Posts for category: Uncategorized
At the first-ever Players Weekend in August 2017, Major League Baseball players wore jerseys with their nicknames on the back. One player — Cleveland Indians shortstop, Francisco Lindor — picked the perfect moniker to express his cheerful, fun-loving nature: “Mr. Smile.” And Lindor gave fans plenty to smile about when he belted a 2-run homer into the stands while wearing his new jersey!
Lindor has explained that he believes smiling is an important part of connecting with fans and teammates alike: “I’ve never been a fan of the guy that makes a great play and then acts like he’s done it 10,000 times — smile, man! We’ve got to enjoy the game.”
We think Lindor is right: Smiling is a great way to generate good will. And it feels great too… as long as you have a smile that’s healthy, and that looks as good as you want it to. But what if you don’t? Here are some things we can do at the dental office to help you enjoy smiling again:
Routine Professional Cleanings & Exams. This is a great place to start on the road toward a healthy, beautiful smile. Even if you are conscientious about brushing and flossing at home, you won’t be able to remove all of the disease-causing dental plaque that can hide beneath the gum line, especially if it has hardened into tartar, but we can do it easily in the office. Then, after a thorough dental exam, we can identify any problems that may be affecting your ability to smile freely, such as tooth decay, gum disease, or cosmetic dental issues.
Cosmetic Dental Treatments. If your oral health is good but your smile is not as bright as you’d like it to be, we can discuss a number of cosmetic dental treatments that can help. These range from conservative procedures such as professional teeth whitening and bonding to more dramatic procedures like porcelain veneers or crowns.
Tooth Replacement. Many people hide their smiles because they are embarrassed by a gap from a missing tooth. That’s a shame, because there are several excellent tooth-replacement options in a variety of price ranges. These include partial and full dentures, bridgework, and dental implants. So don’t let a missing tooth stop you from being Mr. (or Ms.) Smile!
If you’d like more information about oral health or cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Beautiful Smiles by Design” and “The Impact of a Smile Makeover.”
Life would be harrowing if we had no ability to feel pain. Although experiencing it is unpleasant, pain's purpose is to alert us to something wrong in our body. Without pain diseases and other problems could worsen to the point of life-threatening.
But pain without a purpose — the nerves simply misfiring — can make life miserable. This can happen with the trigeminal nerves that exit the brain stem and end on each side of the face. Each nerve has three branches that serve the upper, middle and lower parts of the face and jaw.
When they don't work properly, trigeminal nerves can give rise to a disorder known as trigeminal neuralgia. Beginning often as an occasional twinge, they may escalate to several seconds of mild to excruciating pain occurring over weeks, months or even years. An episode may erupt from chewing, speaking or even lightly touching of the face.
We see this condition most often in people over fifty, particularly women. We don't know the exact cause, but there's strong suspicion that the nerve's protective sheath has been damaged, similar to what occurs with multiple sclerosis or other inflammatory conditions. Another possibility is a blood vessel putting pressure on the nerve and disrupting its normal operation. Such an impinged nerve might transmit pain signals at the slightest stimulation and then fail to “switch off” when the stimulation stops.
Although we can't cure trigeminal neuralgia, we can help you manage it and reduce discomfort during episodes. We'll first try conservative, less-invasive techniques, like signal-blocking medications or drugs that reduce abnormal firing.
If these aren't effective, we may then recommend a surgical solution. One such procedure is known as percutaneous treatment in which we insert a thin needle to selectively damage nerve fibers to prevent their firing. If we've determined an artery or vein has compressed the nerve, we might surgically relocate the vessel. These techniques can be quite effective but they do have possible side effects like numbness or hearing loss.
If you've experienced facial pain, don't continue to suffer. Visit us for a complete examination and learn about your options for pain relief. More than likely, there's a way to reduce your pain and improve your quality of life.
If you would like more information on facial pain, 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 “Trigeminal Neuralgia.”
Without effective treatment, periodontal (gum) disease can eventually lead to tooth loss. That’s why it’s imperative to remove bacterial plaque and calculus — the main cause of the disease — from all teeth and gum surfaces. For moderate to advanced gum disease, this could require a procedure known as flap surgery to gain access to deeper infected areas.
This type of procedure involves making scalpel incisions into the gum tissue to create a flap opening. Through this opening we’re able to gain access to the deeper pockets that have formed because of the tissue detachment that occurs following bone loss. The flap opening allows for better access to the root surfaces for removal of plaque and calculus (tartar). Once we’ve finished, we then suture the flap back into place to reduce the pockets and allow the area to heal.
While effective, flap surgery is considered moderately invasive and may produce mild post-procedural discomfort. Recently, however, a specially designed laser for periodontal therapy shows promise of less invasiveness and patient discomfort than traditional flap surgery.
A laser is an intense and narrow beam of light of a single wavelength. A periodontal laser can pass without effect through healthy cell tissue (like sunlight through a window pane) but interacts and “vaporizes” the darkly pigmented bacteria in diseased tissue. The laser energy is delivered in pulses to minimize any heat-related damage to healthy cells.
The periodontal laser can precisely remove diseased tissue, even where it mingles with healthy tissue. Once it’s removed, the root surfaces can be cleaned with ultrasonic scalers and/or hand instruments. And because a medical laser seals the tissue it cuts, it doesn’t produce open incisions as with flap surgery that require suturing afterward.
Studies of post-operative recovery after laser surgery showed similar infection reduction and renewed bone and tissue growth as with traditional surgery. Patients, however, reported much less discomfort after the laser procedure. Although more research is needed, it initially appears periodontal laser treatments can effectively treat gum disease with minimal interference with healthy tissue and greater comfort for patients.