eating foods that will irritate the gums. Moreover, avoid gum irritants such as tobacco and betel nut.

How to Relieve Swollen Gums

1. Proper Oral Care

Brush your teeth using circular movements with a soft bristle toothbrush for 2 minutes after every meal. To prevent early tooth decay, use fluoride toothpaste. Rinsing your mouth with an anti-microbial mouthwash can also help.

2. Proper Sanitation

Always wash your hands before eating or touching your gums and teeth. Also, guard your tooth against germs and dirt by using a brush cover and changing your toothbrush every 3 months or earlier if the bristles are already worn out.

3. Cold/Hot Compress

A cold compress will constrict the blood vessels, thereby reducing the swelling. A hot compress, on the other hand, will relieve pain efficiently.

If the inflamed gum around your tooth does not get better after doing these tips, visit your dentist right away. He will definitely provide you with further advice. With excellent oral hygiene and regular professional cleanings, you have nothing to worry about.

Looking for a dentist in Burtonsville, MD? Dr. Aaron Nicholas and our staff would love to hear from you. Contact us today!

Oil Pulling – Is It Good For Your Oral Health?

To ensure good oral health, the ADA recommends brushing your teeth twice a day with fluoride toothpaste. Also, you must clean between teeth once a day with interdental cleaner or floss. Doing this practice on a daily basis will keep your gums healthy and prevent cavities. You can also use ADA-Accepted mouth rinses as this reduces gingivitis and plaque formation.

It helps to be discriminating when choosing a mouth rinse to reduce gingivitis and plaque. Look for essential ingredients such as methyl salicylate, thymol, menthol and eucalyptol as these can prevent gingivitis and the formation of plaque. The ADA Seal you see on over-the-counter oral care products gives assurance that such products have been evaluated by the ADA Council on Scientific Affairs, which is an independent group of experts. Most importantly, this seal guarantees that it does what it claims to do.

Recently, the practice of oil pulling or swishing oil in the mouth is making a buzz. Websites supporting natural therapies are hopeful about this practice since it claims that it can whiten teeth, enhance oral health, and boost overall health and well-being. But due to the lack of solid proof, oil pulling is not yet recommended.

A Closer Look at Oil Pulling

Oil pulling has been practiced for centuries in India and southern Asia. This is a traditional folk remedy and a holistic Ayurvedic technique. This practice will involve placing a spoonful of edible oil like sunflower, coconut, olive and sesame oil inside the mouth, and swishing the oil through the teeth and oral cavity for around one to five minutes or longer.

A study about the use of a chlorhexidine rinse versus oil pulling showed that chlorhexidine is more effective when it comes to reducing S. mutans levels in saliva and plaque. But the same study has not looked at whether the reduction in S. mutans prevented cavities.

There are limitations on the potential health benefits of oil pulling.

Current studies are unreliable for several reasons such as the misrepresentation of results because of lack of demographic information, the absence of negative controls and small sample size. Today, there is still no clinical evidence confirming that oil pulling whitens teeth, decreases the incidence of dental caries, and enhances overall health.

There are plenty of over-the-counter products promising therapeutic effects when used. But it is only through in-depth scientific analysis that the dental profession can be assured of the effectiveness and safety of a certain product or therapy. After all, the ADA policy statement on unconventional dentistry emphasized that the provision of dental care must only be based on rigorous scientific principles.

To know more about science-based care for your teeth, look for a reputable dentist in Burtonsville, MD. Dr. Aaron Nicholas and our team will be happy to help you. Contact us today!

Understanding the Prevalence of Periodontal Disease in Adults

Having healthy teeth is an important part of overall good health. A great smile does not only improve physical appearance. It also helps you speak properly and of course, help you chew your food properly. For this, toothache should not be taken for granted. Pain in a tooth is a sure sign that there’s something wrong, most especially when your gums are swelling or bleeding. Teeth problem may also come with age like the periodontal disease.

What is periodontal disease?

Periodontal disease, also known as periodontitis or pyorrhea, causes inflammation of the gums and deterioration of the bone that surrounds and supports the teeth. It is often the main cause of bad breath in adults. It is also responsible for most of the teeth lost as people age.

As a matter of fact, a research study from the CDC or Centers for Disease Control and Prevention has found that almost 64 percent of adults 65 years and above have moderate to severe forms of periodontitis. Findings from the same study have shown that more than 47 percent of the adult population in the U.S. who are 30 years and above suffer from mild to moderate or severe periodontitis. And between men and women, periodontitis tends to be more prevalent among men.

Signs and Symptoms

Sometimes a person has such minor symptoms that he or she may not realize that periodontal disease is present. As the disease progresses, symptoms include pain, bleeding of gums, swollen gums, and a foul taste in the mouth.

The Primary Cause Of Periodontal Disease

The main culprit behind developing periodontitis is the buildup of dental plaque, which is a thin film of bacteria that sticks to the gum line of the teeth. If this plaque is not removed, it can cause the tissues and bone to break down, leading to tooth loss.

Prevention and Treatment of Periodontal Disease

As recommended by the American Dental Association (ADA), periodontal disease in adults can be prevented with good oral hygiene and regular dental care such as brushing, flossing, and dental checkups.

When visiting the dentist for regular checkups, the clinical examination must also include a periodontal assessment, particularly among middle-aged and elderly. To accurately assess the burden of periodontitis, using a full-mouth periodontal exams (FMPE), which was also cited in the CDC study, proves to gain better results.

It is also important to discuss with your dentist the risk factors that may possibly lead to periodontitis. Reputable dentists would definitely evaluate patients for oral diseases and would provide helpful solutions to prevent them or refer appropriate therapy when there is a need.

For severe cases, the disease can be treated by specialized plaque removal techniques and also by surgery on the gums and bones in the mouth.

If you are currently looking for Dentist in Burtonsville MD, Dr. Aaron Nicholas and our staff would love to hear from you. Contact us today!

What Causes Periodontal Disease in Adults?

Dental professionals can never stress enough the importance of keeping teeth and gums in good condition in order to ensure overall physical health. Every year, countless campaigns are launched for the purpose of encouraging everyone, young and old, to take oral health seriously.

For older folks, however, dental professionals are no longer just encouraging good oral care practices; they are compelling adults to consistently implement proper dental hygiene. This is mainly due to the fact that numerous studies have proven the direct relationship between periodontal disease and life-threatening illnesses such as diabetes and liver ailment. Researchers discovered that even mild periodontal disease such as gingivitis aggravates these serious health woes.

What causes periodontal disease in adults anyway?

First of all, it’s important to establish that bacteria are always present in people’s mouth that’s why consistent proper oral care is a must. You’ll definitely have more if you smoke and have other unhealthy habits.

These bacteria, along with mucus, food debris and other particles, if not brushed and flossed away form plaque (a sticky, colorless film) on teeth. If plaque is allowed to build up, it will harden and turn into tartar – that hard, yellowish buildup at the base of teeth and down beneath the gums that tooth brushing and flossing cannot remove.

The longer plaque stays on the teeth and beneath the gums, the more harmful it actually becomes. Not only will it lead to cavities, but also the bacteria present in it can cause infection and inflammation. When gums become inflamed, they become prone to bleeding and swelling – this is gingivitis, the mildest form of periodontal diseases.

Now, if gingivitis is not treated right away, it can worsen and turn into periodontitis. With this condition, tooth loss is highly likely because the gums will start to pull away from the teeth. This isn’t the only risk. There’s also a higher likelihood of developing other complications because the pockets created by the pulling away of the gums will allow bacteria to further breed.

How do you know if you have periodontal disease?

  • You’ll have halitosis (bad breath)

  • Red, swollen gums

  • Sensitive gums prone to bleeding

  • Chewing food is painful

  • Your teeth are loose

  • Your gums recede

How is gum disease treated?

Treatment always starts with a visit to the dentist. The dentist will properly assess the situation and determine the most appropriate treatment program. Treatment always includes deep dental cleaning to get rid of plaque and determine the gravity of the disease. Medication is also prescribed to treat the infection. There may be other procedures necessary (such as surgery) but all these depend on how serious the disease is.

Periodontal disease is no light matter so if you’re concerned about it, want to prevent it, or if you wish to be treated for it, our Dentist in Burtonsville MD, Dr. Aaron Nicholas and our staff would love to hear from you. Contact us today for an appointment and consultation.

Savvy Strategies to Cut the Cost of Dental Care

Everybody wants a beautiful smile or event just to be free from common dental issues. The problem is regular dental care often creates a huge dent on the finances, particularly for those who do not have dental insurance.

If you’re committed to good oral health but you find regular trips to the dentist too big a burden for your budget, don’t worry. You can still get dental treatments without spending too much money. Dental professionals say there are strategies you can try to reduce the cost of dental care or to make it easier to accommodate in your tight budget, and they are the following:

  • Stay informed about health drives in your community.  Oftentimes, health missions conducted by non-profit organizations include basic professional dental care, such as oral prophylaxis, filling, and even tooth extraction. All these special services will not cost you, but make sure you get to the venue early because a lot of people also look forward to these special events.
  • Check your community health centers. Many of these cover low-cost dental care; they usually just cover basic dental services but for oral health, these are usually all you need.
  • Get free dental care from university dental schools. While “greenhorns” will treat you, the dental treatments they provide are supervised by dental experts so you don’t have to worry about your safety. You can get as much as 40 percent discount for dental treatments.
  • Check top e-commerce sites for deals on dental treatments. Some sites are known to include discounted dental treatments in their line-up of offerings. A lot of dental clinics these days are partnering with e-commerce sites to market their services effectively and they are offering everything from teeth whitening deals to orthodontic braces for a much lower price.
  • Consider dental savings plans. You just need to pay an annual fee of $80 to $200 in order to access a large network of dental clinics that offer up to 50 percent discount for those who are members of these dental savings plans
  • Consider dental HMOs as well. These are available in huge urban locations and they only charge $200 to $300 a year for their services, which include oral prophylaxis (twice a year), fillings, root canals and crowns.
  • Have a consultation at your local dental office and inquire which insurance policies you have can cover dental treatments. You may be surprised to know that you already have the means to pay for professional dental services.

If you’re looking for a dentist in Burtonsville, MD, Dr. Aaron Nicholas and our staff would love to hear from you especially if you have concerns about the cost of dental care. We are ready to help in any way we can so contact us today!

The Importance of Senior Dental Health Care

Some elderly people view dental problems as a consequence of aging. But the truth is that oral health is important, whatever your age is.

Senior Dental Health CareIf you are a senior or someone who cares for one, you need to be aware of a few alarming statistics. For one, more than 30% of older adults have cavities which are left untreated. About 25% of seniors have a periodontal disease which has been associated with a few chronic health problems including diabetes, heart disease, and respiratory problems. Finally, around 30% of the elderly lose their teeth due to different factors.

Why is senior dental health care important?

The most important reason why the elderly should pay careful attention to their dental health is because they do not need to lose their teeth while they age.

On top of that, the human mouth changes over time. And if you do not pay close attention to this and your overall dental health, you could face serious consequences related to your health.

As you age, you can become vulnerable to different dental problems brought about by different factors. For example, some medications have been known to cause dry mouth as a side effect. Low levels of saliva can make you vulnerable to bacteria and other microorganisms which can cause issues like gum disease and cavities.

Also, a person’s diet can also negatively impact one’s health. For example, if you consume too many hard and sticky treats, starchy foods, and drinks and foods that dry your mouth, you risk facing problems like difficulty in chewing your food as well as having a dull sense of taste.

Other problems associated with poor oral health in seniors include pneumonia, heart disease, and oral health.

Fortunately, seniors can improve their oral health and keep these aforementioned problems at bay through good oral hygiene.

Ideally, elderly people should continue brushing at least twice a day and flossing at least once a day.

If you are wearing dentures, remember to clean these once a day and remove from your mouth for at least four hours.

Drink lots of water as this can help keep tooth decay at bay. And if you have not stopped smoking, consider kicking this habit from your life.

If you are currently looking for a dentist in Burtonsville, MD, Dr. Aaron Nicholas and our staff would love to hear from you. Contact us today.

Do Dental Sealants Prevent Cavities?

Dental SealantsDo Dental Sealants Prevent Cavities?

Dental Sealants are a thin resin coating typically painted on teeth that may be susceptible to cavities. This procedure is often used with children or teens but can also be useful for adults. They are designed to coat the teeth that may be more difficult to clean like molars.

Good oral hygiene practices such as brushing 30 minutes after having your meals, flossing properly, and using fluoride toothpaste, are excellent preventative care choices. However sometimes, life makes it difficult for you to stay consistent with proper daily oral care. Dental sealants can help with this problem especially in young children. Children don’t always know how to brush really well can benefit the most from dental sealants.

The real question here is not “Do dental sealants prevent cavities?”

According to a Laurel, MD dentist, Dr. Aaron Nicholas, dental sealants were developed precisely for the purpose of preventing cavities, and they are quite effective. When dental sealants are applied by an experienced dentist, the sealant will fill in all the pits and fissures of teeth where food normally gets stuck and leaves cavity-causing bacteria. Without that contact with food or sugar, your teeth will not be at risk for cavities.

How Long do Sealants Last?

Dental sealants last about six years, so your teeth are reasonably protected for that amount of time. You can request a reapplication if you’re happy that your teeth were properly preserved by the sealants. This only makes sense, because why would you compromise teeth that you properly preserved for six years? Your commitment should be to keep your teeth strong and healthy through the years, right?

And also, why wouldn’t you? It’s a pain-free process, and for the pretty affordable cost of covering a few vulnerable teeth (dental sealant per tooth costs just between $25 and $50), you can avoid costlier fillings and restorative procedures.

Now, if you’re concerned about the BPA in the plastic resin used for dental sealants, keep this in mind: It may be present, but not in an amount that is truly harmful to your health. This is usually the only thing that holds people back from getting dental sealants. The American Dental Association does not have any problem with this cavity preventative measure and nobody has been reported to have gotten seriously ill because of dental sealants, so do take these into account.

It’s completely up to you if you wish to use this method or not. One thing’s for certain about them: They truly are reliably effective in preventing cavities.To learn more, call the professionals at Nicholas Dental Care today!


Denture Procedure | Nicholas Dental Care In Maryland

denture procedure

Denture Procedure – What Should You Expect?

There are many reasons why people choose to wear dentures. You yourself may find that they’re the best solution for your missing teeth. After all, for the longest time, they were the logical recourse for remedying loss of teeth.

The Most Important Points About Dentures

What are some of the most important points you need to know about dentures? The first is that they are fairly inexpensive up front. Besides this, they can be made very quickly (a matter of hours, at times); they are usually available from many sources; they are a proven dental solution, having been in existence for centuries, and they are made of readily available materials.

Denture Procedure

Let’s say you’ve decided on dentures; what can you expect from a denture procedure appointment? Basically, a dental procedure is about eliminating errors. Its objective is to perfect the adaptation of the dentures so that the necessary adjustments can be made to achieve correct occlusion. The appointment typically involves:

  • Perfecting adaptation with the use of pressure indicating paste (PIP).
  • Adjusting the denture borders with the use of disclosing wax.
  • Refining the occlusion with the use of clinical remount records.
  • Testing and rating chewing until there’s no longer pain.
  • Checking aesthetics and phonetics.
  • Polishing small areas using a Brasseler polishing kit.

Denture Aftercare

Your new dentures will need several adjustments before they become a complete and comfortable fit for your mouth. Nonetheless, even with the effort to ensure that your dentures fit you just right, there will be some discomfort. Dentures are like new shoes; even when they’re perfect for you, they have to be broken in. You might want to refrain from participating in feasts or accepting speaking engagements while your dentures are new.

Denture Maintenance

When it comes to maintaining your dentures, you need to remember to take them out at night and put them in a clean container with water or denture cleaning solution. You need to let your gums rest for a certain period each day. Before you return the dentures into your mouth, you have to thoroughly clean them first with a toothbrush and water.

What else can you expect when you have new dentures? Nicholas Dental Care says since you’re still getting used to them, you may find that’s a bit hard to talk normally, but the difficulty should disappear after a few days. If you want to speed up the process, practice reading out loud with a book or the paper. This will help your tongue and muscles get used to the new dentures faster so you can talk normally sooner.

If you have any additional questions about denture deliver, contact your local Maryland dentist at Nicholas Dental Care. Let the dental professionals give you more information and answer any questions you may have.



Invisalign Facts | Nicholas Dental Care

Invisalign Facts

Your dentist may have recommended conventional braces for your current dental problem. However, you are having reservations based on what you have read and heard about these.

Now, your dentist has broached the idea of Invisalign as an alternative to traditional braces. What makes Invisalign different from its conventional counterpart? What can you expect from the treatment? What are its advantages?

Here’s what you need to know about in Invisalign in Burtonsville, MD.


How does it work?

Instead of using metal brackets and wires, Invisalign utilizes aligners which are made out of thermoplastic material. These aligners are virtually invisible.

In straightening teeth using Invisalign, you will be given different sets of aligners throughout the treatment process. Each set of aligners will slightly adjust the position of your teeth based on the treatment plan designed by your dentist. These aligners will gradually shift your teeth to the desired position. On average, you will need to change your aligners every two weeks.

Invisalign can shift your teeth toward the desired position by using controlled force and the proper timing for the application of that force. For each treatment stage, only a certain set of teeth are moved.


Overview of Treatment Process

The length of the treatment process will depend on a few variables, including the severity of your dental problem. However, on average, most adults finish the treatment process in just one year.

In order to get started with your Invisalign treatment, your dentist will first subject you to a smile assessment in order to determine whether you are an ideal candidate for the treatment or not.

Although one of the advantages of Invisalign is that you can remove the aligners any time you want to, you are required to wear the aligners for up to 22 hours per day. The aligners should only be removed when eating, brushing or flossing.

Another advantage of Invisalign is you get to pay fewer visits to the dentist. For an Invisalign treatment, you will only need to see your dentist every four to six weeks.


The Invisalign Advantage

Unlike conventional braces, Invisalign is practically invisible. You do not have to worry about how awkward it looks.

The aligners can also be removed, allowing you to eat anything you want to. This also makes brushing and flossing easier. The absence of metal brackets and wires ensures that you do not have to worry about irritating your cheeks and gums.

Finally, you know exactly what the end results are. Before your treatment starts, your dentist can give you a virtual tour of the progress you can expect from the treatment.