How long to wait before restoring a dental implant?

Posted by on Jul 25, 2017 in Uncategorized | 0 comments

How long to wait before restoring a dental implant?   I have been restoring dental implants for about 15 years. In the early 90’s there was a fear that the implant might fail, so the clinicians of the day would wait a long time and then load the implant with a temporary crown. So in all, it might take a year or more before the final crown was placed on the tooth. In this society, nobody really wants to wait for anything, so research has shown that 3-6 months works well in most cases. It is possible to load implants with a temporary...

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Did the dentist get all the decay out of my tooth?

Posted by on Jul 17, 2017 in crowns, decay diagnosis, dental decay, Dentist in Buckhead, dentist in midtown, filling cavities, Midtown dentist, oral exam in Buckhead | 0 comments

Did the dentist get all the decay out of my tooth?   On occasion a new patient will arrive to my office with decay around or under a filling that was done years earlier.  They will need a new filling or a crown.  The usual question is: ‘Did the last dentist leave some decay in the tooth?’   It can be tricky for the dentist to get all of the decay out of a tooth.  One concern is that we don’t want to expose the nerve if we don’t have to. An exposed nerve invariably means that the tooth will need root...

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Bumps in Your Mouth

Posted by on Jun 15, 2017 in Uncategorized | 0 comments

Bumps in Your Mouth From my experience practicing dentistry over many years, I’ve learned that most people have very little idea of structures in their mouth beyond teeth and a tongue. Well, there’s lots going on in there, some of which is normal and some of which can be pathologic.  A tour of this small but busy universe, will reveal the following: For example, if you check with your tongue behind your two from teeth, there is a bump there, and this is a normal anatomical feature. It is known as the incisive papilla (incisive...

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Further Recommendations for the Water-Pik (Water Floss)

Posted by on Jun 15, 2017 in Uncategorized | 0 comments

Further Recommendations for the Water- Pik (Water Floss)   Until a few years ago I would never recommended the Water-Pik.   Patients gave up doing all their other home care and did a really lazy job with their Water-Pik. When they came in for a cleaning their gums looked much worse. Over the last 5 years, I’ve learned that when patients do the other home care routine (proper brushing and flossing, using an electric tooth brush) and then do a good job with their Water- Pik, the results can be pretty spectacular. So who will...

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FRACTURE IN A TOOTH: A CASE STUDY

Posted by on Jun 6, 2017 in Uncategorized | 0 comments

Fracture in a tooth: a case study   A patient in her 40s showed up in my office last summer. One of her complaints is that she could not chew on her lower right molar (#30), and the discomfort was persistent. I recommended that she see a root canal specialist, which she finally did almost a year later. The fracture was visible on a photo of the biting surface, and this extended to the back of the tooth between the teeth. The endodontist’s recommendation was to place a crown on the tooth, and he felt that there was a pretty good...

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GUM DISEASE IN YOUNGER PATIENTS

Posted by on May 8, 2017 in Uncategorized | 0 comments

Gum Disease in Younger Patients   Last week a new patient, in his early 20s came in for assessment and treatment.  After x-rays and periodontal charting, I determined that he had periodontal disease, in its early stages. Deep cleanings can go far in resolving such a situation and this is what I recommended.  His pocketing is 5 mm in the molar areas with red bleeding gums and bad breath all due to the accumulation of plaque and the response of the gum tissues to this irritant. In this particular case, a full mouth treatment of 1.5...

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CHIPPING FRONT TEETH

Posted by on Apr 27, 2017 in bite guard and saving teeth, chipped tooth, tooth grinding, treating a chipped tooth | 0 comments

Chipping Front Teeth   Front teeth can take a beating. A knock in the face with a baseball, a hockey stick, an elbow, etc. can result in trauma from as small as a chip to a large crack on the tooth that could even involve the nerve.   Treatment could be nothing or a filling of appropriate size.   Or it could be as extensive as a root canal or extraction on the extreme end.   Adults are less prone to sports accidents, but they can have some damage done to their teeth with just routine chewing.   This is more...

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Why is Care of Your Gums So Important?

Posted by on Apr 12, 2017 in Uncategorized | 0 comments

Why is Care of Your Gums So Important? Occasionally we have patients who come in with some cavities along with gum disease. They are eager to address the cavities but want to ignore the gum problems. Why are healthy gums so important? When gums are unhealthy the gum tissue develops inflammation which makes the gums red and tender, known as gingivitis. They bleed easily. And the bacteria causing this inflammation can get into your blood system and adversely affect your heart. The bacteria can also cause a gradual lessening of the bone between...

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Grinding Your Teeth: How Bad Can It Get?

Posted by on Mar 22, 2017 in Uncategorized | 0 comments

Grinding Your Teeth: How Bad Can It Get?   Many patients grind their teeth and stress is a frequent contributor to the condition.  Early signs can include wear on the teeth, gum recession and abfractions (tooth loss at the gum line due to the force of grinding).   Early treatment saves tooth structure and preserves a favorable bite. Treatments can include wearing occlusal guards (bite guards that protect the teeth from grinding), adjusting the bite or orthodontics.   Another kind of trouble, which comes with aging, is...

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Dental Treatment Plans: Don’t Take Forever to Complete Them

Posted by on Mar 20, 2017 in Uncategorized | 0 comments

Dental Treatment Plans: Don’t Take Forever to Complete Them   All to often I see new patients requiring extensive treatment to get back to a healthy condition, because they haven’t been to the dentist in many years.  Patients often tell me they stayed away from the dentist because they have been too busy to think about their teeth. Personally I believe that many people simply have a hard time confronting dental work and hope the problem will go away.  However in the case of dental care, my advice is bite the bullet...

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