Our Blog

Dr. Jeffery Spahr and Dr. Janna Spahr and our team at Fallbrook Family Dentistry get this question a lot. Wisdom teeth are the last teeth to come in, once young people get their adult teeth. Because they are the last teeth to break through the gums, they are often called the third molars. There are four wisdom teeth: two on each side of the top and bottom of the mouth.

There is no hard-and-fast rule that says everyone must have the wisdom teeth removed. There are certain situations in which they either cause problems directly, or create a situation where there is a greater likelihood problems will arise eventually.

Impacted wisdom teeth

If Dr. Jeffery Spahr and Dr. Janna Spahr and our team say you have a soft tissue impaction, it means your wisdom tooth is covered by gum tissue that is preventing it from erupting — most likely because your mouth is too small to provide the tooth with the room it needs to emerge.

The term “partial bony impaction” means that gum tissue is covering the wisdom tooth, but part of the jaw bone is also covering it, in which case there is no room in your mouth for the tooth to erupt. The opposite end of this spectrum is a complete bony impaction, where the wisdom tooth is completely covered by gum tissue and the jawbone, which prevent it from ever erupting.

The importance of removing impacted wisdom teeth

Dentists often want to remove impacted wisdom teeth because of the likelihood that they will cause problems, or because a problem already exists. One such problem is pericoronitis, an acute abscess that affects partially impacted wisdom teeth. Food, bacteria, and other mouth debris can become lodged under the gum flap that covers the wisdom tooth, which prevents it from erupting. Pericoronitis symptoms include pain, swelling, and the presence of an abscess.

Regular dental checkups will enable your dentist to keep an eye on your wisdom teeth, especially if they have some type of impaction. Dr. Jeffery Spahr and Dr. Janna Spahr and our team at Fallbrook Family Dentistry typically recommend removal of impacted wisdom teeth because of the likelihood that severe infections such as pericoronitis will develop.

If you have any questions about wisdom teeth, or if you would like to schedule an appointment with Dr. Jeffery Spahr and Dr. Janna Spahr, please give us a call at our convenient Lincoln, NE office!

Regular dental cleanings and checkups at our Lincoln, NE office are an excellent way to ensure everything is A-OK in your mouth. There’s a reason the American Dental Association recommends a professional cleaning every six months!

Here’s what you can usually expect during your visit with Dr. Jeffery Spahr and Dr. Janna Spahr:

• Head and neck examination: The dentist or dental hygienist will look for anything out of the ordinary. He or she will check your lymph nodes and lower jaw joints (also known as TMJs).
• Dental examination: The dentist or hygienist will check for any signs of gum disease, tooth decay, loose or broken teeth, or damaged fillings. We’ll also check your bite, the contact between your upper and lower teeth, and the condition of any dental appliances you’re wearing. Sometimes we’ll also take a set of X-rays.
• Dental cleaning: Plaque and tartar will be removed and the dentist or hygienist will polish your teeth. Your teeth and gums will be flossed, and we’ll also make recommendations about proper brushing and flossing technique if we think you need them.

When you visit our Lincoln, NE office regularly, we’ll be able to compare the status of your teeth and gums from one appointment to another. That ensures we will be able to tell where you’re doing great in taking care of your teeth, and if needed, where you’re doing not so well.

If you’re in need of serious help, we might recommend more frequent visits. But remember, the most important factor in your oral health is how you take care of your teeth and gums at home between appointments.

We strive to help our patients achieve and maintain radiant, healthy smiles! If you'd like to know more about exams and cleanings at our Lincoln, NE office, or what you need to do at home to maintain an effective oral health routine, please let us know.

Perhaps you’ve heard your friends talking about dental sealants, and how well they prevent cavities. And as soon as your child’s permanent molars come in, you absolutely plan to make an appointment at our Lincoln, NE office for this treatment. But should you also be concerned with your child’s baby teeth? Could they benefit from sealants too?

Even though those beautiful baby teeth are going to be replaced with permanent teeth, they should still be protected. Primary teeth help with speech development, enable your child to develop proper chewing and eating habits, and serve as place holders so that permanent teeth can erupt in the correct place. That’s why you’ve been so careful to help your child brush and floss twice daily, and make regular visits to our office for exams and cleanings.

But some teeth are just harder to keep clean with regular brushing than others. Primary molars, just like permanent ones, have depressions and grooves on the chewing surfaces. These grooves collect bacteria and food particles that are hard for bristles to reach, providing a perfect opportunity for cavities to develop in those little molars.

Cavities are not the only problem which can affect primary teeth. Because baby teeth have thinner layers of protective enamel, a cavity can actually reach the pulp (the center of the tooth) more quickly, leading to pain and potential infection.

While baby teeth can be treated, with fillings, restorations, and even stainless steel crowns, preventing tooth decay is always our first, best choice. And dental sealants are recommended by the American Academy of Pediatric Dentistry and the American Dental Association as one of the most effective ways to prevent cavities in both baby teeth and adult teeth.

Dental sealants are safe and effective.  Sealants are thin coatings (usually a plastic resin or other dental material) that cover a molar’s grooves and depressions, making it impossible for bacteria and food particles to collect there. Applying them is a simple, pain-free process.

Each tooth will be examined first. If we find any signs of decay starting, we will gently treat that area before applying the sealant. After the tooth is cleaned and dried, an etching solution will be brushed on to the surface area being sealed. This etching roughens the surface so that the sealant will hold to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a curing light.

That’s all there is to it! Sealants typically last from three to five years, and some last even longer. Keep up your regular careful brushing and flossing, and we will monitor the condition of the sealants at each exam.

Talk to Dr. Jeffery Spahr and Dr. Janna Spahr about dental sealants. We’ll let you know if your child can benefit from the procedure even before those baby teeth give way to permanent ones. It’s never too early to prevent tooth decay!

Periodontal health — which refers to the condition of the structures that support your teeth — is an important part of your oral and overall health. However, periodontal health becomes even more important when you're pregnant. Bad oral health can have detrimental effects on the health of your unborn child and can lead to low-birth weight babies and giving birth to a pre-term baby, according to reports by the American Academy of Periodontology (AAP), the European Federation of Periodontology (EFP), and several research studies.

Periodontal disease (gum disease) is a set of chronic, bacteria-induced, inflammatory diseases that attack the gum tissue and in more severe cases, the bones supporting the teeth. Early signs of periodontal disease usually include tenderness, swelling, and redness. Symptoms can also include bleeding gums when flossing or brushing, receding gums, loose teeth, and bad breath. These signs shouldn't be ignored, especially if you're pregnant.

Prevention is the best tool you have to fight periodontal disease. Here are some steps you can take to keep your gums in tiptop shape:

• Brush your teeth properly twice a day – angle your toothbrush at the gum line to help disrupt the bacterial growth that eventually leads to periodontal disease, and make sure you don't brush too hard.
• Floss daily and clean behind the back molars on the top and bottom of your mouth.
• Use antiseptic mouthwash to rid your mouth of the bacteria that can cause gum disease.
• Get regular checkups at our Lincoln, NE office to ensure you have no signs of periodontal disease and that your oral hygiene habits are effective.

Dr. Jeffery Spahr and Dr. Janna Spahr and our team urge women to care for their periodontal health during pregnancy to avoid complications. If you have any questions regarding periodontal health and how it affects you and your baby's overall health, please contact our Lincoln, NE office for more information.