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Posts for: February, 2017

By DAVID J. WADAS, DDS, PLLC
February 15, 2017
Category: Oral Health
Tags: root canal  

Several warning signs often occur before a root canal is needed. David J. Wadas, DDS, your Portage, MI dentist shares a few signs that you may benefit from this tooth-saving procedure.root canal

Pain

Pain may be constant or may come or go. As your condition worsens, the pain may also get worse. The tooth may hurt more when you press on it or bite into foods.

Tooth sensitivity

If hot and cold foods and beverages irritate your tooth, it's time for a visit to the dentist. Sensitivity can be a sign that a nerve in the pulp, in the center, of your tooth is dying. Sensitivity may linger even after you finish a cup of coffee or eat a bowl of ice cream.

Changes in your gums

Change can also occur in the gum around a problem tooth. You may notice that the gum is red and swollen.

Abscess symptoms

Abscess symptoms indicate the presence of a serious infection in your pulp and shouldn't be ignored. Signs of an abscess include:

  • Severe pain
  • Facial or jaw swelling
  • Fever
  • Swollen lymph nodes
  • A pimple-like bump on the gum next to the tooth

In addition to performing a root canal, your Portage dentist will also prescribe antibiotics if you have an abscess.

How is a root canal performed?

Contrary to what you may have heard, root canals don't have to be painful. You'll be given enough local anesthetic to keep you comfortable and pain-free during the procedure.

After you're numb, your dentist will create an opening in the tooth. He'll remove the pulp, and clean and shape the canals that extend from the top to the bottom of the tooth with a tiny file. Small posts may be added to the tooth to support the crown that you'll receive at the conclusion of treatment. You'll receive a temporary filling at the end of the appointment and will return in about a week to receive your permanent filling.

Root canals help prevent tooth loss. If you're experiencing any of these symptoms, call David J. Wadas, DDS, your Portage, MI, dentist at (269) 323-1802 to schedule an appointment.


By David J. Wadas, DDS, PLLC
February 13, 2017
Category: Dental Procedures
JimmyFallonCanrsquotCatchaBreak-ExceptinHisTooth

Want to know the exact wrong way to pry open a stubborn lid? Just ask Jimmy Fallon, host of NBC-TV’s popular “Tonight Show.” When the 40-year-old funnyman had trouble opening a tube of scar tissue repair gel with his hands, he decided to try using his teeth.

What happened next wasn’t funny: Attempting to remove the cap, Fallon chipped his front tooth, adding another medical problem to the serious finger injury he suffered a few weeks before (the same wound he was trying to take care of with the gel). If there’s a moral to this story, it might be this: Use the right tool for the job… and that tool isn’t your teeth!

Yet Fallon is hardly alone in his dilemma. According to the American Association of Endodontists, chipped teeth account for the majority of dental injuries. Fortunately, modern dentistry offers a number of great ways to restore damaged teeth.

If the chip is relatively small, it’s often possible to fix it with cosmetic bonding. In this procedure, tough, natural-looking resin is used to fill in the part of the tooth that has been lost. Built up layer by layer, the composite resin is cured with a special light until it’s hard, shiny… and difficult to tell from your natural teeth. Best of all, cosmetic bonding can often be done in one office visit, with little or no discomfort. It can last for up to ten years, so it’s great for kids who may be getting more permanent repairs later.

For larger chips or cracks, veneers or crowns may be suggested. Veneers are wafer-thin porcelain coverings that go over the entire front surface of one or more teeth. They can be used to repair minor to moderate defects, such as chips, discolorations, or spacing irregularities. They can also give you the “Hollywood white” smile you’ve seen on many celebrities.

Veneers are generally custom-made in a lab, and require more than one office visit. Because a small amount of tooth structure must be removed in order to put them in place, veneers are considered an irreversible treatment. But durable and long-lasting veneers are the restorations of choice for many people.

Crowns (also called caps) are used when even more of the tooth structure is missing. They can replace the entire visible part of the tooth, as long as the tooth’s roots remain viable. Crowns, like veneers, are custom-fabricated to match your teeth in size, shape and color; they are generally made in a dental lab and require more than one office visit. However, teeth restored with crowns function well, look natural, and can last for many years.

So what happened to Jimmy Fallon? We aren’t sure which restoration he received… but we do know that he was back on TV the same night, flashing a big smile.

If you would like more information about tooth restorations, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Porcelain Crowns & Veneers” and “Artistic Repair Of Front Teeth With Composite Resin.”


By David J. Wadas, DDS, PLLC
February 05, 2017
Category: Dental Procedures
Tags: air abrasion  
AirAbrasionAnAlternativetotheTraditionalDentalDrill

Drilling teeth is an essential part of repairing and restoring the damage caused by tooth decay. For generations dentists have relied on the dental drill with its rotating burr to remove decayed and damaged tooth material.

But while the dental drill is effective it also has its disadvantages. In the process of removing decayed material it inadvertently removes healthy structure near the target material. It often requires anesthesia to deaden the work area. And its noise and vibration are often unsettling to patients.

There is a growing alternative, though: air abrasion, a technology that's been around since the mid-20th Century. But recent advances in controlling the dust created by using abrasion, as well as new tooth-colored bonding materials to replace tooth structure, have sparked new interest among dentists and patients alike.

Also known as particle abrasion, this drill alternative uses a pressurized stream of fine particles to remove decayed material. Using a hand wand a dentist can precisely aim the stream of particles (usually aluminum oxide) to the specific areas of decay or softened material that need to be removed. As a result, it removes only a fraction of healthy tooth structure compared to traditional drilling. Air abrasion has also proven effective for removing staining without harming enamel.

Air abrasion also eliminates the sound and vibration associated with dental drills, and may not always require local anesthesia. On the other hand, it does have some limitations. For one, it's not as effective with larger cavities or working around older fillings. The tooth or teeth to be worked on must be carefully isolated from the rest of the mouth to keep the patient from swallowing the abrasive particles. And without a high-volume suction pump and good isolation protocols, the particles can produce something of a “sandstorm” in the treatment room.

But as air abrasion continues to advance, we may see improvements in these limitations. In a future time, the traditional dental drill may go the way of the horse and buggy.

If you would like more information on air abrasion as an alternative to drilling, 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 “Air Abrasion Technology.”