Specialty Dentistry

SPECIALTY DENTISTRY

periodenics

PERIODONTICS

Periodontal Disease is a treatable, but not always curable, condition that affects the supporting bone structures and soft tissues around the teeth. In fact “Peri” means around and “odontal” means teeth. In the beginning stages of Periodontal Disease, also known as Gingivitis, plaque (the sticky substance containing bacteria that forms on your teeth shortly after you brush them) causes the immune system to release toxins into the tissues. The tissues respond to the toxins by becoming red, inflamed and bleeding as well as damaging the surrounding periodontal ligaments and alveolar bone (which is what keeps your teeth in place ). Once the ligaments and bone start to deteriorate, pockets occur. When the plaque is not properly removed, and gathers under the gums, causing the tissues to come away from the tooth, thus, causing a periodontal pocket. If left untreated this progression can and will cause the teeth to become loose, which is Severe Periodontitis. Prevention is key in Periodontal Disease. By keeping up with the regular six months cleaning coupled with brushing and flossing daily, Periodontal Disease should be kept at bay. But once the periodontal ligaments and bone level become compromised, either by infrequent cleanings and/or improper home care, then more drastic measures must be taken. Treatment includes Scaling and Root Planing, also called a “Deep Cleaning” followed by more frequent Perio Maintenance appointments until the condition is under control. Again, Periodontal Disease is not curable, but with the combined efforts of the Hygienist/Cleanings and proper Home care, Periodontal Disease can be managed, controlled and prevented.

oral-appliances

ORAL APPLIANCES

Removable oral appliances have many uses in dentistry. The most common is an occlusal guard or a night guard. Millions of people grind their teeth in their sleep. This creates a tremendous amount of destructive force to both the teeth and the supporting bone. This could lead to worn down teeth , loosening of the teeth , and even cracking teeth. Once a tooth cracks the treatment can range from a filling to a root canal and crown to an extraction . A night guard is worn at night to protect the teeth from the forces of tooth grinding. Other appliances can be worn to prevent snoring and to also help with sleep apnea. The procedure for making an oral appliance is very simple. Impressions are taken and the lab does the rest. No needles and no drilling

sleep-apnea

SLEEP APNEA

Sleep is one of the most important things we can do. One of the biggest reasons for poor sleep is sleep apnea. Sleep Apnea can lead to high blood pressure, stroke, heart failure and can almost always shorten one’s life. In the past sleep apnea has been treated using a CPAP machine. While this is still a very effective treatment and in some cases the recommended treatment there are some new alternatives. A sleep apnea removable oral appliance can sometimes be very effective in treating some forms of sleep apnea. The procedure is very simple and consists of upper and lower impressions. No needles or drilling and no pain. The lab will then make an appliance that is worn by the patient every night.

It is very important to check with your physician to see if your sleep apnea can be treated with an oral appliance. Many times a sleep study is indicated. Not all forms of sleep apnea are treated by an oral appliance.

Sometimes the sleep apnea appliance is covered by medical insurance. We will help determine that at our office.

ENDODONTICS

Few words are as scary as the words root canal. Just the mention of those 2 words can make a patient turn white and break out into a cold sweat. In reality however, root canals should not be that terrifying. With all the anesthetic techniques available today there is no reason that a root canal should cause any pain or discomfort. In fact when people are suffering from a toothache once they complete the root canal treatment they are amazed at how much better their tooth feels.

A few words about root canals. First , a root canal does not remove the root. Instead a root canal removes the tissue that is contained in the canal in the middle of the root. Sometimes this tissue is made of nerve and blood tissue other times it is made of necrotic or dead tissue. In either case the goal of a root canal is to clean the canal and then fill and seal the canal. This will allow the tooth to remain and function like any other tooth rather than be removed. Most root canal teeth do require crowns to protect them once the root canal is completed. Root canals are usually performed in a single visit but sometime they do require 2 or more visits to ensure successful results. Root canals have a very high success rate but like anything else they can fail from time to time. Sometimes a failed root canal can be fixed by having a second procedure done but sometimes the tooth must be removed. Despite this root canal is a vital part of dentistry and no one should elect to just have a tooth pulled because they are afraid to get a root canal.