Complete Family Dentistry Blog - Waukesha , WI
Primary (baby) teeth don't last long. But despite their short life span, they do a number of important things, like enabling a child to eat solid food. But perhaps their most important long-term function is “paving” the way for their permanent replacements.
If one is lost prematurely, though, the permanent tooth might not come in properly aligned. That's why if a primary tooth is in danger of loss due to decay or injury, we'll do our best to save it.
But that could get a little tricky if the infected or damaged part of the tooth is the innermost pulp. If it were an adult tooth, the best course might be a root canal treatment: access the pulp, clear out the diseased tissue, and then fill the space with a special filling. But with a primary tooth (or a young permanent tooth for that matter) that may not be advisable.
That's because the pulp plays a more important role in a child's tooth than an adult's. Its nerves and other tissues stimulate dentin growth; a full root canal could disrupt that growth and weaken the tooth in the long run.
With a child's tooth, we proceed carefully depending on how infected or damaged the pulp might be. If it's only slightly exposed or not at all, we try then to remove as much decayed tooth material outside the pulp as necessary, then apply antibacterial agents or dentin growth stimulators.
If we do have pulp exposure, we'll try to remove only as much of the affected pulp as necessary through a procedure called a pulpotomy. This technique will only be used if the remaining pulp looks healthy or restorable to health.
If not, we may need to perform a pulpectomy to remove the entire pulp. Most like a typical root canal, it's a last resort: without the pulp, dentin growth could be stunted and the tooth won't develop as healthy as it should.
Of course, the best approach is to prevent teeth from developing such problems in the first place. So, be sure to practice effective daily hygiene with your child and keep up regular dental visits beginning at age one.
If you would like more information on treating decayed primary teeth, 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 “Root Canal Treatment for Children's Teeth.”
Autumn begins in the month of September, a season that promises cooler days and longer nights. But more significantly for sports fans, September marks the start of football season. Football remains America’s favorite spectator sport—and it’s also played by countless college and high school athletes, as well as those who enjoy an occasional pickup game in the back yard or on the beach. Yet, like many contact sports, football (even touch football) carries a risk of injury—and one of the areas of the body most vulnerable to injury is the mouth.
Some of the most common dental injuries in contact sports include lacerations (cuts), tooth fractures, displacement (teeth pushed deeper into or out of their sockets), knocked-out teeth, and temporomandibular joint problems. While it’s hard to pin down the exact statistics, researchers estimate that over 5 million teeth are avulsed (completely knocked out) every year in the U.S. alone—a significant number of which are due to sports injuries. It is also estimated that the lifetime cost to treat an avulsed tooth ranges from $5,000 to $20,000!
Given the prevalence of sports-related dental injuries, it’s no wonder that protective devices have been developed to minimize the risk. Properly fitted mouthguards have been shown time and again to be effective at preventing many types of dental injuries. Yet the use of devices isn’t always required by rule-making organizations—and many casual players don’t use them at all. That’s a shame, because so many of the injuries are preventable.
Custom-made mouthguards are available right here at the dental office. Strong and durable, these protective devices are specially fabricated from a model of the player’s own teeth. That means they offer the maximum protection, yet can be comfortably worn during practices, backyard games or championships—an important consideration, since accidents often happen when least expected. (And if you’re a parent of a child who plays sports, that’s probably something you already know.)
It isn’t just football players who can benefit from mouthguards: Those with a passion for soccer, basketball, baseball, martial arts, and dozens of other sports can also get the protection they need from this small (but important) item. So this season, when you’re watching or playing your favorite game, think about the extra safety and peace of mind you could gain from a custom-made mouthguard.
If you have questions about custom-made mouthguards, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “An Introduction to Sports Injuries & Dentistry” and “Athletic Mouthguards.”
At Complete Family Dentistry in Waukesha, Drs. Joel Jahimiak, Cathleen Raz, and Kencra Loch perform root canal therapy on teeth threatened by oral trauma, repeated restorations, or infection. Unfortunately, many patients don't know what a root canal entails even though it's one of the most reliable and pain-relieving restorative services available. Read here answers to frequently asked questions about root canal therapy and how it may help you preserve a sick tooth.
What does a root canal involve?
Also called endodontic therapy, a root canal treatment accesses a tooth's interior pulp chamber and root canals which occupy the center of each root. Your dentist accesses these canals and removes the soft pulp (which contains connective tissues, blood vessels, and nerves). Then, he or she caps the tooth with a custom-made porcelain crown to protect and support it.
Is root canal therapy painful?
The American Association of Endodontists maintains that root canal therapy in Waukesha is no more uncomfortable than getting a cavity filled. Your dentist anesthetizes the tooth with a local pain shot so the area is totally numb. Afterwards, the tooth will feel sore for a few days; so a softer diet and over-the-counter ibuprofen or acetaminophen helps soothe that.
Why would I need a root canal?
Most people get root canals because of dental abscess with its throbbing toothache, drainage, bad breath and extreme dental sensitivity. Dr. Jahimiak, Dr. Raz, or Dr. Loch may prescribe a course of antibiotics if they find your tooth is infected. Also, teeth compromised by oral trauma, deep decay, and numerous dental fillings benefit from root canal therapy.
Won't the infection come back?
As part of endodontic treatment, your dentist fills the tooth and its root canals with a natural putty called gutta-percha. This sealant protects against bacterial invasion and along with a porcelain crown, strengthens the tooth.
Are root canals successful?
Endodontics are highly successful, saving teeth from extraction and sparing patients substantial pain. However, it also says that postponing a recommended root canal treatment increases the chance of tooth failure. Infection can spread to the bone, and tooth structure continues to weaken over time, increasing the chances of irretrievable fracture. In other words, if your dentist says you need root canal therapy, get it right away, and your tooth should last indefinitely.
Do you have more questions?
If you believe a root canal is in your future, please contact Complete Family Dentistry right away for a personalized consultation with one of our expert dentists. He or she will answer all your questions thoroughly and put your mind at ease. Call our office in Waukesha, WI, at (262) 549-6850.
You have a problem with your teeth. Functionally, there's nothing wrong with them — but it's another story when you look in the mirror: discoloration, wearing or maybe a slight gap between them.
Fortunately, you don't have to settle for a smile you're not happy with. Less costly than crowns or bridgework, porcelain veneers can nonetheless correct many mild to moderate cosmetic problems with teeth and transform them into an attractive smile.
Like the name implies, a veneer is made of thin layers of dental material custom-designed and bonded to the outside of a tooth. Veneers can correct problems with color, tooth shape and size, and mild misalignments or spacing. It's akin to installing new siding on a house.
To begin your journey with veneers, we must first examine your teeth to fully assess your dental needs and ensure you have no issues that could prevent applying them. Then, we prepare your teeth: although not to the extent as for a crown or bridge, we must remove a small amount of tooth material so the veneer will appear natural and not bulky.
We then make an impression mold of your prepared teeth that a dental technician will use to create your veneers. During this process they build up layer after layer of liquid porcelain until they achieve the right thickness, shape and color to match your teeth.
In the meantime, we can fit you with a temporary set of veneers made of acrylic plastic so you can chew, speak and smile normally. These provisional veneers also give you and your friends and family a chance to see what your new smile will look like.
When your veneers are ready, we'll create micro-etches in your teeth that will help keep the veneer secure after we've bonded them. Once bonded, the veneer will feel like an inseparable part of the tooth and look it too. No one except you and us need know you're wearing veneers.
If you take care of them — keeping up daily hygiene habits, not biting into hard surfaces, and visiting us regularly for checkups — your veneers can last for many years. And so will that beautiful, new smile.
If you would like more information on porcelain veneers, 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 “Porcelain Veneers.”
For best results in cleaning your teeth of disease-causing plaque you need both the power of brushing open teeth surfaces and flossing in between them. But you may be wondering: should you perform one task before the other?
In general terms, no—there’s no solid evidence that flossing is better before brushing, or vice-versa. But that being said we do recognize each way has its own advantages.
If you floss before brushing, it’s possible you could loosen plaque that can then be easily brushed away when you perform your second hygiene task. Flossing first can also reveal areas that need a bit more attention from brushing if you suddenly encounter heavy particle debris or you notice a little bit of blood on the floss. And, by flossing first you may be able to clear away plaque from your tooth enamel so that it can more readily absorb the fluoride in toothpaste.
One last thing about flossing first: if it’s your least favorite task of the two and you’re of the “Do the Unpleasant Thing First” philosophy, you may want to perform it before brushing. You’re less likely to skip it if you’ve already brushed.
On the other hand, flossing first could get you into the middle of a lot sticky plaque that can gum up your floss. Brushing first removes a good portion of plaque, which can then make flossing a little easier. With the bulk of the plaque gone by the time you floss, you’ll not only avoid a sticky mess on your floss you’ll also have less chance of simply moving the plaque around with the floss if there’s a large mass of it present.
It really comes down to which way you prefer. So, brush first, floss last or vice-versa—but do perform both tasks. The one-two punch of these important hygiene habits will greatly increase your chances for maintaining a healthy mouth.
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