Posts for: February, 2015

By Michael C Scheske, DDS, PC
February 26, 2015
Category: Dental Procedures
Tags: Oral Surgery  

An impacted tooth is a tooth that can't erupt through the gum because it has been blocked or does not have the space to erupt normally. We often hear of wisdom teeth being impacted, but it can happen to any tooth. Sometimes impaction is painless, but it can causes serious oral health problems that may affect the surrounding teeth and gums.Impacted Tooth


Symptoms of an impacted tooth include swelling of the gum, bad breath, and pain around the affected site. You may have difficulty opening your jaw and can even develop a bad taste in your mouth. Impacted teeth can also sometimes cause the surrounding teeth to become misaligned.

If you suspect that your tooth is impacted, visit your dentist for a diagnosis and treatment plan. However, since impaction may sometimes be unnoticeable, your dentist may find the impaction during a routine oral examination before you realize it's there.


When impaction causes pain and infection, your dentist will usually want to extract the tooth. Oral and maxillofacial surgeons are specially trained dentists that specialize in removing impacted teeth since this can sometimes be a more complicated procedure than a normal extraction.

Depending on the type of impaction, the removal of the tooth can take anywhere from five to thirty minutes. Your oral surgeon will discuss anesthesia and sedation options with you so that you are comfortable during the procedure. Once the impacted tooth is removed and the gum has healed, you should not experience any further pain or discomfort.

When to Have Oral Surgery

Many oral surgeons will recommend wisdom tooth extraction before the age of 21 to avoid future problems with impacted wisdom teeth. The surgery is usually less complicated in young adults and the tissues often heal faster. But if your impacted teeth are affecting your overall oral health, your oral surgeon may recommend having them taken out at any age.

If you experience gum pain, earaches, or soreness on one side of your face, ask your dentist to check for an impacted tooth. You may then be referred for oral surgery to remove the impaction. Dr. Michael C. Scheske of Union, MI offers oral surgery to treat a variety of impaction types. Schedule an appointment today to find out if oral surgery is the right option for you.

By Michael C Scheske, DDS, PC
February 24, 2015
Category: Dental Procedures
Tags: bonding   chipped teeth  

Accidents can happen to your mouth, especially if you have an active lifestyle. For example, a sudden blow to the jaw while playing sports or exercising could result in a chipped tooth. And, while the internal tooth structure may be fine, the effect on your appearance can be disheartening.

Fortunately, we have techniques and materials to restore your smile after an injury. Bonding with composite resin is one such procedure: it’s ideal for mild to moderate chipping, especially in highly visible front teeth.

Composite resin is a dental material made of various substances mixed to match the color and texture of natural teeth. The composite is usually made of inorganic glass filler blended with a plastic-based matrix and joined together with a chemical “coupling” agent. The ratio of filler to matrix will depend on the type of tooth and damage — for example, back teeth, which encounter higher biting forces, require a composite with more filler for added strength.

To begin the procedure, we first prepare the damaged tooth by applying microscopic etchings (often with a chemical solution) that create tiny depressions or “undercuts”: these help create a seamless bond between the composite and the natural tooth. We then apply the composite in layers with a bonding agent, building up layer upon layer until we’ve achieved the desired shape for the tooth involved.

Bonding with composite resins doesn’t require much tooth preparation, can be placed quickly and is relatively inexpensive. Because of the wide spectrum of color possibilities, composite resins are superior to traditional amalgam (metal) restorations in creating a more life-like appearance. Its application, however, can be limited by the amount of tooth structure needing to be replaced: because it isn’t as strong as the tooth structure it replaces, the more tooth structure the bonded composite resin attempts to replace the less likely it can stand up over time to normal bite forces.

Still, composite resins are ideal for mild to moderate damage or disfigurement. If you’ve suffered such an injury, be sure to visit us to see if bonding with life-like composites is the right solution for restoring your smile.

If you would like more information on bonding with composite resins, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Repairing Chipped Teeth.”


If you are insecure about your misaligned crooked teeth, then you may be a perfect candidate for clear orthodontic aligners. This system is an alternative to traditional braces that uses a sequence of individual, clear, removable “trays” that fit over your teeth to gradually straighten them. Each tray is completely clear and covers all the teeth thus making it virtually invisible. Each tray is designed to slightly move the teeth until the teeth are in proper alignment. Typically, each tray must be worn for 20 hours a day for 2 weeks before progressing to the next tray in the sequence with each tray moving you closer towards your goal — perfectly aligned teeth.

However, clear orthodontic aligners are not for everyone. If you are interested and wonder if they can benefit you, contact us so that we can schedule an appointment for a thorough evaluation to assess your specific situation. Below, we have briefly outlined some situations when they will and will not work.

Clear orthodontic aligners work if...

  • You have mild to moderate crowding or spacing issues between teeth
  • Back teeth fit together properly

They may not be the right choice if...

  • You have moderate to severe crowding or spacing issues between teeth
  • When your bite does not align properly (for example, if you have a large over-, under-, or cross-bite)
  • When your teeth are “rotated” way out of position; such misaligned teeth will require special or complex techniques to rotate them back into position, or to pull them down into place or to fill the space left after pulling a tooth to resolve excessive crowding of teeth

Want to learn more?

Contact us today to discuss your questions or to schedule an appointment. You can also learn more about this topic by reading the article “Clear Orthodontic Aligners.”

Union, MO
Family Dentist
301 US Hwy 50 W
Suite C

Union, MO 63084
(636) 583-8100



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