Wisdom Teeth

Wisdom Teeth & Wisdom Tooth Extraction

Your third molars are more commonly called “wisdom teeth.” Usually appearing in the late teens or early twenties, wisdom teeth often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction. When any tooth lacks the space to come through or simply develops in the wrong place of your jaw and becomes impacted, problems arise. Thus, it becomes necessary to extract them.
Never fear. Wisdom tooth extraction is a relatively common procedure, performed on some five million patients every year. Your experienced family dentists at Brar Family Dentistry can take care of this procedure for you.

When Is Wisdom Tooth Extraction Necessary?

When your wisdom teeth start coming in your Nashua and Merrimack dentist will conduct a thorough examination and run diagnostic tests such as a panoramic x-ray to see if the incoming teeth will cause issues in your mouth. Wisdom tooth extraction will be recommended if:

  • Your jaw is too small to accommodate all your teeth once the wisdom teeth come in.
  • The wisdom teeth are erupting (coming in) in a crooked orientation.
  • It doesn’t look like one or more of the wisdom teeth are going to erupt.

Whether your Nashua/Merrimack family dentist recommends wisdom tooth extraction as a means to prevent future problems or alleviate a condition you already have, the extraction of wisdom teeth can be an effective treatment to help your smile. As with all medical actions, we would be happy to discuss all aspects of the procedure, its benefits, risks, and alternatives in your individual case.

What If I Leave My Wisdom Teeth In?

When your Nashua/Merrimack family dentist recommends wisdom tooth extraction it is in an effort to prevent dental problems in the future. If your jaw is too small for the new wisdom teeth then crowding will occur. Such crowding can lead to your wisdom teeth becoming impacted (that is, unable to emerge from the gums), potentially harming adjacent bone or teeth. Additionally, if your wisdom teeth come in at a crooked angle then they can damage teeth, harm the jaw, and cause bite problems. If a wisdom tooth doesn’t fully erupt then it has a greater chance of developing a bacterial infection as well. A cyst (a closed, fluid-filled sac) may also form around an unerupted wisdom tooth, which can turn into an infection and injure adjacent bone or nerve tissue. To potentially save your mouth from a myriad of dental problems like these, wisdom tooth extraction can be a simple solution easily completed by one of our trusted Nashua and Merrimack family dentists.

The Extraction Procedure

Wisdom tooth extraction is referred out to a trusted oral surgeon. You would need to make an appointment. It’s possible to have the treatment done with only a local anesthetic (numbing shot); this could keep you from experiencing any pain. However, if multiple teeth are being extracted at one time (as is often the case) a general anesthetic or conscious sedation may be administered. We will talk to you beforehand about the type of anesthesia that’s best for you.
Once you have been appropriately anesthetized, the gum tissue at the extraction site may need to be opened if the tooth is impacted. Your oral surgeon will then gently remove the tooth. When the extraction is complete, you may need to have the extraction site sutured (stitched) to aid healing. After the procedure is over you will rest for a short time before going home. Depending on what type of anesthesia you have, you may need another person to drive.


The recovery period after wisdom tooth extraction generally only lasts a few days. During this time you should rest to encourage healing and take pain medication as prescribed by your oral surgeon. It’s normal to experience some bleeding at the extraction site; this can be controlled by gently biting on gauze pads, changing them as needed, and resting with your head elevated on pillows rather than lying flat.
You can also hold an ice pack on the outside of your cheek for a few minutes at a time (for example, five minutes on / five minutes off) as this may help reduce swelling the first day after the procedure. On day two, the warm moist heat of a washcloth placed on the outside of the cheek may make you more comfortable. Rinsing the mouth with warm salt water a few times a day can also help relieve discomfort.
We recommend eating soft foods for the first few days after wisdom tooth extraction. On the same note, be careful when brushing your teeth or putting anything in your mouth until your healing is complete. As a whole, be sure to follow the post-operative instructions your oral surgeon gives you; every wisdom tooth extraction is a little different and recommendations are customized to make you as comfortable as possible.

Make a Wisdom Tooth Extraction Appointment Today!

Wisdom tooth extraction is a common procedure that many of us go through in order to prevent future dental problems and protect our smiles. If you’re at the age when your wisdom teeth are coming in, make an appointment with Nashua or Merrimack’s most trusted family dentists at Brar Family Dentistry. We would be happy to examine your teeth and recommend the best procedure for you!


Stress & Oral Habits

The effects of stress on our bodies are well-known. Stress not only affects your body, but it also impacts your oral health as well. One specific way is by clenching or grinding our teeth, also known as bruxism or bruxing. When we grind or clench, we damage our teeth and dental work by:

  • Wearing down the tooth’s surface
  • Increasing the likelihood of cavities
  • Damaging or scraping away the enamel
  • Increasing sensitivity to hot and cold
  • Damaging crowns and fillings
  • Loosening teeth
  • Becoming prone to tooth loss
  • Causing Jaw pain and headache

It is common to clench or grind your teeth without your knowledge, as it often occurs during sleep. If you suspect nocturnal bruxing, the dentists at Brar Family Dentistry in Nashua & Merrimack, NH are here to help you find relief.

Why Do We Clench & Grind Our Teeth?

Stress is the main reason for clenching and/or grinding our teeth, whether it happens nocturnally or during the day. Here are other common factors that can lead to bruxing:

  • Misaligned teeth
  • Overuse of caffeine
  • Side effects of certain prescription medications
  • Use of alcohol, tobacco, or illegal drugs

Solutions & Treatments

As most bruxism is stress-related, the simplest way to reduce teeth-clenching and grinding is by managing our stress in positive ways. Relaxation techniques may help, but a custom occlusal guard may be the best long-term option. An occlusal guard is a custom-made mouth (similar to an athletic mouth guard) that is worn during the night. The occlusal guard keeps teeth from touching one another during sleep and also maintains proper jaw alignment during sleep to help reduce jaw pain.

Contact Brar Family Dentistry Now!

If you experience any of the above symptoms related to bruxing, contact Brar Family Dentistry in Nashua and Merrimack, NH today. We would be happy to provide additional information regarding restorative dentistry, implant restorative dentistry, and all your family dentistry needs.

Hidden Consequences of Tooth Loss

Tooth loss causes many problems, the obvious one being the inability to chew certain foods. The most detrimental and long-lasting problem, however, is bone loss. When teeth are lost, bone loss is inevitable. Bone needs constant stimulation to maintain its form and density. Without the pressure and stimulation of teeth, the signals for the bone to regenerate itself are lost. As a result, the bone begins to disintegrate. Within the first year of tooth loss, the jawbone can decrease in width by 25%. If multiple teeth are lost, the lower third of the face can partially collapse due to a loss of the structure of the jawbone. Those missing teeth may also experience the following:

  • Increased risk of jaw fracture
  • Shifting of remaining teeth
  • Improper bite, known as TMJ
  • Jaw pain
  • Compromised nutrition

Implant Restorative Dentistry and Bone Loss Prevention

If you have lost teeth and are searching for treatment, Brar Family Dentistry in Nashua and Merrimack, NH can help. Your professional family dentists will discuss long-term viable options including implant restorative dentistry. Implant restorative dentistry may not only vastly improve your smile, but it can also prevent bone loss that may become problematic. Because the metal in dental implants is titanium, they have the unique ability to fuse with the jawbone. As a result, dental implants stabilize and stimulate the bone to maintain its proper volume and density.
Dental implants are placed through a minor surgical procedure using a local anesthetic. After healing, the implants are topped with dental crowns. With the look and feel of natural teeth, the success rate of dental implants is 95%–the highest rating among tooth replacement options.

Other Tooth Replacement Options

If implant restorative dentistry is not a viable treatment option for your tooth loss, other options include dental bridgework and removable dentures. The risks associated with bridgework and removable dentures include potential damage to the anatomical structures on which they rest. In terms of bridgework, fixed bridges for example affix to adjacent teeth for support, subjecting those teeth to additional stress, as well as necessary filing down and capping. This results in an increased risk of tooth decay and root canal problems. Removable partial dentures, meanwhile, hook onto existing teeth, which may cause them to loosen over time. Full removable dentures press on the ridges that support the teeth—accelerating the bone loss that began when teeth were lost in the first place.

Contact Brar Family Dentistry

If you have lost teeth and are exploring treatment options, look no further than Brar Family Dentistry in Nashua and Merrimack, NH. Schedule an appointment with our team of family dentistry professionals today! Your smile will truly benefit!

Bone Grafting for Dental Implants

Sink your teeth into the cosmetic miracle of implant restorative dentistry. Different from dentures, dental implants serve as an artificial tooth root. When you undergo this procedure, your oral surgeon will surgically position metal posts into the jawbone beneath the gum line allowing us to mount replacement teeth or bridges to that area.

If you’re missing one or more teeth, the cosmetic results of dental implants are unbeatable. However, if you are considering implant restorative dentistry, continue reading below to find out the bone grafting steps that may be required if your gums and bones can’t support the procedure alone.

Bone Grafting Procedure

If an oral surgeon finds your jaw bone to be too thin or soft to hold an implant in place, you may be asked to consider a bone graft for your dental implants. This is necessary because if your natural bone cannot support an implant, it may cause the implant surgery to fail.

In a bone grafting procedure, the surgeon will remove an area of bone from another part of your body, or use a bone grafting material, and transplant the new bone onto your jaw. After this, there will be a healing period up to several months to wait for the graft to create enough new, strong bone that will support and secure an implant.

On some occasions, it’s possible that a minor graft procedure may be able to be done at the same time as the implant surgery. Every scenario is case by case and will be determined by your dental specialist.

What Are the Benefits of Dental Implants?

A dental implant appears and acts the same as a regular tooth, and a successful implant is nearly undetectable.

A dental implant has two pieces: a metal cylinder that is placed into the jaw bone and functions like the root of the tooth, and an abutment that screws into the first piece. A crown is then placed on the abutment, creating the appearance of a tooth.

An implant doesn’t come loose like a denture can. Dental implants also benefit general oral health because they do not have to be anchored to other teeth, like dental bridges do.

Questions about Bone Grafting and Implant Restorative Dentistry? Contact Us Today!

There’s a lot to take in when it comes to implant restorative dentistry, which is why our team at Brar Family Dentistry in Nashua and Merrimack is happy to address your questions or concerns. Contact us today at (603) 889-0601 or utilize our user-friendly online form to make an appointment. We look forward to hearing from you!

What Is A Dental Abscess?

What Is A Dental AbscessToothaches — we’ve all had them and to different degrees, but sometimes that toothache can be a sign of a deeper, more serious dental issue known as an abscess.

Learn more about this condition today—what it is, what are the symptoms, and what steps you can take to prevent your mouth from developing one.

A dental abscess is a bacterial infection that causes pockets of pus near the root of the tooth. If left untreated, a dental abscess can cause severe pain and further complications. Abscesses are caused by an excess of bacteria, usually in the form of tooth decay. Abscesses affect teeth; however, there are two types of abscesses that target the gums.

Gingival (early stage)- An abscess that affects the external part of the gums and occurs when food gets trapped inside the gums, causing the buildup of bacteria.

Periodontal (late stage) – An abscess that occurs deeper in the gums and expands into the surrounding tissues and jaw bones.

Common Symptoms of A Dental Abscess

Now that we know what a dental abscess is, we can discuss a few common symptoms that characterize the condition. Knowing these symptoms will help you detect an abscess if one develops. Symptoms include:

  • Swollen Lymph Nodes
  • Severe Pain
  • Difficulty Chewing Or Swallowing
  • Tooth Discoloration
  • Tooth Sensitivity Or Toothache
  • Bad Breath
  • Bitter/Foul Taste
  • Bleeding Gums

How to Prevent A Dental Abscess

Dental abscesses are easily preventable if you maintain good oral and dental care. First, this involves having routine check-ups with your family dentist in our Nashua and Merrimack, NH offices. Since an abscess is tied to the presence of tooth decay, we also stress that you brush twice a day and floss at home, and also replace your toothbrush every three months. Additionally, consider regularly using a mouthwash that has fluoride as an active ingredient to add an extra layer of protection against bacteria. And lastly, minimize the consumption of sugary foods/drinks and consume healthier options like water and green vegetables.

Schedule An Appointment at Our Nashua and Merrimack, NH Family Dentistry

If you have identified more than one of the abscess symptoms listed above, schedule an appointment with our Nashua and Merrimack, NH family dentistry for a full dental evaluation. At Brar Family Dentistry, our mission is to provide superb comprehensive dental care to the greater Nashua and Merrimack, NH area and surrounding communities. If you have any further questions, please feel free to contact us. We look forward to hearing from you!

Join Brar Family Dentistry in the Fight Against Breast Cancer

On Sunday, October 14th, a group of us from Brar Family Dentistry will be taking part in the American Cancer Society’s Making Strides Against Breast Cancer Walk. This event will be held at Greeley Park In Nashua beginning at 10:00 a.m.

Every three- to five-mile Making Strides Against Breast Cancer walk is a powerful and inspiring opportunity to unite as a community to honor breast cancer survivors, raise awareness about steps we can take to reduce the risk of getting breast cancer, and raise money to help the American Cancer Society lead the fight against this disease with groundbreaking breast cancer research, information and support 24-7, and access to mammograms for women who need them. Every step you take is personal, and together we are helping to finish the fight against breast cancer.

We need your help and financial support. Please help us by sponsoring our team. Tax deductible donations can be made on-line by CLICKING HERE or, if you’d like, send your check made out to the American Cancer Society to 33 Broad Street, Nashua, NH 03064.

We would truly appreciate your donation. Every dollar raised brings us one step closer to a world with less cancer and more birthdays – a world where not another life is lost to this disease.

Thank you so much for your support. Together, we will finish the fight!

Dental Hygiene in The Summer

Dental Hygiene in The SummerThey say one swallow doesn’t make a summer, and this applies to dental hygiene as well. As warmer temperatures arrive, we know kids and families are enjoying longer days, travel plans, less routine, and plenty of ice cream! While we encourage all of these indulgences, let’s discuss ways to maintain a good dental hygiene routine so that guilty pleasures don’t lead to cavities.

Set a Bedtime

Possibly the best part of summer, staying up extra late and sleeping in a little longer can do the most damage on proper dental hygiene routines. During the school year, kids establish habits of brushing and flossing before bedtime and upon waking, but when those routines disappear, so will those good habits. This is why your dental experts at Brar Family Dentistry encourage parents to set a flexible bedtime during the summer so kids continue to care for their teeth. Beyond supporting healthy and strong teeth, a flexible routine in the summer will lead to a smoother transition when school schedules come back into full swing!

Camps, Classes, & Sports

Another way to create a sense of routine in the summer can come from signing your child up for camps that encourage them to explore new interests and hobbies. These activities do not need to take up an entire day or full week, but some structure will provide a sense of normalcy that kids rely and thrive on. Of course, setting a healthy balance between activities and free time is important to ensuring kids still enjoy their summer break.


Discussing dental habits during the summer may seem out of the blue, but years of experience teach us that summer break can lead to the breakage of healthy dental habits. Talking about the subject can help keep it from escaping your kids’ minds. So, on your next camping trip or family getaway, take advantage of the opportunity to teach your child about their lifelong commitment to dental health by packing toothbrushes, toothpaste, and floss, and committing to routines while on the go. Your kids will thank you later when their next trip for their pediatric dentistry is a positive one!

Contact Brar Family Dentistry Today!

Of course, making an appointment with a dentist is another sure way to maintain excellent dental health. And summer is an ideal time to make an appointment when kids do not have to miss learning time in the classroom to come in for visit. Contact us today in our Nashua or Merrimack, NH office to schedule your next visit now!