Name: Reading Dental Associates
Address: 161 Ash St Ste B, Reading, MA, 01867
Telephone: 781-944-6761

Cavity Fillings

Thanks to technological advances, general dentists and patients today have several choices when it comes to selecting materials to fill cavities. Among the choices are natural tooth-colored materials such as resin-based composite fillings and more traditional dental fillings such as those made of metal amalgam. The advent of new materials for fillings has been beneficial, especially in terms of aesthetics, but does not eliminate the appropriateness of traditional dental materials that are stronger, more durable and less expensive. Our family dentist believe that these materials are best in situations where restored teeth must withstand extreme forces that result from chewing, such as in the back of the mouth. When it comes to removing minor decay and restoring the appearance of teeth, dental fillings are the basic procedure for achieving a beautiful and cost-effective result. While most dental specialists formerly relied on silver (amalgam) teeth fillings for cavities, that is no longer the case. Although silver fillings have proven to be an effective solution for treating tooth decay, they have become less popular over the years and have been replaced by aesthetically pleasing white composite fillings. As a family dentist practice, we provide a variety of cavity filling options for patients seeking dental care. There is a wide variety of materials used for filling cavities and they vary in strength, color, and cost. According to our family dentist, there are two most common types are amalgam and composite. 1) Amalgam Fillings: Amalgam has been used by dental professionals for more than a century; Amalgam fillings are strong and are therefore ideal for filling cavities in the back of the mouth such as in the molars, where chewing takes place. Since they are made of a combination of several metallic elements, amalgam fillings can be noticeable when you laugh or smile. These fillings are among the least expensive of all cavity-filling materials. 2) Composite Fillings: Sometimes referred to as composites or filled resins, these fillings feature a combination of glass or quartz filler and can be made to match the color of your tooth. Composite fillings are also fairly durable and are ideal for small-to-mid-size restorations in areas of your mouth that perform moderate chewing. Everyone gets cavities. Today's modern restorative dentistry techniques allow you to get your teeth repaired without unsightly or toxic metal amalgam fillings. Tooth-colored fillings use strong, durable tooth-colored composite resins which look like your natural teeth and provide you with an attractive smile.

Mercury-Free Dentistry

A material known as amalgam is commonly used by dentists to fill cavities and decayed teeth. Unfortunately, amalgam is partially composed of mercury – a toxic material that research has proven to be harmful to the body, even at minimal levels of exposure. Additionally, mercury is responsible for the abnormal, metallic coloring of traditional dental fillings, and also requires an extensive filtration process before it can be disposed of properly. We are proud to say that our Reading Dental Associates and our experienced staff practices mercury-free dentistry. Every treatment and procedure we offer utilizes mercury-free materials designed with patient safety in mind. Our tooth-colored fillings are composed of strong composite materials that provide added support and protection for your teeth, as well as a more natural-looking color that is barely detectable on the treated tooth. Ultimately, our mercury-free techniques offer you the highest degree of safety without sacrificing results.

Dental Composites

Dental composites are also called white fillings. Crowns and in-lays can also be made in the laboratory from dental composites. These materials are similar to those used in direct fillings and are tooth colored. Their strength and durability is not as high as porcelain or metal restorations and they are more prone to wear and discoloration. Many people still have silver/mercury fillings in their mouths from years past. These fillings are not particularly pleasing to the eye, and we know that by unavoidable design, silver/mercury fillings ultimately result in a weaker tooth structure. Porcelain inlays and tooth-colored restorations (onlays) create fillings that are not only beautiful (or unnoticeable), but also add strength to weakened teeth. These restorations are aesthetically pleasing and very strong thanks to new bonding technologies.

What are tooth-colored fillings?

Tooth-colored fillings are made of a resin composite that's designed to be extremely strong and durable. Unlike metal amalgam fillings, tooth-colored fillings can be tinted to match the surrounding tooth material so they blend in and look natural.

Are tooth-colored fillings better than traditional metal fillings?

Tooth-colored fillings offer several advantages over traditional metal amalgam fillings, including an improved cosmetic appearance compared to metal fillings, which are much more obvious and tend to become darker over time. They also can be shaped so they feel comfortable and help to support a healthy, balanced bite. Plus, the material itself adheres well to the tooth surface, using a special solution to prepare the surface so it bonds with the tooth instead of simply laying on top and enabling decay-causing bacteria to "leak in" around the edges. And of course, tooth-colored fillings contain no mercury; metal fillings contain large amounts of mercury, which can pose health dangers.

Disadvantages Of Silver Fillings

Silver fillings have many drawbacks. The edges of the silver filling can wear down, become weak or break. This results in the tooth not being protected and creates an environment where cavities get started once again. With age, the metal of a silver filling expands, contracts, and can split. Silver fillings contain 50 percent mercury. They can corrode, leak, and cause stains on your teeth and gums. Fortunately, silver fillings can safely be replaced with tooth-colored restorations.

Advantages of Tooth-Colored Restorations

Appearance: Tooth-colored filling material comes in a great number of shades and is matched to your individual tooth color. The materials used for front teeth have a high shine, whereas the materials for back teeth are designed for strength. Tooth-colored restorations look natural and can be virtually undetectable. Durability: Tooth-colored fillings are now harder and thus comparable to silver amalgam fillings. A small tooth-colored filling could last a lifetime, and larger such fillings can be expected to last many years. The factors that determine the life span of a particular tooth-colored filling include: the biting force on the filling, the size of the filling relative to the tooth (smaller fillings will usually be more durable than larger fillings), and how teeth are cleaned and maintained. Noticeability: A new filling should feel natural, like your own teeth. After the anesthesia has worn off and you can feel your teeth and bite again, you should not notice anything particularly different. It should be smooth and comfortable. There is a period that you might feel some sensitivity to temperature after the restoration. This is temporary as with any other restoration.

What happens in the tooth filling procedure?

Before the filling is put in place, your tooth will be evaluated to determine the extent of decay or damage. Sometimes, damage can be examined visually and with special instruments or picks, but other times, x-rays will be needed to assess the tooth structure. Next, the decayed or damaged area will need to be completely removed and the cavity will be cleaned of debris. Once the cavity is completely cleaned, the surface will be prepared using a special solution to improve adherence of the filling material. The composite material is mixed and tinted to match your surrounding teeth, and then flowed onto the surface of the tooth. A special light is used to cure the material, which is then gently shaped and buffed for a comfortable fit and natural appearance.

The Process of Filling a Tooth

There are many reasons why a tooth may need to be filled or restored: decay and chipping are two common ones. No matter which material is chosen, the procedure is almost the same. After the area has been anesthetized (usually by a numbing injection), the tooth is "prepared" by removing decay and making it ready for the restoration. Next, the filling material is placed directly into the tooth. Once it has securely bonded to the tooth structure, the process is essentially complete. Now, here's the difference: In order to achieve a good structural bond with a traditional amalgam filling, it is often necessary to shape the tooth by making a series of "undercuts" that help hold the material in place. This means that some healthy tooth material must be removed, leaving less of the tooth's structure intact. In time, the structurally-weakened tooth can be prone to cracking. But composite resin fillings don't require undercutting to make a strong union — instead, they form an intimate physical and mechanical bond directly to the prepared tooth. This more conservative treatment may ultimately lead to a better and longer-lasting restoration.

When Can Tooth-Colored Fillings Be Used?

Composite resins are generally appropriate for small to moderate-sized restorations — which encompass the most common types of fillings. They are durable, fracture-resistant, and able to withstand chewing pressure. Depending on how much of the tooth needs restoration, the procedure may be accomplished in just one visit. Alternatively, if a large volume of tooth material must be replaced, a part may be fabricated outside the mouth and later bonded to the tooth. Whatever the situation, the best way to determine whether tooth-colored fillings are right for you is to come in and consult with us. We can explain the appropriate options and help you select the best way to proceed with treatment. Either way, you'll be able to achieve — and keep — a healthy-looking smile.

How long do Porcelain Fillings last?

Porcelain fillings are the longest lasting dental filling option available in current restorative dentistry. With proper care and dental hygiene, a porcelain filling can last for over 30 years.

After Extraction of Wisdom Teeth

In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia), or general anesthesia. These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured. To help control bleeding bite down on the gauze placed in your mouth. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge your postoperative kit will include postoperative instructions, a prescription for pain medication, antibiotics, and a follow-up appointment in one week for suture removal. If you have any questions, please do not hesitate to call our office at Reading Dental Associates Office Phone Number 781-944-6761.

What Will I Feel Like after Wisdom Teeth Removal Surgery?

On the first day after surgery, you may experience some minor bleeding and pain. You should cover your pillowcase with something so that you don't get any blood on it. Each individual's reaction to surgery varies, and the sensation of pain can range from mild discomfort to severe pain. A variable amount of swelling can be expected following the surgery. This swelling usually peaks on the second day and should begin resolving on the third day. You can limit the amount of swelling you will have by using ice for the entire first day. The more ice you use the first day, the less swelling you are likely to have on the second day. Please remember to put ice on the first day even if it is somewhat uncomfortable to have the cold next to your skin. On the third day, you will notice that your jaw muscles are stiff, and it is difficult to open your mouth normally. You can apply moist heat to your face on the second and third day allowing your muscles to relax more and open wider. Most of the time you will want to limit your activities for a few days. We ask that you follow your post-operative instructions closely. Doing so will make you as comfortable as possible during the first few days following your procedure. Please allow time for your body to begin healing before resuming an active social, academic, or athletic schedule. Most patients feel like they are over the hump and on their way to recovery in 3 to 5 days.

Are There Any Problems after the Extraction of Wisdom Teeth?

As with any medical procedure, there can be complications or an unanticipated result. Some complications that patients undergoing Wisdom Tooth Extraction may experience include: Damage to the sensory nerve that supplies sensation to the lips and tongue, sinus communication, infections and dry sockets. After the procedure, our assistants will review your post-operative instructions with your escort. We ask that you follow these instructions closely, as they will make you most comfortable following your procedure. If you were sedated, you will be comfortable and drowsy when you leave the office. Most patients prefer to go home and rest with no other physical or scholastic activities planned for a few days. With any medical procedure, there can be unexpected results. These can include delayed healing, infection and post-operative numbness or tingling in your lip, chin, or tongue. The oral surgeon will review relevant post-operative events with you and answer any questions during your office visit.

Damage to Sensory Nerve:

A primary concern is a nerve within the lower jaw bone that supplies feeling to the lower lip, chin, and tongue. This nerve is frequently very close to the roots of the lower wisdom teeth. Having these teeth out between the ages of 12 and 18 usually provides shorter roots so that the nerve is not so close to the roots of these teeth. Occasionally, when the teeth are removed, and especially in older patients, the nerve can become injured. When local anesthesia wears off, you may experience a tingling or numbing sensation in the lower lip, chin, or tongue. Should this occur, it is usually temporary and will resolve gradually over a period of weeks or months. On rare occasions it can result in a permanent alteration of sensation similar to having local anesthesia. We feel that you should be aware of this possibility before consenting to surgery.

Sinus Communication:

The upper wisdom teeth are situated close to your sinuses, and their removal can result in an opening between your mouth and the sinus. Once again, if the teeth are removed at an early age, the root formation is minimal, and this complication is very unlikely. However, if it does occur, it will usually close spontaneously, but we may give you special instructions to follow, such as avoid blowing your nose for two or three days following the surgery. You can wipe your nose, but don't blow your nose. If you have to sneeze, you should sneeze with an open mouth into a tissue. Pressure should not be created in the sinus area, which may dislodge the healing blood clot. If you sense this condition occurring after the surgery, please contact the office. An additional procedure may RARELY be necessary to close the opening.

Dry Sockets:

Dry sockets continue to be the most common problem people experience following dental surgery. They arise due to premature loss of a blood clot in the empty tooth socket. This seems to occur with greater frequency in people who smoke or are taking birth control pills. While both jaws can be affected, they usually occur in the lower jaw on the third to fifth day. They cause a deep, dull, continuous aching on the affected side(s). Patients may first notice the pain starting in the ear radiating down towards the chin. The symptoms frequently begin in the middle of the night, and your pain medication regimen may not help. Treatment can involve changing your prescription. Occasionally it is helpful to place a medicated dressing in the empty tooth socket. This will help decrease the pain and protect the socket from food particles. The effectiveness in alleviating the pain lasts for 24-48 hours and may require dressing changes every day or two, for five to seven days. Dressings usually are removed when you have been pain free for 2 to 3 days. The dressing doesn't aid in healing. The only reason to place a dressing is for pain control. If medication is controlling the pain, the socket will heal without a dressing. Following removal of the dressing, an irrigation device may be provided to help you to keep food particles from lodging in the extraction site.

Infection:

Occasionally, post-operative infections occur. This usually requires an office visit and clinical examination. Many times, just placing you on an antibiotic for one week will take care of the infection. If it persists, the area will have to be drained and cleaned. Other temporary problems you may experience in the post-operative period include stiffness of the jaws, chafing around the corners of your lips, facial bruising, and blood oozing from the extraction sites. The post-operative instruction sheet we will provide should answer many of the questions related to these more common concerns. If not, don't hesitate to call the office at Reading Dental Associates Office Phone Number 781-944-6761.

Jaw Bone Health

The Importance of Teeth for Jaw Bone Health

When one or more teeth are missing it can lead to bone loss at the site of the gap. This loss of jaw bone can develop into additional problems, both with your appearance and your overall health. You may experience pain, problems with your remaining teeth, altered facial appearance, and eventually even the inability to speak and/or eat normally. In the same way that muscles are maintained through exercise, bone tissue is maintained by use. Natural teeth are embedded in the jaw bone and stimulate the jaw bone through activities such as chewing and biting. When teeth are missing, the alveolar bone, or the portion of the jaw bone that anchors the teeth into the mouth, no longer receives the necessary stimulation it needs and begins to break down, or resorb. The body no longer uses or "needs" the jaw bone, so it deteriorates.

Potential Consequences of Tooth and Jaw Bone Loss

Problems with remaining teeth, including misalignment, drifting, loosening, and loss

Collapsed facial profile

Limited lip support

Skin wrinkling around the mouth

Distortion of other facial features

Jaw (TMJ or temporomandibular joint) pain, facial pain, and headaches

Difficulty speaking and communicating

Inadequate nutrition as a result of the inability to chew properly and painlessly

Sinus expansion

Dental Crowns

Crowns improve the appearance and health of a significantly decayed or damaged tooth. According to our family dentist, a dental crown looks and feels like a natural tooth, and provide comfort and stability. If you have a tooth that is chipped, stained, or damaged, a dental crown is likely in order. Gold, ceramic, and porcelain crowns save the natural tooth structure while also making it more durable and pleasing to the eye. Our crowns are custom-made to fix your broken or decayed teeth and custom shaded to blend in with your surrounding teeth for a natural looking, beautiful result. Dental crowns are custom made by our general dentist to comfortably and effectively fit your smile. Crowns can be made from a number of materials, including porcelain; porcelain crowns are often chosen for their natural-looking appearance. A dental crown is a restoration that can be used for a number of restorative and cosmetic purposes. The crown covers the entire tooth, starting at the gum line. This restores the tooth to optimal structure, strength, and shape. A crown may be recommended to: 1) Improve the function and appearance of a misshapen tooth, 2) Attach a dental bridge, 3) Strengthen a weakened or cracked tooth, 4) Protect a tooth after root canal therapy (endodontics), 5) Enhance the aesthetics of a seriously darkened or stained tooth, 6) Support a large dental filling if little natural tooth structure is left, and 7) Repair a severely decayed or otherwise damaged tooth. As a general dentist, we provide a full range of option for dental crowns.

What Steps Are Involved in Preparing a Tooth for a Crown?

Preparing a tooth for a crown usually requires two visits to the dentist -- the first step involves examining and preparing the tooth, the second visit involves placement of the permanent crown.

How Long Do Dental Crowns Last?

On average, dental crowns last between five and 15 years. The life span of a crown depends on the amount of "wear and tear" the crown is exposed to, how well you follow good oral hygiene practices, and your personal mouth-related habits (you should avoid such habits as grinding or clenching your teeth). Our dentist can help give you the dental crowns you need. Call our Reading office at (781) 944-6761 and make an appointment to see our dental implant specialist. Our office serves Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Why Is a Dental Crown Needed?

To protect a decayed, weak or cracked tooth

To restore an already broken or severely worn down tooth

To cover and support a tooth with a large filling when there isn't a lot of tooth left

To hold a dental bridge in place

To cover severely discolored teeth

To cover a dental implant

To make a cosmetic modification

What Types of Crowns are Available?

Porcelain & Zirconia crowns

These are metal-free crowns that are digitally constructed either in an office or in a dental lab. They are the most cosmetically pleasing as they provide better natural color match than any other crown type, Hence, they are a extensively recommended for front teeth.

Porcelain-fused-to-metal crowns

These crowns can be color matched to your adjacent teeth (unlike the metallic crowns). Next to all-porcelain crowns, porcelain-fused-to-metal crowns look most like normal teeth. However, sometimes the metal underlying the crown's porcelain can show through as a dark line, especially at the gum line and even more so if your gums recede. These crowns can be a good choice for front or back teeth.

Metal crowns

Metals used in crowns include gold alloy, other alloys (for example, palladium), or a base-metal alloy. Metal crowns withstand biting and chewing forces well, however the metallic color is a drawback. Metal crowns are a good choice for out-of-sight molars.

Dental Bridges

Adult teeth may be lost for a variety of reasons, such as advanced periodontal disease, trauma, or decay. According to our family dentist, if missing teeth are not replaced, your other teeth can drift out of position. These areas are more likely to develop gum disease and induce the decay of surrounding teeth. A bridge is a restorative structure that is used to replace missing teeth. Bridges consist of one or more false teeth that are held in place by crowns that are attached to the surrounding teeth. Bridges can be made with a gold alloy substructure or can be made metal free (all ceramic). Bridges fall under two main categories, "fixed" and "removable." Fixed bridges are cemented in place and cannot be taken out. Removable bridges are not permanently attached and can be removed at night or for cleaning purposes. Bridges can dramatically improve the appearance of your smile by replacing missing teeth. The materials used to create the bridge are made to match the color of your natural teeth, while providing strong structural support. The teeth next to the empty space will be reduced in order to receive the crown portion of the bridge. Then, an impression will be taken of the whole area (the missing area and the two teeth next to it). This impression is then sent to a lab, and a bridge is custom-designed to fit the area. Just as with the placement of a crown, a temporary bridge will be put in place to protect your teeth and gum while the restoration is being constructed. We may provide you with a "flipper" in place of a temporary bridge. A flipper is a temporary false tooth that latches onto a metal wire on the adjacent teeth. If you have missing teeth, a high quality dental bridge in the Reading may be your solution. Call you family dentist today for your personal dental bridge consultation. Dental bridges literally bridge the gap created by one or more missing teeth. A bridge is made up of two or more crowns for the teeth on either side of the gap -- these two or more anchoring teeth are called abutment teeth -- and a false tooth/teeth in between.

What Is the Process for Getting a Dental Bridge?

The bridge process involves two visits. During the first visit, the teeth are prepared, impressions of the teeth are made, and a temporary bridge is placed on the prepared teeth. During the second visit, the temporary bridge is removed and the new permanent bridge is checked and adjusted to achieve a proper fit and then cemented in the mouth.

How Long Do Dental Bridges Last?

Dental bridges can last five to 15 years and even longer. With good oral hygiene and regular checkups, it is not unusual for the life span of a fixed bridge to be over 10 years. Please contact our office for more information or to schedule a consultation with our general dentist. We serve other nearby communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

What Are the Benefits of Dental Bridges?

Restore your smile

Restore the ability to properly chew and speak

Maintain the shape of your face

Distribute the forces in your bite properly by replacing missing teeth

Prevent remaining teeth from drifting out of position

Complete And Partial Dentures

A denture is a removable dental appliance used as a replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and may even enhance your smile. There are two types of dentures – complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A Partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting. A Complete denture may be either "conventional" or "immediate." A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 4 to 6 weeks. During this time the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made. Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.

When to Get Dentures

All teeth have been lost in the upper or lower jaw – Complete Denture. Several teeth in the upper or lower jaw have been lost – Partial Denture. Dentures can help to improve your smile and facial appearance, improve your chewing, speech, and digestion.

The Process of Getting Dentures

The process of getting dentures requires several appointments, usually over several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several "try-in" appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, we will precisely adjust and place the completed denture, ensuring a natural and comfortable fit. It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures. You will be given care instructions for your new dentures. Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.

Denture Complications

While every effort is made to make a good and functional denture, please keep in mind that there is no such thing as a perfect denture. After delivery of the denture, it may require a few adjustment visits and some time for you and your new denture to adapt to each other. The most important point to remember is that adjusting to your new dentures is a process; it sometimes takes a little time to get used to. A new denture can also alter your eating and speaking habits and it may require a bit of practicing before you get comfortable. Finally, due to differences in the shapes of the jaws and the strong muscle movement of the tongue and cheek, a lower denture may be harder to keep in the mouth compared to an upper denture.

Complete Dentures

Complete dentures can be either "conventional" or "immediate." Conventional complete dentures are made after all the teeth have been removed and the gum tissue has healed. A conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed. Immediate complete dentures are fabricated prior to teeth removal and inserted in the mouth on the same day that the teeth are removed. As a result, the wearer does not have to be without teeth during the healing period.

Partial Denture

Partial dentures are replacement teeth for people who have lost one or more of their teeth. Partial dentures can be taken in and out of the mouth and consist of a denture base, which closely resembles the color of your gums and denture teeth, which are attached to a supporting framework. The partial denture then attaches to the existing teeth via a clasp or some other retentive device. Partial dentures are made using a model of your mouth. Making a partial denture requires about 6-8 weeks, however this can vary from one patient to another. It also could depend on the type of denture and the technique your dentist or the laboratory technician uses.

Partial Denture Treatment

The first step in making a partial denture is the preparation of the teeth. During this phase your dentist may prepare the teeth that the partial denture will use for support. Next, your dentist will take an accurate impression of the upper and lower arches of your mouth and records your bite. The impressions are then sent to the dental laboratory. At the subsequent visits your dentist will evaluate your bite, test your speech and check the appearance and function of the partial denture teeth and gums. After the final satisfactory fit and appearance are achieved, the denture is then sent back to the laboratory for final fabrication.

Partial Denture Complication

While every effort is made to make a good and functional partial denture, it may require a few adjustment visits and a little time for you and your partial denture to adapt to each other. The most important point to remember is that adjusting to your partial denture is a process; in some cases, it takes weeks to get used to a partial denture. A new partial denture can also alter your eating and speaking habits and it may require a bit of practicing before you get comfortable.

Immediate Denture

Immediate dentures are made using your mouth as a model. First, the dentist will take an accurate impression of the upper and lower arches of your mouth and establish a bite that best resembles your original bite. The dentist will also help you select the shape and color of the denture teeth and gums. This impression is then sent to the dental laboratory. During the next visit the dentist will adjust your bite, test your speech and check the appearance and functionality of the denture teeth and gums. Sometimes it is necessary to repeat this step to ensure that everything is just right. After a satisfactory fit and appearance are achieved, the denture is then sent back to the laboratory for fabrication. At the subsequent visit, the remaining teeth will be removed and the denture will be delivered. Please note that the extractions may be performed at one visit or they may be removed in two or more visits depending on the number and condition of the teeth to be extracted, the shape of your jaws and your health condition. The dentist will best advise you of the preferred timing for your extractions.

Immediate Denture Complications

While every effort is made to make a good and functional denture, please keep in mind that there is no such a thing as a perfect denture. After delivery of the immediate denture, it may require a few adjustment visits and some time for you and your immediate denture to adapt to each other. This is due to the fact that when your gums heal following the extractions they will shrink for a period of about 6 months and the denture needs to be re-based or re-lined to fit properly. The most important point to remember is that adjusting to your immediate dentures is a process; in some cases, it takes weeks or months to get used to your immediate denture. An immediate denture can also alter your eating; you will not have the same chewing efficiency as you had with your natural teeth. An immediate denture will also alter your speaking and it may require a bit of practicing before you get comfortable. Keep in mind that due to differences in the shapes of the jaws and the strong muscle movements of the tongue and cheek, a lower denture may be harder to keep in the mouth compared to an upper denture. Fortunately there are new alternatives now, such as implants, which can help restore functionality that is more like natural teeth. You can discuss this possibility with the dentist.

Different Types of Partial Dentures

There are newly developed techniques in making partial dentures. One such advance is an implant-supporting partial denture that helps give additional support to the partial denture. While it offers additional support it also requires the placement of implants in your mouth before making the denture. There is also a partial denture that uses a special material called valplast which is more aesthetically pleasing to the eye. This kind of partial does not use metal as its base and has hooks that are made with a flexible plastic material.

Stayplate (Temporary Denture)

If you are scheduled to have a tooth pulled before getting your partial denture, then your dentist may advise you to get a temporary partial denture or a stayplate while your gums and their supporting bone are healing. A stayplate will replace the missing tooth or teeth and can help you with your chewing and speaking until a more permanent solution is achieved. A stayplate will also help maintain your appearance when in public and keep your existing teeth from shifting in your mouth and creating bigger problems.

The Stayplate Treatment

Stayplates are made using your mouth as a model. First, your dentist will take an accurate impression of the upper and lower arches of your mouth and establish a bite that best resembles your original bite. Your dentist will also help you select the shape and color of the stayplate teeth and gums. This impression is then sent to the dental laboratory. At the subsequent visit, the teeth will be removed and the stayplate will be delivered.

Are There Alternatives to Dentures?

Yes, dental implants are becoming the alternative to dentures but not everyone is a candidate for implants. Please call our office to find out if you are a candidate for dentures or implants.

Will Eating with New Dentures Be Difficult?

Eating with new dentures will take a little practice and may be uncomfortable for some wearers for a few weeks. To get used to the new denture, start with soft foods cut into small pieces. Chew slowly using both sides of your mouth. As you get used to new dentures, add other foods until you return to a normal diet.

Do you need dentures?

Our dentist Reading ma would be happy to create a treatment plan based on your specific needs. If you think you might benefit from dentures, contact us to schedule an appointment today. We also serve other nearby communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Dental hygiene and cleaning

The secret to beautiful, healthy teeth lies in consistent dental hygiene, regular brushing, and a routine dental exam. If you cannot remember the last time you had an annual checkup, you are likely way past due. Preventive dental services are important, which is why our family dentist encourages its' patients to undergo routine dental maintenance treatments including exams, digital x-rays, and deep cleanings by one of our top trained hygienist. Post a deep cleaning, our general dentist will evaluate any dental treatment that maybe needed. If you want to keep those pearly whites looking their best, professional teeth cleanings are essential in maintaining healthy, plaque-free teeth. Many people believe that having an annual checkup is enough to preserve a beautiful smile. In reality, professional teeth cleanings are required to remove hidden tartar, plaque and bacteria that is not visible to the naked eye. Our general dentist can help you keep and maintain a health smile. Whether you are 8 or 80, your oral health is important. Did you know that 100 million Americans fail to see a dentist each year, even though regular dental examinations and good oral hygiene can prevent most dental disease. The secret to beautiful, healthy teeth lies in consistent dental hygiene, regular brushing, and a routine dental exam. If you cannot remember the last time you had an annual checkup, you are likely way past due! Do not wait until you have problems to come in for a checkup! Schedule your dental checkup today. Call us at 781-944-6761 and make an appointment to see our general dentist. Our general dentist serves Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Why do regular dental visits matter?

Regular dental visits are important because they can help spot dental health problems early on when treatment is likely to be simpler and more affordable. They also help prevent many problems from developing in the first place. Visiting your dentist regularly is also important because some diseases or medical conditions have symptoms that can appear in the mouth.

What can I expect during a dental checkup?

The dentist or hygienist will ask about your recent medical history, examine your mouth and decide whether or not you need x-rays. Depending on your treatment plan, the hygienist may use a special dental instruments to check your gums for gum disease. Your dentist will evaluate your overall dental health and conduct an oral cancer screening.

How often do I have to go to the dentist?

There is no one-size-fits-all dental treatment. Some people need to visit the dentist once or twice a year; others may need more visits. You are a unique individual, with a unique smile and unique needs when it comes to keeping your smile healthy.

I'm not having any symptoms. Do I still need to see a dentist?

Yes. Even if you don't have any symptoms, you can still have dental health problems that only a dentist can diagnose. Regular dental visits will also help prevent problems from developing. Continuity of care is an important part of any health plan and dental health is no exception. Keeping your mouth healthy is an essential piece of your overall health. It's also important to keep your dentist informed of any changes in your overall health since many medical conditions can affect your dental health too.

Dental Sealants

Dental sealants are dental treatments used to prevent cavities and seal crevices in the teeth. Getting sealants for teeth can go a long way in fighting dental problems that may occur later in a child's development. The American Dental Association (ADA) maintains that dental sealants for kids and dental sealants for adults are both safe and effective. Dental sealants are protective, composite seals placed over the crevices of a child's or adult's tooth where decay most often starts. They have proven successful in preventing cavities before they start! Because children are always on the go and a little less than conscientious about brushing, and particularly for those who are prone to cavities, we suggest that you consider sealants for them. Even adults can benefit from a tooth sealant. Dental sealants are invisible plastic resin coatings that smooth out the chewing surfaces of the back teeth, making them resistant to decay. A sealed tooth is far less likely to develop a cavity, require more expensive dental treatment later on, or, most importantly, cause your child pain. At Reading Dental Associates, we review the patient's oral health and their eating habits to decide whether sealants are appropriate for you or your children. You can contact our local dentist for a dental consultation. Our dental office also serves communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

How Sealants Are Placed

You can think of a sealant as a mini plastic filling, though please reassure your child that it doesn't "count" as having a cavity filled. Because tooth enamel does not contain any nerves, placing a sealant is painless and does not routinely require numbing shots. First, the tooth or teeth to be sealed are examined, and if any minimal decay is found, it will be gently removed. The tooth will then be cleaned and dried. Then a solution that will slightly roughen or "etch" the surface is applied, to make the sealing material adhere better. The tooth is then rinsed and dried again. The sealant is then painted on the tooth in liquid form and hardens in about a minute, sometimes with the help of a special curing light. That's all there is to it! A note about BPA: A 2012 study that received wide press coverage raised concerns that trace amounts of the chemical bisphenol-A (BPA) found in some (but not all) dental resins might contribute to behavioral problems in children. The study authors noted that while they had found an association, they had not actually proven that BPA in dental sealants causes these problems. In fact, BPA is far more prevalent in food and beverage packaging than in dental restorative materials. The American Academy of Pediatric Dental and the American Dental Association have since reaffirmed their support for the use of sealants.

Taking Care of Sealants

Sealed teeth require the same conscientious dental hygiene as unsealed teeth. Your child should continue to brush and floss his or her teeth daily and have regular professional cleanings. Checking for wear and tear on the sealants is important, though they should last for up to 10 years. During this time, your child will benefit from a preventive treatment proven to reduce decay by more than 70 percent.

Who Should Get Dental Sealants?

Children and teenagers should have dental sealants placed as soon as their molars and premolars come in. This will help protect the teeth during the cavity-prone ages of 6 to 14. Adults can also have dental sealants placed if they do not have decay or dental fillings in their back teeth.

How Long Do They Last?

Dental sealants can last for up to 10 years, but they need to be checked by our dentist at your regular dental appointments. The sealants will be examined for wear and chipping and can be replaced if necessary.

Oral Cancer Screening

While not widely discussed, more than 40,000 people are affected each year by oral cancer, and one person every hour will lose their lives to it. Like any cancer, early detection is key to treatment and survival. An oral cancer screening is a simple and painless procedure that can be performed by our dentists and may mean the difference between life or death. This is another good reason not to avoid your regular dental screenings, and if you have never had an oral screening for cancer, there is no better time than the present. Like any cancer, awareness is crucial and timing is everything. Below we have provided a guide to oral cancer screenings and the processes involved. It is one of the few types of cancer that has not seen a significant reduction in incidence over the past thirty years, and recent research has shown a strong association with Human Papilloma Virus (HPV), which can be sexually transmitted. For this reason, many oral health care professionals now believe that all individuals over the age of 18 should have at least an annual comprehensive oral examination, and ideally at every dental hygiene visit. Oral cancer is typically discovered in late stages, when the five-year survival rate is only 22%. If detected in early stages, however, the five-year survival rate is 80% or higher. According to our family dentist, an annual comprehensive oral cancer screening for all of our patients should be done. By detecting potential problems earlier, we will be providing our patients with the best health care currently available. Although oral cancer may not get as much attention as some more widely-known types of cancer, that doesn't mean it's any less deadly. In fact, it is estimated that in the United States, oral cancer is responsible for killing one person every hour, every day. While it accounts for a relatively small percentage of all cancers, oral cancer is dangerous because it isn't usually detected until it has reached an advanced stage. Oral cancer screening is a simple test that could give you an early warning about whether you're likely to have this disease, would you take it? The good news is — there is! Since early detection has been shown to increase the survival rate of oral cancer to 80% or better, this test can truly save lives. And best of all, having an oral cancer screening is part of something you should be doing anyway: getting regular dental checkups. An oral cancer examination is fast and painless. Its objective is to identify small changes in the lining tissues of the mouth, lips and tongue that may signify the early stages of this type of cancer. The screening is primarily a visual and tactile (touch) examination. If any abnormalities are noted, a small tissue sample can be retrieved for further testing in a laboratory. Oral cancer includes cancers of the lips, tongue, floor of the mouth, cheeks, throat (pharynx), sinuses, and hard and soft palate. While oral cancer can usually be successfully treated when detected early, most cases of oral cancer are not detected until they have progressed into a more serious, advanced stage that is much more difficult to treat. In fact, oral cancer may be life threatening. At our office, we are dedicated to doing all we can to detect and treat oral cancers and other abnormalities at the earliest possible stage. During your routine dental cleanings and exams at our office, our dentist and team will perform an oral cancer screening to check for the signs of oral cancer.

Who's At Risk for Developing Oral Cancer?

The answer might surprise you. Oral cancer used to be thought of as an older person's disease, and it still mostly affects those over 40. But today, younger people form the fastest-growing segment among oral cancer patients. This is primarily due to the spread of the sexually-transmitted Human Papilloma Virus (HPV16). Of course, the other major risk factors still apply: If you're middle aged or older, a moderate to heavy drinker or a long-time tobacco user, you have a greater chance of developing oral cancer. Chronic exposure to the sun, long known to cause skin cancer, is also associated with cancers of the lips. Genetic factors are thought to have a major impact on who gets the disease as well.

Detecting Oral Cancer

A thorough screening for oral cancer is part of your routine dental checkup — another reason why you should be examined regularly. The screening includes a visual assessment of your lips, tongue, and the inside of your mouth, including a check for red or white patches or unusual sores. You may be palpated (pressed with fingers) to detect the presence of lumps and swellings, and your tongue may be gently pulled aside for an even better view. A special light, dye, or other procedure may also be used to help check any suspect areas. If anything appears to be out of the ordinary, a biopsy can be easily performed. If you notice abnormal sores or color changes in the tissue of your mouth, lips and tongue, they may be a symptom of oral cancer — most, however, are completely benign. But sores or other unusual changes that haven't gone away by themselves after 2-3 weeks should be examined. Remember, the only way to accurately diagnose oral cancer is through a laboratory report. Early diagnosis, aided by thorough screenings at your regular dental checkups, is one of the best defenses against oral cancer.

What's involved in an oral cancer screening?

An oral cancer screening is usually carried out during your bi-annual visit. The screening will include searching for any unusual bumps on your inner cheek, tongue, or gums. Your dentist will also look for and ask about any soreness within your mouth. Your dentist will also check for any signs of oral cancer in your head and face. If any signs are found, they will perform what is known as an oral brush biopsy. This painless procedure can determine if further tests are needed.

Why are oral cancer screenings important?

Simply put, it is important to have an oral cancer screening because it has been proven that more people die from oral cancer each year than do from some of the more commonly known cancers in the world. There is no good reason to avoid getting screened for this disease, as the procedure is painless and could potentially save your life. No one ever thinks cancer will happen to them, which is why it is important to be screened as soon as possible. Early treatment is key to having a positive outcome. Please call 781-944-6761 today to schedule your consultation with our family dentist. We do oral cancer screening for communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn. Oral cancer screenings should be conducted annually in order to ensure that this life-threatening cancer is detected early so that treatment can begin as soon as possible. Our family dentist has performed a number of oral cancer screenings throughout their years of dental practice and can help to diagnose patients who have this potentially fatal disease in time to make a difference. We are committed to helping you stay in good health.

Here are some statistics regarding oral cancer:

Oral cancer kills one American every hour

Approximately 42,000 people in the United States will be newly diagnosed with oral cancer in 2013

In 2013, among the 42,000 diagnosed with oral cancer in the United States, 18,000 will not be alive in five years

Oral cancer's incidence rate has increased the last five years in a row

In 2007, oral cancer's incidence increased by 11%

The mortality rate for oral cancer has not changed significantly in three decades

Oral cancer's high mortality rate is due to late-stage discovery (Stage III and IV)

The mortality rate for oral cancer is higher than the rates for cervical cancer, Hodgkin's lymphoma, laryngeal cancer, testicular cancer, thyroid cancer and skin cancer.

What are some common symptoms of oral cancer?

A sore in the mouth that does not heal (most common symptom)

Pain in the mouth that doesn't go away (also very common)

A lump or thickening in the cheek

A white or red patch on the gums, tongue, tonsil, or lining of the mouth

A sore throat or a feeling that something is caught in the throat that doesn't go away

Trouble chewing or swallowing

Trouble moving the jaw or tongue

Numbness of the tongue or other area of the mouth

Swelling of the jaw that causes dentures to fit poorly or become uncomfortable

Loosening of the teeth or pain around the teeth or jaw

Voice changes

Weight loss

Constant bad breath

Fluoride Treatments

Patients with risk of caries, as identified by the dentist will benefit from in office topical fluoride therapy or fluoride varnish application on teeth during each hygiene visit. Fluoride treatment every six months, will help prevent caries in children and adolescents. Adults with high caries risk will also benefit from in-office fluoride treatment every six months. To help you and your family's teeth fight cavities, our general dentist may recommend fluoride. Fluoride is a mineral that helps fight tooth decay by making your tooth enamel stronger and more resistant to cavities. Fluoride is found naturally in water and many foods. It is also found in toothpaste and many other dental products. Minerals are added to (remineralization) and lost from (demineralization) your tooth enamel all the time. It is important to add at least as much minerals as are being lost. If demineralization gets ahead of remineralization, tooth decay occurs. Fluoride will make your teeth more resistant to acid attacks that cause decay. It also fights early decay. Our Reading Dental Associates office can apply fluoride to your teeth in a gel, foam, or varnish form. These forms have a much higher concentration of fluoride than toothpastes and mouth rinses do. If a varnish is used, our dentists will paint it on your teeth. The foam fluoride form is placed in a mouth guard and applied for several minutes. Gels are either painted on or applied with a mouth guard. Reading Dental Associates provides fluoride treatments for patients in the Reading, MA and nearby areas like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

What Are Fluoride Treatments?

Fluoride is a natural occurring mineral found in foods and water. When acids due to sugars and plaque from bacteria attack the enamel of teeth, demineralization occurs. When foods and water are ingested that contain fluoride, calcium, and phosphate, remineralization occurs to restore the enamel back to teeth. Fluoride treatments can be a solution if too much demineralization and not enough remineralization occurs. Fluoride treatments can prevent tooth decay from happening by helping weak enamel gain resistance to acids.

What to Expect

Fluoride treatments are usually given every six months after the patient's dental cleaning and exam or as often as the dentist recommends. The clean teeth are dried to avoid diluting the strength of the fluoride, then the treatment is administered to the patient as a gel, foam, or paint-on varnish that is left on for 1 - 4 minutes. To make fluoride treatments easier, the dentist will often add a flavor chosen by the patient. Once the treatment is complete, patients should be careful to spit all fluoride out of their mouth.

Treatment Aftercare

To ensure the fluoride fully penetrates the enamel, patients should not drink, eat, or smoke for at least 30 minutes after their fluoride treatment. Swallowing any of the fluoride may cause temporary nausea, but this should not last more than 24 hours. While fluoride can be dangerous in high doses, our dentists take care to give each patient a safe level of fluoride in their office and home treatment.

Are Fluoride Treatments Safe?

By having our experts as your main dentist and dental home, we can tell you how much fluoride treatment your child needs for the best protection. When taken as directed by your dentist or qualified health care professional, fluoride treatments are safe and effective. When too much fluoride is taken, it may be hazardous to your health. This is particularly important for children and is advised that children under six years should not be given fluoride. When giving children toothpaste with fluoride, make sure only a pea-size of toothpaste is administered. In addition, put fluoride treatments away from children when storing.

Can you have a fluoride deficiency? Can you have a fluoride overdose?

If you do not get enough fluoride, you may suffer from fluoride deficiency, which may lead to increased cavities and weak bones. Though extremely rare, fluoride overdose can occur if you take more than the recommended amount. Symptoms of overdose include abdominal pain, headaches, and weakness. Call poison control immediately if you think you have overdosed.

Are at-home fluoride treatments effective?

Fluoridated toothpaste and mouth rinses can be used as at-home fluoride treatments. However, the fluoride concentration in these applications is much weaker and less effective than that found in in-office treatments.

How Much Do Fluoride Treatments Cost?

Fluoride treatments are considered a preventative measure and are usually covered by insurance for children who are 6 months - 16 years old twice a year as their teeth are developing. Insurance coverage for adult fluoride treatments vary, so our office will confirm your policy benefits and determine your expenses. For patients who aren't covered or don't have dental insurance, our office offers several payment options and financing plans. We are committed to providing quality, affordable care for you and your family. We offer a variety of payment options and accept most insurance plans. We also accept government assistance programs. Please visit our financing page for to find the best option for your situation. Remember, fluoride alone will not prevent tooth decay! It is important to brush at least twice a day, floss regularly, eat balanced meals, reduce sugary snacks, and visit your dentist on a regular basis. As your Reading Dental Associates experts and staff if you have any additional questions. Our dentists can give you an effective fluoride dental treatment to help strengthen the outer layer of your teeth and fight cavities. Fluoride applications after teeth cleanings typically make dental work last longer and can help to prevent tooth decay.

Types of Fluoride Treatments

Fluoride can be found in a variety of nutritious foods and water

Fluoride can be added to a variety of mouthwashes and toothpastes

Stronger fluoride rinses can be prescribed by a dentist if necessary

Stronger fluoride can be applied by your qualified dental care professional in a variety of ways at your annual checkup

Fluoride supplements can be prescribed by your dentist or qualified doctor

Fluoride Treatment Benefits

Fluoride's primary benefit is that it helps prevent tooth decay. The following groups all benefit from fluoride treatments:

Children and teens whose permanent teeth are still developing are often the most important group who can benefit from fluoride

People with cavities or gum disease who generally have a plaque buildup, either on their teeth and/or gums

People who suffer from dry mouth conditions, which makes acids more resistant on teeth

People with dental crowns or dental bridges, which make these teeth more susceptible to decay.

Who needs professional fluoride treatments?

All children between the ages of six months and 16 years should receive professional fluoride treatments. During this period, the primary and permanent teeth are still developing and these children can benefit the most from professional treatment. However, it is still important that adults also receive professional treatment. According to the latest research, professional fluoride treatments can keep your teeth healthy and strong and prevent tooth decay. If you suffer from any of these dental and medical conditions, it is particularly important that you receive enough fluoride:

Dry mouth

A number of medical conditions and medications can cause this. When the mouth is dry, the lack of saliva allows bacteria to stick to your teeth and the other smooth surfaces in your mouth, which can lead to a number of dental and oral health issues.

Periodontal disease

Advanced gum disease can expose more of the tooth surface along with the root. This increases your chances of tooth decay, making receiving adequate fluoride especially important.

Frequent cavities

Adults who are diagnosed with at least one cavity every two years will likely benefit from receiving professional fluoride treatments.

Dental restorations

Orthodontics, dental bridges, and dental crowns can all increase your chances of developing tooth decay in certain cases. Keep your teeth healthy by receiving regular fluoride treatments.

Digital X-rays

Dental x-rays are an integral part of a comprehensive treatment plan for our family dentist. In order to see the big picture, our general dentist require a dental radiograph, more commonly referred to as dental x-rays. These dental x-rays allow the dentist to get an in-depth look below the teeth and gums. For patients convenience, our general dentist preforms on-site dental x-rays. With a proper dental radiograph, our team of dental professionals are able to give patients informed evaluations. Our digital x-rays check for any cracked or decayed teeth. We will also screen for signs of oral cancer and examine your gums for any evidence of periodontal disease. If you have any dental fillings, crowns, or other restorations, our general dentist will make sure they are still in good condition. Additionally, we will take diagnostic X-rays to reveal any other hidden problems, especially in the areas below the gums. Bitewing X-rays are typically taken every 6 months and a panoramic X-ray is taken every 3 to 5 years. to find our more information, contact our Reading Dental Associates office to schedule an appointment with our general dentist. Additionally, CDR x-rays are covered under your basic x-ray benefits, so there's no reduction in your dental insurance benefits. You get safer, better, faster, smarter service without the usual increase in price. Digital x-rays benefit both dentist and patient. Most importantly, digital x-rays significantly decrease the exposure time to radiation. With a digital x-ray, we take a picture of your teeth, then almost immediately see it on a computer monitor. This large, color-enhanced image lets us get a better picture of your oral health, allowing for earlier treatment. This process is also better for the environment as it doesn't use photo chemicals and traditional film, thus eliminating waste. Learn more about dental x-rays below and why Digital Dental X-Rays that Today's Dental offers stands above the rest:

Safer

Digital Dental X-Rays allow you to get necessary care without unnecessary radiation. X-rays play an invaluable role in the diagnosis of dental problems. But many people are concerned about the exposure to x-ray radiation. Computerized Digital Radiography (CDR) eliminates these worries because it requires less radiation than conventional film x-rays.

Better

Digital Dental X-Rays are as accurate as conventional x-rays—and reveal things film can't. The CDR image can be magnified 300x its normal size to enhance diagnosis, manipulate to correct contrast, and color-adjust to reveal hidden problems.

Faster

Digital Dental X-rays enable dentist to spend more time treating, less time processing. CDR images are instantaneous. No time is wasted processing and mounting x-ray film. So the dental staff spends less time in the dark room and more time with you, discussing the health of your teeth.

Smarter

With Digital Dental X-Rays, there is no harmful waste. Our CDR system uses no film or chemicals, so we don't have to worry about disposing of hazardous processing waste, which is better for the environment.

Dental radiographs

Dental issues such as cavities, wisdom teeth or cancerous and benign growths are not always visible to the naked eye. This is why dental x-rays are vital. Dental x-rays provide an up-close look at the entire mouth including the teeth and jaw. At Reading Dental Associates, our dental professionals rely on dental pictures to make informed decisions on your course of treatment. The frequency of x-rays depends on the age of the patient. Younger patients may require x-rays more often because teeth and jaws are developing. Reading Dental Associates recommends new patients undergo dental radiographs so that our dentists can properly examine the mouth for any existing dental issues or potential problems. Make an appointment for digital x-rays if you live in our service areas – Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn. Dental radiographs, often called x-rays, are an important part of your comprehensive dental care. The x-ray actually refers to the radiation that is used to make the image on the film. These images show tooth decay, infections and gum disease. Through his training and experience, the dentists at Today's Dental are able to use this diagnostic tool to accurately detect and diagnose any abnormalities. The radiographs show him many things that are not visible by just looking in the mouth. The type and frequency of radiographs depends on the individual patient. Different radiographs are taken for different reasons:

Bitewings

These pictures help diagnose cavities between the teeth, in areas that are not visible during an examination of the mouth. For most adults four bitewings should be taken once per year. For children bitewings should be taken when they have teeth that are not easily examined or if they are at risk of developing cavities. When indicated two bitewings are taken once per year.

Periapical

A periapical radiograph shows a single tooth in entirety including the root and surrounding bone. This image is used to diagnosis specific problems such as an abscess, impacted tooth or bone loss due to periodontal disease. Some dental plans require a radiograph as part of the claim procedure. These radiographs are taken on an as needed basis.

Panoramic

This radiograph shows the whole jaw and is a good diagnostic tool. It is an important tool for the extraction of wisdom teeth, placement of dental implants and for many orthodontic procedures. A panoramic radiograph will show any abnormal growths or cysts in the jaw. Panoramic radiographs are taken every three to five years or as needed for diagnostic purposes.

Gingivitis Treatment

Gingivitis is the mildest form of periodontal disease. It causes the gums to become red, swollen and bleed easily. There is usually little or no discomfort at this stage. Gingivitis is often caused by inadequate oral hygiene. This process is reversible with professional gingivitis treatment and good oral home care. Untreated gingivitis can advance to periodontitis. With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response in which the body in essence turns on itself and the tissues and bones that support the teeth are broken down and destroyed. Without gingivitis treatment, gums can separate from the teeth, forming pockets (spaces between the tooth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may have to be removed. Patients in Reading with this condition should call our general dentist for an appointment. Gum disease, also known as periodontal disease or gingivitis, is an infection of the gums surrounding your teeth. Gum disease is one of the top reasons for tooth loss in adults, and because it is virtually pain-free, many patients do not know they have the disease. During each regular checkup, your dentist will check for signs of periodontal disease by measuring the space between your teeth and gums. Call our dentist Reading ma today to schedule your appointment. Families seeking gum disease treatments in Reading, MA, and other locations, like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Why is Gum Disease so Serious?

Recent research reveals that gum disease is linked to increased risk for major overall health problems, including but not limited to stroke, heart disease, respiratory problems, osteoporosis, diabetes complications, low birth weight, and most recently, dementia. Because of these findings, research continues. We may learn much more in the next few years. It makes perfect sense, though, that gum disease is linked to overall health problems. Gum disease treatment in Reading, MA is vital, because everything that enters or is present in the mouth has access to the whole body. The mouth is like a portal to the body. That's why regular checkups and hygiene visits are vital to not only oral health, but also to overall health.

Is Gum Disease Curable?

Unfortunately, gum disease is not curable. However, we can detect early warning signs of gum disease at your regular dental checkups. At this stage, prevention might be as simple as changing your brushing technique, improving your flossing routine, or changing the products you use for oral care at home.

Assessing and Preparing for Your Gum Disease Treatment

Your dentist can help you first assess your gum disease issues by noting any inflammation surrounding your gums. They may also ask about your medical history and use a "probe" to check and measure any pockets of plaque infection. Your dentist may then refer you to a periodontist for further treatment. Most gum disease treatments are performed in a dentist or periodontist's office. Local anesthesia can be given during surgical procedures to numb the gum areas.

Gum Disease Treatment Recovery

You should experience minimal discomfort after your gum disease treatment. You may experience some bleeding or swelling of your gums after gum disease surgery. Ice and pressure can be applied to minimize swelling and bleeding. It is also best to eat softer foods, avoiding spicy and hot foods, immediately following the procedure. For any discomfort, the dentist or periodontist may prescribe ibuprofen or other pain relievers, which should regularly be taken. You are encouraged to be gentler than usual when brushing and flossing your teeth after your treatment.

What causes gum disease?

Gum disease is caused by a buildup of plaque (a sticky form of bacteria that forms on the teeth). If the plaque is not removed (by flossing, brushing, and regular dental checkups), it will continue to build up and create toxins that can damage the gums. Periodontal disease forms just below the gum line and creates small pockets that separate the gums from the teeth. Periodontal disease has two stages: gingivitis and periodontitis.

Gingivitis

This is the early stage of gum disease, when the gums become red and swollen, and bleed easily. At this stage, the disease is treatable and can usually be eliminated by daily brushing and flossing

Periodontitis

If left untreated, gingivitis will advance into periodontitis, and the gums and bone that support the teeth will become seriously and irreversibly damaged. Gums infected with periodontitis can cause teeth to become loose, fall out, or be removed by a dentist

Symptoms of gingivitis that warrant gum infection and disease treatment include:

red or purple gums

soft gum tissue

receding gums

pain or tenderness in gums

bleeding gums

bad breath

swollen gums

Contributing factors that can exacerbate the problem include

Poor dental hygiene such as not brushing or flossing effectively

hormone changes

genetics

smoking

medications

diseases such as diabetes and cancer

What Are Some Different Treatments for Gum Disease

Gum disease can be treated in a number of ways, depending on the severity and history of each individual case. The goal of treatment is to control and prevent bacterial growth. Gum disease treatments can run the gamut from non-evasive therapies to surgical approaches. Here are some common treatment plans:

Professional Dental Cleanings:

If you are in the beginning stages of gum disease, your dentist may recommend you come in for dental cleanings more than twice a year.

Scaling and Root Planing:

If you have plaque and tartar under your gums, deep cleaning may be the right treatment for you. This deep cleaning involves a method called "Scaling and Root Planing," which scrapes off the tartar from the gum line and then removes spots from the roots of teeth that are prone to gathering bacteria. A laser, as well as other manual instruments, can be used for this method. Medication such as antimicrobial mouth rinse, antibiotics, and antiseptics may also be used along with this method to control bacterial infections.

Bone and Tissue Grafts:

If you have persistent inflammation and deep tartar build up, another option in addition to flap surgery may include bone and tissue grafts. Bone and tissue grafts can regenerate bone or gum tissue loss. Bone grafting promotes bone growth, replacing bone loss through natural or synthetic means. Guided tissue regeneration, a form of bone grafting keeps the gum tissues from growing where the bones should be. Soft tissue grafting supports gum tissue loss, replacing tissues through natural or synthetic means so that tooth roots are protected. Finally, bone surgery decreases shallow craters in the bone to protect against further bone loss and prevent continued bacteria.

Preventing Gum Disease

Regular dental checkups and periodontal examinations are important for maintaining your health and the health of your smile. You don't have to lose teeth to periodontal disease, and by practicing good oral hygiene at home, you can significantly reduce your chances of ever getting gum disease. Remember to brush regularly, clean between your teeth, eat a balanced diet, and schedule regular dental visits to help keep your smile healthy. In addition, there are a few other factors that may increase your risk for getting gum disease including:

Having diabetes

Being pregnant

Smoking cigarettes or chewing tobacco

Having crooked teeth that are hard to keep clean

Taking certain medications including steroids and some types of anti-epilepsy drugs, cancer fighting drugs and oral contraceptives

Tooth Decay

Second only to the common cold, tooth decay is one of the most prevalent disorders in the United States. Unfortunately, the effects of tooth decay can be significant and long-lasting. According to the National Institute of Dental and Craniofacial Research, an estimated 92% of adults between the ages of 20 and 64 have tooth decay in their permanent teeth. Even more shocking, 23% of adults aged 20 to 64 have tooth decay that goes untreated. With startling statistics such as these, it is obvious why tooth decay treatment is imperative. At Reading Dental Associates, we are equipped with the tools to treat tooth decay. We make treating tooth decay in children and adult patients a top priority. Most people do not realize they are suffering from tooth decay or even know what it is. Tooth decay occurs when bacteria in the mouth creates acids that slowly eat away at the tooth. When such decomposition is left untreated, tooth decay causes infection, pain and the loss of teeth. Inevitably, tooth decay causes cavities that require treatment. The beginning stages of tooth decay are often treated with fluoride. Mild cavities can require fillings, while severe tooth decay might warrant a crown or root canal. Regardless of the extent of tooth decay, Reading Dental Associates has a proper treatment plan for every patient. We will treat tooth decay and leave you with a beautiful and brilliant smile. To learn more about Dentist Reading MA, then you can call Reading Dental Associates today at 781-944-6761. We serve other nearby communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Tooth Sensitivity

Teeth Sensitivity may be caused by various reasons like decay or cavities, fractured teeth, worn out filling, periodontal disease, chipping of tooth, or exposure of pulp to cavities or decay. One of the most common and easy way to treat sensitive teeth is to use desensitizing toothpaste. The desensitizing tooth paste contains compounds to foam a layer on your teeth to block transmission of heat or cold, or acidic or sticky substance to transmit to the root, from the tooth surface. When applied regularly desensitizing toothpaste helps to reduce sensitivity of teeth. Your dentist may prescribe fluoride treatment to increase the enamel strength. Stronger enamel will reduce sensitive transmission from tooth surface to the root. Your dentist could also prescribe toothpaste with concentrated fluoride for every day brushing to help maintain and restore health of tooth enamel. Sensitivity caused by decay is treated by fillings or other restorative process like crowns or inlays or bonding. Surgical gum grafting is another process to reduce sensitivity due to recession of gum which often exposes the cementum that protects the root. Some patients will need root canal treatment if root is exposed due to caries or crack on tooth. In healthy teeth, a layer of enamel protects the crowns of your teeth—the part above the gum line. Under the gum line a layer called cementum protects the tooth root. Underneath both the enamel and the cementum is dentin. Dentin is less dense than enamel and cementum and contains microscopic tubules (small hollow tubes or canals). When dentin loses its protective covering of enamel or cementum these tubules allow heat and cold or acidic or sticky foods to reach the nerves and cells inside the tooth. Dentin may also be exposed when gums recede. The result can be hypersensitivity. According to Colgate, an estimated 57% of dental patients suffer from dentin hypersensitivity, better known as tooth sensitivity. Tooth sensitivity is a chronic condition that causes bursts of sharp pain within the teeth. The pain, which can go deep into the nerve, is usually triggered by hot, cold, sweet or sour foods and drinks. The pain is often unbearable, but it doesn't have to be. The first step in dealing with tooth sensitivity is consulting with dental professionals experienced in dealing with these issues. Treatments for tooth sensitivity include applying dentin sealers or fluoride varnishes to exposed roots and using bonding materials to cover the root surface. At Reading Dental Associates, we also promote good dental hygiene habits to prevent problems with tooth sensitivity before they ever begin. Contact us to learn more about sensitive teeth treatment. We will explain what causes tooth sensitivity and create an effective treatment plan for you. Our Dentist in Reading MA can help give you the smile you want. Call today at (781) 944-6761 and make an appointment with our Reading Dental Associates. Our dental office also serves communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

So what causes tooth sensitivity?

over-brushing

tooth decay around the gum line

gum recession

cracked teeth

gum disease

accumulation of plaque

teeth grinding

tooth whitening products

long-term use of mouthwash

Porcelain Veneers

Dental veneers are wafer-thin translucent shells that are custom-made to fit over your teeth. Applied with a special glued designed to last for years, dental veneers have become a popular type of cosmetic dentistry because of the improved appearance they provide to your teeth and smile. Dental veneers, which are typically used on the front teeth, are successfully used to cover a wide variety of dental problems. Porcelain (or "ceramic") veneers are not false teeth. They are shells that cover only the front of an existing tooth. Porcelain veneers are very common and can be used to cover virtually any type of cosmetic dentistry damage to the front of a tooth. Such as: Chips, Stained Teeth, Worn Teeth, Cracks, Crooked Teeth, Broken Teeth, Disfigured or Misshapen Teeth, and Close Spaces. Porcelain Veneers are natural looking. There's a misconception that porcelain veneers make your teeth look large and white. Chances are, however, you've seen many people with veneers and never even noticed. In reality, the ceramic shells are so thin, and their coloring is so precise, people will only notice how beautiful your new smile is. The goal is an improved smile, yet one which is based on the natural shape of your teeth. Placing Veneers is a painless, straight-forward procedure It takes about three appointments over the course of a month. The porcelain veneers are bonded to your teeth with special cosmetic dental cement. The porcelain looks and feels like a real tooth, while the cement gives the porcelain the strength of a real tooth. There really is no special upkeep for your veneers – in fact, they don't stain as easily as real teeth. Just treat them (hopefully) as well as you do the rest of your teeth, and they should last for years to come. At Reading Dental Associates, you will find an experienced cosmetic dentist who will help you achieve a more polished set of teeth. Dental porcelain veneers are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size, or length. When applied to the teeth by a qualified veneers dentist, porcelain veneers transform your teeth to a brand-new radiant smile. Please call our office for more information or to schedule a veneer consultation.

What's the Procedure for Getting a Dental Veneer?

Dental veneers can usually be applied in about three visits. The first visit is a consultation with a dentist, followed by two more visits where veneers are made and permanently bonded to the teeth with cement.

How Long Do Dental Veneers Last?

Veneers generally last between 5 and 10 years. After this time, the veneers would need to be replaced.

Do Dental Veneers Require Special Care?

Dental veneers do not require any special care. Continue to follow good oral hygiene practices, including brushing, flossing, and rinsing with an antiseptic mouthwash as you normally would.

What Types of Problems Do Dental Veneers Fix?

Teeth that are discolored

Teeth that are worn down

Teeth that are chipped or broken

Teeth that are misaligned, uneven, or irregularly shaped

Teeth with gaps between them (to close the space between these teeth)

What Are the Advantages of Dental Veneers?

They provide a natural tooth appearance.

Gum tissue tolerates porcelain well.

Porcelain veneers are stain resistant.

The color of a porcelain veneer can be selected such that it makes dark teeth appear whiter.

Veneers offer a conservative approach to changing a tooth's color and shape; veneers generally don't require the extensive shaping prior to the procedure that crowns do, yet offer a stronger, more aes

Porcelain Crowns

Over time our teeth begin to weaken and become more susceptible to problems such as decay, cracks, discoloration and others. If you feel your smile isn't what it once was, crowns can help you recover your smile. If your cosmetic dentist notices that a tooth is decayed or seems weakened/cracked a crown may be necessary to make sure that there are no additional problems with the tooth. In cases like this a filling or bonding will not be sufficient. Crowns can be made from porcelain, porcelain fused to metal, or a full gold crown. To maintain a natural look and feel a porcelain finished crown is best, as it can be matched to the shade of your other teeth. This will allow it to blend in and appear just like one of your natural teeth. The reasons you would need a porcelain crown would be: 1) Broken or fractured teeth, cosmetic enhancement, decayed teeth, fractured filling, large fillings, tooth has a root canal. A crown procedure usually requires two appointments. Your first appointment with the cosmetic dentist will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory. While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly. At your second appointment, our cosmetic dentist will remove your temporary crown and the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate. Simply put, a crown is a small tooth-shaped cap that your dentist will use to cover one of your teeth. Crowns are used to restore the strength, size, and shape of a tooth. It will be custom-made by your dentist out of a durable material. Every tooth is basically made up of two parts called the crown and the root. For people who brush and floss regularly, the roots of your teeth are concealed by the gum line, just like how a tree's roots are under the soil. The crown is simply the part of the tooth that you can see. Your teeth aren't even bones (they are stronger than them); the crown is made up of a calcified tissue called dentin covered by a shiny external layer of enamel. Just like the natural tooth structure, a crown will cover the entire tooth from the gum line up to protect the sensitive pulp and nerves contained inside of it.

Benefits of Porcelain Crowns

Damaged teeth can be the source of both physical and aesthetic problems, both of which can be addressed with the placement of porcelain crowns. The porcelain is color-matched to surrounding natural teeth to make the crowns a virtually undetectable part of your smile. The crowns also add strength and restore functionality to damaged teeth. With the proper care, porcelain crowns can last for up to 15 years.

Which material is best?

Both the "look" and function of your crowns are considered when choosing the material most suitable for you. Your dentist will consider the tooth location, the position of the gum tissue, the amount of tooth that shows when you smile, the color or shade of the tooth and the function of the tooth. Crowns are made from a number of materials. Gold alloys or precious alloys, porcelain or ceramic, acrylic or composite resin or combinations of these materials may be used. Porcelain attached to a durable metal shell is commonly used because of its strength. Crowns made entirely of porcelain may look better; however, they usually are not as strong. In the process of making the crown, the porcelain is colored to blend in with your natural teeth.

Possible Complications of Porcelain Crowns

Teeth that have been repaired with porcelain crowns may be sensitive for a few days after the placement of the crowns. Special care must be taken with porcelain crowns, as they may chip or crack. Special toothpaste may also be recommended by Dr. Harrison. If your porcelain crowns start to feel loose, the adhesive may have lost some of its bonding power. If this happens, call Dr. Harrison right away to fix the problem.

Contact Us for More Information about Porcelain Crowns

Our Reading Dental Associates would be happy to create an individualized treatment plan based on your specific needs. Please feel free to explore the other sections of our website to read about porcelain veneers, composite fillings, teeth whitening, or the restoration of dental implants – all offered by our cosmetic dentistry practice. If you think you might benefit from porcelain crowns, contact us to schedule an appointment today. We also serve other nearby communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Why Would I Need a Dental Crown?

As we mentioned in the last section, the crown is meant to protect the internal structures, like the nerves, of your tooth. A crown made by your doctor serves the same purpose. Specifically, you might need a crown in one of the following situations (this isn't a complete list but just the most common reasons):

Dental bridge

Like an actual bridge, a dental bridge is a partial denture that is meant to link the empty gap between two teeth. If left alone, neighboring teeth will shift toward the gap and this will cause pain and/or change your bite strength. The two teeth on either end of the bridge are called abutments and they will either be false teeth or, you probably guessed it, your dentist will have your natural teeth outfitted with crowns to increase their strength and stability.

Root Canal Therapy

Many years ago, if your tooth was infected or damaged it would need to be removed. In the 21st century, your dentist has special techniques to save your natural teeth instead of extracting them. While tooth enamel is stronger than bone, it's not indestructible: There are oral bacteria that live in your mouth and feed off mostly sugar and food particles. Bacteria produces acids that erode the enamel slowly. Over time, the acid will form a hole called a cavity and those bacteria will invade and inflame the soft pulp and roots inside causing discomfort and pain. Regular brushing and flossing remove the bad bacteria and reduces the risk of cavities.

Cracked or Fractured Tooth

Human teeth are very strong and meant to last your entire life. The body naturally helps maintain your teeth with saliva. Saliva prevents the build-up of cavity-forming bacteria by washing them away and keeps the mouth less acidic so the teeth can naturally re-mineralize themselves with calcium. But sometimes non-cavity damage can be so severe that only a dentist can repair your tooth. Cracked tooth syndrome is exactly what is sound like; the outer enamel of the tooth is broken or fractured. This can be caused by anything that places excessive stress on your teeth.

What is the Process of Getting a Dental Crown Like?

From start to finish, a dental crown procedure will almost always take two visits. The first visit, which usually takes around 30 minutes to an hour, will consist of three steps and they are: 1. Preparing the tooth. 2. Taking an impression of the tooth. 3. Placing a temporary crown. On the second visit, your dentist will install the finished crown with cement. This trip normally is done in about 20 to 30 minutes. Let us talk more specifically about what your dentist is going to do on the first visit. Tooth Preparation: While the term might sound strange, all "preparing" the tooth means is shaping it so the permanent crown will fit correctly. Tooth prep can be divided into the following steps:

Numbing the tooth

he dentist will want to numb, or anesthetize, the tooth and the gum tissue that envelopes it. Before the injection, your dentist will apply a numbing agent, usually a gel, to the injection site so that you will not feel the prick of the needle as much. Then he will slowly insert the needle into the injection point and start depositing anesthetic. Then he will advance the needle a few millimeters and deposit more anesthetic. He will repeat this process until the entire injection site it totally numb. He does it this way to ensure the needle is only passing through numbed tissue which minimizes pain. Also, it is best not to struggle or squirm since that will make it more difficult for him to direct the needle accurately and if he or she misses they will have to start all over again.

Shaping the Tooth

To be effective, there is a minimum thickness required of every crown. While it varies depending on the material (more on this later), most crowns need be at least 2 millimeters thick. When the tooth is prepped, the dentist is going to file away enough of your tooth material so that crown can fit without the risk of slipping. Also if your tooth has any areas of decay the dentist will file these away to prevent them from spreading. If you have had a root canal, he or she may also remove the filling if it appears loose or otherwise unstable. To shape the tooth, your dentist will use a cylindrical tool called a bur. This is a highly precise instrument that will help him or her to trim away just enough of your dental material for optimal crown placement. In rare instances of severe tooth decay or a very bad fracture, there might not be enough tooth left on which a crown can be affixed. If the crown does not have enough tooth supporting it, then there is a huge chance that it will break off. To prevent this he or she will "build-up" your tooth with a core. A core is a nothing more than permanent dental restoration material that is used to reconstruct a tooth close to its original proportions. The core is normally made of the resin that is used to make white cavity fillings or dental amalgam (the metal used in silver-colored cavity fillings). Even with a core, the dentist may still need to trim some of your natural teeth if the shape is not conducive to crown placement.

Temporary Crown

Most dentists will send your impressions to a lab where your crown is handcrafted by a specialist called a ceramist. This process takes about two weeks. Obviously, you need to eat and drink in the meanwhile so what are you to do to protect your tooth? There is no need to worry; your dentist has you, and your tooth, covered…literally! At the end of this first visit, your doctor will give you a temporary crown. Like a regular crown, this is mean to protect your tooth and make it easy for you to bite food. Your dentist will custom-make your temporary in the office while you wait. It probably will not match the color of your other, natural teeth perfectly. Once installed, do not chew anything for at least thirty minutes so the cement can solidify. You will probably notice some sensitivity around the crowned tooth, especially after have eaten or drunken something that is either hot or cold. That is perfectly normal and this will go away once the permanent crown is fixed. Also take care not to brush and floss too hard around the temporary crown or you may weaken the cement and cause it to fall out. If your temporary crown ever comes out, call your dentist immediately so he or she can re-cement it for you.

Here are some tips to help you care for your temporary crown:

Even if you take all the temporary crown care precautions listed above there is still a chance that it might fall out. If it is very loose and/or falls out, call your dentist immediately to have it re-cemented! This is very important: Even in just an hour or two, the teeth near the prepared tooth can shift which means your finished crown will not fit properly. Then you will need to spend more time in the chair getting another impression done. If you cannot get to the office to get it replaced the same day then buy a tube of over the counter dental adhesive such as Recapit or Dentemp. All you do is apply some of the adhesives to the base of the crown and place it back over the tooth. Do not use ordinary household or craft glue as those products can be toxic.

Just like regular teeth, some foods you eat will stick to it.

The cement on your temporary allows your dentist to easily remove it when your crown is ready. But sometimes sticky foods can pull it out of place too. Avoid foods like taffy, chewing or bubble gum, and caramel.

While you are at it, avoid hard foods like ice cubes, apples, carrots, and hard candies which could break and/or dislodge the temporary.

Your best bet when eating is to avoid using that side of your mouth where the temporary is much as possible.

Be very careful when you floss! Instead of sliding it up and down between your teeth, slowly move it out to the side by letting go of one end of the floss.

Rinse your mouth with salt water 3 times daily. Mix one tablespoon of table salt with 8 ounces of water. This reduces sensitivity along the gum line.

If you do not have one already, get and use a soft bristle toothbrush to reduce the risk of swelling and irritation (the tooth preparation process will slightly agitate your nearby gums).

Let us fast forward two weeks to the second dentist appointment. This visit can be divided into 3 of steps:

Temporary Crown Removal

Your dentist will remove the temporary crown. After that, he or she will also remove any residual cement from your tooth as well.

Evaluate the Crown

Next he or she will, place, or seat, the crown on the tooth. He will ask you to bite down and visually inspect how the crown touches against neighboring teeth. He may reseat the crown several times until he is satisfied with it. If you do not like the color or the fit does not feel comfortable, then tell you dentist: After the crown is cemented it is very difficult to remove it.

Cementing Your Crown

After having adjusted the crown for fit, the dentist will cement it into place. First, he will place a layer of cement in the crown and re-seat it on your tooth. Once seated, the dentist will remove any excess cement from the sides. And now you have a brand new crown!

Replacement Of Old Metal Fillings

In the past if you had a cavity, your only option was a metal filling. But patients today have a more attractive option: Tooth-colored composite fillings. And the results are so remarkable that many patients wonder if they should proactively replace all their metal fillings with composites. It's a choice that patients should make in consultation with you cosmetic dentist. Our cosmetic dentist offers a full range of cosmetic and restorative dentistry treatments in Reading and can explain the ins and outs of tooth-colored fillings as well as discuss when replacing metal fillings is appropriate. In short, the simple answer is replacement is a good option for certain patients. Our cosmetic dentist do not recommend removal unless patients want the sliver out, want it removed for esthetic purposes, if a fracture is present, or if it becomes decayed. Dental Composite restorations have become mainstream since the 1990s. Composites are a relatively new choice, but one that has quickly climbed in popularity for a number of reasons. A prime consideration for many patients is appearance. Restorations with composites create a tooth-colored repair that blends in with other teeth, avoiding the harsh and unattractive appearance of metal. But other advantages are that dental composite does not contain mercury, bond to the tooth and strengthen it, and require less of the tooth to be removed to place the filling. As the health risks of metal (amalgam) dental fillings continue to raise concerns, it has become more common for people to have them removed and replaced. Reading Dental Associates offers state-of-the-art composite (tooth colored) fillings to replace silver fillings. Metal fillings are often highly noticeable and can detract from the beauty of your smile. However, the aesthetic disadvantages of metal fillings are not the only reason to consider having them removed and replaced. Our Reading cosmetic dentist provides porcelain fillings, inlays, and onlays for the replacement of metal restorations, and would be happy to discuss this option with you during your regularly scheduled dental appointments. If you live in or around Reading and would like to replace your old metal fillings, please contact Reading Dental Associates or call (781) 944-6761 today to schedule an appointment with our general dentist. To learn more about replacing metal fillings, please contact our experienced cosmetic dentist today. Based in Reading, we also serve patients in Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Reasons to Consider Replacing Metal Fillings

Metal fillings do not look natural and can negatively impact the appearance of your smile. In addition, metal fillings are not bonded to the tooth, which can allow for them to come loose or fall out over time. Because the amalgams used in metal fillings are prone to expand and contract with temperature fluctuations in your mouth, metal fillings are likely to cause internal damage to teeth as well. As a practitioner of holistic dentistry, our Reading Dental Associates practice is concerned about mercury content and other harmful substances in metal fillings. While the debate over the harm caused by mercury in fillings continues, even the chance of ill-effects is enough for our cosmetic dentist practice to choose a metal-free dentistry practice. With this in mind, great care is taken in removing metal fillings to help guard against the release of mercury vapor during your appointment.

All Fillings Have a Life Expectancy

Metal amalgam fillings are designed to last for about ten years. At that point there's a good chance that the cement holding it in place is partially dissolved, which can make the filled tooth susceptible to decay from within! If your metal amalgam filling is over ten years old it's definitely time to replace it! We use tooth-colored dental composite for our fillings. Made from a mixture of glass and plastic, dental composite is the newest technology in dental fillings. It's safer, looks better, and acts more like real tooth. That's just the beginning of why composite fillings are the best choice!

Eliminate Potential Health Hazards

Metal amalgam is a mixture of different metals with the main component being mercury. While it hasn't been proven conclusively that mercury in dental fillings is dangerous to your health you still have a right to be concerned. We can remove old amalgam fillings all while protecting you from potential mercury dust or fumes that could be part of removal. After it's removed we can refill your tooth or we may place a crown, depending on the health of the natural portion.

Composite Fillings Are Easier on Your Teeth

You may not realize it but your teeth are actually slightly flexible. When you chew your teeth bend to distribute forces evenly, but metal amalgam doesn't bend in the same way as natural teeth. The uneven distribution of force can lead to microfractures in your teeth that put you at risk for cavities and painful sensitivity. Dental composite is designed to behave just like natural tooth. It bends and flexes along with your teeth to make the distribution of force perfectly natural and safe. Your teeth will be able to do every bit of moving they need to stay healthy and safe!

No Cement to Rinse Away Over Time

Amalgam fillings don't naturally bond with your teeth – they have to be cemented in place. This leads to two problems: first is the need for cement that wears out quicker than the amalgam itself, and second is the need for larger fillings that use deep channels to help keep them in place. When filling cement breaks off and rinses away you're left with small gaps between filling and tooth. These kinds of spaces are the exact ones that bacteria loves to hide in and a cavity that starts inside your tooth is unnoticeable and hard to treat! There's also the need for extra drilling in order to make the filling stay in place. That means more healthy, natural tooth is lost to metal! Thankfully Composite fillings avoid both these problems. Not only are they formulated to bond to your teeth but that bond means they can be made only as large as the cavity demands! Unfortunately this doesn't matter when it comes to replacing a filling but it's good news for any future filling needs you have!

Eliminate Temperature Sensitivity

Metal fillings conduct heat and cold – not fun when drinking coffee or eating ice cream. Many patients who have amalgam fillings report sensitivity for their entire lives. Replacing those metal fillings with composite will finally grant relief, as the plastic and glass mix doesn't conduct temperature at all!

Tooth Colored Fillings

Tooth colored fillings are made from nontoxic and strong materials such as porcelain. The materials used for white fillings is be bonded to the surface of the tooth, preventing them from falling out. These fillings are not impacted by heat or cold, and will not change shape or harm your teeth. FDA has reviewed the best available scientific evidence to determine whether the low levels of mercury vapor associated with dental amalgam fillings are a cause for concern. Based on this evidence, FDA considers dental amalgam fillings safe for adults and children ages 6 and above. The amount of mercury measured in the bodies of people with dental amalgam fillings is well below levels associated with adverse health effects. Even in adults and children ages 6 and above who have fifteen or more amalgam surfaces, mercury exposure due to dental amalgam fillings has been found to be far below the lowest levels associated with harm. Clinical studies in adults and children ages 6 and above have also found no link between dental amalgam fillings and health problems. There is limited clinical information about the potential effects of metal fillings know as dental amalgam fillings on pregnant women and their developing fetuses, and on children under the age of 6, including breastfed infants. However, the estimated amount of mercury in breast milk attributable to dental amalgam is low and falls well below general levels for oral intake that the Environmental Protection Agency (EPA) considers safe. FDA concludes that the existing data support a finding that infants are not at risk for adverse health effects from the breast milk of women exposed to mercury vapor from dental amalgam. The estimated daily dose of mercury vapor in children under age 6 with dental amalgams is also expected to be at or below levels that the EPA and the Centers for Disease Control and Prevention (CDC) consider safe. Pregnant or nursing mothers and parents with young children should talk with their dentists if they have concerns about dental amalgam. Some individuals have an allergy or sensitivity to mercury or the other components of dental amalgam (such as silver, copper, or tin). Dental amalgam might cause these individuals to develop oral lesions or other contact reactions. If you are allergic to any of the metals in dental amalgam, you should not get amalgam fillings. You can discuss other treatment options with your Reading dentist.

Replacing Metal Fillings Risks

Metal fillings also know as dental amalgam or silver filling contains elemental mercury. It releases low levels of mercury vapor that can be inhaled. High levels of mercury vapor exposure are associated with adverse effects in the brain and the kidneys. FDA has reviewed the best available scientific evidence to determine whether the low levels of mercury vapor associated with dental amalgam fillings are a cause for concern. Based on this evidence, FDA considers dental amalgam fillings safe for adults and children ages 6 and above. The amount of mercury measured in the bodies of people with dental amalgam fillings is well below levels associated with adverse health effects. Even in adults and children ages 6 and above who have fifteen or more amalgam surfaces, mercury exposure due to dental amalgam fillings has been found to be far below the lowest levels associated with harm. Clinical studies in adults and children ages 6 and above have also found no link between dental amalgam fillings and health problems. There is limited clinical information about the potential effects of metal fillings know as dental amalgam fillings on pregnant women and their developing fetuses, and on children under the age of 6, including breastfed infants. However, the estimated amount of mercury in breast milk attributable to dental amalgam is low and falls well below general levels for oral intake that the Environmental Protection Agency (EPA) considers safe. FDA concludes that the existing data support a finding that infants are not at risk for adverse health effects from the breast milk of women exposed to mercury vapor from dental amalgam. The estimated daily dose of mercury vapor in children under age 6 with dental amalgams is also expected to be at or below levels that the EPA and the Centers for Disease Control and Prevention (CDC) consider safe. Pregnant or nursing mothers and parents with young children should talk with their dentists if they have concerns about dental amalgam. Some individuals have an allergy or sensitivity to mercury or the other components of dental amalgam (such as silver, copper, or tin). Dental amalgam might cause these individuals to develop oral lesions or other contact reactions. If you are allergic to any of the metals in dental amalgam, you should not get amalgam fillings. You can discuss other treatment options with your Reading dentist.

Replacing Metal Fillings with Composite

Advances in modern dental composite materials and techniques increasingly offer new ways to create more pleasing, natural-looking smiles. Researchers are continuing their often decades-long work developing esthetic materials, such as porcelain and composite compounds that mimic the appearance of natural teeth. As a result, dentists and patients today have several choices when it comes to selecting materials used to replace metal filling repair, broken teeth or teeth with cavities. The advent of these new materials has not eliminated the usefulness of more traditional dental restoratives, which include gold, metal alloys and dental amalgam know as metal fillings. The strength and durability of traditional dental composite materials continue to make them useful for situations where restored teeth must withstand extreme forces that result from chewing, such as in the back of the mouth.

Replacing Metal Fillings with Porcelain

Replacing metal filling also know as Amalgam, with porcelain depends on the metal filling condition and your dentist's recommendation. They may be replace for cast gold restorations, porcelain, and composite resins. Gold and porcelain restorations take longer to make and can require two appointments. Porcelain fillings, or white fillings, are esthetically appealing, but require a longer time to place.

Don't Leave That Metal Sitting There!

There are a lot of reasons to replace an amalgam filling. If you have any more questions about the safety, practicality, or benefit of eliminating metal fillings don't hesitate to contact us! We'd also love to have you visit for a consultation and exam of your fillings.

Take Home Teeth Whitening System

As we age, our teeth lose the brilliant whiteness that implies good dental health and youth. The unsightly stains associated with tobacco, dark liquids, and other factors can leave us feeling less-than-confident about our smiles. Fortunately, there is a simple solution to this dental problem: cosmetic tooth whitening. Our practice provides convenient, take-home tooth-whitening programs and in-office ZOOM! tooth whitening to our patients. Professional in-office teeth whitening treatment is ideal for people who want a brighter, whiter smile without the wait. You can significantly brighten your smile with our state-of-the-art in-office teeth whitening system, available at our Cosmetic Dental office in Reading. Take-home tooth whitening products can be administered in the comfort of one's own home. Using a set of customized mouth trays and a whitening gel, our take-home tooth whitening system will give you beautiful results in just 7 to 10 days. We make impressions of your teeth so that your customized tooth whitening tray can be crafted, and give you detailed instructions on how to use the trays at home with the whitening gel. If you're looking for an alternative to professional teeth whitening in a dental office, then do-it-yourself at-home whitening might be right for you. There are dozens of home whitening options available for every budget and temperament – whether professionally dispensed, store-bought or sold on the Internet. Many teeth-whiteners are pre-mixed and ready to use; others require mixing at home. It may surprise you to learn that many dental professionals believe that dentist-dispensed whitening trays and whitening strips – when used as directed – can be even more successful than in-office bleaching over the long haul. A key reason is their ongoing use, combined with the fact that small amounts of bleach remain within the tooth structure for up to 36 hours. When a new dose of bleach is applied to a tooth retaining the previous day's peroxide, its effect is greater. However, there are pitfalls to whitening your teeth at home. For example, if you have an underlying condition like tooth decay or gum disease, you could end up enduring extreme pain depending on the concentration of peroxide used. The following article should help you evaluate all the pros and cons of DIY whitening.

Advantages of At-Home Teeth Whitening

Long-term results: Dental professionals agree that the only way to maintain your whitened teeth is with at-home bleaching products, repeated regularly – preferably every four to six months. But lately, many dentists are advising people with very dark-stained or tetracycline-affected teeth to continue home bleaching over a period of months (or up to a year) for optimal results. What's interesting is, the newest teeth whitening strips on the consumer market are intended for five-minute use every day, like brushing or flossing. Variety: You have a choice of whitening trays, strips or paint-on products, as well as numerous whitening accessories. Convenience: You can do home whitening at any time of the day or night, for short or extended periods. Portability: You can also use at-home whitening strips while on the go or at the office. Cost: Over-the-counter whiteners range from $4 to $100, while dentist-dispensed products cost approximately $400. By contrast, in-office whitening costs an average of $650 per session.

Don't Over do it!

Although you can get over-the-counter whiteners without a dentist's recommendation, if you over-use them or use them incorrectly, they can harm your tooth enamel and irritate your gum tissue. Also, over-bleaching can produce an undesirable bluish hue, chalky whiteness or uneven results (otherwise known as "the technicolor effect"). Supervision by a dentist can prevent these problems. To ensure the health of your smile, see your dentist before choosing an over-the-counter tooth whitener and beginning the bleaching process. Dentists know a lot about these products and can help you choose the right one and use it correctly.

Also keep in mind:

The stronger the peroxide formula, the more rapid its effect; the weaker the formula, the longer it can remain on the teeth safely. A low-percentage bleach used overnight every night of the week will produce about the same results as a high-percentage "day-bleach" that stays on the teeth one hour per day for seven days. The best time to begin at-home whitening is soon after a dental hygienist's prophylactic cleaning. This procedure removes the surface layer of plaque and grime that can interfere with bleaching. Dentists and oral care companies urge brushing and flossing the teeth just prior to any kind of at-home or on-the-go whitening. For best results, don't consume food or beverages (excluding water) for a couple of hours after whitening.

Dentist-Dispensed Take-Home Whitening Trays

According to dental professionals, the best bleaching results come from dentist-dispensed take-home kits – particularly those that are used over extended periods. These kits contain higher percentages of bleach than over-the-counter kits and typically consist of: Custom-fitted application trays made of a flexible plastic material and offer several benefits: 1) They help ensure that the bleach stays in contact with the teeth, for maximum whitening, 2) They help prevent saliva from coming into contact with the bleaching agent (which can dilute its strength), and 3) They minimize the amount of bleach that can dribble onto (and potentially irritate) the gums. Bleaching compounds are either pre-loaded into the trays or stored in syringes and added to the trays just before use. In many cases, your dentist can fine-tune the bleach concentration and add a desensitizing agent to use before or after application. Generally the kits provide enough gel for one two-week treatment per year, plus one- or two-day touch-ups every four to six months.

The Procedure for Obtaining a Take-Home Whitening Kit

Professional take-home teeth whitening kits available from your dentist contain a high concentration of hydrogen peroxide or carbamide peroxide and provide excellent results in 1 to 2 weeks of prescribed use. Custom-fit trays keep the whitening solution on the surface of the tooth to be whitened, and allow for only slight exposure of the solution to the sensitive gingival area. The cost of take-home whitening is considerably lower than in-office whitening. The typical procedure followed in the dental office to obtain an in-home teeth whitening kit would be: 1) Impressions are taken of your upper and lower teeth and sent to the dental laboratory to make your trays. It will normally take 1 to 2 weeks for the dental lab to make your trays. The initial shade of your teeth is recorded in your dental chart for comparison when whitening has been completed. 2) An appointment will be made to show you how to dispense the teeth whitening solution in the trays and give you detailed instructions to follow. Take-home teeth whitening is typically used one hour a day for two weeks, and can be used for touch-up applications thereafter. Certain brands may be worn overnight for your convenience. Always brush and floss your teeth before placing the trays in your mouth, and avoid eating, drinking, or smoking while wearing the trays and for approximately 30 minutes after teeth whitening. 3) A follow-up appointment is made to track your results and determine the final shade of your teeth.

Whitening Toothpaste

Technically speaking, all toothpastes are whitening toothpastes, since they remove surface plaque and debris. But only a few contain key whitening ingredients: chemical bleaching agents and abrasives in high concentrations. When used regularly, these toothpastes may offer backup support for tooth whitening. Of course, given that brushing time is limited to a minute or two, that support is minimal. But since we all brush every day, some consider whitening toothpastes to be potential whitening enhancers.

Toothpastes with Peroxide

Because toothpaste foams all over the mouth and is swallowed, the percentage of any bleach it contains is low, to avoid irritation.

Toothpastes with Abrasives

Most toothpastes clean the teeth with finely ground abrasives such as silica, aluminum oxide, calcium carbonate and baking soda. Whitening toothpastes contain more of these abrasives – though the paradox here is that overuse can cause more stains and can also dull the surface of dental crowns and veneers.

Whitening Floss

Floss may seem like an unlikely part of the tooth-whitening regimen, particularly as it is in contact with the teeth for only a second or two. But over the long haul, using whitening floss daily may assist with stain removal in the narrow space between the teeth, an area that even in-office bleaching has a hard time reaching. Whitening floss differs from standard dental floss in its use of mild abrasives, typically silica.

Schedule Your Teeth Whitening Appointment

Our Reading cosmetic dentist provides a comprehensive selection of teeth whitening treatments. To learn more, or to schedule a visit, contact our office at 781-944-6761. We proudly welcome patients from Reading, MA, and all surrounding areas, including Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

In Office Teeth Whitening Treatment

Even people who take care of their smiles often have discolored or stained teeth. This can be due to a number of factors, including the natural process of aging, consumption of wine or coffee, and/or the use of tobacco products. Our cosmetic dentist offers a take-home whitening (bleaching) treatment, as well as in-office teeth whitening procedures to help you achieve that bright smile you have always wanted. The Zoom! in-office whitening system is a revolutionary tooth whitening procedure offered at our Reading Dental Associates office. It's safe effective and very fast. In just under an hour, your teeth will be dramatically whiter. Zoom! Whitening is ideal for anyone looking for immediate results. The convenience of Zoom! in comparison to days of wearing trays and gradual whitening makes it the perfect choice for the busy patient. The Zoom! light activated gel was developed after years of research. The gel is a scientifically formulated, pH balanced Hydrogen Peroxide that, when activated by the Zoom! light, gently penetrates the teeth to remove deep stains and discoloration. With proper care and an occasional touch-up at home, your whiter smile will sparkle for years. There's nothing that radiates health, happiness and even success like a sparkling white smile. So it's no wonder many people choose whitening to improve the appearance of their teeth. In fact, whitening is one of the least expensive cosmetic remedies available to enhance a faded smile. It can be done at home or at your dentist's office, using a variety of products and techniques. But even if you are only considering an at-home whitening approach, it's best to have a dental exam first to make sure your discoloration is not due to a condition in need of treatment. Your dentist can also help you choose the most effective whitening method for your particular situation. Call our cosmetic dentist Reading today at 781-944-6761 and we can schedule your next Zoom Whitening.

What is Zoom Teeth Whitening?

Zoom teeth whitening is a procedure performed at the dentist's office by your dentist or a trained clinician. It is considered to be the fastest and most effective form of teeth whitening. The process usually takes under an hour from start to finish. Before your appointment for Zoom your dentist will usually schedule a regular cleaning and ensure that you don't have any current dental problems that need to be addressed first.

The Zoom Whitening Procedure

The first step is to be sure your lips and gums are covered. This will keep the whitening solution off those areas and keep it only on the teeth. Once the teeth are exposed a special hydrogen peroxide whitening gel is applied to the teeth. Then a special light developed to activate the whitening gel is aimed at your teeth. You will need a total of 3 coats of the gel for this procedure. The gel is removed after 15 minutes and a new layer applied twice. After the last 15 minute session a special fluoride gel is applied. This gel is used to reduce any sensitivity that the whitening gel may have caused. Before you go home you will receive a special Zoom whitening touch up kit to take home. The kit includes trays that are custom fit and whitening gel. You dentist will explain how to use the kit to keep your teeth white longer.

What Causes Teeth Staining or Discoloration?

There are two types of tooth discoloration: Extrinsic (external or surface) and intrinsic (internal). Extrinsic staining is caused by substances that come in contact with the tooth. Big culprits are tobacco, either smoked or chewed, and foods containing tannins such as red wine, coffee and tea. Intrinsic tooth discoloration can happen with aging as enamel loses its youthful translucency, becoming less porous; this makes the underlying dentin more visible as it thickens and becomes more yellow over time. Intrinsic discoloration is also caused by exposure to excessive fluoride or the antibiotic tetracycline during tooth-formation, inherited developmental disorders, and jaundice in childhood. For teeth that have erupted already, the main causes of intrinsic discoloration are tooth decay, restorations, pulp death (root canal problems) and trauma to developing teeth. It's possible to have both extrinsic and intrinsic discoloration at the same time.

What Are the Risks of Teeth Whitening?

The main risk is tooth sensitivity following bleaching and that varies with a given product's concentration and the amount of time it is left on the teeth. If sensitivity does occur, it usually lasts no more than one to four days. Gums can also become irritated on contact with bleaching solutions or by an ill-fitting mouth tray. It's important to wipe off excess gel from your gums during whitening and to inform your dentist of any problems.

Is tooth whitening safe?

Yes, research and clinical studies indicate that whitening teeth under the supervision of a dentist is safe. In fact, many dentists consider whitening the safest cosmetic dental procedure available. As with any tooth whitening product, Zoom! is not recommended for children under 13 years of age and pregnant or lactating women.

Do the results last a long time?

By following some simple post whitening care instructions, your teeth will always be lighter than they were before. We recommend flossing, brushing twice daily with Zoom! Whitening Toothpaste, and touch-ups with Zoom! take-home gel. These are professional formula products designed specifically to keep your teeth their brightest. They are available through our office.

Is there any difference between over-the-counter tooth whiteners and Zoom!

Yes! Consulting with one of our doctors is always the first step to whitening your teeth safely. Over-the-counter tooth whitening strips, brush-on gels and toothpastes take weeks or months to whiten your teeth just a few shades. Zoom! is clinically proven to whiten your teeth eight shades* in one hour or six shades* in just one weekend.

How Can I Maintain My White Smile?

You can make the brightness last longer by avoiding the foods and habits mentioned above that cause staining. Some individuals may need a touch-up whitening treatment in the dentist's office or at home once or twice each year.

Benefits of ZoomTeeth Whitening

Zoom is the fastest procedure to whiten teeth.

You see results immediately after the procedure. Zoom provides the best treatment for teeth whitening and can lighten your teeth up to 10 shades lighter.

Zoom is customizable so you can pick which shade of white you prefer.

So you have a choice to go only a few shades lighter or make them so white they are almost translucent.

Zoom teeth whitening lasts a long time.

You get the take home kit for touch ups which allows you to extend the length of time Zoom keeps your teeth white.

Zoom is a safe procedure and has very few side effects, the main one is tooth sensitivity which is why the special fluoride gel is applied after the procedure.

If you still suffer some sensitivity it will fade quickly.

The procedure is very comfortable for patients.

Zoom is performed by a dentist or specially trained clinician who will monitor the procedure and ensure nothing goes wrong.

The whitening gel penetrates the tooth enamel to be able to remove difficult stains that at home kits are unable to remove.

Whiter teeth can help to boost your confidence.

You will not longer have to be afraid to smile in front of others.

Invisalign® Info

Do you want straight, beautiful teeth but without the hassle of metal braces and wires? Invisalign allows you to get the smile of your dreams without braces, using clear plastic aligners to straighten your teeth and fix your bite. A consultation with Dr. Jang at our Reading orthodontic office can determine if Invisalign is right for you! Dr. Jang is an Elite Level provider of Invisalign. This means that he has individually treated hundreds of cases using Invisalign. His experience and expertise will ensure that you have a beautiful smile at the end of treatment. Invisalign is a revolution in teeth-straightening technology. The aligners are:

Invisible

No one will notice you're straightening your smile unless you tell them!

Removable

You can eat and drink whatever you want, since you can remove the aligners for mealtime. This makes brushing and flossing hassle-free, too.

Comfortable

The aligners are made of smooth plastic, with no metal to cause abrasions. Plus, no wires means no uncomfortable tightening appointments.

Your Invisalign Consultation

The first step of your Invisalign treatment is having a digital intraoral scan of your mouth taken using our iTero® scanner. The iTero scanner allows our patients to avoid messy, uncomfortable impressions that most dentists and orthodontists use for their Invisalign patients. The iTero scanner is more accurate than a traditional impression, so your Invisalign trays will fit more comfortably and can move your teeth more predictably. Dr. Iebba will then take the time to discuss with you what you would like changed about your smile. He will then review each photo and X-ray on a big screen TV and explain to you in detail what changes need to be made to your teeth for you to have the smile that you deserve. Because of Dr. Iebba's extensive experience and expertise in Invisalign, we are able to offer Invisalign as a treatment option to the majority of our patients! If you are not an ideal candidate for Invisalign, Dr. Iebba will let you know this at your initial consultation and explain to you your other options to get a beautiful smile. Dr. Iebba has treated many patients with Invisalign that were told they were not candidates for Invisalign by either another orthodontist or their general dentist. These patients were able to get an amazing smile at our office without braces!

Your Invisalign Treatment

Each set of Invisalign aligners are worn for about two weeks. You'll only remove them to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth will move — little by little, week by week — until they have straightened to the final position Dr. Iebba has prescribed. We have optimized our Invisalign protocols to minimize the number of appointments you will need to have during your Invisalign treatment. Typically, you will need to visit our Plano office about every 10 weeks. At these appointments, we will confirm that your teeth are moving as expected and adjust your trays as necessary to ensure that you get the perfect smile that Dr. Iebba is known to provide for all his patients! Depending on the complexity of each case, Invisalign treatment can take anywhere from just a few months to two years. If faster orthodontic results are desired, we also offer AcceleDent® Aura accelerated orthodontic treatment in conjunction with Invisalign. After you've achieved your new, beautiful smile, we will provide you with clear retainers (they look just like the Invisalign trays). Our treatment fees INCLUDE the cost of final retainers. These clear retainers will only need to be worn at night and will keep your teeth straight. We can also place fixed lingual (behind the teeth) retainers on the front teeth. Dr. Iebba will discuss your best options for retainers at your initial consultation.

Trust Your Smile To Dr. Iebba!

Dr. Iebba is the ONLY orthodontist at Reading Dental Associates. When you start treatment at Reading Dental Associatese you will be seen by Dr. Iebba at all of your appointments. Other offices may have associate orthodontists who work in their office. In these offices you may be seen by a different doctor at every appointment. We believe that continuity of care is vital to completing orthodontic treatment in the shortest amount of time and with the best result possible.

Invisalign Teen® Info

Bummed out about having braces?

Invisalign Teen gives you a whole new way to wear braces for a "clearly" amazing smile! Invisalign Teen aligners are a perfect fit for your lifestyle, because aligners are: Clear, Removable, Super comfortable, Customized just for you.

Pizza, Popcorn ... No Problem!

You've probably heard from friends that with braces you won't be able to eat anything. With Invisalign Teen you can eat whatever you want! Unlike traditional metal braces, your Invisalign Teen aligners are removable, which means you can go ahead and eat all the things you love without worrying about breaking a bracket or losing a rubber band. Cheers!

It's Your Life; Keep It That Way!

Invisalign aligners are really comfortable and very durable. They fit in with any of your extracurricular activities. So whether you're swimming the 50-meter race, throwing the football out on the field, or playing the clarinet with the school band, you don't have to worry about your braces getting in the way!

See What Other Teens Are Saying

Connect with other teens to share your Invisalign experience and find out what other people have to say about their treatment.

iTero Scanner

The Future Of Orthodontics – Today

As part of our ongoing effort to stay up-to-date on the latest technology, we now offer digital scanning as an alternative to conventional dental molds. Our iTero digital scanner allows us to take 3D scans of your teeth and bite, and transmit the information wirelessly for fabrication of Invisalign® aligners.

Benefits Of Teeth Scanning

Fewer rejections

Occasionally, Invisalign® will reject conventional molds due to defects or inaccuracies. This requires another visit to the office and even more impressions for the patient. The 3D scanner almost completely eliminates the need for "re-takes", as errors are detected and corrected in real time.

Better fitting Invisalign® aligners

In a study of 400,000+ cases, Invisalign® reported 7 times fewer fit issues with aligners made from 3D scans.

Faster turnaround time: 3D scans eliminate shipping delays as well as the need for Invisalign® to digitize the physical molds themselves.

This will allow you to start your Invisalign® treatment sooner, and will decrease the overall treatment time.

Improved patient comfort: No mess or gagging sensation.

Simulated outcomes

Patients can see a simulated outcome of what their teeth will look like after treatment, even prior to submitting the case to Invisalign®.

With all of these advantages

Digital 3D scanning is just one more reason that Rachana Orthodontics is your Plano, TX Invisalign experts.

The Teeth Scanning Process

Step 1: Scanning

The orthodontic assistant scans the patient's dentition and palatal area if required. Our Exclusive Invisalign Integration allows you to scan patients for Invisalign services.

Step 2: Immediate Visualization

Model builds in real-time providing immediate feedback for patient and parent consultation.

Step 3: Digital Impression Review

Dr. Iebba reviews the 3D digital impression for optimal treatment planning.

Step 4: Invisalign Patients

The scanning data are used for fabrication of your Invisalign aligners, with a significant reduction in fabrication time and superior fit.

Invisalign® Costs

You Are Your Best Investment

It's true. No matter what you've believed in the past, a confident, radiant smile can be within reach. And if you think about it, improving your smile is an important investment, because you're doing it for yourself.

How Much Does Invisalign Cost?

There are many factors that determine the cost of your Invisalign treatment: how extensive the issues are that you want corrected, how long your treatment plan will last, and the specific treatment details prescribed by the doctor.

Invisalign Payment Options

Courtesy discount applied for treatment paid in full by cash or check; Payment arrangements to coincide with your Flex Plan needs; Most major credit cards accepted.

Insurance

If your dental plan covers orthodontic treatment, you may also qualify for Invisalign. Talk to your insurance provider to determine the extent of coverage for your treatment. To schedule a consultation to determine if Invisalign is right for you, contact us today.

Invisalign® FAQs

The Invisalign System Is A Series Of Clear Aligners Used To Straighten Teeth.

What is Invisalign?

The Invisalign system is the virtually invisible way to straighten your teeth and achieve the smile you've always wanted. Using advanced 3D computer imaging technology, Invisalign depicts your complete treatment plan, from the initial position of your teeth to the final desired position. Then, a series of clear aligners are custom-made for your teeth — and your teeth only — to move them little by little. Each aligner is worn for about two weeks before being replaced by the next in the series until the final position of your teeth is achieved. Your Invisalign treatment time will be determined by your doctor based on your specific needs.

What are the primary benefits of Invisalign?

Invisalign aligners are clear; no one should even notice that you're wearing braces, making Invisalign a seamless fit with your lifestyle and day-to-day interactions with others. Invisalign is removable. Unlike braces, you have the flexibility to eat and drink what you want during treatment simply by removing the aligners when you eat. You can also remove the aligners to brush and floss as you normally would for fresh breath and good oral hygiene. Unlike traditional metal braces, Invisalign does not use metal brackets or wires that could cause irritation to your mouth. In addition, you'll spend less time in the doctor's chair and scheduling appointments, and more time out doing the things you love. Lastly, Invisalign allows you to view your virtual results and treatment plan before you start your treatment, so that you can preview how your straight teeth will look once your treatment is complete.

How many patients are being treated with Invisalign?

More than 1,000,000 patients worldwide have been treated with Invisalign. The number of Invisalign smiles grows daily. At your next appointment, we can help answer any questions you might have, and get you started on the smile you've always wanted.

Will Invisalign fit my lifestyle?

Time for a snack? No problem. Take out your aligners to eat or drink whenever you want.

Since Invisalign is virtually invisible, chances are no one will even notice anything is different, until your new smile is revealed, of course.

You can remove your Invisalign aligners, so you can brush and floss regularly, and keep your teeth and gums healthy.

You can occasionally remove your Invisalign aligners and enjoy a special night out.

There's no need to change a thing. Continue your day-to-day activities while still straightening your teeth.

Be yourself with Invisalign. Since it's clear, you don't have to hide your smile while going through treatment.

With Invisalign, it's easy to make your smile picture perfect for that special occasion.

Invisalign appointments work with your schedule. Most visits are in and out, with a quick progress check once every six weeks.

Invisalign® Testimonials

Anonymous

I'm very please with the dental services that I've been receiving from Dr. Iebba and his staff. Everyone is always courteous and friendly, specially Sharon. The rest of the staff always make me feel confortable. Although there is always room for improvement, I feel that you have probably reach a level where the law of diminishing return will come into play, so I don't have any tips for improvement, just keep doing what you're doing now.

Raul V

Excellent experience. Happy to be a patient.

Mary-Alice M

It was great to meet everyone! I will miss Nancy & Dr. Tranniello greatly, but know that I am in good hands! A very pleasant and comfortable experience .thanks again, Simonne Colclough.

Simonne C

Overall a very good job on my first visit. Excellant teeth cleaning (some are not as good as others at this). Clear x-rays. All took the time to answer my questions.

Maureen S

The hygienist, Jamie(sp.?), was friendly, very professional, and quite knowledgable. She answered all my questions and kept me informed on what she was doing as she worked. I have had her for my lasttwo cleanings and she reflects well on your office.

Adam D

I had a great experience with everyone, and specifically with Dr. Pierce, Shannon, and DaJean (I'm not sure how to spell his name. He's the technician who fitted me for the Lumi-Brite mouthguard.

Donna P

I had had an exam with Dr Iebba last year but would have liked to know if they saw anything in the x-rays this time. (because I had seen Dr Iebba and had an extraction I just had an apt with the hygienist.

Kathy R

Always the nicest people at the front desk and working on my teeth! Love you guys! Who ever says that they love their dentist?! :-)

Raymond P

Everyone was very nice. The girl that did my X-rays(I can't remember her name) was very comforting and friendly. Marilyn was very helpful with the insurance stuff. The doctor was very understanding of my problem, attentive, friendly and caring. I had a great overall experience. This was my first time here.

Carl G.

As a walk-in new patient wanting to book an appointment I was able to be seen right away. I feel confident in my upcoming procedure with Dr Iebba. She was great at taking the time to explain my dental situation and what the procedure would entail, and answered any questions and concerns. She and her staff were also great in making me feel comfortable as I have a great deal of anxiety with dental procedures.

Colleen S

I recently went here and was very nervous. I had not been to the dentist in a long time. Everyone made me feel very comfortable. The hygienist was very friendly and helpful. I can tell she loves her job and cares a lot about her patients. Her deliverance of how I should change my habits was very professional,yet she made me feel very respected and cared for. Dr Iebba was excellent too. She loves her job as well and you can tell. This is a great office for anyone scared of the dentist. The staff is highly skilled for patients that have fears or may need a lot of dental work done.

Alan F

My initial visit with Dr Iebba and her staff was great. Dr Iebba sat down with me and reviewed the new patient form that I had completed. She asked questions and listened to me. She talked to me and understood what was going on with my teeth and my immediate concerns. I was very impressed that she (Dr Iebba) sat down with me instead of sending a dental assistant to answer all the questions. She is very concerned for your health and well-being.Lastly and the most impressive part of the process was when Dr Iebba personally called me to ask how my teeth was doing and if there were any issues. Frankly, you never get a dentist who takes their time to call their patients. Dr Iebba is an great dentist who knows what she is doing and how to deliver quality dental care.

Ak J

My initial visit with Dr Iebba and her staff was great. Dr Iebba sat down with me and reviewed the new patient form that I had completed. She asked questions and listened to me. She talked to me and understood what was going on with my teeth and my immediate concerns. I was very impressed that she (Dr Iebba) sat down with me instead of sending a dental assistant to answer all the questions. She is very concerned for your health and well-being. Lastly and the most impressive part of the process was when Dr Iebba personally called me to ask how my teeth was doing and if there were any issues. Frankly, you never get a dentist who takes their time to call their patients. Dr Iebba is an great dentist who knows what she is doing and how to deliver quality dental care.

Marly Miller

Convenient location, friendly staff, and a great doctor. They removed 2 Wisdom teeth. They called me the next day to see how I was doing. They took very good care of me and seemed incredibly knowledgeable. The entire thing was basically painless and over in under one hour. Dr Iebba spend time getting to know patients and asking them their problems. I will definitely go back and tell all my family and friends who their new dentist should be.

Maggie L

Over the last five years the office has gone above and beyond to assist me with all my dental needs. I truly appreciate how the office takes take a personal and modern approach. I would highly recommend it to anyone.

Joseph Mendel

I cannot give this office enough praise. Dr Iebba and everyone in his office are very skilled and very pleasant. I had a dental emergency (infection) and she took me right in that morning. She helpedget rid of the infection and scheduled a follow up appointment to fix the issue. The office called me the next day to make sure I was doing okay and to see how my pain was. I was blown away by the compassion and the level of service from this office. Dr Iebba is honestly one of the most kind, gentle and caring dentists I have ever had. The staff at the office is equally as wonderful. There is no need to look any further for a dentist.

Root Canals

In the past, teeth with diseased nerves have been removed from the mouth. However, through a root canal, most of the diseased tooth can be salvaged. In most cases, the root canal procedure is a simple treatment that involves little to no patient discomfort. Within the walls of each tooth, a strand of dental pulp – the substance that supplies the tooth with nerves, nutrients, connective tissue and blood vessels – laces downward into the root. If the dental pulp becomes diseased, the pulp dies, cutting off the nutrients and nerve signals which the tooth needs to be healthy. If the diseased pulp is left in the tooth, the tooth will become infected, forcing it to need extraction. Root canals allow the dentist to remove the pulp, clean the canal and seal the tooth, effectively protecting and saving the tooth. After an opening is created through the crown of the tooth into the dental pulp chamber, the pulp is removed. The canal is cleaned out, and the pulp chamber is permanently filled. The dentist will proceed by putting in a temporary filling. Afterwards, the temporary filling will be replaced with a permanent filling or a crown, depending on the location of the tooth within the mouth. An endodontist or root canal dentist can help you with you problems. Call us today to schedule your appointment. Root canal treatment is used to repair and save a tooth that is badly decayed or becomes infected. During a root canal procedure, the nerve and pulp are removed and the inside of the tooth is cleaned and sealed. Without treatment, the tissue surrounding the tooth will become infected and abscesses may form. Call us for a consultation. Our Dentist office in Reading, MA serves the following communities Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

How Painful is it?

Root canal procedures have the reputation of being painful. Actually, most people report that the procedure itself is no more painful than having a filling placed.

What Should One Expect After Root Canal treatment?

For the first few days after the completion of root canal treatment, the tooth may feel sensitive, especially if there was pain or infection before the procedure. This discomfort can be controlled with over-the-counter pain medications such as ibuprofen (Advil, Motrin) or naproxen (Aleve). Most patients can return to their normal activities the next day. Until the root canal procedure is completely finished -- that is to say, the permanent filling is in place and/or the crown, it's wise to minimize chewing on the tooth to prevent it from breaking before the tooth can be fully restored. Brush and floss as you regularly would and see your dentist at normally scheduled intervals.

How Successful Are Root Canals?

Root canal treatment is highly successful; the procedure has more than a 95% success rate. Many teeth fixed with a root canal can last alifetime. Are you suffering from an infected, fractured or abscessed tooth or have general tooth pain, then call us to schedule a consultation with our root canal dentist.

What Are the Signs That a Root Canal Is Needed?

Sometimes no symptoms are present; however, signs you mayneed a root canal include:

Severe toothache pain upon chewing or application of pressure

Prolonged sensitivity/pain to heat or cold temperatures

Discoloration of the tooth

Swelling and tenderness in the nearby gums

A persistent or recurring pimple on the gums

What happen during a root canal treatment?

Your root canal dentist will then place a permanent restoration, such as a crown, to protect the tooth. After reviewing a Digital X-ray of your tooth, your endodontist will thoroughly examine your teeth, gums and supporting bone structure, recommend a treatment plan, discuss it with you, and answer your questions. If a root canal is needed:

A local anesthetic is applied to the affected tooth and surrounding area

A small, protective sheet called a "dental dam" is used to isolate the tooth to keep it clean and free of saliva during your procedure

An opening is made in the top of the tooth and your endodontist will remove the soft pulp and nerve and then shape the interior for filling

The root canal is cleaned, medicated, and filled with a rubber-like biocompatible material (gutta percha)

A temporary filling is placed pending your return to your general dentist

Endodontics retreatment

A second chance to save your tooth.

With proper care, most teeth that have had endodontic (root canal) treatment can last as long as other natural teeth. In some cases, however, a tooth that has received endodontic treatment fails to heal or the pain continues. Occasionally the tooth becomes painful or diseased months or even years after successful treatment. If your tooth has failed to heal or has developed new problems, you have a second chance. Another endodontic procedure may be able to save your tooth.

What will happen during retreatment?

First, the endodontist will discuss your treatment options. If you and your endodontist choose retreatment, the endodontist will reopen your tooth to gain access to the root canal filling material. In many cases, complex restorative materials - crowns, post, and core material - must be disassembled and removed to permit access to the root canal. After removing the canal filling, the endodontist can clean the canals and carefully examine the inside of your tooth, carefully searching for any additional canals or unusual anatomy that requires treatment. After cleaning the canal(s), the endodontist will fill and seal the canal(s), and place a temporary filling in the tooth*. Post space may also be prepared at this time. After the final visit with your endodontist, you will need to return to your dentist as soon as possible to have a new crown or other restoration placed on the tooth to protect and restore it to full function. If the canals are unusually narrow or blocked, your endodontist may recommend endodontic surgery. This surgery involves making an incision near the end of the root to allow the tip of the root to be sealed.

Is retreatment the best choice for me?

Retreated teeth can function well for years, even for a lifetime. It's always best to save the tooth if your endodontist believes retreatment is the best option for you. Advances in technology are constantly changing the way root canal treatment is performed, so your endodontist may even be able to use a new technique that was not available when you had your first procedure. If your tooth has unusual anatomy that was not cleaned and sealed during the first procedure, your endodontist may be able to resolve this problem with a second treatment. Of course, there are no guarantees with any dental or medical procedure. Your endodontist will discuss your options and the chances of success before beginning retreatment.

What are the alternatives to retreatment?

For some patients considering retreatment, endodontic surgery is also an option. This surgery involves making an incision near the end of the root to allow the tip of the root to be sealed. Endodontic surgery may be recommended in conjunction with retreatment or as an alternative. Your endodontist will discuss your options and recommend appropriate treatment. The only other alternative is extraction of the tooth. The extracted tooth must then be replaced with an implant, bridge, or removable partial denture to restore the chewing function and to prevent adjacent teeth from shifting. Because these options require extensive surgery or dental procedures on adjacent healthy teeth, they can be far more costly and time consuming than retreatment and restoration of the natural tooth. No matter how effective modern tooth replacements are - and they can be very effective - nothing is as good as your natural tooth. You've already made an investment in saving your tooth. The payoff for choosing retreatment could be a healthy, functioning natural tooth for many years to come.

Why do I need another endodontic procedure?

As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial treatment for a variety of reasons.

Narrow or curved canals were not treated during the initial procedure.

Complicated canal anatomy went undetected in the first procedure.

The crown or other restoration was not placed soon enough after the procedure.

The restoration did not prevent saliva from contaminatingthe inside of the tooth.

In some cases, a new problem can jeopardize a tooth that was successfully treated:

New decay can expose the root canal filling material to bacteria, causing a new infection in the tooth.

A loose, cracked, or broken crown or filling can expose the tooth to new infection.

Apicoectomy

Although there are many surgical procedures that can be performed to save a tooth, the most common is called apicoectomy or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy. In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed. A small filling may also be placed to seal the end of the oral canal, and a few stitches or sutures are placed in the gum to help the tissue heal properly. Over a period of months, the bone heals around the end of the root.

What is an apicoectomy?

Although there are many surgical procedures that can be performed to save a tooth, the most common is called apicoectomy or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy. In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed. A small filling may also be placed to seal the end of the oral canal, and a few stitches or sutures are placed in the gum to help the tissue heal properly. Over a period of months, the bone heals around the end of the root.

Are there any other types of endodontic surgery?

Other surgeries endodontists might perform include dividing a tooth in half, repairing an injured root, or even removing one or more roots. Your endodontist will be happy to discuss the specific type of surgery your tooth requires. In very complex cases, a procedure called intentional replantation may be performed. In this procedure, a tooth is extracted, treated with an endodontic procedure while it is out of the mouth, and then replaced in its socket. The procedures are designed to help you save your tooth.

Will the procedure hurt?

Local anesthetics make the procedure comfortable. Of course, you may feel some discomfort or experience slight swelling while the incision heals. This is normal for any surgical procedure. Your endodontist will recommend appropriate pain medication to alleviate your discomfort. Your endodontist will give you specific postoperative instructions to follow. If you have questions after your procedure, or if you have pain that does not respond to medication, call your endodontist.

Can I drive myself home?

Often you can, but you should ask your endodontist before your appointment so that you can make transportation arrangements if necessary.

When can I return to my normal activities?

Most patients return to work or other routine activities the next day. Your endodontist will be happy to discuss your expected recovery time with you.

How do I know the surgery will be successful?

Your dentist or endodontist is suggesting endodontic surgery because he or she believes it is the best option for you. Of course, there are no guarantees with any surgical procedure. Your endodontist will discuss your chances for success so that you can make an informed decision.

What are the alternatives to endodontic surgery?

Often, the only alternative to surgery is extraction of the tooth. The extracted tooth must then be replaced with an implant, bridge, or removable partial denture to restore chewing function and to prevent adjacent teeth from shifting. Because these alternatives require surgery or dental procedures on adjacent healthy teeth, endodontic surgery is usually the most cost-effective option for imagestaining your oral health. No matter how effective modern tooth replacements are - and they can be very effective - nothing is as good as a natural tooth. You've already made the investment in saving your tooth. The pay-off for choosing endodontic surgery could be a healthy, functioning natural tooth for the rest of your life.

Why would I need endodontic surgery?

Surgery can help save your tooth in a variety of situations.

Surgery may be used in diagnosis.

If you have persistent symptoms but no problems appear on your x-ray, your tooth may have a tiny fracture or canal that could not be detected during non-surgical treatment. In such a case, surgery allows your endodontist to examine the root of your tooth, find the problem, and provide treatment.

Sometimes calcium deposits make a canal too narrow for the cleaning and shaping instruments used in non-surgical root canal treatment to reach the end of the root.

If your tooth has this "calcification," your endodontist may perform surgery to clean and seal the reimagesder of the canal.

Usually, a tooth that has undergone a root canal can last the rest of your life, and never need further endodontic treatment.

However, in a few cases, a tooth may fail to heal. The tooth may become painful or diseased months or even years after successful treatment. If this is true for you, surgery may help save your tooth.

Surgery may also be performed to treat damaged root surfaces or surrounding bone.

Cracked teeth

Why does a cracked tooth hurt?

To understand why a cracked tooth hurts, it helps to know something about the anatomy of the tooth. Inside the tooth, under the white enamel and a hard layer called the dentin, is the inner soft tissue called the pulp. The pulp contains blood vessels, nerves, and connective tissue. When the outer hard tissues of the tooth are cracked, the chewing can cause movement of the pieces, and the pulp can become irritated. When biting pressure is released, the crack can close quickly, resulting in a momentary, sharp pain. Irritation of the dental pulp can be repeated many times by chewing. Eventually, the pulp will become damaged to the point that it can no longer heal itself. The tooth will not only hurt when chewing but may also become sensitive to temperature extremes. In time, a cracked tooth may begin to hurt all by itself. Extensive cracks can lead to infection of the pulp tissue, which can spread to the bone and gum tissue surrounding the tooth.

What is an apicoectomy?

Although there are many surgical procedures that can be performed to save a tooth, the most common is called apicoectomy or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy. In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed. A small filling may also be placed to seal the end of the oral canal, and a few stitches or sutures are placed in the gum to help the tissue heal properly. Over a period of months, the bone heals around the end of the root.

Will my tooth completely heal?

Unlike a broken bone, the fracture in a cracked tooth will never heal. In spite of treatment, some cracks may continue to progress and separate, resulting in loss of the tooth. Placement of a crown on a cracked tooth provides maximum protection but does not guarantee success in all cases. The treatment you receive for your cracked tooth is important because it will relieve pain and reduce the likelihood that the crack will worsen. Once treated, most cracked teeth continue to function and provide years of comfortable chewing. Talk to your dentist and/or endodontist about your particular diagnosis and treatment recommendations. They will advise you on how to keep your natural teeth and achieve optimum dental health.

Types of Cracks

There are many different types of cracked teeth. The treatment and outcome for your tooth depends on the type, location, and severity of the crack.

Craze Lines:

Craze lines are tiny cracks that affect only the outer enamel. These cracks are extremely common in adult teeth. Craze lines are very shallow, cause no pain, and are of no concern beyond appearances.

Fractured Cusp:

When a cusp (the pointed part of the chewing surface) becomes weakened, a fracture sometimes results. The weakened cusp may break off by itself or may have to be removed by the dentist. When this happens, the pain will usually be relieved. A fractured cusp rarely damages the pulp, so root canal treatment is seldom needed. The tooth will usually be restored by your dentist with a full crown.

Cracked Tooth:

When a cusp (the pointed part of the chewing surface) becomes weakened, a fracture sometimes results. The weakened cusp may break off by itself or may have to be removed by the dentist. When this happens, the pain will usually be relieved. A fractured cusp rarely damages the pulp, so root canal treatment is seldom needed. The tooth will usually be restored by your dentist with a full crown. Early diagnosis is important. Even with high magnification and special lighting, it is sometimes difficult to determine the extent of a crack. A cracked tooth that is not treated will progressively worsen, eventually resulting in the loss of the tooth. Early diagnosis and treatment are essential in saving these teeth.

Split Tooth:

A split tooth is often the result of the long term progression of a cracked tooth. The split tooth is identified by a crack with distinct segments that can be separated. A split tooth can never be saved intact. The position and extent of the crack, however, will determine whether any portion of the tooth can be saved. In rare instances, endodontic treatment and a crown or other restoration by your dentist may be used to save a portion of the tooth.

Vertical Root Fracture:

Vertical root fractures are cracks that begin in the root of the tooth and extend toward the chewing surface. They often show minimal signs and symptoms and may therefore go unnoticed for some time. Vertical root fractures are often discovered when the surrounding bone and gum become infected. Treatment usually involves extraction of the tooth. However, endodontic surgery is sometimes appropriate if a portion of the tooth can be saved by removal of the fractures root.

Traumatic Injuries

Dislodged Teeth

Injuries to the mouth can cause teeth to be pushed back into their sockets. Your endodontist or general dentist may reposition and stabilize your tooth. Root canal treatment is usually started within a few weeks of the injury and a medication, such as calcium hydroxide, maybe placed inside the tooth. Eventually, a permanent root canal filling will be required. Sometimes a tooth may be pushed partially out of the socket. Again, your endodontist or general dentist may reposition and stabilize your tooth. If the pulp remains healthy, then no other treatment may be necessary. Yet, if the pulp becomes damaged or infected, root canal treatment may be required.

Avulsed Teeth

If an injury causes a tooth to be completely knocked out of your mouth, it is important that you are treated immediately! If this happens to you, keep the tooth moist. If possible, put it back into the socket. A tooth can be saved if it remains moist. You can even put the tooth in milk or a glass of water (add a pinch of salt.) Your Endodontist may start root canal treatment based upon the stage of root development. The length of time the tooth was out of your mouth and the way the tooth was stored, may influence the type of treatment you receive.

Injuries in children

An injured immature tooth may need one of the following procedures to improve the chances of saving the tooth.

Apexogenesis

This procedure encourages the root to continue development as the pulp is healed. Soft tissue is covered with medication to encourage growth. The tip of the root (apex) will continue to close as the child gets older. In turn, the walls of the root canal will thicken. If the pulp heals, no additional treatment will be necessary. The more mature the root becomes, the better the chance to save the tooth.

Apexification

In this case, the unhealthy pulp is removed. The Doctors place medication into the root to help a hard tissue form near the root tip. This hardened tissue provides a barrier for the root canal filling. At this point, the root canal walls will not continue to develop, making the tooth susceptible to fractures. So it is important to have the tooth properly restored by your dentist.

Endodontic Sedation

Endodontics treatment under sedation or sleep dentistry. Dental anxiety is a rather common condition that discourages, and often even prevents, numerous people from attaining the oral care they need or desire. With patient comfort being one of our practice's top priorities, our Endodontists are dedicated to helping anyone who suffers from dental phobia receive endodontic treatment in a completely calm, anxiety-free state—which can often be made possible by sedation endodontics. Endodontics is defined as root canals (anterior, pre-molar, and molar root canals) and retreatments. Our office offers root canals under sedation. At the time of your consultation, root canal sedation experts will thoroughly examine your dental and medical history, address any questions or concerns you have, and help you select the most appropriate sedation option for your specific case. Our goal is to ensure you are completely comfortable and carefree during your endodontic treatment. Schedule an Appointment with our Sedation Endodontic Experts. If you are in need of endodontic treatment and feel sedation endodontics could be beneficial for you, please reach out to our practice online or by phone today to book an appointment. We are happy to help you receive the oral care you need in a state of complete relaxation!

What Is Sedation Endodontics?

Sedation endodontics refers to the utilization of various sedative methods intended to keep you relaxed and free of all anxiety or discomfort while endodontic care is performed. In addition to its calming and analgesic effects, sedation endodontics can also enable complex treatments—such as some root canal procedures and dental implant surgeries—to be completed more efficiently due to your peaceful state. At our practice, our endodontist is both extensively trained and credentialed to provide oral conscious sedation and nitrous oxide, and they work together with dental anesthesiologists to offer IV sedation when a higher level of sedation is necessary.

Would Sedation Endodontics Benefit Me?

Sedation endodontics can be particularly beneficial if:

You suffer from fear or anxiety about dental treatment

You have an overactive gag reflex

You respond poorly to local anesthetics

You have a very low tolerance for discomfort

You are undergoing a particularly complex treatment or surgery

You have special needs or a disability

You are not able to relax or sit comfortably in the dental chair for an extended period

What Different Types of Sedation Are Available?

There are three types of sedation available for endodontic treatment: oral conscious sedation, nitrous oxide, and IV sedation. Our endodontic sedation experts have undergone extensive training and are qualified to perform oral conscious sedation and nitrous oxide—and they collaborate with dental anesthesiologists to provide IV sedation in the event a greater degree of sedation is required. Each of these options is described below.

Oral Conscious Sedation:

Oral conscious sedation involves the digestion of a swallowable pill approximately one hour prior to the start of treatment. Once the sedation takes effect, you will be in a state of complete relaxation for your procedure—and you may even fall asleep. Afterwards, you will likely have little to no recollection of treatment, which many patients consider to be a benefit.

Nitrous Oxide:

Nitrous oxide—commonly called "laughing gas"—is inhaled through a chairside mask, resulting in an immediate calming effect. You will be awake and coherent during treatment, though you will feel much more relaxed than normal. Depending on your needs and desires, nitrous oxide can be used alone or in combination with oral conscious sedation.

IV Sedation:

IV sedation is injected directly into the bloodstream by a dental anesthesiologist. Once administered, the effects are immediate, enabling you to achieve deep relaxation—sometimes referred to as a conscious "twilight" state. Many patients are so relaxed with IV sedation that they drift off and sleep peacefully throughout treatment. Similar to oral conscious sedation, you will likely have minimal to no memory of your procedure.

Gum Graft surgery

If gum recession is affecting your health or your appearance, a procedure called gingival (gum) grafting may be recommended. Although it might sound scary, a variety of gum grafting procedures are routinely performed by periodontists (specialists in the area of gingival tissue), and by some general dentists with specialized training in this field. Gum grafting involves carefully placing a small amount of new tissue in an area where little or no gum tissue currently exists — typically recommended to prevent further gum recession or to cover root surfaces of your teeth that have become exposed. The tissue used in this procedure may come from a variety of sources but usually is taken from the palate (roof of the mouth), after the area has been numbed for your comfort. Then it is delicately sutured (stitched) in place where it's needed, using suturing material which may be finer than a human hair. Your body's natural recovery process takes over after the grafting procedure is complete. During this time, new blood vessels grow into the graft and help it to become integrated with the surrounding tissue. A successful graft can reduce or eliminate problems like tooth sensitivity and further gum recession, as well as improve the aesthetics of your smile.

A gum graft (also known as a gingival graft or periodontal plastic surgery)

Is a collective name for surgical periodontal procedures that aim to cover an exposed tooth root surface with grafted oral tissue.

Exposed tooth roots are usually the result of gingival recession due to periodontal disease. There are other common causes, including overly aggressive brushing and trauma.

Here are some of the most common types of gum grafting:

Free gingival graft

This procedure is often used to thicken gum tissue. A layer of tissue is removed from the palate and relocated to the area affected by gum recession. Both sites will quickly heal without permanent damage.

Sub-epithelial connective tissue graft

This procedure is commonly used to cover exposed roots. Tissue is removed fairly painlessly from the outer layer of the palate and relocated to the site of gum recession.

Acellular dermal matrix allograft

This procedure uses medically processed, donated human tissue as a tissue source for the graft. The advantage of this is procedure is that there is no need for a donor site from the patient's palate (and thus, less pain).

What Causes Receding Gums?

Attached gingiva and alveolar mucosa are the two types of gum tissues.

Attached gingiva is -- surprise! -- attached to the tooth and underlying bone. It is immovable and fairly resistant to everyday trauma caused by eating and tooth brushing. Alveolar mucosa is the more delicate tissue of the two -- located beneath the attached gingiva, alveolar mucosa is loose and allows for movement of the lips and cheeks. Unlike attached gingiva, alveolar mucosa cannot withstand "normal" trauma caused by eating and brushing.

As mentioned earlier, receding gums can be traced to gum disease, but that's just one cause.

Over time, brushing too aggressively can wear down your gums and cause them to recede. People who are born with naturally thin gingiva are most vulnerable to this. Orthodontic therapies can also stretch the gum line. A high frenum attachment can also trigger gum recession. The frenum is the muscle between the upper or lower front teeth; if it pulls on the gum margin, recession may result.

Gum grafting may be recommended to correct a high frenum attachment if the frenum is pulling on your gum margin.

During this type of procedure, the frenum is surgically released and a new band of hard gum is added to re-establish the amount of attached gingiva required for support and movement.

Reasons for gum grafting

Gum grafting is a common periodontal procedure. Though the name might sound frightening, the procedure is commonly performed with excellent results. Here are some of the major benefits associated with gum grafting:

Reduced sensitivity

When the tooth root becomes exposed, eating or drinking hot or cold foods can cause extreme sensitivity to the teeth. Gum grafting surgery permanently covers the exposed root, helps reduce discomfort, and restores the good health of the gums.

Improved appearance

Periodontal disease is characterized by gum recession and inflammation. Gum recession and root exposure can make the teeth look longer than normal and the smile to appear "toothy." Gum grafting can make the teeth look shorter, more symmetrical and generally more pleasing to look at. In addition, adjacent tissue can be enhanced and augmented during the procedure for aesthetic purposes.

Improved gum health

Periodontal disease can progress and destroy gum tissue very rapidly. If left untreated, a large amount of gum tissue can be lost in a short period of time. Gum grafting can help halt tissue and bone loss; preventing further problems and protecting exposed roots from further decay.

What does gum grafting treatment involve?

Once the need for gum grafting surgery has been determined, there are several treatments the dentist will want perform before gum grafting takes place.

First, the teeth must be thoroughly cleaned supra and subgingivally to remove calculus (tartar) and bacteria. The dentist can also provide literature, advice and educational tools to increase the effectiveness of homecare and help reduce the susceptibility of periodontal disease in the future.

The gum grafting procedure is usually performed under local anesthetic.

The exact procedure will depend much on whether tissue is coming from the patient's palate or a tissue bank.

Initially, small incisions will be made at the recipient site to create a small pocket to accommodate the graft.

Then a split thickness incision is made and the connective tissue graft is inserted into the space between the two sections of tissue. The graft is usually slightly larger than the recession area, so some excess will be apparent.

Sutures are often placed to further stabilize the graft and to prevent any shifting from the designated site.

Surgical material is used to protect the surgical area during the first week of healing. Uniformity and healing of the gums will be achieved in approximately six weeks.

Do I Need a Gum Graft?

Do not lose your teeth to gum recession. Call our Periodontics to find out more about your options in Reading, MA for treating receding gums. Our periodontics primary focus has been and continues to be their patients. Our long- serving staff bring the same concern. Patients find comfortable, thoughtful, expert care for their periodontal needs from the practice. If you have any questions about the practice or the treatments we offer, please contact us today. If you are ready to request an appointment with our Periodontics, then you may do so by calling us at 781-944-6761. Our periodontist serves communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn. Gum recession can be restored on a single tooth or multiple teeth, and a graft may be needed if you have:

Periodontal disease

Root cavities

Cosmetic concerns

Sensitive teeth or roots

Root exposure

Gum and bone tissue loss

Gum Lift surgery

The term "gummy smile" is often characterized by an excess of gum tissue along the teeth, making them appear too short along the gumline. This can ultimately have an effect on the entire appearance of your smile, and for many people, is the cause of some degree of self-consciousness with the way they look. Fortunately, there are advanced periodontal procedures that can reshape the gums with terrific results. At Reading Dental Associates, we recontour and reshaped the gums. The shape, size, evenness, and brightness of your teeth are certainly important and make up a large part of cosmetic dentistry. However, if a person's gums are problematic, they can throw an otherwise lovely smile out of balance. A gum lift is a cosmetic dentistry procedure that creates an even gum line. Patients with gummy smiles can have excessive gum tissue removed, exposing more tooth, and improving the appearance of their smiles. With a gum lift, our experienced dentists can remove the excess gum tissue that's causing a "gummy smile" and enhance the appearance of your teeth. Since we are able to "trim" the gums with laser technology, the entire treatment process can often be accomplished in a single visit, with a reduced risk of excess bleeding or infection. If you are looking for a periodontist near me, then please call our Reading Periodontist for a consultation for your gum lift.

Gum Lift

Commonly referred to as a "gummy smile," an excessive amount of gum coverage can hide large portions of your teeth and eventually cause you to be self-conscious about your smile.

Gum reshaping and contouring techniques at our cosmetic dentistry practice can help you evenly raise your gum line to expose more of your teeth. Our highly-trained and experienced cosmetic dentist will safely and effectively recontour your gums and help you reveal your beautiful smile.

Sometimes referred to as a "crown lengthening," a gum lift can dramatically enhance the symmetry and beauty of your smile

Especially when performed in conjunction with other conservative cosmetic procedures such as tooth contouring or porcelain veneers.

What are the Benefits of Gum Lifts?

A gum lift offers the benefit of an esthetically pleasing smile in just one visit. For added comfort, our general dentist provides sedation dentistry options, as well as other amenities to ensure patients undergoing gum lifts and other treatments enjoy a comfortable, relaxing experience. Many of the cosmetic benefits of a gum lift include:

Longer teeth

More proportional teeth

Improved smile esthetics

The Gum Lift Procedure

With a gentle touch, Dr. Councill and Dr. Glass employ a soft tissue laser that reshapes and contours excessive gum tissue to reveal the gorgeous and symmetrical smile hiding beneath. Within a few minutes, our laser reveals the perfect amount of enamel and produces a more balanced smile. Like all of our state-of-the-art technology, soft tissue lasers help us provide care with enhanced precision. Some of the benefits of soft tissue lasers include:

Little to no bleeding

Little to no swelling

No stitches

Precision tissue removal allows for a more conservative treatment

Very little discomfort

Greatly reduced healing time

Am I a candidate for gum lift?

A gum lift is typically performed when:

The gums do not move back naturally when a new tooth emerges

The lip is unusually high such that the gum line becomes clearly visible

There are problems: periodontitis, dryness and tooth decay beyond a certain extent can necessitate the procedure

There is irritation due to the presence of braces

There is abnormal wear and tear of the teeth which in turn makes the normal gum line look abnormal

How Do I Keep My Gums Healthy After a Gum Lift?

Gum lifts often play a significant role in a smile makeover treatment plan. They can complement tooth whitening, or help give veneers a more natural placement along the gum line. Call the Reading Dental Associates today at 781-944-6761 and make an appointment for a gum lift dental consultation. We serve nearby communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn. You will still need to follow a few basic gum lift aftercare guidelines to help ensure maximum healing in minimal time:

To counteract any discomfort you may experience after the procedure, take an appropriate dose of over-the-counter-pain medication, such as ibuprofen.

Do not eat or drink anything until the anesthetic has worn off. This will help you avoid any unnecessary damage to the cheeks and gums.

Follow you regular at-home dental hygiene routine, making sure to brush and floss very gently. You still want to remove as much plaque as possible without overworking the contouring site.

If you use mouthwash, choose one that does not contain alcohol. You may even want to consider rinsing with warm salt water for a couple of days after the procedure.

Do not smoke or chew tobacco products for a couple of days as this will extend your healing time.

Even better, you can take this opportunity to quit tobacco use altogether for the continuing health and beauty of your smile and your whole body.

Bone regeneration

If you are experiencing gum disease and our Reading periodontist (Dr. Amsalem) has noticed a loss of bone as well, bone regeneration may be a good option to restore the health and function of your smile. Bone regeneration is a periodontal surgical procedure that regenerates jaw bone and tissue in order to correct the damage caused by periodontal disease. Bone regeneration is often performed to protect your existing teeth and the soft tissues that keep them in place so that you can experience an enhanced quality of life as a direct result of improved health, function, and appearance. Bone regeneration can also benefit patients with missing teeth and those who don't qualify for dental implants. Dental implants require a significant amount of jawbone prior to the procedure in order to be successful. Bone regeneration can help patients who suffer from a deteriorated jawbone support their restorations or prepare for an implant dentistry procedure.

What Is Bone Regeneration?

Periodontal disease can, if left untreated, bring about the loss of bone structure. Eventually, this increases the chance for teeth to be lost. Once the natural teeth are gone, the surrounding bone infrastructure in the jaw will begin to dissolve. The loss of bone structure can cause aesthetic issues and can make the use of dentures an uncomfortable option. The good news is that bone regeneration has made it possible to regain the lost bone structure. This improves facial appearance and also provides stronger support for dentures and bridges when teeth are missing. Guided bone regeneration (GBR) uses surgical procedures to influence and encourage the growth of new bone tissue in negatively affected areas. Three types of bone graft procedures are in use: Autogenous, Allograft, Xenograft.

When is bone regeneration needed?

Dental bone regeneration is often used in preparation for periodontal procedures, such as dental implants. Often, a patient needs dental implants but does not have adequate bone tissue to support them. Bone regeneration helps build up bone around the implants after a tooth extraction to provide a solid foundation upon which to place dental implants securely. The procedure may also be used to fill bone defects after a tooth is removed or to preserve sockets in preparation for the future implantation of false teeth or other dental prosthetics.

How does the process work?

Before a Guided Bone Regeneration procedure takes place, your dentist will determine if you are a qualified candidate who can withstand hard tissue growth in the jaw. If you are found to be a good candidate for the procedure, a surgical appointment will be scheduled. During your procedure, your gum pockets will be cleaned and a biocompatible membrane will be inserted between the pockets and gum tissue to guide the bone tissue growth within the gum pockets. A graft material – sourced from a human or animal donor or produced synthetically in a lab – will be placed into areas of the jaw in need of augmentation. This graft material will become absorbed into the natural tissues and stimulate growth over time. Depending on the size of your graft, recovery may take anywhere from two to three weeks; however, the graft material will undergo a process called osseo-integration over the next 3 or more months.

What are the benefits of dental bone regeneration?

Regenerative methods like these are vital to the success of one's dental implant or dental bridge or to correct defects in the bone. In addition to helping restore one's smile, regenerative procedures can actually improve a patient's dental health by preventing the further decay of tissues beneath the gum line.

After treatment

After bone graft regeneration, patients should schedule and come to all follow up appointments suggested by the doctor. If needed, the doctor will prescribe pain medication for the patient after the procedure as well as tips to improve the healing process. Patients should maintain a regular home oral care routine, including brushing, flossing, and regular dental exams and cleanings. At Reading Dental Associates, we are experts in periodontal procedures like these and are committed to providing our patients with the quality care and comprehensive service they need to permanently restore their smile. Bone regeneration is just one such procedure that can help you achieve the smile you have always wanted in a healthy and natural way. If you are interested in learning more about procedures like these, contact our office today to schedule a consultation with us. Our dentist serves Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Pocket reduction procedures

Your bone and gum tissue should fit snugly around your teeth like a turtleneck around your neck. When you have periodontal disease, this supporting tissue and bone is destroyed, forming "pockets" around the teeth. Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted. Osseous surgery, or flap surgery, is usually performed when a pocket around a tooth (or teeth) has not responded to other treatments. A periodontal pocket reduction procedure has been recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine. During this procedure, our Reading periodontist specialist (Dr. Annie) folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone. Reducing pocket depth and eliminating existing bacteria are important to prevent damage caused by the progression of periodontal disease and to help you maintain a healthy smile. Eliminating bacteria alone may not be sufficient to prevent disease recurrence. Deeper pockets are more difficult for you and your dental care professional to clean, so it's important for you to reduce them. Reduced pockets and a combination of daily oral hygiene and professional maintenance care increase your chances of keeping your natural teeth – and decrease the chance of serious health problems associated with periodontal gum disease.

Pocket reduction surgery

Pocket reduction surgery (also known as gingivectomy, osseous surgery and flap surgery) is a collective term for a series of several different surgeries aimed at gaining access to the roots of the teeth in order to remove bacteria and tartar (calculus). The human mouth contains dozens of different bacteria at any given time. The bacteria found in plaque (the sticky substance on teeth) produce acids that lead to demineralization of the tooth surface, and ultimately contribute to periodontal disease. Periodontal infections cause a chronic inflammatory response in the body that literally destroys bone and gum tissues once they invade the subgingival area (below the gum line). Gum pockets form and deepen between the gums and teeth as the tissue continues to be destroyed. Periodontal disease is a progressive condition which, if left untreated, causes massive bacteria colonization in gum pockets can eventually lead to teeth falling out. Pocket reduction surgery is an attempt to alleviate this destructive cycle, and reduce the depth of the bacteria-harboring pockets.

What does pocket reduction surgery involve?

Before recommending treatment or performing any procedure, the dentist will perform thorough visual and x-ray examinations in order to assess the condition of the teeth, gums and underlying bone. Pocket reduction surgery may be performed under local or general anesthetic depending on the preferences of the patient. The gums will be gently pulled back from the teeth and bacteria and calculus (tartar) will be eliminated. Scaling and root planing will generally be required to fully remove the ossification (tartar) from the surface of the tooth root. If the root is not completely smooth, a planing procedure will be performed to ensure that when the gums do heal, they will not reattach to rough or uneven surfaces. The final part of the surgery is usually the administration of an antimicrobial liquid to eliminate any remaining bacteria and promote healing. The gum is then sutured with tiny stitches that are left in place for 5-10 days. Though the gums will be more sensitive immediately following the procedure, there will be a significant reduction in pocket depth and a vast improvement in the condition of the teeth and gums.

When Do I Need Pocket Reduction Surgery?

Pocket reduction surgery is usually recommended to those whose dental pockets have grown too deep to be adequately cleaned with normal oral care procedures. Your periodontist will measure the depth of the pockets, assess your home care regime, and consider any possible professional care routines prior to recommending surgery. Patients experience a substantial reduction in pocket depth after having the surgery as well as a significantly noticeable improvement in the condition of their gums and teeth.

Will it hurt?

New treatment options using refined techniques can be performed comfortably as office procedures. Improvements in medications, local anesthesia, anxiety and pain control, and in some cases, conscious sedation, are available to make your treatment more pleasant and comfortable.

How long will it take to heal?

It's important to follow the doctor's instructions. Patients generally can expect to enjoy their normal routine the following day. Talk with your doctor and our staff about any special post-surgery considerations you may have, such as diet, exercise or follow-up medications. This will help to minimize disruption of your daily activities. If you have any questions about pocket reduction surgery or treatment for periodontal disease, please ask our dentist – call us today at 781-944-6761 and make an appointment. We serve Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Reasons for the pocket reduction surgery

Pocket reduction surgery is a common periodontal procedure which has been proven effective at eliminating bacteria, reducing inflammation and saving teeth. The goals of pocket reduction surgery are:

Reducing bacterial spread

Oral bacteria has been connected to many other serious conditions such as diabetes, heart disease and stroke. Oral bacteria can travel to various parts of the body from inside the bloodstream and begin to colonize. It is important to decrease bacteria in the mouth in order to reduce the risk of secondary infection.

Halting bone loss

The chronic inflammatory response induced by oral bacteria leads the body to destroy bone tissue. As the jawbone becomes affected by periodontal disease, the teeth lose their rigid anchor. When the teeth become too loose, they may require extraction.

Facilitate home care

As the gum pockets become progressively deeper, they become incredibly difficult to clean by the patient. The toothbrush and dental floss cannot reach to the bottom of the pockets, increasing the risk of further periodontal infections.

Enhancing the smile

An oral cavity that is affected by periodontal disease is not attractive to the eye. In fact, smiles may be marred by brown gums, rotting teeth and ridge indentations. Pocket reduction surgery halts the progression of gum disease and improves the aesthetics of the smile.

Dental Crown Lengthening

Crown lengthening is a procedure that involves trimming the gum tissue and often recontouring the bone. This is used to crown a broken/decayed tooth, to improve the health of the gum tissue, or to improve the esthetic look of a tooth as when we correct a "gummy smile". A "gummy smile" is where teeth are covered with excess gum tissue resulting in a less than esthetically-pleasing smile or an area that is difficult to clean without the procedure. The procedure involves trimming or reshaping or recontouring the gum tissue and bone around the tooth or teeth to create gum and bone contours that are better looking, easier to clean and/or allow final crownwork to be made. Crown lengthening can be performed on a single tooth, many teeth, or the gum tissue on all teeth needing it. Crown lengthening is often required when your tooth/teeth have had so much decay, or have fractured and need new crown(s). The edge of a crown should be at or just below the gum line and if it is too deep below the gum tissue is extremely difficult for your dentist to make the crown and for you to keep it clean. Crown lengthening allows your restorative dentist to build the crown, ensuring a proper fit to the tooth. It will also provide enough tooth structure so the new restoration will not come loose in the future. This allows you to clean the edge of the restoration when you brush and floss to prevent decay and periodontal gum disease. If one tooth requires crown lengthening, it will probably be necessary to adjust the surrounding teeth to enable a more even reshaping. In some cases, shaping or removal of a small amount of bone will be necessary as well. It will take several months for the gum tissue and the bone to adapt to their new shape. Teeth will always look noticeably longer after surgery because the gums have now been repositioned. Teeth that have had crown lengthening can be sensitive to temperatures until their have the final crown(s) made. If you are looking for a periodontist near me on dental implants, then call our Dental Implant Specialist (Dr. Annie, Periodontist) today for a consultation.

Crown lengthening is usually performed to improve the health of the gum tissue, prepare the mouth for a procedure, or correct a "gummy smile."

A "gummy smile" is used to describe an instance where teeth are covered with excess gum tissue resulting in a less esthetically-pleasing smile. The procedure involves reshaping or recontouring the gum tissue and bone around the tooth in question to create a new gum-to–tooth relationship. Crown lengthening can be performed on a single tooth, many teeth, or the entire gum line.

Crown lengthening is often required when your tooth needs a new crown or other restoration.

The edge of that restoration is deep below the gum tissue and not immediately accessible. It is also usually too close to the bone or below the bone.

Crown lengthening allows us to reach the edge of the restoration, ensuring a proper fit to the tooth.

It should also provide enough tooth structure so the new restoration will not come loose in the future. This allows you to clean the edge of the restoration when you brush and floss to prevent decay and gum disease.

Crown lengthening takes approximately one hour but will largely depend on the amount of teeth involved and if any amount of bone will need to be removed.

The procedure is usually performed under local anesthetic and involves a series of small incisions around the tissue to separate the gums from the teeth. Even if only one tooth requires the procedure, it will probably be necessary to adjust the surrounding teeth to enable a more even reshaping. In some cases, extraction of a small amount of bone will be necessary as well.

What does crown lengthening involve?

Crown lengthening is normally performed under local anesthetic. The amount of time this procedure takes will largely depend in how many teeth are involved and whether a small amount of bone needs to be removed, in addition to the soft tissue. Any existing dental crowns will be removed prior to the procedure, and replaced immediately afterwards. The dentist will make a series of small incisions around the soft tissue in order to separate the gums away from the teeth. Even if only one tooth requires the re-contour, neighboring teeth are usually treated to provide a more even reshaping. Separating the gums provides the dentist with access to the roots of the teeth and the underlying bone. In some cases, the removal of a small amount of tissue will provide enough tooth exposure to place a crown. In other cases, the dentist will also need to remove a small amount of bone from around the teeth. The bone is usually removed using a combination of special hand instruments, and rotary instruments. The rotary instruments roughly resemble the drill that is used in cavity treatment. When the dentist is satisfied the teeth have sufficient exposure, the wound will be cleaned with sterile water and the gum tissue will be sutured with small stitches. The teeth will look noticeably longer immediately after surgery because the gums have now been repositioned. The dentist will secure the surgical site using an intraoral (periodontal) bandage, which serves to prevent infection. Prescriptions may be provided for pain medication, and a chlorhexidine (antimicrobial) mouth rinse may be given to help reduce any bacteria attempting to re-colonize. The surgical site will be completely healed in approximately two to three months.

Why You Should use a Periodontist for Crown Lengthening?

While many general dentists offer crown lengthening services, periodontists are specifically trained to handle this rigorous procedure. Periodontists undergo years of extra training to understand the gingival structures of the mouth. Our certified periodontist understands how to anticipate and resolve issues that might come up during your procedure. If you think that you could benefit from crown lengthening, make an appointment with our Reading office. We serve Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Recovery period

Your periodontist will provide you with a prescription for managing any pain or discomfort. You will be provided with a special mouth rinse and dental care instructions during recovery stages. You will be able to continue your normal oral hygiene routine. However, during recovery it is best to avoid the gum area of the procedures for a few weeks. Your periodontist will want to see you back within about a week to remove the stitches. After the stitches are removed your gums will need some time to heal before your dentist finishes restoration or cosmetic treatment of the tooth.

Reasons for crown lengthening

Crown lengthening is a versatile and common procedure that has many effective uses and benefits. The vast majority of patients who have undergone this type of surgery are highly delighted with the results. Here are some of the most common reasons for crown lengthening:

Restoration of damaged teeth

Periodontal disease can cause severe damage to the teeth, as can trauma and decay. Where teeth have been broken beneath the gum line, crown lengthening can be used to prepare the area for a new restoration to correct the damaged teeth.

Cosmetic uses

Extra gum tissue can make teeth look unnaturally short, and also increase susceptibility to periodontal infections. Removing excess gum tissue can restore a balanced, healthy look and thus improve the aesthetic appearance of the smile.

Dental crowns

Crown lengthening serves to provide more space between the supporting jawbone and dental crown. This prevents the new crown from damaging gum tissues and bone once it is in place.

Scaling And Root Planing

Most periodontal patients in our practice become very familiar with the two primary therapies we rely on to treat gum disease: scaling and root planing. Sounds a little disagreeable, yes. But scaling and root planing are the beginning of the end of periodontal problems. The treatment is tried and true, with a simple goal—get the "junk" out of there. Plaque, calculus, and bacteria, left to accumulate, will form pockets around teeth beneath the gumline. As pockets deepen and bacteria go to work, tissue becomes infected. Without care, tissue, ligaments and eventually bone are destroyed and you're facing tooth loss. Scaling and root planing is one of the most effective, non-surgical ways to treat gum disease before it becomes severe. Scaling is basically the process of removing dental tartar from the surfaces of the teeth. Root planing is the process of smoothing out the root surfaces and removing any infected tooth structure. If you have gum disease or gum pocketing, the gum pockets around the teeth will have deepened, thereby allowing tartar deposits to form under the gum line. A careful cleaning of the root surfaces to remove plaque and calculus (tartar) from deep periodontal pockets and smoothing the tooth root to remove bacterial toxins will help ensure that your gum disease is controlled. Scaling and root planing is a simple procedure that can work very well to stop gum disease. Scaling and root planing does not usually cause much discomfort, but you might experience some soreness afterwards, since deeper regions under the gums have been cleaned. Your teeth themselves may become a bit more sensitive to temperature, and bleeding might occur for a little while after your procedure. Schedule a visit with our Reading periodontist (Dr. Annie M. Amsalem, DDS) to understand more about root scaling and planing. Chronic periodontitis affects 47.2% of adults over 30 in the United States. Root Planing and Scaling is one of the most effective ways to treat gum disease before it becomes severe. Root planing and scaling cleans between the gums and the teeth down to the roots.

Why Do I Need It?

Gum disease is caused by a sticky film of bacteria called plaque. Plaque is always forming on your teeth, but if they aren't cleaned well, the bacteria in plaque can cause your gums to become inflamed. When this happens, your gums will pull away from your teeth and form spaces called pockets. Plaque then gets trapped in these pockets and cannot be removed with regular brushing. If untreated, gum disease could lead to bone and tooth loss. If gum disease is caught early and hasn't damaged the structures below the gum line, a professional cleaning should do. If the pockets between your gums and teeth are too deep, however, scaling and root planing may be needed.

What Happens During Scaling and Root Planing?

This deep cleaning has two parts. Scaling is when your dentist removes all the plaque and tartar (hardened plaque) above and below the gumline, making sure to clean all the way down to the bottom of the pocket. Your dentist will then begin root planing, smoothing out your teeth roots to help your gums reattach to your teeth. Scaling and root planing may take more than one visit to complete and may require a local anesthetic.

Scaling & Root Planing (Deep Cleaning) versus Regular Cleaning

Scaling and Root Planing, also known as a dental deep cleaning, is very different from a regular cleaning. A regular cleaning focuses on the surfaces of the teeth and between teeth above the gum line. During a regular cleaning, the teeth are also polished. A dental deep cleaning, or scaling and root planing, is needed in order to remove bacteria, calculus (tartar), and debris that has collected under the gum line. The presence of calculus under the gumline creates a safe haven for bacteria to collect, and cannot be removed by brushing, flossing or with a regular cleaning. The presence of this bacteria causes an immune response from the body. This immune response results in inflammation, to fight the bacterial infection. If left untreated, the infection and inflammation will continue and progress further under the gum line, resulting in loose teeth and bone loss, and ultimately, the loss of one or more teeth. One of the best ways to help prevent periodontal disease is to schedule routine examinations and cleanings with a dentist. Our family dentist in Reading MA can help give you the smile you want. Call today at 781-944-6761 if you live in Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Periodontal Gum Therapy

Gum disease (also called periodontal disease) is an infection of the tissues (gums) that support your teeth. Periodontal disease is a major cause of tooth loss in adults. Because gum disease is usually painless, you may not know you have periodontal disease. At each regular dental health checkup, we will measure the depth of the shallow v-shaped crevice (called a sulcus) between your tooth and gums to see how healthy your gums are. Gum disease is caused by plaque, a sticky film of bacteria that constantly forms on the teeth. These bacteria create toxins that can damage the gums and cause periodontal disease. Periodontal disease can attack just below the gum line in the sulcus, where they cause the attachment of the tooth and supporting tissues to break down. As the tissues are damaged, pockets develop between your teeth and gums; generally, the more severe the gum disease, the greater the depth of the pocket. Periodontal disease is classified according to the severity of the disease. The two major stages are gingivitis and periodontitis. Good oral hygiene at home is an essential first step for gum disease treatment. It helps keep periodontal disease from becoming more serious or recurring. You don't have to lose teeth to gum disease. Brush regularly, clean between your teeth, eat a balanced diet, and schedule regular visits with our periodontist specialist (Dr. Annie M. Amsalem, DDS) for a lifetime of healthy smiles. Chronic periodontitis affects 47.2% of adults over 30 in the United States. Root Planing and Scaling is one of the most effective ways to treat gum disease before it becomes severe. Root planing and scaling cleans between the gums and the teeth down to the roots.

Why Do I Need It?

Gum disease is caused by a sticky film of bacteria called plaque. Plaque is always forming on your teeth, but if they aren't cleaned well, the bacteria in plaque can cause your gums to become inflamed. When this happens, your gums will pull away from your teeth and form spaces called pockets. Plaque then gets trapped in these pockets and cannot be removed with regular brushing. If untreated, gum disease could lead to bone and tooth loss. If gum disease is caught early and hasn't damaged the structures below the gum line, a professional cleaning should do. If the pockets between your gums and teeth are too deep, however, scaling and root planing may be needed.

What Happens During Scaling and Root Planing?

This deep cleaning has two parts. Scaling is when your dentist removes all the plaque and tartar (hardened plaque) above and below the gumline, making sure to clean all the way down to the bottom of the pocket. Your dentist will then begin root planing, smoothing out your teeth roots to help your gums reattach to your teeth. Scaling and root planing may take more than one visit to complete and may require a local anesthetic.

Scaling & Root Planing (Deep Cleaning) versus Regular Cleaning

Scaling and Root Planing, also known as a dental deep cleaning, is very different from a regular cleaning. A regular cleaning focuses on the surfaces of the teeth and between teeth above the gum line. During a regular cleaning, the teeth are also polished. A dental deep cleaning, or scaling and root planing, is needed in order to remove bacteria, calculus (tartar), and debris that has collected under the gum line. The presence of calculus under the gumline creates a safe haven for bacteria to collect, and cannot be removed by brushing, flossing or with a regular cleaning. The presence of this bacteria causes an immune response from the body. This immune response results in inflammation, to fight the bacterial infection. If left untreated, the infection and inflammation will continue and progress further under the gum line, resulting in loose teeth and bone loss, and ultimately, the loss of one or more teeth. One of the best ways to help prevent periodontal disease is to schedule an examinations with our periodontist. Our dental office also serves communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Periodontics treatment under sedation or sleep dentistry

What is Periodontal Sedation? - Periodontal surgeries can be long, complicated and can provide a great deal of dental anxiety. At our dental office, we provide periodontal sedation for patients in the nearby areas. Periodontal surgeries would include:

Gum Graft surgery

Gum grafting involves carefully placing a small amount of new tissue in an area where little or no gum tissue currently exists.

Gum Lift surgery

A gum lift is a cosmetic dentistry procedure that creates an even gum line. Patients with gummy smiles can have excessive gum tissue removed, exposing more tooth, and improving the appearance of their smiles.

Bone regeneration

Bone regeneration is a periodontal surgical procedure that regenerates jaw bone and tissue in order to correct the damage caused by periodontal disease.

Osseous surgery, or flap surgery

Usually performed when a pocket around a tooth (or teeth) has not responded to other treatments. A periodontal pocket reduction procedure has been recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine.

Dental Crown Lengthening

Crown lengthening is a procedure that involves trimming the gum tissue and often recontouring the bone. This is used to crown a broken/decayed tooth, to improve the health of the gum tissue, or to improve the esthetic look of a tooth as when we correct a "gummy smile."

Scaling And Root Planing

Scaling and root planing is one of the most effective, non-surgical ways to treat gum disease before it becomes severe. Scaling is basically the process of removing dental tartar from the surfaces of the teeth. Root planing is the process of smoothing out the root surfaces and removing any infected tooth structure.

What Different Types of Sedation Are Available?

There are three types of sedation available for periodontal treatment: oral conscious sedation, nitrous oxide, and IV sedation. Our periodontist sedation experts have undergone extensive training and are qualified to perform oral conscious sedation and nitrous oxide—and they collaborate with dental anesthesiologists to provide IV sedation in the event a greater degree of sedation is required. Each of these options is described below.

Oral Conscious Sedation

Oral conscious sedation involves the digestion of a swallowable pill approximately one hour prior to the start of treatment. Once the sedation takes effect, you will be in a state of complete relaxation for your procedure—and you may even fall asleep. Afterwards, you will likely have little to no recollection of treatment, which many patients consider to be a benefit.

Nitrous Oxide

Nitrous oxide—commonly called "laughing gas"—is inhaled through a chairside mask, resulting in an immediate calming effect. You will be awake and coherent during treatment, though you will feel much more relaxed than normal. Depending on your needs and desires, nitrous oxide can be used alone or in combination with oral conscious sedation.

IV Sedation

IV sedation is injected directly into the bloodstream by a dental anesthesiologist. Once administered, the effects are immediate, enabling you to achieve deep relaxation—sometimes referred to as a conscious "twilight" state. Many patients are so relaxed with IV sedation that they drift off and sleep peacefully throughout treatment. Similar to oral conscious sedation, you will likely have minimal to no memory of your procedure. At the time of your consultation, perio sedation experts will thoroughly examine your dental and medical history, address any questions or concerns you have, and help you select the most appropriate sedation option for your specific case. Our goal is to ensure you are completely comfortable and carefree during your periodontal treatment.

Schedule an Appointment with our Sedation Periodontist Experts

If you are in need of periodontal treatment and feel sedation periodontics could be beneficial for you, please reach out to our practice online or by phone today to book an appointment. We are happy to help you receive the oral care you need in a state of complete relaxation!

Implant Dentistry

Dental implants are small titanium posts that replace the roots of missing teeth. They are inserted into your jawbone during a minor surgical procedure that takes place in the dental office. After the implant has been placed in your jawbone, a completely lifelike porcelain tooth crown is attached. In some cases, the implant needs to fuse with the bone for several months before it is permanently crowned; in other cases, you can have new (but temporary) teeth the same day your implants are placed.

How many teeth can be replaced with dental implants?

You can replace a single tooth, multiple teeth or all your teeth with implants. You don't even need one implant for every missing tooth. As few as two Implants can support a removable lower denture, while as few as four implants can provide a full, permanent set of top or bottom teeth.

Is dental implant surgery painful?

Most people find dental implant surgery very easy to tolerate. Any post-operative discomfort can usually be managed with over-the-counter anti-inflammatory medication such as ibuprofen or OTC pain-relievers. Ice can also be helpful.

Are dental implants expensive?

At the outset, implants are more expensive than other tooth-replacement methods such as dentures or bridgework. But they also last many years longer and in fact should never need replacement. So they offer the best, most cost-effective option when viewed as a long-term investment in your health, comfort and well-being.

How do you care for dental implants?

They require exactly the same care as natural teeth: daily brushing and flossing, along with regular dental checkups and professional cleanings. Although implant teeth will never decay, the gum tissues around them can become inflamed or infected in the absence of good oral hygiene. Properly cared-for dental implants should last a lifetime.

Am I a candidate for dental implants?

There's a good chance that you are, but this can only be determined after a complete oral examination that includes x-rays of your jaws. Please schedule a consultation to begin the exciting process of restoring your smile and bite. Looking to replace single or multiple teeth? Our implant dentist can be the best option in understanding more about dental implants. Call us at 781-944-6761 to learn more! Our dental office serves the communities of Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield, Woburn.

Replacing Missing Teeth

Your teeth affect your whole body. When they're healthy, you're healthier too. A missing tooth can affect your bite, speech and eating choices. As you rely more on your remaining teeth, you increase the chance they will wear out prematurely, or be damaged or lost. You may also experience headaches and/or jaw pain. Who would want their appearance and health to deteriorate? That's the natural consequence of missing teeth – the jaw literally melts away. Generally, people will lose 25% of their supporting jawbone structure within the first year after tooth loss. Dental implants are more easily placed when teeth are first extracted because bone replacement becomes more complex as time passes. The great news? Implants act just like your natural teeth. They safeguard and preserve your bone structure, oral health and appearance. Your dentist and the implant surgeon will provide you with options so that you can make the most informed decision concerning tooth replacement.

Tooth Replacement Options

You can select from a number of different options to replace your missing teeth – from temporary to long-lasting solutions. A good candidate is anyone missing one or more teeth, or who is unhappy with their dentures. Age is not a factor. However, smoking, diseases such as diabetes, and radiation therapy to the area, have been shown to lower the success rate of implant placement. X-rays of your jaw will be taken to evaluate whether they will accommodate implants. Detailed x-rays may also be required to determine if other tests or procedures are needed to place implants properly.

Fixed Bridge

A fixed bridge is a connected set of replacement teeth. For support, it is cemented into position on top of the teeth adjacent to the empty space. The protective outer layer of these teeth is usually removed or ground down prior to attaching the bridge.

Flipper

A fragile, temporary and inexpensive solution is a removable plastic tooth with a plastic retainer, often called a "flipper".

Metal Partial

A less fragile option is a removable partial denture cast in metal and plastic. It is held in place by wire clips. A removable partial denture can be removed and reinserted when required by the patient.

Denture

The most common solution, for people missing all teeth in one or both jaws are complete dentures. Some people adapt well to dentures. Others find them uncomfortable, even intolerable, because of differences in jaw size and shape.

Dental Implants

Dental implants are the most comfortable and permanent solution. They form a strong foundation for teeth and keep the jaw healthy and strong. Implants support individual replacement teeth or secure specialized dentures in place. Unlike bridges, no healthy teeth are damaged. Unlike most bridges, implants can last a lifetime. Implant-supported replacement teeth can be attractive, stable, and comfortable for almost any patient.

Why Select Dental Implants Over More Traditional Types Of Restorations?

There are several reasons: A dental bridge can sacrifice the structure of surrounding good teeth to bridge the space of the missing tooth/teeth. In addition, removing a denture or a "partial" at night may be inconvenient, not to mention dentures that slip can be uncomfortable and rather embarrassing.

Overview of Implant Placement

The Dental Implant Surgical Procedure

The procedure to place a dental implant takes 30 to 60 minutes for one implant and only 2 to 3 hours for multiple implants. The number of appointments and time required, vary from patient to patient. The surgeon will bring great precision and attention to the details of your case. Prior to surgery, you may receive antibiotics and for greater comfort, intravenous sedation or nitrous oxide (laughing gas). These options are discussed with you at your consultation appointment. A local anesthetic will be administered to numb the area where the dental implant will be placed. When you are comfortable, the surgeon makes a small incision in the gum tissue to reveal the bone, creates space using special instruments, and gently inserts the titanium implant. The top of this implant is often visible through the gum. Sometimes it is better in the early stages of healing to have the implant covered by the gum tissue.

Healing after Dental Implant Surgery

Now the healing begins. The length of time varies from person to person, depending upon the quality and quantity of bone. In some cases, implants may be restored immediately after they are placed. If not, a healing abutment (support post) or a healing cap will be placed. The surgeon will advise you on follow-up care and timing. This allows gum tissue to mature and provides access to the implant. Occasionally, impressions are made at the time the implant is placed. This enables the crown to be ready when the implants have healed. How long your mouth needs to heal is determined by a variety of factors. Follow-up care (one to four appointments) is usually needed to ensure that your mouth is healing well and to determine when you are ready for the restorative phase of your treatment. It may be beneficial to perform a soft tissue graft to obtain stronger, more easily cleaned and natural appearing gum tissue in the area around the implant. This process involves moving a small amount of gum tissue from one part of your mouth to the area around the implant. Most often, it is a brief and relatively comfortable procedure. Whether it's one tooth or all of your teeth that are being replaced, your dentist will complete the restoration by fitting the replacement tooth (crown) to the dental implant.

When are dental implants placed?

Implants are often placed several months after extraction. At times, an implant may be placed immediately after extraction of a tooth. This may involve a little more risk, but it simplifies the process—you won't have to wait for another appointment to place the implant. When infection or other problems with the bone are present, immediate implant placement is not the best treatment. If your tooth has been missing for some time, the adjacent support bone is likely to grow thinner and shrink. This occurs because the root of the natural tooth has to be present to stimulate the bone. As much as one third of your jaw's thickness can be lost in the year following tooth extraction. If you are missing enough bone, you may benefit from having additional bone grafted into the area. This ensures the implant will be adequately supported when it is placed in the jaw.

How many implants do I need?

Most frequently, one implant per missing tooth is placed. Because many of the larger teeth in the back of your jaws have two or three roots, the most common approach is to replace missing back teeth with larger implants.

Missing All Upper or Lower Teeth

Although many patients have no problem wearing an upper denture, some people find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing all of your lower teeth.

Ball Attachment Denture

One option is to have two implants placed in your lower jaw and a denture made that snaps onto these implants. This option allows your lower denture to be more stable while chewing than without implants. However, there will still be movement of your lower denture, and sore spots will occur if any food particles, especially seeds, are caught under it. As with all removable replacement teeth, you still will need periodic appointments for denture adjustment.

Bar Attachment Denture

Another option involves placing four to six implants, depending on your jaw size or shape, into your lower jaw. After healing is complete, the implants are connected with a custom-made support bar. Your denture will be made with special internal retention clips that attach onto the support bar, enabling the denture to snap firmly into place. This is called an "overdenture." The advantage of this option is that it is much more stable than the first option and allows very little denture movement. Your denture is still removable for easy cleaning and maintenance.

Screw Retained Denture

A third option involves placing five or more implants in your jaw and attaching a permanent denture. Your denture is held in place by screws or clasps that secure it to the support posts or bar. It doesn't touch the gum tissue, which allows you to clean under the denture without removing it. This denture will replace all your missing lower teeth and will not be removed except at maintenance visits. Although cleaning under your denture without removing it is more time consuming and requires more dexterity, many patients who want a permanent denture prefer this option.

Individual Implants

The final option is to have all your teeth individually replaced so that they will appear to be growing out of your gum tissue and will most closely resemble the appearance of your natural teeth. This option usually requires eight or more implants. Separate abutments or support posts for each one of these implants will be made and crowns for each missing tooth will be placed. The teeth are often joined together for sinus grafting to replace bone height strength and support. Overall, this is the most costly option, because it requires the most implants and individual replacement tooth fabrication. Your replacement options may also be limited by the current size and shape of your jawbone.

What if I'm missing all of my upper teeth?

A similar range of treatment options is also available for your upper jaw. However, because the bone is not as hard as that in the lower jaw, people often need more implants to support their new replacement teeth. Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.

Implant Retained Upper Denture

Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.

Individual Upper Implants

If you want a restoration that is similar to your natural teeth and therefore not removable, you probably will need eight to ten individual implants placed. This is followed after healing by the placement of the abutments and new replacement crowns.

Bone Grafting for Implants

Do I have enough bone for dental implants?

After tooth extraction, if the walls of the socket are very thick, they will usually fill naturally with bone in two to three months. However, when the walls of your socket are very thin (such as in your upper and lower front teeth), this type of healing will not be as predictable. In these situations, a bone graft is often placed at the time of tooth extraction to help your body fill in the empty socket with bone. This step will maintain the width and volume of bone you will need for implant placement several months later. There may be inadequate bone for implant placement if your tooth was removed many years ago and your bony ridge is extremely thin. In this case, a bone graft can be placed next to the thin bone and allowed to heal for up to six months. After the graft has fused to your pre-existing bone, the ridge will be re-entered and the implant placed. Bone grafting is usually a relatively comfortable office procedure. Many different bone-grafting materials are available, including your own bone. You may also need bone grafting if the sinus cavities in your upper jaw are very large, or very low, and extend into the tooth-bearing areas. This often occurs when teeth in the back of a person's upper jaw have been removed many years before, and the amount of bone available for implant placement is limited. A "sinus grafting procedure" is then required. Most often, it is performed in the office with local anesthesia and perhaps sedation. During this procedure, the membrane that lines the sinus will be located and elevated. Bone will then be added to restore the bone height and ensure that dental implants of an adequate length can be placed. This procedure often can be performed at the time of implant placement.

Implant Supported Overdenture

An Implant Supported Overdenture is a contemporary restoration that has revolutionized the way surgeons and dentists think of replacing a full set of teeth.

Standard dentures are unsecured prostheses with inherent limitations. Most often, dentures are painful, inconvenient and unstable. Such dentures can make chewing foods difficult, limiting the foods that you once enjoyed.

Modern dentistry can help with implant supported dentures.

The Implant Supported Overdenture treatment concept replaces your missing teeth with a full dental bridge supported by dental implants. Fewer implants are needed and overall treatment time and cost are reduced.

An Implant Supported Overdenture solution also ensures greater stability in the bone, reducing the need for bone graft surgery to increase bone volume.

Implant-supported overdentures stay connected with bar and clip attachment methods or use a variety of abutment-based attachments (ball, magnets, and resilient stud attachments such as Locators).

The most appropriate attachment system for your individual needs relates to a variety of factors that are determined early in the treatment.

Typically, a temporary set of teeth can be placed on the same day of surgery. The temporary teeth allow you to lead a normal life immediately after surgery. After a short healing period, your dentist will place the final bridge. Your quality of life is improved, and you can start enjoying your favorite foods again with renewed confidence.

Implant Supported Overdentures Offer Many Advantages

A cost-effective solution.

When compared to some other implant supported restoration methods, your new replacement teeth require fewer implants for each jaw. With fewer implants required, the cost is lowered.

Reduced need for bone grafting. The special angled placement of two of the implants ensures a secure and stable anchorage for the replaced arch, often making bone-grafting unnecessary.

Faster treatment and healing time.

Your replacement arch can be attached to your implants immediately after insertion.

Scientifically proven and documented.

Implant Supported Overdentures have had good clinical outcomes from decade-long studies with favorable results.

After Implant Placement

What can I use for teeth while the implants heal?

Many options are available, and they are tailored to your specific requirements. If you need a replacement tooth while the implants are healing, temporary removable teeth or a temporary bridge can be made. If all of your teeth are missing, we can usually modify your present complete denture or make you a new temporary denture. If you would prefer non-removable teeth during the healing phase, temporary transitional implants usually can be placed along with the permanent implants, and temporary teeth may be made and inserted the same day. Depending on your particular situation, some implants can be placed and "loaded" immediately. This means a temporary or permanent replacement tooth can be placed on, or shortly after, the day the implant is placed.

What are the potential problems after dental implant surgery?

Although it is natural to be concerned about the pain that may be caused by these procedures, most patients do not experience severe or significant post-operative pain. Pain medication and antibiotics will be prescribed for you to make your recovery as easy as possible. Occasionally, some people develop post-operative infections that require additional antibiotic treatment. Even though great care is taken to place the implant precisely, occasionally adjacent teeth are injured in the placement process. In addition, there is a chance that the nerve in the lower jaw, which provides sensation to your lower lip and chin, may be affected. If you are missing quite a lot of bone, it might be difficult to place an implant without infringing on the nerve space. Although we take great care to avoid this nerve, occasionally it is irritated during the procedure, resulting in tingling, numbness or a complete lack of sensation in your lip, chin or tongue. Usually these altered sensations will resolve within time, but they can be permanent and/or painful. If you notify us of post-operative numbness as soon as possible, it will allow us to manage your care in the most appropriate way.

How long will the implants last?

Implants usually last a long time. When patients are missing all of their teeth, long-term studies (more than 30 years) show an 80 to 90 percent success rate. For patients missing one or several teeth, recent studies show a success rate of greater than 95 percent, which compares favorably with other areas in the body that receive implant replacement (such as hips or knees). However, if one of your dental implants either doesn't heal properly or loosens after a period of time, you may need to have it removed. After the site heals (or on occasion at the time of removal), another implant usually can be placed.

When are the replacement teeth attached to the implant?

The replacement teeth are usually attached to the implant when adequate healing has occurred and your jaw bone is firmly fused to the implant. Depending on a variety of factors, it may be possible to begin this phase of your treatment immediately or shortly after implant placement. We will review the most appropriate treatment sequence and timing for your particular situation. The dental work required to complete your treatment is complex. Most of the work involves actually making the new teeth before they are placed. Your appointments are considered more comfortable and more pleasant than previous methods of tooth replacement. Frequently, this process can be performed without local anesthesia. Your restorative treatment begins with specialized impressions that allow us to produce a replica of your mouth and implants. We will also make "bite" records so that we see the relationship of your upper and lower jaws. With this information, we will make the abutments (support posts) that attach your replacement teeth to your implants. Various types of abutments exist. Frequently, we can use "off the shelf" abutments. Other times, custom abutments must be made of gold or a tooth-colored ceramic material. As you can imagine, these custom made abutments add to the cost and treatment time involved. Which abutment to use is a decision that often cannot be made until after healing is complete and impressions have been made.The number of appointments and the amount of time required for each appointment is different for each patient. No two cases are exactly the same and regardless of the number of teeth replaced, the work must be completed with great precision and attention to detail. If you are having only a few teeth replaced, as few as three short appointments may be required. Between appointments, we will need time to complete the necessary lab work to make your replacement teeth. It is most beneficial that you keep all of your scheduled appointments. If your final restoration is a removable denture, you will need to come to as many as five office appointments (although it may be fewer) over the following several months. During these appointments, we will perform a series of impressions, bites and adjustments in order to make your new teeth, as well as the custom support bars, snaps, magnets, or clips that will secure your teeth to the implants. During this period, every effort will be made to ensure you have comfortable, temporary replacement teeth. In general, once your implants are placed, you can expect your tooth replacement treatment to be completed anywhere from 1 to 12 months. For these reasons, it is difficult for us to tell you exactly how much the restorative phase of your treatment will cost, although you should receive a reasonable estimate from our office. It also is difficult to give you a specific timeframe for completion of your treatment until after the implants are ready for restoration.

How do I clean my new teeth?

A similar range of treatment options is also available for your upper jaw. However, because the bone is not as hard as that in the lower jaw, people often need more implants to support their new replacement teeth. Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.

Implant Retained Upper Denture

As with natural teeth, it is important that you clean implant-supported restorations regularly with toothbrushes, floss and any other recommended aids. You should also visit your dentist several times each year for hygiene and maintenance. As with regular dentures and other tooth replacements, your implants and their associated components are subject to wear and tear and eventually will need repair, including clip replacement, relines, screw tightening, and other adjustments.

Will one doctor do everything?

Usually, a dental surgeon places the implant(s) and performs other necessary surgical procedures – your general dentist provides the temporary and permanent replacement teeth. Both doctors are involved in planning your dental treatment. Also, depending upon a variety of factors, different dental specialists may help with your dental care.

How much does dental implant treatment cost?

Before treatment begins, every effort will be made to give you an accurate estimate of all the expenses involved in placing the implants and making your replacement teeth. In many cases, there is an initial charge for the diagnostic work-up, including study models, x-rays, and the fabrication of a surgical template to ensure the best possible result. In addition you will be charged for the abutment or support post(s), plus the crown, dentures, or anything else that will be placed over the implants, including temporary restorations. Periodic maintenance such as hygiene visits, tissue conditioners, denture relines and other repairs will also incur additional charges. When different doctors are involved in your treatment, you will be charged separately for their services. We will try to assist you in estimating what your actual payments will be after we evaluate your insurance coverage or other third party payments. Also, you should consider your personal financial investment in each treatment option as some insurance companies provide limited or no coverage. Each patient is unique, and it is not possible for us to discuss every option and every contingency for treatment outcome. This website is intended to help you understand the general treatment options available to you. If your specific treatment options are not clear, please contact us. We will be happy to answer any questions you have about your dental care.

Cost of Dental Implants

Dental implants have been available for several decades. However, for most patients, they are still a relatively new concept. When considering the cost of dental implants and comparing quotes, there are several important points that should be kept in mind.

Longevity

When comparing the cost of dental implants to other tooth replacement methods such as dentures and bridges, it is important to take into consideration the longevity offered by dental implants that is not always afforded by other, more traditional methods. While dentures and bridges are initially less expensive, their affordability can be short-lived. Because these older methods require repair and replacement every 5-10 years, they are often more expensive over time. By contrast, dental implants, when properly placed and cared for, can last a lifetime.

Jaw Bone Health

Over time, when a tooth is missing, the jaw bone deteriorates. So while a denture or bridge may seem to function similarly to a tooth, underneath the surface damage is being done to the jaw bone and ultimately to the structure of the face. This can result in the distortion of the shape of a person's face, leading to additional cosmetic costs down the road. On the other hand, dental implants are made of titanium, which actually integrates with the jaw bone, strengthening it and stimulating bone growth. This preserves the natural strength and quality of the mouth, lessening problems in the future.

Quality of Life

Dental implants can be seen as a long-term investment not only in terms of money, but also in terms of quality of life. A dental implant is the closest thing to a natural tooth. In addition to allowing the patient to eat the same healthy foods he or she has always enjoyed, it also eliminates the day-to-day hassles and possible embarrassment that are frequently caused by dentures.

Comparing Dental Implant Quotes

There are several steps (and often multiple professionals) involved in the placement of a dental implant. When comparing quotes, it's important to factor in the cost of each of these steps: Exams/office visits; Tooth/root extraction; Bone Grafting; Placement of the titanium root (the "dental implant"); Placement of the crown; X-rays, pre/post operative care.

Financing for Dental Implants

First, check with your dental insurance carrier to see what portion, if any, of dental implants they cover. There are health care credit companies that offer no-interest and low-interest loans for medical procedures including dental implants. Dental Implants are an investment in your health as well as your appearance. A full set of teeth makes eating a pleasure again, making it easier to eat a balanced, healthy diet. A full set of teeth also preserves the contours of the face, keeping you from looking old before your time.

Schedule Your Consultation

The only way to receive an accurate price quote is to call us and come in for a consultation, and we can give you a specific price for your case. Please call us 781-944-6761 to schedule your consultation.

Bone Grafting

Major & Minor Bone Grafting

Missing teeth over a period of time can cause your jaw bone to atrophy, or resorb. This often results in poor quality and quantity of bone suitable for the placement of dental implants as well as long term shifting of remaining teeth and changes to facial structure. Most patients, in these situations, are not candidates for dental implants. Fortunately, today we have the ability to grow bone where it is needed. This not only gives us the opportunity to place implants of proper length and width, but it also gives us a chance to restore functionality and aesthetic appearance.

Major Bone Grafting

Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease, or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip or tibia (below the knee). Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum to protect the bone graft, as well as encourage bone regeneration. This is called guided bone regeneration, or guided tissue regeneration. Major bone grafts are typically performed to repair defects of the jaws. These defects may arise as a result of traumatic injuries, tumor surgery, or congenital defects. Large defects are repaired using the patient's own bone. This bone is harvested from a number of different areas depending on the size needed. The skull (cranium), hip (iliac crest), and lateral knee (tibia), are common donor sites. These procedures are routinely performed in an operating room and require a hospital stay. Contact our office for more information.

About Bone Grafting

Synthetic materials also have the advantage of not requiring a second procedure to harvest bone, reducing risk and pain. Each bone grafting option has its own risks and benefits. Dr. Iebba will determine which type of bone graft material best suited to your particular needs.

What is Bone Grafting?

Over a period of time, the jaw bone associated with missing teeth atrophies and is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for the placement of dental implants. In these situations, most patients are not candidates for the placement of dental implants. With bone grafting we now have the opportunity to not only replace bone where it is missing, but we also have the ability to promote new bone growth in that location. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance.

Types of Bone Grafts

Autogenous Bone Grafts

Autogenous bone grafts, also known as autografts, are made from your own bone, taken from somewhere else in the body. The bone is typically harvested from the chin, jaw, lower leg bone, hip, or the skull. Autogenous bone grafts are advantageous in that the graft material is your own live bone, meaning it contains living cellular elements that enhances bone growth, also eliminating the risk of your body rejecting the graft material since it comes from you. However, one downside to the autograft is that it requires a second procedure to harvest bone from elsewhere in the body. Depending on your condition, a second procedure may not be recommended.

Allogenic Bone

Allogenic bone, or allograft, is dead bone harvested from a cadaver, then processed using a freeze-dry method to extract the water via a vacuum. Unlike autogenous bone, allogenic bone cannot produce new bone on it's own. Rather, it serves as a framework, or scaffold, over which bone from the surrounding bony walls can grow to fill the defect or void.

Xenogenic Bone

Xenogenic bone is derived from non-living bone of another species, usually a cow. The bone is processed at very high temperatures to avoid the potential for immune rejection and contamination. Like allogenic grafts, xenogenic grafts serve as a framework for bone from the surrounding area to grow and fill the void. Both allogenic and xenogenic bone grafting have an advantage of not requiring a second procedure to harvest your own bone, as with autografts. However, because these options lack autograft's bone-forming properties, bone regeneration may take longer than with autografts, and have a less predictable outcome.

Bone Graft Substitutes

As a substitute to using real bone many synthetic materials are available as safe and proven alternatives, including:

Demineralized Bone Matrix (DBM)/Demineralized Freeze-Dried Bone Allograft (DFDBA)

This product is processed allograft bone, containing collagen, proteins, and growth factors that are extracted from the allograft bone. It is available in the form of powder, putty, chips, or as a gel that can be injected through a syringe.

Graft Composites

Graft composites consist of other bone graft materials and growth factors to achieve the benefits of a variety of substances. Some combinations may include: collagen/ceramic composite, which closely resembles the composition of natural bone, DBM combined with bone marrow cells, which aid in the growth of new bone, or a collagen/ceramic/autograft composite.

Bone Morphogenetic Proteins

Bone morphogenetic proteins (BMPs) are proteins naturally produced in the body that promote and regulate bone formation and healing.

Jaw Bone Loss and Deterioration

The following are the most common causes for jaw bone deterioration and loss that may require a bone grafting procedure:

Tooth Extractions

When an adult tooth is removed and not replaced, jaw bone deterioration may occur. Natural teeth are embedded in the jaw bone and stimulate the jaw bone through activities such as chewing and biting. When teeth are missing, the alveolar bone, or the portion of the jaw bone that anchors the teeth in the mouth, no longer receives the necessary stimulation and begins to break down, or resorb. The body no longer uses or "needs" the jaw bone, so it deteriorates and goes away. The rate that the bone deteriorates, as well as the amount of bone loss that occurs, varies greatly among individuals. However, most loss occurs within the first eighteen months following the extraction and will continue gradually throughout your life.

Periodontal Disease

Periodontal diseases are ongoing infections of the gums that gradually destroy the support of your natural teeth. Periodontal disease affects one or more of the periodontal tissues: alveolar bone, periodontal ligament, cementum, or gingiva. While there are many diseases that affect the tooth-supporting structures, plaque-induced inflammatory lesions make up the majority of periodontal issues and are divided into two categories: gingivitis and periodontitis. While gingivitis, the less serious of the diseases, may never progress into periodontitis, it always precedes periodontitis. Dental plaque is the primary cause of gingivitis in genetically-susceptible individuals. Plaque is a sticky colorless film, composed primarily of food particles and various types of bacteria, that adheres to your teeth at and below the gum line. Plaque constantly forms on your teeth, even minutes after cleaning. Bacteria found in plaque produces toxins, or poisons, that irritate the gums. Gums may become inflamed, red, swollen, and bleed easily. If this irritation is prolonged, the gums will separate from the teeth causing pockets (spaces) to form. If daily brushing and flossing is neglected, plaque can harden into a rough, porous substance known as calculus (or tartar). This can occur both above and below the gum line. Periodontitis is affected by bacteria that adheres to the tooth's surface, along with an overly aggressive immune response to these bacteria. If gingivitis progresses into periodontitis, the supporting gum tissue and bone that hold teeth in place deteriorates. The progressive loss of this bone, the alveolar, can lead to the loosening and subsequent loss of teeth.

Dentures/Bridgework

Unanchored dentures are placed on top of the gum line, but they do not provide any direct stimulation to the underlying alveolar bone. Over time the lack of stimulation causes the bone to resorb and deteriorate. Because this type of denture relies on the bone to hold them in place, people often experience loosening of their dentures and problems eating and speaking. Eventually, bone loss may become so severe that dentures cannot be held in place with strong adhesives, and a new set of dentures may be required. Proper denture care, repair, and refitting are essential to maintaining oral health. Some dentures are supported by anchors, which do help adequately stimulate, and therefore preserve bone. With bridgework, the teeth on either side of the appliance provide sufficient stimulation to the bone, but the portion of the bridge that spans the gap where the teeth are missing receives no direct stimulation. Bone loss can occur in this area. By completing a bone graft procedure, is now able to restore bone function and growth, thereby halting the effects of poor denture care.

Facial Trauma

When a tooth is knocked out or broken to the extent that no biting surface is left below the gum line, bone stimulation stops, which results in jaw bone loss. Some common forms of tooth and jaw trauma include: teeth knocked out from injury or accident, jaw fractures, or teeth with a history of trauma that may die and lead to bone loss years after the initial trauma. A bone grafting procedure would be necessary to reverse the effects of bone deterioration, restoring function and promoting new bone growth in traumatized areas.

Misalignment

Misalignment issues can create a situation in the mouth where some teeth no longer have an opposing tooth structure. The unopposed tooth can over-erupt, causing deterioration of the underlying bone. Issues such as TMJ problems, normal wear-and-tear, and lack of treatment can also create abnormal physical forces that interfere with the teeth's ability to grind and chew properly. Over time, bone deterioration can occur where the bone is losing stimulation.

Osteomyelitis

Osteomyelitis is a type of bacterial infection in the bone and bone marrow of the jaw. This infection leads to inflammation, which can cause a reduction of blood supply to the bone. Treatment for osteomyelitis generally requires antibiotics and the removal of the affected bone. A bone graft procedure may be required to restore bone function and growth lost during removal.

Tumors

Benign facial tumors, though generally non-threatening, may grow large and require the removal of a portion of the jaw. Malignant mouth tumors almost always spread into the jaw, requiring the removal of the affected section of the jaw. In both cases, reconstructive bone grafting is usually required to help restore normal function to the jaw. Grafting in patients with malignant tumors may be more challenging because treatment of the cancerous tumor generally requires removal of the surrounding soft tissues as well.

Developmental Deformities

Some conditions or syndromes are characterized by missing portions of the teeth, facial bones, jaw or skull. Dr Iebba may be able to perform a bone graft procedure to restore bone function and growth where it may be absent.

Sinus Deficiencies

When molars are removed from the upper jaw, air pressure from the air cavity in the maxilla (maxillary sinus) causes resorption of the bone that formerly helped keep the teeth in place. As a result, the sinuses become enlarged, a condition called hyperpneumatized sinus. This condition usually develops over several years and may result in insufficient bone from the placement of dental implants. Dr Iebba can perform a procedure called a "sinus lift" that can treat enlarged sinuses.

Ridge Augmentation

What is a ridge augmentation?

A ridge augmentation is a common dental procedure often performed following a tooth extraction. This procedure helps recreate the natural contour of the gums and jaw that may have been lost due to bone loss from a tooth extraction, or for another reason. The alveolar ridge of the jaw is the bone that surrounds the roots of teeth. When a tooth is removed an empty socket is left in the alveolar ridge bone. Usually this empty socket will heal on its own, filling with bone and tissue. Sometimes when a tooth is removed the bone surrounding the socket breaks and is unable to heal on its own. The previous height and width of the socket will continue to deteriorate. Rebuilding the original height and width of the alveolar ridge is not always medically necessary, but may be required for dental implant placement or for aesthetic purposes. Dental implants require bone to support their structure and a ridge augmentation can help rebuild this bone to accommodate the implant.

How is a ridge augmentation accomplished?

A ridge augmentation is accomplished by placing bone graft material in the tooth socket. It is often done immediately after the tooth is removed to avoid the need for a second procedure later. Next, the gum tissue is placed over the socket and secured with sutures. Dr Iebba may choose to use a space-maintaining product over the top of the graft to facilitate new bone growth. Once the socket has healed, the alveolar ridge can be prepared for dental implant placement. A ridge augmentation procedure is typically performed in Dr Iebba's office under local anesthesia. Some patients may also request sedative medication.

Sinus Lift

What is a sinus lift?

The maxillary sinuses are behind your cheeks and on top of the upper teeth. These sinuses are empty, air-filled spaces. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone. The key to a successful and long-lasting dental implant is the quality and quantity of jaw bone to which the implant will be attached. If bone loss has occurred due to injury or periodontal disease, a sinus augmentation can raise the sinus floor and allow for new bone formation. A sinus lift is one of the most common bone grafting procedures for patients with bone loss in the upper jaw. The procedure seeks to grow bone in the floor of the maxillary sinus above the bony ridge of the gum line that anchors the teeth in the upper jaw. This enables dental implants to be placed and secured in the new bone growth.

Am I a candidate for a sinus lift procedure?

A sinus lift may be necessary if you: are missing more than one tooth in the back of your jaw; are missing a significant amount of bone in the back of your jaw; are missing teeth due to a birth defect or condition; are missing most of the maxillary teeth and require support for dental implants

How is a sinus lift accomplished?

Most commonly, a small incision is made on the premolar or molar region to expose the jaw bone. A small opening is cut into the bone, and the membrane lining the sinus is pushed upward. The underlying space is filled with bone grafting material, either from your own body or from a other sources. Sometimes, synthetic materials that imitate bone formation are used. After the bone is implanted, the incision is sutured and the healing process begins. After several months of healing, the bone becomes part of the patient's jaw and dental implants can be inserted and stabilized in the newly formed sinus bone. If enough bone between the upper jaw ridge and the bottom of the sinus is available to sufficiently stabilize the implant, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus augmentation will have to be performed first, then the graft will have to mature for up to several months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed. The sinus graft makes it possible for many patients to have dental implants that previously had no other option besides wearing loose dentures. A sinus augmentation is generally performed at Dr Iebba's office, under local anesthesia. Some patients may request oral or intravenous sedative medication as well.

Nerve Re-positioning

Nerve Repositioning

The inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for the placement of dental implants in the lower jaw. A nerve repositioning procedure is limited to the lower jaw and may be indicated when teeth are missing in the area of the two back molars and/or second premolars. This procedure is considered a very aggressive approach since there is almost always some postoperative numbness of the lower lip and jaw area, which typically dissipates very slowly, but may be permanent. Usually other, less aggressive options are considered first (placement of blade implants, etc). Typically, we remove an outer section of the cheek on the side of the lower jaw bone in order to expose the nerve and vessel canal. We then isolate the nerve and vessel bundle in that area and slightly pull it out to the side. We then place the implants while tracking the neuro-vascular bundle. Then the bundle is released and placed back over the implants. The surgical access is refilled with bone graft material of the surgeon's choice and the area is closed. These procedures may be performed separately or together depending upon the individual's condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region bone grafts can be taken from inside the mouth, in the area of the chin or third molar region, or in the upper jaw behind the last tooth. In more extensive situations a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient's own bone for repairs or additions, we generally get the best results. In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and is used to get the patient's own bone to grow into the repair site. It is quite effective and very safe. Synthetic materials can also be used to stimulate bone formation. We even use factors from your own blood to accelerate and promote bone formation in graft areas. These surgeries are performed in the out-office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day, as well as limited physical activity for one week.

Socket Preservation

Preserving Your Jaw Bone after Extraction

Removal of teeth is sometimes necessary because of pain, infection, bone loss, or due to a fracture in the tooth. The bone that holds the tooth in place (the socket) is often damaged by disease and/or infection, resulting in a deformity of the jaw after the tooth is extracted. In addition, when teeth are extracted the surrounding bone and gums can shrink and recede very quickly, resulting in unsightly defects and a collapse of the lips and cheeks. These jaw defects can create major problems in performing restorative dentistry whether your treatment involves dental implants, bridges, or dentures. Jaw deformities from tooth removal can be prevented and repaired by a procedure called socket preservation. Socket preservation can greatly improve your smile's appearance and increase your chances for successful dental implants. Several techniques can be used to preserve the bone and minimize bone loss after an extraction. In one common method, the tooth is removed and the socket is filled with bone or bone substitute. It is then covered with gum, artificial membrane, or tissue, which encourages your body's natural ability to repair the socket. With this method, the socket heals, eliminating shrinkage and collapse of the surrounding gum and facial tissues. The newly formed bone in the socket also provides a foundation for an implant to replace the tooth. If your dentist has recommended tooth removal, be sure to ask if socket preservation is necessary. This is particularly important if you are planning on replacing the front teeth.

Jaw Surgery

Corrective Jaw Surgery

Orthognathic surgery is needed when the top and bottom jaws don't meet correctly and/or teeth don't adequately fit within the jaw. Teeth are straightened with orthodontics, and corrective jaw surgery repositions a misaligned jaw. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.

Who needs orthognathic surgery?

People who can benefit from orthognathic surgery include those with an improper bite, or jaws that are positioned incorrectly. Jaw growth is a gradual process and in some instances, the upper and lower jaws may grow at different rates. The result can be a host of problems that may affect chewing function, speech, or long-term oral health and appearance. Injury to the jaw and birth defects can also affect jaw alignment. Orthodontics alone can correct bite problems when only the teeth are involved. Orthognathic surgery may be required for the jaws when repositioning is necessary.

Technology & Orthognathic Surgery

Our dentist uses modern computer-aided techniques and three-dimensional models to show you exactly how your surgery will be approached. Using comprehensive facial x-rays and computer video imaging, we can show you how your bite will be improved and even give you an idea of how you'll look after surgery. This helps you understand the surgical process and the extent of the proposed treatment. If you are a candidate for corrective jaw surgery, our dentist will work closely with your dentist and orthodontist during your treatment. The actual surgery can move your teeth and jaws into a new position that results in a more attractive, functional, and healthy dental-facial relationship.

Difficulty in the following areas should be evaluated:

Any of these symptoms can exist at birth, be acquired after birth as a result of hereditary or environmental influences, or as a result of trauma to the face. Before any treatment begins, a consultation will be held to perform a complete examination with x-rays. During the pre-treatment consultation process, feel free to ask any questions that you have regarding your treatment. When you are fully informed about the aspects of your care, you and your dental team can make the decision to proceed with treatment together.

Difficulty in chewing, biting, or swallowing

Speech problems

Chronic jaw or TMJ pain

Open bite

Protruding jaw

Sleep apnea

Breathing problems

What to Expect

Corrective jaw surgery is a significant intervention requiring many months of preparation.

The surgery is performed in the hospital and can last between one to four hours.

Hospital stays of one to three days are normal.

Braces are maintained during surgery and may need to be removed six to twelve months after surgery.

The greatest impact of orthognathic surgery is the recovery phase.

Patients typically may be off work/school from two weeks to one month after surgery.

Return to normal chewing function may take 2 months and full function may take one year.

Our goal is to ensure you are well taken care of during and after surgery.

Weekly appointments are required for up to two months after surgery.

Oral Surgery/Extractions

If a tooth has been broken or damaged by decay, we will first try to fix it with a filling, crown or other treatment. Sometimes, though, there's too much damage for the tooth to be repaired. In this case, the tooth needs to be extracted. A very loose tooth also will require extraction if it can't be saved, even with bone replacement surgery (bone graft). When you talk to an oral surgeon – and anyone on our staff – you'll find a highly caring and knowledgeable individual who will answer all your questions about tooth extraction services and review the best options for your dental care. So schedule a free consultation today and learn how we can make you smile.

Common reasons for tooth extraction include:

Tooth that is too badly damaged, from trauma or decay, to be repaired. Tooth infection that is so severe that antibiotics or rootcanal treatment do not cure it, extraction may be needed to prevent the spread of infection. Periodontal (Gum) Disease can cause loosening of teeth, necessitating removal of teeth. To minimize teeth crowding.

What to Expect With Tooth Extraction

Before removing your tooth, we will give you a localanesthetic to numb the area where the tooth will be removed. After the tooth is removed, you may need stitches. You cangently bite down on a cotton gauze pad placed over the wound to help stop the bleeding. The removed tooth can be replaced with an implant, a denture, or a bridge.

About Tooth Extractions

Common reasons for tooth extraction include:

Tooth that is too badly damaged, from trauma or decay, to be repaired. Tooth infection that is so severe that antibiotics or rootcanal treatment do not cure it, extraction may be needed to prevent the spread of infection. Periodontal (Gum) Disease can cause loosening of teeth, necessitating removal of teeth. To minimize teeth crowding

Who needs this?

Some teeth may need to be extracted if they could become a source of infection after an organ transplant. Wisdom teeth, also called third molars, are often extracted either before or after they come in. If you're experiencing dental discomfort, you may need a tooth removed. Here are some reasons for the discomfort and to have your tooth removed:

You have extra teeth that block other teeth from coming in.

Sometimes baby teeth don't fall out in time to allow the permanent teeth to come in.

If you're getting braces, you may need teeth extracted to create room for the teeth that are being moved into place.

People receiving cancer drugs may develop infected teeth because these drugs weaken the immune system. Infected teeth may need to be extracted.

The Process

There are two types of extractions:

A simple extraction is performed on a tooth that can be seen in the mouth.

General dentists commonly do simple extractions. In a simple extraction, the dentist loosens the tooth with an instrument called an elevator. Then the dentist uses an instrument called a forceps to remove the tooth.

A surgical extraction is a more complex procedure.

It is used if a tooth may have broken off at the gum line or has not come into the mouth yet. Surgical extractions commonly are done by oral surgeons. However, they are also done by general dentists. The doctor makes a small incision (cut) into your gum. Sometimes it's necessary to remove some of the bone around the tooth or to cut the tooth in half in order to extract it.

Most simple extractions can be done using just an injection (a local anesthetic).

You may or may not receive drugs to help you relax. For a surgical extraction, you will receive a local anesthetic, and you may also have anesthesia through a vein (intravenous). Some people may need general anesthesia. They include patients with specific medical or behavioral conditions and young children.

If you are receiving conscious sedation, you may be given steroids as well as other medicines in your IV line.

The steroids help to reduce swelling and keep you pain-free after the procedure.

During a tooth extraction, you can expect to feel pressure, but no pain.

If you feel any pain or pinching, tell your doctor.

What To Expect After Surgery

In most cases, the recovery period lasts only a few days. The following will help speed recovery:

Take painkillers as prescribed. Apply an ice or cold pack to the outside of your mouth to help relieve pain and swelling.

After 24 hours, rinse your mouth gently with warm salt water several times a day to reduce swelling and relieve pain.

Change gauze pads before they become soaked with blood.

Relax after surgery. Physical activity may increasebleeding.

Avoid smoking.

Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses.

Do not lie flat. This may prolong bleeding. Prop up your head with pillows.

Avoid rubbing the area with your tongue.

Do not use sucking motions, such as when using a straw to drink.

Continue to carefully brush your teeth and tongue.

After the tooth is removed, you may need stitches.

Some stitches dissolve over time, and some have to be removed after a few days. We will tell you whether your stitches need to be removed. Call our Reading Dental Associates today at 781-944-6761 and make an appointment for a wisdom tooth extraction. We also serve other nearby communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Wisdom Teeth

Third molars, commonly referred to as wisdom teeth, are usually the last four of 32 teeth to erupt (surface) in the mouth, generally making their appearance between the ages of 17 to 25. They are located at the back of the mouth (top and bottom), near the entrance to the throat. The term "wisdom" stems from the idea that the molars surface at a time typically associated with increased maturity or "wisdom". In most cases, inadequate space in the mouth does not allow the wisdom teeth to erupt properly and become fully functional. When this happens, the tooth can become impacted (stuck) in an undesirable or potentially harmful position. If left untreated, impacted wisdom teeth can contribute to infection, damage to other teeth, and possibly cysts or tumors. There are several types, or degrees, of impaction based on the actual depth of the teeth within the jaw:

Soft Tissue Impaction:

The upper portion of the tooth (the crown) has penetrated through the bone, but the gingiva (gum) is covering part or all of the tooth's crown and has not positioned properly around the tooth. Because it is difficult to keep the area clean, food can become trapped below the gum and cause an infection and/or tooth decay, resulting in pain and swelling.

Partial Bony Impaction:

The tooth has partially erupted, but a portion of the crown remains submerged below the gum and surrounding jawbone. Again, because it is difficult to keep the area clean, infection will commonly occur.

Complete Bony Impaction:

The tooth is completely encased by jawbone. This will require more complex removal techniques.

Wisdom teeth examination

As with any dental procedure, your dentist will want to initially conduct a thorough examination of the wisdom and surrounding teeth. Panoramic or digital x-rays will be taken in order for your dentist to evaluate the position of the wisdom teeth and determine if a current problem exists, or the likelihood of any potential future problems. The x-rays can also expose additional risk factors, such as deterioration or decay of nearby teeth. Early evaluation and treatment (typically in the mid-teen years) is recommended in order to identify potential problems and to improve the results for patients requiring wisdom teeth extractions. Only after a thorough examination can your dentist provide you with the best options for your particular case.

What does the removal of wisdom teeth involve?

Wisdom teeth removal is a common procedure, generally performed under local anesthesia, intravenous (IV) sedation, or general anesthesia by a specially trained dentist in an office surgery suite. The surgery does not require an overnight stay, and you will be released with post-operative instructions and medication (if necessary), to help manage any swelling or discomfort.

Reasons to Remove Wisdom Teeth

While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay or infection, or as a preventative measure to avoid serious problems in the future. If impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:

Damage to nearby teeth:

Second molars (the teeth directly in front of the wisdom teeth) can be adversely affected by impacted wisdom teeth, resulting in tooth decay (cavities), periodontal disease (gum disease) and possible bone loss.

Disease:

Although uncommon, cysts and tumors can occur in the areas surrounding impacted wisdom teeth.

Infection:

Bacteria and food can become trapped under the gum tissue, resulting in an infection. The infection can cause considerable pain and danger.

Tooth Crowding:

It has been theorized that impacted wisdom teeth can put pressure on other teeth and cause them to become misaligned (crowded or twisted). This theory isn't universally accepted by all dental professionals, and it has never been validated by any scientific studies.

Impacted Wisdom Teeth

What Is An Impacted Tooth?

Although most people develop and grow 32 permanent adult teeth, many times their jaws are too small to accommodate the four wisdom teeth. When inadequate space prevents the teeth from erupting they are called impacted. This indicates their inability to erupt into the proper position for chewing and cleaning.

Types Of Impactions

We will need to see you for a consultation to determine if you will benefit from wisdom tooth removal. A special x-ray of your mouth and jaws (panorex) will be taken to determine if your wisdom teeth are impacted, if there is room for them to erupt, and how difficult it will be to have them removed.

Soft Tissue Impaction:

There is not enough room to allow the gum tissue to retract for adequate cleaning of the tooth.

Partial Bony Impaction:

There is enough space to allow the wisdom tooth to partially erupt. However, the tooth cannot function properly in the chewing process, and creates cleaning problems, among others.

Complete Bony Impaction:

There is NO space for the tooth to erupt. It remains embedded in the jaw bone or if even partially visible requires complex surgical techniques for removal.The impacted wisdom tooth may also be in an unusual position and difficult to remove. This situation can also arise when the shape or size of the jaw bone and other facial structures make removal of this tooth significantly more complex.

Impacted wisdom teeth require a surgical approach for removal.

Dr. Stewart and Dr. Michael, as Board-certified Oral and Maxillofacial Surgeons, have the requisite training and skills to handle all different levels of impacted teeth.

Wisdom Teeth Removal

Tooth Extraction, TX – Wisdom Teeth Removal

As a comprehensive oral surgery provider, Texas Oral Surgery Group is equipped to handle all types of tooth extractions. In particular, we have become one of the premier providers of wisdom teeth removal in Plano and surrounding communities. If you are experiencing any type of discomfort, we encourage you to contact us promptly for a consultation or you can visit one of our 4 offices in Plano, Denton, Decatur, or Gainesville. Tooth extractions are a relatively routine procedure if addressed in a timely manner.

Oral Examination

With an oral examination and x-rays of the mouth, Dr. Iebba can evaluate the position of the wisdom teeth and predict if there are present or future potential problems. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Patients are generally first evaluated in the mid-teenage years by their dentist, orthodontist, or by an oral and maxillofacial surgeon. All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort. Our doctors are trained, licensed, and highly experienced in providing various types of anesthesia for patients.

What If I Don't Have My Wisdom Teeth Removed As A Teenager Or Young Adult?

As wisdom teeth develop, the roots become longer and the jaw bone more dense.When it is necessary to remove impacted wisdom teeth in your thirties, forties or beyond, the post-operative course can be prolonged and there is a higher complication rate. Treating these complications is often more difficult and less predictable than with a younger patient. Healing may be slower and the chance of infection can be increased. If your impacted wisdom teeth are not removed in your teenage years or early in your twenties and they are completely impacted in bone, it may be advisable to wait until a localized problem (such as cyst formation or localized gum disease and bone loss) develops. In general, you will heal faster, more predictably and have fewer complications if treated in your teens or early twenties.

What Happens On The Day Wisdom Teeth Are Removed?

Most people prefer to be unaware of the experience when they have their wisdom teeth removed and usually decide to be sedated. You will be provided with appropriate anesthesia options at your consultation. All outpatient surgery is performed under appropriate anesthesia to maximize your comfort. Our office staff has the training, licensing, and experience to provide the various types of anesthesia. These services are provided in an environment of optimum safety, utilizing modern monitoring equipment and a well trained experienced staff. The Surgical Care Team, the office facilities, and the doctors are inspected on behalf of the Board of Dental Examiners on a regular basis. On the day of your procedure, you will take medications to help minimize post-operative pain and swelling. We ask that a parent or responsible adult accompanies you to the office and plans to stay with you the rest of the day. The procedure will take about 30 to 60 minutes and you will probably be in the office for 90 minutes. Recent advances in medicine and technology allow patients to undergo wisdom tooth removal in a manner, which promotes rapid healing and minimal post-operative discomfort. State of the art sterilization and infection control techniques are used at all times. On the morning or afternoon of your surgery, it is essential that you have nothing to eat or drink (excluding prescription medications with a sip of water) for at least 6 hours (preferably longer). This does not mean you should try to fit in one "last meal" exactly six hours before your surgery. Having anything in your stomach can increase the risk for serious anesthetic complications, including nausea and vomiting. Your procedure will be rescheduled if you have not heeded these guidelines. We may provide you with a prescription for pain medication at your consultation appointment, which for your convenience, can be filled in advance. When you are seated in the surgical room, we will make every effort to make you as comfortable as possible. If you are going to be sedated, we usually will place an IV in your left arm. This is a quick and nearly painless procedure that ensures optimal delivery of your medication. Local anesthesia is given to you afterwards to ensure comfort, and allow adequate time to travel home and rest. You will be sleepy for a significant portion of the day. If your surgery requires stitches, these are usually the type that dissolve in 3 to 5 days and do not require removal. You may also notice a sensation of your gums feeling swollen and pulling away from your teeth. This is all part of the normal recovery, and will subside in several days. Once the local anesthesia wears off, you may require prescription pain medication. Please try non-narcotic anti-inflammatory medications such as ibuprofen (Advil®) first, to see if that adequately treats your pain. If not, begin your other prescription pain medication. The local anesthesia may last until the following day, and should not be confused with an injury to your nerve. We recommend starting your post-operative diet with clear liquids such as jello and broths, gradually increasing in substance as your body permits. We do not recommend using dairy products such as yogurt, ice cream or milkshakes on the day of surgery, as nausea and vomiting may develop in conjunction with the anesthetic and pain medication. If you are given antibiotics and you take birth control pills, please be aware that the birth control pills might become ineffective and take appropriate precautions.

What Does Wisdom Tooth Removal Cost And Is It Covered By Insurance?

The fee for your treatment is determined by a number of factors. These may include the difficulty involved in removing your teeth and which type of anesthesia is best for you. During your consultation appointment, the surgeon will need to review your x-rays, complete an examination and determine the best option for anesthesia, before an accurate estimate can be provided. Every insurance company has a different policy regarding the extent of coverage for a given surgical procedure. The oral surgeon's office staff will help you obtain maximum insurance coverage for your treatment.

What If I Have Questions Before Surgery?

At the time of your consultation, your specific situation will be discussed in greater detail. We encourage you to ask any questions you may have. If new questions arise after your consultation, please call our office at Reading Dental Associates Phone Number 781-944-6761 to speak to one of our patient care coordinators.

Why Should I Have My Wisdom Teeth Removed?

If you do not have enough room in your mouth for your third molars to fully erupt, a number of problems can happen. Impacted wisdom teeth should be removed before their root structure is fully developed. In some patients it is as early as 12 or 13, and in others it may not be until the early twenties. Problems tend to occur with increasing frequency after the age of 30. Some of the possible problems related to not removing your wisdom teeth include:

Infection:

The most frequent clinical problem we see is pericoronitis, (a localized gum infection). Without enough room for total eruption, the gum tissue around the wisdom tooth can become irritated and infected, resulting in recurrent pain, swelling, and problems with chewing and/or swallowing.

Cyst Formation:

Non-infectious diseases may also arise in association with an impacted wisdom tooth. Cysts are fluid-filled "balloons" inside the jaw bone that develop as a result of impacted teeth and slowly expand destroying adjacent jaw bone and occasionally teeth. They can be very difficult to treat if your wisdom teeth are not removed in your teenage years. Although rare, tumors can be associated with the delayed removal of wisdom teeth.

Possible Crowding:

Impacted wisdom teeth may contribute to crowding of your teeth. This is most noticeable with the front teeth, primarily the lower front teeth and is most commonly seen after a patient has had braces. There are a number of factors that cause teeth to crowd after braces or in early adulthood. Retained, impacted wisdom teeth may be a contributing factor. Unless you have an active problem when you see the oral surgeon, the reason for removal is primarily to prevent long-term damage to your teeth, gums and jaw bone.

Damage to Adjacent Teeth:

If there is inadequate room to clean around the wisdom tooth, the tooth directly in front, the second molar, can be adversely affected resulting in gum disease, bone loss around the tooth, and/or decay.

Wisdom Teeth FAQ

Why are they called wisdom teeth?

The prevailing idea is that the term wisdom teeth arose from the time in a person's life that these teeth erupted into the mouth. Usually wisdom teeth erupt in the late teens or early 20s, a time at which we are hopefully gaining wisdom.

Why do I have to have my wisdom teeth removed?

Not everyone will need their wisdom teeth removed, but almost 90% of the population has at least one impacted tooth! An impacted tooth is a tooth under gum tissue or bone. Impacted teeth and lead to infection, tooth damage, and cyst and tumor formation in rare instances. Because wisdom teeth are commonly out of position relative to our bite, it's not uncommon have to remove these teeth. Orthodontics and need for restorative procedures can be an indication for removal of wisdom teeth, as well. Leaving wisdom teeth can cause the development of gum tissue problems around our back teeth which can lead to premature tooth loss.

Do I need an oral surgeon for my wisdom teeth?

Oral surgeons have the requisite training and skill to handle the most complex of wisdom teeth cases. Our surgical background allows us to be able to manage the surgical and anesthesia aspects of wisdom tooth removal providing you with a safe and comfortable experience. Occasionally, a general dentist will remove wisdom teeth, these tend to be the less challenging surgical cases in healthy patients.

Do I need to go to sleep for my wisdom tooth removal?

Office based intravenous anesthesia, is normally provided to patients for removal of wisdom teeth. This allows us to be able to perform surgical procedures quickly, safely, and less stressfully for the patient. "Novocain" type medications might numb the gum tissue, but it will not eliminate the noise, pressure, and vibration sensation associated with surgical removal of wisdom teeth. Most patients find they are more comfortable being asleep for wisdom tooth surgery. Our anesthesia team has advanced training in patient management and anesthesia techniques in order to provide you with a safe and comfortable procedure.

How much pain is there?

With advances in surgical techniques and anesthesia, most patients find there is little postoperative pain. On average, most wisdom teeth patient's find that they need to take a prescription pain medication for 2 or 3 days after the surgery. After that, most patients are comfortable taking over-the-counter type medications such as ibuprofen. In fact, ibuprofen has been proven to be a very effective pain medication for wisdom teeth patient's and some people only take an over-the-counter pain medication.

When will I be able to go back to work?

We normally recommend that patients take the day of surgery, and the following day off from work or school to rest. Being quiet, and having your head elevated with an ice pack for the first 24 to 48 hours is really beneficial to reducing postoperative pain and swelling.

What can I eat?

What will it cost?

The fee for wisdom teeth removal depends upon the number of teeth being removed, the difficulty of those extractions, and the type of anesthesia chosen. It's impossible to give an exact number for each patient without examining them and establishing their benefits. The staff at Texas Oral Surgery Group will give you a treatment estimate that includes a definitive fee and what we estimate your insurance benefit (if any). That way you will know your exact out-of-pocket expense for the procedure before schedule.

Facial Trauma

Our facial trauma professionals are highly skilled in the field of maxillofacial treatment and surgery. They have the training and experience to treat patients that are suffering an injury which needs acute treatment, emergency care and/or reconstruction.

About Facial Trauma

Maxillofacial Trauma

Facial trauma involves, bone fractures, soft tissue injury to the gums and skin or, damage caused to facial nerves, salivary glands or the eyes. Injury can be caused by falling, a road traffic incident, assault, or a sports accident.

The treatment of facial trauma covers:

Teeth that have been knocked out (Avulsed teeth); Fractured upper or lower jaw; Fractures to eye socket, nose or cheek bones; Facial lacerations; Lacerations of the mouth (Intra-oral lacerations).

The treatment of damaged teeth

Avulsed Teeth – A tooth that has been knocked out can be saved if fast action is taken. Carefully put the tooth in some milk or saliva to keep the tooth moist. Water should only be used if nothing else is available. Don't try and clean it, leave it exactly how it is and then get to the dentist as quickly as possible. If the tooth or bone aren't damaged, your dentist will be able to put the tooth back into place and hold it in with a soft wire splint. The root should then re-attach itself to the bone within a month or so and then the splint can be removed.

Fractured upper or lower jaw

Fractures to the lower jaw (mandible) and the upper jaw (maxilla) may need orthognathic surgery and orthodontic treatment to enable you to open and close your mouth, chew properly and align your jaw correctly so that your normal bite is re-established. The dentist will either wire up your jaw to let the fractures heal or place the bones back in position and then use screws and plates to hold them in place until they are healed. This procedure is called 'rigid fixation' and has a faster recovery period than jaw wiring.

Fractures to the eye socket, nose or cheek bones

Fractures of the face will cause swelling and the sensation that teeth are not fitted together as they are normally. Opening and closing your mouth may also be difficult. If the fracture isn't serious you may be advised to take a liquid diet for a specified amount of time in order to let the injury heal by itself. If a dental procedure is required, your jaw will either be wired to keep it shut, or as in the case of a fractured jaw, the bones will be placed surgically in position and then held together with screws and plates.

Facial lacerations

Injuries to the face not only require suturing to repair the damage and prevent infection, but your dentist can also check and treat damage to the salivary glands and ducts, as well as your facial nerves.

Lacerations to the mouth (Intra-oral lacerations)

Intra-oral lacerations may need suturing and require careful checking to ensure that there is no damage to teeth or any fractures to the face or jaw. Most wounds heal quickly, but your dentist will re-evaluate the injury after 48 hours to ensure that it has not become infected and is healing properly. If you need facial trauma treatment, you can rely on our skilled team of oral and maxillofacial surgeons to give you the care and consideration you need to heal your wounds and help you recover as quickly as possible.

Oral Pathology

Oral Pathology, often referred to as Maxillofacial Pathology, deals with the detection, type and management of disease in the mouth. If you visit an Oral Pathologist, he will carry out an investigation into the causes and effects as well as the processes of these types of disease. When you talk to an oral surgeon – and anyone on our staff – you'll find a highly caring and knowledgeable individual who will answer all your questions about oral pathology and review the best options for your dental care. So schedule your consultation today and learn how we can make you smile.

About Oral Pathology

You may need to visit an Oral Pathologist if your dentist suspects that you may have indications of: Tumors or cysts in the jaw; Salivary Gland tumors; Ulcers in the mouth that will not heal; BRONJ – Bisphosphonate Related Osteonecrosis of the Jaw; Red or white lesions in the mouth (Leukoplakia and Erythroplakia); Skin cancer; Melanoma.

What are the benefits of having Oral Pathology treatment?

When you are treated by our Oral Pathologist, then they will evaluate what is going on in your mouth and put together a plan of treatment. This will prevent your condition from worsening and treat the underlying cause. In order to do this, our dentist will carry out a full oral examination, taking biopsies if required. Depending upon the problem, the oral surgeon may remove the full lesion or just a part of it. The specialist laboratory will then evaluate the specimen and produce a diagnosis. Your consultant will then discuss the findings with you and put together a detailed and extensive treatment plan to rid you of the problem or disease.

Who should consider Oral Pathology treatment?

If you have any indication of Oral and Maxillofacial Disease being present in your mouth, then your dentist may consider referring you to see a specialist Oral Pathologist. If you have ulcers or lesions in the mouth, any lumps, cysts or tumors or your gums do not look healthy, these could all be signs of the early development of pathological processes. Things like oral cancer need to be investigated early on so that treatment is not delayed. Your dentist may consider putting you forward for treatment if you have any of the following: Patches in the mouth that are red or white; Sores in the mouth that bleed and do not heal; Lumps in the gums or inside the mouth; A constant sore throat; Problems with swallowing or eating.

Oral surgery treatment under sedation or sleep dentistry

Oral surgery is a procedure that many people will require at some point in their lives. Whether it's pulling a tooth, extracting impacted wisdom teeth, or more invasive procedures like reconstruction, most of us will find ourselves sitting in that chair for more than a routine check-up. Oral Surgery can be defined broadly with procedures like guided tissue regeneration, osseous surgery, gum/tissue surgery, sinus lifts, partial bony or full bony impacted tooth, and many others. Our oral surgeon (or periodontist) would be able to handle oral surgery under sedation cases. Many of the frequent questions we receive concern how they will be sedated during their operation. Will I be awake during the procedure? Will it hurt? Anxiety over oral surgery is completely normal and there are different kinds of anesthesia used in oral surgery. Under most sedatives, you'll remain somewhat conscious but many patients feel so relaxed and tranquil that they end up falling asleep during the procedure. Often times, they have no memory of the surgery at all. What type of sedation you'll use depends on how invasive the procedure is.

Local anesthesia

Local anesthesia is a numbing medication that temporarily prevents the nerve fibers from sending signals to the brain. While using a local anesthetic, such as lidocaine, patients remain fully awake and aware. However, the area around the injection point doesn't feel any pain. It's typically used during minimally invasive procedures, such as removing an erupted tooth. But it's also used alongside stronger forms of anesthesia for more invasive or complicated surgeries. After a simple procedure using a local anesthetic, patients will feel numbness for several hours and won't require precautions such as an escort to drive them home or fasting before the procedure.

Nitrous oxide (laughing gas)

Nitrous oxide, commonly known as laughing gas, is a form of conscious sedation. It's administered through a mask worn by the patient who then breaths in a steady combination of nitrous oxide and oxygen. It is used with simple as well as more complicated procedures. Patients feel relaxed and their anxiety is reduced. They may also control how much is administered by simply taking deeper and more frequent breaths. Within several minutes following the procedure, the effects will wear off and the patient will be able to drive themselves home. Another benefit is how little this method costs. There are typically no added expenses associated with nitrous oxide.

Oral medication

The oral medication method typically requires that patients take anti-anxiety pills such as Valium, Halcion, or Ativan, to achieve conscious sedation. This method is usually more effective at sedating patients than nitrous oxide and is also not costly to administer. Patients usually take the medication roughly an hour before the procedure. One issue with this method is consistency. Some patients may react to unpredictably to the medication, i.e., taking longer to feel its effects, requiring stronger doses, etc. Patients will also require the help of a friend or family member to drive them to and from the office as they will feel very groggy afterward.

IV sedation

The intravenous (IV) sedation process involves administering medication through a vein. The medication is fast acting and is the most effective form of sedation for oral surgeries other than general anesthesia. Patients typically have no recollection of the operation. Like oral medication, patients will need assistance getting home and will feel groggy following the appointment.

General anesthesia

General anesthesia is used for patients who require more extensive surgical procedures such as facial and jaw reconstruction. It is typically administered orally and intravenously and patients will become fully unconscious and have no memory of the procedure.

Your Procedure

Every oral and maxillofacial surgeon receives training for all aspects of anesthesia administration, so patients don't have anything to worry about. They can rest easy knowing their surgeon and staff are well-prepared professionals. And if you have any questions, don't be afraid to ask your dentist or surgeon. They're there to make the procedure as comfortable as possible.

TMJ Dentistry

Are you suffering from jaw pain? Does your jaw make popping or clicking sounds when you open it? Do you have regular headaches or migraines that aren't responding to the treatments your doctor recommends? Perhaps the true cause of your symptoms is temporomandibular joint disorder (TMJ). In TMJ, a dysfunction in your jaw joint can cause muscle strain, pinched nerves, and other effects that cause numerous symptoms throughout the body. Although your doctor may have difficulty recognizing and treating TMJ, you may be delighted at the results a neuromuscular dentist can give. If you are tired of living with TMJ, we can help. Please call 781-944-6761 to make an appointment with our Reading dentist.

What Is TMJ?

TMJ (temporomandibular joint disorder) is when your jaw joint isn't working properly due to many different causes. Although this sounds like a simple problem, its effects can be complicated and far-reaching. Your jaw joint exists at a major crossroads of your body. It's directly involved in eating, drinking, speaking, and breathing. Indirectly, the muscles that control your jaw partner with the muscles that keep your neck in alignment to support you head and those that are on your scalp and face. In addition, your ear is very near your jaw joint, and major nerves and blood vessels run by your jaw joint. As a result, a problem with your jaw joint can result in many different symptoms.

TMJ Treatment

One of the reasons TMJ often goes undiagnosed is that it can be the result of a number of different circumstances. Here are few common causes of TMJ: 1) Malocclusion (uneven bite), 2) Jaw misalignment, 3) Jaw or head trauma, and 4) Unbalanced muscles. At Reading Dental Associates, we begin your TMJ disorder treatment by determining the cause of your symptoms. Each patient is treated based on what caused their TMJ, so treatments vary. Our dentist have successfully treated TMJ cases of all known origins. What's the first step to getting rid of temporomandibular jaw disorder? Our dentist will perform a comprehensive examination of your teeth and jaw. Next, we will review your medical and dental history, take a set of digital x-rays, measure the range of motion in your jaw, and perform a bite evaluation using the state-of-the-art T-Scan® dental occlusion scanning tool. After we have determined the source of your TMJ, our dentist will design a custom course of treatment to return your jaw to pain-free, working order.

Are Your Headaches Caused by a TMJ Disorder?

About 10% of people in the US suffer from chronic headaches. Those individuals often turn to pain medicine to alleviate their symptoms. In actuality, many of those people may suffer from a TMJ disorder that is caused by a bad bite or any of the other possibilities we have mentioned here. Some studies suggest that more than 40 million people in the US suffer needlessly from TMJ disorders. If you or a member of your family is experiencing any of the symptoms related to TMJ.

A Social Cost – Hurts Too Much To Talk

Everyone wants, and needs, to feel good about themselves and be free of pain to perform at their best. It's hard to feel sociable when you're in excruciating pain – in fact, usually you don't feel like doing anything. Also, often without realizing it, TMJ sufferers may distort their smile, with a sort of grimacing effect, which can cause others to perceive them as unhappy or unfriendly and avoid them. Either way, people's entire lives can be affected with social loss – personally and professionally.

How Long Does It Take to Get Results?

Every case is unique. Some people report pain relief in as little as 24 – 48 hours after initial treatment – for others it can range from two weeks to several months – depending on how extensive their problem is.

Who Can Help Me If I Do Have TMJ?

Not every dentist has the expertise to assess the jaw-to-bite relationship properly and work with TMJ patients. It's extremely important to consult with a dental professional who is highly experienced specifically in the evaluation and treatment of TMJ disorder. Our TMJ Dentists can help relieve your painful TMJ and Headache symptoms. Call today at 781-944-6761 and make an appointment to see a TMJ dentist. Our dental office also serves communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

What Causes TMJ?

Although the precise cause of TMJ is unknown, some situations that may contribute to the condition include an injury to that portion of the face, arthritis, an improper bite, or any combination of those. People who are under severe stress often clench or grind their teeth while they sleep – a condition referred to as bruxism – and that may contribute to TMJ disorder or develop as a result of TMJ disorder. Bruxism can increase facial pain and negatively impact the joints, which can lead to tissue damage. This, in turn, can cause muscle tenderness and painful spasms, creating a seemingly endless cycle of facial pain. Living with unexplained, sometimes incapacitating, physical pain can cause a host of other debilitating emotional issues such as: Depression, Loss of sleep, Feelings of helplessness, Apathy, and Dependency on painkillers. With all these symptoms, it's no wonder that doctors often have difficulty diagnosing TMJ. However, neuromuscular dentistry has the tools to properly diagnosis TMJ. TMJ symptoms can be local or they can be spread throughout your body. Some TMJ symptoms include:

Jaw pain

Headaches

Jaw sounds: clicking, popping, or grinding

Sore teeth

Worn, chipped, or cracked teeth

Pain in the face, or behind the eye

Ringing in the ears (tinnitus)

Vertigo, dizziness, or balance problems

Neck pain

Upper back pain

Tingling or numbness in the fingers

TMJ Treatment

Are you suffering from jaw pain? Does your jaw make popping or clicking sounds when you open it? Do you have regular headaches or migraines that aren't responding to the treatments your doctor recommends? Perhaps the true cause of your symptoms is temporomandibular joint disorder (TMJ). In TMJ, a dysfunction in your jaw joint can cause muscle strain, pinched nerves, and other effects that cause numerous symptoms throughout the body. Although your doctor may have difficulty recognizing and treating TMJ, you may be delighted at the results a neuromuscular dentist can give. If you are tired of living with TMJ, we can help. Please call 781-944-6761 to make an appointment with our Reading dentist.

What Is TMJ?

TMJ (temporomandibular joint disorder) is when your jaw joint isn't working properly due to many different causes. Although this sounds like a simple problem, its effects can be complicated and far-reaching. Your jaw joint exists at a major crossroads of your body. It's directly involved in eating, drinking, speaking, and breathing. Indirectly, the muscles that control your jaw partner with the muscles that keep your neck in alignment to support you head and those that are on your scalp and face. In addition, your ear is very near your jaw joint, and major nerves and blood vessels run by your jaw joint. As a result, a problem with your jaw joint can result in many different symptoms.

TMJ Treatment

One of the reasons TMJ often goes undiagnosed is that it can be the result of a number of different circumstances. Here are few common causes of TMJ: 1) Malocclusion (uneven bite), 2) Jaw misalignment, 3) Jaw or head trauma, and 4) Unbalanced muscles. At Reading Dental Associates, we begin your TMJ disorder treatment by determining the cause of your symptoms. Each patient is treated based on what caused their TMJ, so treatments vary. Our dentist have successfully treated TMJ cases of all known origins. What's the first step to getting rid of temporomandibular jaw disorder? Our dentist will perform a comprehensive examination of your teeth and jaw. Next, we will review your medical and dental history, take a set of digital x-rays, measure the range of motion in your jaw, and perform a bite evaluation using the state-of-the-art T-Scan® dental occlusion scanning tool. After we have determined the source of your TMJ, our dentist will design a custom course of treatment to return your jaw to pain-free, working order.

Are Your Headaches Caused by a TMJ Disorder?

About 10% of people in the US suffer from chronic headaches. Those individuals often turn to pain medicine to alleviate their symptoms. In actuality, many of those people may suffer from a TMJ disorder that is caused by a bad bite or any of the other possibilities we have mentioned here. Some studies suggest that more than 40 million people in the US suffer needlessly from TMJ disorders. If you or a member of your family is experiencing any of the symptoms related to TMJ.

A Social Cost – Hurts Too Much To Talk

Everyone wants, and needs, to feel good about themselves and be free of pain to perform at their best. It's hard to feel sociable when you're in excruciating pain – in fact, usually you don't feel like doing anything. Also, often without realizing it, TMJ sufferers may distort their smile, with a sort of grimacing effect, which can cause others to perceive them as unhappy or unfriendly and avoid them. Either way, people's entire lives can be affected with social loss – personally and professionally.

How Long Does It Take to Get Results?

Every case is unique. Some people report pain relief in as little as 24 – 48 hours after initial treatment – for others it can range from two weeks to several months – depending on how extensive their problem is.

Who Can Help Me If I Do Have TMJ?

Not every dentist has the expertise to assess the jaw-to-bite relationship properly and work with TMJ patients. It's extremely important to consult with a dental professional who is highly experienced specifically in the evaluation and treatment of TMJ disorder. Our TMJ Dentists can help relieve your painful TMJ and Headache symptoms. Call today at 781-944-6761 and make an appointment to see a TMJ dentist. Our dental office also serves communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

What Causes TMJ?

Although the precise cause of TMJ is unknown, some situations that may contribute to the condition include an injury to that portion of the face, arthritis, an improper bite, or any combination of those. People who are under severe stress often clench or grind their teeth while they sleep – a condition referred to as bruxism – and that may contribute to TMJ disorder or develop as a result of TMJ disorder. Bruxism can increase facial pain and negatively impact the joints, which can lead to tissue damage. This, in turn, can cause muscle tenderness and painful spasms, creating a seemingly endless cycle of facial pain. Living with unexplained, sometimes incapacitating, physical pain can cause a host of other debilitating emotional issues such as: Depression, Loss of sleep, Feelings of helplessness, Apathy, and Dependency on painkillers. With all these symptoms, it's no wonder that doctors often have difficulty diagnosing TMJ. However, neuromuscular dentistry has the tools to properly diagnosis TMJ. TMJ symptoms can be local or they can be spread throughout your body. Some TMJ symptoms include:

Jaw pain

Jaw sounds: clicking, popping, or grinding

Sore teeth

Worn, chipped, or cracked teeth

Pain in the face, or behind the eye

Ringing in the ears (tinnitus)

Vertigo, dizziness, or balance problems

Neck pain

Upper back pain

Tingling or numbness in the fingers

TMJ Causes

Due to the complexity of the TMJ, it is often difficult to determine the exact cause. The condition can develop from an injury to the jaw, TMJ, head muscles or neck muscles. Often, these injuries are caused by a jarring blow or whiplash. Other possible causes of TMD include:

Misaligned teeth

Pressure on the TMJ caused by grinding or clenching your teeth

Dislocation of the disk separating the ball and socket of the TMJ

Damage to the cartilage of the TMJ caused by arthritis

Stress which may result in a tightening of the facial and jaw muscles

Allergies and breathing problems

Missing teeth

Do You Need Relief from TMJ Symptoms?

TMD can be extremely painful. While this pain may be short-lived, it is possible for it to become chronic, lasting for many years and causing degenerative problems if left untreated. Worn teeth are not normal, but can be a common symptom of TMJ. As a result of TMD, you may suffer from cracked, loose, missing, chipped or broken teeth. Common TMJ symptoms include:

Jaw pain

Ear pain

Difficulty chewing

Tinnitus

Facial pain

Locking of the jaw

Headaches

Uneven bite

Clicking, popping or grating sound in the jaw joint when opening your mouth or chewing

Limited mobility in the mouth

Uncomfortable bite

Facial swelling

Toothaches – a dull ache that affects several teeth in a concentrated area

Neck pain

Dizziness

Numbness and tingling

TMJ Diagnosis

The diagnosis process involves using a sophisticated computerized calculation to record and interpret temporomandibular joint (TMJ) sounds, masticatory (chewing) muscle activity (EMGS) and the path of movement the jaw follows in function. This information allows us to find the most relaxed physiologic position for the jaw and combined with tomography (specialized jaw joint X-ray) helps determine the best bite for comfort and aesthetics. Temporomandibular joint disorder (TMJ disorder or TMD) has a variety of symptoms, many of which closely resemble other conditions. Therefore, diagnosing TMD can be a challenging process. In order to conclusively determine that you are suffering from TMD, our dentist will conduct a comprehensive evaluation. After completing this phase of the examination, our Reading Dental Associates will answer all of your TMJ questions and may prescribe some films of the face and mouth so that he can make a more accurate assessment of any issues affecting your jaw, TMJ and teeth. These films are important in ruling out other conditions as the cause of your problem. Your TMJ Diagnosis At your initial examination, our dentist will review your medical history. His evaluation will cover the following:

Examine your face and jaw for pain and tenderness

Listen to your temporomandibular joint (TMJ) for clicking or popping noises when it moves with computerized electro-sonography (ESG)

Evaluate your bite

Measure your jaw's range of motion

Examine facial muscle functioning

Examine head and neck posture

Sometimes, our dentist may recommend other tests as well, including:

Computed tomography (CT-3D Imaging) scan to view the bones in the joint in greater detail

Magnetic resonance imaging (MRI) to view the soft tissues (discs and muscles) of the joint in greater detail

Tomography to view cross-sections of the jaw

After TMJ Diagnosis – The Next Step

If our dentist determines that your symptoms are caused by TMD, treatment will be based on the diagnosis. Most often treatment is based on neuromuscular dentistry principles. This is a specialized area of dentistry focused on making sure your jaw is properly aligned. There are a variety of TMD treatments. Our doctor will recommend the appropriate method to. Treatments may include:

Transcutaneous electrical nerve stimulation (TENS) therapy to relax your jaw muscles, reduce pain, and help Dr. Konig move your jaw to its optimal resting position

Orthotics to reposition the jaw to its correct position (non-surgical)

Pain medication or muscle relaxants

Muscle exercises

Night time mouth guard to prevent teeth grinding

Neuromuscular oral orthotic worn on the lower teeth to help your jaw remain in the proper position

Restorative dentistry treatments such as tooth crowns, dental bridges, or braces to move your teeth and jaw into proper alignment after correct position of the jaw is found

Neuromuscular Dentistry

It may sound complicated, but it is really quite simple. If the bite is incorrect, even if the smile looks attractive, trouble is not far behind. Neuromuscular dentistry for TMJ treatment is the art and science of using the relaxed position of the muscles of the head and neck to place the jaw into an optimal physiologic position. Twenty-five years of research and clinical experience have shown this technique to be effective in treating patients with various levels of head and neck pain. It is also used in finding the optimal jaw position before restorative dentistry and greatly increases the longevity of restorations and natural dentition. Whenever the jaw joint, also known as the temporomandibular joint, is misaligned and causing problems, the condition is known as TMJ.

Headache Treatment

Find Headache Relief with Dr. Iebba

Chronic headaches plague an estimated 1 in 6 people and cause American workers to lose more than a combined 157-million workdays per year. The cost in work time lost and medical treatment exceeds 50-million dollars per year. If you are one of the millions of sufferers, you know that headaches are painful, costly, and often debilitating, but did you also know that your dentist could hold the key to your relief?

What is TMJ Dysfunction?

Dr. Iebba has helped headache sufferers in his Bryan, Texas dental office for years. Headaches, especially combined with face, neck, or jaw pain, often indicate a pain source other than your head. The temporomandibular joints, these little, triangular-shaped joints immediately in front of your ears, can cause a host of problems when even slightly misaligned. Clenching or grinding your teeth at night inflames the nerves and muscles associated with the temporomandibular joints. A poor bite, called a malocclusion, can also place undue stress on the TMJ, causing facial muscles to strain in order to hold the jaw. This, in turn, can stimulate stress in the head, neck, and shoulder muscles. The truth is that these tiny joints- some of the smallest in your body-take more pressure and stress than any other joints. You can read more about TMJ dysfunction in our patient library.

How Does Dr. Iebba Treat TMJ Dysfunction Headaches?

Because TMJ dysfunction is so common, Dr. Iebba screens every patient for the disorder. If he finds that you do, indeed, have TMJ dysfunction, he will work with you to structure a treatment plan that may include a combination of non-surgical TMJ therapy solutions to relieve your pain. Through the latest advances neuromuscular dentistry, he will determine whether your problem stems from a bad bite. If so, Dr. Iebba will introduce a two-part treatment system that begins with a convenient oral appliance, called an orthotic, which will allow align your jaw into proper position. Next, depending on your situation, Dr. Iebba may recommend bite restructuring, either through orthodontia or teeth restorations, like crowns.

You Can Be Headache-Free!

Through years of dedication to continuing studies, Dr. Iebba has stayed abreast of changing dental technology and current research on TMJ dysfunction and related headaches. You deserve relief. If headaches or other TMJ dysfunction symptoms keep you from living your life to the fullest.

Treating Headaches with Dentistry

It is estimated that 45 million Americans suffer from chronic headaches. That equates to 1 in 6 Americans. Chances are you know someone that is one of these sufferers (if not you). At least half of the people have headaches so severe that is can be disabling and affect their lifestyle. If you are living with chronic head, neck and facial pain, if you are taking more than 4 painkillers per week, if you have visited more doctors than you can count, the pain may not be in your head. Many times it is caused by a misaligned jaw, or a "bad bite". We use the latest techniques to treat your pain without drugs by gently realigning the muscles and nerves in your Temporal-Mandibular Joint, or TMJ. This is a small joint that cause big problems when it is out of place. This can also be costly:

Chronic headache victims make over 8 million doctor visits/year

Migraine sufferers lose over 157 million workdays/year

Economic costs of lost time due to migraines is staggering

Jaw Pain

TMJ disorder occurs when your jaw joint isn't working properly and can have many different causes. Although this may sound like a simple problem, its effects can be complicated and far-reaching. Your jaw joint exists at a major crossroads of your body. It's directly involved in eating, drinking, speaking, and breathing. Indirectly, the muscles that control your jaw help keep your neck in alignment and support your head. In addition, many of the major nerves and blood vessels from your ear run very close to your jaw joint.

Immediate Relief

The first step in resolving your pain and other TMJ disorder symptoms can include one or a combination of these methods:

Spray & Stretch

Pain Relief Appliance

Trigger Point Injections

Anti-Inflammatory Medication

SPG Block

Muscle Relaxer Medication

TENS Therapy

Heat/Cold Pack

Long-Lasting Relief

The dentistry needed to resolve chronic TMJ disorder symptoms is as unique as the person experiencing them. Dr. Becky Coats has extensively trained for procedures to resolve decay, infection and gum disease in addition to TMJ disorder and Sleep Apnea. It's important to stabilize and give you comfort as soon as possible. Your options will depend on your goals for relief, dental and total body health, as well as budget. Options available are:

PHASE 1 TREATMENT

TMJ Orthodic

Night Bite Reposition Appliance

Oral Sleep Appliance

Decay Removal

Infection Removal

Phase 2 Treatment

TMJ Orthodontics

TMJ Bite Rehabilitation

TMJ Dentures

Ease Your Anxiety & Relax With Sedation Dentistry

Sedation Dental is a safe and simple way to significantly reduce or eliminate fear and anxiety associated with dental treatment. Dr Iebba, sedation dentist, utilizes sedation treatments to manage patient anxiety before and during treatment. Your comfort and care are always our priority. Sedation dentistry (or known as painless dentistry) is used to provide a relaxing and anxiety-free experience for certain people receiving dental treatment. It enables individuals too afraid to go to the dentist to receive the dental care they need while avoiding the common apprehension known as dental phobia. According to to the Dental Organization for Conscious Sedation (DOCS Education), a professional dental organization dedicated to ensuring that patients receive safe, comfortable and anxiety-free dental care, 30 percent of the population avoids the dentist due to fear. This all-too-common "dental phobia" prevents people from receiving necessary routine dental care, potentially compromising the health and functionality of their mouth and smile.

Sleep Dental or Sedation Dentistry?

Sedation dentistry has occasionally been dubbed sleep dentistry, but this term is misleading. In actual fact, you do not sleep during the procedure, but because of the effects produced by the sedative, you may feel sleepy. Sedation dentistry enables you to be kept awake throughout the entire procedure, but you will feel relaxed and likely won't remember much about your treatment. The use of general anesthesia is not considered sedation dentistry.

At Reading Dental Associates, we Offer Oral Conscious Sedation and Nitrous Oxide Sedation.

Oral sedative medications can significantly reduce your fears and discomfort. Unlike general anesthesia, which renders the patient completely unconscious, oral conscious sedation allows you to speak and breathe on your own. Although you will not actually be asleep, you will experience a heightened state of relaxation. Nitrous Oxide, sometimes referred to as laughing gas, is best suited for cases of mild anxiety and is the most frequently used sedation method. Nitrous oxide has been in use in Dental since 1844! During nitrous oxide sedation, you remain conscious and able to breathe on your own. Nitrous oxide is a gas that's administered through the nose and exhaled through the mouth, eliminating it from the body almost immediately. Before receiving dental treatment, a mask is placed over the nose of the patient. This allows the sedation dentist to work on the mouth uninterrupted. After a few minutes, the effects of the nitrous oxide start to take place. Although you won't get the giggles, you will experience a light, airy feeling. Don't get too comfortable, though -- it ends once the mask is removed. Sedation dentist and dental hygienist must complete the appropriate coursework to administer nitrous oxide, and many states require a permit to obtain it. Fortunately, we have fully permitted to offer sedation at our office. If you're avoiding the dentist out of fear, nitrous oxide can help you get the professional dental care you need.

What Will Happen At Your Sedation Dental Appointment?

Two appointments are generally required for a procedure utilizing sedation dentistry. At your first visit, your sedation dentist will take a detailed health history, do an oral exam, X-rays, a pre-sedation assessment. You will then be given a prescription for a sedative medication in the form of a pill that you will be required to take the night before the appointment and possibly one for the next morning before arriving at the office. On your second visit, you will be required to have a companion bring you to and from the office. Once you arrive, you will take additional medications (if required) to ensure that you are completely relaxed and comfortable. Be assured, your comfort level will be monitored throughout your entire visit. We recommend taking the day off on the day of treatment. Call our office for a consultation with a sedation dentist to understand how sedation and sleep dentistry works and whether it fits your needs. Our dental office serves communities like Reading, MA, Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn.

Why Choose Sedation Dentistry?

Sedation will provide you a way of getting your dental treatment done while totally relaxed and completely comfortable - in other words, it will feel like painless dentistry.

Sedation is achieved with the use of various oral sedatives (triazolam, lorazepam, and/or hydroxyzine) nitrous oxide or what is commonly called laughing gas, or intravenous sedation.

You will not be "knocked out".

Sedation allows you to be conscious and responsive.

You will be very sleepy and relaxed.

You will be able to verbalize your needs and wants.

You will be monitored during your entire procedure with blood pressure and pulse oximetry.

A sedation dentist will be with you at all times.

The sedatives used are amnesic – you will have little to no memory of the experience.

You will continue to relax the rest of the day and into the evening and a responsible companion should be with you the following day.

The benefits of nitrous oxide:

Effective for mild anxiety

Proven safety record

Has an analgesic (pain relieving) effect

Fast acting with few side effects

You don't need someone to escort you to and from the office

Patients recover from the effect very quickly

You can return to normal activities immediately

Inexpensive

Nitrous Oxide

Nitrous Oxide is a sweet-smelling, non-irritating, colorless gas which you can breathe. Nitrous Oxide has been the primary means of sedation in dentistry for many years. Nitrous oxide is safe, the patient receives 50-70% oxygen with no less than 30% nitrous oxide. The patient is able to breathe on their own and remain in control of all bodily functions. The patient may experience mild amnesia and may fall asleep, not remembering all of what happened during their appointment.

Reasons to Not Use Nitrous Oxide

You should not utilize Nitrous Oxide if you have been diagnosed with chronic obstructive pulmonary disease (COPD). Though there are no other major contraindications to using nitrous oxide, you may not want to use it if you have emphysema, exotic chest problems, M.S., a cold or other difficulties with breathing. You may want to ask your dentist for a "5 minute trial" to see how you feel with this type of sedation method before proceeding.

There Are Many Advantages to Using Nitrous Oxide

The depth of sedation can be altered at any time to increase or decrease sedation.

There is no after effect such as a "hangover".

Inhalation sedation is safe with no side effects on your heart and lungs, etc.

Inhalation sedation is very effective in minimizing gagging.

It works rapidly as it reaches the brain within 20 seconds.

In as little as 2-3 minutes its relaxation and pain killing properties develop.

Dental Anxiety

Oral health is important for the health of your whole body. Don't let fear stand in your way of good dental care! We can help you get the care that you need. Call Our Office Today to Make an Appointment.

Dental Anxiety Is Not Uncommon

In fact, some studies show that up to 75% of Americans experience some level of dental related fear and 20% avoid dental care because of it. If you have a fear of dental work, we want you to know that making you feel comfortable and safe at our office is our first priority.

Dental Anxiety Vs. Dental Phobia

Dental anxieties and phobias present themselves in a wide variety of ways, and specific fears vary from person to person. Dental anxiety may be mild to moderate, and often takes the form of a general sense of worry and apprehension when thinking about an upcoming procedure. Dental phobia is a more intense experience, with patients feeling an overwhelming, irrational fear of dental work. This can sometimes cause them to avoid care all together.

We Can Help!

Whatever your individual level of anxiety may be, our office is committed to making sure that your visit is as comfortable, quick and easy as possible. There are many solutions for dental anxiety, and we are ready to help.

Here are a few popular methods for easing anxiety in the dental office:

Communication

Informing us as to what you are afraid of is a great place to start. Often we can quell a fear simply by giving you correct or updated information. We will always keep you informed before, during and after your procedure, making sure that you understand what is going on and why we are doing it.

Calming Techniques

Many patients find it helpful to practice controlled breathing or to find distraction inside the room.

Listening to Music

With most procedures, the use of personal headphones and music is allowed. This is a great way to keep calm and pass the time while in the chair.

Oral Sedation

Depending on the nature of your procedure, various types of sedation may be available to you.

Taking Breaks

Let us know if you would like to take a short break during your treatment by signaling with your left hand.

Oral Sedation

Advantages to patients include

Treatment is completed when you are in a more relaxed mood. You will have less difficulty sitting through a lengthy procedure. Multiple treatments and full mouth restorations can occur at during the same visit. Less discomfort after treatment.

Anti-anxiety Pills

The most commonly prescribed dental related drugs that treat anxiety belong to the "benzodiazepine" family. Drugs such as Valium, Halcion, Xanax, or Ativan. These drugs decrease anxiety by binding and toning down activity within "fear" receptors in the brain.

When Not to Take Benzodiazepines

Some of these drugs can affect your liver and heart. It's important to check with your practitioner and/or pharmacist. You should be sure to inform your doctor or dentist if any of the following apply: known allergy to the drug, narrow-angle glaucoma, pregnancy, severe respiratory disease (COPD), congestive heart failure (CHF), impaired kidney or liver function, depression/bipolar disorder/psychoses, chronic bronchitis and some other conditions. It's also important to let us know if you are taking other medications. There could be possible drug interactions.

There Are Two Different Types of Benzodiazepines:

While benzodiazepines act as sedatives AND anti-anxiety drugs, some are highly targeted at areas within the brain which focus on sleep. Others act in a more specific way and target fear centers in the brain. In most cases, higher doses act as sedatives and induce sleep, while in lower doses, they reduce anxiety without sedation. Benzodiazepines are also Central Nervous System (CNS) depressants (i.e. there can be a decline in blood pressure and breathing). It is important to note that they shouldn't be mixed with other CNS depressants such as alcohol. Its important that you utilize the dose your dentist or doctor recommends. It is possible to overdose, and overdoses could lower your breathing to dangerously low levels, which could result in coma or death. Please note that you shouldn't travel on your own after you've taken any of these drugs. Make sure you have an escort, even if you traveled by bus or foot! It's easy to become disorientated.

Sedative-Hypnotics

These drugs induce calm, including drowsiness and even sleep. This sleep state is actually a form of hypnosis which is a form of physiological sleep.

Anti-Anxiety Drugs

These are drugs which relieve anxiety and induce a state of calm and relaxation.

Before and After Sedation

Instructions Before Your Sedation Appointment

You will not be put to sleep.

No food or water (except water with meds) for six hours prior to appointment.

However, if you are a diabetic, you may have a light, low fat, breakfast on the day of your appointment.

No sedatives for 24 hours before or after your sedation visit other than the ones prescribed by your dentist.

For example: No alcohol or sleep medications.

No stimulants for 12 hours before or after

No coffee, sugar, caffeine, or nicotine.

For females:

Let your dentist know if there is the slightest possibility you may be pregnant. If so, it is best to delay the sedation visit until status is known in order to not cause any harm to the fetus. If you require a sedation visit while you are breast-feeding, then the day before your appointment, it is best to pump and store. Then the day of your appointment, pump and discard, and use the stored milk from the previous day.

Inform your dentist if you are sensitive to medications that will be used during your sedation visit, such as: Benzodiazepines, Hydroxyzine, and Zaleplon.

No grapefruit juice 2 3 days prior due to its interaction with certain enzymes in the liver needed to properly metabolize the sedation medications.

No contact lenses.

You must have a responsible person to bring you to the office and take you home afterwards.

Instructions Following Your Sedation Appointment

No driving for 24 hours after.

No operating hazardous devices.

No heavy lifting.

No stairs.

No important decisions.

No alcohol.

Drink plenty of fluids.

Is Sedation safe?

Also known as "sleep dentistry". Dentist define dental sedation as process which involves using medication that helps patients calm down during dental procedures. Unlike patients who undergo general anesthesia, patients remain awake under dental sedation. Oral sedation is usually safe, provided it is kept within the recommended dose. It should be in accordance with the patient's weight and age. The most common form of dental sedation remains local anesthesia where the part that needs to be operated is sedated during the procedure, but the sedation does not put the patient under. The other form is general anesthesia, which involves a drug that causes temporary unconsciousness. General anesthesia may be best for certain procedures, for instance wisdom teeth extraction. A typical dental sedation process involves:

Preparation:

In case of local anesthesia, your dentist will use air or cotton to dry your mouth then rub gel to sedate the skin.

Injection:

The next step involves injection of local anesthesia into the tissue of the gum. During this part, most people don't even feel the pain of the needle, and the stinging sensation that is usually experienced as the anesthetic travels into the tissue.

After Effects:

The effect of local anesthesia lasts for a few hours. After leaving your dentist's office, you might find it difficult to eat, drink or speak clearly. Be sure not to bite on the sedated area, as you will hurt yourself.

Safety Checks:

Dentist thoroughly consider the safety of their patients during oral sedation. When under the influence of anesthesia, the patient's blood pressure, oxygen level, heart rate and temperature are properly examined. A patient requiring general anesthesia will usually be referred to a dental hospital. In conclusion, dental sedation is practiced commonly and does not pose major threats to your health if administered in recommended doses. Hence, it is advised that you visit an experienced dentist for checkups and treatment.

Sedation FAQs

Will My Insurance Help With Sedation Dental Cost ?

One of the reasons we have intentionally kept our fees as low as possible is because many insurance policies do not cover anesthesia services for dental procedures. Please check with your insurance carrier if you have questions regarding your coverage. We are not able to accept a predetermination of benefits as payment for services rendered. Payment needs to be made in full on the date of service. If your insurance covers any part of service, they will reimburse you directly.

Do I Qualify for Dental Sedatives?

Most patients qualify for the peaceful, painless, time-saving experience of being given dental sedatives. However, special preparations may be required if for example you:

Are diabetic.

Have certain heart conditions

Suffer from asthma.

Or you have other medical contitions identified.

What are the Different Kinds of Dental Sedation?

3 Levels of Dental Sedation

First there is mild sedation. Your anxieties are relieved, but you are totally conscious and able to respond throughout the procedure. Second there is moderate sedation which takes you to a much more relaxed state, although you are still conscious and able to respond. However, you aren't going to remember much of your experience. Finally there is deep sedation or general anesthesia (GA). When we administer deep sedation/GA, you will probably feel like someone has placed a big warm hand on your arm. You will go sweetly to sleep and be unconscious for the entire time.

Finally there is deep sedation or general anesthesia (GA).

When we administer deep sedation/GA, you will probably feel like someone has placed a big warm hand on your arm. You will go sweetly to sleep and be unconscious for the entire time. In what seems like no time at all, with your dental work completed, you awake as peacefully as you fell asleep. We keep a close eye on you until you are ready to go home. You will need someone to drive you home. Friends don't let sedated friends drive. Regardless of the level of sedation, we take some time to talk with you, to understand how you are doing and to help you relax before we begin. There are various medications given for dental sedation. If you have any questions about these medications, please feel free to discuss it with our office.

Where Is My Dental Sedation Treatment Provided?

The beautiful answer to this question is that you don't go to a hospital or other surgical facility. Your dental sedation treatment is done right in your own dentist's office where you already know everyone and feel comfortable. The only exception to this might be where your dentist has referred you to a specialist in which case we'll meet you at the specialist's office.

Who Decides Whether I Should Receive Sedation?

Primarily, you decide. But you can count on your dentist's help with the decision by reviewing your medical history, studying your x-rays and providing you with sound advice as to whether you should receive sedation. Dental procedures have improved greatly over the years and most procedures are provided in a pleasant manner. However when sedation is needed you will be cared for by a highly trained team of specialists who have seen thousands of patients and stand ready to care for you.

May I Call If I Have Questions?

It is amazing how most of us are hesitant to ask questions. But the truth is there are no dumb questions here and you are smart to ask when you wonder. If you have any questions regarding the gentle dental approach of sleep dentistry feel free to call us 781-944-6761. You and we will be glad you did.

Endodontics treatment under sedation or sleep dentistry

Dental anxiety is a rather common condition that discourages, and often even prevents, numerous people from attaining the oral care they need or desire. With patient comfort being one of our practice's top priorities, our Endodontists are dedicated to helping anyone who suffers from dental phobia receive endodontic treatment in a completely calm, anxiety-free state—which can often be made possible by sedation endodontics. Endodontics is defined as root canals (anterior, pre-molar, and molar root canals) and retreatments. Our office offers root canals under sedation. At the time of your consultation, root canal sedation experts will thoroughly examine your dental and medical history, address any questions or concerns you have, and help you select the most appropriate sedation option for your specific case. Our goal is to ensure you are completely comfortable and carefree during your endodontic treatment. Schedule an Appointment with our Sedation Endodontic Experts. If you are in need of endodontic treatment and feel sedation endodontics could be beneficial for you, please reach out to our practice online or by phone today to book an appointment. We are happy to help you receive the oral care you need in a state of complete relaxation!

What Is Sedation Endodontics?

Sedation endodontics refers to the utilization of various sedative methods intended to keep you relaxed and free of all anxiety or discomfort while endodontic care is performed. In addition to its calming and analgesic effects, sedation endodontics can also enable complex treatments—such as some root canal procedures and dental implant surgeries—to be completed more efficiently due to your peaceful state. At our practice, our endodontist is both extensively trained and credentialed to provide oral conscious sedation and nitrous oxide, and they work together with dental anesthesiologists to offer IV sedation when a higher level of sedation is necessary.

Would Sedation Endodontics Benefit Me?

Sedation endodontics can be particularly beneficial if:

You suffer from fear or anxiety about dental treatment

You have an overactive gag reflex

You respond poorly to local anesthetics

You have a very low tolerance for discomfort

You are undergoing a particularly complex treatment or surgery

You have special needs or a disability

You are not able to relax or sit comfortably in the dental chair for an extended period

What Different Types of Sedation Are Available?

There are three types of sedation available for endodontic treatment: oral conscious sedation, nitrous oxide, and IV sedation. Our endodontic sedation experts have undergone extensive training and are qualified to perform oral conscious sedation and nitrous oxide—and they collaborate with dental anesthesiologists to provide IV sedation in the event a greater degree of sedation is required. Each of these options is described below.

Oral Conscious Sedation

Oral conscious sedation involves the digestion of a swallowable pill approximately one hour prior to the start of treatment. Once the sedation takes effect, you will be in a state of complete relaxation for your procedure—and you may even fall asleep. Afterwards, you will likely have little to no recollection of treatment, which many patients consider to be a benefit.

Nitrous Oxide

Nitrous oxide—commonly called "laughing gas"—is inhaled through a chairside mask, resulting in an immediate calming effect. You will be awake and coherent during treatment, though you will feel much more relaxed than normal. Depending on your needs and desires, nitrous oxide can be used alone or in combination with oral conscious sedation.

IV Sedation

IV sedation is injected directly into the bloodstream by a dental anesthesiologist. Once administered, the effects are immediate, enabling you to achieve deep relaxation—sometimes referred to as a conscious "twilight" state. Many patients are so relaxed with IV sedation that they drift off and sleep peacefully throughout treatment. Similar to oral conscious sedation, you will likely have minimal to no memory of your procedure.

Sleep Apnea

Obstructive Sleep Apnea (OSA) is a sleep breathing disorder in which a person stops breathing while they sleep. The tissues in the throat collapse, cutting off the airway despite efforts to breathe. Apnea is defined as "a cessation of airflow for 10 seconds or more." This can occur dozens and sometimes even hundreds of times an hour. Typically, someone with sleep apnea snores heavily, and then stops breathing while still sleeping. A sleeping partner would observe that the person is struggling to breathe but there is no snoring sound. These periods of stopped breathing are followed by a gasping or choking sound. The person with sleep apnea will partially awaken in order to breathe, leading to fragmented, non-refreshing sleep which can be the cause of excessive daytime sleepiness. The even greater concern is that when the airway collapses and oxygen is cut off, the body goes into a fight-or-flight response, putting a strain on the heart and increasing blood pressure. Over time, this can wear out the heart and lead to heart disease or a stroke.

Sleep Apnea Statistics

9% of middle-aged women and 25% of middle-aged men suffer from OSA.

1 in 5 adults has at least mild OSA.

That translates to 18-25 million Americans (1 in every 15) living with sleep apnea.

Possibly as few as 5% have been diagnosed, or have taken a sleep study.

A person afflicted with untreated obstructive sleep apnea is up to 4 times more likely to have a stroke, as well as 3 times more likely to have heart disease.

Approximately 50% of all patients who have hypertension, or high blood pressure, are also afflicted with obstructive sleep apnea.

People suffering from OSA are as much as 6 times more likely to be involved in a car crash than those without sleep disorders.

This is due to the fact that they are drowsy from lack of sleep.

Who is at Risk for Sleep Apnea?

Even though sleep apnea can affect anyone regardless of age, weight, and gender, these factors indicate a higher likelihood of having sleep apnea:

Mouth breathing:

Sleeping with the mouth open is a sign that the nasal airway is obstructed. Nasal obstruction causes the jaw to drop, reducing the diameter of the pharyngeal airway and increasing the likelihood of obstructive sleep apnea. If you know a sleeping mouth breather, they may be suffering from obstructive sleep apnea.

Excess weight:

Fat deposits around the neck and chin may obstruct your breathing. Keep in mind though, not everyone who has sleep apnea is overweight. Thin people suffer from OSA as well.

Neck size (circumference):

People with large neck circumferences tend to have narrowed airways as a result. Men with a 17 inch neck size and women with a 16 inch neck size are at higher risk. Another risk factor is excess skin from the chin to the neck, often referred to as a turkey neck.

Family history:

If you have family members who suffer from OSA or snoring, you may be at increased risk. There is a hereditary link associated with sleep apnea.

Use of alcohol or other sedatives:

These substances cause the muscles in your throat to relax, exacerbating sleep breathing issues such as OSA.

Smoking:

Smokers are three times more likely to suffer from OSA than their non-smoking counterparts. Smoking tends to cause inflammation and fluid retention in the airway, resulting in less space for air to pass through the airway.

Being a male:

Men are projected to be twice as likely to have sleep apnea. This gap narrows as age increases. Once women reach menopause, the ratio is almost equal.

Age:

OSA occurs significantly more often in adults that are older than 40.

A narrowed airway:

You may have a naturally narrowed airway. This is more common in women than in men, and could be a strong indicator of sleep apnea in women.

Enlarged tonsils and/or adenoids:

Your tonsils and/or adenoids may become enlarged, which lessens the amount of room for air to pass through your airway. In children, this is the most common cause of sleep apnea, in which removal is the most effective solution.

Jaw structure:

A lower jaw that is undersized compared to the upper jaw (retrognathia).

Often the person with sleep apnea

Often the person with sleep apnea is totally unaware of the problem and will often deny the fact that he / she snores, but the bed partner will observe:

Loud snoring followed by cessation of breathing

Gasping and choking during sleep

Excessive daytime sleepiness

Morning headaches

More sleep apnea symptoms

Snoring

Snoring:

A Common Problem For Many Adults It's estimated that nearly 45% of normal adults snore at least occasionally, and 25% are habitual snorers. It's undeniable that snoring can disrupt a good night's sleep, impact relationships, and affect the quality of life for both you and your partner. Estimates show that about 80 million people in North America snore. Snoring ranges from the occasional snorer to the chronic snorer. Reading Dental Associates of Reading, MA, is concerned about the chronic snorer – the individual who suffers from chronic snoring. A chronic snorer snores whenever they sleep and is usually tired after what seemed like a good night's rest. Chronic snoring affects about 25 percent of the adult population, putting them at risk for developing serious health problems.

Why Do People Snore?

When you are awake the tissues in the throat and upper airway are open and allow air to flow to the lungs smoothly, but when a person falls asleep the soft tissues relax and can partially block the airway. When you snore, your airway is being partially blocked by the soft tissues in the back of the throat including the tongue and soft palate.

The Snoring Sound

The noise comes from the vibration of these collapsed tissues in the back of the throat as air struggles to pass over the blockage when you breathe during sleep. It's very much like the sound a flag makes when it waves in the wind. This can happen even when the tissues are normal sized because when you fall asleep the muscles in the throat, soft palate, and uvula relax. Most snoring usually falls between 50 and 80 decibels. To put this in perspective, a normal conversation is around 60db, a vacuum cleaner 70db, and anything above 90db, such as a power lawn mower has the potential to cause ear damage after prolonged exposure. The loudest recorded snore was at 111 db! That is literally the volume of a freight train.

Why is snoring dangerous?

Snoring can be associated with several types of sleep disorders; the most common is Obstructive Sleep Apnea (OSA) and Upper Airway Resistance Syndrome (UARS). All of these have one thing in common – you are not breathing normally while you sleep and you need to consult a health care provider to receive the help you need to get a better night's sleep. The concern is that the collapse of the airway causes a decrease of airflow to the lungs, resulting in a lack of oxygen to the brain and other vital organs. Not only does snoring affect your sleep, but untreated snoring can increase your risk of diabetes, high blood pressure, heart failure and stroke.

Snoring Treatments

You do not need to "snort like a horse" or struggle to "fetch" your breath while sleeping. Our sleep apnea dentist can offer a dental solution – Oral Appliance Therapy – to eliminate your Shakespearian ways, especially if you are a chronic snorer. Oral Appliance Therapy is the use of an oral appliance that prevents your soft tissues from blocking your airway during sleep. Using the appliance is as easy as wearing a dental retainer of athletic mouth guard, and properly fitted, snorting and fetching are no longer a part of your sleep pattern. At Reading Dental Associates, our goal is for you to provide you with excellent dental health care; nevertheless, they also recognize that your body works as a unified organism, and when one system breaks down, it usually affects the body as a whole. If you are experiencing chronic snoring problems, you are not getting a good night's rest. Your body cannot recharge adequately to prepare you for the demands and functionality of the next day. Schedule an appointment with sleep apnea dentist to learn how a simple fix, such as an oral device, can help stop your chronic snoring to allow for a rejuvenating, restful sleep. Silent sleep is just a phone call away.

What Causes Snoring?

Snoring occurs in the throat area when the soft tissue structures of your upper airway collapse onto themselves and vibrate against each other as air passes through them; the result is the sound known as snoring. If you have large tonsils, a long, soft palate, a large tongue, a large uvula, or excess fat deposits in your throat area, they, too, can contribute to your airway being narrowed causing you to snore. Doctors have also linked chronic snoring to sleep apnea, a serious condition that causes long interruptions of sleep and high blood pressure. Sleep apnea may also increase the risk of heart attack and stroke. Other factors that can lead to an obstructed or narrowed airway for the chronic snorer are

Sleeping position

Sleeping on your back can increase the severity of an obstructed airway.

Enlarged tonsils or adenoids:

Enlarged tissues can contribute to a narrow airway.

Deviated nasal septum:

Obstruction in the nasal passage way can cause snoring.

Muscle relaxers or sleeping pills:

Causes the tissues to relax more than normal increasing the risk of airway blockage.

Excess weight:

Especially around the neck can increase the risk of airway blockage through excess or enlarged tissues.

Smoking or drinking alcohol:

Any sedatives or airway irritants can increase the risk of airway collapsibility.

In children, snoring should never be ignored;

It may increase the risk of attention deficit / hyperactivity disorder (ADHD) and other behavioral problems. Talk to your child's healthcare provider right away if you have witnessed your child snore or stop breathing while they sleep.

Oral appliance therapy

Oral Appliances

Oral appliances (OA) are a front-line treatment for patients with mild to moderate Obstructive Sleep Apnea (OSA) who prefer OAs to continuous positive airway pressure (CPAP), or who do not respond to CPAP, are not appropriate candidates for CPAP, or who fail treatment attempts with CPAP or treatment with behavioral measures such as weight loss or sleep position change. This small plastic device fits in the mouth during sleep like a sports mouth guard or orthodontic retainer. Oral appliances help prevent the collapse of the tongue and soft tissues in the back of the throat, keeping the airway open during sleep and promoting adequate air intake. Oral appliances may be used alone or in combination with other treatments for sleep-related breathing disorders, such as weight management, surgery or CPAP.

Oral Appliance Therapy

Oral appliance therapy involves the selection, fitting and use of a specially designed oral appliance that maintains an open, unobstructed airway in the throat when worn during sleep. Custom-made oral appliances are proven to be more effective than over-the-counter devices, which are not recommended as a screening tool nor as a therapeutic option. Dentists with training in oral appliance therapy are familiar with the various designs of appliances and can help determine which is best suited for your specific needs. A board-certified sleep medicine physician must first provide a diagnosis and recommend the most effective treatment approach. A dental sleep medicine specialist may then provide treatment and follow-up. The initial evaluation phase of oral appliance therapy can take several weeks or months to complete. This includes examination, evaluation to determine the most appropriate oral appliance, fitting, maximizing adaptation of the appliance, and the function. Ongoing care, including short- and long-term follow-up is an essential step in the treatment of snoring and Obstructive Sleep Apnea with Oral Appliance Therapy. Follow-up care serves to assess the treatment of your sleep disorder, the condition of your appliance, your physical response to your appliance, and to ensure that it is comfortable and effective.

Types of Oral Appliances

With so many different oral appliances available, selection of a specific appliance may appear somewhat overwhelming. Nearly all appliances fall into one of two categories. The diverse variety is simply a variation of a few major themes. Oral appliances can be classified by mode of action or design variation.

Tongue Retaining Appliances

Tongue retaining appliances hold the tongue in a forward position using a suction bulb. When the tongue is in a forward position, it serves to keep the back of the tongue from collapsing during sleep and obstructing the airway in the throat.

Mandibular Repositioning Appliances

Mandibular repositioning appliances reposition and maintain the lower jaw in a protruded position during sleep. The device serves to open the airway by indirectly pulling the tongue forward, stimulating activity of the muscles in the tongue and making it more rigid. The device also holds the lower jaw and other structures in a stable position to prevent the mouth from opening.

Other Treatment Options

There are three primary ways to treat snoring and sleep apnea, in addition to lifestyle changes such as good sleep hygiene, exercise and weight loss. The most common treatment is Continuous Positive Air Pressure. CPAP keeps your airway open by providing a steady stream of air through a tube connected to a mask that you wear as you sleep. Another option is surgery performed by an AADSM member trained as an oral and maxillofacial surgeon. A surgeon can prevent airway collapses by eliminating tissue in the soft palate, uvula and tongue. More complex surgical procedures can reposition the anatomic structure of your mouth and facial bones. If you are looking for a sleep apnea dentist near me, then please call our sleep apnea dentist for a consultation and see how sleep apnea machines can help you sleep better at night.

Standards of Care

Patients with primary snoring or mild OSA who do not respond to, or are not appropriate candidates for treatment with behavioral measures such as weight loss or sleep-position change.

Patients with moderate to severe OSA should have an initial trial of nasal CPAP, due to greater effectiveness with the use of oral appliances.

Patients with moderate to severe OSA who are intolerant of or refuse treatment with nasal CPAP.

Oral appliances are also indicated for patients who refuse treatment, or are not candidates for tonsillectomy and adenoidectomy, cranofacial operations, or tracheostomy.

Advantages of Oral Appliance Therapy

Oral appliances are comfortable and easy to wear.

Most people find that it only takes a couple of weeks to become acclimated to wearing the appliance.

Oral appliances are small and convenient making them easy to carry when traveling.

Treatment with oral appliances is reversible and non-invasive

How Oral Appliances Work

Repositioning the lower jaw, tongue, soft palate and uvula

Stabilizing the lower jaw and tongue

Increasing the muscle tone of the tongue

How to Clean and Care for your Dental Device

Denture Cleaners

Warm H20 and scrubbing with a toothbrush

Do not use toothpaste

Traditional CPAP Treatment

Once diagnosed, sleep apnea sufferers are often prescribed a CPAP machine, which stands for Continuous Positive Airway Pressure. It delivers a stream of compressed air through a plastic tube connected to a nasal pillow, nose mask, or full-face mask. The air pressure helps maintain the airway open, making normal breathing possible. While CPAP is widely considered the "gold standard" for treating sleep apnea, it is estimated that only around 40% of patients actually wear their CPAP masks because they can be:

Bulky and uncomfortable

Loud and noisy

Challenging to sleep in

Challenging to travel with

Other treatment options

While positive airway pressure therapy is the first line of treatment for moderate to severe sleep apnea, patient compliance represents a clear problem. Studies have shown that even in compliant patients, the actual usage of PAP is only approximately 50 percent of the time. Patients often complain of difficulty in being able to wear a tight mask throughout the night and dealing with the high pressure of air blown into their nose. For the noncompliant, surgery for sleep apnea may be a feasible alternative. While there are many surgical options, surgery should be tailored to the area of obstruction in each particular patient. The sites of obstruction could be anywhere in the upper respiratory tract including the nose, tongue, and throat. Below are the most common and effective surgical methods to address these potential sites of obstruction.

Graphic 1 Nasal surgery

Both daytime nasal obstruction and nocturnal nasal congestion have been shown as risk factors for sleep-disordered breathing. Therefore, the treatment of nasal obstruction plays an important role in sleep apnea surgery. Three anatomic areas of the nose that may contribute to obstruction are the septum, the turbinates, and the nasal valve. The most common nasal surgical procedure consists of septoplasty and turbinate reduction. This is an outpatient procedure that is well tolerated by most patients. It consists of straightening out the septum and reducing the size of the turbinates. This procedure creates more room in the nose and allows air to pass smoothly and without effort. For some patients, there is also nasal valve collapse. This is due to weakness of the lower nasal cartilages that hold open the nostrils. For patients who have this issue, the deviated cartilage that is removed from the septum can be strategically placed to strengthen the valve and prevent collapse.

UPPP

UPPP, or in full, uvulopalatopharyngoplasty, has been the most common sleep apnea surgical procedure performed during the past 25 years. This procedure was developed to remove excess tissue from the soft palate and pharynx. The tonsils are also removed if present. After removing the tissue, sutures are placed to keep the area widely open and prevent collapse. This area of the upper airway is referred as the oropharynx, and is a common site of obstruction in the majority of patients who suffer from sleep apnea. This surgery requires an overnight stay in the hospital, as the recovery can be painful for up to one week. Patients who suffer from snoring gain a great deal improvement from this procedure as snoring is often due to the reverberation of the soft palate with the back wall of the pharynx.

Soft palate implants (the Pillar Procedure)

The Pillar Procedure is a minimally invasive approach that can help with snoring and mild cases of sleep apnea. It involves the placement of three polyester rods into the soft palate. The rods initiate an inflammatory response of the surrounding soft tissues that results in a slight stiffening of the soft palate. The stiffer soft palate is less likely to make contact with the back wall of the pharynx during deep stages of sleep as the muscles relax; snoring and apnea are subsequently reduced. This procedure can be done under local anesthesia in the clinic with the patient awake.

Hyoid advancement

The hyoid bone is a small bone in the neck where the muscles of the tongue base and pharynx attach. Patients with sleep apnea often have a large tongue base. During the deep stages of sleep, normal muscle tone is relaxed, and the base of tongue falls back and can make contact with the back wall of the pharynx resulting in obstruction. Through a very minimally invasive procedure, the hyoid bone is surgically repositioned anteriorly by placing a suture around it and suspending it to the front of the jaw bone. This results in an expansion of the airway and prevents collapse. The procedure is usually performed with two small incisions in the neck and is completed in less than one hour. Patients go home immediately after surgery and pain is minimal. Success from this procedure has been outstanding and is becoming a valuable tool in the surgeon's armamentarium.

Tongue advancement

This procedure involves advancing one of the main tongue muscles, the genioglossus muscle, forward; thereby limiting the tongues backward fall during sleep. The genioglossus advancement procedure consists of making a rectangular cut in the jaw bone where the genioglossus muscle attaches. The piece of bone is then moved forward with the muscle attached. The bone is fixed into place with a small titanium plate to prevent retraction back into the floor of the mouth. This procedure addresses the same sites of potential obstruction as the hyoid advancement, and numerous studies have shown a high success rate. This procedure, however, requires an overnight stay in the hospital, as it is more invasive. A less invasive form of advancement involves drawing the tongue forward with a loop of plastic cord that is fastened under the front of the tongue to a titanium screw inserted into the lower jaw bone.

Tongue base reduction

As discussed previously, the base of tongue is a common site of obstruction in patients who suffer from OSA. In addition the advancement procedures, reducing the amount of tissue from the tongue base through a variety of methods is an effective surgical method to reduce apnea. One method is through the application of radiofrequency waves. A surge of energy is introduced to the tissue that results in shrinkage of the tissue. The radiofrequency waves are directed to specific sites in the tongue base without causing surrounding tissue damage. While the procedure is minimally invasive, and can sometimes be done with the patient awake in the clinic, several treatments are necessary. Another method to reduce the tongue base is through direct excision. In this procedure, also known as a midline glossectomy, the tongue base tissue is removed by electrocautery or coblation. This is accomplished under general anesthesia in the operating room and is also tolerated with very little pain. Due to the small, but real risk of airway compromise, patients are observed overnight in the hospital. Studies have shown that all methods of tongue base reduction can be effective when properly employed.

Lower jaw advancement

Abnormality of the maxillofacial skeleton is a well-recognized risk factor of obstructive sleep apnea. Sleep apnea patients usually have small, narrow jaws that result in diminished airway dimension, which leads to nocturnal obstruction. Maxillomandibular advancement achieves enlargement of the entire upper airway through expansion of the skeletal framework that encircle the airway. The procedure consists of mobilizing the upper and lower jaw bones, and advancing then up to 10-12mm. The jaw bones are stabilized with titanium plates in the advanced position. This procedure is technically very challenging as the bone cuts need to be precise, and the positioning of the teeth to match correctly after the advancement is critical. Patients have to have their teeth wired shut for several weeks while the bones heal. While the surgery can be painful and require a several night hospital stay, the long term success rates approach 90 percent Very few surgeons and medical centers perform this procedure frequently due to the increased surgical risks and potential for complications.

Tracheostomy

Tracheostomy is a technique that creates a passageway for air to get to the lungs directly from the trachea in the neck. This will bypass any potential sites of obstruction from the upper airway. Permanent tracheostomy as a long-term treatment of obstructive sleep apnea remains an option in morbidly obese patients with obesity hypoventilation syndrome or in patients with significant craniofacial anomaly who have failed all other forms of non-surgical and surgical treatments. Though it may seem excessive, it is an extremely effective surgical option reserved for the very sick patient.

Summary

There are many surgical options for the treatment of sleep apnea for patients who can not tolerate CPAP therapy. Because the airway pattern and the severity of obstruction vary greatly between individuals, the surgical regimen must be catered to that particular individual. Often it takes a combination of procedures to achieve success. A logical step-wise approach much be taken when a patient seeks surgery, and it is a requisite that the patient find a surgeon who understands both the pathophysiology of sleep apnea and the anatomy of the upper respiratory tract to ensure the best chance of success. If you are looking for snoring solutions or sleep apnea treatment, then call our sleep apnea dentist today for more information.

Sleep apnea FAQs

Q. Is snoring normal?

A. Most people snore to some degree. Generally speaking, it is quite normal. If snoring gets to the point where it becomes extremely loud and bothersome to others or is accompanied with interrupted breathing, then this degree of snoring is not considered normal.

Q. Is it normal for children to snore?

A. No. If your child snores they should be seen by an Ear, Nose and Throat doctor and usually their tonsils and adenoids are removed.

Q. Do men snore more than women?

A. Snoring is much more prominent in men than in women.

Q. What causes snoring?

A. Snoring is most often caused by loose, weak, or excessive tissue at the back of the throat which collapses into the airway during sleep. This tissue flutters or vibrates as air is breathed in. This fluttering tissue, like a flag flapping in a strong breeze, is the cause of the aggravating noise we know as snoring.

Q. Why do some people snore more loudly than others?

A. Some people are simply born with the characteristics that lend themselves to be snorers. These characteristics are body structure and the anatomy of the mouth and surrounding structures. Outside factors such as medications and alcohol can also make snoring worse.

Q. What about the people who really rattle the house?

A. Snoring can be a "fire alarm" for more serious problems than just keeping others awake. Snoring can signal the existence of Obstructive Sleep Apnea.

Q. Is it up to everyone else to tolerate the loud snoring?

A. Quite frequently someone who snores loudly does not realize or believe that they do. Even when an irate partner complains about it, the snorer may still deny it. This is actually typical of problem snorers. It should be understood that because it is done uncontrollably, snorers are not at fault for their snoring. It should also be understood by snorers, that they may indeed be creating problems for others, whether they care to admit it or not.

Q. My spouse literally stops breathing. It scares me to death! Is this normal?

A. No, this is not normal. It is a symptom of a far more serious problem called Obstructive Sleep Apnea.

Q. What is Obstructive Sleep Apnea?

A. Obstructive Sleep Apnea (OSA) is a condition where the airway becomes covered, usually by the tongue, due to abnormal muscle relaxation of the tongue and surrounding muscles in the throat area. With the airway covered, a person does not breathe. Since no breathing is taking place, one's oxygen level in their body drops and their heart rate increases. This lowered oxygen level is dangerous because it can cause a stroke or heart attack. The higher heart rate is dangerous because it can aggravate high blood pressure. In an attempt to breathe, a person either awakens or partially awakens gasping for breath. Since an individual is always awakening to catch their breath, they never get the deep restful sleep needed by the body.

Q. Is Obstructive Sleep Apnea dangerous?

A. Yes. Sleep apnea has been linked to heart disease, strokes, high blood pressure, personality changes, impotence, depression and nocturia. One of the most significant symptoms is excessive daytime sleepiness. Because of excessive sleepiness, tired drivers have a higher propensity for auto accidents.

Q. Do dental devices really work in treating snoring and apnea?

A. Yes. Medical research has shown that oral appliance therapy is very effective for mild and moderate sleep apnea, and very helpful for CPAP intolerant severe sleep apnea patients. This therapy is also very effective for people that have had surgery and the surgery was not successful.

Q. Will an oral appliance help me if it only partially controls my apnea?

A. Definitely. Research has shown that being 70%, 80% or 90% controlled is much better than 100% uncontrolled.

Q. Will the inexpensive boil and bite mouthpieces I see advertised on TV, intended to treat snoring and sleep apnea, work as well as a custom designed oral appliance made by a qualified dentist?

A. No, they will not. Research has shown that simple boil and bite mouthpieces are not effective in treating sleep apnea.

Q. Are there many dentists trained in this form of treatment?

A. NO. When selecting a dentist to treat you with an oral appliance, be sure that the dentist has the experience, knowledge, and continuing education necessary to treat your problem. Always ask the dentist about his/her credentials.

Q. If I wear an oral appliance to treat my snoring or apnea, how will this affect my jaw joint?

A. Research and clinical data show that there is no adverse effect on the jaw joint. This is not to say that, in rare cases, jaw problems cannot occur. A certain percentage of patients will have tooth or jaw movement. This is a small inconvenience in comparison to the dangers of sleep apnea. Always remember, your ability to breath trumps everything else.

Q. How does my weight affect my snoring?

A. Weight has a direct impact on one's snoring and apnea. The severity of sleep disordered breathing will fluctuate with the ups and downs of one's weight gains and losses.

Q. Are oral appliances a valid alternative to CPAP?

A. Definitely yes. In 2006, the American Academy of Sleep Medicine published a position paper stating that oral appliances are comparable therapy to CPAP for mild and moderate apnea, and a treatment option for patients who were CPAP and surgery failures.

Q. Does insurance cover this therapy?

A. Yes. Our office is an in-network provider for most major dental insurance providers.

Do I have sleep apnea?

The more times you answered "yes," the more likely it is that you suffer from obstructive sleep apnea. Sleep apnea can be potentially life threatening and should be treated. According to the National Institute of Health, 1 in 5 adult Americans suffer from sleep apnea, and 9 out 10 cases are undiagnosed. Reading residents who fall into one or more of the following categories are at the highest risk of developing sleep apnea: Male, Overweight, Over the age of 40, Regularly drink alcohol. The only way to be sure if you have obstructive sleep apnea is to have a sleep test either at home from a qualified sleep physician or in a hospital sleep center. Find out how likely you are to doze off at any time during the day, and calculate your risk for sleep apnea by taking the surveys: https://somnomed.com/en/patients/sleep-apnea-screening/stop-bang-screening/

Do You Suffer from Obstructive Sleep Apnea and/or Snoring?

Do you have excessive daytime sleepiness?

Do you awake feeling un-refreshed?

Do you awake in the morning or during the night with a headache?

Do you have episodes of not breathing (apnea)?

Are you aware that you snore loudly?

Do you find yourself tossing and turning during sleep?

Have you ever had nighttime choking or gasping spells?

Have you been diagnosed with having high blood pressure or obesity?

Reading Emergency Dentist

If you are having a dental emergency or need urgent dental care, call Reading Dental Associates at 781-944-6761. Whether you are a current patient or a new patient, we will make sure that you are seen and helped immediately. When Should I See the Dentist for an Emergency? If you experience intense bleeding or your dental emergency extends beyond dental care, please go to the nearest emergency room for assistance. It is best to visit a dentist right away if you are experiencing any of the following:

Toothache

If you have a toothache, please contact our office right away.

BrokenTooth

If you have a broken tooth, it is best to see a dentist as soon as possible to prevent risk of infection or further damage.

Lost Dental Filling or Crown

Please save and bring the crown to your appointment if possible.

Dental Abscess

If you notice swelling of the face or gums, it is best to contact our office immediately. Dental abscesses can lead to serious infections if not treated immediately.

Object Stuck in Teeth

If careful flossing does not remove something jammed in your gums or between teeth, please call our office for an emergency appointment.

Sore Jaw

If you are experiencing pain opening or closing your jaw or the muscles surrounding the jaw are sore, please schedule an appointment for a TMD exam.

Here are some tips for common dental emergencies:

Temporary Crown Falls Out

If your temporary crown falls out and you still have it, dry your natural tooth, apply a small dab of toothpaste or fixodent to the temporary and reattach it. Please call our office so that we can check and recement your temporary as soon as possible.

Knocked Out Tooth

Rinse the tooth gently under water to remove debris. Place the tooth into the socket itf ell from and hold it in place until you get to our office. Otherwise, put the tooth into a baggie of milk and bring it to us so that we can determine whether reattachment is possible.

Cut/Bitten Tongue or Lip

Thoroughly clean the cut, then hold a cold compress against it. If bleeding does not stop, go to your local emergency room. You may need stitches.

Broken Tooth

A cracked or broken tooth should be rinsed immediately with warm water. Then hold a cold compress against the affected tooth to reduce swelling while on your way to our office for assistance.

Possibly Broken Jaw

If you think your jaw may be broken, apply a cold compress and proceed to your local emergency room immediately. If you lost or damaged teeth during your injury, please call us as well.

Severe Toothache

Rinse your mouth and the area around the tooth, then floss around the tooth to make sure that debris is not causing the pain. Do not put an aspirin on the tooth because it can damage your gum tissue. Call our office for an appointment if the pain persists.

Something Caught Between Teeth

Use dental floss to gently remove the debris, and be sure that you don't cut your gums with the floss. Do not use a sharp instrument to dislodge the debris. If floss doesn't help, call our office for an appointment. Call our office for a consultation with an emergency dentist to solve your urgent dental care needs. Our emergency dental office serves communities like Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield, Woburn.

Pediatric Dentistry

When it comes to choosing the right pediatric dentist for your child, we know only the best will do. Our children dentist are ready and capable to treat your child's dental needs. Our pediatric dentist recognize that many children are nervous and scared of going to the kids dentist. That is why we strive to make the experience one that stands out above the rest. Our children dentist creates a positive, fun atmosphere to help your children get over their fear and anxiety about going to the dentist. We offer the latest treatments to keep their teeth and gums healthy and to prevent problems in the future, emphasizing strong children dental care education for children and teach them healthy hygiene habits. That way they can do their part in maintaining good oral health and a beautiful smile! If a pediatrician dentist sees your child twice a year, then the pediatrician dentist can effectively monitor and guide development and assist in the maintenance of healthy teeth and gums. Though preventive pediatric dental care is always preferable, we look forward to joining your child at any point of his or her dental journey. Establishing an excellent foundation for a life-long healthy, gorgeous smile is our specialty.

Why Are Primary Teeth Important?

Our pediatric dentist believe that it is very important to maintain the health of the primary teeth. Neglected cavities can and frequently do lead to problems which affect developing permanent teeth. Primary teeth, or baby teeth are important for (1) proper chewing and eating, (2) providing space for the permanent teeth and guiding them into the correct position, and (3) permitting normal development of the jaw bones and muscles. Primary teeth also affect the development of speech and add to an attractive appearance. While the front 4 teeth last until 6-7 years of age, the back teeth (cuspids and molars) aren't replaced until age 10-13.

Your Child's Teeth

Children's teeth begin forming before birth. As early as 4 months, the first primary (or baby) teeth to erupt through the gums are the lower central incisors, followed closely by the upper central incisors. Although all 20 primary teeth usually appear by age 3, the pace and order of their eruption varies. Permanent teeth begin appearing around age 6, starting with the first molars and lower central incisors. At the age of 8, you can generally expect the bottom 4 primary teeth (lower central and lateral incisors) and the top 4 primary teeth (upper central and lateral incisors) to be gone and permanent teeth to have taken their place. There is about a one to two year break from ages 8-10 and then the rest of the permanent teeth will start to come in. This process continues until approximately age 21. Adults have 28 permanent teeth, or up to 32 including the third molars (or wisdom teeth). To understand more, contact our pediatric dentist for more information.

Preventive Care

Our children dentist say that prevention is the best method for safeguarding your child's adorable smile. In many cases, by attending consistent dental checkups, we can prevent problems like cavities from ever developing. A significant aspect of prevention also includes your home habits. The pediatric dentist will provide explanations and demonstrations for best care practices to assist you in directing your child toward effective brushing and flossing techniques.

Restorative Treatments

Your child's teeth, like your own, are built for durability, functioning independently and as an integral component of a larger unit. Even with pediatric dental care for kids, teeth are vulnerable to damage, including injury from physical trauma as well as the negative side effects of dental plaque. When plaque remains on teeth for extended periods, the result may include tooth decay and the potential for infection. Children dentist concentrate on repairing damage, restoring structural integrity, and removing decay and infection, such as with a dental filling, to guide teeth back to optimal oral health.

Before the First Visit

If it is your child's first visit to a children dentist or just the first time to a new office, we want your child to feel comfortable and have a good time in our office. Before your visit it is good to inform your child where they are going and always be positive. It is important to refrain from the use of negative words that will cause unnecessary fear. Please do not tell your child that the "dentist (or pediatric dentist) will not hurt" as this may never have entered his/her mind. Also, please avoid using such words as needle, shot, pull or any other word suggesting an unpleasant experience. Our children dentist and team will tell your child exactly what is going to happen in a pleasant non-threatening manner. Expect your child to do well and enjoy their visit to our children dentist!

New Patient 3 Years of Age and Over

As a three year old your child will most likely be ready for a "Big Kid Cleaning". The appointment will entail the taking of necessary radiographs, removal of plaque and tartar, polishing, flossing and application of topical fluoride. Our pediatric dentist will then perform a thorough head and neck examination and evaluate the health of your child's teeth, gums, and bite. The children dentist will also give you and your child any necessary oral hygiene instruction in an age appropriate manner.

New Patient Under 3 Years of Age

The purpose and goal of this visit is to provide the foundation for a lifetime of optimum oral health. We will discuss dietary habits, how to keep your child's mouth clean, and discuss any other issues or concerns that you may have. A thorough examination will be performed by one of the doctors and topical fluoride will be applied to your child's teeth. The examination with our kids dentist will be done with your toddler laying in your lap. With this and following visits your child will mature and become more trusting in us. When they reach the age of three we will begin regular continuing care as explained above.

Does My Child Go Back Alone?

Parents are encouraged to accompany their child to the treatment area for their initial visit. This gives you the opportunity to see our team in action. Our children dentist do ask that if you decide to accompany your child back at the first visit that you assume the role of a silent observer. Your presence is greatly enhanced if you play a passive role. If more than one person is speaking to the child at once they may become confused. This is so that cooperation and trust become established between your child and our team. After the first visit your child will be encouraged to come back alone. This builds autonomy and trust between us and your child. This will also help us establish a closer rapport with your child while building his/her confidence.

Dental Radiographs (X-Rays)

Radiographs (X-Rays) are a vital and necessary part children dental care. Without them, certain dental conditions can and will be missed by our pediatric dentist. Radiographs detect much more than cavities. For example, radiographs may be needed to survey erupting teeth, diagnose bone diseases, evaluate the results of an injury, or plan orthodontic treatment. Radiographs allow dentists to diagnose and treat health conditions that cannot be detected during a clinical examination. If dental problems are found and treated early, children dental care is more comfortable for your child and more affordable for you. The American Academy of Pediatric Dental recommends radiographs and examinations every six months for children with a high risk of tooth decay. On average, most pediatric dentist request radiographs approximately once a year. Approximately every 3 years, it is a good idea to obtain a complete set of radiographs, either a panoramic and bitewings or periapicals and bitewings. Pediatric dentists are particularly careful to minimize the exposure of their patients to radiation. With contemporary safeguards, the amount of radiation received in a dental X-ray examination is extremely small. The risk is negligible. In fact, the dental radiographs represent a far smaller risk than an undetected and untreated dental problem. Lead body aprons and shields will protect your child. Today's equipment filters out unnecessary x-rays and restricts the x-ray beam to the area of interest. High-speed film and proper shielding assure that your child receives a minimal amount of radiation exposure. Call your pediatric dentist about more information on x-rays.

Schedule Your Child's Dental Appointment

Our Reading pediatric dentist provides a comprehensive selection of children's dental treatments. To learn more, or to schedule a visit, contact our office at 781-944-6761. Our kids dentist proudly welcome patients from Reading, MA, and all surrounding communities, including Reading, North Reading, wilmington, Wakefield, Stoneham, Lynnfield and Woburn. If any additional pediatric dental treatment is diagnosed at the first appointment, we will review any available radiographs and the treatment plan with you. Our new patient coordinator will discuss the financial aspects of your child's dental treatment and review your dental benefits as needed. We will then schedule an appointment with our kids dentist to complete the treatment for a later date.

Reading Dental Associates

General & Family Dentistry

Cavity Fillings

Mercury-Free Dentistry

Dental Composites

What are tooth-colored fillings?

Are tooth-colored fillings better than traditional metal fillings?

Disadvantages Of Silver Fillings

Advantages of Tooth-Colored Restorations

What happens in the tooth filling procedure?

The Process of Filling a Tooth

When Can Tooth-Colored Fillings Be Used?

How long do Porcelain Fillings last?

After Extraction of Wisdom Teeth

What Will I Feel Like after Wisdom Teeth Removal Surgery?

Are There Any Problems after the Extraction of Wisdom Teeth?

Damage to Sensory Nerve:

Sinus Communication:

Dry Sockets:

Infection:

Jaw Bone Health

The Importance of Teeth for Jaw Bone Health

Potential Consequences of Tooth and Jaw Bone Loss

Problems with remaining teeth, including misalignment, drifting, loosening, and loss

Collapsed facial profile

Limited lip support

Skin wrinkling around the mouth

Distortion of other facial features

Jaw (TMJ or temporomandibular joint) pain, facial pain, and headaches

Difficulty speaking and communicating

Inadequate nutrition as a result of the inability to chew properly and painlessly

Sinus expansion

Dental Crowns

What Steps Are Involved in Preparing a Tooth for a Crown?

How Long Do Dental Crowns Last?

Why Is a Dental Crown Needed?

To protect a decayed, weak or cracked tooth

To restore an already broken or severely worn down tooth

To cover and support a tooth with a large filling when there isn't a lot of tooth left

To hold a dental bridge in place

To cover severely discolored teeth

To cover a dental implant

To make a cosmetic modification

What Types of Crowns are Available?

Porcelain & Zirconia crowns

Porcelain-fused-to-metal crowns

Metal crowns

Dental Bridges

What Is the Process for Getting a Dental Bridge?

How Long Do Dental Bridges Last?

What Are the Benefits of Dental Bridges?

Restore your smile

Restore the ability to properly chew and speak

Maintain the shape of your face

Distribute the forces in your bite properly by replacing missing teeth

Prevent remaining teeth from drifting out of position

Complete And Partial Dentures

When to Get Dentures

The Process of Getting Dentures

Denture Complications

Complete Dentures

Partial Denture

Partial Denture Treatment

Partial Denture Complication

Immediate Denture

Immediate Denture Complications

Different Types of Partial Dentures

Stayplate (Temporary Denture)

The Stayplate Treatment

Are There Alternatives to Dentures?

Will Eating with New Dentures Be Difficult?

Do you need dentures?

Dental hygiene and cleaning

Why do regular dental visits matter?

What can I expect during a dental checkup?

How often do I have to go to the dentist?

I'm not having any symptoms. Do I still need to see a dentist?

Dental Sealants

How Sealants Are Placed

Taking Care of Sealants