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Is A Root Canal Painful? Post




Root canal and pain go hand in hand in many people’s minds. Generally our fears and anxiety stem from others telling us their experiences and not from our own. A root canal (also referred to as RCT or root canal therapy) is a dental procedure where the damaged nerve (also called the pulp) of a tooth is removed. Following removal of the nerve, the canals of the tooth are cleaned and sterilized. Following this cleaning process the canals are filled and sealed permanently to avoid future dental infection. If treatment is not undertaken, the dental infection will affect the tooth along with surrounding oral structures (like gums and bone tissues) and a dental abscess can form in the area as the infection looks to escape.

The reason for the removal of the tooth’s nerve is because these nerves (along with associated blood vessels) is responsible with providing hydration and nutrients to our teeth. They also give us the ability to sense hot and cold.

Surveys year after year find that root canal therapy is considered the most feared of all dental procedures. These surveys also found people’s views on root canal therapy is based on what others have told them and not their own individual experiences. This leads to people believing mostly inaccurate stories about root canals. It is the fear of the unknown as I like to call it.

Is Root Canal Painful Or Can It Be Painless?

A root canal is necessary when the nerve of a tooth develops inflammation or becomes infected. This inflammation or dental infection can develop in a number of different ways:

-Tooth decay that pushes into the area of the nerve or pulp chamber.

-Fracture or chip in the tooth that gives bacteria a pathway to spread into the tooth’s nerve canal.

-Trauma. Traumatic injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to a dental abscess.

A tooth causing pain of this type is irreversible. To save the tooth a root canal must be performed.

Signs and symptoms that a root canal is probably necessary can include pain, extended sensitivity to temperature (either hot or cold or both), tenderness to touch and chewing, discoloration of the tooth, and swelling, drainage and tenderness in the lymph nodes, bone and surrounding gingival tissues. In some cases, no outward dental symptoms are present at all

A root canal usually requires one or more visits to the dentist and can be performed by either a general dentist or a specialist called an endodontist. An endodontist is a dentist who specializes in the causes, diagnosis, prevention, and treatment of diseases and injuries of the human dental pulp or the nerve of the tooth. Your dentist will generally make the call on who should perform the root canal. You will be referred to endodontist if any of the following are needed:

-Degree Of Difficulty. Some teeth have anatomy that is slightly abnormal which makes the canals of the tooth harder to access.

-Re treatment of a previous root canal.

-Patient’s preference.

You and your dentist will discuss who is best suited to complete this root canal for you and make the best, informed decision for your dental treatment.

Root Canal Procedure

Is Root Canal Painful marielaina Perrone DDS Las vegas-Take an X-ray if one has not already been taken. This will give your dentist a chance to evaluate the anatomy and shape of the tooth’s canals. It can also show the presence of a dental infection.

-Anesthetic. Your dentist will use a local anesthetic to numb the surrounding areas to give you pain relief and also allow the procedure to be completed pain free. Some patients do not require any anesthetic but it will make it more comfortable.

-Cleaning Of Tooth Canals. Tiny instruments are used to slowly clean out and debride bacteria, decayed nerve tissues, and bacteria from inside the tooth’s canals. Sterile water, peroxide, or sodium hypochlorite are used periodically to flush away the debris and kill any bacteria present.

-Filling of Canals. Each canal is filled to the end of the tooth with a rubbery compound called gutta percha and permanently sealed. The process essentially is like a cork to prevent bacteria and fluid from re-entering the tooth, and keep it sterile. Many dentists prefer to wait a week or so before sealing the tooth. This will give the inflammation that has developed a chance to decrease back to normal levels. Others prefer to seal the tooth the same day it is cleaned out. If the root canal is not completed on the same day, a temporary filling is placed to keep out contaminants like saliva and food until the next appointment.

Following treatment, your tooth may feel sensitive for a few days to a week. This is especially true if there was pain or dental infection before the procedure. This discomfort can be relieved with over the counter or prescription pain medications or an antibiotic may be necessary if an infection was present. Follow directions given to you very carefully and feel free to ask your dentist questions if an issue comes up.

Your tooth may continue to feel slightly different from your other teeth for some time after your root canal treatment is completed. However, if you have severe pain or pressure or pain that lasts more than a few days, call your dentist immediately.

-Restoration of Tooth. Generally but not always a tooth that needs a root canal often is one that already has a large dental restoration or extensive tooth decay. Even when tooth decay was not a factor, the tooth treated with a root canal is weaker than a “live” tooth. Therefore, a crown, crown and post, or other extensive dental restoration often needs to be placed on the tooth to protect it, prevent it from breaking, and restore it back to full function again. After a completed dental restoration, you will not be able to notice any difference in its function or form or feel. You and your dentist will discuss this need further and make an informed decision together the best course of action for your dental care.

Is A Root Canal Painful Conclusion

A dental root canal is extremely successful with a more than a 95% rate of success. Many teeth with a completed root canal can last a lifetime with no issues.

Most root canals are completed to relieve the pain of toothaches caused by pulpal inflammation or dental infection. With modern advancements in techniques, dental materials, and anesthetics, most patients state that they do not feel any pain once the procedure is underway. Root canal procedures have an undue reputation of being painful. Usually most patients report that the procedure itself is no more painful than having a routine dental restoration placed. The misconception has developed because the majority of the pain stems from the dental infection and pulpal inflammation that has developed. This can be tricky to get good anesthesia but a good dentist will be able to make you comfortable during the procedure.

As noted above, the pain from root canals in modern dentistry is mainly from the dental infection that presents to the dentist and the actual procedure should be pain and worry free. The best defense against developing a toothache and the need for a root canal is to see your dentist regularly, maintain proper oral hygiene, and call your dentist at the earliest signs if you have any pains or discomfort.

 

Is Natural Teeth Whitening Possible? Post




Teeth whitening has become a very popular dental procedure increasing in size each decade. We are all aware that our dentist can provide the tools to make our teeth whiter but can it be done at home naturally? Below you will find some of the popular teeth whitening methods:

Oil Pulling For Teeth Whitening

Oil pulling, also known as “kavala” or “gundusha,” is an ancient Ayurvedic dental technique that involves swishing a tablespoon of oil in your mouth on an empty stomach for around 20 minutes. This action supposedly draws out toxins in your body, primarily to improve oral health but also to improve your overall health. Traditionally, sunflower or sesame oil was used for oil pulling. Coconut oil has become a popular choice because it has a pleasant taste and offers other health benefits. Coconut oil has been shown to reduce inflammation and destroy bacteria due to its high lauric acid content. There have been numerous studies done that have shown that daily oil pulling can effectively reduce the amount of bacteria in the mouth. By reducing bacteria levels it can help with gingivitis. Streptococcus mutans is one of the primary types of bacteria in the oral cavity that cause plaque and gingivitis. One research study found that daily swishing with sesame oil significantly reduced Streptococcus mutans in saliva in as little as just one week.

There have been no definitive research studies to prove that oil pulling acts in a teeth whitening capacity. Many people that regularly use oil pulling have claimed their teeth are whiter

Marielaina Perrone DDS Teeth Whitening Las Vegas

Teeth Whitening Las Vegas

and brighter after routinely oil pulling. Since it is a safe practice it is worth trying for teeth whitening.

Oil Pulling Directions For Teeth Whitening

Place approximately 1 tablespoon of coconut oil in your mouth and push and pull the oil around your mouth and through your teeth. Coconut oil is a solid at room temperature, so you may need to wait a few seconds for it to melt. Try to continue the oil pulling for at least 15–20 minutes. For the safety of the pipes in your home, spit the oil into the trash can and not down the drain. As mentioned previously, the coconut oil will return to a solid at room temperatures.

Safe for daily use in teeth whitening.

Brushing With Baking Soda For Teeth Whitening

Baking soda is known to have natural teeth whitening properties. This is why along with its light abrasiveness it has become popular in commercial oral care and teeth whitening dental products. The abrasiveness can help clean stains that have built up on your teeth but totally safe to your teeth’s enamel. Baking soda has the added property of being alkaline in your mouth which can help prevent bacteria from multiplying.

It is important to note using baking soda as a teeth whitener will be a slow process. Results will not happen quickly. Research has not yet proven that brushing with plain baking soda will have any teeth whitening effect, but several studies show that toothpaste coupled with baking soda can have a significant teeth whitening effect. Toothpastes containing baking soda have been shown to be significantly more effective at removing yellow stains from teeth than standard toothpastes without baking soda. The higher the concentration of baking soda, the greater the effect.

Directions For Baking Soda Use

Mix 1 teaspoon of baking soda with 2 teaspoons of water. Then brush your teeth as normal with the baking soda paste. Again this is very safe and can be done multiple times per week if you wish.

Hydrogen Peroxide As A Teeth Whitener

Hydrogen peroxide is used by your dentist in their own teeth whitening products so we know it is effective and safe when used properly. Your dentist’s products will contain higher concentrations of Hydrogen peroxide. Hydrogen peroxide has been proven to be a natural bleaching agent that also kills bacteria in your mouth. Many commercial whitening products contain hydrogen peroxide, although at a much higher concentration than you will use.

Using hydrogen peroxide in high concentrations or lengthy times can cause damage to your teeth’s enamel layer so it is important to use under supervision.

Directions For Use

Common concentrations of hydrogen peroxide at the drugstore is a 3% solution. You can and should dilute this concentration to 1.5% by mixing equal parts peroxide and water.

Another way to use hydrogen peroxide is by mixing it with baking soda to make a toothpaste. Combine 2 teaspoons of hydrogen peroxide with 1 teaspoon of baking soda and gently brush your teeth with the mixture.

Limit the use of this homemade paste to a few times per week. Overuse can erode your tooth enamel with extended use.

Apple Cider Vinegar For Teeth Whitening

Historically, apple cider vinegar is used as a disinfectant and natural cleaning product. The main ingredient is acetic acid which effectively kills bacteria. This bacterial agent can also make it effective in the mouth.

A study performed on cow teeth found that apple cider vinegar does indeed have a teeth whitening effect on teeth. Unfortunately, they also found that vinegar may erode the enamel layor of teeth. Apple cider vinegar should not be used daily. You should also limit the amount of time that apple cider vinegar is in contact with your teeth

Apple Cider Vinegar Directions

Dilute the vinegar with water and swish it around in your mouth for several minutes. Make sure to rinse your mouth with plain water afterwards to limit the acid effect on your teeth throughout rest of day.

Fruits and Vegetables

Strawberries are believed to help with teeth whitening.

Strawberries

Teeth whitening with a strawberry and baking soda mixture is a natural remedy for teeth whitening. Favorites of this method claim that the malic acid found in strawberries will remove staining present on your teeth, while the baking soda will wipe away stains.

While strawberries may help exfoliate your teeth and make them appear whiter, they are unlikely to penetrate the stains on your teeth. Recent studies have found that a strawberry and baking soda mixture produced little to no color change in teeth, compared to commercial teeth whitening products.

Do not use this teeth whitening method more than a few times a week to be safe.

Natural Teeth Whitening Conclusion

Teeth whitening comes in many forms but nothing replaces dental hygiene to limit the stain build up as well as plaque build up. Remember to speak to your dentist before undertaking any of these teeth whitening regimens to ensure safety for your teeth and periodontal tissues.

Botox For TMJ Post




Botox cosmetic has been used by plastic surgeons for years for cosmetic reasons. Dentists more recently have been using Botox for similar reasons but also as additional therapies. These therapies can now include therapy for Temperomandibular Joint Disorders (TMJ). Botox can be used to treat tension in the jaws, headaches from bruxism (teeth grinding), and even possibly lockjaw in severe scenarios.

Botox For TMJ

Botox for TMJ has not been approved by the Food and Drug Administration (FDA) as treatment for temperomandibular joint disorders (TMJ). However, Botox has been approved by the FDA for painful conditions such as migraines. Migraines are potentially related to TMJ disorder. Clinical trials published so far have been small and have produce inconsistent findings. A 2012 study found that Botox could significantly decrease pain and increase mouth movements for three months following treatment. However, this was an extremely small study that had under 30 participants. Similar studies have been completed which showed significant results as well. To date there has not been a large enough study to definitively tell if botox for TMJ is the answer to TMJ disorders. Other studies include one 2016 study published in the Journal of Headache and Pain found that TMJ patients who had Botox for TMJ treatments experienced a reduction in pain and headaches, which led to requiring fewer painkilling drugs. In 2003, a clinical study from the University of Bonn discovered that approximately 90% of all study participants who had not responded favorably to conventional TMJ treatments saw significant improvements after using Botox for TMJ to address their TMJ related pain symptoms.

TMJ Disorders

Botox For TMJ Henderson NV Marielaina Perrone DDSThe temporomandibular joint (TMJ) is the area right in front of the ear on either side of the face where the upper jaw (maxilla) and lower jaw (mandible) meet. Muscles attached to and surrounding the temperomandibular joint control the position and movement of the jaw. This joint is a very unique sliding “ball and socket” that has a disc sandwiched between it, it is the only joint in the body which can move in all directions. The temporomandibular joint functions to move the jaw, especially in biting and chewing, talking, and yawning. It is one of the most used joints in the body.

The temporomandibular joints are a very complex system and are made up of muscles, tendons, a disc and bones. You have a temperomandibular joint on each side of your jaw (right and left side). Each individual part contributes to the smooth complex movement of the temperomandibular joint. When the muscles are relaxed and in balance and both jaw joints open and close comfortably, we are able to talk, chew, or yawn without any discomfort or pain.

TMJ disorders can be a very complex set of problems of the jaw joint. The muscles and joints work together in harmony. A problem with either the muscles or the joints or both can lead to stiffness, headaches, ear pain, bite problems (also referred to as a malocclusion), clicking sounds, or locked jaws. TMJ disorders can be caused by many different types of problems. These can include arthritis, trauma to the jaw, or muscle fatigue from clenching or grinding your teeth. TMJ disorders most commonly occur in women between the ages of 30 and 50, but can occur in teens following orthodontic treatment, and in both men and women at any age.

Botox For TMJ Side Effects

Botox For TMJ disorders is not without side effects. Botox itself has common side effects associated with its use in the area of the TMJ. These can include:

-headache

-bruising at injection site

-respiratory infection

-muscle weakness

-flu-like illness

-rash at injection site

-nausea

-skin irritation

-temporary eyelid droop

Botox For TMJ Procedure

Botox for TMJ is a non surgical procedure and completed in your dental office. It usually takes less than 30 minutes to complete.

The site for botox injection can vary depending on your symptoms but may include the following muscles:

  • Temporalis muscle
  • Frontalis muscle
  • Masseter muscle

The injections are made with a small gauge needle and are not considered painful, but you may feel a slight prick or pinch as the Botox is injected into site. Your dentist may use a cold compress or local anesthetic to help reduce discomfort and make it more comfortable for you. Following the procedure, you can return to your regular routine immediately.

Some improvement can be felt within a day or two following Botox for TMJ treatment, it usually takes a few days to feel full relief. Some patients have reported that they feel best about 6-8 weeks following Botox for TMJ treatment.

What Makes An Exceptional Dentist? Post




Is there such a thing as an exceptional dentist? We use these big fancy words like exceptional a little too easily at times to describe things in our lives. The definition of an exceptional dentist is one who is unusually good or outstanding at dental care. Visiting the dentist is usually not the #1 choice for us as we plan our day. But it is an important part in maintaining our smiles and our overall health. Shouldn’t you choose an exceptional dentist to make your dental visits easier? Below you will find some qualities to look for when choosing an exceptional dentist. An exceptional dentist strives to make the patient their first priority throughout dental care and to give you something to smile about after every visit. Though visiting the dentist is something we all consider a necessity, being able to personally connect one on one with a dentist who deeply cares about you as a person is what makes someone look forward to – rather than dread — dental visits. It is taking the time to not only engage with patients, but to properly select and extensively train all personnel with that same outlook that causes patients to make an exceptional dentist successful.

Exceptional Dentist Education

This can include where the dentist went to dental school. But I would recommend looking beyond that and see how they have maintained that education over the years. Continuing education hours are mandated by most state boards year over year to maintain a state dental license. Is your dentist taking classes to further their growth as a dental care specialist or are they just doing the requirements. Dentistry is a rapidly changing field in technique and dental materials. An exceptional dentist will constantly seek out new opportunities to grow as a dentist to better themselves and offer newer services (like Botox or Juvederm) to widen the scope of their practice.

Cleanliness Of Office

This should be high on anyone’s list as they search for an exceptional dentist. With so many blood borne diseases infection control is a priority for all dental offices. A dental office that strives for the highest quality sterilization techniques should be a priority as a patient when choosing an exceptional dentist.

Friendliness Of Staff And Dentist

A friendly staff should be a requirement as well when searching for a dentist. The staff should be accomodating and willing to answer any and all questions to make you feel at ease and at home. Your dentist should be willing to discuss treatment options to see what best fits your needs. Dentistry is personalized care and not one size fits all. If your dentist does not see that it might be time to find a new dentist. An exceptional dentist will take the time to review options with you and make the decision with you and not FOR you.

Exceptional Dentist Comfort

Dentistry can be an uncomfortable experience for many. It does not need to be that way. You should have confidence in the staff around you. They should make every effort to make you feel as comfortable as possible. This could be something as little as providing a blanket if cold or offering you music to listen during the dental procedures. An exceptional dentist will not settle for anything less than a comfortable experience for their patients.

Quality Of Dental Care

Dental care should always be exceptional even when other items above might be lacking. An exceptional dentist will perform under all circumstances giving you the highest quality dental care available.

Convenient Scheduling

An exceptional dentist will go out of their way to work with your schedule to make dental care more of a convenience instead of an obligation. This also will pertain to after hours emergencies. Will your dentist see you outside of regular office hours?

Exceptional Dentist Reviews

Do your research. Most dentists have reviews online and an exceptional dentist will have many reviews with high ratings. It is not always the rating that is important it is the actual words of the review. Read the reviews carefully to get an idea of others experiences.

Exceptional Dentist Conclusion

Choosing a dentist can be a daunting task. With the tips outlined above you should find an exceptional dentist that will be able to handle you and your family’s dental care for a lifetime.