powder springs

Chipped Teeth Choices

If you have a chipped tooth, you’re not alone! In fact, chipped teeth are the most common dental injury today. But don’t let that little-known fact fool you into ignoring a chipped tooth; any type of dental trauma deserves immediate attention. A small chip may not cause you pain, but there could be damage underneath the surface of the tooth. Our dentist can rule out cracks or internal tooth problems that aren’t visible to the naked eye. And in many cases, your chipped tooth can be repaired in just one visit.

Options

Chipped tooth treatments vary according to the amount of damage. Depending on your situation, any one of these chipped tooth treatments may be an option for you:

Dental Bonding — Most chips can be corrected with dental bonding. Dental bonding is an efficient, durable and cost-effective way to correct minor chips.

Enamel Shaping — Often used in conjunction with dental bonding, enamel shaping can also correct small chips or surface flaws. During enamel shaping, a small portion of the tooth’s surface is removed or recontoured to smooth out imperfections.

Dental Veneers – If the chip is significant and dental bonding or enamel shaping can’t be used, you may need a veneer. These thin, porcelain wafers completely cover the surface of the tooth and are often used for front teeth.

Root Canal – Pain in the location of the chip can be a sign that the nerve is exposed. If that’s the case, a root canal may be necessary to save the tooth.

Dental Crown — A dental crown is used to completely cover larger teeth or to cap a tooth after a root canal.

Tooth Extraction — If the tooth can’t be saved, a tooth extraction may be necessary. The good news is a dental bridge or dental implants can replace missing teeth.

Dental Checklist for Infants

See the dentist by age 1. Schedule your infant’s first dental visit by the age of 1 or after the first tooth erupts.

Clean baby’s gums. Use gauze to clean your infant’s gums after feedings and at bedtime. Ideally, this should be done even before your baby’s first tooth erupts.

Brush baby teeth. Once your infant’s baby teeth erupt, brush them with a small soft-bristled toothbrush and a pea-sized amount of toothpaste after feedings and at bedtime.

Floss baby teeth. When two baby teeth erupt side by side, gently floss them at least once a day (preferably before bedtime).

Wean baby from the bottle. Ask your pediatrician when you should stop breastfeeding. Bottle-fed babies should be weaned from the bottle by the age of 1.

Keep an Eye On:

Baby Bottle Tooth Decay – Keep your infant’s teeth healthy by cleaning them after feedings, and avoid putting your baby to bed with formula or fruit juice (these contain decay-causing sugars); use water instead.

Signs of Teething — Your infant’s first tooth can erupt, or “cut,” as early as three months and as late as a year. Teeth symptoms can vary greatly, but if your baby becomes increasingly irritable or starts drooling, biting and coughing more than normal, he or she could be teething. Try a teething ring or bottle of cold water for relief.

Excessive Pacifier Use – If your infant uses a pacifier for more than three years, he or she may develop slanted teeth or a misaligned bite later. If you have a difficult time weaning your infant from pacifier use, ask us about alternative ways to give the comfort your little one craves.

Regular Dental Check-ups

One of the most common reasons that people avoid the dentist is that they think that everything is ok. Their logic is simple; no pain means no problems. Unfortunately, most dental conditions including cavities, gum disease and oral cancer give little or no warning, because they may remain painless for months or even many years. By the time a person is in pain, the dental problem is usually so advanced that the treatment required may be much more involved, costly and may require more down time after the procedure.

Everyday, your dentist sees patients with untreated cavities that eventually cause infection to the nerves and blood supply within the tooth. A tooth that may have only needed a simple and inexpensive filling a few months ago will now require a root canal or surgical removal of the tooth.

The same is true for patients with gum disease. Gum disease can progress quietly for many years before it becomes advanced and teeth become loose or cause pain. While early gum disease can usually be treated with a deep cleaning under the gum, advanced gum disease may require gum surgery and antibiotics.

Oral cancer is also something that your dentist looks for on every dental examination. Tragically, those who avoid dental care are often the victims of aggressive forms of oral cancer that are difficult to treat. Those who wait for an unusual growth in the mouth to become painful may be taking a gamble. Oral cancer has a 50%, five-year fatality rate.

The moral of the story is very simple; visit your dentist at least twice a year for dental cleanings and check-up examinations. You will save time and money by treating all dental problems as soon as they occur and greatly improve your oral health. In fact, some research suggests that those in good dental health will actually live longer than people who do not take care of their teeth. It is also important for people without teeth to see their dentist at least once a year. The dentist will need to check the fit of removable dentures and also look for any signs of oral cancer.

Tough Brushing Tortures Teeth

Most dentists don’t go a day without seeing patients who are damaging their teeth and gums by brushing too hard. Some report that as many as two out of three patients brush their teeth too hard. This is a problem. A stiff-bristled toothbrush combined with overzealous brushing teeth can cause serious dental problems over time, including gum disease and tooth sensitivity.
People think that if they brush twice as hard, they will do twice as much good, In fact, overzealous brushing can cause significant damage to the periodontal tissues and bones that support the teeth. If you used the same amount of force and brush the side of your arm, you could take your skin off.
One way to avoid damaging your teeth and gums is to purchase a “soft” toothbrush featuring rounded bristles which are less abrasive to teeth. You should hold the brush between the thumb and forefinger, not with the fist. When brushing, do not `scrub’ the teeth with a horizontal, back-and-forth motion.
Instead, start at the gum line and angle the brush at a 45-degree angle. Brush both the teeth and the gums at the same time. Push hard enough to get the bristles under the gumline but not so hard that the bristles flare out. It’s also a wise move to limit the amount of toothpaste because it is abrasive.
The irony is that dentists want people to brush longer, not harder. Children and adults tend to spend less than one minute at a time brushing their teeth, even though removing plaque from the mouth requires at least two to five minutes of brushing at least twice a day. Remember: brush longer, not harder.

Let Your Smile Do the Talking!

You never get a second chance to make a first impression, and a brilliant smile can make a big impact. Come see us for a total smile makeover and you’ll send the right message with every single flash of your pearly whites.
Did you know that new advances in cosmetic dentistry mean you can perfect your smile in just a few appointments? Our practice offers veneers, bonding and long-lasting whitening — we can even straighten crowded teeth and close gaps in no time at all!
You deserve to look and feel your best. Call us today and let our team give you a smile that says it all.
Call 678 810 1100

Nitrous Oxide: A Quick Fix for Dental Fear

Sometimes it’s not enough to have a great dentist, caring dental staff and soothing office environment – you or your children may still feel anxious about dental visits. That’s why many dentists use nitrous oxide; it helps calm patients of all ages – from timid tykes to anxious adults. Nitrous oxide (also known as “laughing gas”) has been used by U.S. dentists since the late 1800s. Its benefits are many, and the risks are few.
Nitrous oxide is safe for all ages. Nitrous oxide is considered one of the safest anesthetics available. It is well tolerated by patients of all ages, can be adjusted in various concentrations and is non-allergenic.
It reduces pain and anxiety. The effect of nitrous oxide is often remarkable, for both kids and adults. It’s typical for an adult or child to be relaxed and calm just minutes after receiving nitrous oxide. And when you’re calm, that means a faster, more comfortable dental visit.
You remain conscious. With nitrous oxide, you remain completely conscious and in control of your reflexes. You can talk and respond to your dentist. The point of nitrous oxide is to help you relax.
Comfort comes fast. Nitrous oxide takes effect within minutes and lasts for as long as you’re inhaling. After treatment, oxygen is used to flush the nitrous from your system just as quickly as it entered.

X-Rays: Yes or No?

While we share your concerns about potential risks from too much exposure to radiation, x-rays [radiographs] are a necessary part of the dental health process.

Our philosophy is that x-rays should not be routine but utilized when they will contribute to diagnosis or treatment of oral disease. Of course, we will cover you with appropriate body shielding prior to taking any x-rays.

Radiographs allow us to see and interpret signs of disease or potential problems that are not visible through direct observation. X-rays can be used to discover abscesses [pus-pocket], cysts, and/or tumors. They help us locate impacted, unerupted or extra teeth or determine congenitally missing teeth. Radiographs can demonstrate the presence or degree of periodontal [gum] disease. They can pinpoint the location and severity of cavities that are not visible to the naked eye. Basically, radiographs provide us with a view of the underlying structure and condition of your teeth, soft tissue and bone. Foregoing x-rays could result in an inaccurate diagnosis or incomplete treatment.

Usually, new adult patients will be given a full series of x-rays that will serve as a frame of reference for future changes or problems. The time frame between [6-18 months], type and number of follow-up x-rays will be determined by our assessment of your individual needs and the condition of your mouth. Growth and development are additional factors taken into account with young children. Certain situations such as root canal treatment necessitate several x-rays as part of the procedure. Patient with periodontal disease or implants will require radiographs at specific intervals to monitor their condition. As we are sensitive to your concerns, our office continues to keep abreast of ongoing radiological advances, and we utilize techniques and x-ray films that will minimize your exposure and maximize your excellent oral health.

Snoring: Can you do Anything about it?

Snoring is a widespread problem, affecting 30-45% of the population. When you take into account those that are disturbed by it, spouses and children, that number will double. It can have social consequences, disrupting marriages and roommate relationships. Snoring can also have medical consequences, preventing “a good night’s sleep” so individuals wake up fatigued, or more seriously, as a byproduct of obstructive sleep apnea, wherein the snorer momentarily stops breathing during sleep. To objectively identify the problem, an overnight sleep study [polysomnogram] needs to be administered by a medical doctor. The sound of snoring results from the uvula [tissue hanging from roof of soft palate] and the back of the soft palate vibrating. It is caused by a narrowing of the air passages in the throat due to a variety of factors – long uvula or soft palate, large tonsils, excess fat deposits, blocked nasal passages from cold or allergies and/or the relaxation [collapse] of the musculature of the throat and mouth during sleep. Presently, there are several methods that are reasonably predictable and will offer snorers relief. The most common utilizes a device called CPAP [continuous positive air pressure]. A stream of air is pushed through a tube connected to a mask that covers the nose. The continuous air pressure forces the airway to stay open during sleep. There are a large variety of dental appliances, similar to a mouthguard or orthodontic retainer, which are worn while sleeping. Some reposition the lower jaw [mandible] forward while others retain the tongue in a forward position. Essentially, they maintain an open, unobstructed airway in the throat. These appliances may be contraindicated in bruxers [people who grind their teeth]. Why suffer any longer? Any of these treatments can reduce or stop snoring. Call our office for more information.

Smoking And Your Mouth

It would be paradoxical to use the word “smoking” and the phrase “good oral health” in the same sentence. They just don’t go together. Not only does smoking leave brown stains and sticky tar deposits on your teeth or dentures, but it contributes to halitosis [bad breath]. It’s not uncommon to see red inflammation on the palate [roof of the mouth] from the high temperatures generated by cigarette, cigar and pipe smoking. Smoking is a major risk factor in periodontal [gum] disease. As shown by 20 years of research, smokers are 2-3 times more likely to develop periodontitis [bone loss]. Tooth loss is much more prevalent than in non-smokers. Studies have shown a higher rate of dental implant failures for those who smoke. Smoking leaves little room for error when it comes to oral cancer. There are 9,000 deaths a year in the U.S. from oral cancer and tobacco use accounts for 75% of them. Even second-hand smoke poses danger, especially for children. Smoke breathed in by children can affect the development and eruption of their permanent teeth. This process usually begins between ages 3-6 years old. The good news is that “kicking the habit” greatly reduces the risk of developing oral cancer. After 10 years of cessation, the risk is similar to a non-smoker. There are a number of ways to stop without experiencing extreme withdrawal symptoms including the nicotine patch, nicotine gum and nicotine spray or inhaler.

The Headache Question

Chronic symptoms of the head and neck can often be attributed to:

 Headache — the temporalis muscle (it closes and clenches the jaw)

 Sinus pressure and pain — the lateral pterygoid muscles (it moves the jaw side to side and/or forward)

 Neck stiffness and pain — trapezius muscle (it stabilizes the skull during jaw clenching and grinding)

Dental offices have treated and helped more and more people with their headache problems. For years, we assigned all of these names to headaches, like muscle tension headaches, neuralgia, migraine and so on, and it seems that many headache patients share one very common trait- They clench or grind their teeth at night!

Most medical research has shown that headaches, even people with classical migraine headaches, have no physical reason, no vascular problems and no neurological problems; in fact their physician’s exam will give no physical reason for the pain. Many patients have had CAT scans and MRI’s that were negative, and find that drugs really don’t help their problem; instead the medication makes them groggy and “drugged out.”

What we have discovered is that people who can control their nighttime clenching and grinding will get tremendous relief for their headaches and neck aches. Many people do so much unconscious clenching of their jaw muscles that when they wake up, their teeth are sore, their muscles are already tired, and they are set up for the beginning of a headache from the start of the day, if they don’t wake up with one.

One effective treatment utilizes an NTI appliance (short for nocioceptive trigeminal inhibition), a dental device that fits between the upper and lower front teeth. (Detailed information can be gotten from the website at http://www.headacheprevention.com/ ) The simple fact is that this device reduces the intensity of nighttime parafunction by 70 percent immediately, which can explain why so many patients wake up feeling better very quickly.

A traditional dental mouthpiece, or splint, reduces the resistance to side-to-side movement, thereby, reducing the effort and resultant strain to the jaw joint and sinuses (so long as clenching intensity isn’t too intense). However, the same splint also provides an ideal clenching surface, where maximum clenching intensity may increase and/or allow jaw joint problems to perpetuate.

Many patients run the gamut of the medical world’s attempts to control their headaches- with multiple drugs, injections and so on, without ever thinking that the pain might be muscular in origin. But just like back pain is often muscle spasm, the pain we call TMJ, as well as headaches of many sorts are very much caused by overuse of the muscles of closing the jaws.

We would recommend that if you or a loved one has chronic headache problems, that you go to the web site, or give us a call and let us take a look. It can do no harm, and it might very well make a huge difference in