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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 Drs. Sacro and Quinones; 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, Drs. Sacro and Quinones and our team at Ferndale Family Dental 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 Drs. Sacro and Quinones, please give us a call at our convenient Ferndale, WA office!

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

• Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
• Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

• Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
• Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
• Brush your tongue gently to remove germs that can hide there.
• Use an anti-bacterial mouthwash to kill germs that are hard to reach.
• Keep track of how well your blood sugar is controlled and let Drs. Sacro and Quinones know at each visit.
• Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Ferndale, WA office for regular checkups and tell Drs. Sacro and Quinones about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

• Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
• Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

• Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
• Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
• Brush your tongue gently to remove germs that can hide there.
• Use an anti-bacterial mouthwash to kill germs that are hard to reach.
• Keep track of how well your blood sugar is controlled and let Drs. Sacro and Quinones know at each visit.
• Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Ferndale, WA office for regular checkups and tell Drs. Sacro and Quinones about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

We’ve all learned a lot about staying healthy lately. As a parent, you give good advice about avoiding germs in public places, cleaning things that get touched a lot like phones and keyboards, and learning the best way to wash hands. These small daily habits can have a big effect on your child’s health.

And since you’re already taking care of your little one by making sure they brush at least twice a day, we have some good advice for small habits which can make their toothbrush even cleaner and brushing even healthier.

Brushing Habits

Don’t let germs hitch a ride on your child’s toothbrush before they even begin brushing! Make sure their hands are clean before they start, and rinse off the toothbrush before they put it in their mouth.

After brushing, be sure your child rinses their brush carefully to get rid of leftover toothpaste and bits of food. Also, clean the toothbrush holder regularly to get rid of germs and bacteria.

And while we’re talking about germs, how about . . .

• Flushing Habits

Most toothbrushes live in the bathroom, where we also find—the toilet. Every time we flush, invisible bacteria and particles fly through the air. And while that might not make you sick, it’s still pretty gross. Closing the lid before you flush helps keep your family’s toothbrushes—and bathroom—cleaner.

• Airing? Yes!

Keeping a toothbrush in a dark, wet environment is the perfect way to help bacteria grow. Instead of putting a wet toothbrush in a case, let it air dry standing heads up after use. Give it a shake first for a head start on drying out.

• Sharing? No

We’re not talking about sharing a brush, which you would never do. We’re talking about sharing space. If your child’s brush touches other brushes in a toothbrush holder, it’s probably sharing germs. Toothbrushes shouldn’t be too close to other toothbrushes, no matter how close you are to the other brush’s owner!

Finally, no matter how well your child takes care of their toothbrush, there comes a time when you should let it go. After three or four months, bristles become frayed and worn out. This means the brush won’t remove plaque as well as it used to. And to be on the safe side, it’s a good idea to replace a brush if your child has been sick.

Keeping your child’s teeth and mouth healthy is one very important way to keep their whole body heathy and happy. Talk to Drs. Sacro and Quinones at our Ferndale, WA office to learn more about simple habits for healthy teeth!