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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. Theodotou; 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. Theodotou and our team at Oral and Maxillofacial Surgery of Coastal Georgia 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. Theodotou, please give us a call at our convenient Pooler office!

Xylitol is a naturally occurring sweetener found in tree bark, plants, fruits, and vegetables. The human body also produces it in small amounts. It looks and tastes like sugar, so as part of a health regimen, most people require no willpower to use it.

Xylitol is safe (approved by the World Health Organization) because only a small amount is needed for health benefits. With a glycemic index of seven, it is safe for diabetics. It has less than three calories per gram and 40% fewer calories than other carbohydrates. If eaten in extremely large amounts too quickly, it has a laxative effect in humans.

Tooth decay happens when bacteria in your mouth consume the sugars you eat. When you eat food that contains ordinary sugar, it gives energy to the bacteria on your teeth, allowing them to multiply and start making acids that destroy the enamel on the teeth.

Since xylitol is a natural sweetener derived from the fibrous parts of plants, it does not break down like sugar, so it helps maintain a neutral pH level in the mouth. Xylitol also prevents bacteria from sticking to the teeth because they are unable to digest it. That is how it protects the teeth from cavities.

With xylitol, the acid attack is diminished. With less bacteria and acid, your teeth stay healthier. The frequency of xylitol ingestion is important: aim for five grams a day, or one gram every three hours.

Studies of xylitol use as either a sugar substitute or a small dietary addition have demonstrated a dramatic reduction in new cavities. It has also stopped and even reversed some existing cavities. This effect is long lasting and possibly permanent. Low cavity rates persist even years after the trials have been completed.

Xylitol needs to be one of the first ingredients in a product to be effective. It is convenient and easy to use. You can find it in health food stores and specialty grocery stores. Xylitol can be delivered to your teeth in chewing gum, tablets, or even candy and mints.

It also comes in toothpaste, mouth rinse, baby oral wipes, gel and pacifiers, nasal wash, dry mouth spray, a granulated form for cooking, granulated packets to add to drinks, and commercially prepared foods. It can replace sugar on a one-to-one ratio.

Sweet rewards in xylitol are good for the body and the teeth! If you have specific questions please feel free to contact Oral and Maxillofacial Surgery of Coastal Georgia. We look forward to seeing you soon!

If wisdom tooth extraction is on your calendar, it’s a good idea to visit your grocery store ahead of time to stock up on smart diet options for post-surgery meals. It might be a few weeks before you heal completely, so we have some shopping list suggestions which are safe, soothing, and nutritious to get you through your recovery.

Smart Choices

Soft, Smooth, and Creamy

• Soft-serve ice cream
• Frozen yogurt
• Yogurt
• Pudding

Now is a good time to indulge yourself, and ice cream, yogurt, and pudding are easy on sensitive tissue and filled with protein, calcium, and vitamin D. Just remember—choose soft flavors with no crunchy, sticky, or chewy additions.  This means no cones, as well. Most important? Nothing with a straw. Suction can cause the dislodgement of the protective clot over your extraction site. And dislodgement of this protective cover can lead to a painful condition known as dry socket.

Sometimes we recommend a wait on milk products immediately after surgery due to anesthesia, medication, or other considerations—we’ll let you know if that’s the case, and when you can safely enjoy dairy products.

Comfort(able) Foods

• Broth
• Pureed soups
• Applesauce
• Gelatin desserts
• Clear liquids

Foods that don’t require much chewing won’t irritate tender mouth and gum tissue. You can also find a wide variety of flavors to tempt your palate. Choose broths with higher concentrations of protein, and soups which provide minerals and vitamins. Nothing too hot, though—heat can affect the protective clot over the wound site. Applesauce is not only soothing and flavorful, but is a good source of fiber and vitamin C. Gelatin desserts and clear liquids will help you keep hydrated, which is extremely important as you heal.

Blender-Friendly Creations

• Smoothies
• Pureed foods

Want to get creative in the kitchen? Create your own smoothies and purees to suit your individual taste! Blended foods are easy to eat, and you can add vitamins with your choice of fruits and vegetables and proteins or protein powder for nutritional value. (Sip or eat smoothies with a spoon, as straws are still off-limits.)

You can gradually add semi-solid foods such as mashed potatoes, oatmeal, cottage cheese, and scrambled eggs as you recover. Don’t worry—we’ll give you aftercare instructions that will include what you should be eating and drinking right after surgery, and what you can add to your diet as you heal.

Unwise Diet Selections

It wouldn’t be sensible to leave you without some idea of which foods to avoid for the next few weeks. Talk to us about how and when to re-introduce these items to your diet.

• Grainy, seedy, or crunchy foods, which become tiny particles as you chew, can lodge in the surgical site.
• Spicy, carbonated, and acidic foods can irritate delicate gum tissue.
• Sticky and chewy foods can be hard on the extraction side.
• Hot beverages can interfere with the protective clot that forms over the wound.
• Alcohol can interact with medications and, according to several studies, potentially slow healing.
• Anything that requires a straw. Any kind of suction risks dislodging the protective clot at the surgical site. Eat your milkshake with a spoon—it’s still delicious!—and absolutely no cigarettes.

And one final word to the wise: seeing Dr. Theodotou for wisdom teeth extraction and follow-up is an excellent idea!

Oral surgeons like Dr. Theodotou have a minimum of four years of advanced studies in a hospital-based residency program, where they train with medical residents in the fields of general surgery, anesthesiology, internal medicine, and other specialties with a specific focus on the anatomy of the face, mouth, and jaw. They are uniquely qualified to make sure your wisdom tooth extraction and healing are successful.

If you have any questions about the procedure, and what you can do at home to help the healing process, give our Pooler office a call. We want to help you make the wisest choices for diet, pain relief, wound care, and all of your other aftercare needs.

When you replace your old toothbrush every three or four months with a new model, you accomplish three things:

• You keep your teeth cleaner (frayed brushes don’t clean as well)
• You protect your gums (you won’t be scrubbing harder to get your teeth clean)
• You add another toothbrush to your growing collection of used brushes

If creative recycling is one of your talents, you might have already discovered how handy repurposed brushes are for cleaning delicate or hard-to-reach spaces around the house. But those old brushes don’t have to spend their entire existence cleaning! Here are some ideas from Dr. Theodotou to give a new, artistic life to your old, uninspired toothbrush.

• Splatter Painting

As your bathroom mirror can confirm, toothbrushes are great for splattering. Why not put those bristles to creative use by adding color bursts to canvas, wooden picture frames or boxes, fabric, cards, gift wrap and more? Just dip the tips of the bristles into the paint, point them toward your surface, and brush your finger over the head. For more formal effects, splatter paint over your favorite stencils on paper or fabric. Or work your magic by splattering around a stencil for a dramatic silhouette.

• Children’s Painting

Your child might find it great fun to use an old toothbrush to create new works of art. The easy-to-grip handle and wide bristles are perfect for painting those first masterpieces. Splatter painting is also a wonderful art activity for children—but be prepared for some clean-up!

Texturizing Clay Pieces

Whether you work in potter’s clay, polymer clay, or Play-Doh, an old toothbrush can provide any number of interesting textures to your piece. Press the bristles into the clay for a sophisticated stippled background, or brush long gentle strokes for a striated effect.

• Carpentry

Wood glue creates strong bonds when you are joining edges, mitering corners, or fitting mortise and tenon joints. It also creates a sticky mess when you use your fingers, a wood or plastic spreader, or one of your good paint brushes. For any gluing jobs or joinery, try a toothbrush for greater control and easy application.

• Jewelry Making

If you work with jewelry pieces, you know that sometimes there are nooks and crannies that are almost impossible to clean or polish. Try a gentle brush with an old toothbrush and the recommended polish for your piece—but do keep brushes away from the delicate surface of pearls. And for the boldly creative, why not use your toothbrush itself as jewelry? There are online instructions out there for transforming that old brush into a colorful bangle bracelet.

In turns out that there’s a second career waiting for your toothbrush after all! Make sure to clean your toothbrushes thoroughly before using them in another role. After that, let your creativity run wild—including your creative recycling! It’s just another way you are crafting a more beautiful environment for all of us.