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Dr. Anthony LaVacca

Oct 19

Pediatric dentist was unkind because of autistic daughter’s service dog

By Pediatric Dentist

Last year our 8 year-old autistic daughter got a service dog. This was one of the best decisions we’ve made for her. She has been so much calmer since we got the dog (Pepper). Now Pepper goes with us almost everywhere. Situations where our daughter would normally withdraw or have a tantrum have been much calmer. We’ve had great success with her doctor’s appointments, which were previously out of control, but we are anticipating that we will have a problem with the pediatric dentist. At the first dental appointment with Pepper we got some weird looks, but it’s obvious that Pepper is a service dog so I just thought it might take a little time for a few people in the office to get used to it. My daughter had one of the best dental appointments ever with Pepper there. Last month when we went to a dental appointment, the dentist made a remark about leaving Pepper in the car the next time. I kindly mentioned that Pepper is a service dog that has made my daughter’s life much easier. The dentist mumbled something that I chose not to listen to. Now I am nervous. I’ve been going over this in my mind but I am not sure what to do about it. Forcing the issue doesn’t seem like a good idea. Should I just ignore it?  Thanks in advance. – Siobhan

Siobhan – Neither forcing nor ignoring the issue will ensure a good outcome for your daughter. We suggest that you schedule an appointment with your daughter’s pediatric dentist to discuss your daughter’s needs. During the discussion express your concerns, and ask questions to find out exactly how the dentist feels about Pepper’s presence in the office. If you think that it’s worth it to continue with the dentist, you may want to give it another try.

Consider a pediatric dentist consultation

On the other hand, if the dentist resists the idea of Pepper’s accompanying your daughter, you may want to explore your options. You can get recommendations from friends for compassionate dentists, or search online for pediatric dentists who accept autistic patients. Call the offices, and ask how service animals are handled when they accompany a patient. You will be able to tell if the office has at least thought about the situation and how it will be received. Consider scheduling a consultation with a few pediatric dentists.

Interestingly, a May 2015 online article was published by the American Dental Association about a pediatric dentist who uses hypoallergenic therapy dogs in his office to help children have positive dental experiences. The interview of the dentist shows how he thoughtfully made this arrangement for children, while maintaining good order in the office. It’s an encouraging article that can give you confidence that you will be able to find an empathetic dentist to meet your and your daughter’s needs.

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

 

Oct 15

Can a prosthodontist really help my teeth if drugs messed up my gums?

By Prosthodontist

Can a prosthodontist really help me if drugs messed up my gums? I had a 8 yr drug habit that has almost totaled my gums and teeth. I am thinking what good are new teeth or implants if I don’t have enough gum tissue to keep them in place. Thanks. A.Y.

A.Y. – A highly experienced prosthodontist can help. First, an examination and diagnostic studies are needed to accurately access the state of your gum tissue, jawbone, and teeth.

Sufficient jawbone is needed to support dental implants. If you don’t have enough jawbone, bone grafting can be used to build up the missing bone. Depending on your case, and the prosthodontist you choose, donor bone tissue or synthetic bone will be used.

Periodontal (gum) grafting is performed to add gum tissue where the original tissue is missing or damaged.

After bone and gum grafting heals, the dental implant process can begin. Expect the entire process to take several months or more. The different phases of restoring your smile require a healing period before starting the next step.

You can schedule consultations with several prosthodontists to discuss your options and ask questions. Keep in mind that a comprehensive exam and diagnostic studies are required to accurately project what you can expect in terms of the treatment needed, how long each phase may take, and the cost of restoring your smile.

This post is sponsored by Naperville board-certified prosthodontist Dr. Anthony LaVacca.

 

Oct 07

For teeth’s sake! May have a little milk with my tea?

By General Dentistry, Oral Health

Each day, approximately 158 million Americans drink tea. What’s that have to do with your teeth? Tea stains your teeth—in fact, because of its higher tannin content, it’s more likely to stain your teeth than coffee. Tannin is a compound that gives tea its dark color.

Of course brushing your teeth daily can help limit surface stains in tooth enamel, and so can rinsing your mouth with water after drinking tea. But research shows that adding a little milk to your tea can help prevent stains in tooth enamel.

The study, published in the November 2014 issue of the International Journal of Dental Hygiene, shows that the casein protein in milk binds the tannins in tea and limits their staining properties. The study showed that the effectiveness of milk on teeth is greater than whitening toothpaste and comparable to some bleaching gels!

Many people like their tea “straight,” without milk or cream. But for those who can tolerate a little milk in their tea, in addition to diligent oral hygiene and regular dental cleanings, it can help keep your teeth white!

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

 

Sep 30

My dentist and I can’t agree on porcelain veneer color

By Porcelain Veneers

I always thought that the final details of my porcelain veneers are my decision. My dentist keeps telling me that she really doesn’t like the shade I picked. She thinks that the color should be 2 shades lighter than what I picked. This might become a deal breaker for me to get veneers from this dentist. How can I convince her to submit my case so that I can get veneers? – Stefanie

Stefanie – Schedule an appointment with your dentist to discuss your concerns. Explain how important it is to you to receive veneers in the color of your choice.

It is ultimately the patient’s decision, but listen closely to your dentist as to the reasons that she is recommending a lighter color. You likely can reach an agreeable decision. If you can’t, we suggest that you seek a second opinion. Veneers are big investment. You should be thrilled, not hesitant, with the results.

 

This post is sponsored by Naperville dentist Dr. Anthony LaVacca

Sep 25

Will mini implants be better for me if I have CRPS?

By Affordable Dental Implants, Dental Implants

I was diagnosed with CRPS (complex regional pain syndrome) in 2013. I am in my 5th year of dentures and they are really uncomfortable. I want to stabilize them with dental implants, so I am thinking that since I have CRPS that I should do smaller implants. Will it be better if I do mini implants? Thanks. Malcom

Malcom – As you likely know, Complex Regional Pain Syndrome (CRPS) affects the central nervous system. The syndrome is rare (affecting approximately 26 out of every 100,000 people). It causes intense, chronic pain and usually occurs after injury (e.g., a bone break or a sprain), stroke, or heart attack. The pain from CRPS is disproportionate to the pain that is usually felt from the injury or surgery—and it is chronic. In addition to pain, CRPS can cause swelling, redness, sensitivity, and decreased mobility.

Dental implants—whether they are mini implants are standard implants—are surgically implanted. If you suffer from CRPS, you can anticipate pain that is more significant than usual at the implant site, and it can persist for life. In advance of surgery, many specialists recommend a local anesthetic nerve block to prevent the pain from the surgical site from entering the central nervous system.

Although we cannot advise  you as to what to do for your case, we recommend that you schedule an appointment with a pain specialist who is very familiar CRPS to discuss if it is advisable for you to receive dental implants at all, and if you are likely to experience less pain with mini implants.

This post is sponsored by Naperville implant dentist and board-certified prosthodontist Dr. Anthony LaVacca.

 

Sep 21

Gums still swollen after dental implants were taken out

By Dental Implant Failure, Dental Implants

I had my 4 dental implants taken out 3 weeks ago because over a 10 mo. period there were too many problems with them. My gums stayed swollen and hurting. They are still swollen after 3 weeks. The surgeon told me they are still healing but I am not sure they should be swollen and hurting like this. Is this normal? – Quince

Quince – Even after your dental implants are removed, it is still possible to have some swelling and pain if there is an infection in your gums. We suggest that you get a second opinion to have the implant sites examined.

When implants are placed or removed, some pain and swelling is normal. When pain and swelling persist, there is a problem. Pain after removal should diminish within a week. A prosthodontist, a specialized dentist with training in implant placement and tooth restoration, can help. An examination will be required, along with diagnostic studies (x-rays), unless you’ve had them recently.

It will be helpful to bring your dental records along with you to the appointment. We hope that you get some and answers and relief very soon.

This post is sponsored by Naperville implant dentist and board-certified prosthodontist Dr. Anthony LaVacca.

Sep 17

The tooth beneath my crown hurts

By Cosmetic Procedures, Dental Crowns

I got a root canal and crown in June. I thought everything seemed to be okay even though every once in a while I would feel a little pain in the tooth. It felt much better than before the root canal and it only hear once or twice a month so I didn’t think it was a big deal. Now it is a big deal because the pain is getting worse. Am I going to need a new crown? Lily

Lily – Your tooth needs to be examined to determine the correct treatment for it. There are several possible causes of your pain.

  • A main nerve still exists in the tooth. An irritated nerve that remains after root canal treatment can cause pain. A second root canal will be needed to clean the tooth and re-seal it.
  • The crown doesn’t fit correctly. A poorly fitting crown can put pressure on your natural tooth and cause pain. The crown will need to be removed, further preparation of the natural tooth may be required, and the crown will need to be bonded back on.
  • The tooth is damaged. At times, a tooth beneath the crown becomes damaged or cracked—often due to a poor-fitting crown. If the damage is not to extensive, the tooth will need to be cleaned out and sealed with a dental filler material. A tooth that is cracked below the gumline will need to be extracted. Have your tooth and crown examined to find out the cause of your pain and your treatment options.

 

This post is sponsored by Naperville dentist Dr. Anthony LaVacca

 

 

 

Sep 13

Does 1 set of all on 4 really cost as much as a car?

By All-on-4 Dental Implants

There are 2 things I wanted within the next 2 years, all on 4 and a new car. I did a little research and found out 1 set of all on 4 costs as much as a new car and not a smart car either. Are those $20K plus figures right? Theo

Theo – Depending on the dentist and where you live in the country, All-on-4 dental implants on average can cost about $30,000. If you visit some well-known and highly advertised, mega dental implant centers, the cost for All-on-4 can be significantly higher.

Although financing and payment plans are available, the All-on-4 procedure is not for every patient. And there are less expensive options that will secure your dentures. Find a few experienced implant dentists or prosthodontists to find out which options can be used for your case. Compare your options, the pros and cons, and the cost before you make a final decision.

Remember that quality dental implants are an investment that is required for long-lasting results. So cost alone should not be the only factor you consider when deciding which implants to receive or the dentist from whom you receive them.

This post is sponsored by Naperville implant dentist Dr. Anthony LaVacca.

 

Aug 31

Flushed my dentures down the toilet

By Dentures

I flushed by dentures down the toilet, on purpose because I hated them. Being toothless is better than the pain and frustration I had so now I am going back to my insurance company about the ‘accidental damage’ and starting fresh. So where do I begin? The teeth were pasty, looked like buck teeth, and were too big for my mouth. The dentist I got them from called them ‘custom’. Maybe custom for a horse. It was ridiculous. We had too many conversations and alleged fixes for those fake teeth and I felt helpless. So they are somewhere floating down the sewage pipes. How can I get this right this time? Sincere thanks. – Just call me L.T. (not my real initials).

Dear L.T. – Your frustration and disappointment are clear. We are concerned that you now have to eat without teeth or dentures. Your digestive health will become an issue. So you have to act quickly, but carefully.

Find an experienced cosmetic dentist or prosthodontist. Carefully check the dentist’s training and experience in cosmetic dentistry. Have a consultation with the dentist to ask questions, and ask for recent before-and-after pictures of the dentist’s work. Patient testimonials may be available, too. Think about friends or family members from whom you can ask for recommendations for a dentist.

If you can find at least two dentists with whom you have consultations, it will help you compare quality of the dentists’ work and quality of patient care. You should be given details about how your dentures will be customized, and at the same time complement your facial features. Although you need to replace your dentures soon, don’t rush the decision and select the wrong dental provider. If you are dissatisfied, see another prosthodontist or cosmetic dentist until you concerns are addressed.

 

This post is sponsored by Naperville prosthodontist Dr. Anthony LaVacca.

 

Aug 27

Getting kids back on track for a new school year? Don’t forget about their teeth.

By Pediatric Dentist

Getting kids back on track for school? Don’t forget about their teeth.

Backpacks, notebooks, writing instruments, clothing, you name it. There is a long list of things that are needed to help children get back in the swing of things and in the learning mode for school. As you prepare for, or help them adjust to, a new school year, don’t forget about their teeth. What do we mean?

During summer, when kids are on vacation, visiting relatives, home with a sitter, or off to summer camp, their good oral hygiene habits may slip a bit. Now is the time to get them back on track.

Children need to floss between their teeth daily and brush their teeth twice daily. Sounds like a bit much? Did you know that failure to floss regularly can lead to a buildup of plaque and bacteria between the teeth that, if left untreated, can cause gum disease?

Also, be sure to schedule regular dental cleaning and exams for your children. If your child’s pediatric dentist recommends sealants for deep groves or pits in the teeth, take the recommendation seriously. Most cavities in children’s teeth are found in places that could have been protected by sealants. The process is easy and painless. In minutes, the sealant is painted on the applicable teeth, dried, and your child will be good to go.

If you have questions or concerns about your child’s oral health, instead of doing an Internet search on an unreliable website, look for official pediatric dentistry websites. And don’t hesitate to contact your dentist’s office.

 

This post is sponsored by Naperville Dental Specialists, the office of Dr. Anthony LaVacca.

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