If your tooth sustains damage that compromises its structure — typically through decay or trauma — you have several options depending on the extent of the damage: One of them is a crown. This method saves the tooth and its root and completely conceals the visible portion of the tooth, or crown, under a natural-looking cap made to mimic as closely as possible the size, shape and color of the original tooth.
Crowns also hide imperfections in the original tooth like discoloration, chipping, fractures, excessive wear (from bruxism, or tooth grinding, for example), or abnormalities in the way the tooth formed. And they’re used following root canal treatments, which treat infected pulp at the center (canal) of a tooth root by removing the pulp and replacing it with an inert, rubber-like material.
Saving the natural tooth has long been the goal of dentistry because normal micromovements of the tooth root, which is suspended in its jawbone socket by elastic ligaments, stimulate the surrounding bone to rejuvenate. Without that stimulation, the bone continues to lose old cells, but no longer replaces them. Crowns are also designed to restore tooth function.
The function and location of the damaged tooth can determine what material the crown will be made of. If the damaged tooth is clearly visible when you smile, porcelain, the most realistic-looking material, is almost always used. If the tooth receives significant bite force, a stronger material is considered — either, a gold/porcelain combination, or a high-strength ceramic. If you are restoring a second molar, an all-gold crown may be considered.
With the advent of dental implants, saving a damaged tooth is no longer the only option for preserving the health of the bone surrounding the tooth root. The implant — a tiny biocompatible, titanium screw-like artificial root — is placed in the jawbone and is then capped with a natural-looking crown of course!
If you would like more information about dental crowns, 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 “Crowns & Bridgework.”
It’s been widely established for decades that cigarette smoking contributes to cancer and heart disease. But did you know smoking will also increase your risk of tooth decay and periodontal (gum) disease, as well as nuisance problems like tooth staining, bad breath and diminished taste perception?
Its effects on your teeth and mouth are all the more reason to quit smoking. But deciding and following through are two different things: many smokers find it painfully difficult to quit due to their addiction to nicotine, tobacco’s active ingredient.
But while difficult, it can be done. Here are 4 tips to help you follow through on your decision to quit smoking.
Change Your Response to Stress. Cigarette smoking is closely tied to the pleasure and reward areas of your brain. With its “hit” of nicotine, you sub-consciously identify smoking as a way to relieve the unpleasant feelings of stress. Instead, substitute other stress relievers when it occurs: going for a walk, talking to a friend or taking a few deep breaths. In time, this substitution will wear down the trigger response to stress you’ve developed with smoking.
Gradually Reduce Nicotine. You don’t have to quit abruptly or “cold turkey”: over the course of a few weeks, try switching to brands with decreasing levels of nicotine. Each week change to a brand with 0.2-0.4 milligrams less nicotine yield than the brand you were smoking the previous week. When you reach the lowest nicotine yield you can find, begin reducing the number of cigarettes you smoke each day. You can find a list of nicotine yields by brand at www.erowid.org/plants/tobacco/tobacco_nic.shtml.
Quitting Loves Company. While you’re responsible for quitting, you may also benefit from the support of others. Usually eight to ten weeks of peer group sessions, a cessation support group provides instruction and ample structure with others engaged in the same struggle. You can usually locate one of these support groups by asking your healthcare provider.
Talk to Your Doctor or Dentist. Next to you or your family, no one wants you to quit more than we do! We can provide you information, treatment and encouragement as you take this big step toward improving your life and health.
If you would like more information on how to quit smoking, please contact us or schedule an appointment for a consultation. You can also learn more about this topic and more tips for quitting by reading the Dear Doctor magazine article “10 Tips to Help You Stop Smoking.”
If your dentist found tooth decay on your last visit, you might have been surprised. But tooth decay doesn't occur suddenly—it's a process that takes time to unfold.
It begins with bacteria—too many, that is. Bacteria naturally live in the mouth, but when their populations grow (often because of an abundance of leftover sugar to feed on) they produce high amounts of acid, a byproduct of their digestion. Too much acid contact over time softens and eventually erodes tooth enamel, making decay easier to advance into the tooth.
So, one important strategy for preventing tooth decay is to keep your mouth's bacterial population under control. To do that, here are 4 common-sense tactics you should perform between dental visits.
Practice daily hygiene. Bacteria thrive in dental plaque, a thin film of food particles that builds up on teeth. By both brushing and flossing you can reduce plaque buildup and in turn reduce disease-causing bacteria. In addition, brushing with a fluoride toothpaste can also help strengthen tooth enamel against acid attacks.
Cut back on sugar. Reducing how much sugar you eat—and how often –deprives bacteria of a prime food source. Constant snacking throughout the day on sweets worsens the problem because it prevents saliva, the body's natural acid neutralizer, from reducing high acid levels produced while eating. Constant snacking doesn't allow saliva to complete this process, which normally takes about thirty minutes to an hour. To avoid this scenario, limit any sweets you eat to mealtimes only.
Wait to brush after eating. Although this sounds counterintuitive, your tooth enamel is in a softened state until saliva completes the acid neutralizing process previously described. If you brush immediately after eating you could brush away tiny particles of softened enamel. Instead, rinse your mouth out with water and wait an hour for saliva to do its work before brushing.
Boost your saliva. Inadequate saliva flow could inhibit the fluid's ability to adequately neutralize acid or provide other restorative benefits to tooth enamel. You can improve flow with supplements or medications, or by drinking more water during the day. Products with xylitol, a natural sugar alternative, could give you a double benefit: chewing gums and mints containing it could stimulate more saliva flow and the xylitol itself can inhibit bacterial growth.
A toothache is a miserable experience, especially if swelling, drainage, and bad breath accompany it. Luckily, root canal therapy from Comprehensive Dental Group in Stamford, CT, can eliminate the pain safely and allow you to keep your tooth! Your dentists, Dr. Irina Pogosian and Dr. Thomas Ohlson, keep smiles intact and healthy through this treatment—read on to learn more!
Root canal therapy explained
Root canal therapy treats a tooth's interior pulp when it's become inflamed or infected due to injury, decay, etc. During an appointment at our Stamford practice, your dentist will X-ray and inspect your tooth, along with the surrounding gums and bone. If Dr. Pogosian or Dr. Ohlson determines that the tooth is viable, you'll undergo a comfortable, two-visit procedure right here at Comprehensive Dental Group.
To begin, your dentist will inject the area around the tooth with local anesthetic. When the tooth is numb, they will create a small opening in the tooth to access the root canals. That's where the blood vessels, nerves, and connective tissue reside.
The dentist then removes the pulp with specialized tools, before smoothing and disinfecting each canal (there are up to four in a single tooth), and sealing them with biocompatible gutta-percha. After each canal is treated, a temporary crown covers the tooth so that it can heal.
In a week, you'll have your second treatment. Here, Dr. Ohlson or Dr. Pogosian removes the temporary cap and installs a custom-fabricated crown made of premium-grade ceramic. Your restored tooth will look, feel, and act perfectly natural—no more pain!
The American Association of Endodontists says that you'll likely keep your tooth for the rest of your life. That's how successful root canal therapy is! Just brush twice a day with a quality toothpaste, and carefully floss around your treated tooth to avoid plaque and tartar build-up. See your dentist at Comprehensive Dental Group in Stamford every six months for a complete check-up and hygienic cleaning.
Don't suffer from toothache pain when your friends at Comprehensive Dental Group can save that tooth and make you feel better! Call us today at (203) 359-3296.
While the sport of golf may not look too dangerous from the sidelines, players know it can sometimes lead to mishaps. There are accidents involving golf carts and clubs, painful muscle and back injuries, and even the threat of lightning strikes on the greens. Yet it wasn’t any of these things that caused professional golfer Danielle Kang’s broken tooth on the opening day of the LPGA Singapore tournament.
“I was eating and it broke,” explained Kang. “My dentist told me, I've chipped another one before, and he said, you don't break it at that moment. It's been broken and it just chips off.” Fortunately, the winner of the 2017 Women’s PGA championship got immediate dental treatment, and went right back on the course to play a solid round, shooting 68.
Kang’s unlucky “chip shot” is far from a rare occurrence. In fact, chipped, fractured and broken teeth are among the most common dental injuries. The cause can be crunching too hard on a piece of ice or hard candy, a sudden accident or a blow to the face, or a tooth that’s weakened by decay or repetitive stress from a habit like nail biting. Feeling a broken tooth in your mouth can cause surprise and worry—but luckily, dentists have many ways of restoring the tooth’s appearance and function.
Exactly how a broken tooth is treated depends on how much of its structure is missing, and whether the soft tissue deep inside of it has been compromised. When a fracture exposes the tooth’s soft pulp it can easily become infected, which may lead to serious problems. In this situation, a root canal or extraction will likely be needed. This involves carefully removing the infected pulp tissue and disinfecting and sealing the “canals” (hollow spaces inside the tooth) to prevent further infection. The tooth can then be restored, often with a crown (cap) to replace the entire visible part. A timely root canal procedure can often save a tooth that would otherwise need to be extracted (removed).
For less serious chips, dental veneers may be an option. Made of durable and lifelike porcelain, veneers are translucent shells that go over the front surfaces of teeth. They can cover minor to moderate chips and cracks, and even correct size and spacing irregularities and discoloration. Veneers can be custom-made in a dental laboratory from a model of your teeth, and are cemented to teeth for a long-lasting and natural-looking restoration.
Minor chips can often be remedied via dental bonding. Here, layers of tooth-colored resin are applied to the surfaces being restored. The resin is shaped to fill in the missing structure and hardened by a special light. While not as long-lasting as other restoration methods, bonding is a relatively simple and inexpensive technique that can often be completed in just one office visit.
If you have questions about restoring chipped teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Porcelain Veneers” and “Artistic Repair of Chipped Teeth With Composite Resin.”
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