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Posts for category: Dental Procedures

By Dentistry by Design
April 16, 2019
Category: Dental Procedures
Tags: pulp capping  
YouMightAvoidaRootCanalwithThisTooth-SavingProcedure

The sooner you get treated for tooth decay, the less likely you'll lose your tooth. That could mean a simple filling—or you might need a root canal treatment if decay has reached the inner pulp.

There's also another procedure for advanced decay called pulp capping. It's a bit more involved than filling a cavity but less so than a root canal. We can use it if decay has exposed or nearly exposed the pulp, but not yet infected it—otherwise, you may still need a root canal treatment to remove the diseased pulp tissue.

There are two types of pulp capping methods, direct and indirect. We use direct pulp capping if the pulp has been exposed by decay. After isolating the tooth to protect other teeth from contamination, we remove all of the decayed dentin up to the pulp. This may cause some bleeding, which we'll stop, and then clean and dry the tooth area.

We'll then apply a protective biocompatible material directly over the pulp to promote healing and protect it from further infection. We then restore the tooth's appearance and function with a life-like filling.

We use the indirect method, a two-part process separated by six to eight months, when the pulp tissue is close to the surface but not yet exposed. We initially remove the majority of decayed tooth structure, but leave some of it in place next to the pulp chamber. Although this remaining dentin is softened and decayed, we'll treat it with antibacterial chemicals, then cover it with a biocompatible material and a temporary filling.

Over the next several months the treated structure has a chance to re-mineralize as it heals. We then remove the temporary filling and assess the level of healing progress. If the regenerated dentin appears healthy, we can then remove any remaining decay and restore the teeth as we would after a direct pulp capping.

At the very least, pulp capping could buy your affected tooth time before a root canal will finally be needed. Under the right circumstances, it's an effective way to save an otherwise lost tooth.

If you would like more information on tooth decay treatments, 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 “Pulp Capping: A Procedure that may Save a Decayed Tooth.”

GetAheadofaDevelopingCross-BitewithThisEarlyInterventionMeasure

Applying braces or clear aligners to move misaligned teeth is only part of an orthodontist's overall mission to eliminate poor bites (malocclusions). Sometimes a malocclusion isn't caused by the teeth at all—the size of the jaw is the problem!

One type in particular, a cross-bite, often happens because the upper jaw has developed too narrowly. As a result, many of the upper teeth fit inside the lower, the opposite of normal. But a tool called a palatal expander can alleviate the problem if it's applied at an early enough age.

The device works because the upper jawbone initially forms as two halves that fit together along a center line in the roof of the mouth (the palate) running from the back of the mouth to the front. These two bone halves remain separate during childhood to facilitate jaw growth, but eventually fuse around puberty.

Consisting of two sets of wire arms joined together by a hinge mechanism in the middle, the expander device is positioned up against the palate. The orthodontist extends each arm to press against the inside of the back teeth, then adds more outward pressure by turning the mechanism in the middle with a small key. During wear, the patient or caregiver will turn the mechanism in the same way to keep up the pressure on the two sides of the jaw.

This continual pressure keeps the two bones moving away from each other and maintaining a center gap between them. In response, more bone forms on the two halves to fill the gap. In time, the newly formed bone should widen the jaw enough to correct any developing malocclusion.

Timing is everything with a palatal expander—if not used before the jaw bones fuse, the patient will need a surgical procedure to separate the bones to pursue treatment. To catch the problem early enough, children should have an orthodontic evaluation on or before they turn six. An orthodontist may be able to identify this or other emerging bite problems and intervene before it becomes worse. Taking this approach can help save you and your child more expensive orthodontic treatment down the road.

If you would like more information on correcting poor bites, 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 “Palatal Expanders: Orthodontics is more than just Moving Teeth.”

JanetJacksonEvenpopstarsgetinsecureabouttheirsmiles

Multi-platinum recording artist Janet Jackson has long been known for her dazzling smile. And yet, Jackson admitted to InStyle Magazine that her trademark smile was once a major source of insecurity. The entertainer said, “To me, I looked like the Joker!” It was only after age 30 that the pop icon came to accept her unique look.

Jackson is not alone. A study commissioned by the American Association of Orthodontists found that more than one third of U.S. adults are dissatisfied with their smile. But there’s good news—modern dentistry can correct many flaws that can keep you from loving your smile, whether you’re unhappy with the color, size, or shape of your teeth. Here are some popular treatments:

Professional teeth whitening: Sometimes a professional teeth whitening will give you the boost you need. In-office whitening can dramatically brighten your smile in just one visit.

Tooth-colored fillings: If you have silver-colored fillings on teeth that show when you smile, consider replacing them with unnoticeable tooth-colored fillings.

Dental bonding: If you have chipped, cracked, or misshapen teeth, cosmetic bonding may be the fix you’re looking for. In this procedure, tooth colored material is applied to the tooth’s surface, sculpted into the desired shape, hardened with a special light, and polished for a smooth finish.

Porcelain veneers: Dental veneers provide a natural-looking, long-lasting solution to many dental problems. These very thin shells fit over your teeth, essentially replacing your tooth enamel to give you the smile you desire.

Replacement teeth: Is a missing tooth affecting your self-confidence? There are several options for replacing missing teeth, from a removable partial denture to a traditional fixed bridge to a state-of-the-art implant-supported replacement tooth. Removable partial dentures are an inexpensive way to replace one or more missing teeth, but they are less stable than non-removable options. Dental bridges, as the name implies, span the gap where a tooth is missing by attaching an artificial tooth to the teeth on either side of the space. In this procedure, the teeth on both sides of the gap must be filed down in order to support the bridgework. Dental implants, considered the gold standard in tooth replacement technology, anchor long-lasting, lifelike replacements that function like natural teeth.

After coming to embrace her smile, Jackson asserted, “Beautiful comes in all shapes, sizes, and colors." If you don’t feel that your smile expresses the beauty you have inside, call our office to schedule a consultation. It’s possible to love your smile. We can help.

For more information, read Dear Doctor magazine article “How Your Dentist Can Help You Look Younger.”

Tooth Colored FillingsHere in Andover, MA, dentists, Drs. Nicholas T. Papapetros, Jhon O. Giraldo, and Leo Kharin can help you get the healthier and whiter smile you want through tooth-colored fillings!

 

More about Fillings

Tooth-colored fillings, also known as composite resin, are used during dental bonding procedures. The composite is made of plastic resin and a filler of finely ground glass-like particles and is used to fix issues, such as:

  • Chips and cracks
  • Decays
  • Discolored and stained teeth
  • Short teeth
  • Fractures

In order to prepare your teeth for the composite, your dentist will apply an etching solution to the surface of your tooth, then the composite resin that matches the color of your teeth is applied and molded to the right shape. The last step consists of the composite being hardened in place with a curing light.

In order to care for fillings, brush your teeth twice a day and floss too keep your teeth healthy and avoid new cavities.

After your Andover doctor has finished the procedure, your teeth will look natural, especially if the tooth being filled is visible while you smile. Some other advantages include:

  • The fillings won't cause your teeth to turn a gray tint over time.
  • The composite strengthens your teeth, so you can enjoy your meals without having to worry about applying too much pressure on your tooth and breaking it again
  • As mentioned before, your teeth will look natural, so you won't feel self-conscious when you smile.

For more information about tooth-colored fillings and how they can improve the appearance of your smile, call your dentists, Drs. Nicholas T. Papapetros, Jhon O. Giraldo, or Leo Kharin at (978) 475-5333. Their office is conveniently located in Andover, MA, so don't hesitate to call!

By Dentistry by Design
February 27, 2019
Category: Dental Procedures

Teeth Whitening ResultsProfessional teeth whitening can be extremely effective in renewing your smile and helping you feel great about the way you look. Perhaps the most appealing part of this treatment is its fast, easy procedure, which takes place right in your dentist’s office and lasts only an hour. Learn more about professional teeth whitening and what it can do for you with Dr. Nicholas Papapetros, Dr. Jhon Giraldo, and Dr. Leo Kharin at Dentistry by Design in Andover, MA.

How does teeth whitening work? 
Teeth whitening uses chemical reactions to break the bonds which hold together the molecules making up a stain or discoloration on your tooth. The process uses a whitening gel placed directly onto the teeth and allowing it to remain on the teeth for about an hour.

Am I a good candidate for teeth whitening? 
If you are considering teeth whitening, you should first ensure that you are a good candidate for the procedure. Dentists require that patients with tooth decay or gum disease treat those issues prior to their whitening treatment. Additionally, whitening products do not lift the color of a porcelain dental restoration. Patients with obvious porcelain restorations should alert their dentist so they can base their treatment plan around their restorations. This will ensure that they do not end up with an uneven smile after their whitening treatment.

Professional Teeth Whitening Step-by-Step

  • Step 1: Your dentist will separate the teeth from the oral tissues using a dental dam.
  • Step 2: Your dentist places the whitening gel onto the teeth, taking care not to make contact with your oral tissues to avoid irritation.
  • Step 3: You will remain in the exam room for about an hour, allowing the whitening process to properly work on your teeth.
  • Step 4: Your dentist rinses the whitening gel from the teeth.

Teeth whitening does not require any downtime, allowing you to go right back to your daily activities directly after your treatment. You will notice immediate results which will usually increase over the next few days.

For more information on professional teeth whitening, please contact Dr. Nicholas Papapetros, Dr. Jhon Giraldo, and Dr. Leo Kharin at Dentistry by Design in Andover, MA. Call (978) 475-5333 to schedule your consultation for teeth whitening with your dentist today!