Skip to main content
Category

Complex Dental Services

Feb 29

Hole in my tooth and drugstore filler won’t stay in

By Dental Fillings, Emergency Dentistry

I have a hole in my tooth but it doesn’t hurt. It was getting sensitive to hot and cold drinks so I got some Dentek from the drugstore. It used to work fine but it started falling out recently. Maybe the hole in my tooth is getting bigger? I don’t know. Can you recommend another product other than Dentek that might hold better now? Nezaida

Nezaida – Over-the-counter dental filler is a temporary repair for a tooth. It doesn’t eliminate the need to go to a dentist to have the tooth examined, x-rayed, and restored.

Although you don’t feel pain, the tooth can still be infected. The infection can affect other teeth, your jawbone, and spread elsewhere in your body. If the pulp (living tissue) inside your tooth dies, the nerves die with it, and you won’t feel pain in the tooth. If that’s the case, a root canal treatment is needed.

Schedule an appointment with your dentist right away to have your tooth examined. If the cavity is too large for composite filling, a porcelain onlay or inlay may be used to restore the tooth. Onlays and inlays preserve tooth structure, and in addition to building up the tooth again, they look completely natural.

A badly damaged tooth may require a porcelain crown. Visit an experienced cosmetic dentist for an examination and to learn about your options. Please don’t continue to try to repair the tooth yourself. If you prolong treatment, the damage to your tooth can progress and make treatment more difficult and more costly.

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

Jan 25

My son’s gums bleed when he brushes his teeth

By Gum Disease, Oral Health, Pediatric Dentist

I finally got our 4 yr old into brushing his teeth twice a day. He actually started liking it. I was surprised. 2 weeks ago he was brushing and I was helping and his gums started bleeding. I had him rinse his mouth and everything was okay. I figured maybe he was brushing too hard, so I told him to do it softly. That seemed to work until last week. He was brushing his teeth on 2 different occasions and the gums started bleeding again. I am trying to be calm about this because he is just comfortable with brushing his teeth and I don’t want him to freak out or think that brushing teeth means bleeding gums. I know that he isn’t brushing too hard any more. Does he have gum disease at 4? Thanks. Tuscany

Tuscany – There are several possible causes of your son’s bleeding gums. For an accurate diagnosis, though, schedule an appointment with your son’s pediatric dentist.

One possible cause is dry mouth. Does your son breathe with his mouth open? Does he drink plenty of water daily? Or is he taking medication that has dry mouth as a side effect? Any of these factors can cause the gums to become tight, dry, and more likely to bleed.

Vigorous brushing is another cause of bleeding gums, but you have mentioned that your son isn’t brushing his teeth tooth hard. Continue to monitor him to ensure that he isn’t brushing aggressively. A soft-bristled toothbrush should be used.

There are certain medical conditions, including some auto-immune conditions that can cause gums to bleed easily. Bleeding gums may be related to the beginning stages of periodontal (gum disease).

Again, we encourage you to schedule an appointment with your son’s pediatric dentist for accurate diagnosis and treatment. If you have already seen a pediatric dentist about the issue, consider getting a second opinion and speaking with your medical doctor about it.

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

Jan 12

I’m losing my 5th tooth from root canal failure and chemical sensitivities

By Root Canal Treatment

I am really frustrated about my teeth. 2 years ago I had an apicoectomy on a molar tooth. The tooth is giving me problems again and an endodontist did the work. 3 weeks ago I had 2 teeth pulled and I am told that I have to have 2 or 3 more pulled on the other side. I can’t tell you how traumatic this is for me. The end result is that at 38 years old, I will have none of my molar teeth. I have to wait until summer to get implants to give time for my gums and bone to heal properly. I have a new dentist who told me that my body has rejected 2 previous root canals. She said there is no point in getting another root canal because my immune system is rejecting the filler. I do have a lot of allergies and chemical sensitivities. What really scares me is that I am not sure yet what is going on with my teeth and why they keep decaying. I floss morning, night, and after eating anything that I think might potentially get lodged between my teeth I floss again. I keep floss in my purse. I brush morning, night, and after every meal. I know this sounds strange, but I have these flossing and brushing habits because of the root canal problems and problems with my teeth. It’s making me nervous to think that the only way to resolve a bad tooth for me is to have it pulled. Is that really my only option? Cassandra

Cassanda – We sympathize with you and know that this difficult situation must be very frustrating for you.

We cannot say whether or not your only recourse in the future is to have teeth extracted and replaced with dental implants. An examination and review of your medical history is required. We do recommend that you find a dentist who works with patients who have allergies and chemical sensitivities and tries to find alternative treatment for them.

Some dentists use the Clifford Materials Reactivity Test (CMRT), although its reliability is controversial. CMRT is a laboratory screen process used to identify your sensitivities. Bases on the results, the dentist will seek dental materials that are biocompatible for your case. Often the test is not performed in the dentist’s office, and the patient is given information to order it. The results are used for your dental treatment.

If you already know your sensitivities, you can call a few prosthodontists’ offices to ask if they work with patients who have chemical sensitivities. You may also ask each prosthodontist if he or she is willing to work along with your medical doctor to help identify the cause of the ongoing problems with your teeth. You can also choose to search online for a holistic dentist. Be sure to check his or her credentials, along with patient reviews.

We sincerely wish you well in finding answers and the right help.

This post is sponsored by Naperville Dental Specialists.

 

Nov 16

Can you get nanodiamonds with that root canal treatment?

By General Dentistry, Root Canal Treatment

What do diamonds have to do with root canal treatments? More precisely, what do nanodiamonds—byproducts of diamond mining and refining—have to do with this dental procedure?

Yearly, about 15 million root canal treatments are performed in the U.S. alone. During the procedure, infected tooth pulp is removed, and the inside of the tooth is cleaned out and filled. At times, bacteria remain in tips of the root. Bacteria can linger, and a tooth can get infected again. This requires a second root canal treatment.

Gutta percha is the material used to fill a tooth after the infection has been cleaned out. But it’s limited in fighting infection and any remaining bacteria. Researchers from the UCLA School of Dentistry have found that adding nanodiamonds to gutta percha reinforces the filler material. Antibiotic-enhanced nanodiamonds strengthen the filler material and prevent bacterial growth.

What does nanodiamond-enhanced gutta percha mean for patients with root canal treatments?

  • Stronger filler material makes a weak, damaged tooth stronger.
  • Antibiotic-enhanced filler material fights bacteria and reduces the risks for needing future root canal treatments in the same tooth.
  • These combined advantages make it much more likely that a damaged tooth can be permanently saved.

Can you ask your dentist for this innovation in root canal treatment? Not yet. Researchers will spend the next two years refining the process. After that, clinical trials will begin at UCLA. Meanwhile, do what you can to avoid the need for a root canal treatment.

  • If you play sports, wear a mouth guard to protect your mouth and teeth from trauma, which can lead to a root canal treatment.
  • Remove bacteria from your teeth and gums by flossing daily and brushing your teeth twice a day.
  • Limit sugary snacks, food, and drinks, which promote tooth decay.
  • Go easy on your teeth. Only use them to smile and eat. Don’t bite hard or sharp objects, or use your teeth to take off bottle caps or open metal containers.
  • Keep your regularly scheduled appointments for dental cleanings and exams. Early detection is a key to preventing dental issues that require aggressive treatment.

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

Oct 27

Is an obturator really needed for infant cleft palate?

By Cleft Palate

Last week my sister and I saw 2 different doctors about my infant nephew’s cleft palate. With each doctor we felt like my sister was being pressured to get an obturator for my nephew’s cleft palate. We didn’t know what to expect before the appointments, but the approach was really rushed. My sister is nervous about the whole thing and really wondering if the device is the right way to go or if there is something else that can be done. I am confused to and haven’t really been much help making a decision so any advice you have is welcomed. Thanks Lynnda.

Lynnda – Dr. LaVacca would really need to do an examination and diagnostic studies to determine the best treatment for any patient. But a cleft obturator is often, and appropriately, recommended when the opening in the palate is large enough to interfere with the feeding, growth, and development of a child.

The oral appliance helps infants with suction when feeding. This will ensure that a baby is getting the food and nutrients he or she needs. Good health and enough weight gain are important factors for a positive outcome in surgery to close the cleft.

It is easy for a prosthodontist to make a customized obturator. An impression of the mouth is made to make the appliance, and the prosthodontist will ensure a proper fit.

Although you have already spoken with two doctors, it may be helpful to schedule another appointment with a board-certified prosthodontist with expertise in making obturators. The opportunity to have the pros and cons explained, ask questions, and find out what to expect after it’s placed can address some of your sister’s concerns.

 

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

 

Jun 17

Can grinding my teeth really make them break if I don’t wear a night guard?

By General Dentistry, TMJ

My dental cleaning appointment was yesterday. When the dentist examined my teeth he told me that I am putting too much stress on them, probably from grinding my teeth at might. He also said that I need a night guard and that if I keep putting it off my teeth will break. Is this true? – Randy

Randy – A night guard absorbs the pressure on your teeth that comes from grinding and clenching them. It protects your teeth from fracture. Fractured teeth are weakened teeth, so if the grinding and clenching continue, you can wear away your teeth and cause them to crack.

Headaches, toothaches, and neck pain are often improved with a custom-fitted night guard. A custom fit from your dentist provides the protection needed based on your bite (the way your teeth fit together). A store-bough night guard won’t give you the same results.

The jaw joints are also protected with a night guard, which helps the muscles relax while you sleep. If you are experiencing TMJ symptoms, they will improve. Your dentist’s comments are based on an examination of your teeth and the damage that is already being done to them. Heed the advice and protect your teeth and your oral health.

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

Apr 07

Will a pediatric dentist whiten my daughter’s teeth?

By Pediatric Dentist, Sensitive Teeth, Teeth Whitening

My daughter is 8 yrs old. She is a model and has been in some local commercials. We both think that she would have more opportunities if she gets her teeth whitened. Will a pediatric dentist whiten her teeth or do I have to do it myself? Thanks Laney

Laney – There is limited research on teeth whitening for children. Many dentists recommended that whitening is delayed until permanent teeth are fully developed. When children are in their mid-teens, whitening by a dentist is safe.

While children are young, the pulp inside the tooth is still developing. Teeth bleaching can create sensitivity in adult teeth, and can be more intense in children. In unique situations, some dentists whiten children’s teeth, but you should not attempt it without a dentist’s supervision. Excessive whitening can weaken tooth structure and eventually darken teeth.

If you are interested in getting your daughter’s teeth whiter, speak with your pediatric dentist for recommendations.

This post is sponsored by Naperville Dental Specialists.

Feb 24

When a sinus lift is needed for dental implants

By Dental Implants, Sinus Lift

A sinus lift is also known as sinus augmentation or elevation. It is required when the sinus cavity enlarges due to bone shrinkage that occurs when upper back teeth are missing. As the jawbone shrinks, the sinuses grow and consume more space. Also, as we age, sinuses grow in volume.

The procedure raises the sinus floor, and bone grafting, or augmentation, provides the bone density required to support dental implants. The bone is added below the sinus cavity, but it does not cause sinus, speech, or intonation problems. Your implant surgeon will explain which technique will be used to raise the sinus cavity.

Autogenous, or your own bone tissue, provides the best results and the fastest healing period. Bone can be also obtained from human cadaver tissue banks, animal bone tissue banks, or synthetic tissue. All sources are regulated for sanitation and safety. Your implant dentist will explain your options, and what to expect from each of them.

After the grafting is completed, there is generally a four to twelve month healing period—depending on your case and the source of the bone tissue—after which dental implants can be placed. The strong, dense bone will support dental implants and ensure they will last. At times, the augmentation and dental implant placement can be completed as one procedure, but enough stable bone must be present.

After the bone heals around the implants, a dental crown will be secured to the implant. Your implants will feel and function like natural teeth.

The sinus lift, or augmentation, has been safely used for decades. The results are predictable. The procedure increases your chances of having successful implant placement and retention. Most patients experience only minimal discomfort with the procedure.

If you require dental implants in the area where upper back teeth were located, your implant dentist will determine if you have adequate bone density. Examination and diagnostic studies will help your implant dentist make the determination. If a sinus elevation is required, your options will be explained.

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

Feb 21
my-wife-has-no-upper-teeth-blog

My wife has no upper teeth and her face is sagging

By Dental Implants, Dentures, Facial Collapse

My wife is only 57 yrs old and she has full upper dentures. I am watching her go through periods of deep depression as we both notice that her face is starting to sag. She is very active and very conscious about her appearance. Unfortunate circumstances in life led to loss of most of her teeth and dentures were recommended 6 years ago. I will do what I have to so she can get her confidence back. Will dental implants help her face regain its shape? Thanks Tomas

Tomas – The first step is for your wife to receive an evaluation from a skilled implant dentist who will determine if she is a candidate for dental implants. Your wife’s medical history needs to be reviewed and diagnostic studies are needed.

Teeth are necessary to stimulate jawbone growth and retention. The jawbone supports teeth and facial muscles and tissue, including the cheeks, chin, and lips. When your teeth are missing and facial sagging occurs, it means that jawbone shrinkage has started. When dentures rest on the jawbone, it accelerates shrinkage. Individual dental implants or implant-supported dentures can help.

Dental implants help preserve jawbone. But they also require sufficient jawbone density to support them. When bone grafting is needed there are several options.

  • Autograft – This process harvests your own bone tissue. Depending on where you have adequate bone density that can be used for grafting, the bone can be harvested from the back of your jaw, or from your chin, shin, or hip. This is the safest, most effective means of grafting.
  • Allograft – The source is human cadaver bone from a reputable tissue bank. Donors are screened for infectious disease, and the tissue is thoroughly processed and sterilized. There are risks though, which are similar to the risks of blood transfusion.
  • Xenograft – Bone tissue is provided from an animal. Commonly, cow bone is used. Tissue banks screen the tissue for safety.
  • Alloplast – There are various types of synthetic bone tissue available. Based on your needs and current research, the implant surgeon will determine what is best for your case.

We recommend that you and your wife schedule a few consultations with skilled prosthodontists. A prosthodontist has two years of post-graduate training specific to the replacement and restoration of teeth. Prepare questions for the consultation and take notes to compare the options and risks explained by each specialist. Your preparation will help you and your wife make an informed decision about her oral health.

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

Feb 04

How does a night guard work?

By Bruxism, General Dentistry

Bruxism, or teeth grinding, usually occurs during sleep. Eight to ten percent of adults grind their teeth, and about one-third of parents report that their children grind their teeth.

Stress, anxiety, sleep disorders, or a misaligned bite can cause bruxism. Regular teeth grinding can cause jaw pain, facial pain, neck pain, earaches, headaches, toothaches, and damage your teeth. A customized night guard from a dentist can help.

What is a night guard?

A customized, dental night guard is an oral appliance made of dental acrylic. The night guard repositions your jaw to prevent teeth grinding. A customized night guard is lightweight—lighter than over-the-counter products—and more comfortable, because it is designed to precisely fit your teeth and mouth.

A night guard should be worn regularly, so if it doesn’t fit properly—as with over-the-counter appliances—it can cause problems with your bite and jaw.

How do you get a night guard?

You may know that you grind your teeth. But your dental hygienist or dentist may notice signs of wear on your teeth, or bulging on the sides of your teeth. Your dentist will recommend a night guard. If you choose to receive one, impressions of your teeth will be taken to ensure a proper fit.

Your dentist will send the impressions to a laboratory to make the night guard. You will return to the dentist to ensure that the appliance fits properly. Adjustments can be made to ensure proper fit, or the night guard may be returned to the laboratory to be re-made.

Your dental hygienist will give you instructions on how to wear and clean the night guard. As you wear it, you will likely notice that you have less neck pain, jaw pain, and facial pain, and fewer headaches.

If you have dental insurance, it may provide some coverage for a night guard. Contact your dental insurance company, or your dentist to find out the details for your plan.

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

Close Menu