Posts for category: Dental Procedures
Dental implants have soared in popularity thanks to their life-likeness, functionality and durability. But these prized qualities have also created an ironic downside—people are much more likely to replace a tooth with an implant rather than go through the time and effort to preserve it.
We say downside because even though an implant is as close to a real tooth as we can now achieve in dentistry, it still can't rival the real thing. It's usually in your long-term health interest to save a tooth if reasonably possible. And, there are effective ways to do so.
Most dental problems arise from two common oral diseases. One is tooth decay, caused by contact with acid produced by bacteria living in dental plaque. We can often minimize the damage by treating the early cavities decay can create. But if we don't treat it in time, the decay can advance into the tooth's pulp chamber, putting the tooth in danger of loss.
We can intervene, though, using root canal therapy, in which we drill into the tooth to access its interior. We clean out the decayed tooth structure, remove the diseased pulp tissue and fill the empty chamber and root canals to seal the tooth and later crown it to further protect it from re-infection.
Periodontal (gum) disease also begins with bacteria, but in this case the infection is in the gum tissues. Over time the ensuing inflammation locks into battle with the plaque-fueled infection. This stalemate ultimately weakens gum attachment, the roots and supporting bone that can also increases risk for tooth loss.
We can stop a gum infection through a variety of techniques, all following a similar principle—completely removing any accumulated plaque and tartar from the teeth and gums. This stops the infection and starts the process of gum and bone healing.
You should be under no illusions that either of these approaches will be easy. Advanced tooth decay can be complex and often require the skills of an endodontist (a specialist in root canals). Likewise, gum disease may require surgical intervention. But even with these difficulties, it's usually worth it to your dental health to consider saving your tooth first before you replace it with an implant.
If you would like more information on how best to treat a problem tooth, 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 “Save a Tooth or Get an Implant?”
Every year U.S. dentists perform around 25 million root canal treatments and save countless teeth from the ravages of decay. But if you search "root canal" on the Internet, you might encounter an unsettling charge against this tooth-saving treatment—that it causes cancer.
Root canal treatments are routinely used when tooth decay has infected the pulp, the innermost layer of a tooth. During the procedure, we access the pulp and remove all the infected tissue. We then fill the empty pulp and root canals, seal the access hole and later crown the tooth to prevent further infection. Without this intervention, the decay can continue to advance toward the roots and supporting bone, putting the tooth in imminent danger of loss.
So, is there any credibility to this claim that root canal treatments cause cancer? In a word, no: there's no evidence of any connection between root canal treatments and cancer—or any other disease for that matter. On the contrary: root canals stop disease.
As with other types of urban legends and internet hype, the root canal-cancer connection may have arisen from another discredited idea from the early 20th Century. A dentist named Weston Price promoted the notion that leaving a "dead" organ in the body led to health problems. From his perspective, a root canaled tooth with its removed pulp tissue fit this criterion.
In the mid-1950s, dentistry thoroughly examined Dr. Weston's theory pertaining to treatments like root canals. The Journal of the American Dental Association devoted an entire issue to it and found after rigorous scientific inquiry that the theory had no validity in this regard. Another study in 2013 confirmed those findings. In fact, the later study instead found that patients who underwent a root canal treatment had a 45 percent reduction in oral cancer risk.
Given the freewheeling nature of the Internet, it's best to speak with a dental professional about your oral health before trusting a post or article you've found online. Not only are they more informed than an unverified online source, they would certainly not knowingly subject you to a procedure to save a tooth at the expense of your health.
If you would like more information on root canal treatment, 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 “Root Canal Safety.”
Since the early Roman times, couples have prized the month of June as the most favorable time to exchange their marriage vows. If you and your betrothed are planning a June wedding this season, you no doubt want everything to be beautiful. That would include your smile—and with the appropriate techniques we can help you make it as bright and attractive as possible.
Here are 5 ways to a more attractive wedding day smile.
Dental Cleaning and Teeth Whitening. A routine dental cleaning right before the ceremony can remove stains and dental plaque that dull your teeth's appearance. For an added level of brightness, we can also whiten your teeth in time for your big day.
Repairing defects with bonding. Do you have a chipped tooth, or a broken or discolored filling? We may be able to repair minor defects like these in a single visit by bonding lifelike dental materials directly to the tooth. We color-match and sculpt these materials so that they blend seamlessly with your natural teeth.
Advanced enhancements. In whatever ways your teeth may be flawed, there are dental solutions to transform your smile. We can correct minor to moderate chips, stains or slight gaps with porcelain veneers that cover the teeth's visible surface. We can cap a viable but unsightly tooth with a life-like crown. Missing teeth? A fixed bridge or dental implants could restore them like new.
Plastic gum surgery. Teeth may be the stars of your smile, but your gums are the supporting cast. Smiles with too much of the gums showing can be corrected through various techniques, including periodontal plastic surgery that reshapes the gums and can help the teeth appear more prominent.
Orthodontics. The original "smile transformer," braces and other orthodontic methods move misaligned teeth to better positions. Not only can orthodontic treatment result in a more attractive appearance, it can improve overall dental health.
You have an array of options for enhancing your wedding day smile, and we're more than happy to help you develop an individualized treatment plan. One caveat, though: some of these techniques could take weeks or months to complete, so don't delay!
If you would like more information about what you can do to have the most attractive smile for your wedding day, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Beautiful Smiles by Design” and “Planning Your Wedding Day Smile.”
The longer many health problems go on, the worse they become. Treating them as early as possible could stop or slow their development.
That holds true for poor bites: while we can certainly correct them later in life, it's often better to "intercept" the problem during childhood. Interceptive orthodontics attempts to do this with treatments that influence how the jaws and other mouth structures develop during childhood. Many of these techniques are usually best implemented before puberty.
For example, some very complex problems called cross bites can occur if the upper jaw grows too narrowly. We might be able to stop this from happening by using an orthodontic appliance called a palatal expander during the childhood years. It works because the bone at the center of the palate (roof of the mouth) has a gap running back to front until the early teens when the gap closes.
We fit the palatal expander up under and against the palate, then extend out metal arms from a center mechanism to the back of the upper teeth that exert outward pressure on them. This widens the center gap, which the body continually fills with bone as the device gradually exerts more pressure. Over time this causes the jaw to widen and lessens the cross bite. Timing, though, is everything: it's most effective before the gap closes.
Another way to aid jaw growth is a Herbst appliance, a hinged device that alters the movement of the jaws. As a child wears it, a Herbst appliance draws the lower jaw forward to develop more in that direction. Like the palatal expander, it's best used before significant jaw growth occurs.
These are just two examples of techniques and tools that can guide structural growth and prevent bite problems. Because they're most effective in the early years of oral development, your child should undergo an orthodontic evaluation as early as age 6 to see if they need and can benefit from an interceptive treatment.
Interceptive orthodontics can stop or at least slow a growing bite problem. The effort and expense now could save you much more of both later on.
If you would like more information on interceptive orthodontics, 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 “Interceptive Orthodontics: Timely Intervention can make Treatment Easier.”
Teeth whitening or bleaching is one of the most affordable and least invasive ways of improving your smile. Although the effect fades with time, whitening can make dull and dingy teeth more attractive in short order.
Teeth whitening is also unique among cosmetic dental procedures in that you can do it yourself at home. While professional bleaching solutions are stronger and capable of greater brightness and longevity, you can still achieve good results with a DIY kit.
If you decide to whiten at home, though, there are a few things to keep mind for a desirable and safe outcome. Here are 3 tips for successful DIY teeth whitening.
Follow the directions. It's not a good idea, both for a successful and safe outcome, to stray away from a kit manufacturer's recommended directions. FDA-approved home kits usually contain 10% or less of carbamide peroxide (one of the more common bleaching agents). That may not seem very strong but it's adequate within the recommended time it remains on your teeth to achieve an effective whitening effect. Exceeding those directions could permanently damage your tooth enamel.
Make sure a home kit will work on your staining. Home whitening kits only affect outer staining on tooth enamel. But dental discoloration can also arise from inside a tooth, often because of trauma, tetracycline use, or as a side effect of a root canal treatment. This kind of internal staining requires a special procedure usually performed by an endodontist to reduce it. So, see your dentist first to make sure your teeth are healthy enough for whitening and that a home kit will work for you.
Get your dentist's advice on home kits. There are a number of whitening applications on the market you can choose, so ask your dentist for recommendations. They can also give you some helpful tips on the whitening process to ensure you'll be safe and successful in your efforts.
Here's a couple of other things to remember to enhance your teeth whitening experience: whether you whiten your teeth at home or with the dentist, be sure you continue to care for your teeth with daily brushing and flossing. And, if you limit your consumption of foods and beverages known to stain teeth, you'll help extend the duration of your brighter smile.
If you would like more information on teeth whitening procedures, 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 “Tooth Whitening Safety Tips.”