Showing posts with label decay. Show all posts
Showing posts with label decay. Show all posts

Thursday, July 28, 2016

Baby Bottle Tooth Decay

Tooth decay is not a hard thing to understand. 
Sugars from sweets, fruit, milk, etc etc etc etc get into 
someone's mouth. 
The bacteria, naturally occurring in the mouth, ingest the sugars.
The bi-product of this bacteria - sugar combination is acid. 
The acids eat your teeth. 

That's it. 
Soooo, the take home point here is this........
The longer you have sugar in your mouth the more chances there
are for the bacteria to produce the acids that cause decay.

Time + Sugar = Decay

One of the saddest manifestations of this is Baby Bottle tooth decay.


Little tikes that get put to bed with a bottle. 
They will drink a little, fall asleep, wake up and drink a little, then fall asleep.
The result is that they have sugars on their teeth, essentially, all night long. 


Feed your little ones with a bottle if you so choose. 
But then after that make sure to brush their teeth. 
Or, at very least, give them a drink of water to help rinse the sugars away. 

Getting your 2 year old to obey you is tough. 
Getting them to sit still while I drill on their severely decayed teeth ......
nearly impossible. 






Monday, November 9, 2015

The Dangers of Lip Rings

Take a look at the tooth below. 
What happened?!
The gums above this tooth are way higher up then they should be. 
The gums of the other teeth look unaffected. 
How does only 1 tooth sustain such damage?

In THIS case.
A lip ring. 


In this picture you can see that I have pulled the lip back.
You can still see the damaged tooth in the back ground.
But in between my fingers is the culprit.
That white disk is the backing for the patients lip ring.
That disk has rubbed the gums right off of the tooth.
And since the gum recession was so bad the root of the
tooth was exposed and the tooth became much more 
susceptible to decay.


PLEASE PLEASE PLEASE be careful with lip rings.
Plastic is better then metal but anything rubbing against 
another surface can cause damage over time. 



Friday, March 7, 2014

Dental sealants. Do my kids really need them?

What are Sealants and do my Kids Really Need Them?

filed under PATIENT EDUCATION
The answer to this question is no. Children don’t need to have sealants placed on their teeth. But I guess this all depends on what your definition of the word needs is. Children don’t need to use toothpaste when they brush. A brush and some water will do some good. But using toothpaste will do a much better job.
Protective SealantsThus, it is with sealants. You may be okay without them but you will be much better off with them. The ADA recently published a study, among children, showing a 78% decrease in caries incidence (cavities) over a 2 year period when sealants were placed versus no sealants.
First of all, what is a sealant? A sealant is basically a small filling. The important difference between a filling and sealant is that a sealant is material placed on a tooth before decay happens in order to prevent a cavity. A filling is material placed on/in a tooth after the tooth has already sustained damage due to decay. The material used may even be the exact same material for the sealant or the filling.
This picture illustrates one tooth with a sealant and one tooth without. On the tooth with the sealant most of the natural tooth structure is still visible. The sealant material simply flows down into the nooks, crannies, grooves, and any other tiny crevices where bugs can hide and cavities can start. The material is placed on the tooth in a runny state and is then cured so that it is hard before you leave the office. Normal chewing can begin immediately.
The usual recipient of a sealant is a child getting their first adult molars (around 6 years old). More sealants are then placed over the second adult molars (around the age of 12). The reason sealants are normally only placed in children, and early teens, is to assist the child in keeping their teeth cavity free. Kids and early teens are not the greatest when it comes to controlling sugar intake or brushing.
Sealants will chip out as the years go by and are not a lifelong restoration. It is the hope that the sealants stay in long enough to get the individual to adulthood when they can then take better care of their teeth on their own. This is not to say that you can’t get the sealants put back in as an adult. Insurances won’t pay for them after your teens but it still would help. Sealants, like toothpaste, won’t stop cavities all by themselves. But, they are a great tool in the overall fight to keep you cavity free.

Monday, April 15, 2013

What Kind of Cosmetic Outcome is possible in Ogden Utah?

  • So, what is possible in dentistry?
  • Once something has gone so far can you bring it back to what it was?
Here is a wonderful case to look at that. We will call this patient Mrs. Corey to protect her identity. Mrs. Corey is wanting to get her teeth back to the way the used to be.

Here is a BEFORE picture of one of Mrs. Corey's molars.


Ogden Dentist BEFORE: Mrs. Corey's Molar
  • Nothing too bad. 
  • Old metal filling.
  • Some cracks starting in the enamel. 
  • And, possible new decay starting in a few spots.

And, here is the AFTER picture.
Ogden Dentist AFTER: Mrs. Corey's Molar
  • A brand new zirconia crown. 
  • No more metal look. 
  • The risk of fracture is now less.  
  • And the patient loves the look.


Dr. Jim Ellis, DDS
1220 33rd Street Suite C
Ogden, UT 84403
(801) 783-3490



SOURCE: http://www.bestogdendentist.com/2013/04/what-kind-cosmetic-outcome-possible-ogden-utah/

Friday, April 5, 2013

Ogden Dentist Cosmetic: Tooth Restoration

Cavities along the gum line are a common thing. A lot of these types of cavities happen along the base of bottom teeth. Reason for this is simply gravity. When you are done eating, or drinking, something the remnants of what didn't get swallowed settle to the floor of the mouth and end up eroding the bottom teeth along the gum line.

BEFORE Tooth Restoration Ogden Dentist BEFORE: Tooth Restoration

AFTER Tooth Restoration Ogden Dentist AFTER: Tooth Restoration


But, these cavities can be fixed. And with proper oral hygiene, and an understanding of what causes them in the first place, they can be prevented in the future.


Dr. Jim Ellis, DDS
1220 33rd Street Suite C
Ogden, UT 84403
(801) 783-3490



SOURCE: http://www.bestogdendentist.com/2013/04/ogden-dentist-cosmetic-tooth-restoration

Wednesday, March 6, 2013

Ogden Dentist: Black Spot – White Spot

Nobody wants a “Black Spot”. Just ask Jack Sparrow.

And while this black spot is not nearly as dangerous to have, it's still not good. This black spot is the result of cavity that has gone untreated for some time. The hope when we started this was that the cavity hadn't gotten into the nerve.

Here is the BEFORE photo of the tooth with black spot. Ogden Dentist BEFORE: Tooth Black Spot

Luckily for patient X the cavity was not as deep as it could have been. We were able to get all of the decay out and simply place a filling. The color match turned out fantastic on this case and no one should ever know that a good portion of the tooth is not his own.

AFTER photo of patient X's tooth.
Ogden Dentist AFTER: Black Spot removed


Dr. Jim Ellis, DDS
1220 33rd Street Suite C
Ogden, UT 84403
(801) 783-3490


SOURCE: http://www.bestogdendentist.com/2013/03/black-spot-white-spot/

Thursday, February 7, 2013

Gum Recession (Before & After)

Two different pictures (before and after) with lots to see.

First of all, we need to discuss gum recession. The tooth on the before picture has simple gum recession. Due to one of several factors (age, gum disease, aggressive brushing, etc.) gums can recede over time. The white enamel of a tooth only goes to the original gum line. As the gums recede, part of the root structure is exposed.

Root structure is a slightly darker color then is the enamel. Root structure is also softer then enamel. Over time the root structure can decay very quickly (as seen on the tooth on the right). Once the decay has happened then, we can place fillings in the tooth as we did in the after picture.

Gum recession can be real problem if left unchecked. Please see your dentist if you think your gums may be receding.

BEFORE
Ogden Dentist BEFORE: Gum Recession

AFTER
Ogden Dentist AFTER: Gum Recession



Dr. Jim Ellis, DDS
1220 33rd Street Suite C
Ogden, UT 84403
(801) 783-3490


SOURCE: http://www.bestogdendentist.com/2013/02/gum-recession/

Friday, December 28, 2012

Getting those Old Metal Fillings Changed Out

Lots of us have them, but few of us will ever want to do anything with them. And, that’s just fine.

Metal fillings were, are, and can still be a very good filling material. However, if you do not like the look of the metal or the tooth is starting to decay around the metal, then perhaps changing it out isn’t a bad idea.

Before Removing Old Metal Filling

Here is a tooth after we finished removing the old metal filling and replacing it with a new, more tooth like, filling material. Quick, easy, and relatively painless (as dentistry goes).

After Replacing Old Metal Filling

Dr. Jim Ellis, DDS
1220 33rd Street Suite C
Ogden, UT 84403
(801) 783-3490


SOURCE: http://www.bestogdendentist.com/2012/12/getting-those-old-metal-fillings-changed-out/

Wednesday, December 5, 2012

A Brand New Smile!!


This is Mrs. B
When Mrs. B was young she got into some trouble with her two front teeth.
From that point on she has been dealing with on and off discomfort.
She finally decided it was time to do something.

She decided it was simply time to part ways with her 2 front teeth.
She also decided that while she was at it she would get a whole new smile.

Here is Mrs. B before.


Here is Mrs. B after.



Mrs. B now has plans to bleach her bottom teeth so that
everything will match up nicely.
She is very happy with her new smile.

If you have teeth that have been bothering you for a long time
and you just don't know what to do, maybe something like this
could be in your future.



Tuesday, November 13, 2012

Do I need a crown on my tooth?

Every instance is different but here is a tooth with multiple problems
that did not end up needing a crown.

The filling is experiencing some break down around the edges
and a case could be made to replace it.

What gives this tooth the added need to be worked on
is the hole that you can see in the bottom left of the tooth.

This tooth for sure needs a makeover now.


Our filing material of choice is the newer white filling material. 
It wears great, looks great, and polishes very well.


Not all teeth like this can be fixed without the use of a crown but
this one did and the patient was very happy.



Monday, November 5, 2012

You have to go get your shots now.


This post is not meant to be a lecture on how to raise children.

And trust me when I tell you that I do my share of threatening.
"You won't get any desert if you don't eat your beans."
"You wont get to watch the movie if you don't finish your chores."
Etc.
Etc.

The threatening that I am talking about is threatening your children
that they will have to get stabbed in the mouth with a needle by
the horrible mean dentist if they do not brush their teeth.

You may laugh, but it happens ALL THE TIME.
Children come in to get one simple cavity filled and they are out of
control and crying before they even walk through the door.
Their parents have scared them so badly that just the site of me sends
them into a screaming fit.

This wouldn't be so bad if the parent would then help me calm them down.
But that, usually, does not happen.
The parent will sit out in the waiting room and say things like....
"You knew this was going to happen" or
"Okay, you have to go get your shots now" or
"Don't cry, I told you he would drill on you if you didn't brush"

Do any of you know how hard it is for me at that point?
Do any of you know how hard it is on the child at that point?

Not only is it hard right then but this kind of thing will build an emotional
wall in that child that may remain for the rest of their life.
Most people that hate to come to the dentist due to experiences
when they were little children.

Bottom line is this.
If you can't get your children to brush their teeth by saying please or by using some
other type of positive reinforcement that is fine. Threatening to cut off the
x-box is, in my mind, a fine thing to do.

Just don't tell them how horrifying it will be to see the dentist.
It will makes things that much worse now, and later on down the road as well.



Wednesday, October 31, 2012

"It's just a small cavity. I'll get to it later."

Oh boy.
I hear this all the time.
And the truth is that sometimes a small cavity is just that, a small cavity.
But other times it is much much worse.
That only way to know however is to go the dentist and get is checked out.

A perfect example of this is represented in these pictures.

This first picture looks like the smallest of cavities.


This next picture however, shows the extent of decay that was present
down inside the tooth and the amount of tooth structure that
we had to end up removing.
Very close to a Root Canal.

In the end the tooth looks great but there is no getting around the 
fact that the size of the filling will now make this tooth much weaker 
then it needed to be if the patient would have been getting regular
checkups and fixed the problem much sooner.




Thursday, October 25, 2012

Tooth Decay and Pain

Tooth decay normally doesn't hurt. 

Its kind of like your dishwasher blowing a gasket, or something similar.
You think everything is fine and then the next moment there is 
water all over your kitchen floor.

Well the dishwasher didn't go from brand new to breaking down over night.
It took a while and if someone trained in dishwasher repair had been
called out to occasionally check things out then the problem may have 
been caught prior to the disaster.

The problem is that to you, the untrained eye, nothing is 
wrong until things are very wrong.

The picture above is a progression of decay. 
Typically it is not until step 4 that you would feel any major discomfort.
Problem is that steps 1-3 can be fixed with fillings and step 4 is a root canal.

You don't wait till your engine starts smoking to change your oil.
Please don't wait till you are in pain to have your teeth checked.
Lots of time, and discomfort can be avoided this way.