Family & Cosmetic Dental Care in a Relaxed Environment.

Exceptional Dentistry Las Vegas and Henderson NV Since 1999.

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Choosing the right dentist or doctor is always a difficult thing to do. Some of us rely on friends and family for a referral, while many turn to internet reviews. There are over 150,000 dentists nationally, with new graduates added every year. Many of these dentists are not trained beyond general dental school knowledge to perform more complex dental procedures.

A recent survey revealed that this year about 10% of Americans (and the number grows every year) received at least one cosmetic dental procedure to transform their smiles. Receiving cosmetic dentistry from an experienced, skilled cosmetic dentist can transform your appearance, but poorly executed dentistry can prove to be a disaster.

A sobering statistic, well over 25%, (that is 1 out 4 procedures done) of all the money spent by Americans on cosmetic dentistry is spent re-doing and correcting poor dental work from previous visits.

Things That Can Go Wrong During Cosmetic Dentistry

-Restoration Failure - When any dentistry is done, there can never be decay from cavities left behind. Fillings must be properly shaped and hardened so that they do not cause new problems to arise. Improper technique will not only mean your new fillings,  porcelain veneers or dental crowns will eventually fail, it could also mean the possible need for root canal therapy or even potentially the loss of the tooth if left untreated.

-Pain and Discomfort - A skilled, experienced, dentist knows that  dentistry is about more than just appearances. If you do not plan to address bite issues, periodontal issues, and sensitivity problems, restorations will fail and cause pain and discomfort for the patient. If the bite is off, even slightly, the dental work and tooth will be prone to cracking, wearing, and pain. Root canals can be incomplete and cause reinfection, extractions of teeth can be improperly performed causing severe bone infection, fractures, and pain.

-Lost Time - Cosmetic dentistry is usually lengthy, necessitating multiple visits to the dentist. A typical cosmetic treatment takes at least 2-3 appointments, and can take 1 hour to more than 5-10 hours in the dentist’s chair. The work is an investment of your time and money. If this work is performed poorly and needs to be redone, patients will need to take off more time from work to have it repaired or redone elsewhere.

-Increased Cost - In addition to losing time, the original cost budgeted could explode to fix poor dental work. There is an old saying “You Get What You Pay For”. The same is true in cosmetic and traditional dentistry. It is smart to be cost conscious but many dentists who call themselves cosmetic dentists will offer inferior materials in order to cut costs and lower the price to the consumer. Using a poor dental lab or lower quality materials will cut into the longevity as well as the final appearance of any dental work. When dentistry goes bad, it usually needs to be redone from the beginning. This means losing what you initially invested and paying again for the re-do work.  It is not unusual to have a patient spend money initially only to have to spend a much higher amount to re-do all the work just a short time later.

Conclusion

Choosing a dentist is never an easy decision so do your best to get information from friends, family, and internet. Request a free consultation to tour the office and meet not only the doctor but the staff. Dentistry tends to be an intimate experience and you need to feel confident and comfortable in the dental chair. Choosing the right dentist will make all your dental work a breeze. Most importantly, good dentistry will keep you healthy and end up saving you money in the long run.

In today’s modern world, dentistry comes in all forms. How do you know which dentist is right for you and your growing family? There are various specialties in dentistry and many of them overlap between different populations of patients. This overlap is very pronounced between family dentists and pediatric dentists. If you have  children, do you choose a dentist for yourself and a different one for your children?

What Is Family Dentistry?

Family dentists are trained to treat patients of all ages. Family dentists care for your child’s baby teeth, older child’s mixed dentition, adult teeth, and senior dental care. Everyone in the family going to the same dentist can be quite convenient. A child can become easily acclimated to the family dentist by simply watching and modeling another family member. It is usually a very easy transition.

Family dentistry provides preventative dental care, such as regular professional cleanings and oral cancer screenings, and other basic dental care that may be needed. It is important to schedule regular appointments for checkups, so that your dentist can catch any problems before they require the care of a specialist like an oral surgeon or orthodontist. Specialists offer advanced services like treatment of difficult root canals, periodontal surgery, bone surgery, braces, etc. While specialists are still used routinely many of these procedures can be done at the family dental practice. Most dentists will also take x-rays of the teeth on a timely basis to examine for cavities, TMJ problems, diseased tissues, and infection. Your family dentist can fill the cavities, use dental sealants to help to prevent cavities, monitor growth and development to evaluate need for braces, tooth extractions, etc.

If you see your dentist every six months, you will be less likely to have severe breakdown and tooth loss. Your family dentist is trained to help you keep your teeth healthy and can even provide cosmetic dentistry services to keep your smile bright and healthy. Your dentist will educate you and give recommendations for brushing, flossing and rinsing to prevent plaque and tooth decay between appointments. Finding a family dentistry practice that your whole family is comfortable with can take a lot of stress out of making and keeping your regularly scheduled appointments with a variety of dentists.

What Is Pediatric Dentistry?

Where a family dentist will see patients from age 2 to 102, pediatric dentists only see patients from approximately 2 to 18 years old. The pediatric specialty is only related to a young population and does not offer many advanced services of dental care for permanent teeth. Root canals, crowns, impacted teeth, and braces are generally not treated by a pediatric specialist. Many of the services offered do overlap with the family dentist such as x-rays, exams , fillings, sealants, dental cleanings, tooth extractions, baby root canals/crowns, space maintaining appliances. The Pediatric dentists role is important for patients who need specialized care like children with disabilities, those that need sedation, children with severe, full mouth breakdown, and those with behavior issues.

Conclusion

When making the choice between a pediatric dentist and a family dentist, it comes down to you and your child’s comfort levels. Feeling scared or uncomfortable in the exam chair or being scared of the dentist can ruin a child’s confidence and create a situation of dental anxiety or dental phobia. A good dentist, whether family or pediatric, will understand your child’s needs, make the experience a good one, and give great dental treatment. You want a dentist who will  provide a smooth, positive experience so that the little patient is motivated to continue good oral hygiene habits and regular appointments. When she/he is older and has to make health decisions on his/her own, they should have learned to establish a rapport and ease with their dentist. Choose wisely, but realize that a pediatric dentist may or may not be the best choice for your little ones if you have a good family dentist now.

Most family dentists will be happy to see your child even just to meet them and bring them back to get comfortable with the office.If you already have a family dentist that is experienced and willing to take on young children, you may want to start out in this environment to save the the hassle of going between various offices. Selecting a dentist who will treat your child throughout his or her growth has its distinct advantages, and a steady knowledge of patient history is one of them.  Family dentistry is a good choice for many due to the ease of having everyone in the family treated by the same doctor or at least in the same office.

When making any decision for your family it is always best to be informed and have options. There are many dentists with varying personalities, abilities,and skill levels. Find the one that fits you best, and you and your family will be much happier with your choice!

Root Canal Therapy (also called root canal treatment or endodontic treatment)  is a dental procedure in which the diseased or damaged nerve (pulp) of a tooth is removed and the inside areas (the nerve or pulp chamber and root canals) are cleaned, filled and sealed permanently to avoid dental infection. Without treatment, the surrounding tissues of the tooth (including the gums and bone) will become infected and a dental abscess can form.

A tooth’s nerve and blood vessel provide nutrients and hydration to a tooth as well as the ability to sense temperature. It provides the sensation of hot or cold. The presence or absence of a nerve will affect the routine functioning of a tooth. Over time, the tooth with the root canal dehydrates which makes the tooth brittle and more susceptible to fracture. Most often, a crown is placed following root canal treatment is completed to protect the tooth and restore full function to the patient.

Root canal therapy is considered by many to be the most feared dental procedure. Does that surprise you?  Surveys completed by the American Association of Endodontists reveals that most people with a fear of the dentist are based on others’ experience and not on their own.

The inaccurate information they receive about root canal therapy prevents patients from making a properly informed decision regarding their teeth.  Many patients will ask that a tooth be extracted rather than experience a root canal procedure simply fearing the unknown.

Painless DentistryRoot canal treatment is needed when the nerve or pulp tissue becomes inflamed or infected. The inflammation or infection can occur from a number of ways: Decay that extends into the pulp chamber, repeated dental procedures on the tooth, or a fracture or chip in the tooth that allows bacteria to spread into the pulp chamber. Also, a 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.

Root canal therapy is almost always recommended because a tooth is causing pain from a condition that is irreversible. Pulpitis (inflammation of the pulp), an infected pulp, broken teeth, or a slowly dying nerve are all common reasons for root canal therapy.

Root canal therapy is used to alleviate that dental pain. Most people who have root canal therapy admit they did not experience any pain during the appointment and felt better almost immediately afterward.

Signs that a root canal may be necessary include pain, prolonged sensitivity to temperature (hot or cold), tenPainless Dentistryderness to touch and chewing, darkening or discoloration of the tooth, and swelling, drainage and tenderness in the lymph nodes, bone and surrounding gingival tissues. Sometimes, no symptoms are shown at all

Root Canal Therapy generally requires one or more visits to the dentist and can be performed by either a 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. The choice is generally up to the dentist on who will perform the root canal. The reasons the dentist may send you to the endodontist include: degree of difficulty of the tooth involved and need for a microscope, re treatment of a Painless Dentistryprevious root canal, and the patients preference. You and your dentist will discuss who is best suited to complete this treatment for you and make the best decision for your treatment.

The first step is to take an X-ray (if one has not been already taken during the diagnosis) to see the shape of the root canals and determine if there are any indications of dental infection in the surrounding bone tissues. Your dentist or endodontist will then use a local anesthetic to numb the area surrounding the tooth. Anesthesia is not always necessary but generally preferred by patient to make the procedure more comfortable.

Once numb, the pulpal tissue along with bacteria, the decayed nerve tissue and related debris are cleaned out from the inside of the tooth and roots. Tiny instruments called dental files are used to measure the length of the root canal and to shape and clean the inside of each root. Sterile water, peroxide, or sodium hypochlorite are used periodically to flush away the debris and kill bacteria..

Once the tooth is thoroughly cleaned, each root canal is filled to the end with a rubbery compound called gutta percha and sealed . The process essentially is like a cork to prevent bacteria and fluid from re-entering the tooth, and keep it sterile. Some dentists like to wait a week before sealing the tooth. This will give the Painless Dentistryinflammation a chance to settle down back to normal. Some 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.

The final step may involve a more extensive restoration of the tooth. Generally a tooth that needs a root canal often is one that has a large filling or extensive decay. Even when decay was not a factor, the root canaled tooth is weaker than a ”live” tooth. Therefore, a crown, crown and post, or other 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 restoration, you will not notice any difference in its function or form. You and your dentist will discuss this need further and decide together the best course of action for you.

Root canal therapy is highly successful and has more than a 95% success rate. Many teeth repaired with a root canal can last a lifetime.

Most root canals are performed to relieve the pain of toothaches caused by pulpal inflammation or infection. With modern techniques, materials, and anesthetics, most patients report that they do not feel any pain once the procedure is underway. Root canal procedures have the reputation of being painful. Usually most patients report that the procedure itself is no more painful than having a routine filling placed.

For a few days following treatment, your tooth may feel sensitive, especially if there was pain or 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 questions if an issue arises.

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.

As noted above, the pain from root canals in modern dentistry is from the infection that presents to the dentist and the actual procedure should be pain and worry free. Best defense against developing a toothache 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.

Radiograph of RCT

Xray of completed root canal