DENTAL BLOGS


This is an archived list of DENTAL BLOGS from previous days. All BLOGS are written by one of our editors, all of whom are practicing dentists.

The purpose of the dental blogs is to provide further dental information which may help others with similar issues, or to stimulate questions or discussion. If you have questions about any procedures or statements made here, please feel free to CONTACT US.

At the beginning of each DENTAL BLOG, the TOPIC of the entry is listed to provide ease of use.

Any references made to patients are entirely anonymous, and any names used are made up to protect the real person's privacy. Also, your personal dentist should be consulted regarding any dental procedure which you intend to have done, as this site is not intended to diagnose or treat anyone's dental needs.


DENTAL BLOGS, 2005 
DENTAL BLOGS, 2006 
DENTAL BLOGS, 2007 
DENTAL BLOGS, 2008 
DENTAL BLOGS, 2009

VERTICAL ROOT FRACTURE:

vertical root fracture, root canal treated

This is one unfortunate occurrence that happens on occasion after a tooth has had a root canal.  Because the root is cleaned out and filled, sometimes the root will fracture vertically, in which case the tooth needs to be removed. 

CALCULUS BUILD UP:

dental calculus, dental plaque, gingivitis, periodontitis

Above is a good picture of teeth with a lot of calculus, or tartar, built up around the teeth.  This causes gums to get inflamed, or gingivitis, and if it progresses, will eventually cause bone loss, or periodontitis.   The good news is this can all be removed, and the gums should heal up nicely.  If there is bone loss, that will not regenerate without further treatment or maybe not at all.

March 2016

Crowning Root Canaled Teeth:

This question comes up a lot.  When someone has a toothache, very often the tooth ends up needing a root canal.  The root canal procedure itself shouldn't hurt and often has minimal discomfort afterwards, but it is often associated with pain because when you are in pain, often times you need a root canal.  The procedure actually gets rid of the pain, it doesn't cause it.

After the root canal is done, normally the pain is gone and the patients think they are good to go.  All back teeth that have had root canals should be crowned.  People always think once the pain is gone, the problem is solved.  That is only part of the solution.  After teeth have had root canals they tend to get very brittle and are at a much higher risk of fracturing., and when they break, they almost always need to be extracted, and anyone who has had a root canal treated tooth extracted knows that it is a very difficult and painful procedure.

Couple that with the need for a bridge or implant after, which will cost several times more than the crown, and it is best to get the crown on to protect that root canal treated tooth.

4 September 2015

Toothaches

When a tooth is causing extreme pain, enough to keep you up at night or hinder your normal activities, very often it is a pulpal issue, meaning that the nerve of the tooth is damaged.  When this happens, normal treatment is either a root canal or an extraction.  It can be other things such as a peridontal/gum problem, sinusitis, grinding, or some other issue, but when the pain is really bad, it's usually from the pulp.


7 September 2014

LOSING PRIMARY TEETH

Children start losing their baby teeth from about 6yo on, but around the age of 9-11 is when most children will start to lose their back teeth. Sometimes it looks like teeth are fractured when it is just the permanent teeth pushing the baby teeth out. While this is the case, it is always good to get it checked by your dentist just to be sure it isn't anything more serious.

1 August 2014

DISPLACED TEETH

Accidents happen. Here is an example of a tooth that was displaced out of the socket, and after it was repositioned back into the proper place.


The area was anesthetized and the tooth was repositioned back into place. Read more about these types of injuries at our page on tooth injuries page.

13 July 2014

DON'T BE EMBARASSED

People often come in saying they are embarrassed about their smile. Almost regardless of how bad you think your teeth are, your dentist has seen worse. If you do need replacements, there are always options such as crowns, bridges, and dentures.


30 June 2015

Wisdom teeth

Nobody really looks forward to having their wisdom teeth removed, but most of the time they aren't in use anyway, and often lead to problems, such as pain and infections. When this happens, it is a much more miserable experience than if you get them removed before they cause problems. Once you get them removed, rest assured they will not grow back, so you only have to go through it one time.

14 April 2015

Retainers and Nightguards

Hard nightguards can also be used as retainers if you grind your teeth and wear had braces, Invisalign, or other ortho work. They are rigid enough to keep teeth in the proper position and do not have any action on them so they won't move teeth either.

17 February 2015

Root canal treated teeth

After a tooth has had a root canal, the nerves are removed so there shouldn't be any sensation in the tooth. This means the tooth can be worked on without any anesthetic, unless of course it is going to be extracted or removed. The tooth is dead, but the surrounding gums and tissues still have sensation.

12 December 2014

Extraction and Bridge Placement

Sometimes broken down teeth can be removed and the adjacent teeth prepared for a bridge at the same appointment. Normally the extraction site will need to heal before the final bridge is placed, but a temporary bridge can be placed while the gums are healing, preventing you from walking around with a missing tooth for any period of time.

24 October 2014

LARGE ODONTOMA

Below is a dental xray showing a very large odontoma, which is a benign (non cancerous) overgrowth of normal dental tissue. The patient didn't even know it was there, but it needed to be removed.


1 April 2014

TOOTH WHITENING

Everyone gets different results when they bleach their teeth.  Some people will get very white teeth, some peoples' teeth won't get as white, sometimes the bleaching doesn't appear uniform throughout the teeth.  Teeth have different layers and varying degrees of thickness, and everybody is different.  If an in office whitening doesn't do the trick alone, try doing some at home whitening with bleaching trays, that should help achieve even better results.

27 January 2014

CHILD SEDATIONS

Young children are often sedated for dental procedures.  While this is common, it is not without risk, so just make sure that your pediatric dentist is properly qualified and certified to perform such procedures.

28 November 2013

HAPPY THANKSGIVING EVERYONE!

11 October 2013

CRACKED TOOTH SYNDROME

Often times people come in complaining of biting sensitivity.  This is sometimes tricky to treat since it is usually caused by fracture in a tooth, which is not always visible.  Treatment usually involves a crown and sometimes a root canal.


6 September 2013

TESTING

When a person comes in with a toothache, the dentist needs to do some tests in order to figure out what is going on.  Some patients try to guess how to respond in order to avoid possibly needing a root canal.  Unfortunately you may trick your dentist, but that may actually lead to a misdiagnosis and ultimately the wrong treatment. 


5 August 2013

ONGOING CONSTRUCTION

We are doing some redesigning to our website, so please pardon the inconvenience!  Hopefully it will be more helpful and easier to use when we are done.


13 June 2013

KEEP AN OPEN MIND

People often come in with a problem, and are convinced they know what the problem is, often times because a friend or family told them what happened to them.  Everyone is different, and every situation is different.  You may not want a root canal, but it doesn't mean you don't need one.


2 May 2013

USE AS DIRECTED

Last week we a patient came in and had 4 wisdom teeth extracted.  He was given a prescription for antibiotics, but didn't take the medication.  A few days later he came back, swollen, with an obvious infection.  If your dentist gives you medication, it would behoove you to use it.


4 April 2013

EXTRACTION COMPLICATIONS

The 2 most common post operative complications of tooth extractions are dry sockets and infections; both which need to be addressed by your dentist.  Dry sockets normally involve a great deal of pain a few days after the surgery, and infections normally involve swelling.  If you have either, call your dentist!


20 February 2013

SUTURES

People often ask if sutures will be placed when teeth are extracted.  For difficult extractions such as impacted wisdom teeth, sutures are often placed, but for routine or even some involved extractions they are often not necessary.  

25 January 2013

SYNESTHESIA

The other day a patient said that they could "taste colors".  Sounds impossible, right?  Apparently there is a neurological condition in which sensory pathways get crossed in certain individuals, which may lead to this type of experience!

1 January 2013

HAPPY NEW YEAR EVERYONE!

14 December 2012

HOLIDAY PRESENTS

Holiday gifts are a good time to give people items they want or need but don't normally want to pay for.Nightguards and whitening products are very good ideas. Nightguards can help save teeth and who doesn't want whiter teeth?

23 November 2012

HAPPY THANKSGIVING!

1 November 2012

CANDY BUY BACK

After Halloween, many dental offies will buy back candy from kids in an effort to prevent them from getting cavities, especially pediatric dentists. Ask around if you don't want your kids eating all those sweets!

14 October 2012

DENTURES

Unfortunately sometimes dentures are the only realistic option, and while they do take some getting used to, many dentures can be made to be implant supported. This will make them much more stable and easier to use.

13 September 2012

ELECTRONIC CIGARETTES

These are increasing in popularity and many people have asked if they, like normal cigarettes, are a risk factor in increased periodontal disease. Electronic cigarettes have nicotine, which is a vasoconstrictor that reduces blood flow to the gums, which in turn reduces oxygen and nutrients to the gums and does increase the incidence of gum disease. So while they may help be more socially acceptable, they are still very harmful to your gums.

7 September 2012

DIASTEMAS

People often want diastemas, or the spaces between teeth, closed by veneers or crowns. This can be done sometimes, but braces are often the best option. Although in the short term they may be inconvenient, in the long run they help preserve natural tooth structure and will look the most natural.

2 August 2012

EATING BEFORE DENTAL APPOINTMENTS

Many people do not like to eat before dental appointments because they think their breath will stink. The truth is dentists deal with so many smells that they usually don't even notice. On the other hand, most dental procedures require local anesthetic, in which case it will be very difficult to eat after the appointment while your mouth is numb. Also, there may be some restrictions on eating such as no hard foods, etc, so you might as well eat before you come in.

12 July 2012

DENTAL INFECTIONS

Dental infections can occur from a variety of reasons. They can also become serious, and require a variety of treatment over several visits. Sometimes root canal treatment needs to be done, but sometimes even after that they tooth may need to be extracted if the infection cannot be controlled.

17 June 2012

HAPPY FATHER'S DAY...

31 May 2012

ENDODONTIC EXPERIENCES

Thank you to those who have shared their experiences with root canals, either positive or negative. Please feel free to do the same at our endodontic experience comments section. You can read what other people have written as well.

10 May 2012

TEMPORARY CROWNS

When crowns are done, typically a temporary crown will be made while the final crown is being fabricated. They are used to protect the tooth as well as preserve the space where the new crown will go. Some sensitivity is normal, but be careful with it, and try to avoid chewing on that side as much as possible, but definitely avoid any hard, sticky, or chewy foods in that area.

19 April 2012

FILLING BABY TEETH

Many parents think that it's not necessary to fix baby teeth because they think that they will fall out before causing any problems. But the posterior primary teeth normally do not fall out until the child is 10-11 years old, and if they are removed prematurely they can cause space issues.

22 MARCH 2012

NUMBING LOWER TEETH

When numbing the lower teeth, the most common form of anesthesia is a inferior alveolar block. This anesthetizes the entire nerve from a certain point, and numbs the lower teeth, tongue, lower lip, and gums to the midline.


While a very effective technique, if the nerve is hit during administration of the anesthetic, the patient does feel a shooting sensation along the jaw, tongue, and lip. Although a bit uncomfortable, it is normal, so don't be alarmed.

1 MARCH 2012

DIAGNODENT LASER CARIES DETECTOR PEN

The diagnodent is a handheld laser cavity detector. The dentist places the laser over the area in question, and a number is given which signifies the presence of decay or not. This just gives the dentist another tool to help diagnose tooth decay.


12 February 2012

NOMAD HANDHELD XRAY DEVICE

The Nomad is a handheld xray device that makes taking dental xrays much more convenient. Instead of large swinging arm attachments, this device is very portable and limits exposure to patients and provider.

16 January 2012

INTRAORAL CAMERA VS IMPRESSIONS

Happy New Year Everyone. For those of you who hate taking impressions when having crowns done, there are several intraoral cameras such as one by Cerec, which hopefully will allow dentists to routinely just take a series of photos instead of those gummy impressions in order to fabricate crowns. There are already used today, but hopefully within a few years they will be used by more dentists.

22 December 2011

MERRY CHRISTMAS AND HAPPY HOLIDAYS TO EVERYONE! Thanks for visiting!

16 November 2011

PIERCINGS AND DENTAL ISSUES

Piercings are becoming very common all over the body, and especially the oral cavity. While they may be appealing, they can cause a variety of dental problems. People very often fracture teeth or they can cause your gums to recede, which leads to periodontal disease and eventual tooth loss.

7 October 2011

SMOKING AND GUM DISEASE

Some people don't realize the harmful effects that smoking can have on your gums. We see 30yo patients who smoke, with more gum disease and dental bone loss than patients in their 70s who do not. And the end result of gum disease is tooth loss, so if you needed one more reason to quit smoking, losing your teeth should be a motivating one.

12 September 2011

HOW DID YOUR ROOT CANAL GO?

Visit our endodontics page to let others know how your root canal went. Many people are very nervous about getting root canals, when most of the times patients are surprised at how quickly and relatively pain free the experience is. Or, if you had a bad experience you can share that as well!

31 August 2011

ANESTHETIZING LOWER TEETH

People often wonder why when lower teeth are being worked on, the dentist injects in the back of the mouth. As the pictures below illustrate, the inferior alveolar nerve, which innervates the lower teeth, goes into a foramen in the mandible. Therefore, it is necessary to numb the nerve before it goes into the foramen and is encased in bone. 


16 August 2011

DENTAL INFECTIONS

When you have an infected tooth, it is very important to get it addressed ASAP. Dental infections can become very serious, and even fatal. Swelling can advance into areas which can restrict swallowing or even breathing. Also if you start to run a temperature, that is also not a good sign. Antibiotics also take a couple of days to start to work, so even after you start taking them, the infection may get worse before it gets better.

1 July 2011

HAVE A SAFE AND FUN 4TH OF JULY WEEKEND!

15 June 2011

DON'T BE SHY

Because of local anesthetics, dental treatment in general should not hurt. Sometimes you feel pressure, but if anything hurts, you definitely should let your dentist know. It is common to simply raise your hand and your dentist should be aware that you have something to say. Your dentist should want you comfortable, as it makes it easier on everyone involved.

13 May 2011

SLEEP APNEA

This is a very common problem, often times undiagnosed, and can cause a variety of health issues. This is when your breathing is obstructed when you sleep, and we all know we need to breathe! Sometimes surgery is needed, but there are very simple and inexpensive solutions as well, such as mandibular advancement devices such as PureSleep.

27 April 2011

SEALANTS AND CAVITY PREVENTION

After a tooth has had a sealant, it can still get decay and need to be filled. Sealants only seal the biting surface of a tooth, but there are 4 other sides of a tooth that can still get decay. Also, typically only about 8 of your 28-32 teeth are sealed, so you still need to brush and floss daily.

8 April 2011

REFERRED PAIN

People often come in with toothaches convinced that it is from a particular tooth. Sometimes it is, but a problem in one tooth can refer pain to different areas of the mouth, such as from top to bottom or even to the opposite side. Keep that in mind if your dentist tries to convince you that the tooth on your lower right side may be causing the pain on your upper left!

23 March 2011

BEFORE AND AFTER PHOTOS

We have added new photos of types of situations where Lumineers or veneers can help improve your smile as with chipped teeth.


23 February 2011

SEEING A SPECIALIST

If your dentist wants to refer you to a specialist, such as an endodontistoral surgeonpediatric dentist, or other specialist, try to understand that it is in your best interest to accept the referral. It will make the procedure much easier to tolerate, and you will probably have a better result as well.

2 February 2011

LUMINEERS

People often ask us about Lumineers. Lumineers are a form of porcelain veneers, which are done without anesthetic, require little to no tooth preparation, and are bonded directly to your teeth. They are very effective in giving you the smile that you've always dreamed of!

3 January 2011

VENEERS

We are looking for a lucky patient to have veneers placed on their front 8 teeth. The procedure will be overseen by some of the leading cosmetic dentists in the country. If you are unhappy with your smile and want a life changing experience, contact us for more details.

1 January 2011

HAPPY NEW YEAR EVERYONE!



25 December 2010

HAVE A MERRY CHRISTMAS AND HAPPY HOLIDAY SEASON!

23 November 2010

HAVE A HAPPY THANKSGIVING EVEVERYONE!

Most dental clinics will be closed over the weekend so get any issues addressed before Thursday...

6 November 2010

PET DENTAL CARE PRODUCTS

Just like humans, dogs need to have their teeth cleaned. Small dogs and some breeds tend to have moregum disease than other dogs, but the results are the same; the loss of teeth. Dental work on a dog can be very expensive, so as with humans, prevention is key.

17 October 2010

NEUROMUSCULAR DENTISTRY

Many people who have chronic pain issues such as headaches, migranes, neck or back pain, may have jaw issues that while seemingly unrelated, can be the source of pain felt elsewhere. Neuromuscular dentistrycan help explain many of your tmj symptoms and how it can affect the rest of your body.

2 October 2010

PAINFUL PROCEDURES

As recently discussed, in general, dental procedures should not be painful if local anesthetic has been administered properly. During extractions you will feel pressure and pushing, but it should not hurt. We are always surprised that patients are reluctant to say when something is hurting, and we implore you to please tell us!

19 September 2010

ORAQIX

Oraqix is a local anesthetic that is administered without a needle and is sometimes adequate for scaling and root planing or other dental cleanings. It is very quick acting and only lasts about 30 minutes, so you don't have to be numb for hours after your appointment has ended. It is not profound enough for fillings and other dental work, but ask your hygienist about it.

16 August 2010

ADVICE FROM FRIENDS AND FAMILY

Often times patients come in with a toothache and are convinced they know what the cause is because of what a friend or family member said. Even dentists are not able to tell what is going on without examining the tooth, taking xrays, and assessing the situation. How is a friend or family member who is not even a dentist, able to diagnose the cause without even looking at the tooth? Take their advice with a grain of salt, and let your dentist do the diagnosing.

6 July 2010

PAIN DURING PROCEDURES

During most dental procedures, you should not feel any pain while the dentist is working. If you do, you should let him/her know and s/he can give you more anesthetic. It is not a hassle and the dentist definitely wants you to be comfortable, so don't be shy. If it hurts, say something, because being completely numb will make your experience much better!

9 May 2010, Dental Blogs

HAPPY MOTHERS DAY

Dental work is a good gift for Moms on Mothers Day. Many sons/daughters pay for teeth whiteningpartial dentures, or crowns or bridges. Your mom will be very grateful, and it is something she will use everyday! Fathers day is also coming next month.

29 March 2010, Dental Blogs

SCREAMING CHILDREN

Many parents think that when their child cries in the dental chair, it's a sign of pain, when often times the child is just scared. If your child is nervous, pediatric dentists are excellent in managing their anxiety. It also helps if you, as the parent does not explain to your child what is going to happen. Specialists use child friendly methods which are less threatening, to explain to your child what is going to happen, and it makes the experience easier for everyone.

22 February 2010, Dental Blogs

FLUORIDE

Fluoride has been proven to be one of the least expensive, and most effective ways to help reduce the incidence of dental cavities, yet some people still insist on avoiding it like it is poison. If you are one of those patients who gets new cavities every check up and do not use a fluoridated toothpaste, you might want to think again.

9 Februrary 2010, Dental Blogs

EPINEPHRINE ALLERGIES

Often times patients come in and insist they are allergic to epinephrine. Epinephrine is also known as adrenaline, which is a naturally occuring and essential stimulant in the human body. It is added to dental anesthetics in order to provide more profound anesthesia and increase the duration of action, and yes, there are sometimes side effects and contraindications, but you can't be allergic to it.

11 January 2010, Dental Blogs

RESTORING ROOT CANALED TEETH

Many people think that after a tooth has been root canaled, it's treatment is done. Often times a temporary filling is placed immediately after the root canal is done, but a permanent filling and or a crown (if it's on a posterior tooth) still need to be placed. If a permanent restoration is not done, the tooth may get reinfected, which may cause the root canal to fail, or the tooth may fracture, which may lead to an extraction.


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