Slideshow Slideshow

Creating Beautiful Smiles for a Lifetime

(608) 836-5600
1001 N. Gammon Road, Suite 2, Middleton, WI 53562

Our Blog

Why do wisdom teeth need to be removed?

November 16th, 2017

Sometime around the late teens or early twenties, people’s wisdom teeth start to erupt. These are the third and final set of molars. When wisdom teeth come in properly — meaning they are correctly aligned — they offer more chewing power. Unfortunately, more often than not, wisdom teeth are misaligned, crowd other teeth, and need to be removed.

Why do we have wisdom teeth?

It is thought that we have wisdom teeth because — back in the day — we ate a diet that consisted of more rough foods, like roots, leaves, and meat, all of which required more heavy-duty chewing power.

Reasons Wisdom Teeth Need to be Removed

While there is no clear-cut rule that says every single person needs to have their wisdom teeth removed, there are certain situations where one or more wisdom teeth are causing a problem or have a strong likelihood that problems will eventually arise in the future that warrant their removal.

1. Fully Impacted Wisdom Teeth

When a wisdom tooth is “impacted”, it means that the tooth is covered by gum tissue, thereby preventing it from erupting through the gum. This often occurs when the mouth is too small to allow enough room for the tooth to emerge. Because bacteria, food, or other mouth substances can be lodged under the gum that covers the wisdom tooth, it can lead to an acute abscess, known as pericoronitis.

2. Partially Impacted Wisdom Teeth

When a wisdom tooth is partially impacted, meaning the tooth is partially emerged from the gums, it almost always is advised to be removed. Because of its location in the very back of the mouth, a partially erupted wisdom tooth is more susceptible to not only decay and cavities, but also gum disease.

3. Other Reasons to Have Wisdom Teeth Removed

If you experience any of the below dental issues or changes in your dental health, removal of your wisdom tooth (teeth) may be necessary:

  • Pain at or surrounding the wisdom tooth site, including the jaw or cheek area
  • Repetitive infections
  • Gum disease
  • Tooth decay (extensive)
  • Tumors
  • Cysts
  • Damage to surrounding teeth

It is important to know that the decision to have a wisdom tooth removed isn’t always cut and dry. It is essential to talk to Dr. Brad Hartjes and Dr. Joel Hartjes about the alignment of your wisdom teeth if they have already erupted, health of your wisdom teeth if impacted or partially impacted, and your overall dental health to determine what is best for your situation. Contact our Middleton, WI office to schedule an appointment today!

How do I know if I need dentures?

November 9th, 2017

The choice to get dentures is a permanent decision so there are several important factors you should take into consideration. Many people have teeth that are not able to be repaired due to a variety of reasons, but for those who have the option and the money to repair their natural teeth they need to consider every choice they may have.

You have a choice!

Yes, it’s true! We do have a choice about whether we will have to have dentures in the future. Many people don’t realize that just by taking certain precautions they can actually prevent any serious issues from arising. For example, it’s very easy to reschedule that dental cleaning. However, it’s very important that you keep every appointment because Dr. Brad Hartjes and Dr. Joel Hartjes will be able to catch small problems before you even realize you have them. Also, if there are any signs of gum disease you will know early enough to stop any further damage. One of the main reasons that many people end up needing dentures is because of either gum disease or because severe cavities have cause too many teeth to be extracted.

If you notice any of the following you should make an appointment at our Middleton, WI office right away:

  • Teeth are moving further apart
  • Soreness or tenderness of the gums
  • Trouble eating hard food
  • Sensitivity
  • You have already lost several teeth
  • Toothaches

The key to avoiding dentures is prevention. Avoiding dentures is not impossible and can be as simple as staying on top of your oral hygiene. However, if you are currently experiencing any dental issues you should see Dr. Brad Hartjes and Dr. Joel Hartjes now, because a small problem can quickly escalate into a very large and expensive dental procedure.

Periodontics and Braces Treatment

November 2nd, 2017

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

  • Let Dr. Brad Hartjes and Dr. Joel Hartjes know about your desire to get braces
  • Get an exam to make sure you're in good periodontal health and a good candidate for braces
  • If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Middleton, WI office.

Sleep Apnea: How we can help

October 26th, 2017

At Hartjes Dental Associates, we understand that getting high-quality sleep is vital to maintaining your overall health. Insufficient sleep can lead to an inability to concentrate, motor vehicle accidents, and difficulty performing at work. Since approximately 18 million Americans suffer from sleep apnea, this poses a significant public health problem. If you think you may have sleep apnea, talk to Dr. Brad Hartjes and Dr. Joel Hartjes and our team about devices that can help you get a good night’s rest.

What is sleep apnea?

Sleep apnea is a relatively common disorder in which breathing stops or becomes very shallow during the night. These bouts of paused breathing may last a few seconds or as long as several minutes. When 30 or more breathing interruptions occur per hour, sleep apnea leads to dramatic reductions in sleep quality. In many cases, this condition is caused by your airway becoming blocked or collapsed during sleep.

Anyone can get sleep apnea, but there are certain factors that increase your risk. Having small airways, being overweight, being male, or having a family history of sleep apnea increases the likelihood that you will develop the disorder. If you think you have sleep apnea, visit highly encourage you to visit our Middleton, WI office for a thorough physical exam, comprehensive medical history, and a sleep study.

Treatment Options

Several treatment avenues are available for people with sleep apnea. One popular option is to wear an oral appliance. For example, a mandibular advancement device (MAD) looks like a sports mouthguard and slightly repositions your jaw, to keep your airway unobstructed. Another option is a tongue-retraining device (TRD), which holds your tongue in place to ensure that your airway stays open during the night.

For individuals with mild-to-moderate sleep apnea, dental devices are a smart option. Many patients enjoy improved sleep, reductions in snoring, and less fatigue during daytime hours. If you’re curious about getting an oral appliance to help with your sleep apnea, please consult our team at Hartjes Dental Associates. After a consultation and examination, we can fit the type of device that works best for your condition.