My Blog

Posts for: March, 2017

By Dr. Brian Gniadek
March 30, 2017
Category: Dental Procedures

Via a recent Instagram post, pop diva Ariana Grande became the latest young celebrity to publicly acknowledge a dental milestone: having her wisdom teeth removed. The singer of hits such as “Break Free” and “Problem” posted an after-surgery picture of herself (wearing her signature cat-eye eyeliner), with a caption addressed to her teeth: “Peace out, final three wisdom teeth. It’s been real.”

With the post, Grande joined several other celebs (including Lily Allen, Paris Hilton and Emile Hirsch) who have shared their dental surgery experience with fans. Will "wisdom teeth removal" become a new trending topic on social media? We aren’t sure — but we can explain a bit about the procedure, and why many younger adults may need it.

Technically called the “third molars,” wisdom teeth usually begin to emerge from the gums between the ages of 17 and 25 — presumably, around the same time that a certain amount of wisdom emerges. Most people have four of these big molars, which are located all the way in the back of the mouth, on the left and right sides of the upper and lower jaws.

But when wisdom teeth begin to appear, there’s often a problem: Many people don’t have enough space in their jaws to accommodate them. When these molars lack sufficient space to fully erupt (emerge), they are said to be “impacted.” Impacted teeth can cause a number of serious problems: These may include pain, an increased potential for bacterial infections, periodontal disease, and even the formation of cysts (pockets of infection below the gum line), which can eventually lead to tooth and bone loss.

In most cases, the best treatment for impacted wisdom teeth is extraction (removal) of the problem teeth. Wisdom tooth extraction is a routine, in-office procedure that is usually performed under local anesthesia or “conscious sedation,” a type of anesthesia where the patient remains conscious (able to breathe normally and respond to stimuli), but is free from any pain or distress. Anti-anxiety medications may also be given, especially for those who are apprehensive about dental procedures.

So if you find you need your wisdom teeth extracted, don’t be afraid to “Break Free” like Ariana Grande did; whether you post the results on social media is entirely up to you. If you would like more information about wisdom tooth extraction, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”

By Dr. Brian Gniadek
March 21, 2017
Category: Oral Health

Unfortunately, dental anxiety happens to many people and makes skipping out on routine examinations and cleanings easy. However, dental visitsskipping these regular dental visits can allow plaque and tartar to build up on the teeth and small problems like cavities or damaged teeth can develop into much more complex conditions requiring more drastic procedures to correct them. Learn what makes routine dental examinations important and why you shouldn’t neglect them with Dr. Brian Gniadek in Lindenhurst, IL.

How often should I see my dentist? 
Patients with an average risk of tooth decay and gum disease should see their dentist every six months. These checkups will include a dental examination to check for any new or developing conditions like cavities and a dental cleaning which will remove decay-causing plaque and tartar from the teeth. Individuals who are more at risk for dental complications may need to see their dentist for more frequent examinations.

What makes regular dental examinations important? 
Seeing your dentist regularly helps them detect dental conditions and problems in their earliest stages. In most cases, the earlier your dentist finds and treats a problem, the more conservative the procedure required. However, if problems are left untreated, it could result in an even more complex issue requiring more in-depth procedures. Additionally, regular cleanings will remove decay-causing plaque and tartar from your teeth before they can begin eating away at your enamel to cause a cavity.

How can I keep my teeth healthy between appointments? 
Dentists recommend that patients brush their teeth at least twice daily for at least two minutes. Use back-and-forth and circular motions to brush the front and back of each tooth and your oral tissues. Floss between each tooth at least once a day and rinse your mouth afterward. If you have dental restorations like dentures or bridges which require extra care, be sure to follow your Lindenhurst dentist’s instructions to the letter to ensure your teeth, mouth and restoration remain healthy and last for years to come.

For more information on regular examinations and cleanings at your dentist’s office, please contact Dr. Gniadek in Lindenhurst, IL. Call (847) 265-9070 to schedule your appointment with Dr. Gniadek today!


If you suspect you have periodontal (gum) disease, it's important to get a correct diagnosis and begin treatment as soon as possible. The sooner you begin treatment the better the long-term outcome.

Gum disease is a bacterial infection that's most often triggered by plaque, a thin film of food particles on tooth surfaces. Plaque buildup most often occurs when a person doesn't practice effective oral hygiene: daily brushing and flossing and professional cleanings at least twice a year.

The most common type of gum disease, gingivitis, can begin within days of not brushing and flossing. It won't always show itself, but you can have symptoms like swollen, red or bleeding gums, as well as bad taste and breath. You could also develop painful abscesses, which are localized pockets of infection within the gums.

If we don't stop the disease it will eventually weaken the gum attachment to the teeth, bone loss will occur and form deep pockets of infection between the teeth and bone. There's only one way to stop it: remove the offending plaque from all tooth surfaces, particularly below the gum line.

We usually remove plaque and calculus (hardened plaque deposits) manually with special hand instruments called scalers. If the plaque and calculus have extended deeper, we may need to perform another procedure called root planing in which we shave or “plane” the plaque and calculus (tartar) from the root surfaces.

In many cases of early gum disease, your family dentist can perform plaque removal. If, however, your gum disease is more extensive, they may refer you to a periodontist, a specialist in the treatment and care of gums. Periodontists are trained and experienced in treating a full range of gum infections with advanced techniques, including gum surgery.

You can also see a periodontist on your own for treatment or for a second opinion — you don't necessarily need a referral order. If you have a systemic disease like diabetes it's highly advisable you see a periodontist first if you suspect gum disease.

If you think you might have gum disease, don't wait: the longer you do the more advanced and destructive the disease can become. Getting an early start on treatment is the best way to keep the treatment simple and keep gum disease from causing major harm to your teeth and gums.

If you would like more information on the diagnosis and treatment of gum disease, 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 “When to See a Periodontist.”