Uncommon Dental Issues After 40

As we grow old, our bodies go through a multifaceted transformation that leaves us looking weak and worn out—one of the areas primarily affected by these changes in the mouth. Many dental complications come with age, including cavities, gum diseases, loose teeth, tooth decay, and many more.

However, some dental issues are not common in people who are 40 years and above. Continue reading to learn more about the uncommon dental problems after 40.

Crowded or Misaligned teeth

The problem of crowded or misaligned teeth happens when there isn’t enough room in your jaw for teeth to erupt. It can also occur when there is too much space in your jaw, resulting in spaced and gapped teeth (diastema). This problem is only common in teenagers and young adults who are likely to develop more teeth like wisdom teeth. So, it’s uncommon to find a 40-year-old patient with this problem.

To prevent this problem, you should remove the problematic wisdom teeth immediately. If it’s not because of an impacted wisdom tooth, you can wear dental braces to rectify the misalignment.

Impacted Wisdom Teeth

When a person reaches puberty, they develop two molars in their upper and lower jaws. These molars are commonly referred to as wisdom teeth. Sometimes these last molars, which erupt at the back of the mouth, have to push themselves out through the tiny room available in your jaw.

This means that they will either get stuck inside the gum or grow at the wrong angle. This is what dentists refer to as impacted wisdom teeth. The problem of impacted wisdom teeth is only common in people aged between 15 and 25. Therefore, it’s very rare to have an impacted wisdom tooth after 40 years unless you have had the problem since your adolescence.

Oral Cavities

Oral cavities are a result of permanently damaged areas of teeth that caused tiny holes. These damages can be a result of bacterial infection, excess sugar, and poor oral health. If left untreated, cavities can cause toothache, infections, and tooth loss. however, cavities are only common in kids and young adults.

Studies have shown that 20 percent of children will have an oral cavity in their childhood. Therefore, it’s very rare to find a 40-year-old patient with an oral cavity. You can prevent cavities by avoiding sugary food and drinks and maintaining proper oral hygiene. It’s also good to go for regular dental checkups so that the problem can be detected and dealt with before it advances.

Oral Cancer: Detection, Treatment and Post-therapeutic Management

Dr. Deepak Kademani will be leading a virtual course offered through the University of Minnesota on Friday, November 6 to discuss oral cancer detection, treatment, and post-therapeutic management.

While oral cancer is one of the most treatable of the major cancers, when discovered and managed early, the rate of impacted patients is rising dramatically. Dental professionals are uniquely positioned to screen patients and detect oral cancer in its early, treatable stage.

Topics covered will include:

  1. Oral cancer incidence and at-risk populations
  2. Identification and differentiation of lesions in the oral cavity
  3. Recommendations for action when suspicious lesions are found
  4. Rationale, determination, and description of various treatment alternatives
  5. Complications from cancer therapies
  6. Management of post-therapeutic complications in the dental office

If you wish to learn more or if you want to register for the upcoming session, please click HERE.


Dr. Kademani To Deliver A Lecture At The 102nd Annual AAMOS meetings

Dr. Kademani DMD, MD, FACS will be delivering a lecture titled “Pathology Breakout –
Management of the Surgical Airway” on Sunday, October 4 as part of the 102nd AAOMS
Annual Meeting. The lecture will be taught virtually alongside Dr. Dillion, MBBS, DDS,
FDSRCS, FACS, the program director and Chief of OMS at the University of Washington.

Dr. Kademani and Dr. Dillion’s lecture will focus on techniques for surgical airway management
and provide a comprehensive review of airway assessment, including indications for surgical
airways and techniques for potential surgical airway complications. Participants attending the
lecture should expect to review the algorithm for difficult airway management and identification
techniques for airway adjuncts and non-surgical airway management.

View the schedule of sessions and events at AAOMS.org/AMprogram.

We’re Reopening for Elective and Emergency Cases on May 13th

The last 6 weeks have been trying times for us as we were all dealing with the unprecedented issues surrounding the global pandemic.  The pandemic has affected all aspects of our lives and resulted in the closure of essentially all elective surgery except but emergency care. Through Governor Waltz’s leadership we are beginning to reopen our elective surgical and dental services as of May 13th. Although we are grateful and excited about returning to work, it is not the time to let down our guard and as a community we need to work together to ensure we continue to minimize the spread of the virus while resuming our daily activities.

We have carefully followed the progress of the pandemic and implemented recommendations for minimizing its spread. Based on guidelines from the Centers for Disease Control (CDC), Minnesota Department of Health Services (MDH), Centers for Medicare and Medicaid Services (CMS) and the Governor’s office we have formulated a plan that maximizes the safety of our patients and their families as well as our healthcare team. We would like to share with you the many changes that we have implemented. As time passes and recommendations change, our protocols will also change and evolve to encompass the best available evidence for our patients.

What will not change is our continued commitment to the safety of our staff and patients.


  • In an effort to minimize in-office time, when at all possible, prior to arriving at the office, patient registration paperwork should be completed online through our website.
  • A viral exposure intake form will be completed by any person, patient or escort that comes into the office.
  • All individuals entering the office to wear their own face mask.
  • Every person entering the office will have their temperature checked.


  • Hand sanitizer will be provided in the office.
  • Our staff will be routinely cleaning chairs, tables and the general waiting area and bathroom.
  • There will be no magazines or books in the waiting area, so please bring any desired reading material.
  • No food or beverages will be permitted in the waiting room.
  • The number of chairs in the waiting room have been reduced. Each chair will be set a minimum of 6 feet apart.


  • Whether it be a surgical consultation or a surgical procedure, we request that only necessary individuals be present.
  • We request that adult patients enter the waiting room alone and have others wait in the car or outside.
  • Only one escort for minor patients will be permitted. All others wait in the car or outside.
  • To minimize the amount of individuals in our waiting and surgical area, we will be staggering surgical and consultative appointments.
  • After every appointment, all areas and our equipment and areas will be thoroughly cleaned per our protocol.


  • Any staff member feeling ill will stay at home.
  • Our entire staff will daily complete viral exposure intake forms and have their temperatures taken.
  • All staff will follow CMS and CDC universal source guidelines.
  • Masks will be worn in non-treatment and treatment areas.
  • Staff will adhere to regular hand washing and sanitizing.
  • All of our staff will arrive at our office in their personal clothing, change into work PPE, and upon completion of their work day, change back into personal clothing. All scrubs (PPE) will be thoroughly cleaned and sanitized.
  • Any staff member that comes in contact with a person texting positive or any person that is being tested will self-quarantine. They will not return to work without a note from their physician.


We thank you for your patience as these protocols are an adjustment for all of us. In order to ease the transition, the following will also be available.

  • If necessary, another individual can phone into a consultation via speaker phone to listen and ask questions.
  • If additional explanation of insurance, financial obligations, or options is needed, a follow up phone call can be made.
  • Virtual Consultations, with encrypted software, are available to minimize exposure. Please call for more information.

Our doctors and staff at Minnesota Oral and Facial Surgery Center appreciate your efforts and cooperation to limit the spread of the virus. We look forward to continuing to be of service to you and our community.


Deepak Kademani DMD MD FACS and Rod VanSurskum DDS

Minnesota Oral and Facial Surgery

Partners for your Healthcare Journey-Providing Excellence in Surgical Care

Dr Kademani chairs 2020 course for Head and Neck Oncology


In March 2020, Dr. Kademani chaired the course for the 2020 Principles of Head and Neck Oncology for the OMS at AAOMS in Chicago

In Chicago, from March 6th – March 8th, AAOMS held their inaugural conference on head and neck oncology and reconstructive surgery.  The event brought together the leaders in oral and maxillofacial surgery to discuss the current surgical and scientific developments in head and neck oncology.  At the event, oral surgeons are able to receive education from the leaders in their fields that ensures patients in turn receive the highest-quality surgical care with optimal functional outcomes after ablative and reconstructive head and neck surgery.

The objectives of this meeting are:

  • Identify clinical advances in head and neck surgery as provided by the OMS
  • Discuss evaluation and management of head and neck cancer patients
  • Demonstrate optimal outcomes of head and neck oncologic and reconstructive surgery
  • Describe the principles of creating, marketing and maintaining a head and neck oncology practice as an OMS

Dr. Kademani, along with 3 other colleagues chaired the Principles of Head and Neck Oncology for the OMS.  There they helped lead and guide a discussion and education of colleagues that discussed diagnostic evaluation, surgical techniques, reconstruction and many other numerous topics.