Showing posts with label jaw. Show all posts
Showing posts with label jaw. Show all posts

Wednesday, June 22, 2016

"Doc, help!! Moving my Jaw is Agony!!"

Patient came into the office the other day. 
He stated that he "hadn't eaten for 2 days"
due to intense pain. 

Click on the picture. 
It will blow up on the screen. 
See if you can see anything that might be look
different then anywhere else. 
We are pretty symmetrical as humans. 

There is another picture down below that will show you the problem. 


I asked if anything he knew had triggered the pain. 
He stated that he had gotten punched in the jaw
but that it didn't hurt too bad at the time. 
But that over the last 2 days it had been increasing in pain.

Well, click on the next picture. 
The red circle indicates where the patient's jaw is broken.
He had attempted to chew over the last two days with 
a broken jaw bone. 
Every time he went to chew the bones would move against each other. 
He went directly to the oral surgeon where he was wired shut. 
He will need to stay that way for 3 months. 

Simply "getting punched" can hurt. A lot. Not only physically
but the financial ramifications will also be pretty tough here. 




Monday, June 18, 2012

When will my baby's teeth come in?

We get this question a lot from newer parents.
They want to make sure that their child is within a realm
of normalcy when it comes to their teeth.

So here is a chart that was put out by the 
American Dental Association.

You can find out exactly when the average age 
is for you child's teeth to come in.

Now notice that I said you can find the average.
The average means that half the kids are faster then
this chart and half the kids are slower then this chart.

So this chart may help give you an idea but your child could 
be very different from the norm. 





Wednesday, April 18, 2012

Oral cancer. CAUTION! May be disturbing.


This post is not for the faint of heart.
This is however, one of the most serious posts that I have ever done.

If you smoke or chew, please stop.
Oral cancer is very very real.
I realize that everyone knows someone that has smoked for
80 years and nothing has ever happened to them.
That is all well and good, until its you that it happens to.

These pictures are of a complete jaw bone removal due to oral cancer.
And yes, if the jaw bone comes out then the teeth must come with it.

Bottom Jaw.

After the jaw bone is removed a new one must be made.
It is fairly typical to make the new jaw out of Metal.
the new metal jaw is lined with one of your ribs that has been taken from you and bolted to the metal. Hopefully, later on some type of implants can be fastened to the metal jaw and you can get teeth back. Until that time you are on pretty much liquid.
X-ray of the new lower jaw.
Hope this scares anyone enough to lick the habit.



Wednesday, March 7, 2012

Those bumps are called tori.


Tori.

Ever heard of the word?
A tori is a lump of bone that resides in the mouth.
Most people that have tori think nothing of it because they have always had it.
Well, not everyone does have it.
But even if you do have it it really not that big of a deal.
Its just bone and likely wont ever cause you any problems.
One of the only times that it may cause you problems is if you need a denture.
Dentures are very hard to fabricate over the top of tori.
It is only a minor problem however due to the fact that tori can be removed.
So if you have a hard boney lump that has been in your mouth forever,
it may not hurt to get it checked out, but more often then not its simply just a tori.

Tori in the floor of the mouth.

Tori in the roof of the mouth.



Thursday, March 1, 2012

Waiting too long.


This happens all the time.
People, who neglect their teeth to the point that they break off at the
 gums. THEN they come in and want it extracted.
They laugh a little nervous laugh and say...
"well, not much left so it should be pretty easy yo pull out, right?"

The answer to that is, NO.
Imagine getting a fence post out of the ground.
Not the easiest thing in the world, right?
Now, take a chain saw and cut the fence post off at the ground.
How easy is that going to be now?

If you want a tooth out, please, please, please, do not wait until
it is so broken down that there is nothing to grab on to.
It is NOT easier.




Tuesday, February 28, 2012

My canine teeth are too pointy! What can be done?


Canines are unlike any other teeth in the mouth.
Every other tooth in the mouth is, almost, a copy of a another
tooth in the same corner of the mouth.
You have 2 incisors, 2 pre-molars, and 2 molars per quadrant but only 1 canine.
These teeth are also, typically, the longest rooted teeth in the mouth.

One problem that people have with their canines is that sometimes
they feel as if they are a bit too pointed.


They hide them when they smile for fear that they look too much like a vampire.

Well there has never been an easier fix for just about anything.

All you need to do is file those bad boys down just a bit.
You do not need to be numbed up and it will only take a moment to do.
You will have less enamel so the chances that you could get decay in the
future are slightly higher. But, with a little added attention to your home
care that should never end up being a problem.



Monday, February 27, 2012

Give me some of that gas!

So what is laughing gas?
Why do we use it?
Is it okay for anyone to have? 


Technically speaking laughing gas is Nitrous Oxide or N20. 
Here is a nice little diagram of its chemical make-up.


We use laughing gas to take the "edge" off.
When someone is nervous about a situation then any little stimulus will
seem a bigger then it actually is.
This is true for the dentist office as well.
Routine procedures can become overwhelming to dental phobic patients.
We therefore administer gas to remove that overly tense feel and 
make the routine seem routine again.
The effect of the gas creates a slightly euphoric state in people. 
Feelings of floating or tingling all over are very common.
But most of all it just makes you more relaxed. 

It is a very safe product to use and unless you have some sort of respiratory 
problem almost anyone can safely use it.

To tell you what exactly it does would sound something like this.......

 "It seems N2O-induced release of endogenous opioids causes 
disinhibition of brain stem noradrenergic neurons, 
which release norepinephrine into the spinal cord and inhibit pain signaling."

But since most people have no idea what that means just trust me when I tell you
that it works, its safe, and you feel much better for having it : )



Tuesday, February 21, 2012

Does Grandpa have loose dentures?


It happens all the time.
Grandpa/Grandma/You have a top denture that fits
great but the lower denture is awful.
There is help.
2 implants need to be placed in the lower jaw.
Each one of those implants will have a gold housing on top of it.
These housings have undercuts in them that will serve as retention for the denture.
The old denture then gets holes drilled into it and metal
receptors with o-rings place in the holes.


These receptors with the o-rings will fit down over the implant housings and
secure the denture to the jaw.

It works very well and people are very happy that their denture is
no longer floating around in their mouth.



Tuesday, February 14, 2012

Closed the gap.

Hey everybody.

This is Jeff.
Jeff is one heck of a guy.
He is married to one heck of a woman.
And has some great kids.

Only problem Jeff had was a gap in his teeth.

(That, and pigeons in his chimney. But that's another story.)

Anyway, we got Jeff in today to close the gap in his teeth.

No need for braces.
No need for shots.
Cheap as fillings.
Done in about an hour.
Totally reversible. 

Jeff Before

Jeff after.




Thursday, February 9, 2012

What is the black line around the base of my crown?


Nothing is wrong.
What you are seeing is simply the metal that your crown is
made out of showing out from underneath.
I know I know, you thought that your crown was white and that
there wasn't any metal in it.
Well, there is. You have what is referred to as a porcelain
fused to metal crown of (PFM).
The crown is made of a metal substructure to give it it's strength and
then porcelain is layered over the top to make it look like a tooth.
The PFM has been used for years and has had remarkable success.
The only draw back to these types of crowns is the metal line showing through
and the fact that the porcelain layers can begin to separate from each other
and cause the pieces of porcelain to fall off the crowns.

Today there are new advances in crown technology that have
eliminated both of these problems.
There is a new material, to the world of dentistry that is, called zirconium.
Zirconium crowns are milled from a solid block and are very very strong.
This milling process means that they are not put together piece by piece.
Therefore there are no pieces to come apart. The crown is one solid unit.
Zirconium is also white so the color is that of most teeth and will never show a
metallic line because there is no metal.






Wednesday, February 8, 2012

Periodontitis


Periodontitis is a condition where the gums and bone that surround your
teeth slowly deteriorate due to large amounts of, unremoved, bacteria.

I have seen perfectly healthy teeth be pulled out of someones mouth with
their own fingers because the gums and bone could no longer support them.

It is an absolute must that you get into your dentist at lease once a year to
get the bacteria plaque and other contaminants removed from your teeth
to maintain good gum and bone health.

Here are some healthy gums.

Here are some gums that are in trouble.
One of the symptoms of periodontal disease is swollen, red, painful gums.

This patient is also in trouble.
Another symptom of periodontal disease is that your teeth will begin to loosen up.
As the bone looses its ability to hold the teeth in
you teeth will shift and, or drop out of the gums.

Please please please get to your dentist for a good cleaning BEFORE your
mouth begins to resemble one of these last two pictures.



Tuesday, February 7, 2012

Meet Mike

Today we are going to meet Mike.
Mike was a good guy.

But, Mike was not having a good day.


Mike really needed that tooth because Mike
Really wanted to meet a nice lady.

This is Mike now.

Ladies, Mike is 29 and now has an AMAZING smile!

Anyone interested can let us know and we will get you in touch with Mike.




Tuesday, January 31, 2012

Cosmetic Bonding

This is Ms B.
Like many people, there was something about Ms B's 
smile that she did not like.

She thought, as many folks do that the fix for her problem
would be a very expensive and painful process.

As it turns out, neither was true. 

Ms. B underwent some cosmetic bonding  today.
No shots
About an hour.
All for the cost of a few fillings.

Ms. B Before


Ms B After



Monday, January 23, 2012

Mr C. came to our office one day with a failing root canal.
Like other medical procedures, root canals can fail.
After weighing the options Mr C. decided to have
 the tooth extracted and an implant placed. 

(Before the extraction.) 
Showing the root canal and a pretty decent sized infection.
Tooth was extracted and a bone graft was placed in the site.
Waiting time will be about 3 weeks.

Day of the surgery went very well.
Head of the implant is flush with the bone so our aesthetics should look great.
Infection now gone and infected area even starting to fill in a little.
8 weeks from now we will have a beautiful new tooth on there.



Wednesday, January 18, 2012

Which Dentist Is Right For You?


Well, that's kind of like asking if all apples are the same. Apples come in different colors. Apples come in different sizes. Apples come with a variety of flavors.
So what apple is right for you? That depends on the situation. Is it a hot summers day and you just want an apple that will taste good? Or are you looking to make a pie and need an apple that is good for baking? The answer to these two questions would lead you to two very different varieties of apples. Yet they are both still called apples.
The same can be said for dentists. Every dentist has had to go to a qualified dental school to get his/her degree. Every dentist has had to take the same national examinations to prove that they are proficient at certain types of dentistry. Therefore, anyone that legally can be called a dentist is pretty much the same thing.
So what dentist is right for you. Like the apples, that depends on what you are looking for. If you want convenience then do an internet search for dentists and you can find the absolute closest dentist to you by mileage. If you want the cheapest dentist then call dental offices and ask what their cost is on a certain procedure. You can then find the cheapest dentist out there.
These factors are the easy ones. But what if you want a dentist that is good with kids. What if you want a dentist that has a good cosmetic eye and can not only fix your teeth but make them look attractive as well. What if you want a good bedside manner, etc. etc. etc.
These are some of the tougher ones. For this you need to do a little more homework. Go online and read reviews. Ask neighbors, friends, and family. Ask to see before and after pictures of work they have done. Ask if they have gotten any extra training in any particular aspect of dentistry. Ask if there are procedures that they choose not to do. Even though every dentist can do a root canal, some choose not to.
Once you have found all of this out you can choose which dentist is right for you. Last thing you want is to take a bite thinking you have a golden delicious and end up with a granny smith.



Tuesday, January 17, 2012

Implant case

Here is as straight forward of an implant case as you will see.

Patient had a failing root canal on a pre-molar tooth.

Tooth was extracted and a single implant placed.

After healing had occurred then a solid zirconium crown was put in place.

Patient is very happy with the result.

Dr. Ellis on Facebook


Monday, January 9, 2012

You may need an apicoectomy?


I may need a what!?

Okay, its not something you hear everyday but its something that can
be very helpful if you find your self with a failing root canal.

Root canals do not always work.
Just as a knee replacement or a back surgery may 
not always work, the same is true with a root canal.

So what can be done if a root canal you got is starting to hurt
and possibly become infected?

One option is called an apicoectomy.
This procedure is not for every instance.
Proximity to the sinus cavity and/or nerves 
may make this procedure impossible.

But if your tooth is a candidate then this is how it works.
Below is a picture of a tooth with an infection at the end
that has already had a root canal.


A small access to the root of the tooth is made 
by making a small incision into the gums and then the underlying bone.
The infected area and tip of the root is removed.
This will allow the root canal and tooth to remain intact 
while still removing the infection.
After the infection is removed the gum tissue is re-sealed and the healing can begin.
This procedure is very effective and does no further harm to the tooth.
This is especially important if the tooth was crowned after the root canal was finished.
.