Tuesday, August 30, 2011

Why are new fillings sensitive sometimes?



New fillings that are placed by your dentist should not be sensitive.
If they are they should not remain that way for long.
Some very large fillings may take longer then others, but
eventually every filling should calm down.


So what exactly is going on when a fillings sensitive?
It has to do with expansion and contraction.

As with most things, when a tooth is exposed to hot or cold
temperatures it will expand or contract accordingly.

If a tooth has never had a filling it will all contract and expand at the same time.

If a tooth HAS had a filling however this is where we may get an issue.
If the tooth and the filling have a different point at which they want
to expand or contract then there can be some discomfort.
Over time this discomfort should go away as the tooth gets used to the filling.
If the discomfort does not go away then the filling needs to be re-done.
If it still hurts then there are some different types of filling materials that can be used.
If it still hurts then other treatments may be needed.

Filling sensitivity is a funny thing.
Someone can get 4 fillings in the same day.
Same doctor.
Same filling material.
Same everything.
But only 1 will end up hurting.
It is a real tooth by tooth thing and can drive patients, and dentists, crazy!


Monday, August 29, 2011

How do I say this gently?


Almost everyday I have to tell someone, that has
never had a cavity, that they have a cavity.

Many of these people are in the 50's or 60's.

They spend lots of time brushing and flossing and have never had a
cavity and don't understand how they now are getting cavities when
they are doing the same things that they have always done to keep their teeth clean.

At this point I have to be very diplomatic.

The simple answer is...... you are getting older.

As we age things will begin to break down.

These people have no problem accepting that their eyesight isn't what is used to be.
Or that their hearing may be a little worse then it was when they were younger.
But for some reason, the fact that their teeth are also wearing down is a new concept.

Every part of our bodies will break down over time.
Teeth will follow right along with the rest of it.

The forces of a lifetime of chewing mixed in with the fact that salivary flow
rates decrease as we age (thus less protection for our teeth) means that
an increase in cavities over time is almost inevitable.


Thursday, August 25, 2011

Teething in a 6 year old?

Teething pains. In a six year old.

We all know about the teething that happens in the first year of your child's life.
But not too many people are familiar with the teething that happens when a child in 6.
At the age of 6 years old, or so, your child will get in their first adult molars.
They are called, 6 year molars.
These teeth are the largest teeth that anyone will ever have in their mouths.
These teeth are not the little pointy teeth that little kids get in the front of their mouths.
These teeth are large and flat.
They need to place more force in order to break through the gums then the little ones do.

Therefore, if your child is around the age of 6 years and they complain about pain
way in the back of their mouth they may just be teething all over again.
Its always a good idea to get things checked out by a dental
professional just to insure that they do not have active cavities causing this ache.
But more often then not it will simply be the child's first molars coming in.

The best thing to do is treat this case of tooth eruption just like the others.
A mild over the counter pain killer such as Tylenol or ibuprofen and
then some orajel at the spot the tooth is coming in.


Tuesday, August 23, 2011

Veneers with no drilling or shots


Much has been made in the media recently about getting veneers.

Veneers are a great product.

They can fix a multitude of problems such as discoloration,
slight tooth rotations and crowding.


There are two types of veneers however.

The one that I will talk briefly about today is the kind of veneer called no-prep.

These veneers require no shots. No drilling. And disturb non of the natural tooth structure.

The patient simply comes to the dentist, gets a few impressions taken,
and shows up 2 weeks later to get the veneers placed.

The veneers are basically like fake fingernails except they do not need to be replaced
except for the rare case that they were to break off.

The only down side is that these types of veneers may make your teeth look a little bulky.

They are only .3 mm thick. But still your mouth is sensitive enough
to feel a human hair. So even at .3 mm they may take some getting used to.

I would highly recommend that if you have ever thought about veneers
that you take a look at some of these no-prep products.



Monday, August 22, 2011

I don't have dental insurance


I have people come into my office all the time with a really bad toothache.
I ask these folks why it is that they didn't come in sooner.
The answer that I get, a lot of the time, is that they didn't have dental insurance.

Now, this answer does have its merits.
Dental insurance does in deed help with the cost of dental care.

However, there is another side the story.

Say you have a small cavity.
This cavity would cost, lets say, $100 to fix.
If you let that small cavity go however, you may need a root canal.
A root canal would cost about $500.
If you needed a crown after the root canal then we need to add another $800.

So what would have cost you $100 will now cost you $1,300.
You still have no insurance but now you do not have a choice to
fix the problem because it is killing you.

The far better solution would be to come in and get the
problem fixed when it is small.

Financial arrangements can easily be made to accommodate anyone
who may be struggling to come up with the funds.

Say time, money, pain, and multiple trips to the dental office.
If there is a problem PLEASE do not put it off.

Your teeth and your wallet will thank you.

Wednesday, August 17, 2011

It shouldn't be too hard to pull out, should it?


This happens all the time.
People, who neglect their teeth, will wait until they have a tooth that is
broken off at the gums to come to my office to get it extracted.

The laugh a little nervous laugh and say...
"well, not much left so it should be pretty easy yo pull out, huh?"

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, August 16, 2011

Pointy Canines



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 quadrant.
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, there is hardly anyone ever that gets
cavities on the points of their canines. Just doesn't happen.
Food can't stick there very easily.