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The post Your Child’s First Teeth appeared first on Pender Dental Care.
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Baby teeth typically erupt in the lower front teeth region, with most children obtaining all their baby teeth by three years old. For some children, this timeline varies. Some may not experience their first erupted baby tooth until their first birthday.
Teething is an indicator that your child’s baby teeth are coming in, and is usually accompanied by slight discomfort, excessive drooling, and swollen or tender gums. Some tips to remember when teething begins include:
Once your child’s first tooth comes in, you will need to begin an oral hygiene routine with them. The process slightly changes as they grow, so some helpful tips include:
Fluoride is an essential mineral for preventing tooth decay, as it works to harden the enamel of the teeth. Fluoride is often found in tap water, rarely ever bottled, so it’s a good idea to give your child tap water when they begin eating solid foods. If you feel that your child is not consuming enough fluoride, talk to your pediatric dentist about fluoride supplements.
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]]>The post Veneers appeared first on Pender Dental Care.
]]>Veneers are a popular choice for cosmetic enhancement because they are a straightforward and natural-looking way to create a brighter and more uniform smile. The veneer process is completed over several appointments:
You and your dentist discuss your goals for your smile and whether you’re a good candidate for veneers.
Your teeth and gums are examined. Measurements, photographs, X-rays, and impressions are taken as needed.
A small amount of enamel is removed from the front of the tooth so that the veneer will fit flush with the tooth surface. An impression is taken of the prepared tooth and the teeth around it, and a color is chosen for the porcelain.
The veneers are lab-fabricated to the desired shape and size, using the dental impression and the dentist’s detailed instructions for a precise fit and tint.
When the veneers are ready, they are placed at a final appointment. After checking for shape, color, and fit, and making adjustments if necessary, your dentist will clean the teeth and use dental cement to bond the veneers in place.
Before deciding on veneers, discuss with your dentist whether they’re the right choice for you:
Prepping for a veneer requires the removal of a small amount of tooth enamel, so veneers will need to be replaced if they are damaged or dislodged. Proper care keeps veneers their best and brightest.
Teeth and gums must be healthy before beginning the procedure. More serious orthodontic misalignments and habitual conditions such as tooth grinding and jaw clenching make veneers impractical.
While there are less expensive options for cosmetic restorations, veneers offer benefits that whitening and bonding treatments don’t.
While the cost of veneers is comparable to the cost of crowns, veneers preserve more of the tooth’s underlying structure than crowns do.
If chips, gaps, stains, cracks, misshapen teeth, or other small imperfections in your smile are causing an outsized impact on your confidence, talk to your dentist to discover how veneers could be the right choice to restore and enhance your smile.
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]]>The post Tooth-Colored Fillings appeared first on Pender Dental Care.
]]>While composite resin fillings are the most well-known option, porcelain and glass ionomer fillings are also unobtrusive choices for a dental restoration. The filling you choose will depend, in part, on the filling’s size and location and the kind of filling you need.
After the tooth is free of decay, cleaned and prepped, an impression is taken of the tooth. The filling is created from this impression, and then bonded to the tooth during a second visit. Indirect fillings might also be used to repair small chips, fractures, and worn teeth.
Made of acrylic resin mixed with powdered quartz, glass, or other ceramic particles, composite fillings can be used for both direct and indirect fillings. These are the most popular tooth-colored restorations.
These indirect fillings are made of advanced ceramic materials, fabricated using an impression of the prepared tooth for a precise fit.
Glass ionomer is a flexible paste made with silicate glass powder. Commonly used as a sealant or a cement for orthodontic brackets, glass ionomers can also be used in fillings.
The size of a cavity, its location, cost considerations—these factors will all affect your choice of filling. Talk to your dentist to discover which tooth-colored option is best to protect the health and enhance the appearance of your smile.
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]]>The post Tooth Sensitivity appeared first on Pender Dental Care.
]]>Tooth anatomy helps explain why teeth can become sensitive:
Sensitivity is a symptom that the tooth is compromised. You should see your dentist promptly to discover the source of and treatment for your discomfort.
When a cavity is deep enough to penetrate the enamel and reach the dentin, sharp pain when eating certain foods, drinking hot or cold beverages, breathing through the mouth, or brushing can result. Sensitivity can also be a sign that a loose or broken filling needs replacement. Treating a cavity in its early stages or replacing a damaged filling right away prevents decay from reaching the inner pulp and endangering the tooth.
Once decay has reached the pulp, the tooth is vulnerable to infection. This infection can spread to bone and gum tissue. Because the inner pulp contains nerves, infected and inflamed pulp can be very painful. Root canal treatment is often necessary to save the tooth.
A chip, crack, or fracture can damage tooth structure and expose dentin and pulp to bacteria. You should see your dentist immediately after any dental trauma. Crown, onlays, veneers, or other restorations can repair injured teeth and prevent further damage.
Periodontitis causes the gums to pull away from the teeth, exposing portions of the cementum covering the roots. Cementum is softer than enamel, and more prone to sensitivity and decay. If you have periodontitis, your dentist can recommend treatment options, including antibiotics, deep cleanings, and/or gum surgery.
Acids can erode tooth enamel, exposing the dentin underneath. Acidic foods should be enjoyed in moderation and eaten with meals. Sodas and energy drinks should be limited. Medical conditions such as acid reflux can be very damaging to enamel, especially on the back of the teeth, and should be treated by your physician. Enamel won’t grow back, but if you have suffered significant enamel erosion, your dentist might suggest fillings, crowns, bonding, or veneers.
Aggressive brushing and hard-bristled brushes can be so abrasive that they cause enamel erosion and gum recession. Use a soft bristled or electric toothbrush, and brush thoroughly but gently. Your dentist can recommend better brushing techniques and toothpastes which reduce sensitivity.
Repetitive nightly grinding can put so much pressure on the teeth that the outer layer of enamel is worn away. Tiny cracks and fractures develop. Pulp inflammation can occur. A custom-fitted nightguard is a common treatment used to redistribute grinding pressures.
Too much pressure on a tooth caused by an unbalanced bite can lead to worn or cracked teeth or pulp inflammation. Orthodontic treatment is often recommended to create a healthy, balanced bite.
Tooth sensitivity shouldn’t be ignored. Any unpleasant or painful sensation which persists should be evaluated by your dentist to determine the cause of your sensitivity and to create a treatment plan for a pain-free smile.
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]]>The post Tooth Decay Prevention appeared first on Pender Dental Care.
]]>Tooth decay begins with the Streptococcus mutans bacteria. These bacteria join with food particles and fluids in the mouth to create plaque, a constantly forming biofilm which sticks to the surface of tooth enamel.
The bacteria in plaque convert the sugars in our foods into lactic acid. When plaque remains on the tooth, these acids erode the calcium phosphate minerals which make enamel the hardest substance in the body. This process, called demineralization, creates weak spots in the tooth surface.
Over time, a weak spot will become larger and deeper until a hole, or cavity, forms in the enamel.
Because tooth enamel isn’t living tissue, it can’t regenerate or grow back. Once bacteria and acids have created a deep enough cavity, only a dentist can repair it by removing the decayed area of the tooth and restoring the tooth’s structure.
Without treatment, a cavity will continue to grow until it erodes the enamel and spreads into the interior of the tooth. Treatment for tooth decay will depend on how far the decay has progressed.
Early signs of demineralization can show up as white spots where minerals have been stripped from the enamel. Demineralization is sometimes reversible with a professional fluoride treatment that remineralizes and strengthens tooth enamel.
For small cavities in the enamel, a filling is generally recommended. The dentist will remove any decay, clean the area, and fill the tooth. Filling options include color-matched composite, silver dental amalgam, and gold fillings.
Dentin lies just below tooth enamel. When decay reaches the dentin, it spreads more quickly because dentin is much softer than enamel. More extensive decay might require a larger filling or a crown.
Left untreated, a cavity can grow until it reaches the living pulp inside the dentin. The pulp contains blood vessels and nerves, and, once damaged or infected, will require a root canal procedure and a crown to save the tooth.
When decay is so extensive that a tooth cannot be saved, extraction becomes necessary. A dental implant is often the best choice to replace a lost tooth because it prevents shifting in the remaining teeth and helps maintain jawbone density.
While there are many options for treating cavities, prevention is always best. Working together with your dental team, you can help prevent cavities with healthy dental habits and proactive treatments:
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]]>The post Tooth Contouring appeared first on Pender Dental Care.
]]>During the contouring procedure, a small amount of tooth enamel is removed to refine and reshape an imperfect tooth’s appearance and help it fit in with the surrounding teeth. Precision tooth sculpting can eliminate or markedly reduce small flaws such as:
Contouring is typically used to reshape the upper front and canine teeth because these teeth are the most visible. If you are interested in tooth contouring, talk to your dentist about which teeth might benefit, how your enamel can be reshaped, and the changes this will make in the overall appearance and health of your smile.
Once you’ve decided to enhance your smile with contouring, your dentist will examine your teeth and gums. You might need X-rays and/or dental treatment before contouring to make sure your teeth and gums are healthy enough for the procedure.
The procedure itself generally takes about 30 minutes per tooth. Because only the enamel is involved, anesthesia may not be necessary. Using a laser or a specially equipped drill, your dentist will gently remove a very small amount of enamel to refine the shape of the tooth. After this subtle shaping, the tooth will be polished for a smooth, even finish.
You might feel some vibration during the shaping and polishing process, and temporary tooth sensitivity sometimes occurs afterward.
Besides improving the appearance of your teeth, contouring offers additional benefits:
Tooth contouring is not the answer for every patient. If you have thin enamel, more seriously damaged or irregularly shaped teeth, or require orthodontic treatment, your dentist can provide you with other options to create a beautiful, healthy smile.
But when minor cosmetic flaws make you feel self-conscious about your smile, skilled aesthetic contouring might be exactly what you need. If tiny imperfections in your teeth are having an outsized impact on your confidence, talk to your dentist about tooth contouring.
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]]>The post Teeth Whitening appeared first on Pender Dental Care.
]]>Home treatments can be helpful in reducing surface stains. These methods are less expensive than in-office whitening, but, because they can’t offer the strength of professional whiteners, they aren’t as effective, and they usually require several weeks of daily application.
Whitening toothpastes and rinses use mild abrasives and bleaching agents, most often peroxides, to remove surface stains caused by foods, beverages, and smoking. They can also help keep teeth their brightest after a professional whitening. While toothpastes and rinses can’t do much to affect tooth color or deep staining, surface stains can show some improvement after several weeks.
These flexible plastic strips come in two sizes, to fit both upper and lower teeth, and are coated on one side with a thin film of peroxide-based gel. The gel-side of each strip is positioned on the front of the teeth and gently pressed into place. The strip needs to adhere to each tooth completely to ensure even whitening, and shouldn’t touch sensitive gum tissue to avoid irritation. The strips are usually recommended for use twice a day, for 30 minutes each time. Total treatment time can vary from several days to several weeks.
Gel tray whitening systems provide a mouthguard-like appliance that is filled with whitening gel and placed over the teeth. Trays can come pre-filled with gel or with individual gel applications in syringes. Stock trays aren’t always a perfect fit, and it’s important to make sure the whitening gel doesn’t contact the gums and other soft tissue in the mouth. Use time will vary with different manufacturers.
While all these whitening methods can brighten your smile, there are some circumstances which make a professional whitening your best option. Professional whitening agents are more powerful and can help eliminate darker stains which over the counter (OTC) products can’t remove. For those with deeper or darker staining, or for those who would like to see immediate results, in-office whitening is the best choice.
An office whitening treatment is generally faster, more effective, and lasts longer because dentists use gels with a higher concentration of peroxide than those gels found in OTC products. Your dentist will examine you first to make sure your teeth and gums are healthy, protect your surrounding gum tissue and mouth during the procedure, and monitor treatment throughout. Office whitening usually takes from 30-90 minutes.
Some office whitening treatments make use of halogen, LED, or UV lighting as part of the procedure. Light doesn’t whiten teeth itself. Instead, it works with the gel solution, activating the molecules in the whitening gel and speeding up the chemical reaction which eliminates stains.
Custom trays created in the dentist’s office are an option for those who want to use a whitening gel at home. Professionally crafted trays will fit your teeth perfectly and allow a more precise application of the peroxide gel, which will also be provided. Custom trays can require about two weeks of use for maximum whitening.
Some teeth are not good candidates for typical whitening procedures at home or in-office. If you have deeper discoloration caused by trauma or medications taken during tooth formation, or if you have dental bonding, veneers, crowns, or bridges which are darker than your natural enamel, talk to your dentist to decide which whitening treatment or cosmetic procedure is the best option to achieve your brightest smile.
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]]>The post TMD appeared first on Pender Dental Care.
]]>When the joint doesn’t function as smoothly as it should, the limited movement and discomfort which result could be caused by Temporomandibular Joint Disorder, or TMD.
Temporomandibular Joint Disorder can develop due to arthritis, bruxism (tooth grinding), genetics, an injury or infection near the jaw, a misaligned bite, or a combination of factors. Sometimes the cause is unclear. TMD could be indicated if you suffer from any of these symptoms:
If you suspect you might have TMD, your dentist or doctor will conduct a careful examination of your temporomandibular joints, their range of movement, and your head and neck. When needed, imaging studies can be used for further examination of the joint.
Often, conservative treatment is effective in treating TMD. Your dentist or doctor will tailor treatment to the cause and symptoms of your TMD:
If necessary, surgical procedures can provide more extensive examinations and treatment. These include:
Jaw pain isn’t always due to TMD, and many cases of TMD are temporary. But frequent discomfort, limited movement, or any other persistent symptoms are a good reason to see your dentist or doctor for a thorough examination and diagnosis. Prompt treatment will help prevent further damage to the joint and make facial and jaw movement comfortable once again.
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]]>The post Snoring and Sleep Apnea appeared first on Pender Dental Care.
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Snoring occurs when soft tissues in the throat area relax during sleep, partially blocking airways and vibrating with the passage of air. It’s this vibration which causes that distinctive snoring sound. If you’re one of the millions of people who snore, you know how those nocturnal noises can interfere with your peaceful sleep and the sleep of those around you.
Snoring can also be a symptom of sleep apnea, which is a serious medical condition. The word “apnea” is derived from the Greek word for “breathless.” When you suffer from sleep apnea, you briefly stop breathing during sleep.
Your body responds by waking every time you need to begin breathing properly again, often causing you to choke or gasp for breath. This cycle can repeat dozens of times per hour. While you may think you’ve slept through the night, you have never gotten the deep sleep your body needs to restore itself mentally and physically.
Obstructive sleep apnea is the most common form of sleep apnea and is caused by an obstructed airway. The throat muscles may relax as you sleep, making it impossible to inhale fully with each breath. Obstruction can also be caused by a physical condition such as a deviated septum, excess throat tissue or enlarged tongue or tonsils. The size and position of your jaw can affect your breathing as well.
Central sleep apnea occurs when your brain fails to send the proper signals to the muscles which control breathing. Sleepers with CSA either stop breathing momentarily or take such shallow breaths that they can’t get sufficient air into their lungs.
Complex sleep apnea combines features of both obstructive and central sleep apnea.
While men are more likely to develop this condition, sleep apnea can affect anyone. Factors such as obesity, increasing age, alcohol use, certain medications and drugs, medical conditions, and a family history of sleep apnea can also increase the risk of developing OSA and CSA.
You (or your partner) may suspect sleep apnea if your sleep is interrupted by frequent loud snoring, choking, or snorting sounds, or if you appear to stop breathing or wake up short of breath throughout the night.
Sleep apnea affects your waking life as well. You might feel frequent daytime drowsiness or fatigue. You could have difficulty falling asleep at night or fall asleep involuntarily during the day. You might experience morning headaches or a sore throat or dry mouth when you wake up. Your quality of life can suffer, as insufficient sleep can lead to:
If you have any of the symptoms of sleep apnea, you should seek prompt treatment. Sleep apnea can seriously impact health, and has been linked to an increased risk of:
Treatments ranging from behavior modification to surgery are tailored to the cause and the severity of your sleep apnea:
If you suspect your snoring is something more than a nightly nuisance, ask your dentist or doctor for a referral to a sleep apnea specialist. Proper diagnosis and treatment can help you enjoy the restorative sleep you need for healthier days and healthier nights.
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]]>The post Smile Makeover appeared first on Pender Dental Care.
]]>Some of the reasons people are unhappy with their smiles include stained teeth, gaps, irregular gum lines, damaged or missing teeth, and misalignments. Your dentist can help you achieve a healthy, aesthetically pleasing smile with a range of treatment options, including:
Surface staining can be caused by external factors such as diet, tobacco use, or inadequate oral hygiene. Brighten your smile with a whitening treatment in your dentist’s office. Professional whitening is generally faster, more effective, and longer-lasting than at-home products. If deep stains make whitening treatments impractical, you might consider bonding or veneers.
Small chips, minor size and shape irregularities, slight overlaps—teeth which need minimal cosmetic restoration can benefit from tooth contouring. Your dentist will remove a small amount of enamel to reshape tooth and then polish it for a smooth, even appearance. Contouring is cost-effective and generally requires no anesthetic, but cannot be used to treat more seriously damaged or misaligned teeth.
In this procedure, composite resin is shaped and bonded to the tooth’s surface to repair minor chips and cracks, cover discolored enamel, close small gaps between teeth, reshape undersized, crooked, or misshapen teeth, and rebuild areas where enamel erosion has taken place. Bonding is convenient, cost-effective, and minimally invasive.
A dental veneer is a thin, translucent, durable porcelain shell which is custom-made to cover the front of a damaged tooth. Like bonding, veneers can restore the appearance of teeth with chips, cracks, and stains, can close small gaps between the teeth, and can reshape misshapen or slightly misaligned teeth.
Crowns cover the entire tooth above the gumline. Porcelain and ceramic crowns look like natural teeth and can be used to restore the appearance of teeth with more serious fractures, cracks, and shape irregularities.
Implants are natural-looking and functional replacements for lost teeth. A screw-like post is implanted in the jawbone, where it fuses with the bone over several months to act as the tooth’s “root.” Once the post is secure in the jaw, a replacement tooth, usually in the form of a crown, is fixed in place. Implants do more than make your smile complete again; they help prevent the jawbone underneath the lost tooth from shrinking and stop nearby teeth from shifting out of place.
Also known as a gum lift, this procedure is frequently used to treat a “gummy smile.” When excess gum tissue covers the tooth surface, teeth appear shorter and smaller. During a gum lift, small areas of excess gum tissue are removed to reveal more of the tooth’s structure, making teeth look longer and more proportional.
Gum contouring is another common periodontal procedure. An uneven gum line can make one or more teeth appear misshapen or shorter than the rest, causing a “crooked smile.” Gum contouring aesthetically reshapes the gum tissue for a natural-looking, even gum line.
When gum recession exposes the roots of the teeth, teeth appear longer and the roots are more vulnerable to decay. Gum grafting replaces missing gum tissue with your own or donor tissue to create an attractive, healthy gum line that protects your roots while enhancing your smile.
Clear aligners are a discreet way to treat tooth and bite misalignment. Today’s aligners can treat a variety of orthodontic conditions, and are inconspicuous, efficient, and convenient. Your dentist can let you know if aligners will work for you.
Don’t let cosmetic imperfections make you hesitant to share your smile with the world. Talk to your dentist to discover how cosmetic dentistry can enable you to realize your goal of a beautiful, healthy, and confident smile.
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