Monday, March 12, 2012

The Floss Replacement?


Houston, we have a problem.

No one likes to floss.
Some people do it but even those folks don't find it to be the highlight of their day.

Floss manufacturers know this and so they have been coming out with floss alternatives to try to entice people.

One of these alternatives that is really catching on is a little thing that looks like a piece of pipe cleaner. You take this little pipe cleaner job and push it back and forth at the base of you tooth.

These things are called inter proximal brushes, proxi brushes, etc. But they all do the same thing.

Here are some examples.
So what's the problem?

The problem is that although they do a great job of getting things out from the space right above the gum line, they absolutely do not get to the most important spot in between the teeth.

This most important spot is the spot where the floss snaps.
That spot that snaps is where the bugs that cause the cavities are hiding.
They wedge into the hardest spot to get to in order to cause cavities.
If you do not feel that snap then you are not getting that spot clean.

Don't get me wrong here.
I love it when people use the little pip cleaner jobs.
However, I am starting to see more and more folks that are getting cavities that say to me, "how is that possible?! I am using those pipe cleaners all the time."

Use these cool new gadgets just don't let them replace the floss.



Friday, March 9, 2012

Implant continued.

We were back with our good buddy Collinn today.
I changed the spelling of his name to protect his innocence. 

Collinn had a root canal that failed (not mine :) )
The dark area at the end of the tooth denotes infection 
originating from the failing root canal.

This is the site after the extraction occurred. 
The area was also cleaned of infection 
and a bone graft was placed.

Here is a picture of the implant that was placed 
about 4 weeks after the extraction took place. 
the top of the implant is right at the bone level
and the infected area looks to be healing nicely.


After 6 weeks (this morning) the abutment (top of the implant) was placed.
This part is what what the new crown will sit on.


 Things are going swimmingly.
Within 2 weeks we will have the final crown in place
and Collinn will be back to is good old self.




Thursday, March 8, 2012

What's on the inside of my tooth?

Your teeth are hollow.
The hollow chamber contains the blood vessels 
and nerves that give your teeth, life.

A root canal is simply the process of accessing this
chamber and scrubbing it clean of all its contents
so that it can't cause you anymore pain.

This is the inside of a molar. 
We were almost completed with a root canal when
I decided to snap this picture.

Since this is an upper molar it has 3 roots on it.
Typically each root has one canal in it.

After the inside has been scrubbed clean the
canals are then filled with a rubberized material.

The hole we make to access the nerve chamber is then
filled with a typical filling material used to fill cavities.


The pink stuff you can see inside the tooth
is the rubberized material that has already
been placed down into the canals.


Here is a X-Ray of the molar before we worked on it.
Notice in the teeth that there is a black line down the center, 
that is the hollow space where the nerves reside.

Now instead of black lines you can see white lines.
Those white lines are the rubberized material.
If all goes well this tooth will no longer cause the patient any more trouble.



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.



Tuesday, March 6, 2012

Changing out the metal.

Although this particular filling was not replaced solely
for the fact that it was metal, you can still see the results.

 Here is a before picture.


Here is the after. 


Metal fillings are replaced for a variety of reasons.
This filling was replaced do to a fracture that was beginning on one side of the tooth.
Some fillings are replaced because the people who have them want 
a more cosmetic looking filling to be placed.
Some fillings are replaced by people who simply  want to be preventative
and have decided that it is time to get the old fillings out.

Whatever the reason behind your decision to get your fillings out
and replace them with new ones, the procedure is very simple an inexpensive.



Monday, March 5, 2012

Which retainer is best for me?


Lots of people ask me about retainers.

Most retainers are given to folks from their orthodontists.
The type of retainer you have really depends on the personal preference of the Orthodontist.
Some orthodontists like the retainers that you can take in and out every night.
These come in two forms. The ones that use wire to retain the teeth position
and the ones that are made simply of clear plastic.
Other orthodontists like the small metal wires that are actually
glued to the teeth and can not be removed.

So which one is better?

That depends on what irritates you most.
Would it irritate you more to have something glued into your
mouth that you could never take out?
Or would it irritate you more to always have to remember to put your retainer
in every night and take it with you on every trip vacation and overnighter you go on?
Both will do a fine job.
My Mother has a retainer that she puts in every night and has done so for over 30 years.
My wife has a bonded metal wire that she has had in place for over 20 years.
Both seem to like what they have and wouldn't change.
If you have a particular type of retainer and you would like
to try another kind that is no problem.

We can switch you to another kind, let you try it for a while, and then
switch you back if you don't like it.



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.