Oral surgery to correct problems with the jaw is known as orthognathic surgery. Jaw issues can result from birth defects, changes due to growth, or injury or trauma to the face. While orthodontics can correct bite problems when only the teeth are involved, oral surgery may be required when repositioning of the jaw is necessary to correct the issue. If you suffer from any of the following concerns, orthognathic surgery may be a consideration:
Difficulty chewing, biting or swallowing
Problems with opening and closing your mouth, or with speaking
Persistent jaw or temporomandibular joint pain
Clenching or grinding of teeth causing excessive wear to the teeth
Inability to make the lips meet without straining
Un-proportional facial appearance or protruding jaw
Malocclusion, open, or incorrect bite
Recessive lower jaw and chin
Habitual mouth breathing
Sleep apnea and breathing problems
Facial injury or trauma
Most jaw surgeries are performed completely in the mouth, so no facial scars are visible. The oral surgeon makes cuts in the jawbone and then moves them to the correct position. Once the jaw is correctly aligned, screws and bone plates are placed to secure the jaw into the new position. Sometimes it may be necessary to add extra bone to the jaw from your hip, leg, or rib.
Orthognathic surgery is performed by an oral and maxillofacial surgeon usually in a hospital setting. Recovery time from jaw surgery takes three to six weeks. Your general or family dentist should be able to refer you to a skilled oral surgeon for a consultation and examination to determine a treatment plan. Jaw surgery can improve not only your facial appearance, but also chewing, speaking and breathing functions.
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While minor gum recession can be treated by your dentist with deep cleaning and antibiotics, serious gum recession can only be treated with oral surgery. A loss of bone and gum pockets that are very deep require gum surgery to address the pain and damage left by acute gum recession.
Three treatments are used primarily in the treatment of serious gum recession, in order of invasiveness: pocket depth reduction, regeneration, and soft tissue graft. Pocket depth reduction involves a deep cleaning of the affected area. The periodontist folds the gum tissue back and utilizes tooth scaling and root planing to remove any tartar and plaque built up around the tooth. Once the gum pockets are clean, the surgeon pulls the gum tissue gently around the tooth, eliminating the deep pockets altogether or significantly reducing their depth.
Regeneration utilizes a similar treatment to pocket depth reduction, but it also addresses any bone loss that occurred due to acute gum recession. In this process, a regenerative agent such as graft tissue, membranes or tissue stimulating proteins is added to the affected area. The gum tissue is then tucked into place and stitched down. Over time, the regenerative agent will work to rebuild lost bone and tissue, leaving healthy and thriving tissue behind.
The most common soft tissue graft is taken from the patient’s own mouth, either by removing tissue from the roof of the mouth or from the gum tissue near the affected tooth. The healthy gum tissue is placed in the affected area, over the exposed tooth root, protecting it from infection and damage.
To prevent the need for oral surgery to address your receding gums, have good oral hygiene habits. Brush, floss and see your dentist twice a year for checkups and professional cleanings. Talk to your dentist if you have any other questions about how to reverse or prevent gum recession.
We look forward to seeing you in our Fall River dental office
A toothache can ruin your life, at least until you have treatment that relieves the pain. Headaches, mouth pain, or inability to chew can all accompany a tooth problem. It is not unusual for tooth pain to be linked to tooth decay, and when it becomes advanced you just can’t ignore it. This is when root canal therapy is valuable.
What is the procedure?: Root canal treatment focuses on the pulp cavity, which is the inside of the tooth. When the pulp is infected or inflamed, it needs to be completely removed from the tooth in order for it to heal. It doesn’t matter if the damage to the pulp results from severe decay, tooth fracture, faulty crown, repeated dental procedures, or trauma. Even if the damage isn’t visible or causing unbearable pain, the bottom line is that the interior of the tooth must be cleaned out, disinfected and sealed to prevent future infection. A crown is typically placed on top of the tooth to protect it and complete the procedure.
Why is it necessary?: If left untreated, an infected pulp can lead to intense pain or spread to other parts of the body. Root canal treatment is the best way to save the tooth and restore its function. Other benefits of the procedure are maintaining the tooth’s natural look, protecting other teeth from excessive wear, restoring normal chewing ability, and allowing normal sensation and biting force.
How long does it take?: The procedure is more routine than you might think. An experienced dental professional can complete the process is one or two appointments, depending on your specific case. Once the procedure is complete, your repaired tooth should last as long as the rest of your teeth.
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Sometimes a tooth is so severely damaged that the only way to save it is with root canal treatment. There is no reason to turn and run if your dentist advises this procedure. The treatment has advanced to the point that it’s often compared to getting a filling. There are certain steps that will be performed as part of nearly every root canal procedure.
Preparation
X-rays may be taken as part of the diagnosis process or to determine the extent of damage. Once the dentist is ready to begin treatment, a local anesthetic will be used to numb the area throughout the procedure.
Pulp removal
A rubber dam will be placed around the tooth to separate the area from the rest of the mouth, and to keep it dry from saliva. The tooth will be opened, often using a small dental drill, to gain access to the pulp inside the tooth. The damaged pulp will be removed, and if there is an abscess it will be drained.
Cleaning and filling
After the pulp is eliminated, the dentist will thoroughly clean the area. The root canal will be widened if needed to create an adequate space for the filling. Depending on the extent of the damage, this step of the process can take up to several hours to complete or it can be spread over more than one visit. A temporary filling is sometimes used to seal the area between visits. If infection is present, the dentist may prescribe antibiotics.
Sealing
The temporary filling will be removed and the permanent filling placed to fully seal the tooth and prevent future infection. If the tooth has been filled at the root, the risk of breaking is higher so a crown may be recommended for protection.
Crown placement
Crowns help prevent further damage or fracturing. If needed, the tooth will be reduced somewhat to allow space for the crown. It will be held in place securely with dental cement.
Recovery
After root canal treatment, the tooth should survive for many years. The procedure may be repeated if re-infection occurs.
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One of the most misunderstood procedures in dentistry is root canal treatment. If your dentist recommends this procedure, you might be quick to turn to the internet or other sources to learn about it. Unfortunately there is a lot of unreliable information out there, which can scare you away from needed treatment.
There are some common myths that circulate about root canal therapy. Instead of avoiding treatment, learn the truth about this procedure that may be the most effective way to save a damaged tooth.
Myth: Root canal treatment is very painful.
Truth: This procedure often serves to relieve pain instead of creating it. With the anesthetics and sedation dentistry available today, in most cases the procedure feels like simply getting a filling.
Myth: You don’t need root canal treatment unless you are experiencing severe tooth pain.
Fact: Pain is not always present when root canal therapy is advised by your dentist. A tooth that has died may no longer trigger pain, but treatment is necessary to eliminate infection and save the tooth. Diagnostic tests are available to help your dentist diagnose tooth problems even when pain is not present.
Myth: The benefits of root canal treatment are short-lived.
Fact: This treatment provides durable and long-lasting results, potentially for a lifetime. Since the tooth is usually topped with a crown, it can be protected indefinitely.
Myth: Root canal treatment causes illnesses.
Fact: This is one of the most common misconceptions you might run across on the internet. Based on very old research that has been proven to be wrong, the myth still exists that root canal therapy might cause various diseases. Instead, root canal treatment is safe and only improves your oral and overall health.
Myth: Tooth extraction is an adequate alternative to root canal therapy.
Fact: Dentists agree that saving your natural tooth is almost always preferred over a traumatic procedure like tooth extraction. The benefits of keeping your restored real tooth are better than having a hole in your smile or requiring tooth replacement solutions.
We look forward to seeing you in our Fall River dental office
A toothache can make everything seem terrible. Your mouth hurts, your head aches, you can’t eat what you want, you can’t sleep comfortably – in general, you feel awful! Your tooth pain may be a result of decay that has caused an infection in your tooth pulp, calling for root canal therapy.
What does that mean exactly? When the inside of your tooth or the pulp becomes infected, it causes the tooth to deteriorate and cause pain and sensitivity. Action is needed to eliminate the infection and protect the tooth from worse damage. Root canal treatment is the best solution because the damaged pulp is removed and the inside of the tooth is thoroughly cleaned and restored.
To accomplish a root canal procedure, your dentist will drill a small hole in your tooth to access the pulp and expertly remove it. Once the area is cleaned and disinfected, your tooth will be filled with a special material and sealed for protection. Finally, a dental crown is usually placed on top to complete the root canal procedure. You are left with a fully repaired and protected tooth.
What benefits does root canal treatment provide?
Pain is eliminated with the repair of your tooth and removal of infection.
Your ability to chew and bite foods will return to normal.
You will no longer experience tooth sensitivity to hot or cold items.
The damaged tooth will be restored so that it looks natural in your smile.
Your other teeth won’t have excessive wear to make up for the damaged tooth.
With the advances in dentistry making root canal therapy faster and less painful, your procedure may be completed in as little as one trip to the dentist. Once the process is complete, you can expect your fully restored tooth to last as long as the rest of your teeth.
Schedule your appointment at our Fall River dental office
Severe dental phobia can cause people to completely avoid dental examinations and treatments. Anxiety about dental treatment can develop for many reasons, including fear of pain, the feeling of not having control, fear of needles, a strong gag reflex, or a history of bad dental experiences. If you suffer from extreme dental fears causing you to neglect necessary oral care, sedation dentistry may be the answer to your problem.
A trained sedation dentist can offer a variety of options to address your situation:
Minimal sedation in the form of nitrous oxide allows you to be awake but relaxed during dental treatment and may be a good option for cleanings, routine examinations, or minor procedures. Your dentist is able to control the amount of sedation you receive.
Oral conscious sedation also allows you to remain awake during procedures, but may cause you to feel drowsy and will keep you from having much memory of the treatment. A stronger dose can be given to produce more moderate sedation, in which case you may fall asleep but can easily be awakened.
IV sedation is when a sedative drug is administered through a vein. This type of sedation works rapidly and also allows your dental professional to adjust the level of sedation during treatment.
General anesthesia provides deep sedation through medications administered that cause nearly complete or total unconsciousness. With general anesthesia you cannot be awakened until the effects of the drugs have dissipated.
Sedation dentistry can be used for any type of dental procedure, from routine cleanings to more complicated, invasive procedures. Thanks to advances in sedation dentistry, you no longer have to fear the dentist and avoid necessary oral health care.
If you need a dentist in Fall River contact us today
Sedation dentistry is rapidly becoming an extremely popular choice for patients, offering them the best oral care available while providing them with a comfortable, stress-free experience. Benefits exist for both the patient and the dentist, especially for certain patient groups, who may only be able to obtain dental care they need while under some kind of sedation.
Sedation dentistry uses various medications to help the patient relax while undergoing a dental procedure. The sedation allows the patient to be free of fear, anxiety and stress, and in some cases, to have a reduced memory of the treatment itself. This allows for a much more favorable experience, especially when undergoing invasive, extensive or multiple-visit treatments such as extractions, gum surgery, root canals, or some cosmetic dentistry procedures.
Because sedation dentistry is specifically designed to reduce or to alleviate fear and anxiety, the patient is more relaxed during the dental visit. Dentists working on tense or anxious patients are often aware of the problem and have to work with greater care. The removal of this patient tension allows the dentist to work more quickly and surely, leading to a shorter appointment and a more positive experience for both doctor and patient.
Dentists require cooperation from the patient in order to proceed with any dental procedure. Patients who are very young, have special needs, an acute gag reflex, or movement control issues can be extremely challenging for dentists to administer the necessary care. Sedation dentistry can solve this problem, allowing for patients to be cooperative and still, providing the safest, best experience for patient and doctor alike.
Patients who have positive experiences at the dentist are more likely to return for regular dental check-ups. These patients have overall better dental hygiene and tend to have fewer serious dental issues over time. Patients who have good oral care will feel better about their smiles and will be more confident and comfortable throughout the day.
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Life is full of special events that you will remember forever. When you look back at photographs from your special days, you will want to know that you looked your very best. Weddings, birthdays, reunions, graduations, anniversaries, job interviews, or that very special first date are times you will want to put your best face forward. Everything begins with your smile. Your dentist can help you prepare for these kinds of events by brightening your smile, making you look younger and more vibrant and boosting your self-confidence.
Your teeth naturally discolor with age, and this process is accelerated as you eat various foods and dark beverages. Blueberries, blackberries, and beets can all leave stains on your teeth. Dark sodas, coffee, tea, and red wine can also leave their mark with residual color on your teeth. Don’t find yourself feeling self-conscious about your discolored smile; talk to your dentist about what teeth whitening options are available to you. Not all whitening processes are good for every type of teeth. Your dentist will know what is ideal for you.
Before you whiten, it is important to have a dental exam and cleaning. The results of your whitening depend on the initial condition of your teeth. Cleaning your teeth ensures that the whitening procedure affects all of the areas of your teeth, and doesn’t leave out areas currently hidden by plaque or tartar.
Because some teeth whitening techniques require time to achieve the best results, you need to plan ahead. Begin with a consultation with your dentist several weeks prior to your special day, to allow time for the whitening process to work. Some people experience increased sensitivity to their teeth after whitening. Starting early will allow your teeth to recover from the whitening process.
A brighter smile will always help you look and feel better. It will help you make the most positive first impression. On your special day, when you smile for the camera, your confidence will show. You’ll love what you see in photos for years to come.
We look forward to seeing you in our Fall River dental office
Porcelain dental veneers are among the most popular for making over your smile. Dental veneers can achieve dramatic and stunning results, not only in the aesthetic appearance of your smile, but also in the way you feel about yourself. Years of self-conscious behavior related to smile insecurities will begin to fall away, leaving you smiling, talking and eating in public with confidence.
Dental veneers are typically used on the most visible of your teeth, the front teeth. A very small amount of the natural tooth is ground away to make room for the veneers – so they will not appear “puffy.” A dental lab will then fabricate custom veneers from molds, using special techniques to craft the most realistic veneers in the desired tooth shade. Once these veneers are placed, they are designed to look as though they are natural, beautiful, white teeth, resulting in your best, most vibrant and confident smile.
Porcelain veneers are a relatively simple and risk-free way to correct chipped, gapped, crooked or stained teeth. Short teeth can be lengthened, and “gummy” smiles can be corrected. Some patients have suffered for years in embarrassment or discomfort with dental issues they thought would require major dental work to correct. Many times, these issues can be corrected quickly and easily with porcelain dental veneers.
If you are considering a smile makeover, it’s important to look around. Because cosmetic dentistry isn’t a legally separate specialty of dentistry, many dentists call themselves cosmetic dentists without fully appreciating the level of artistry and passion for beauty necessary to create a beautiful new smile design.
Ask any dentist for photographs of before and after patient results done personally by that dentist. Talk to your friends to see if someone has a personal recommendation. You might be surprised at how many people you think just have gorgeous natural smiles actually have had a smile makeover and now utilize dental veneers.
Don’t wait to start experiencing the benefits of dental veneers and a smile makeover. Talk to your cosmetic dentist today to see what options are available to you to meet your own smile goals.
If you live in the Fall River area contact us today