What Does A Root Cavity Look Like?

Root cavity shows up as a brown stain at the gumline of the affected tooth
Root cavity shows up as a brown stain at the gumline of the affected tooth

Dental cavities can start in different places on a tooth. Sometimes they start on the “chewing” surface of the tooth. This usually happens when the teeth are not brushed thoroughly.  Sometimes a cavity starts in between the teeth, or what are called “flossing” surfaces of the teeth. At other times, the cavity can start at the gum line of the tooth. While these are not as common as the other 2 locations for cavities to start, they are seen more and more in older patients. Reasons are usually receded gums, not enough saliva and less than ideal brushing techniques.

A cavity at the gum line of a tooth gone untreated can affect the nerve in the tooth and end up causing an infection!

Fortunately, these cavities can be fixed with dental bonding procedures, before the cavity gets too large and out of control.

In the era before the invention of dental bondings these cavities were filled with an amalgam (mercury) filling. This worked except it looked worse than the actual cavity. Also tooth structure had to be removed for placement of the mercury filling, regardless of whether the tooth structure was healthy or not. That’s because the mercury fillings were not bonded onto to the teeth.

Dental bonding allows placement of bonding material which match the shade of the tooth. Also, the bonded filling is chemically bonded to the tooth, so we only need to remove the decayed tooth structure. And of course the filling looks way more natural (and does not contain mercury).

Dental bonding is used in treating the gum line cavity.
Dental bonding is used in treating the gum line cavity.

Dental materials have been getting better, stronger and more natural looking. A root cavity which used to look hideous after being repaired with a mercury filling can now be treated with natural looking results.

To learn more about this procedure visit our web page on dental bondings. If you have teeth with mercury fillings at the gum line, get them replaced as they don’t look good, not to mention their unhealthy contents (mercury). If you have a brown spot on the root of the tooth, don’t ignore it. It can lead to a dental infection requiring a root canal and crown.

What is Sedation Dentistry?

Sedation dentistry helps you doze off
Sedation dentistry helps you doze off

Do you dread going to the dentist? We’re not just talking about a little anxiety. We’re talking about morbid fear and downright nervousness so much so that you cannot go to the dentist. If so, sedation dentistry may be the answer to your problems.

With this technique, a patient can be dozing off and on during their dental appointment. The patient knows that they are at the dentist, but they are much more relaxed and comfortable during their visit. This makes dental care not as difficult and challenging for them. Some patients doze off so well that when they are awakened, they don’t realize that their dental care has been completed. Now that’s a pleasant surprise.

Sedation dentistry can be used safely for almost every adult. During your initial visit, our dentist performs an exam and X-rays and comes up with a plan of action for your dental care to address your dental concerns. After a complete review of your medical history, specific medications are prescribed for you to take for your sedation dental visit. The night before your dental procedure you’ll take some pills by mouth when going to bed. When you wake up, you’ll take some more medications and when you arrive at your appointment, more medications will be dispensed to achieve an optimal and comfortable sedation level for you. Once you are comfortably sedated your dental care begins.

Most adults need to see their dentist twice a year for regular check-ups and cleanings. During these annual visits, the dentist can monitor and check for new cavities or other dental problems. Fearful patients do not go to the dentist ’til something hurts so bad they can’t take it any more. Something that was fairly easy to fix will now require a lot more because it wasn’t fixed early on in the process. Sedation dentistry helps fearful adults get the dental care they so badly need, safely. Sedation dentistry is a safe and economical alternative to IV sedation or general anesthesia.  Read more about sedation dentistry on our website. If you or someone you know can benefit from this procedure, be sure to contact us so we can help you improve your dental health.


Why Do I Wake Up With Jaw Pain in the Mornings?

Jaw pain in the morning means you clench your teeth while you sleep
Jaw pain in the morning

Some people wake up in the morning with jaw pain. And most people think they may have a cavity or a “bad tooth” that’s causing them the jaw pain.

Jaw pain in the morning though could also be due to clenching or grinding of the teeth while sleeping. While there are no accurate statistics to tell us how prevalent this condition is, a large number of people wake up every day not just to the sound of their alarm, but to regular jaw pain as well.

People are quick to take an Aspirin or a Tylenol to dull the pain. But these medications have their own side effects after prolonged use. More importantly, taking these medications does not fix the problem, but merely masks the painful side effects.

No one knows for sure why some people clench their teeth in their sleep while others don’t. Stress is always blamed as a factor in people clenching their teeth while sleeping. Regardless of what causes clenching, the damage that this disease causes is profound. Inability to open and close the mouth comfortably, difficulty chewing, jaw pain and headaches are only a few of the symptoms that people suffer from as a result of clenching.

While we are awake, we can control (more or less) what we do with our bodies. People who clench their teeth while awake can be trained to stop this harmful habit. However, you cannot train a sleeping person not to clench. For this reason, people who suffer from this disease need an appropriate “mouthguard” for when they sleep.  Without the proper mouthguard (or no mouthguard or the wrong type) the symptoms will continue to worsen, resulting in irreversible damage to the jaw bones, the teeth and ultimately the face.

Our doctor is trained in treating this group of disorders. To learn more about this horrible disease, visit our webpage dedicated to jaw pain. If you or a loved one suffers from any of these symptoms, contact us so that our dentist can help you find relief.

Can Brushing Too Hard Damage My Teeth?

Receding gums expose the more sensitive part of the tooth
Receding gums expose the more sensitive part of the tooth

Let’s face it. We all brush our teeth (hopefully at least twice daily). The ideal way to brush the teeth is using a small circular motion with a soft-bristle toothbrush.  The reason being that a hard bristle toothbrush can actually do more harm than good. Even though the enamel is the strongest and toughest part of our body, the gums are not. So even if the toothbrush doesn’t cause any damage to the actual tooth, it can cause recession for the gums (gums pulling away). You know your gums are receding when you look at your teeth and notice they look like they’re getting longer. Also, the neck of the teeth (the part just above the gums) looks more yellow/orange than the top part of the tooth. The reason is that once the gums recede, you are looking at the tooth root. And since the root is made of different materials (not enamel), it looks different and has a different color.

If you talk to a group of dentists regarding what causes the notching seen at the neck of the teeth you’ll get different answers. Some dentist will tell you that excessive rubbing or force while brushing the teeth causes this problem. Others will tell you that it is caused by how your teeth fit the opposing teeth (for chewing purposes) and by excessive biting forces (clenching or grinding).  Another factor that plays a role here is the foods and drink we ingest. Anything acidic (like orange juice) makes the tooth structure chemically weaker. That’s why dentists recommend against brushing your teeth after drinking that glass of OJ. So if you eat or drink acidic beverages, brush hard and clench your teeth, you are very prone to having your gums recede and your teeth notch.

What is important here is that all of these (brushing in a scrubbing fashion, hard bristle toothbrush, acidic foods or beverages, and excessive biting forces) are all risk factors for recession of the gums and the notching of the teeth. So the question remains: what can we do to minimize the damage?

Use a soft bristle toothbrush. Minimize the use of acidic beverages and foods. Avoid clenching your teeth. Use the correct brushing technique. Use toothpastes with fluoride to keep the enamel strong. Use of certain mouthwashes also helps protect the roots of the teeth from decaying. If you have teeth that have recession or have notching already, we can help. Give us a call and we’ll help you stop the recession and fix the damaged teeth.

Who Wants a Black Filling?

Amalgam fillings turn black and corrode over time
Amalgam fillings turn black and corrode over time

Ever wonder what the old “silver” fillings or “amalgam” fillings look after a few years in the mouth? Here is a good picture! Maybe they should be called “black fillings!”

Silver fillings were created decades ago to allow dentist to fix teeth that were decayed. And while a lot of scientific findings were used to create the filling material, they leave a lot to be desired by today’s standards.

Silver fillings have been placed for a long time (and still continue to be placed in some dental offices and clinics). However, they do pose several major problems. First of all, they look like crap after a few years of service. This is obvious to anyone, not just dentists. They leak and stain the tooth structure around them. Looking at the photo above you can see the gray shadows that’s spreading out from the filling inside the tooth. They cause teeth to break prematurely. Because of their metallic nature, they expand and contract differently than enamel and dentin when exposed to high and low temperatures. Because of this difference in expansion and contraction rate, they place a lot of unnecessary forces on the tooth. Looking at the photo above you can see 2 fracture lines starting on the left side. Oh, and one last minor detail is that they contain mercury. No biggie though!

White fillings are more esthetic
White fillings are more esthetic

This is the same tooth after the silver filling and fracture lines were removed and replaced with a white filling. White fillings are not just more esthetic and pretty. They resemble the tooth structure they are replacing making teeth less likely to fracture. Also, these white fillings are bonded to the teeth chemically. This helps solidify the tooth as a unit, instead of having something lodged in the center of the tooth causing it to split over time. These white fillings are also easier to repair and maintain compared to a silver filling.

The next time you are given a choice between a silver filling and a white filling, you’ll be better prepared to choose the white filling knowing it is a better material which not only looks better, but is better for the health of the tooth. At Platinum Dental, Inc. we only use white fillings when a filling is necessary. Follow this link to learn more about white fillings.

How Can a Dental “Nightguard” Help Save You Thousands of Dollars?

A mouthguard worn while sleeping helps protect the teeth.
A mouthguard worn while sleeping helps protect the teeth.

It is common knowledge that some people clench or grind their teeth during sleep. You yourself or a loved one may be suffering from this nighttime habit.

And while patients have been told that they probably clench their teeth in their sleep and they should have a nightguard, they don’t know what happens if they don’t get a nightguard.

When we bite down on our back teeth, our chewing muscles generate a tremendous amount of force. During waking hours when we eat our food we can control how hard we bite down.  While sleeping, we no longer have this control. So the forces generated by the clenching during sleep can be much higher which place a great amount of stress on the teeth. These repetitive periods of stress on the teeth result in the teeth developing micro-fractures. Over time, these micro-fractures lead to an actually visible fracture where a piece of a tooth breaks off.  At other times the nerve in the tooth gets damaged. There is a whole host of other problems that are caused by excessive nighttime clenching such as locked jaws and headaches.

The bottom line is that nighttime clenching and grinding of the teeth end up causing injuries to the teeth and the surrounding structures. These injuries could be minimized (or even avoided all together) with the use of a properly fitted custom mouthguard.

There are different kinds of mouthguards for different problems. For example, people who have headaches due to their nighttime clenching need a different type of nightguard versus someone who is cracking and chipping their teeth.

Mouthguards range in price from a few hundred to a few thousand dollars. However, they more than pay for themselves by saving you the cost of the dental treatment for fixing a broken tooth or a root canal therapy on one or multiple teeth.

Custom-made nightguards worn while sleeping have proven to be effective in reducing the damaging effects of clenching or grinding.  If you have been told in the past that you clench, or if you know you do even if no one has mentioned it, talk to your dental healthcare provider or contact us and Dr. Eslampour can help you determine if a nightguard is appropriate for you.



Why Does My Tooth Still Hurt After a Root Canal?

It is not uncommon for teeth to be sensitive after a root canal treatment
It is not uncommon for teeth to be sensitive after a root canal treatment

When a tooth is badly injured, treatment choices become limited. A badly damaged tooth can often be saved with a root canal therapy.

The damage to the tooth inevitably leads to nerve damage and often times pain. A root canal is performed to remove the source of infection, along with the damaged and diseased tooth and nerve. Once the root canal is performed, the body begins a healing process where the disease used to be. So if the nerve in the tooth is gone, why do some people still experience pain after the procedure is completed?

Pain or discomfort following a completed root canal therapy can be due to the irritation to the surrounding jaw bone that is caused by some of the medications used during the root canal procedure.  Sometimes this is more uncomfortable than the original toothache. But don’t fret. The body will heal itself if the source of the problem is gone. Sometimes antibiotics need to be used to help speed up the recovery and healing phase. In other cases only time and patience is necessary as the healing process is gradual.

If you have had a root canal treatment recently and you are still experiencing discomfort, be patient and discuss it with your doctor. If the discomfort is subsiding and getting less noticeable daily, then you’re on the right path.

For more information about this procedure or any other dental treatment, contact our staff and schedule an appointment with Dr. Eslampour for an exam and consultation .


How Often Should You See the Dentist?

dental visit
How often should you see your dentist

Most people wonder how often they should see the dentist to have their teeth checked.  Some people only consider going to the dentist if they have some type of pain or discomfort. Others only go when “the insurance pays for it” and still others don’t set foot in a dentist office for years without giving it a second thought.

Most people should see the dentist at least twice a year for a routine check ups and cleanings. Much like your car getting a tune up at recommended intervals, so should the teeth. Some patients need to see the dentist more frequently for treatment of chronic diseases (like gum disease) and such.

People often “fear the dentist” because of the anticipated pain. These same group of people often refuse going to the dentist ’til something is really wrong and hurting them. So they are already primed with pain and fear of what will happen even before they see the dentist.

Ignoring an occasional toothache or a small chipped tooth can lead to bigger problems in the long run. Visiting the dentist at least twice a year will help catch and detect these problem when they are smaller and easier to fix.

If you haven’t seen a dentist for a while now, follow the link to contact our staff and schedule an appointment for a dental check up.

Why Do I Need to Replace a Missing Tooth?

The molar has super-erupted due to missing its opposing counterpart
Super erupted molar tooth

Teeth are lost for a number of reasons. Sometimes a badly decayed tooth cannot be saved and needs to be removed. Other times trauma can cause tooth loss such as in a fight or sporting accident. But no matter what caused the tooth loss, replacement of the lost tooth needs to be seriously considered.

People often say “I have so many teeth, so what if I lose a couple?” We also have 10 fingers and toes. Have you ever considered losing a finger or toe since we have so many? NO. In fact, people will do anything to save their fingers and toes. So why are teeth treated any differently than another body part? No one knows for sure, but perhaps it’s like the saying “out of sight, out of mind”. After all, if we cannot see something, how can we expect to have any memories or feelings towards it?

Untreated tooth loss is the beginning of the journey to destination “edentulism”, which is a fancy word for no teeth. In the case above, the patient had lost a lower molar years ago but never got the tooth replaced. Fast forward to today, the same patient is going to lose the over-erupted upper tooth because of biting issues. Plus, the loss of the lower molar placed the rest of the adjacent teeth under greater stress from chewing. Since there were less teeth to chew the food with, they had to be used more. This led to faster breakdown of these teeth due to over use. These problems could have been avoided all together if the lost tooth was replaced.

Nowadays there are many ways to replace lost or missing teeth. The consequences of not replacing missing teeth has multiple negative health implications. If you have missing teeth but do not want to become totally tooth less one day, contact us for a dental consultation to see what can be done to stop the journey to edentulism.

Why Does My Tooth Need a Crown After a Root Canal?

Broken molar tooth following root canal therapy
Broken molar tooth following root canal therapy

Teeth, especially our molar teeth (the back ones) get tremendous amounts of forces exerted onto them as a result of normal day to day chewing and eating. Pair these forces up with say crunchy foods or snacks and the force that is exerted on these teeth increases dramatically.  All of these forces can lead to fracture of healthy teeth, let alone teeth with large old silver fillings.  Another reason a crown is necessary for a back tooth is following root canal therapy. After the root canals therapy is done, the tooth becomes considerably weaker. This weakening process leads to the tooth being more susceptible to fracture. This is what happened in the picture above. The patient had his molars root canal treated, but because of insurance limitations, no crowns were placed on the teeth. Patient presented 3 months after the root canal completion with a cracked tooth.

Cracked molar after root canal therapy
Cracked molar after root canal therapy

Unfortunately not much can be done to salvage the tooth. It needs to be extracted.

All of this could have been avoided by placement of a crown on the molar tooth. To learn more about root canal therapy or crowns follow the links above.