My Blog

Posts for: February, 2015

By Darrell C. Current, DDS, PA
February 23, 2015
Category: Dental Procedures
Tags: dental injuries   root canal  
SevereDentalInjuriesMayRequireEndodonticTreatment

If you regularly participate in sports or other physical activity, you’re at a higher risk for dental injuries. While chipped teeth are the most common result of these injuries, a few may result in more serious trauma — dislodged, cracked or knocked out teeth. In these cases, the core of the tooth — the pulp — and the root may have been damaged. Saving the tooth may require endodontic treatment and possibly the expertise of a specialist in the field, an endodontist.

Endodontics, from the Greek words for “within” and “tooth,” is a specialty of dentistry that treats disease or damage affecting the inner parts of a tooth, particularly the pulp chamber, the root canals, and the root. While all dentists are trained in endodontic procedures, an endodontist has advanced training, experience and specialized equipment to address complex cases.

The type of endodontic treatment needed for an injured tooth will depend on the extent of damage. A mature, permanent tooth with pulp damage, for example, may require a root canal treatment. In this procedure the pulp chamber and root canals are thoroughly cleaned out, and then are filled with a special filling to prevent any future infection. Later the tooth should be crowned to permanently seal it. Although a general dentist may perform a root canal, more complex cases, such as a tooth with an extensive root canal network, may need to be performed by an endodontist using microscopic equipment.

A tooth that has undergone severe trauma, especially a knocked out tooth, will need extensive follow-up care by a general dentist and possibly an endodontist to improve its chances of long-term survival. Because of the severity, the tooth may lose viability and the body ultimately may begin to reject it. For this reason, the tooth should be monitored on a regular basis and may need further treatment from time to time, even up to five years after the injury.

One final word: if you participate in sports or exercise activity, you can significantly reduce your risk of dental injury with a mouthguard. There are various types, but the best protection is one custom designed to fit the specific contours of your mouth. We’ll be glad to advise you further on how to protect your teeth from injury.

If you would like more information on dental injury prevention and treatment, 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 “Trauma & Nerve Damage to Teeth.”


DidYouKnowMatineeIdolJamesDeanHadFalseFrontTeeth

Imagine how different things would have been for movie star James Dean, had he not managed to replace the front teeth he lost as a youngster. According to one biography of the 1950s heartthrob, Dean's teeth were knocked out while he was swinging around on a homemade trapeze. Because his smile was restored, Dean was able to land the plumb movie roles that catapulted him to stardom.

This is perhaps the ultimate example of how a smile makeover can create new opportunities for a person. But opinion polls confirm that nearly 90% of adults feel an attractive smile is an important social and career asset. And, an almost equal percentage of adults feel that their smile could use some improvement.

Are you unhappy with your smile? Is a smile makeover something you've ever thought about? Dear Doctor magazine has come up with a great list of questions you can ask yourself to figure out if you would benefit from this life-changing experience:

  1. Do you avoid smiling in photos?
  2. Are you conscious about spaces and gaps in your teeth?
  3. Are your teeth making you look older than you feel?
  4. Have you held back a smile?
  5. Do you feel that your teeth are stained or too yellow?
  6. Do you hold your hand up in front of your mouth when speaking or laughing?
  7. Do you notice areas of excessive tooth wear that make your smile look older?
  8. Do you have little teeth and a gummy smile?
  9. Are your teeth crooked, chipped or crowded?
  10. Do you wish you had someone else's smile?

If you answered “yes” to any of these questions, please come in and see us. We have an amazing array of cosmetic procedures available to us — far more than what was available to James Dean in the 1950s. These options range from relatively inexpensive teeth whitening treatments to more permanent cosmetic solutions such as porcelain crowns and veneers. Together we can come up with a plan to give you the smile you've always dreamed about.

If you would like more information about what a smile makeover could mean for you, please contact us or schedule an appointment. You can learn more about smile makeovers by reading the Dear Doctor magazine article “Beautiful Smiles by Design.” Dear Doctor also has more on “The Impact of a Smile Makeover.”