The secret to a bright, healthy smile is actually no secret at all: brush, floss and get a professional dental exam at least once every six months. Professional dental exams are all about prevention – preventing existing problems from getting worse and preventing dental problems from developing in the future. Regular dental exams make it possible to identify and treat a problem in its earliest stage – which is not only good for your oral health but also good for your budget.
There's nothing to fear with a dental exam. Your teeth will be visually examined for signs of plaque, tartar and tooth decay. Your gums will also be examined for puffiness or discoloration, which are signs of gum disease. A full set of dental X-rays may also be taken during your dental exam, to enable your dentist to see below the surfaces of your teeth. Dental exams typically end with a dental cleaning, to remove surface stains and buildup.
Panorex Digital Dental X-Ray
Dental X-rays have come a long way. Todays dental X-rays are safer, faster, more comfortable and more informative than the X-rays of years past. Digital X-rays, one of the latest and most advanced dental technologies, produce high-quality images of your teeth that can be viewed instantly by you and your dentist on a LCD monitor. Digital X-rays reduce radiation by up to 90% and provide exceptional diagnostic information to ensure that potential problems are caught in their earliest stages. Intraoral photography is another alternative to traditional dental X-rays. With intraoral photography, problems such as cavities, fractures and discolorations in the teeth are captured through clear and sharp photographic images that are taken with a digital camera.
No matter how often you brush and floss, plaque and tartar deposits can still build up on your teeth. A professional teeth cleaning is the single most effective way to remove these deposits and prevent them from causing more serious problems in the future. While a traditional teeth cleaning involves manually scraping away these deposits with special dental tools, advances in dental technologies now give you more options for teeth cleanings.
A laser teeth cleaning, also known as an ultrasonic cleaning, is a popular alternative to traditional teeth cleanings. With a laser teeth cleaning, an ultrasonic scaler (rather than a manual probe) is used to remove deposits, kill harmful microbes and eliminate bacteria around the teeth and gums through high-frequency sound waves. Many patients find laser teeth cleanings more comfortable than traditional teeth cleanings because they are quicker, quieter and pain-free.
A deep cleaning may be recommended if excessive plaque and tartar deposits have developed below the gum line. Deep cleanings, also known as scaling and root planing, involve a two-part process: first, the stubborn deposits are removed, and then the root surfaces are smoothed. A deep cleaning helps prevent periodontal disease and restores gum tissues to a healthy state.
Oral Cancer Screening
Oral cancer affects nearly 35,000 Americans every year. The keys to surviving oral cancer are early detection and early treatment. This starts with a regular oral cancer screening – at least once every six months. An oral cancer screening takes just minutes, is pain-free and can be performed during regular dental exams. If you are male, a regular oral cancer screening is especially critical: Oral cancer is more than twice as common in men as it is in women. Other people at high risk of oral cancer include people over the age of 60, tobacco smokers and heavy drinkers.
If your silver fillings make you feel self conscious when you smile, or it's simply time to replace them, consider white fillings. White fillings are just as durable as they are attractive! Made of composite resin, white fillings match the natural color of your teeth and are an excellent option for small to mid-sized cavities. White fillings are strong, stain-resistant and require less removal of your tooth structure than amalgam fillings.
A dental crown may not make you feel like royalty, but it is one of the premiere treatments for teeth with extensive decay or damage. Dental crowns can also used to hold a dental bridge in place, cover misshapen or severely discolored teeth, or cover a tooth after a root canal procedure. Made of either porcelain-fused-to-metal, ceramic or gold, dental crowns are placed during a multi-step process and sometimes require more than one dental visit. The first step is a dental impression. A temporary crown is then placed to protect the tooth while the impression is sent to an offsite laboratory to create the final restoration. In some cases, same-day crowns are possible, so be sure to inquire. With good oral hygiene and minimal wear and tear, your beautiful new dental crowns can last up to 15 years.
Porcelain Dental Crowns
Although dental crowns can be made of a variety of materials, including stainless steel, gold and silver, nothing looks better than a porcelain dental crown. Porcelain dental crowns match the natural color of your teeth and are virtually undetectable by the naked eye. And because they're metal-free, porcelain dental crowns are an excellent option for patients with metal allergies. Best of all, porcelain crowns don't just look beautiful – they're long-lasting, too!
Dental bridges have been used for centuries to replace missing teeth. Today, dental bridges are still considered one of the most durable, conservative and cost-effective options for bridging the gap between a missing tooth and surrounding teeth. Comprised of two anchoring teeth and a replacement tooth, dental bridges help prevent surrounding teeth from drifting out of position, improve chewing and speaking, and help keep your natural face shape in tact.
There are three types of dental bridges: 1) traditional dental bridges, 2) cantilever dental bridges, and 3) Maryland bridges. Traditional bridges have either dental crowns or dental implants on either side of the missing tooth, plus a replacement tooth, which is held in place by a post-like structure called a dental abutment. Cantilever dental bridges are used in cases where there are surrounding teeth only on one side of the missing tooth. Maryland bridges are made of a specialized resin that is cemented to a metal framework and cemented to the enamel of surrounding teeth.
Dental bridges typically take 2-3 weeks to complete and are less invasive than other options, such as dental implants. With good oral hygiene and regular dental visits, dental bridges can last up to 30 years.
Using dentures to replace missing teeth is not only great for your oral health; it's a great way to look and feel younger! Today, there are a variety of natural-looking and comfortable dentures for patients who need to replace missing teeth. Made of a gum-colored plastic resin or acrylic base and either resin or porcelain replacement teeth, dentures are custom designed to fit your mouth. If you have several teeth or all teeth missing on the upper or lower jaw, full dentures may be your best option. Partial dentures, which can be either fixed or removable, are great for patients who have several missing teeth scattered along the upper or lower jaw.
The process of getting dentures may take a few months and several dental visits. In some cases, however, same-day dentures are also possible. With same-day dentures, the dentures are created right in the dentist's office instead of at an offsite laboratory. Same-day dentures aren't for everyone, though. If your dentures require a lot of customization, same-day dentures may not be right for you.
Just as with your natural teeth, dentures require daily maintenance. With regular wear and tear, your dentures can last 5-7 years. During that time, you may need periodic denture relines to accommodate changes in the contours of your mouth. Regular denture relines involve resurfacing the base to ensure that your dentures fit and function perfectly. If you break your dentures, it's critical to bring them to your dentist for professional denture repair. Home denture repair kits can cause more damage and be even more costly to fix.
Gum Disease Treatment
Red, swollen gums are a red flag for one thing: gum disease. If you have the symptoms, you're not alone. More than 80% of adults have some form of gum disease. Fortunately, there are many effective and pain-free gum disease treatments. For gingivitis, the mildest form of gum disease, treatment typically involves a thorough dental cleaning, followed by daily brushing and flossing. Advanced gum disease, also known as periodontal disease, requires scaling and root planing to remove stubborn deposits below the gum line. Laser gum surgery, a new alternative to scaling and root planing, uses beams of high-speed light to remove plaque and tartar buildup. If non-surgical methods of gum disease treatment are ineffective, a gingivectomy, or periodontal surgery, may be necessary.
(Root Canal Treatment)
Root canals get a bad wrap. But don't believe the rumors; the dreaded root canal isn't dreadful at all! Root canals are needed when either decay or an injury infects the inner tooth (the pulp). In the earliest stages of infection, you may not feel any pain at all. But when it progresses, you could have a toothache and swelling, or a dental abscess might form. Root canals remove the infection and prevent it from spreading. Thanks to laser root canals, this process is faster, more comfortable and, in many cases, more thorough than conventional root canals. Pulp capping is an alternative to root canals that are used when the infection has yet to penetrate the pulp. Pulp capping can also prevent a large dental filling from getting too close to the nerve.
Oral surgery is an umbrella term for surgical treatments such as dental implants, wisdom teeth extractions and bone grafting. Dental implants, an excellent solution for missing teeth, are surgically placed tooth roots that hold dental crowns in place. A wisdom tooth extraction may be recommended if there isn't enough room in your mouth to accommodate wisdom teeth and they become impacted, partially erupted or infected. Bone grafting transfers bone from one part of the jaw to another, usually to accommodate a dental implant. While a general dentist can perform some oral surgery procedures, an oral surgeon is required for others.
Catering to the dental needs of kids requires a special touch. Pediatric dentists are specially trained to treat the oral health needs of children, from infancy through their teenage years. This involves in-depth knowledge about children's behavior, as well as their growth and development. Pediatric dental offices are also designed to make kids feel comfortable and relaxed – with plenty of toys, activities and a warm, inviting and fun décor.
Snoring and Sleep Apnea
Sleep Apnea is a serious problem for many people who suffer from it. People with sleep apnea take short or long pauses/breaks in their breathing cycle while sleeping at night. One pause in breathing can even be up to 40 seconds. With sleep constantly interrupted, sleep apnea impacts the quality of life for a patient's mood, sleepiness and mood swings, and also can easily cause severe complications in overall health.
How is Obstructive Sleep Apnea (OSA) diagnosed?
For proper diagnosis of Obstructive Sleep Apnea (OSA) or other forms of sleep disordered breathing an overnight sleep test is necessary. The test consists of placing sensors on the body to measure certain body functions such as breathing, blood oxygen saturation, respiratory effort, body position, and brain activity. Different types of sleep tests use different sensors (also called channels) and the methods for obtaining sleep information differ slightly between tests.
Traditionally sleep tests have been conducted by an attended study in a sleep facility, rather than in the patient’s home. These attended studies are called Polysomnographs (PSG) and have been used for many years for the diagnosis of sleep disorder breathing, Obstructive Sleep Apnea, and other sleeping disorders. Recently home testing has become approved by the American Academy of Sleep Medicine for diagnosis of Obstructive Sleep Apnea.
What is a dental device and how does it work?
There are many FDA approved dental sleep devices. These devices can generally be divided into the 3 categories listed below:
1) Mandibular Advancement Devices (MAD)
Mandibular advancement devices are by far the most common type of dental sleep device available
for the treatment of snoring and Obstructive Sleep Apnea (OSA). They are also sometimes called oral appliances, or dental sleep devices.
Mandibular Advancement Devices (MADs) open the airway by moving the mandible (the lower jaw) forward. The tongue is attached to the lower jaw behind the chin. As the jaw is moved forward, the collapsible part of your airway is held open by the forward movement of the tongue and other airway muscles.Mandibular Advancement Devices (MADs) also improve the strength and rigidity of the airway by increasing the muscle activity of the tongue and other muscles of the airway.
2) Tongue Retaining Devices (TRD)
Like MADs, Tongue Retaining Devices (TRDs) also work by holding the tongue in a forward position. These devices pull the tongue forward, but instead of moving the jaw forward like a Mandibular Advancement Device (MAD), TRDs directly control the tongue itself. In some cases Tongue Retaining Devices (TRDs) have decreased therapeutic complications compared to MADs, but TRDs can also be less comfortable and generally take several weeks or months to be worn comfortably.
3) Combination CPAP/Dental Sleep Device Therapy
Often the problems associated with Continuous Positive Airway Pressure (CPAP) therapy are due to high pressures and uncomfortable fit of the nose or face mask. Our dentist can work directly with your sleep physician to make a combination dental sleep device that is worn in combination with your CPAP. This custom-made dental sleep device or oral appliance will attach directly to your CPAP machine. When CPAP is combined with jaw advancement from a mandibular advancement device, the CPAP can often be used at a much lower lower pressure setting.
Many times the cost for your dental sleep therapy is covered or supplemented by medical insurance (not dental insurance). Our dentist and insurance expert are trained and experienced to help you obtain your maximum medical benefits at minimum cost to you.
Temporomandibular Joint Disorder (TMJ)
The temporomandibular joints, called TMJ, are the joints and jaw muscles that make it possible to open and close your mouth. Located on each side of the head, your TMJ work together when you chew, speak or swallow and include muscles and ligaments as well as the jaw bone. They also control the lower jaw (mandible) as it moves forward, backward and side to side.
Each TMJ has a disc between the ball and socket. The disc cushions the load while enabling the jaw to open widely and rotate or glide. Any problem that prevents this complex system of muscles, ligaments, discs and bones from working properly may result in a painful TMJ disorder.
Possible causes of TMJ disorders include:
tooth and jaw alignment
stress and teeth grinding
Diagnosis is an important step before treatment. Part of the dental examination includes checking the joints and muscles for tenderness, clicking, popping or difficulty moving. Depending on the diagnosis, the dentist may refer you to a physician or another dentist.
There are several treatments for TMJ disorders:
This step-by-step plan from the National Institute of Dental and Craniofacial Research allows you to try simple treatment before moving on to more involved treatment.
The NIDCR also recommends a “less is often best” approach in treating TMJ disorders, which includes:
eating softer foods
avoiding chewing gum and biting your nails
modifying the pain with heat packs
practicing relaxation techniques to control jaw tension, such as meditation or biofeedback.
If necessary for your symptoms, the following treatments may be advised:
exercises to strengthen your jaw muscles
medications prescribed by your dentist; for example, muscle relaxants, analgesics, anti-anxiety drugs or anti-inflammatory medications
a night guard or bite plate to decrease clenching or grinding of teeth.
In some cases, your dentist may recommend fixing an uneven bite by adjusting or reshaping some teeth. Orthodontic treatment may also be recommended. Your dentist can suggest the most appropriate therapy based on the suspected cause.