Posts for: May, 2011
Unfortunately, going to the dentist may still be a fear and anxiety provoking experience for some people even with modern dental techniques — an interesting phenomenon given the fact that no one is born with fear. It is either a learned response based on personal experience or one that is literally imagined based upon hearing of another's treatment. However, regardless of how it develops, a person's perception is their reality. The good news is that we are here to both listen and to offer our patients the benefits of oral sedation (sedation dentistry) that allows relaxation of mind and body. Thus you can focus on feeling peaceful rather than anxious.
While research has shown that 75% of all people surveyed have at least a little fear about going to the dentist, 10-15% have a great deal of fear. In fact, some of these people experience so much fear that they will cancel dental appointments or never schedule in the first place. If the latter describes your feelings, we encourage you to ask us about sedation or comfortable dentistry so that you can receive the oral healthcare you need and deserve to maintain optimal dental health.
And this good news gets even better when you understand that oral sedation does not even involve injections (shots)! We typically administer oral sedation in one of two methods: by giving you a pill to swallow whole or by giving you a tablet to place under your tongue (sub-lingually) where it dissolves. Once the prescription medication takes effect, you will remain awake and aware of your surroundings; however, the medication will help you transition from feeling nervous to a more comfortable state of being. Most of our patients describe their experience as “comfortable” or “relaxation” dentistry due to how they feel during their treatment. Simply put, the anti-anxiety (anxiolytic) medication almost literally dissolves away your fears.
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While we have gained recognition for our role in creating gorgeous smiles with porcelain veneers, the often overlooked or unknown key contributors in this process are the dental laboratory technicians. These behind-the-scenes artists are the trained professionals in the art of using dental porcelain to hand-craft veneers and crowns into near exact replicas of natural teeth in shine, opacity, translucence and shape.
Through the use of precise molds and excellent communication skills, we share detailed information with the laboratory technician to create veneers or crowns specifically for enhancing and improving your smile. In fact, communication must be so exact that it often demands correct lighting, cameras and computers to produce optimal results. This process also requires a variety of colors, shapes and translucency, created so that once we cement them into place, they appear as beautiful natural teeth. If your veneers are part of a smile restoration or makeover and you are getting them for several front teeth, the end results are typically brighter and whiter than your natural teeth. However, they must blend with surrounding teeth if those teeth are not also receiving veneers. So it is often recommended to have your natural teeth whitened before the veneers are replaced.
Good dental porcelains in the right hands can make for spectacular tooth imitations by mimicking tooth enamel perfectly. And now that you have these facts, you begin to understand all of the expertise, artistry, and the technology required by laboratory technicians to produce the most dazzling porcelain veneers.
To learn more about porcelain veneers, continue reading the Dear Doctor article, “Smile Design Enhanced With Porcelain Veneers.” Or if you are ready to see what cosmetic dentistry can do for you, contact us to schedule a consultation.
While lasers have been effective (and safe) tools for healthcare professionals in the medical field for years, did you know that they are fast becoming a vital tool in the field of dentistry for diagnosing dental disease? Lasers, named from “Light Amplification by Stimulated Emission of Radiation,” are beams of light that are of a single color and wavelength. They also have the unique ability to help dental professionals detect disease in much earlier stages than they have ever before.
Diagnostic lasers are very effective in diagnosing pit and fissure decay — the tiny grooves of the biting surfaces that cannot be seen by visual inspection or reached by a traditional dental tool. They are able to accomplish this by producing a glowing effect known as fluorescence, which is produced by the optical properties of early tooth decay. This enables us to treat tooth decay in its earliest stages as well as monitor teeth from visit to visit.
Another area where lasers have proven valuable is in the detection and localization of dental calculus (tartar) beneath the gums. Calculus is hardened or calcified bacterial plaque that attaches to the teeth. Using lasers, we can find and remove this calculus during periodontal (gum) therapy. Lasers are also helpful in detecting dysplastic (“dys” – altered; “plasia” – growth) or precancerous tissue as well as cancerous tissues. And should we find any of these conditions, lasers are extremely useful in removing tissue close to the margins or edges of where diseased tissue meets healthy tissue. But best of all, lasers are minimally invasive and can result in less tissue removal, less bleeding, and less discomfort for patients after surgery.
The eruption of your child's first permanent teeth is a milestone in his or her development. As parents, you want to help your child preserve and protect their new permanent teeth so that they can last a lifetime. Dental sealants are one easy, simple, and inexpensive way to protect them from decay.
How do cavities develop?
The back teeth (premolars and molars) are formed with deep grooves on their biting surfaces that we call “pits and fissures.” These crevices are too deep for toothbrush bristles to reach. Bacteria can therefore grow and thrive inside them. The acid produced by these bacteria begins to dissolve the tooth enamel, starting the decay process.
Are new teeth more vulnerable?
Yes, the enamel surface of newly erupted teeth is more permeable and less resistant to tooth decay. As the enamel matures, it becomes more resistant.
How can you prevent decay in these new teeth?
Good oral hygiene habits, nutrition (including low sugar consumption), together with fluoride, sealants, and regular dental visits strengthen the teeth and can dramatically reduce tooth decay.
How does fluoride protect these teeth?
Fluoride makes the enamel surface harder and more impermeable and, therefore, less susceptible to acid attack and decay. Fluoride adds some protection to the deep pits and fissures of the teeth but they are still at high risk because of their shape and they often need further protection.
What are sealants and how do they work?
Sealants are protective coatings placed in the tiny pits and fissures to seal them from the bacteria and acids that promote decay. They actually “seal” the pits and fissures to prevent decay and can be used in the treatment of very early decay by arresting it. Greater use of sealants could reduce the need for subsequent treatment and prolong the time until treatment may become necessary.
Contact us today to schedule an appointment or to discuss your questions about dental sealants for your children. You can learn more about them by reading the Dear Doctor magazine article “Sealants for Children.”
FAQs About This New and Miraculous Procedure
How can sinus surgery contribute to the replacement of missing back teeth with dental implants?
Dental implants must be anchored the in bone to be successful. Maxillary sinus surgery can help regenerate bone that has been lost and is critically needed to anchor dental implants.
What are the maxillary air sinuses?
Inside the upper jaw, or “maxilla,” are structures known as the maxillary air sinuses, one on either side of the upper jaw. Each sinus is an air-filled space lined by a membrane. Upper back teeth are normally encased in the bone of the maxilla, below the sinuses.
Why is it important to replace missing back teeth?
Replacing back teeth restores the ability to eat, chew, and talk properly. The back teeth also provide facial and cheek support.
Why use dental implants?
Dental implants are the state-of-the-art method for replacing missing teeth.
Why does bone loss occur?
Unless special precautions are taken to prevent it, when teeth are lost, the bone supporting them is also lost.
If there is insufficient bone to anchor dental implants, what are the alternatives?
If all the back teeth are lost and dental implants cannot be placed, removable upper dentures may be the only alternative.
How do you determine whether a sinus surgical procedure is necessary?
The size, shape, and remaining bone of the maxillary sinuses influence whether you can have dental implants with or without a sinus surgical procedure.
How does surgery grow bone?
A small window is created in the sinus wall above where implants need to be placed. The sinus membrane is lifted and the space thus created filled with bone grafting and biologically active bone generating materials. The window is then closed and simply heals.
How is the surgery done?
The surgical procedures are performed from inside the mouth in the area just above the missing back teeth. They are generally carried out under local anesthesia (small shots, just like for a filling), sometimes with the addition of sedation or anti-anxiety medication.
How do bone grafts work?
Bone grafts act as scaffolds that the body replaces with its own bone. The most well researched bone substitute grafting material is currently bovine (cow) bone. All grafting materials are approved by the Food and Drug Administration. They are specially treated to render them completely sterile, non-contagious, and free of rejection factors.
What can I expect after surgery?
Moderate swelling and discomfort after surgery generally lasts for a few days to a week, about the same as having an upper impacted wisdom tooth removed. Supportive treatment usually includes a course of antibiotics to prevent infection and prescription strength medication of the aspirin or ibuprofen type. A decongestant may also be prescribed, if necessary. Healing is generally uneventful.
Who performs this surgery?
Maxillary sinus augmentations are usually carried out by oral surgeons, periodontists, or appropriately trained general dentists. Proper assessment of your situation and diagnosis are critical pre-requisites to the right procedure.
If you are missing upper back teeth, contact us today to schedule an appointment and discuss maxillary sinus augmentation. You can also learn more about this procedure by reading the Dear Doctor magazine article “Sinus Surgery: Creating Bone for Dental Implants out of Thin Air.”