Posts for: January, 2018
Dental implants are the ideal tooth replacement with their life-like appearance, high success rate and durability. If you have significant dental issues, they may seem like the perfect answer. But before you choose to replace a problem tooth with an implant, it might be to your benefit — financially and health-wise — to consider saving the tooth first.
Tooth decay can be a formidable enemy, destroying both tooth structure and the tooth’s connectivity to the jaw. But there are treatment options even for heavily decayed teeth, including cavity filling with composite resins or porcelain that look and function like natural teeth. For decay deep within a tooth’s interior, root canal therapy can rid the pulp chamber and root canals of decay and seal them from future occurrences. The treatment’s success rate is comparable to and less expensive than implants.
While decay damage can be significant, adult teeth are more at risk from periodontal (gum) disease, a gum infection caused by bacterial plaque on tooth surfaces. This disease can weaken gum tissues until they eventually detach from the teeth and lead to loss. Gum disease, though, can often be brought under control by techniques called scaling and root planing that deep clean tooth and root surfaces of plaque and calculus (hardened plaque deposits).
Scaling may require multiple sessions and will require a greater effort from the patient in performing daily oral hygiene and visiting the dentist regularly to closely monitor gum health. And more advanced cases may require surgery to access deep pockets of infection or repair damaged tissues. But even with this effort, treating gum disease rather than replacing a tooth could be much less costly — and you’ll be able to preserve your own teeth.
On the other hand, the disease process may have gone on too long and caused too much damage for the tooth to be saved. In these cases, the best option is to remove it and install a restoration like an implant. By first completing a complete dental examination, we’ll be better able to advise you whether your best course is a “tooth rescue” or a replacement.
Even though an implant is now as close to life-like as modern dentistry can produce, it won’t surpass the function of your own natural tooth. That’s not to say implants are an inferior choice—in fact, it’s often the best one if a tooth is beyond reasonable repair. But first, let’s consider saving your existing tooth.
We first need to know why your tooth is diseased—more than likely either from tooth decay or periodontal (gum) disease. Although different, these infections both begin with bacteria and can eventually lead to tooth loss.
While your mouth is teeming with millions of harmless bacteria, a few strains that live in dental plaque (a thin biofilm on your teeth) can cause disease. As they proliferate—feeding mostly on leftover sugar—they produce acid, which can erode the protective enamel on teeth. This can create cavities, which must be cleared of decayed material and filled.
Sometimes, though, the decay spreads deep within the pulp and through the root canals putting the tooth in danger. We may be able to save it, though, with a root canal treatment. In this common procedure we access the pulp chamber and clean out all the diseased or dead tissue. We then fill the empty chamber and root canals with a gutta percha filling and then seal the tooth. We later cap the tooth with a crown to further protect it.
Dental plaque can also give rise to a gum infection that triggers chronic inflammation. The inflammation can cause the gums to weaken and detach from the teeth to form large, infection-filled voids called periodontal pockets. This could lead to bone deterioration, further loosening the tooth’s hold.
But we can effectively treat gum disease by removing the plaque, which is fueling the infection. We normally do this with special hand instruments, but may also need to use surgical measures for more advanced cases. After plaque removal the inflammation subsides, giving the tissues a chance to heal and strengthen. We may also need to provide further assistance to these tissues to regenerate through gum or bone grafting.
These efforts can be quite involved, but if successful they could give your tooth another lease on life. And that could be a much better outcome for your dental health.
If you would like more information on the best treatment choices for your dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Save a Tooth or Get an Implant?”
Your smile is not as bright as it once was. You brush and floss, but your teeth appear yellow and dull. Your co-worker had her teeth professionally. Could teeth whitening be right for your smile? Dr. Nainesh Desai, your dentist at Central Jersey Dental Arts in Piscataway, NJ answers questions such as yours. He offers whitening as part of his premiere cosmetic dentistry services. Here are details on this popular and well-respected process.
Teeth change over time
Just as your skin develops fine lines and your hair grays, your teeth naturally yellow and darken with age. The enamel tends to thin, exposing the yellow dentin beneath.
Also with time, teeth encounter dark foods and drinks, tobacco, and even prescription drugs that stain enamel. Black tea and red wine, for example, contain molecules called tannins, which deeply discolor teeth.
In addition, tooth color changes because of oral trauma (the enamel develops fine cracks), and not surprisingly, poor oral hygiene makes your teeth yellow. Accumulated plaque and tartar catch and hold staining food residues.
Is professional whitening the solution?
If you're interested in how this simple, safe service could enhance your appearance, come to Central Jersey Dental Arts in Piscataway, NJ. Dr. Desai will examine your teeth and gums to make sure they are healthy and that no hidden issues are causing your dental stains. Then, he'll offer you a choice of in-office whitening or at-home whitening.
Here's how the in-office version works. You'll sit comfortably in the dental chair as Dr. Desai installs a plastic dam, or retractor, to protect your lips and cheeks.
Then, the dentist coats the front of the teeth with a highly concentrated hydrogen peroxide gel. As this gel penetrates the enamel, it oxidizes the staining organic matter, lifting it from the tooth surfaces. In about an hour, the procedure is done, and teeth are up to eight shades brighter--quite a difference!
If you choose at-home whitening, you'll use custom-made acrylic trays to deliver the peroxide gel. This gel is less concentrated than the in-office version; so you'll wear the trays daily for about a week. Dr. Desai determines how long the trays stay in place. With this method, results are similar. You'll be pleased!
Keep your smile bright
Come to Central Jersey Dental Arts for your regular cleanings and check-ups semi-annually. Also, follow the guidelines of the American Dental Association: floss daily, and brush with a fluoride toothpaste for two minutes twice a day.
Regarding what you put in your mouth, Dr. Desai recommends reducing staining foods. If possible, drink tea or cola with a straw, and always consume plenty of water each day. Water stimulates saliva which has cleansing and antibacterial benefits.
Of course, for your overall health and bright smile, stop using tobacco. For a smoking cessation program, consult your family doctor.
Give professional whitening a try
It's a small investment in one of your greatest personal assets--your smile. Call Central Jersey Dental Arts in Piscataway, NJ, today for a cosmetic dentistry consultation at (732) 981-1040.
“No man is an island….” So wrote the poet John Donne four centuries ago. And while he meant the unity of humanity, the metaphor could equally apply to the interdependence of the various parts of the human body, including the mouth. According to recent scientific research, your mouth isn’t an “island” either.
Much of this research has focused on periodontal (gum) disease, an infection most often caused by bacterial plaque that triggers inflammation in the gum tissues. Although an important part of the body’s defenses, if the inflammation becomes chronic it can damage the gums and weaken their attachment to the teeth. Supporting bone may also deteriorate leading eventually to tooth loss.
Avoiding that outcome is good reason alone for treating and controlling gum disease. But there’s another reason—the possible effect the infection may have on the rest of the body, especially if you have one or more systemic health issues. It may be possible for bacteria to enter the bloodstream through the diseased gum tissues to affect other parts of the body or possibly make other inflammatory conditions worse.
One such condition is diabetes, a disease which affects nearly one person in ten. Normally the hormone insulin helps turn dietary sugars into energy for the body’s cells. But with diabetes either the body doesn’t produce enough insulin or the available insulin can’t metabolize sugar effectively. The disease can cause or complicate many other serious health situations.
There appears to be some links between diabetes and gum disease, including that they both fuel chronic inflammation. This may explain why diabetics with uncontrolled gum disease also often have poor blood sugar levels. Conversely, diabetics often have an exaggerated inflammatory response to gum disease bacteria compared to someone without diabetes.
The good news, though, is that bringing systemic diseases like diabetes under control may have a positive effect on the treatment of gum disease. It may also mean that properly treating gum disease could also help you manage not only diabetes, but also other conditions like cardiovascular disease, osteoporosis, or rheumatoid arthritis. Taking care of your teeth and gums may not only bring greater health to your mouth, but to the rest of your body as well.
If you would like more information on treating dental diseases like gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Good Oral Health Leads to Better Health Overall.”