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Posts for category: Dental Procedures

Local Anesthesia Takes the Pain Out of Most Dental Work

By Worcester Dental
February 13, 2019
Category: Dental Procedures
Tags: local anesthesia  
LocalAnesthesiaTakesthePainOutofMostDentalWork

Long ago dental work could be painful and stressful—often for both patient and practitioner. Thankfully, that time is long past: today, most procedures are painless in large part due to local anesthesia.

Local anesthetics are numbing substances applied to specific areas of the body like the teeth and gums to temporarily block pain during a procedure. And because they only affect a localized area of the body, you remain conscious and alert throughout the procedure.

To achieve the level of numbing necessary for dental work, we often need to deaden the gums using a needle to deliver the anesthetic. But then this poses a secondary pain concern—the needle stick itself.

Again, topical anesthesia comes to the rescue in the form of a swab, patch or spray applying an anesthetic directly to the top layer of the gums at the injection site. This numbs the area and prevents you from feeling the needle stick. It's highly probable, therefore, that from start to finish you won't feel any discomfort during your dental work except perhaps for a little pressure.

Local anesthesia truly is a game changer for dental care—and not just for the patient. A dentist who's concerned about their patient's comfort level may work hurriedly to complete a procedure. But if their patient is relaxed, the dentist can work calmly and methodically. The result is better, more focused care.

For all its improvements in the patient experience, though, there has been one consistent complaint—the numbness that often lingers for a while after the procedure is over. But there have been advances in recent years that have helped reduce this irritation: new anesthetic agents (even some that can reverse the anesthetic effect) and fine-tuned dosages can help keep residual numbing to a minimum.

Not all procedures like routine teeth cleanings or enamel shaping require anesthesia. But when it's appropriate, local anesthesia can make your next dental visit much more pleasant.

If you would like more information on how anesthesia benefits your dental care, 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 “Local Anesthesia for Pain-Free Dentistry.”

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3 Situations for Seeing a Periodontist

By Worcester Dental
January 14, 2019
Category: Dental Procedures
Tags: periodontist  
3SituationsforSeeingaPeriodontist

It’s likely you depend on your regular dentist for the lion’s share of your dental care. But in cases of advanced disease or trauma, you may need the services of a dental specialist.

This could be the case with periodontal (gum) disease, a bacterial infection triggered by a thin biofilm on tooth surfaces called dental plaque that isn’t adequately removed through daily oral hygiene practices. While your regular dentist can effectively treat many forms of gum disease, there are times when you should see a periodontist who specializes in the gum, supporting bone and connective tissues.

So, when should you see a periodontist for gum disease treatment? Here are 3 situations that may call for this important dental specialist.

If your dentist refers you. Your dentist may be quite proficient in treating gum disease, mainly by removing the dental plaque and tartar sustaining the infection. But if the infection has advanced deep within the gum tissues especially around the roots and bone, you may need more advanced measures, including surgery, performed by a periodontist.

If you’d like a second opinion. Of course, you don’t need a referral to see a periodontist. You can make an appointment with one for another opinion about your diagnosis and recommended treatment plan. If you choose to see a periodontist, make sure they have access to all your dental and medical records, as well as your past health history.

If you have other health issues. Gum disease often doesn’t occur in a vacuum – it may exist and even influence (or be influenced by) other inflammatory medical conditions. If you have such a condition like diabetes or cardiovascular disease, you may opt to see a periodontist first for a more comprehensive evaluation.

In the meantime, keep an eye out for the first signs of disease including red, swollen or bleeding gums (if you smoke, be aware smoking hides these signs of disease). And practice daily brushing and flossing as well as obtaining regular dental cleanings to keep plaque accumulation to minimum. Preventing gum disease and getting treatment as early as possible may help you avoid more invasive treatments later.

If you would like more information on treating 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 “When to See a Periodontist.”

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Spice Up Your Teeth

By Worcester Dental
December 25, 2018
Category: Dental Procedures
Tags: celebrity smiles   cosmetic dentistry  
SpiceUpYourTeeth

As a member of the best-selling pop group Spice Girls, Mel C (AKA Sporty Spice) enjoyed her share of musical superstardom. At the band’s peak in the Nineties, the young singer’s signature look featured baggy sweatpants, an assortment of tattoos, a nose stud and a gold-capped incisor, front and center in her mouth. Today, Melanie Chisholm is still singing — but now she’s a mom, an amateur triathlete… and that gold tooth is just a memory. Not only that, her smile looks more evenly spaced and whiter than it did when she was referred to as the “tomboy” of the group.

What happened? In our view, it all boils down to changing tastes — plus a little bit of help from dental professionals. As the “wannabe” singer proves, there’s no single standard when it comes to making your teeth look their best. Your own look is unique to you — and your smile can reflect that individuality.

For example, crowns (caps) are substantial coverings that may be placed on teeth when they are being restored. They are available in three types: gold, all-porcelain, or porcelain-fused-to-metal. The latter two are tooth-colored, while the gold is — well, shiny like gold bling. Which one is right for you? In many cases, it’s your choice.

Likewise, dental veneers — wafer-thin shells that can correct cosmetic issues by covering the surface of your teeth — can be made in a variety of shades. Their hues may range from natural ivory to Hollywood white, and everything in between. What’s the best color for you? Only you can say.

Some people opt for a “smile makeover” that uses small irregularities in the spacing and color of teeth to create a more “natural” look. Other folks want a perfectly even, brilliant white smile that dazzles the eye. Still others are looking to match or restore the smile they once had — perhaps even re-creating a signature gap between the teeth. As long as there are no other dental issues involved, the choice is yours.

So if you’re unhappy with your smile — or if you feel it doesn’t reflect the person you “wannabe” — why not talk to us about a smile makeover? Just call our office to schedule a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Beautiful Smiles by Design” and “The Impact of a Smile Makeover.”

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Wisdom Teeth Warrant Close Watch to Avoid Future Health Issues

By Worcester Dental
December 15, 2018
Category: Dental Procedures
Tags: wisdom teeth  
WisdomTeethWarrantCloseWatchtoAvoidFutureHealthIssues

As permanent teeth gradually replace primary (“baby”) teeth, most will come in by early adolescence. But the back third molars—the wisdom teeth—are often the last to the party, usually erupting between ages 18 and 24, and the source of possible problems.

This is because the wisdom teeth often erupt on an already crowded jaw populated by other teeth. As a result, they can be impacted, meaning they may erupt partially or not at all and remain largely below the gum surface.

An impacted tooth can impinge on its neighboring teeth and damage their roots or disrupt their protective gum attachment, all of which makes them more susceptible to tooth decay or periodontal (gum) disease. Impacted teeth can also foster the formation of infected cysts that create areas of bone loss or painful infections in the gums of other teeth.

Even when symptoms like these aren’t present, many dentists recommend removing the wisdom teeth as a preemptive measure against future problems or disease. This often requires a surgical extraction: in fact, wisdom teeth removal is the most common oral surgical procedure.

But now there’s a growing consensus among dentists that removing or not removing wisdom teeth should depend on an individual’s unique circumstances. Patients who are having adverse oral health effects from impacted wisdom teeth should consider removing them, especially if they’ve already encountered dental disease. But the extraction decision isn’t as easy for patients with no current signs of either impaction or disease. That doesn’t mean their situation won’t change in the future.

One way to manage all these potentialities is a strategy called active surveillance. With this approach, patient and dentist keep a close eye on wisdom teeth development and possible signs of impaction or disease. Most dentists recommend carefully examining the wisdom teeth (including diagnostic x-rays and other imaging) every 24 months.

Following this strategy doesn’t mean the patient won’t eventually have their wisdom teeth removed, but not until there are clearer signs of trouble. But whatever the outcome might be, dealing properly with wisdom teeth is a high priority for preventing future oral health problems.

If you would like more information on wisdom teeth and their potential impact on 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 “Wisdom Teeth: Coming of Age May Come with a Dilemma.”

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Bitewing X-Rays Safely 'Reveal all' About Back Teeth to Prevent Tooth Decay

By Worcester Dental
December 05, 2018
Category: Dental Procedures
Tags: x-ray  
BitewingX-RaysSafelyRevealallAboutBackTeethtoPreventToothDecay

Modern dental care wouldn’t be the same without x-rays. Since dentists began capturing x-ray images a century ago to detect beginning tooth decay, billions of teeth have been preserved.

“Catching it early” is the key to staying ahead of this aggressive bacterial infection. Once it breaks through the protective defenses of tooth enamel, it can advance toward the center of the tooth, the pulp, damaging dentin as it goes. While we can effectively stop it at this point with a root canal treatment, it’s better for the tooth’s long-term health to detect and treat any decay early on with a less-invasive filling or other treatment method.

X-ray imaging helps make that possible, revealing decay much easier than we can see with the unaided eye. And while we can often detect decay in front teeth by visual examination or by using very bright lighting, that’s not as easy with the less accessible back teeth. For those teeth we use a special x-ray technique known as the bitewing.

The name comes from the small frame used to hold the film. It’s held in place in the mouth by the patient biting down on small tabs or “wings” extending from the frame. The x-ray beam travels through the outer cheek and teeth to the film being held in the frame on the back side of the teeth. When exposed, we’ll be able to view the interior of these back teeth: a set of four bitewings gives us a full view of all the upper and lower molars and pre-molars on each side of the jaws.

Like other forms of radiation energy, too much or too frequent exposures to x-rays can lead to serious health problems. But bitewing x-rays carry little risk to health. That’s because they fit well with the ALARA principle, meaning “As Low As Reasonably Achievable,” which helps guide our use of x-rays. Patients receive a fraction of the radiation exposure from routine bitewing x-rays than they receive annually from the natural environment.

Without bitewing x-rays and other diagnostic methods, the chances are high that tooth decay or other dental problems can go undetected in their early stages. Using this important tool can help us head off major damage before it occurs.

If you would like more information on the role of x-rays in dental care, 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 “Bitewing X-Rays: A Routine Part of Your Dental Exam.”

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Older Posts Dental Procedures (59)
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Archive:

  • 2019
      • February (3)
        • Legal or Not, Marijuana Poses a Health Risk to Your Gums
        • Local Anesthesia Takes the Pain Out of Most Dental Work
        • Healthy Smiles for Alfonso Ribeiro and Family
      • January (3)
        • Less-Invasive Pulp Capping Could Save Your Tooth
        • 3 Situations for Seeing a Periodontist
        • Topical Fluoride is a Safe Way to Protect Your Child's Teeth from Decay
  • 2018
      • December (3)
        • Spice Up Your Teeth
        • Wisdom Teeth Warrant Close Watch to Avoid Future Health Issues
        • Bitewing X-Rays Safely 'Reveal all' About Back Teeth to Prevent Tooth Decay
      • November (3)
        • Be Wary When Considering Botox Treatment for TMD
        • Fan of Superhero Film Black Panther Breaks Steel Wire...with Her Mouth!
        • Moderate Your Child's Juice Drinking to Lower Tooth Decay Risk
      • October (3)
        • Early Orthodontic Treatment Could Lessen Severity of Certain Bite Problems
        • No Need to Fret Over Implant Surgery
        • A Different Kind of "Chip Shot" for Pro Golfer Danielle Kang
      • September (3)
        • Lasers Could One Day be Commonplace for Treating Gum Disease
        • We can Build up Lost Bone Before Your Implant
        • What You Should Know About a Home Teeth Whitening Kit
      • August (3)
        • Singer Dua Lipa Sees the Wisdom in Postponing Tour Dates
        • Veneers may Offer a Less Invasive Way to Transform Your Smile
        • A Bonded Retainer Might Work for You after Orthodontic Treatment
      • July (3)
        • Diabetes Doesn't Have to Stop You From Acquiring Dental Implants
        • Julianne Hough Shares a Video - and a Song - After Wisdom Teeth Come Out
        • Be on the Alert for Gum Disease While Wearing Braces
      • June (3)
        • People Born with Missing Teeth can Still Gain a Beautiful Smile
        • 3 Areas to Watch to Avoid Excessive Tooth Wear
        • (Don't) Break It Like Beckham
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        • Managing Diabetes and Gum Disease Together will Lessen the Effect of Both
        • Simple Procedure Could Reduce Biting the Inside of Your Mouth
        • What You Should Know About Veneers for Teenagers
      • April (4)
        • Why Big Bang Theory Actress Mayim Bialik Couldn't Have Braces
        • Learn How To Protect Your Teeth During Stress Awareness Month
        • Why You Should Consider a Professional Procedure for Your Teeth Whitening
        • Instill Good Dental Habits in Your Child as Early as Possible
      • March (2)
        • Even Celebrities Like Jennifer Lawrence Aren't Immune From Bad Breath!
        • Don't Ignore Tooth Pain - You May Need a Root Canal
      • February (1)
        • Could Your Metal Allergy Keep You From Obtaining Dental Implants?
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        • Avoid Bone Loss around Tooth Roots through Regular Dental Care
        • Chrissy Teigen's Teeth-Grinding Troubles
        • Seek Immediate Treatment for this Advanced Form of Gingivitis
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      • December (2)
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        • Coaxing Impacted Teeth to the Right Position can Improve Your Smile
      • November (2)
        • Actor David Ramsey Discusses Baby Bottle Tooth Decay
        • Frequently Asked Questions About Diabetes and Oral Health
      • October (2)
        • FAQ: Dental Care During Pregnancy
        • The Timely Use of a Palatal Expander Could Help Correct a Cross-Bite
      • September (3)
        • How Kathy Bates Retains Her Movie-Star Smile
        • Sedation Can Help Create a More Positive Dental Experience for a Child
        • Master Illusionist Benefits from the Magic of Orthodontics
      • August (2)
        • Think You're Too Old for Orthodontics? Read This
        • Jamie Foxx Chips a Tooth - This Time by Accident!
      • July (2)
        • Add a Healthy Diet to Your Oral Cancer Prevention Strategy
        • Jimmy Fallon Can’t Catch a Break - Except in His Tooth
      • June (2)
        • Orthodontists can Use Other Tools with Braces for Complex Bite Problems
        • Expert Advice: Vivica A. Fox on Kissing and Oral health
      • May (2)
        • Dental Care is Difficult but not Impossible for a Special Needs Child
        • Actress Emma Stone Reveals How Thumb Sucking Affected Her Teeth
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        • Instill in Your Child the Daily Habit of Brushing and Flossing
        • Vivica's Veneers: the Making of a Hollywood Smile
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        • The Top 3 Oral Problems in America - and What You Should Do About Them
        • In Today's NFL, Oral Hygiene Takes Center Stage
        • Be Sure to have These 3 Essentials Covered Beforehand for Veneer Success
      • February (2)
        • No "Glee" in Tooth Grinding
        • Sedation, Along with Understanding, can Relieve Your Dental Visit Fears
      • January (2)
        • Fifth Harmony's Camila Cabello Chips a Tooth, but Concert Still "Worth It"
        • Treating Teeth Grinding Now Could Help Prevent Excessive Tooth Wear Later
  • 2016
      • December (2)
        • Life Is Sometimes a Grind for Brooke Shields
        • Research Confirms: Dental Sealants Really Work!
      • November (2)
        • Dental Crowns for the King of Magic
        • 4 Reasons you may want Your Dentist to Whiten Your Teeth
      • October (2)
        • America's (Dentists) Got Talent - for Fixing Damaged or Missing Teeth!
        • An Assortment of Orthodontic Tools helps us Solve Complex Bite Problems
      • September (2)
        • Dr. Travis Stork: If Only I'd Worn A Mouthguard!
        • Gum Recession Could Shorten the Life of Your Teeth
      • August (3)
        • Dental Magic Transforms Smiles
        • Your Options for Restoring a Chipped Tooth
        • Neil Patrick Harris: What the Oscars Host Treasures Most
      • July (2)
        • We may Still be Able to Save Your Tooth with a Root Canal Alternative
        • Kathy Bates Plays It Smart With Professional Teeth Whitening
      • June (2)
        • Keeping Gum Disease at Bay Could Help Your Overall Health
        • Noah Galloway's Dentally Dangerous Dancing
      • May (2)
        • Dental Porcelain is a Great Option for Creating a Natural Appearance
        • A Royal Fix
      • April (2)
        • Staining Within a Tooth Requires a Clinical Whitening Approach
        • Giancarlo Stanton Gets Major-League Mouth Protection
      • March (3)
        • A Teen's Missing Tooth May Require a Temporary Replacement
        • Johnny's Teeth Aren't Rotten Any More
        • Oral Sedation Helps Reduce Anxiety During Dental Treatment
      • February (2)
        • Tom Hanks' Abscessed Tooth Gets Cast Away
        • Although a Global Problem, Tooth Decay can be Prevented
      • January (2)
        • Actor David Ramsey Says: Don't Forget to Floss!
        • Changing Antibiotic Use Today will Help Ensure Their Effectiveness Tomorrow
  • 2015
      • December (2)
        • Dr. Travis Stork: Don't Ignore Bleeding Gums
        • Closing the Gap Between Front Teeth Can Create a More Attractive Smile
      • November (3)
        • Jason Derulo's Ideal Match
        • With Proper Management, Dental Implants can be a Reality for Diabetics
        • Sofia Vergara: 'Obsessed' With Oral Hygiene
      • October (2)
        • Is Laser Treatment a Good Option for Controlling Gum Disease?
        • Eden Sher and the Lost Retainer
      • September (2)
        • Palatal Expansion Could Head Off Future Orthodontic Treatment
        • A Toothless Tiger?
      • August (2)
        • The Perils of a Loose Permanent Tooth - and What to do About it
        • Dwight Howard: A Bright NBA Star With a Smile to Match
      • July (2)
        • A Healthy Diet Could Lower Your Risk of Oral Cancer
        • New Front Teeth for a Teenaged David Duchovny
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        • Teeth Whitening: Know Your Options
        • Beyonce Makes Flossing a Family Affair
      • May (3)
        • Orthodontic Headgear: What It Is and Why It May be Needed
        • Jerry Rice's Advice on Protecting Your Children's Teeth
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