My Blog

Posts for: April, 2018

By Denise A. Perrotta DMD
April 23, 2018
Category: Dental Procedures

How professional teeth whitening treatment from your dentist in Winston-Salem can enhance your smileteeth whitening

Do you smoke? Do you drink coffee? How about red wine? If you said yes to any of these questions, you probably have stains on your teeth. Your smile probably doesn’t look as beautiful as it could. It’s time for you to say goodbye to your dental stains and hello to professional teeth whitening. Dr. Denise Perrotta in Winston-Salem, NC wants to share how a professional whitening treatment can enhance your smile.

Your teeth can acquire stains from many different sources including heavily pigmented foods like berries, red wine, coffee, and of course, smoking. Your teeth will also begin to look dull and yellow from the natural process of aging.

That’s because as you age, your enamel becomes thinner, exposing the yellow layer underneath, called dentin. The result is your once beautiful white smile is now dull, dingy, and yellow.

You may have tried over-the-counter whitening treatments only to find that the results weren’t dramatic enough, or the results didn’t last long enough. Professional tooth whitening is different because treatment is:

  • Quicker; the in-office treatment takes only about an hour
  • Better; you can whiten your smile up to 8 shades
  • Long-lasting; your results can last up to 5 years

Professional teeth whitening treatments also have a long history of safety and have been rigorously tested and approved for effectiveness. You don’t know what you are getting with over-the-counter products because many contain chemicals and abrasive agents that can actually cause tooth sensitivity. When you choose professional teeth whitening, you know you are choosing a safe product delivered by well-trained professionals.

Dr. Perrotta offers two options for professional teeth whitening. You can choose from:

  • In-office whitening; the fastest way to a white smile because it takes only about an hour
  • Take-home whitening; offering you the convenience of being able to whiten at your own pace, in your own home

You deserve to show the world your best smile, a smile that is dazzling, and interesting, a smile that gets you noticed. To start the process toward a white, beautiful smile call Dr. Perrotta in Winston-Salem, NC today!


By Denise A. Perrotta DMD
April 21, 2018
Category: Dental Procedures
AToothlessTiger

Let’s say you’re traveling to Italy to surprise your girlfriend, who is competing in an alpine ski race… and when you lower the scarf that’s covering your face, you reveal to the assembled paparazzi that one of your front teeth is missing. What will you do about this dental dilemma?

Sound far-fetched? It recently happened to one of the most recognized figures in sports — Tiger Woods. There’s still some uncertainty about exactly how this tooth was taken out: Was it a collision with a cameraman, as Woods’ agent reported… or did Woods already have some problems with the tooth, as others have speculated? We still don’t know for sure, but the big question is: What happens next?

Fortunately, contemporary dentistry offers several good solutions for the problem of missing teeth. Which one is best? It depends on each individual’s particular situation.

Let’s say that the visible part of the tooth (the crown) has been damaged by a dental trauma (such as a collision or a blow to the face), but the tooth still has healthy roots. In this case, it’s often possible to keep the roots and replace the tooth above the gum line with a crown restoration (also called a cap). Crowns are generally made to order in a dental lab, and are placed on a prepared tooth in a procedure that requires two office visits: one to prepare the tooth for restoration and to make a model of the mouth and the second to place the custom-manufactured crown and complete the restoration. However, in some cases, crowns can be made on special machinery right in the dental office, and placed during the same visit.

But what happens if the root isn’t viable — for example, if the tooth is deeply fractured, or completely knocked out and unable to be successfully re-implanted?

In that case, a dental implant is probably the best option for tooth replacement. An implant consists of a screw-like post of titanium metal that is inserted into the jawbone during a minor surgical procedure. Titanium has a unique property: It can fuse with living bone tissue, allowing it to act as a secure anchor for the replacement tooth system. The crown of the implant is similar to the one mentioned above, except that it’s made to attach to the titanium implant instead of the natural tooth.

Dental implants look, function and “feel” just like natural teeth — and with proper care, they can last a lifetime. Although they may be initially expensive, their quality and longevity makes them a good value over the long term. A less-costly alternative is traditional bridgework — but this method requires some dental work on the adjacent, healthy teeth; plus, it isn’t expected to last as long as an implant, and it may make the teeth more prone to problems down the road.

What will the acclaimed golfer do? No doubt Tiger’s dentist will help him make the right tooth-replacement decision.

If you have a gap in your grin — whatever the cause — contact us or schedule an appointment for a consultation, and find out which tooth-replacement system is right for you. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Crowns & Bridgework.”


By Denise A. Perrotta DMD
April 11, 2018
Category: Dental Procedures
Tags: periodontist  
3SituationsforSeeingaPeriodontist

It’s likely you depend on your regular dentist for the lion’s share of your dental care. But in cases of advanced disease or trauma, you may need the services of a dental specialist.

This could be the case with periodontal (gum) disease, a bacterial infection triggered by a thin biofilm on tooth surfaces called dental plaque that isn’t adequately removed through daily oral hygiene practices. While your regular dentist can effectively treat many forms of gum disease, there are times when you should see a periodontist who specializes in the gum, supporting bone and connective tissues.

So, when should you see a periodontist for gum disease treatment? Here are 3 situations that may call for this important dental specialist.

If your dentist refers you. Your dentist may be quite proficient in treating gum disease, mainly by removing the dental plaque and tartar sustaining the infection. But if the infection has advanced deep within the gum tissues especially around the roots and bone, you may need more advanced measures, including surgery, performed by a periodontist.

If you’d like a second opinion. Of course, you don’t need a referral to see a periodontist. You can make an appointment with one for another opinion about your diagnosis and recommended treatment plan. If you choose to see a periodontist, make sure they have access to all your dental and medical records, as well as your past health history.

If you have other health issues. Gum disease often doesn’t occur in a vacuum – it may exist and even influence (or be influenced by) other inflammatory medical conditions. If you have such a condition like diabetes or cardiovascular disease, you may opt to see a periodontist first for a more comprehensive evaluation.

In the meantime, keep an eye out for the first signs of disease including red, swollen or bleeding gums (if you smoke, be aware smoking hides these signs of disease). And practice daily brushing and flossing as well as obtaining regular dental cleanings to keep plaque accumulation to minimum. Preventing gum disease and getting treatment as early as possible may help you avoid more invasive treatments later.

If you would like more information on treating gum disease, 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 “When to See a Periodontist.”




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