Posts for category: Dental Procedures
No one wants extensive dental work, or worse yet, to lose a tooth to decay, infection, or trauma. To avoid complex restorations or extraction, your dentist in the Ewa Beach and Kapolei area may advise placement of a dental crown. Lifelike and durable, these tooth-shaped caps from Dr. Kern Agader at Dental Perfections truly can perfect your smile. They support damaged teeth from their very top to the gum line, remaking form, function, and health.
Reasons for dental crowns
At Dental Perfections serving the Ewa Beach and Kapolei area, your dentist sometimes advises placement of a porcelain crown when a tooth is:
- Small and/or misshapen (a peg-shaped incisor, for example)
- Abscessed (and needs root canal therapy to remove the pulp)
- Extensively decayed and/or restored (so many fillings there's not much enamel left)
Dr. Agader may use two or more crowns to affix artificial teeth to neighboring natural teeth. Called fixed bridgework, this type of dental prosthetic spans smile gaps, restoring oral functionality and beautiful aesthetics. Dr. Agader covers dental implants and teeth saved by root canal therapy with porcelain crowns.
Do you need a crown?
Only your dentist can tell you for sure what restoration would work for your particular situation. Dr. Agader will inspect the tooth in question and its surrounding gums. X-rays show him the roots and bone structure. Oral impressions, either digital or with putty and trays, give the dental lab the minute details needed to fabricate the cap perfect for your smile and bite.
Most patients require some local anesthetic to be comfortable while Dr. Agader removes any old filling material and existing decay. This reshaping allows for proper crown fit over the tooth and against the gum tissue. Also, the dentist places a temporary cap on the shaped tooth to protect it as you wait for your permanent crown.
When your crown is ready, Dr. Agader removes the temporary one and bonds the new one in place. He uses a special cement which he hardens with a curing light. The bond is exceptionally strong, and most porcelain crowns stay in place and function well for many years when patients eat a tooth-friendly diet, floss daily and brush twice a day. Semi-annual exams and cleanings help keep crowns clean.
If you have a tooth that's ailing or failing, see Dr. Agader at Dental Perfections in Kapolei, Hawaii for a consultation on this wonderful restoration. Dr. Agader has specialized training from the well-respected Dawson Academy; so you can trust his up-to-date expertise and skill to help you make the best decision for your oral health. Call the office today for your appointment, won't you? (808) 674-8895.
While pediatric dentistry has made great strides in making young patients’ dental visit experiences more relaxing, some children and teenagers still have difficulty with anxiety. Their anxiety in turn can make necessary care much harder to provide.
For difficult cases, many dental providers for children now incorporate a technique known as conscious sedation to help ease anxiety. With this technique, they’re able to perform procedures like cavity-filling or tooth-extraction that are more difficult with an anxiety-prone patient.
While general anesthesia creates a total loss of consciousness, conscious sedation uses precise medications to suppress consciousness at different levels ranging from light to deep suppression, and create a relaxed state for the patient. A child under sedation can still breathe normally and respond to certain stimuli, including touch and verbal commands. For only a light or minimal effect, a dentist normally administers the sedation drug as a pill the child takes orally. For deeper sedation, the medication is most likely delivered through a vein (intravenously).
Sedation reduces fear and anxiety but not necessarily pain, so it’s often accompanied by some type of anesthesia, either a local anesthetic delivered by injection to the procedure site or with a nitrous oxide/oxygen gas combination that’s inhaled through a mask worn by the patient.
Even though the child isn’t completely unconscious, one of the dentist’s staff will monitor vital signs (heart and respiration rates, blood pressure and blood oxygen level) throughout the procedure. This continues even after the treatment is over until the child’s vital signs return to pre-sedation levels. Once released, they will need a ride home and should rest for the remainder of the day. They can then return to school and resume other normal activities the next day.
With the advent of newer and safer drugs, conscious sedation is becoming a more widespread technique in both medicine and dentistry. Using it to ease a child’s anxiety increases the chances they’ll receive all the dental care they need without unpleasant memories of their visit that could follow them into later life.
If you would like more information on the role of conscious sedation for children, 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 “Sedation Dentistry for Kids.”
In summer, there is no shortage of occasions to show off your smile. Whether attending a wedding, graduation celebration, family reunion or neighborhood barbecue, you’ll want to look your best. But if your smile doesn’t shine as brightly as you’d like, a trip to the dental office may just be the confidence-booster you’re looking for. Here are some popular techniques to enhance your smile:
Teeth cleaning. A professional cleaning can make your mouth feel fresh and add sparkle to your smile. The dental hygienist uses special tools to get rid of plaque and tartar that you cannot remove during your oral hygiene routine at home. In addition, hygienists use a tooth-polishing tool that removes surface stains.
Professional whitening. Professional teeth whitening can achieve excellent results in one short office visit. But if you have several weeks before the big event on your calendar, you can also get winning results at home using custom-made whitening trays from the dental office. Either way, your smile can sparkle at summer celebrations.
Cosmetic bonding. If your teeth have small chips or cracks, cosmetic bonding may be a good option for you. In bonding, tooth-colored material is shaped to the tooth and hardened with a curing light. The procedure—generally done in one office visit without anesthesia—is relatively inexpensive, and the result is very natural-looking.
Porcelain veneers. If you are unhappy with the color, shape, size or spacing of your teeth, long-lasting dental veneers can give your smile a whole new look. Veneers are wafer-thin porcelain shells that are bonded to the tooth’s surface. Because they may be crafted in a dental lab, they may require two to three visits to the dental office over a few-week period.
With so many options, it’s easy to put your best smile forward at all your summer gatherings. We can help. If you have any questions about brightening your smile, please contact our office or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Whitening” and “Porcelain Veneers.”
What’s the first thing that comes to mind when you think of the month of May? Balmy breezes? Sweet-smelling flowers? How about root canal treatment?
The last item might seem out of place…but for the last ten years, Root Canal Awareness week has been celebrated in May. So let’s take a closer look at this important—and often misunderstood—dental procedure.
What we commonly call a “root canal” is a special treatment that can save diseased teeth which might otherwise be lost. But the root canal itself is actually a set of hollow, branching passages deep inside the hard outer tissue of the tooth. The tiny “canals” contain the tooth’s soft pulp, including nerves, blood vessels and connective tissue. These tissues help teeth grow during childhood but aren’t necessary in healthy adult teeth—and, what’s worse, they can become infected via deep cavity or a crack in the tooth’s outer layers.
When bacteria infect the pulp tissue, the inflammation often causes intense discomfort. In time, the harmful microorganisms can also pass through the tooth’s root and into the tissue of the jaw, resulting in a painful abscess. Eventually, if it isn’t treated, the tooth will likely be lost.
Root canal treatment is designed to remove the infection, relieve the pain…and save the tooth. It is usually performed under anesthesia for your comfort. To begin the procedure, a small hole is made in the tooth’s enamel to give access to the pulp; then, tiny instruments are used to remove the diseased tissue and disinfect the tooth. Finally, it is sealed up against re-infection. Following treatment, a cap (or crown) is often needed to restore the tooth’s full function and appearance.
Despite some rumors you may have heard, root canal treatment is neither very painful nor likely to cause other health problems. So if you come across these discredited ideas, remember that dentists and dental specialists called endodontists perform some 25 million root canal procedures every year—and this treatment method has been validated for decades.
Of course, like any medical procedure, root canal treatment is not 100% successful. While the procedure has a very high success rate, it’s possible that additional treatments will be needed in some cases. However, the alternative—extracting the tooth—has similar potential downsides; plus a replacement tooth will be needed to avoid the health and lifestyle troubles caused by missing teeth. But one thing is certain: Ignoring disease in the tooth’s soft tissues isn’t a good move, because the infection won’t go away on its own—and down the road it will only get worse.
So this May, while you’re taking time to smell the flowers, spare a thought for the often-misunderstood root canal. If you’d like more information on root canal treatment, please contact us or schedule a consultation. You can also learn more by reading the Dear Doctor magazine articles “A Step-By-Step Guide to Root Canal Treatment” and “Root Canal Treatment: What You Need to Know.”
As dental procedures have evolved through research, understanding, and technological breakthroughs, the need to extract, or pull, teeth has been lessened. However, there are still instances in which your cosmetic dentist in the Ewa Beach and Kapolei area, Dr. Kern Agader, may still recommend an extraction. Although every situation is unique, the following signs are an indication that an extraction may be needed.
A toothache doesn't always mean you need an extraction, but you'll want to contact your Kapolei dentist any time you're experiencing dental pain that doesn't resolve within a couple days. Decay that goes untreated can advance into the inner parts of a tooth, which contains nerve endings that can cause lasting sensitivity and pain. Damage to the tooth can also cause pain to develop. If your tooth has cracked past the gum line into the roots, chewing or biting down can be very uncomfortable. In these cases, extraction may be necessary.
Tooth loss can accompany advanced gum disease, known as periodontitis, due to the breakdown of gum tissue and bone density. If you're diagnosed with periodontitis, your cosmetic dentist serving the Ewa Beach and Kapolei area may choose to extract teeth that are at risk for loss to prevent infection and promote healing.
When a person's teeth are too large for their mouth or have grown into the improper place, overcrowding may occur. This makes brushing difficult and is a hindrance to orthodontic procedures. For this reason, Dr. Agader may extract one or more teeth to help make room for the shifting caused by braces. These extractions are typically molars and won't be seen when you smile.
If you're in the Ewa Beach and Kapolei area, call Dental Perfections to make an appointment for a tooth extraction or any other dental procedure. We're conveniently located in Kapolei, Hawaii.