My Blog

Posts for category: Uncategorized

By Dental Perfections, Inc.
January 18, 2018
Category: Uncategorized
BaseballsFranciscoLindorShinesasMrSmile

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.”

By Dental Perfections, Inc.
April 29, 2017
Category: Uncategorized
FacialNervePaincanbeManagedwithEffectiveTreatment

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.”

By Dental Perfections, Inc.
October 09, 2014
Category: Uncategorized
Tags:   
LaserstoTreatGumDiseaseareLessInvasiveCauseLessDiscomfort

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.

If you would like more information on the use of lasers for the treatment of gum disease, please contact us or schedule an appointment for a consultation.

By Dental Perfections
August 21, 2014
Category: Uncategorized
It's estimated that as many as 30 percent of people may have a fear of the dentist that is significant enough to stop them from going in for essential visits and regular cleanings. Kapolei, HI sedation dentist Dr. Kern Agader, DMD eases the anxiety of patients who don't like going to dentist with sedation dentistry. There are a number of options to explore when it comes to sedation dentistry -- find out which is right for you and then talk to Dr. Agader about it over the phone or at your next appointment. SEdation Dentistry
 

Mild Sedation or Anxiolysis

The mildest form of sedation just relaxes you so that you won't be so anxious about sitting in "the chair." The dentist might use a local anesthetic, like lidocaine, to numb the area where he’ll be working so that you won’t feel anything.  Commonly, a single dose of a medication is given prior to the appointment that relaxes and calms most anxieties.  Another form of mild sedation is nitrous oxide, which is better known as laughing gas.  It relaxes your nerves for the procedure.
 

Moderate Sedation or Conscious Sedation

Another form of sedation, which many consider a moderate sedation option, is when Kapolei, HI sedation dentist Dr. Agader gives you a pill to relax you in advance of the appointment in addition to incremental dosages of a medication during the appointment.  A loved one must take you to the appointment.  The medication allows you to remain conscious for the procedure, but relaxed to the point where you don’t feel anything and often do not remember anything.  Therefore, the sights, sounds, and smells that most fear are factored out of the equation.  The dentist has to evaluate you thoroughly before administering this form of sedation due to the risks of anesthesia.
 
When it comes to going to the dentist, there's nothing to fear thanks to the many dental relaxation options offered by Kapolei, HI sedation dentist Dr. Kern Agader, DMD. Contact his office today by calling 808-674-8895 to set up an appointment or ask specific questions about his sedation options.
By Dental Perfections
December 30, 2013
Category: Uncategorized
Tags: Porcelain Veneers  

Dr. Kern Agader Shares the Benefits of Porcelain Veneers with Ewa Beach Residents for Smile Makeovers

 
For many of our Ewa Beach patients, smiling in the mirror can be an unhappy event. If you are one of these people who are unsatisfied with the coloring of their teeth, you should visit Dr. Kern Agader, our cosmetic dentist serving Ewa Beach at Dental Perfections, about an available dental option: dental veneers.
Porcelain Veneers
Over the years, cosmetic dentistry has made some tremendous advancements to the point where there are a variety of effective options for you today. One of the most popular cosmetic procedures available today is the installation of dental veneers. Veneers are thin custom-fitted shells of tooth-colored material that are directly attached to the front of your teeth to improve their appearance. If you are unhappy with your teeth, talk to Dr. Kern Agader serving Ewa Beach about porcelain veneers.
 

Residents of Ewa Beach: Why Porcelain Veneers Are A Good Option For You

The most significant benefit of dental veneers is that they will provide you with a very natural tooth appearance. Once they are installed, no one will be able to tell that your teeth are anything but completely natural. Veneers are also installed using a stain-resistant material, which means that your teeth will remain bright and beautiful for a long time after your veneers are put in.
 
To learn more about porcelain veneers or to schedule an appointment, contact Dr. Kern Agader at our office by calling (808) 674-8895.