June 16, 2019
Teeth are subject to heavy tear and wear as the result of strong forces of occlusion (bite), which can cause fractures on teeth, especially teeth with decay, large fillings, and basically with compromised natural structure.
Parafunctional habits such as heavy bruxing or clenching and chewing ice can also cause significant damage to our dentition. These traumas may cause microfractures starting on enamel often time with no significant symptoms. Gradually these fractures may become larger and get deeper close to the nerve of the tooth in which case symptoms of pain with chewing and cold sensitivity will ensue.
Fractured teeth are tricky. The Fracture itself may not be found on xrays or clinically, however with some simple examinations the diagnosis of fractured tooth can be made.
The treatment of fractured teeth varies from restoring teeth first with full coverage crown, and in severe cases root canal treatment and even extraction may be indicated.
Normally, a full coverage crown is recommended for the following:
-fractured tooth not extending to the root
-a tooth with large or gross carious lesion
-a root canal treated tooth (to prevent fracture)
-a tooth with existing large restoration (filling), compromising the natural structure (preventive measure)
-severely worn teeth
-a full mouth rehabilitation
There is a different between a “chipped” tooth and a “fractured” tooth. Often time a chipped tooth, such as chipped incisal teeth, can be conservatively treated with composite resin restorations (bondings), whereas, in fractured teeth the treatment is more involved and simply placing a filling will not fix the problem.
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June 10, 2019
If you’re experiencing bad breath, you will be relieved to hear that there are several simple steps you can take to help alleviate your symptoms. However, it is worth knowing what might be behind your bad breath in the first place.
Bad breath is usually caused by bacteria which gather in the mouth to break down the particles of food that are left over from when we eat. This causes unpleasant smells to form in the mouth, which causes the breath to smell bad.1 Good oral hygiene and a healthy balanced diet are the first steps you should take towards tackling bad breath. However, did you know that dehydration is also a cause bad breath?
Saliva’s role in breath odor
Dehydration is a major cause of bad breath. In a healthy mouth, the saliva keeps your mouth moist and less hospitable to the bad bacteria that are attracted to the decomposing cells and food particles. It also helps maintain the pH levels in your mouth.
When you’re producing a normal amount of saliva, you’re swallowing often which washes away bacteria and dead cells that accumulate on the tongue, gums and cheeks. Saliva also neutralizes acids and prevents plaque from forming on the surface of your teeth.
When you’re dehydrated, your production of saliva decreases and you’re missing out on its antibacterial action.
This is also why we wake up with ‘morning breath’, because your mouth slows down its production of saliva overnight leaving bacteria to breed.
A dry mouth could be caused by a number of factors including medication, not getting enough fluids, or a health condition. Certain antihistamines and antidepressants can cause a dry mouth in some people. Also, breathing through your mouth can lead to a dry mouth. This is why some people experience bad breath after playing sports, as they are breathing rapidly through their mouths causing it to dry out.
The good news is that you can easily help protect yourself against dehydration and a dry mouth by drinking plenty of water, ensuring your diet is healthy and you are not over-consuming caffeine, salt or alcohol as these can all dehydrate the body. The daily recommendation is 6-8 glasses of water, and remember that you can also get your fluids through foods such as fruits, vegetables and legumes.
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June 5, 2019
Gold used to be the standard of care in dentistry. Amalgam restorations, better known as the silver fillings, used to be the only option when it came to have your cavities filled. However, materials used in dentistry have changed and improved significantly. In fact, the old silver fillings are almost phasing out of many practices due to patients’ safety and also environmental concerns.
Today, when it comes to material of choice, patients have the options of selecting composite resin fillings, better known as tooth-colored fillings, and porcelain crowns, inlays, onlays, and veneers. These materials have improved significantly to almost match the natural strength and longevity of enamel without compromising the wellbeing of patients.
Whether you need a simple filling or a full coverage crown your dentist is able to custom match the restoration with your existing dentition.
Another advantage of these materials is the minimal requirement to prepare a tooth. For instance, due to their physical characteristics, porcelain laminate veneers can be fabricated as thin as 0.3 mm without compromising the material strength. This minimal tooth reduction eliminates post-operative sensitivity classically associated the aggressive reduction of teeth in order to gain enough room and fabricated thick restoration to withstand strong forces of bite.
There, however, indication in which metal is still used. Gold restorations have proved superb longevity over years of function. The compromise, however, is the esthetics. Porcelain fused to metal (PFM) is also another material of choice where a layer of porcelain is baked over a metal core. In my opinion PFM crowns are excellent but not for front teeth due to their lack of natural translucency, yet could be an excellent choice for posterior teeth specially in cases where severe bruxism is a concern.
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September 18, 2018
As we head into fall, one of the fruits people love to eat is the pumpkin. The variations are almost endless, ranging from pumpkin spice latte to pie, and oh, the childhood memories you have related to this storied seasonal fruit. As you continue reading, though, your dentist in East Dallas discusses the pumpkin to reveal whether it’s good or bad for your oral and overall healthy. By applying what you learn, you’ll prevent unwanted dental problems while still being able to enjoy this wonderous fall delight!
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July 3, 2018
We live in a time where people are becoming more and more conscious and careful regarding their diet and maintaining a healthy lifestyle. From different training programs to many, many different diets, we’re always looking for new ways to lose weight and look great. Why? Because we care. Being physically fit gives us a sense of wellbeing and increases our self-esteem. People who are committed to a training program to lose weight and become physically fit usually become more successful and proactive in completing other tasks.
Is there any side effects to any of these diet programs? Not if it is recommended by your physician or designed by a nutritionist based on your physical characteristics and personal goals. However, I do have some concerns as a dentist that I’d like to share with you today.
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June 23, 2018
Most general dentists will offer cosmetic dentistry services, and so far, the American Dental Association, has not recognized cosmetic dentistry as its own specialty. So, how do you find a good cosmetic dentist? Don’t trust just any dentist to create a flawless smile. Keep reading this post to learn more about what to look for when choosing the right cosmetic dentist to create your picture-perfect smile.
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June 5, 2018
Your busy schedule does not always permit you to spend much time in the dentist’s waiting room or chair. But, you realize the importance of having routine dental care to keep your dental health in check. The good news is that although you can’t actually control the dentist’s schedule, there is a lot you can do at your end to speed up the process. Plus, the smoother your participation goes, the easier it will make the dentist’s and hygienist’s job. Keep reading for some tips on saving time at the dentist’s office.
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