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- 2019
- January (6)
- Why it's Worth the Effort to Save a Problem Baby Tooth
- Implant-Supported Dentures Could Boost Your Jawbone Health
- 4 Things that can Cause Gum Recession and What to do About Them
- Dental Care is Difficult but not Impossible for a Special Needs Child
- Answers to Common Questions About Root Canal Treatments
- A New Resolution - Floss!
- 2018
- December (7)
- Practice the Dental Care Basics to Ensure a Healthy Smile
- The Benefits of Dental Implants
- New Year, New Smile
- Bitewing X-Rays Safely 'Reveal all' About Back Teeth to Prevent Tooth Decay
- Practice Daily Oral Hygiene to Prevent Calcified Plaque Formation
- Kids, Cats and Canines: Dental Development Through the Ages
- TMD and Fibromyalgia Could Share Links in Chronic Pain
- November (6)
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Treating Gum Disease Important to Saving the Underlying Bone
- Inflammation: the Link Between Gum Disease and Cardiovascular Disease
- How to Maximize Your Child's Dental Health Potential
- The Connection Between GERD and Oral Health
- 4 Foods That May Help You Prevent Tooth Decay
- October (7)
- Teens May Need a Temporary Replacement for Missing Teeth
- New Dental Advances Promise Better Outcomes for Treating Decay
- Five Tips for Top-Notch Tooth Brushing
- Preventive Care for Your Child is a Partnership between You and Your Dentist
- Don't Stress Over Your Child's Teeth Grinding Habit Unless it Persists
- Stay Ahead of Plaque Buildup with Effective Brushing and Flossing
- How to Determine If You Have a Dental Emergency
- August (7)
- Your Case of Gingivitis Could Develop into Something More Harmful
- What to do if Your Child has a Toothache
- Treating a Young, Permanent Tooth Requires a Different Approach
- Be on the Alert for Gum Disease While Wearing Braces
- Take Care of Your Dental Appliance and It Will Take Care of You
- When are Dental Crowns Needed?
- Sleep Apnea Might be Robbing you of More than a Good Night's Sleep
- July (7)
- Dental Amalgam Continues to be a Durable and Safe Tooth Filling
- Replacing a Back Tooth May Help You Avoid Future Dental Problems
- Ready for Summer Camp? Be Sure to Pack a Toothbrush
- 3 Reasons You Should Consider Tooth Whitening
- We'll Help You Maintain Your Oral Health After Gum Disease
- Think Water First for Summer Thirst
- Teeth Grinding in Older Children and Adolescents a Cause for Concern
- June (6)
- Complex Mouth Conditions Call for Dental Specialties
- Good Reasons for Choosing Clear Aligners for Orthodontic Treatment
- Gum Disease is Still a Threat to Your Dental Implants
- Don't Fear the Root Canal - it Could Save Your Tooth
- Keep Alert for this Extreme Form of Gingivitis
- This Young Woman's Cancer Experience a Teachable Moment for all of us
- March (5)
- Bone Loss: the Hidden Consequence of Your Missing Teeth
- 3 Fluoride Sources You Should Monitor for Your Family's Dental Health
- Removing Teeth Could Improve the Outcome for a Crowded Bite
- A "No-Prep" Veneer Could Eliminate the Need to Remove Tooth Enamel
- 3 Things Your Dentist Recommends You do if You Have Shingles
- 2017
- December (6)
- Take Your Dentures out at Night to Extend Their Usefulness
- Support Your Child's Dental Development with Preventive Care
- What to Do About Your Child's Toothache Before Seeing the Dentist
- Your Age Won't Necessarily Decide Against Straightening Your Smile
- What Can Dental Bonding Do for Me?
- New Year's Resolutions for Better Oral Health
- June (5)
- Protect Your Child's Long-Term Dental Health with Regular Office Visits
- You'll Experience Little to No Discomfort During and After Implant Surgery
- No- or Minimal-Prep Veneers Reduce Permanent Alterations to Your Teeth
- Do You Have A Gap In Your Teeth?
- Don't let Periodontal Disease Cause Your Gums to Recede
- May (5)
- Look at Your Options for Saving a Tooth First Before Replacing it
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- Don't Let Sleep Apnea Ruin Your Sleep - or Your Health
- Tips on Encouraging Healthy Snacking While Your Child's at School
- We can Fix a Smile Marred by Absent Front Teeth
- April (5)
- Be Alert to the Unintended Consequences of Cancer Treatment to Oral Health
- Watch for These Developing Bite Problems with Your Child's Teeth
- New Saliva Test may Help Identify Oral Cancer Earlier
- A Healthy Diet is Your Best Source for Vitamins and Minerals
- Get a Dental Exam as Soon as Possible if you Suspect Gum Disease
- February (6)
- Take These Actions to Make Your Child More Comfortable During Teething
- You may need a Periodontist to Fully Treat Your Gum Disease
- A Child's Damaged Tooth may require a Different Approach than an Adult's
- Try Conservative Measures to Treating TMD Before More Aggressive Options
- Do I Really Need Dental Implants?
- Could a Metal Allergy Keep You From Getting a Dental Implant?
- January (5)
- Stay Ahead of Gum Disease Re-Infection with Periodontal Maintenance
- A Partial Denture Can Restore a Smile Marred by a Few Missing Teeth
- Treating Teeth Grinding Now Could Help Prevent Excessive Tooth Wear Later
- Chronic Jaw Pain Could be Related to Other Inflammatory Conditions
- Non-Prescription Pain Medication can Manage Most Post-Procedure Discomfort
- 2016
- October (5)
- New Understanding of Bacteria Promises Better Approaches to Oral Care
- Keeping up Good Hygiene Still a Necessity with Dental Implants
- Are You Brushing Correctly?
- Even Though not in the "Smile Zone" You Should Replace that Back Tooth
- An Infected or Injured Primary Tooth Can Be Saved - but it's Complicated
- June (6)
- Getting the Full Picture of Your Decay Risk Leads to Better Prevention Strategies
- The Risk for Gum Disease Increases While Wearing Braces
- Do Your Dentures and Mouth a Favor: Take Them Out at Night
- 4 Things You Should be Doing to Maintain a Healthy Mouth
- Can Dental Implants Help Me?
- A Crown Could be the Answer to Preserving Your Damaged Tooth
- May (5)
- Replacing a Missing Tooth isn't Just About Improving Your Smile
- Prudent Use of X-Rays in Children Provides the most Benefit at the Lowest Risk
- Chewing Tobacco is Just as Addictive and Dangerous as Smoking
- 4 Reasons Why You May Need to See a Periodontist for Your Gum Disease
- Dental Implants and Smoking - Cause for Concern?
- March (5)
- Good Oral Hygiene Just as Important for Implants as for Natural Teeth
- The Importance of Baby Teeth
- There's Still Hope for a Re-Infected Tooth After Root Canal Treatment
- Sealants Provide a Little Extra Protection for Children at High Risk for Decay
- Persistent Jaw Pain After an Injury Needs Immediate Attention
- February (5)
- FAQs: Keeping Your Mouth Healthy After Gum Disease Treatment
- Effective Oral Hygiene is Key to Disease Prevention While Wearing Braces
- What Do I Need To Do To Take Care of My Dental Veneers?
- Keep a Watchful Eye on Your Child's Teeth Grinding Habit
- Thumb Sucking One of Many Factors to Consider When Treating a Poor Bite
- 2015
- December (6)
- Pay Attention to Gum Disease Warning Signs for an Early Diagnosis
- The truth about cavities
- Improve Your Brushing and Flossing Habit with These Tips
- Certain Factors May Raise Your Risk and the Intensity of Gum Disease
- Sleep Apnea and Behavioral Problems in Children: How Your Dentist Can Help
- Saliva Performs Many Functions for Both Oral and General Health
- October (6)
- Dental Implants Help Maintain Bone Health
- Survey Says: They'd Rather Have a Root Canal
- The Parent-Dentist Partnership: Establishing Better Oral Health for Your Child
- Lost a Tooth? You Have Options
- Diabetics with Gum Disease Benefit from Coordinating Treatment for Both
- A Bird's-Eye View of Tooth Replacement
- August (5)
- Ultrasonic Plaque Removal an Effective Alternative to Manual Scaling
- While Usually Benign, Lichen Planus Lesions Should Still be Examined
- The Perils of a Loose Permanent Tooth - and What to do About it
- Look at the Long-Term Costs When Considering Dental Implants
- Easing the Pain and Discomfort of Canker Sores
- July (6)
- Ridge Augmentation Gives You an Even Smile
- To Fight Tooth Decay Reduce "BAD" factors, Promote "SAFE" Ones
- Conscious Sedation Eases Treatment Anxiety for Young Dental Patients
- Know What to Expect During Your Child's 'Baby' Teeth Phase
- Orthodontics Could be in Your Smile Makeover Plan
- Plagued by Mysterious Mouth Ulcers?
- May (5)
- Emergency Dentistry - Have Your Emergency Handled By A Professional
- Do You Need Antibiotics Before Having a Dental Procedure?
- Cosmetic Questions to Ask to Get You on the Right Path to a Better Smile
- A Clear Diagnosis of Jaw Pain is Needed to Determine the Right Treatment
- Using Sinus Surgery to Stimulate Bone Growth for Implants
- April (6)
- Fixed or Removable: Deciding Which Implant-Supported Bridge is Best for You
- What Can A Deep Cleaning Do For Gum Disease?
- Irritating Cold Sore Outbreaks can be Controlled Through Medication
- Mouthguards Reduce Risk of Concussion as well as Dental Injuries
- Timing is Everything When it Comes to Treating Mouth Injuries
- Root Canal Therapy Stops Infection In Its Tracks
- February (5)
- Consider all the Cost Factors When Deciding on a Crown Restoration
- Severe Dental Injuries May Require Endodontic Treatment
- Choose a Mouthrinse Carefully if you want to Enhance your Dental Health
- Why Dental Implants Are Made To Restore Your Smile
- Three Things You May Not Know About Root Canal Treatments
- 2014
- September (6)
- Acute Tooth Pain may be Signaling Your Need for Root Canal Treatment
- 3 Dental Options For The Perfect Smile
- Our Arsenal of Weapons in the War Against Gum Disease
- Encountering Positive Experiences the Key to Overcoming Dental Anxiety
- Treating Chipped Teeth: A Common Sports Injury Among Kids
- Bone Grafting can put Implants Back on Your Options List
- August (5)
- Bad Breath Might be a Sign of a More Serious Oral Condition
- Overcome Oral Cancer With Screenings and Lifestyle Changes
- A Fixed Bridge Remains an Effective Option for Tooth Replacement
- Several Factors Determine Tooth Longevity After a Root Canal Treatment
- Frequently Asked Questions about Inlays and Onlays
- 2013
- December (6)
- A Crowning Achievement: Natural-Looking Teeth
- Brushing and Flossing - Two Key Elements to Avoiding Dental Disease
- Early Detection is Critical to Surviving Oral Cancer
- Five Things You Should Know About Oral Cancer
- Dental Implants Help Kissimmee Residents Restore Their Smiles
- Preventing Early Childhood Cavities
- October (6)
- "No-Prep" Veneers may be an Option for Some Patients
- Five Facts About Tooth-Colored Fillings
- End the Embarrassment of Stained Teeth with Whitening
- Kissimmee Cosmetic Dentist, Dr. Mansour, Builds Confident Smiles and Healthier Mouths
- Protect Your Enamel From the Damaging Effects of Acid
- Five Things You Should Know About Sleep Apnea
- 2012
- August (7)
- What Is A Crown?
- Bad Breath? Try a Tongue Scraper
- Father's Day Tip: Step Up & Improve Your Dental Health!
- Actress Florence Henderson Shares Her Secrets for Keeping Your Natural Teeth as You Age
- Tooth-Colored Fillings Are the Restoration of Choice for Ballroom Dance Star Cheryl Burke
- Early Orthodontic Care Helped Child Star Nolan Gould Get Ready for Prime Time
- What Is Gum Recession and How Is It Treated?
- 2011
- 2010
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My Blog
Posts for: March, 2016

Dental implants are known for their durability as well as life-like beauty. Thanks to their unique construction and ability to integrate with bone, they have a very high success rate and can last for decades.
But while they’re less problematic than other restorations, we still can’t “set them and forget them.” While the implants themselves aren’t susceptible to disease, the supporting gums, bone and adjacent teeth are. If you want them to last as long as possible, you’ll need to care for them and the rest of your mouth through daily oral hygiene and semi-annual office cleanings.
With that said, there are a few differences in how we perform hygiene tasks with implants. This is due to the way in which they attach to the jaw, as the titanium post is inserted directly into the bone. Natural teeth, on the other hand, are held in place by the periodontal ligament, a strong connective tissue that lies between the teeth and bone. The ligament holds the teeth firmly in place while also allowing minute tooth movement in response to changes in the mouth.
The ligament also has an ample blood supply that assists with fighting infection that may arise in the tooth and its supporting gums. Without this extra source of defense, infections that arise around an implant can grow quickly into a condition known as peri-implantitis and lead to rapid bone loss that could cause the implant to fail.
That’s why you and your hygienist must be ever vigilant to the buildup of plaque, the bacterial film that gives rise to dental disease, around implants and adjacent teeth. This includes removing plaque buildup from implant surfaces, although your hygienist will use tools (scalers or curettes) made of plastic or resin rather than traditional metal to avoid scratching the implant’s dental material. They’ll likewise use nylon or plastic tips with ultrasonic equipment (which uses high vibration to loosen plaque) and lower power settings with water irrigation devices.
Keeping infection at bay with effective hygiene is the number one maintenance goal with dental implants. Doing your part along with your hygienist will help you get the most of this investment in your smile.
If you would like more information on oral hygiene with dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implant Maintenance.”

Ah, the baby teeth: those cute little pearl buttons that start to appear in a child’s mouth at around 6 to 9 months of age. Like pacifiers and bedtime stories, they’ll be gone before you know it — the last usually disappear by age 10-13. So if the dentist tells you that your young child needs a root canal, you might wonder why — isn’t that tooth going to be lost anyway?
The answer is yes, it is — but while it’s here, it has some important roles to play in your child’s development. For one thing, baby teeth perform the same functions in kids as they do in adults: Namely, they enable us to chew, bite, and speak properly. The primary teeth also have a valuable social purpose: they allow us to smile properly. If a baby tooth is lost prematurely at age 6, the child may suffer detrimental effects for five years or more — and that’s a long time for someone so young!
Even more important, baby teeth have a critical function in the developing mouth and jaw: Each one holds a space open for the permanent tooth that will eventually replace it — and it doesn’t “let go” until the new tooth is ready to come in. If a primary (baby) tooth is lost too soon, other teeth adjacent to the opening may drift into the empty space. This often means that the permanent teeth may erupt (emerge above the gum line) in the wrong place — or sometimes, not at all.
The condition that occurs when teeth aren’t in their proper positions is called malocclusion (“mal” – bad; “occlusion” – bite). It can cause problems with eating and speaking, and often results in a less-than-perfect-looking smile. It’s the primary reason why kids get orthodontic treatment — which can be expensive and time-consuming. So it makes sense to try and save baby teeth whenever possible.
Procedures like a root canal — or the similar but less-invasive pulpotomy — are often effective at preserving a baby tooth that would otherwise be lost. But if it isn’t possible to save the tooth, an appliance called a space maintainer may help. This is a small metal appliance that is attached to one tooth; its purpose is to keep a space open where the permanent tooth can come in.
If your child is facing the premature loss of a primary tooth, we will be sure to discuss all the options with you. It may turn out that preserving the tooth is the most cost-effective alternative in the long run. If you have questions about your child’s baby teeth, please contact us or schedule an appointment for a consultation.

Most first-time root canal treatments achieve their purpose in saving an internally decayed tooth and extending its life to match those of the patient’s non-decayed teeth. Occasionally, though, a root canal-treated tooth may become re-infected by decay.
There are a number of reasons for this: the permanent crown meant to add further protection against decay may have been delayed, giving bacteria an opening to re-infect the tooth; it’s also possible the original seal for the pulp chamber and root canals after filling wasn’t sufficient to prevent bacterial contamination.
There‘s also another reason that’s very difficult to foresee — the presence of narrow, curved root canals in the tooth that can pose complications during the procedure. Some of these known as accessory or lateral canals branch off the main canals to create a complex network that’s difficult to detect during the initial procedure. If they’re not cleaned out and filled during the procedure any tissue trapped in them can remain infected and ultimately die. If these canals also open into the periodontal membrane at the attachment between the teeth and bone, the infection can spread there and become a periodontal (gum) infection that can trigger future tooth loss.
Fortunately, a reoccurrence of infection isn’t necessarily a death sentence for a tooth. A second root canal treatment can correct any problems encountered after the first treatment, especially complications from accessory canals. It may, though, require the advanced skills of an endodontist, a dental specialist in root canal problems. Endodontists use microscopic equipment to detect these smaller accessory canals, and then employ specialized techniques to fill and seal them.
If you encounter pain or other signs of re-infection for a tooth previously treated with a root canal procedure, contact us as soon as possible. The sooner we can examine and diagnose the problem, the better your tooth’s chances of survival by undergoing a second root canal treatment.
If you would like more information on tooth preservation through root canal treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Accessory Canals.”

Taking care of your child’s teeth is a high priority, not only for their health now but for the future too. And that means dealing with their teeth’s most common and formidable enemy, tooth decay.
Your focus, of course, should be on preventing decay through good oral hygiene practices, a healthy diet low in foods with added sugar and regular office visits for cleaning and checkups. But some children at higher risk or who’ve already encountered tooth decay may also need a little extra help in the form of dental sealants.
The most common use of sealants addresses a weakness in young teeth that disease-causing bacteria exploit. Deep grooves known as pits and fissures form within the biting surfaces of developing back teeth and in the rear of front teeth. It’s very difficult to reach these areas with daily brushing, so some plaque may be left behind (hence the importance of semi-annual office cleanings).
Inside the mouth, these pits and fissures are in a warm and moist environment and are a haven for bacteria that feed on plaque and produce high levels of acid as a by-product. The acid softens enamel to eventually create a hole, or a “cavity” in the tooth. Children’s young enamel is highly susceptible to this process — it hasn’t developed enough strength to resist the adverse effects of acid.
A “pit and fissure” sealant made of resin fills in the grooves in the teeth to inhibit the buildup of plaque — a kind of “mini” filling. It’s an added layer of protection that complements other prevention efforts. But applying them isn’t an automatic practice — we only recommend it for children at high risk, especially where decay is beginning or it appears the conditions are conducive for it. When needed, though, it can be quite effective in preventing decay or minimizing its effects.
The best way to know if your child could benefit from a sealant is to have them undergo a complete dental exam. From there we can advise you on whether a sealant application is an important investment in their current and future health.
If you would like more information on dental disease prevention for children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sealants for Children.”

Accidents happen. And if an accident causes an injury to your jaws or surrounding facial area, it could result in serious damage. Without prompt treatment, that damage could be permanent.
You’ll usually know, of course, if something is wrong from the extreme pain near or around a jaw joint that won’t subside. If you have such symptoms, we need to see you as soon as possible to specifically diagnose the injury, which will in turn determine how we’ll treat it.
This is important because there are a number of injury possibilities behind the pain. It could mean you’ve loosened or displaced one or more teeth. The joint and its connective muscle may also have been bruised resulting in swelling within the joint space or a dislocation of the condyle (the bone ball at the end of the jaw), either of which can be extremely painful.
These injuries also cause muscle spasms, the body’s response for keeping the jaw from moving and incurring more damage (a natural splint, if you will). After examining to see that everything is functioning normally, we can usually treat it with mild to moderate anti-inflammatory drugs to reduce swelling and pain and muscle relaxers to ease the spasms. We may also need to gently manipulate and ease a dislocated jaw into its proper position.
In the worst case, though, you may actually have fractured the jaw bone. The most common break is known as a sub-condylar fracture that occurs just below the head of the joint with pain and discomfort usually more severe than what’s experienced from tissue bruising or dislocation. As with other fractures, we’ll need to reposition the broken bone and immobilize it until it’s healed. This can be done by temporarily joining the upper and lower teeth together for several weeks to keep the jaw from moving, or with a surgical procedure for more severe breaks that stabilizes the jawbone independently.
It’s important with any persistent jaw or mouth pain after an accident that you see us as soon as possible — you may have an injury that needs immediate attention for proper healing. At the very least, we can help alleviate the pain and discomfort until you’re back to normal.
If you would like more information on treating jaw injuries, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Jaw Pain — What’s the Cause?”