susceptibility to gum disease. Other factors include systemic diseases,
particularly diabetes, or other conditions that can trigger inflammation in
the body. Periodontal disease is an infection of the gums and bone around
the teeth and, just like any other infection, the strength of your bodies
immune system can affect your ability to fight the disease.
Having any of these associated risk factors does not necessarily mean you
can't develop and maintain a healthy mouth. Periodontal disease is very
treatable in the earlier stages through effective professional and home
care and maintaining periodontal health may simply mean visiting your
dentist on a more frequent basis for preventive care which might include
cleaning deeper below the gum line in the space between your teeth and gums.
removing plaque, especially between teeth and under the gum line. Water
flossing is great for removing food debris from hard to get to areas which
is why it is so useful when wearing braces. Either one is way better than
no flossing at all. If your boyfriend just won't do regular flossing than,
by all means, encourage him to water floss.
1. The anticipated difficulty of the removal. Some wisdom teeth may be relatively easy to remove with basic instrumentation such as fully erupted teeth with uncomplicated root structures. These can often be removed by a general dentist. Other cases may be more complex requiring more sophisticated instrumentation and an increased level of expertise such as impacted teeth. These are more likely to be referred to an oral surgeon.
2. The level of expertise in oral surgery of the general dentist. Some general dentists have more of an interest in basic oral surgery and have taken the necessary training and have acquired the experience to do more complex cases in their offices. Other general dentists have little or no interest in doing oral surgery in their offices and refer all 3rd molar removal cases out to an oral surgeon.
3. If a patient requires or chooses to have their removals done under general anesthesia due to the difficulty of the case, anxiety about the procedure, or because of a desire to have all 4 wisdom teeth removed in the same visit. Most general dentists are not trained or licensed in general anesthesia, so those cases will typically be referred to an oral surgeon.