Posts for category: Dental Procedures
Dental or cosmetic bonding is a procedure for repairing damaged teeth. For example, bonding can be used to fix a chipped tooth and make it whole again. One of the benefits of bonding is that the material used to repair the damaged area permanently bonds with the tooth. Another benefit is that the material can be color-matched to your existing teeth so it readily blends in and looks completely natural. Dr. Denise Perrotta, the highly skilled dentist at our office in Winston Salem, can correct your chipped teeth with bonding.
What is Bonding?
Bonding utilizes a putty-like resin material to repair damaged areas of teeth, such as chips or cracks. It can also be used to conceal stains or discolorations on teeth that cannot be removed with whitening treatments. The bonding material is carefully applied to the damaged or problem area. As the material dries, it permanently bonds with the tooth. After the bonding material has fully dried, it looks like part of the natural tooth and no one will be able to tell repairs were made. One of the reasons it looks so natural is that the material is color-matched to your existing teeth.
Repairing Chipped Teeth
Bonding is an effective method for correcting chipped teeth. There are many reasons why it is important to have chipped teeth repaired. For instance, a chipped tooth is more vulnerable to developing additional chips and cracks. Further, there is a higher risk of losing the tooth due to infection and decay if it is chipped or damaged. If you have a chipped tooth, the experienced dentist at our office in Winston Salem can determine if bonding is the best solution for fixing it.
The procured for correcting a chipped tooth with dental bonding is fairly simple and straightforward. The resin material used for bonding is applied to the affected area of the tooth. It is then carefully shaped until it fills in the missing portion of the tooth that has chipped off. After applying the resin, a special light is used to cure it. The light dries and hardens the resin. During the curing process, the resin also permanently bonds with the tooth. Once the resin is completely dry, the tooth will be repaired and no one will be able to tell it was ever chipped.
If you have a chipped tooth, bonding could be the solution. Dr. Perrotta can determine if bonding can correct the problem. To schedule an appointment with the dentist, call our office in Winston Salem at (336) 760-9258.
Dental crowns are one of the most effective ways to rebuild broken or badly decayed teeth. They are also the recommended choice for teeth that have had a root canal. That’s because dental crowns provide superb chewing and biting strength. Dr. Denise Perrotta in Winston Salem, North Carolina offers dental crowns to give you an outstanding smile.
Not too many years ago, dental crowns took at least two appointments to complete. Now, thanks to modern cosmetic dentistry technology, you can have your crown in one day. Dr. Perrotta offers CEREC One Day Crown technology using the CAD/CAM system. CAD/CAM stands for computer-aided design/computer-aided manufacturing and uses precise computer measurement along with 3-D technology.
This advanced technology allows your new crown to be manufactured right in the office, while you wait. Imagine being able to have a strong, beautiful dental crown in a single day. When you choose One Day Crowns, you can count on these amazing benefits:
Natural beauty, because CEREC crowns are manufactured using high-grade dental ceramic that reflects light and looks just like tooth enamel. In fact, once a CEREC crown is placed, it is virtually indistinguishable from your natural teeth.
Precise fit, because exact computer measurements are used. Your crown will fit perfectly.
Time savings, because instead of taking two to three appointments, your crown will be manufactured and placed in one day.
Thanks to CEREC and CAD/CAM technology, you won’t have to wear a temporary crown either. Your new crown will be ready and placed in a single appointment.
You and your smile deserve to find out how One Day Crowns can help you. To find out more about this amazing dental crown technology, talk with an expert. Call Dr. Denise Perrotta in Winston Salem, North Carolina today.
There's no doubt treating dental problems can improve your health. But because the mouth is among the most sensitive areas of the body, many dental procedures can be potentially uncomfortable after treatment.
We rely on pain medication to alleviate any dental work discomfort, especially during recuperation. Our arsenal of pain-relieving drugs includes strong opioid narcotics like morphine or oxycodone which have effectively relieved dental pain for decades. But although they work wonders, they're also highly addictive.
We've all been confronted in the last few years with startling headlines about the opioid addiction epidemic sweeping across the country. Annual deaths resulting from opioid addiction number in the tens of thousands, ahead of motor vehicle accident fatalities. Although illegal drugs like heroin account for some, the source for most addiction cases—an estimated 2 million in 2015 alone—is opioid prescriptions.
Dentists and other healthcare providers are seeking ways to address this problem. One way is to re-examine the use of opioids for pain management and to find alternative means that might reduce the number of narcotic prescriptions.
This has led to new approaches in dentistry regarding pain relief. In a trend that's been underway for several years, we've found managing post-discomfort for many procedures can be done effectively with non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, acetaminophen or ibuprofen. They don't share the addictive quality of narcotics and are regarded as safer when taken as directed.
There's also been a recent modification with using NSAIDs. Dentists have found that alternating the use of ibuprofen and acetaminophen often amplifies the pain relief found using only one at a time. By doing so, we may further reduce the need for narcotics for more procedures.
The trend now in dentistry is to look first to NSAIDs to manage pain and discomfort after dental work. Narcotics may still be used, but only in a secondary role when absolutely needed. With less narcotic prescriptions thanks to these new pain management protocols, we can reduce the risk of a dangerous addiction.
Sometimes, looking at old pictures can really bring memories back to life. Just ask Stefani Germanotta—the pop diva better known as Lady Gaga. In one scene from the recent documentary Five Foot Two, as family members sort through headshots from her teen years, her father proclaims: "Here, this proves she had braces!"
"If I had kept that gap, then I would have even more problems with Madonna," Lady Gaga replies, referencing an ongoing feud between the two musical celebrities.
The photos of Gaga's teenage smile reveal that the singer of hits like "Born This Way" once had a noticeable gap (which dentists call a diastema) between her front teeth. This condition is common in children, but often becomes less conspicuous with age. It isn't necessarily a problem: Lots of well-known people have extra space in their smiles, including ex-football player and TV host Michael Strahan, actress Anna Paquin…and fellow pop superstar Madonna. It hasn't hurt any of their careers.
Yet others would prefer a smile without the gap. Fortunately, diastema in children is generally not difficult to fix. One of the easiest ways to do so is with traditional braces or clear aligners. These orthodontic appliances, usually worn for a period of months, can actually move the teeth into positions that look more pleasing in the smile and function better in the bite. For many people, orthodontic treatment is a part of their emergence from adolescence into adulthood.
Braces and aligners, along with other specialized orthodontic appliances, can also remedy many bite problems besides diastema. They can correct misaligned teeth and spacing irregularities, fix overbites and underbites, and take care of numerous other types of malocclusions (bite problems).
The American Association of Orthodontists recommends that kids get screened for orthodontic problems at age 7. Even if an issue is found, most won't get treatment at this age—but in some instances, it's possible that early intervention can save a great deal of time, money and effort later. For example, while the jaw is still developing, its growth can be guided with special appliances that can make future orthodontic treatment go quicker and easier.
Yet orthodontics isn't just for children—adults can wear braces too! As long as teeth and gums are healthy, there's no upper age limit on orthodontic treatment. Instead of traditional silver braces, many adults choose tooth-colored braces or clear aligners to complement their more professional appearance.
So if your child is at the age where screening is recommended—or if you're unhappy with your own smile—ask us whether orthodontics could help. But if you get into a rivalry with Madonna…you're on your own.
If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Orthodontics For The Older Adult.”
A loose adult tooth isn't normal. It could be loose because it's been subjected to high biting forces like those that occur with a tooth grinding habit. Or, it could be the result of periodontal (gum) disease or some other infection that has weakened some of the tooth's supporting gums and bone. Whatever the underlying cause, we'll need to act quickly to save your tooth.
Our first step is to find out this exact cause—that will determine what treatment course we need to follow. For a tooth grinding habit, for example, you might need to wear an occlusal guard or have your bite (teeth) adjusted. With gum disease, we'll focus on removing dental plaque, the thin film of bacteria and tartar (calculus) fueling the infection. This stops the infection and minimizes any further damage.
While we're treating the cause, we may also need to secure the loose tooth with splinting. This is a group of techniques used to join loose teeth to more stable neighboring teeth, similar to connecting pickets in a fence. Splinting can be either temporary or permanent.
Temporary splinting usually involves composite materials with or without strips of metal to bond the loose tooth to its neighbors as the periodontal structures heal. Once the tooth's natural attachments return to health, we may then remove the splint.
There are a couple of basic techniques we can use for temporary splinting. One way is to bond the splint material to the enamel across the loose tooth and the teeth chosen to support it (extra-coronal splinting). We can also cut a small channel across all the affected teeth and then insert metal ligatures and bond the splint material within the channel (intra-coronal).
If we're not confident the loose tooth will regain its natural gum attachment, we would then consider a permanent splint. The most prominent method involves crowning the loose tooth and supporting teeth with porcelain crowns. We then fuse the crowns together to create the needed stability for the loose teeth.
Whatever splinting method we use, it's important to always address the root cause for a tooth's looseness. That's why splinting usually accompanies other treatments. Splinting loose teeth will help ensure your overall treatment is successful.
If you would like more information on treating loose teeth, 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 “Treatment for Loose Teeth.”