Dental Root Canals

Root canal treatment is necessary when the pulp (soft tissue inside your teeth containing blood vessels, nerves and connective tissue) becomes inflamed or diseased. During root canal treatment, your dentist or endodontist (a dentist who specializes in treating the insides of teeth) removes the diseased pulp. The pulp chamber and root canal(s) of the tooth are then cleaned and sealed. If the infected pulp is not removed, pain and swelling can result, and your tooth may have to be removed.

Causes of an infected pulp could include:

•   a deep cavity

•   repeated dental procedures

•   a cracked or broken tooth

•   injury to the tooth (even if there’s not a visible crack or chip)

If you continue to care for your teeth and gums your restored tooth could last a lifetime. However, regular checkups are necessary; a tooth without its nerve can still develop cavities or gum disease. Most of the time, a root canal is a relatively simple procedure with little or no discomfort involving one to three visits. Best of all, it can save your tooth and your smile.

Above article from mouthhealthy.org

Dentist NoblesvilleHamilton Town Dentistry
David Shock, DDS
Telephone: (317) 773-9992
14139 Town Center Boulevard, Suite 200
Noblesville, IN 46060

Dental Health & Nutrition

Foods That May Harm Dental Health

Empty calorie foods such as candy (especially hard or sticky candies like lollipops, mints, taffy and caramel), sweets like cookies, cakes and muffins, and snack foods like chips are a cause for dental concern, not only because they offer no nutritional value, but because the amount and type of sugar that they contain that can adhere to teeth. The bacteria in your mouth feed off these sugars, releasing acids, and that’s what leads to tooth decay. 

Sugar-containing drinks—soda, lemonade, juice and sweetened coffee or tea (iced or hot)—are particularly harmful because sipping them causes a constant sugar bath over teeth, which promotes tooth decay. Learn more about the potentially harmful oral health effects of drinking acidic and sugary drinks here from the Indiana Dental Association's Drinks Destroy Teeth.

Nutritious, acidic foods like tomatoes and citrus fruits can have acidic effects on tooth enamel, too, so eat them as part of a meal, not by themselves. Dried fruits, including raisins, are also good choices for a healthy diet, but since they are sticky and adhere to teeth, the plaque acids that they produce continue to harm teeth long after you stop eating them. Opt for a piece of fresh fruit instead.

Foods That May Benefit Dental Health

Cheese, milk, plain yogurt, calcium-fortified tofu, leafy greens and almonds, are foods that may benefit tooth health thanks to their high amounts of calcium and other nutrients they provide. Protein-rich foods like meat, poultry, fish, milk and eggs are the best sources of phosphorus. Both of these minerals play a critical role in dental health, by protecting and rebuilding tooth enamel.

Fruits and vegetables are good choices for a healthy smile since they are high in water and fiber, which balance the sugars they contain and help to clean the teeth. These foods also help stimulate saliva production, which washes harmful acids and food particles away from teeth and helps neutralize acid, protecting teeth from decay. Plus, many contain vitamin C (important for healthy gums and quick healing of wounds) and vitamin A (another key nutrient in building tooth enamel).

Hands down, water—particularly fluoridated water—is the most tooth-friendly beverage.

Above article from mouthhealthy.org

Dentist NoblesvilleHamilton Town Dentistry
David Shock, DDS
Telephone: (317) 773-9992
14139 Town Center Boulevard, Suite 200
Noblesville, IN 46060

Dental X-rays

Dental X-rays remain a valuable tool in detecting oral health problems

A study published in Cancer, the peer-viewed journal of the American Cancer Society, found that people diagnosed with meningioma, a generally non-cancerous tumor, are more likely to report that they’ve received certain types of dental X-rays in the past. 

There are several important things to understand about this study:

• This finding doesn’t mean that dental X-rays cause these tumors; much more research is needed.
• The results rely on the individuals’ memories of having dental X-rays taken years earlier. The ability to recall information is often imperfect. Therefore, the results of studies that use this design can be unreliable because they are affected by what scientists call “recall bias.”
• The study acknowledges that some of the subjects received dental X-rays decades ago when radiation exposure was greater. Radiation doses were higher in the past due to the use of old X-ray technology and slower speed film.

The American Dental Association's long-standing position is that dentists should order dental X-rays for patients only when necessary for diagnosis and treatment. Since 1989, the ADA has published recommendations to help dentists ensure that radiation exposure is as low as reasonably achievable. As precautions against radiation, ADA encourages the use of abdominal shielding (e.g., protective aprons) and thyroid collars on all patients. In addition, the ADA recommends that dentists use E or F speed film, the two fastest film speeds available, or a digital X -ray.

Dental X-rays are a valuable part of detecting oral health problems at an early stage. Many oral diseases can’t be detected with a physical examination alone. Dental X-rays help provide information about a patient’s oral health such as early-stage cavities, gum diseases, infections and some types of tumors. 

How often dental X-rays should be taken depends on the patient’s oral health condition, age, risk for disease and any signs and symptoms of oral disease that the patient might be experiencing. If you have concerns the ADA encourages you to talk to your dentist, but eliminating X-rays altogether could be detrimental to your oral health.

Above article from mouthhealthy.org

Dentist NoblesvilleHamilton Town Dentistry
David Shock, DDS
Telephone: (317) 773-9992
14139 Town Center Boulevard, Suite 200
Noblesville, IN 46060

Dental Emergencies

Accidents happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth. Here are some common dental emergencies and how to deal with them. For all dental emergencies, it’s important to visit your dentist as soon as possible. Most dentists reserve time in their daily schedules for emergency patients so be sure to call your dentist and provide as much detail as you can about your condition. If the accident occurs when your dental office is not open, visit your local emergency room.

Question: What do I do if I knock out my tooth? 
Answer: For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, or in milk. Get to your dentist’s office right away.

Q: What if I crack my tooth? 
A: For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. See your dentist as soon as possible.

Q: If I bite my tongue or lip, how do I treat it? 
A: If you bite your tongue or lip, clean the area gently with water and apply a cold compress. See your dentist or go to the emergency room as soon as possible.

Q: How do I treat a toothache? 
A: For toothaches, rinse your mouth with warm water to clean it out. Gently use dental floss to remove any food caught between your teeth. Do not put aspirin on your aching tooth or gums; it may burn the gum tissue. If the pain persists, contact your dentist.

Q: What if I think my jaw is broken? 
A: If you think your jaw is broken apply cold compresses to control the swelling. Go to your dentist or a hospital emergency department immediately.

Q: How do I remove an object that’s stuck in my mouth or teeth? 
A: For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with a sharp or pointed instrument. See your dentist or go to the emergency room as soon as possible.

Q: How can I avoid a dental emergency? 
A: There are a number of simple precautions you can take to avoid accident and injury to the teeth:

•   Wear a mouthguard when participating in sports or recreational activities. 

•   Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth. 

•   Use scissors, NEVER your teeth, to cut things.

Above article from: www.MouthHealthy.org

Dentist NoblesvilleHamilton Town Dentistry
David Shock, DDS
Telephone: (317) 773-9992
14139 Town Center Boulevard, Suite 200
Noblesville, IN 46060

Wisdom Teeth

Wisdom teeth, also referred to as third molars, get their name by being the last teeth to come in during young adulthood. As part of a dental visit, your dentist will examine you to determine if your wisdom teeth are healthy and properly positioned.

Every patient is unique, but in general, wisdom teeth may need to be removed when there is evidence of changes in the mouth such as:

• pain
• infection
• cysts
• tumors
• damage to adjacent teeth
• gum disease
• tooth decay (if it is not possible or desirable to restore the tooth)

Your dentist or specialist may also recommend removal to prevent problems or for others reasons, such as when removal is part of an orthodontic, restorative or periodontal treatment plan.

In addition, the condition of your mouth changes over time. Wisdom teeth that are not removed should continue to be monitored, because the potential for developing problems later on still exists. As with many other health conditions, as people age, they are at greater risk for health problems and that includes potential problems with their wisdom teeth. Regular dental visits are important so your dentist can evaluate not just your wisdom teeth but your overall oral health to help you prevent and manage dental disease and achieve optimal oral health.

Above article from: www.MouthHealthy.org

Dentist NoblesvilleHamilton Town Dentistry
David Shock, DDS
Telephone: (317) 773-9992
14139 Town Center Boulevard, Suite 200
Noblesville, IN 46060

Learn About Sensitive Teeth

Sensitive Teeth

Is the taste of ice cream or a sip of hot coffee sometimes a painful experience for you? Does brushing or flossing make you wince occasionally? If so, you may have sensitive teeth.

Possible causes include:

• Tooth decay (cavities)
• Fractured teeth
• Worn fillings
• Gum disease
• Worn tooth enamel
• Exposed tooth root

In healthy teeth, a layer of enamel protects the crowns of your teeth—the part above the gum line. Under the gum line a layer called cementum protects the tooth root. Underneath both the enamel and the cementum is dentin.

Dentin is less dense than enamel and cementum and contains microscopic tubules (small hollow tubes or canals). When dentin loses its protective covering of enamel or cementum these tubules allow heat and cold or acidic or sticky foods to reach the nerves and cells inside the tooth. Dentin may also be exposed when gums recede. The result can be hypersensitivity.

Sensitive teeth can be treated. The type of treatment will depend on what is causing the sensitivity. Your dentist may suggest one of a variety of treatments:

• Desensitizing toothpaste. This contains compounds that help block transmission of sensation from the tooth surface to the nerve, and usually requires several applications before the sensitivity is reduced.
• Fluoride gel. An in-office technique which strengthens tooth enamel and reduces the transmission of sensations.
• A crown, inlay or bonding. These may be used to correct a flaw or decay that results in sensitivity.
• Surgical gum graft. If gum tissue has been lost from the root, this will protect the root and reduce sensitivity.
• Root canal. If sensitivity is severe and persistent and cannot be treated by other means, your dentist may recommend this treatment to eliminate the problem.

Proper oral hygiene is the key to preventing sensitive-tooth pain. Ask your dentist if you have any questions about your daily oral hygiene routine or concerns about tooth sensitivity.

Above article from: www.MouthHealthy.org

Dentist NoblesvilleHamilton Town Dentistry
David Shock, DDS
Telephone: (317) 773-9992
14139 Town Center Boulevard, Suite 200
Noblesville, IN 46060

What Are Veneers?

Here is what you can expect during a typical veneer preparation procedure.

The First of Many Impressions

Similar to most restorative dental procedures, impressions are taken before, during, and in some cases after the final placement of the veneers. The impressions taken before your veneer appointment are used to make a stone replica of your teeth. The stone cast may be sent to the dental laboratory to assist the lab tech when fabricating the final veneers, or to create a wax-up; replica of what the final veneers will look like. The wax-up may be used to create a temporary set of veneers that is worn during the time when the veneers are being made.

Choosing a Shade

Choosing the shade of the veneers is an exciting step for most people. The final shade is determined by your request for a certain result, along with the dentists recommendations. Customized to your skin tone and overall desire for whiter teeth, your dentist will recommend a shade that he feels will best appear as natural as possible, while still giving you the look of attractive, flawless teeth. It may be necessary for you to visit the dental laboratory that is making your veneers, as they are able to do a very customized shade analysis. Not only are they looking for the best shade for your individual skin tone, they may be trying to match the veneer to the shade of the surrounding teeth. This task is especially important to ensure the natural look of the veneer remains consistent.

Preparing the Teeth

Veneers require very little removal of the enamel surface of the tooth. It will generally depend on the type of veneer used, position of the teeth, or the dentists preferred method of preparing the tooth.

You may or may not require local anesthetic for the appointment. Teeth that have been root canalled or teeth that require very little preparation, may allow you to avoid the need for anesthetic. Your dentist will use the high speed hand piece to contour the front surface of the tooth. Impressions of the prepared teeth are taken inside your mouth using a very precise impression material that starts our as a thick paste. The impression material is filled into a tray and placed on the teeth. The dental assistant will likely hold the impression tray in your mouth until the material sets, usually after 3 to 5 minutes. An impression of how your teeth bite together is also taken. Impression material is applied to the biting surface of the bottom and top teeth. You will be asked to bite down into the material for 1 to 2 minutes until the material is set; depending on the brand used. If the dentist is satisfied with all of the impressions, they are delivered to the dental laboratory.

Temporary Veneers

The dentist or dental assistant will construct a set of temporary veneers made from an acrylic material, that will be cemented onto your teeth with a temporary cement. They will resemble your natural tooth, but may not appear as white as the final set of veneers and may feel rougher than your naturally smooth enamel. These temporary coverings will help protect the teeth from sensitivity, but keep in mind they are just as their name indicates; temporary. You should avoid the following with your temporary veneers:

- Biting into or chewing hard and food

- Gum and sticky candy should be avoided

- Using the prepared teeth to open or tear non-food items

- Biting your nails

- Food or beverage that contains deep pigments that will stain the acrylic.

Your New Smile

The veneers will return after 7 to 10 business days for final cementation. They will be placed on your teeth without any cement so the dentist can inspect them for any obvious flaws. Your final approval will give the go ahead for the dentist to permanently cemented the veneer to the tooth's surface with a dental resin.

If you had local anesthetic for the first appointment, it may be necessary for this appointment as the teeth need to be cleaned with water and prepared with a solution called acid etch, that microscopically roughens the surface of the tooth . This is necessary to achieve the best adhesion of cement to your teeth. As mentioned your teeth will be prone to sensitivity and since the correct placement of the veneers is paramount, freezing may be a benefit to both you and the dentist.

The cement is placed on the back of the veneer and then placed onto your tooth. A bright light known as a curing light, may be used to harden the cement. Any excess hardened cement is removed from the teeth.

The dentist will check how your teeth bite together to ensure you re not biting incorrectly onto the veneers. Small reductions of the opposing teeth may be necessary if the bite is not correct.

Caring for Your Veneers

Although veneers are designed to allow you to function normally, you may want to consider trying not to bite into hard food with your front teeth, or use your teeth to open difficult items, because they may chip or break. Occasional you may have foods and beverages like red wine, tomato sauce, grape juice, and tea or coffee. But keep in mind that the porcelain material can pick up stain from deeper pigmented foods and beverages. And unlike our natural teeth, they cannot be whitened with tooth whitening gels.

Your dentist may recommend the use of a night guard, or splint while sleeping. This will protect your lower teeth from the effects of the porcelain grinding on the enamel. Even if you do not knowingly grind your teeth, porcelain is damaging to enamel during even slight grinding of the teeth. Veneers are designed to last between 10 to 15 years. Regular cleanings from your dental hygienist are still recommended, along with regular dental checkups.

Above article from:  dentistry.about.com


Dentist NoblesvilleHamilton Town Dentistry
David Shock, DDS
Telephone: (317) 773-9992
14139 Town Center Boulevard, Suite 200
Noblesville, IN 46060