Center for Dental Excellence, LLC
The Procedure Itself
Thanks to a wide variety of anesthesia choices available to us these days, you should feel no pain during your extraction.
After the Surgery
- Over-the-Counter Medicines: Generally speaking, over the counter non-steroidal anti-inflammatory medications such as Ibuprofen are all that you will need following your surgery.
- Staying On Top of Pain: It is very important to stay on a strict schedule of medication the first few days following your surgery. Getting behind on medication will result in more pain and may even make it difficult to catch up with pain control again.
- Ice for Swelling: We want you to ice your cheeks for the first 24 hours following surgery, twenty minutes on and twenty minutes off alternating. Managing swelling can help greatly with pain management, and the act of icing may even feel good on its own.
- Rest: Your body was expertly designed with high-tech systems in place to heal – but you have to give it the space and conditions to do so. Rest is one of the most important things you can do to help your body heal faster.
- Salt Rinse the DAY AFTER Surgery: The day after surgery, you should rinse your mouth very gently with a mixture of one cup of warm water and ½ teaspoon of salt. You may do so up to 4 times a day. Designed to gently clean the wound site (but NOT dislodge the blood clot), some patients also feel that the warm water helps with pain relief.
- Prescriptions: Most often, our patients do not require prescription pain medication post-op. However, in the case that we feel your case calls for such, please keep the following in mind:
- Antibiotics – If we have ordered antibiotics for you, you must take them on schedule and for as long as we prescribe – Never stop antibiotic treatment prematurely without our specific orders.
- Pain-Killers – In the event that you require prescription pain killers, please note that we are required to prescribe these sparingly and in accordance with certain laws, due to rising rates of substance abuse. You can help keep these drugs off the street by taking only what you need, and taking unused pills to a pharmacy for safe disposal – never “keep them around” in your cabinet for future use.
Dental implants have a surprisingly rich and interesting history. Across centuries and throughout cultures around the world there is evidence of attempts at replacing missing teeth with various objects and materials.
The oldest dental implants can be traced back to 2000 BC in China, where missing teeth were substituted with bamboo pegs.
Fast forward a bit to around 1000 BC and you’ll find an ancient Egyptian King whose tomb was recently discovered along with his mummified remains; a copper peg hammered into place where a tooth once lived. This may have been the first time in history that we know of when metal implants were used.
Across the globe some time around 300 BC, an iron tooth was found in a French grave thought to be Celtic in origin. It is possible this implant may have been a post-mortem placement to honor the dead, as an attempt to perform the surgery using a live patient would have been an excruciatingly painful process.
Just 2000 years ago missing teeth were being substituted for animal teeth, and the poor were even selling their teeth to the wealthy, just to make ends meet! The body often rejected these surrogate teeth, causing infection.
More recently in 1931 in Honduras, Dr. Wilson Monroe and his wife found a jawbone amongst other artifacts, with teeth fashioned from shells and attached to the jawbone of an ancient man.
Today we are lucky enough to have dental implants that not only look and feel like real teeth, and anesthesia for the pain is also a plus. Thanks to studies conducted by Per-Ingvar Brånemark of Sweden in the 1950’s, oral surgeons have been able to perfect the process over the years to create today’s implants, which have a 98% success rate! Through a process known as osseointegration, metals and other implant materials are able to be skillfully placed so that your jaw bone actually attaches itself to the implant creating a seamless support system.
Missing a tooth or two? Give us a call at Center for Dental Excellence, LLC Phone Number 860-658-1991 to discuss your dental implant options today!
So, you were recently told by your doctor that you need a bone graft, but you aren’t quite sure what that means.
A bone graft is a surgical procedure that is used to fix bones or joints that were damaged by trauma, and it is also used to replace bone that is missing to provide structural stability around the body, including the jawbone. There are many types of bone grafts we can use to grow bone – the two most common are autografts and allografts.
An autograft is a bone or tissue that is transferred from one spot to another on the patient’s body. It is often thought of as the “gold standard” in bone grafting because of its reliability. Its high success rate is due to the fact that it is living tissue and thus its cells are kept intact.
An allograft is a bone or tissue that is transplanted from one person to another. They typically come from a donor, or cadaver bone. The allograft is safe, ready to use and available in large amounts. The main advantage of an allograft is that it requires one less procedure than the autograft, which must first be taken from the patient. Surgical time is minimized and the recovery can be quicker. The allograft comes from a reputable and reliable tissue bank.
Knowing which bone-grafting option you will need can be confusing, but we are here to answer any questions you may have. Please schedule a bone grafting consultation with us by calling Center for Dental Excellence, LLC Phone Number 860-658-1991. We will perform a thorough evaluation of your oral health. After our evaluation, we will recommend what bone graft is best for you. We are happy to discuss your options and answer any questions you may have. We want you feeling confident with our choice and worry free.
The AP recently released an article making the claim that “there’s little proof that flossing works”. Their review cited a series of studies that found flossing does little or nothing to improve oral health.
Here’s the problem: the studies were flawed.
The AP concluded that floss does little for oral health, but it’s important to note that the evidence they cited was very weak at best. In fact, they said so themselves.
As acknowledged by the AP, many of these studies were extremely short. “Some lasted only two weeks, far too brief for a cavity or dental disease to develop” (Associated Press). They also say that “One tested 25 people after only a single use of floss” (Associated Press).
Of course the evidence is unreliable. You don’t simply develop gum disease because you forgot to floss yesterday. Cavities and gum disease do not happen overnight. You can prevent gum disease by maintaining a clean mouth over a long period of time. Wayne Aldredge, President of the American Academy of Periodontology explained: “gum disease is a very slow disease”. In his interview with the AP he recommended long-term studies which he believes would clearly show the difference between people who floss and people who don’t.
Lets put it this way: If a study claims drinking milk does nothing for bone health, but draws conclusions after only three glasses of milk, is it a reliable study? What do you think?
The fact of the matter is floss removes gunk from teeth. You can see it. Gunk feeds bacteria which leads to plaque, cavities, poor gum health, and eventually gum disease. Floss has the ability to reach the food particles that your brush can’t get to.
Aldredge also pointed out that most people floss incorrectly, using a sawing motion instead of moving up and around the teeth to clean the cracks. Positive results come from correct use and it’s critical that people learn to use a tool properly before discarding it as useless.
That’s just what floss is: a tool. Just like your toothbrush, it is designed to keep your mouth clean, and therefore keep your body safe from infection. Both your toothbrush and floss are designed to do what the other can’t, and both successfully remove bacteria from your mouth. Just like proper brushing technique, it is important that you know how to use floss properly, so that you can reap the long-term health benefits of good oral hygiene.
It’s a shame that studies on an important tool such as floss have yielded poor results, but it’s a bigger shame that the studies themselves were poorly designed. Oral hygiene is a long term process, and requires long term observations to make worthwhile conclusions. In the mean time, it’s obvious that you should continue to do everything you can to protect your well being, and floss is one of many tools that can help you do that. If you would like a refresher on the best, most efficient techniques for floss use feel free to call our office today at 860-658-1991!
Congratulations! You’ve just received your brand new 4. Your smile has never looked this good, and you probably want to make sure it stays that way! Good veneers can last a long, long time, but only if you take good care of them along the way.
Here are some tips to make your veneers last a decade and even more:
Treat Them Like Teeth
You can ensure that your veneers last a long time if you brush them with the same care that you would your original teeth. Brush twice and floss once daily for best results!
It’s important that we continue to schedule appointments with you so that we can make sure your veneers are looking their best, and that they stay that way. The week after the veneers are placed is the most important visit, followed by your regular dental hygiene visits, during which we can keep an eye out for potential problems.
Try Not to Grind
Many people grind their teeth, but it’s important that you let us know if you have a history of doing so. Measures can be taken to avoid damage to your new veneers over time, such as a nighttime mouth guard to protect your new smile.
Biting down on hard food is dangerous for any teeth, and even more so for veneers. Avoid using your veneers to bite down on hard materials and foods. The less stress you put on them the better.
Veneers keep their shade beautifully over the years, but they are not immune from staining. Avoid the same foods and beverages that you do for your natural teeth such as coffee, tea, wine (and smoking)!
What is involved in the procedure?
First we evaluate your teeth using various kinds of imaging and impressions to ensure that veneers are a good choice for you. Next we create a mock-up so that you can see what your teeth will look like after the procedure, before you make your final decision. If you decide to proceed the first step is to remove a thin layer of enamel from the teeth and then make an impression from which we can build the veneers. The veneers are bonded to the teeth with dental cement and hardened using a special light. That’s where the procedure ends and your new smile begins.
If you are ready for a smile upgrade with veneers, give us a call at Center for Dental Excellence, LLC Phone Number 860-658-1991!
While it is true that the most obvious effect of missing teeth is a gap in your smile, missing teeth can cause other problems that you might not be immediately aware of. For example, did you know that for every missing tooth you have you lose 10 percent of your chewing ability? Read on to get a better idea of how a missing tooth can affect your life.
A missing tooth usually means more stress for the remaining teeth. In addition to that, if you are missing a tooth on the lower jaw, the opposing tooth on the top can grow longer to fill the gap in a process known as superuption or extrusion. This could lead to teeth tilting and move out of place by drifting into the space that was left by your missing tooth – a disaster for your beautiful smile!
If you are missing teeth, you can’t enjoy all of the foods that you are used to eating – bad for your health and bad for your mood! Say goodbye to caramel apples, saltwater taffy, crunchy carrots and even gum. And because the variety in your diet is reduced when a tooth is missing, digestive problems are unfortunate yet common.
Decay and Hygiene Problems
The shifting of your teeth may cause new hygiene issues as it may be difficult to brush and floss like you normally would. This leaves your mouth more vulnerable to gum disease and tooth decay.
People with more than one missing tooth may also have issues with a collapsed bite which causes a loss of vertical dimension. This could make your face appear shorter, as the distance between the tip of your nose and your chin would decrease.
The good news is that you don’t have to suffer anymore! Dental implants can help you avoid all of the problems listed above and let you live your life normally again. It’s never too late for a dental implant, give us a call at Center for Dental Excellence, LLC Phone Number 860-658-1991 to find out about this life-changing procedure.
Everybody’s day starts a little differently, but we can agree brushing your teeth should always be a part of your morning routine!
Are you a before-breakfast brusher? If so, you know the dreaded orange-juice-and-toothpaste taste that can follow! Orange juice is bitter and cereal with milk tastes strange! It’s only temporary, but it can really put you off your breakfast!
Why does food taste so bad right after you brush your teeth?
The reason for this bad taste is sodium lauryl ether sulfate, known as SLES or SLS (sodium laureth sulfate), which makes toothpaste foamy and disperses it around the teeth. However, sodium laureth sulfate is not as helpful when it comes to the tongue. Although completely harmless, sodium laureth sulfate suppresses the taste bud receptors for sweetness, and amplifies the taste bud receptors for bitterness. This heightened sensitivity to bitterness and dulling of sweetness is what makes your breakfast taste so strange.
Your tongue is covered with taste-sensitive cells spotted with proteins. If a particle of food you have eaten hits one of these cells, it sends a message to your brain signaling which taste sensation it is; sweet, bitter, sour, salty or umami.
Sodium laureth sulfate is a “detergent” molecule, which disperse fat molecules. This works in soaps for your body, hair or dishes. However, SLS affects the membranes of our tongue cells, blocking our sweet taste buds and enhancing our bitter taste. This results in the unpleasant flavor you get drinking orange juice after the SLS in your toothpaste has dulled your taste buds!
It is only temporary, but if it bothers you, try purchasing a toothpaste made without sodium laureth sulfate (SLS). However, keep in mind that some of these natural toothpastes may also be made without fluoride. Fluoride is absolutely essential in strengthening tooth enamel and preventing cavities. If you have concerns about SLS or fluoride, call us at 860-658-1991 here at Center For Dental Excellence, LLC!
Worldwide, over 550,000 new cases of Oral, Head and Neck cancer are diagnosed each year.
Oropharyngeal cancer is slightly different from oral cancer. Oropharyngeal cancers are related to HPV (Human papilloma virus) and usually occur in the tonsils or at the base of the tongue, while oral cancers are in the mouth and usually associated with tobacco use.
The Oral Cavity
The oral cavity includes the lips, the inside lining of the lips and cheeks, the teeth, the gums, the front two-thirds of the tongue, the floor of the mouth below the tongue, and the bony roof of the mouth – also known as the hard palate.
Behind the wisdom teeth is considered the oropharynx, which is part of the throat just behind the mouth. It also includes the base of the tongue, the soft palate (back of the mouth), the tonsils, and the side and back wall of the throat.
Oral and Oropharyngeal cancers are sorted into 3 categories: Benign (non-cancerous), harmless growths that may develop into cancer, and cancerous tumors. This is why regular check-ups with your dental professional are key to your overall well-being.
The Team Involved
The treatment of head and neck cancers does not involve just your dental team, the assistance of many different professionals contributes is required. There may be surgeons, radiation oncologists, medical oncologists, dentists, nutritionists, and speech therapists all involved in your treatment.
Oral cancers are found as late stage three and four diseases about 66% of the time.
It is very important for you to check yourself at home as well as visiting your dentist.
Call Center For Dental Excellence, LLC to schedule your routine dental check up and oral cancer screening today 860-658-1991
Timing Your Brushing!
When do you brush your teeth? It is recommended to brush your teeth twice a day – once in the morning and once at night. But in the end it’s really up to you to decide when brushing best fits into your schedule (as long as you make time to do it!)
Here are some interesting notes about how food, brushing and time affect your teeth to help you better “time” your brushings:
Brush to Remove Plaque
The goal of brushing your teeth is to remove plaque. Plaque bacteria along with the carbohydrates and sugars in your food create acid, which can lead to cavities and tooth decay. By removing the plaque, you can help minimize the amount of acid that is created and may avoid some types of decay. Because plaque builds up overnight while you are sleeping, we generally recommend that you brush first thing in the morning when you wake up to minimize the process of plaque bacteria feeding on sugars in your mouth.
But Don’t Brush Right After Eating
Plaque bacteria create acid almost immediately. Within seconds of bacteria’s exposure to sugars, the acidity of saliva changes from a neutral pH of 7 to an acidic pH of 4.5. This acidity leaves tooth enamel in a vulnerable state – not a good time to brush your teeth as the bristles may cause damage to the unprotected tooth. It takes about thirty minutes for saliva to return to a neutral, non-acidic pH so if you must brush after your meal, wait for at least a half an hour.
A Word on Acidic Foods/Drinks
Similarly to carbohydrate-rich foods, those that contain citric acid, like oranges, grapefruits, and lemons, also weaken tooth enamel. By brushing soon after eating these foods, you may cause damage to your teeth. Furthermore, exposure to phosphoric acid, found in soft drinks, can also cause acid erosion, wearing away enamel from the tooth surface and causing permanent damage. The bottom line is that to keep acid erosion at bay, limit soda consumption and be mindful of sugary snack foods.
Regardless of the time of day you choose to brush, the best defense is a good offense! Grab your toothbrush, toothpaste and get ready to attack that plaque! Call Center For Dental Excellence, LLC on 860-658-1991 to discuss your oral health options or to add an exam and cleaning to your oral health routine!
Whether you are missing a tooth, or at risk of losing many, dental implants may be a great solution for you. Dental implants are an increasingly popular fix for missing or dying teeth, and have many benefits.
What is a Dental Implant?
Dental implants are high tech teeth. The root of your current tooth is removed and replaced with a titanium implant screw. A crown (or ‘cap’) is then attached to the screw that looks and feels identical to a natural tooth. Many people report higher confidence and comfort after receiving their new tooth.
What’s so Great About Them?
The cool thing about implants is that if taken care of, they can last for life. Usually all that needs to be replaced, if anything, is the crown (or ‘cap’). The other great thing about implants is that they cannot get cavities or die like natural teeth. Simply clean and maintain your dental implants like your other natural teeth. Many implants can last a lifetime!
What is the Surgical Process Like?
The process is done either all at once, or in steps. This depends on the recommendations for your particular case. Many times, a three-dimensional radiograph (x-ray) called a cone beam CT scan will be captured to visualize the jaw bone volume in all dimensions. A virtual dental implant can be placed in this image on a computer utilizing cutting edge dental implant planning software. This ‘virtual implant surgery’ enables us to tell you exactly what can be expected as a final result and to fabricate a surgical guide to ensure identical placement/positioning to that planned in the dental implant software. The first clinical step is to remove the root of your natural tooth, and place the dental implant screw in its place. If there is not enough bone to place the implant, we may encourage you to have bone grafting first. The gum is then stitched closed and allowed to heal. Sometimes, a healing abutment is placed on the implant screw at this time to aid in the integration of the implant into your jaw bone and gum tissue. For teeth in the front of the jaw (the esthetic area), we can often place a temporary tooth on the day the implant screw is placed so that you are never without a tooth! Following a healing period of three to six months, impressions can be made for your customized abutment (connects the implant screw to the final crown) and final restoration. Again, through the use of advanced digital scanning techniques, these abutments and/or crowns are regularly fabricated utilizing CAD/CAM (Computer Assisted Design/ Computer Assisted Manufacturing) technology. You then return to get your permanent crown attached in a few weeks. In other cases, all of these steps can be done in a single visit, but it depends on your specific case.
If you have any questions, please call our office for more information, we would be glad to help!