Family Dentistry of Ocean City
Robert W. Yaskin, D.M.D. LLC
421 15th Street
Ocean City, NJ 08226
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We now have amazing therapies to replace lost teeth with life-like replicas that look and perform like real teeth. But for oral health in general it’s still better to save a natural tooth if we can.
That’s the main purpose of a root canal treatment — to rescue a tooth whose pulp (an area of tissue and nerve bundles inside the tooth) has died from trauma or ravaged by a bacterial infection that continues to progress up into the bone via the root canals. By accessing the pulp through a small opening in the top of the tooth we remove the dead and infected pulp tissue, thoroughly disinfect the empty pulp chamber and root canals, and then fill them with a special filling. We then seal the opening (and later install a permanent crown) to prevent future fracture of the tooth and re-infection.
So, how can you know your tooth is in danger? Your first indication may be an intense tooth pain that comes on quickly. This pain is emanating from the nerves in the pulp as the tissue begins to die. Once the nerves have died, they will no longer transmit pain signals: hence the pain will subside rather quickly in about two or three days.
So it is important to understand that the absence of pain doesn’t mean the infection has subsided — quite the contrary, it’s still present and active, making its way along the root canals of the tooth. At this point you may begin to notice a secondary pain when you bite down on the tooth. This is originating from other nerves located around the periodontal ligament (the main tissue that helps hold teeth in place with the bone) as the tissues become inflamed from the infection. You may also develop an abscess, an area in the gum tissue where infectious pus may collect. Depending on its location, the abscess can be acutely painful or “silent,” meaning you may not feel any pain at all. The infection is still there, though, and the tooth is still in danger.
If you encounter any of the pain symptoms just described, you should visit us for an examination as soon as possible. If the cause indicates the need for a root canal treatment time is of the essence — the longer we delay, the greater the risk of ultimate tooth loss.
If you would like more information on root canal 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 “Signs and Symptoms of a Future Root Canal.”
Dental implants are now the gold standard for tooth replacement. Why? Because not only do they offer the longest-lasting method of restoring missing teeth, but they also help mitigate one of the greatest problems associated with tooth loss — the loss of underlying bone structure. While standard dental implants have been around since the 1970s, mini-implants are a smaller version of the same technology that have recently come into their own. Here are a few things you should know about them.
Mini-implants rely on the same structure and principles as their larger relatives.
Like standard implants, mini-implants are screw-shaped devices made of titanium which are set into the bone of the jaw. Put in place permanently, they become fixed to the bone itself, which grows around and fuses to the implant. Or, they can be used as temporary anchors for the attachment of other dental work.
Mini-implants are a great option for attaching lower overdentures.
Overdentures (implant-retained dentures) are now considered the standard of care for people who have lost all of their teeth in one or both jaws. But the undesired movement of lower dentures has been a perennial problem for many denture wearers. One key use of mini-implants is to anchor overdentures to the lower jaw. Just two mini-implants provide the stability needed to attach a set of lower dentures sturdily, giving the denture wearer increased dental function — and a restored sense of confidence.
Mini-implants offer some real benefits in orthodontics.
TADS (Temporary Anchorage Devices), another type of mini-implants, are finding increasing use alongside of orthodontic appliances (braces). Braces move teeth by placing small forces on them, which are transmitted by a wire. The wire must be anchored at a “fixed” point: usually, other teeth; but it may cause these teeth to move as well! TADS offer an anchorage point that's truly immovable. They help to speed up orthodontic treatment, and give more accurate control as well.
Placing mini-implants is a relatively simple process.
It's an office procedure done by an experienced clinician, normally under local anesthesia. Most patients tolerate the procedure very well, experiencing only minor discomfort. In some cases, a single two-hour visit is all that's needed for implant placement, and the patient can go home and eat a steak afterward!
Mini-implants may be more economical than you think.
These smaller cousins of standard implants are often easier to place. They save treatment time, and, if you're a denture wearer, they may be compatible with your existing dentures. If your dental situation could benefit from using mini-implants, you should give them serious consideration.
If you would like more information about mini-implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Implant Overdentures for the Lower Jaw,” “The Great Mini-Implant,” and “What are TADS?”
There’s no dispute in most cases that dental implants are superior to removable dentures as a restoration for missing teeth. One area in particular is the effect a removable denture can have on remaining bone and other structures of the mouth, especially if their fit becomes loose.
If you’re a denture wearer, you probably know that loose dentures are a major problem, one that can worsen the longer you wear them. The denture compresses the gum tissue it rests upon to produce forces that are more detrimental than what the jaw normally receives from natural teeth. The underlying bone will begin to dissolve (resorb) under these compressive forces. This in turn changes the dynamic of the denture’s fit in the mouth, and you’ll begin to notice the fit becoming looser over time.
The loose fit can be remedied with either the production of a new denture that updates the fit to the current structure of your jawbone or by relining the existing denture with new material. Relining can be done as a temporary measure with material added to the denture during your visit to the office, or as a more permanent solution in which the material is added at a dental laboratory. With the latter option, you would be without your dentures for at least a day or more.
Even if dental implants for multiple teeth aren’t feasible for you financially, you do have other options. With one particular option, the removable lower denture can be held in place and supported by two strategically placed implants. Not only can this lessen the risk of developing a loose fitting denture, it may also alleviate most of the compression on the gum tissue and reduce the rate of bone resorption. The result is better function for eating and speaking and often a boost in self-confidence, as well as many more years of effective wear from your dentures by limiting bone loss.
If you would like more information on the effects and treatment of loose dentures, 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 “Loose Dentures.”
Do you snore? You can admit it. Most everyone does, from time to time. But if snoring becomes a frequent and disturbing feature of your nighttime routine, it may be more than just an annoyance. Did you know that excessive snoring — when accompanied by irritability and depression, daytime sleepiness and confusion, and/or several other physical and mood problems — is one of the common symptoms of a sleep-related breathing disorder (SRBD)?
SRBDs are potentially serious conditions, with consequences that can range from poor workplace performance to possible cardiovascular and brain damage. One of the most significant of these maladies is called Obstructive Sleep Apnea, or OSA, a condition in which the tongue and surrounding soft tissues fall back into the throat and obstruct air flow. This reduces oxygen levels in the blood, causing the body to wake suddenly — and in severe cases, it can happen up to 50 times an hour, without a person consciously realizing it.
Needless to say, that doesn't make for a good night's sleep. But even if it turns out your snoring problem isn't severe OSA, it can still prevent you (and your partner) from feeling refreshed in the morning. Did you know that we may be able to recommend an oral appliance that has been proven to alleviate problem snoring in many cases? This custom-made device, worn while you're sleeping, helps maintain an open airway in the throat and reduce breathing problems.
If you have this condition, it's critical that you get professional advice. Dentists who have received special training in sleep problems can evaluate you, provide medical referrals when needed, and help determine the type of appliance that may work best for you. Since sleep disorders can be problematic, a thorough evaluation and follow-up monitoring is essential.
Several treatments for SRBDs are available. But oral appliance therapy, when it's recommended, offers some distinct advantages. The small appliances are comfortable, easy to wear, and very portable — unlike more complex medical devices such as CPAP machines. They're a non-invasive and reversible treatment that should be considered before undertaking a more intensive treatment, like surgery. Could an oral appliance benefit you? Why not ask us if we can help you get a good night's sleep.
If you would like more information about oral appliance therapy for sleep problems, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Sleep Disorders and Dentistry” and “Sleep Apnea FAQs.”
No matter how damaged or decayed your teeth may have become, there’s a restorative solution for it. From porcelain veneers that cover unattractive teeth to dental implants that permanently replace missing teeth, we have the means to give you back a beautiful, life-like smile.
But what if the problems with your teeth are relatively mild — a chipped tooth or a cavity in a highly visible place? Porcelain veneers and bridgework involve extensive tooth preparation that permanently alters the tooth. Is there a less intrusive option that still results in a life-like restoration?
The answer is yes. Composite resins are tooth-colored materials that are bonded directly to tooth surfaces. Made of a plastic-based material matrix with inorganic glass-like filler, composite resins require very little tooth preparation and are often applied in a single visit.
They’re an excellent way to address imperfections or defects with an otherwise healthy tooth, while still preserving the majority of its remaining structure. In the hands of a skilled dentist, composite resins can be used to fill, repair and reshape teeth. They’re also an ideal choice for younger patients whose dental arches are still in development — restorations that require extensive tooth preparation might compromise the tooth’s long-term health. A composite resin treatment could serve as a transitional bridge until a more extensive restoration can be performed after the patient’s mouth structure has fully matured.
Composite resins do have some disadvantages. Because the resin material isn’t as strong as the tooth structure it replaces (although there have been great improvements in the last few years in resin strength), it may not stand up to biting pressures over time if there isn’t enough remaining tooth structure available to support it. They material can also dull and stain with use.
Still, for moderate imperfections or as an interim solution until another restoration can be undertaken, composite resins are a good choice.
If you would like more information on restorations with composite resin, 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 “Artistic Repair of Front Teeth with Composite Resin.”