Posts for: January, 2019
Many people learn they have periodontal (gum) disease after noticing gum swelling, soreness or bleeding. But what you can see or feel may be only the tip of the iceberg — the damage may extend much deeper.
Gum disease is caused mainly by dental plaque, a thin film of bacteria and food particles built up on teeth due to ineffective brushing and flossing. Infection of the visible gums is only the beginning — left untreated, it can advance well below the gum line and even infect supporting bone.
One critical concern in this regard is the areas where the roots of a tooth separate from each other, known as furcations. Here an infection known as a furcation invasion can cause the bone to weaken and dissolve.
This usually occurs in stages (or classes) we can detect through manual probing and/or with x-rays. In the earliest stage, Class I, we might only notice a slight pocket in the gums with no significant bone loss. In Class II, though, the pocket between the roots has become a horizontal opening of two or more millimeters, indicating definite bone loss with increased pocket depth getting “under” the crown of the tooth. Class III, the last and most serious stage, describes an opening we can probe under the crown all the way to the other side of the tooth; the bone loss now extends “through and through” the furcation.
The basic goal of gum disease treatment is to remove plaque and calculus (tartar) from all tooth and gum surfaces. But removing plaque below the gum line, especially “into” the furcations, can be challenging. We will need instruments called scalers to clean root surfaces, assisted sometimes by ultrasonic equipment to vibrate plaque loose. With furcations we may also need to employ surgery to aid gum or bone tissue regeneration or to make the area easier to access for future cleaning.
Of course, the best way to protect against furcation invasions is to prevent gum disease in the first place. Be sure to brush and floss daily and visit us for thorough dental cleanings and checkups at least every six months.
And don’t delay contacting us if you see any signs of teeth or gum problems. The sooner we can identify gum disease, the more likely we’ll be able to prevent it from doing serious damage to your gums, bone and teeth.
If you would like more information on treating gum disease, 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 “What are Furcations?”
Find out how this clear retainer system can fix your crooked smile.
Who says that you are too old for braces? Not our Salem, NH, dentists, that’s for sure! In fact, more and more adults are turning to our dental team to fix their crooked and misaligned smiles. Thanks to advancements in dental technology, our dentists Dr. Nicholas Papapetros, Dr. Jhon Giraldo and Dr. Paul Masterson are now able to offer a completely clear orthodontic alternative to regular braces.
Tell Me More!
Invisalign is a unique orthodontic system that provides our older teen and adult patients with a nearly invisible way to fix crooked, misaligned teeth to achieve their ideal smiles. Thanks to state-of-the-art computer technology, our Salem, NH, general dentists can map out every detail of your treatment plan including which teeth will need to move around and precisely how much they will need to move throughout the course of your treatment.
This information, along with 3D images of your mouth, will then be sent to an Invisalign lab where they will create several clear, customized aligners. These aligners, which look similar to mouthguards, are made from a transparent thermoplastic that fits tightly against the teeth so they aren’t noticeable. Each aligner is worn for about 2 weeks at a time, after which you will swap out the aligners for the next set in your treatment. The number of aligners you will receive will depend on the issue or issues you are correcting with Invisalign.
What are the benefits of Invisalign?
One major benefit is that adults can finally feel confident getting braces without worrying that everyone else around them will notice. Patients who may have been a bit apprehensive about getting braces have nothing to fear about these clear, removable aligners.
That’s right; these aligners are also removable. While this doesn’t mean that you can just take your aligners off whenever you feel like it, you can remove them prior to eating, drinking, brushing and flossing. As long as you wear your aligners for around 20-22 hours each day, you should get the results you are looking for. It’s amazing how easily Invisalign fits into your lifestyle!
Invisalign has been helping countless teens and adults get straighter smiles in Salem, NH, and you could be next. Are you ready to find out if you are an ideal candidate for Invisalign? If so, call Stiles Family Dentistry today to schedule your consultation with us.
Dental caries (tooth decay) is a leading cause of tooth loss. But with prompt diagnosis and care we can often stop it before it causes too much damage.
The traditional treatment approach is simple: remove all diseased tooth structure and then restore the tooth with a filling. But this otherwise effective treatment has one drawback: you may lose significant healthy structure to accommodate a suitable filling or to make vulnerable areas easier to clean from bacterial plaque.
That's why a new treatment approach called minimally invasive dentistry (MID) is becoming more common. The goal of MID is to remove as little of a tooth's natural enamel and dentin as possible. This leaves the treated tooth stronger and healthier, and could reduce long-term dental costs too.
Here's how MID could change your future dental care.
Better risk assessment. MID includes a treatment protocol called caries management by risk assessment (CAMBRA). With CAMBRA, we evaluate your individual tooth decay risk, including oral bacteria levels, the quality of saliva flow to neutralize mouth acid, and sugar consumption. We then use our findings to customize a treatment plan that targets your areas of highest risk.
New detection methods. The real key to fighting tooth decay is to find it before it can destroy tooth structure with the help of new diagnostic technology. Besides advances in x-ray imaging that provide better views with less radiation exposure, we're also using powerful dental microscopes, lasers and infrared photography to show us more about your teeth than we can see with the naked eye.
"Less is More" treatments. In contrast to the dental drill, many dentists are now using air abrasion rather than a dental drill to remove decayed tooth material. Air abrasion emits tiny material particles within a pressurized air stream that leaves more healthy tooth structure intact than with drilling. We're also using new filling materials like composite resin that not only resemble natural tooth color, but require less structural removal than other types of fillings.
Using MID, we can treat tooth decay while preserving more of your natural teeth. This promises better long-term outcomes for future dental health.
If you would like more information on new treatments for tooth decay, 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 “Minimally Invasive Dentistry: When Less Care is More.”