My Blog

Posts for: October, 2018

By Denise A. Perrotta DMD
October 28, 2018
Category: Oral Health
Tags: oral health   pregnancy  
KeepupRegularDentalCareWhileYourePregnant

During pregnancy, your body isn’t the only part of your life that changes. Instead of “me,” you’re now thinking about “us”—you and the new person growing inside you. Because of this change in focus you may be re-examining your current habits to see if any could adversely affect your baby.

If you’re concerned your regular dental visits might be one of these, don’t be. Both the American Congress of Obstetricians and Gynecologists (ACOG) and the American Dental Association (ADA) recommend continuing regular dental exams and cleanings even during pregnancy.

In fact, professional dental care is often more important during pregnancy. Because of hormonal changes, you may develop food cravings for more carbohydrates like sugar. Unfortunately, eating more sugar could increase your risk for dental diseases like tooth decay and periodontal (gum) disease.

These same hormonal changes can also make you more prone to gum disease. There’s even a specific form of it known as pregnancy gingivitis that often occurs in expectant mothers. You may also experience “pregnancy tumors,” large, reddened areas of swelling on the gums.

To decrease your risk of pregnancy-related dental disease, you should certainly keep up your regular dental visits—and more if you begin to notice signs like swollen or bleeding gums. And although it’s usually best to postpone elective procedures like cosmetic dental work, you should be able to safely undergo any essential treatment for disease even if it requires local anesthesia. But do discuss any proposed dental work with both your dentist and obstetrician to be sure.

There are also things you can do for yourself during pregnancy that support your dental health. Be sure you’re practicing good oral hygiene habits like daily brushing and flossing. And by all means eat a well-balanced diet and restrict your sugar intake if at all possible. Taking care of these things will help you avoid dental problems and help make this memorable time in your life as joyous as possible.

If you would like more information on caring for your teeth during pregnancy, 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 Care During Pregnancy.”


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

Cosmetic Dentistry SmileGet the smile you’ve always wanted with a little help from cosmetic dentistry.

We know that nothing feels better than being confident in your appearance and your smile has a lot to do with how confident you feel. So, if certain dental imperfections are keeping you from smiling as often as you should then it’s time our Winston Salem, NC, cosmetic dentist Dr. Denise Perrotta helped you rediscover the power of a beautiful smile.

The purpose of cosmetic dentistry is to enhance and improve the overall color, shape, size and even alignment of one or more teeth. It’s amazing just how much our smile impacts our overall appearance, and cosmetic dentistry can help with everything from minor aesthetic adjustments to full makeovers. Our Winston Salem, NC, dentist can help you determine which cosmetic treatment or treatments will offer your smile the most benefit.

Common Cosmetic Dentistry Options

There are some treatment options that are more commonly desired than others, but all have their place, purpose and benefits in the dental world (it really just depends on what you are hoping to achieve). The most popular types of cosmetic dentistry include:

  • Teeth whitening
  • Dental bonding
  • Tooth contouring
  • Dental veneers
  • Dental implants (both restorative and cosmetic)

Do you want a whiter smile?

Professional teeth whitening will be able to get your smile several shades whiter in about one hour. Patients often turn to teeth whitening when they are dealing with more widespread and visible yellowing that at-home whitening toothpastes and treatments just can’t handle. If you have a special event or occasion coming up and you’re on a time crunch, professional teeth whitening can help you get that dazzling smile in no time.

Do you want to hide cracks, chips and other imperfections?

You have options. A lot will depend on the extent of these flaws. Small imperfections can often be smoothed away through tooth contouring (in which we shave very small amounts of enamel off the tooth to reshape it) or by applying dental bonding resin over these areas.

More drastic imperfections may require help from dental veneers, thin porcelain shells that cover the front surface of a tooth. Getting veneers is certainly more of a process than dental bonding or tooth reshaping but it can be worth it for someone who wants to get a flawless smile.

Do you want to replace a missing tooth?

Even though cosmetic dentistry is used to enhance your smile not to restore it, a dental implant is unique because it also is the closest thing you can get to a real tooth. It both functions and looks like a real tooth, providing a host of cosmetic and well as restorative benefits to the wearer.

Are you ready to chat about your cosmetic dentistry options here in Winston Salem, NC? If so, call Dr. Perrotta’s office today to schedule a cosmetic consultation with us.


By Denise A. Perrotta DMD
October 18, 2018
Category: Dental Procedures
Tags: dental implants  
WhatYouShouldKnowAboutAntibioticTherapyBeforeImplantSurgery

Placing a dental implant within the jawbone requires a surgical procedure. For most people it’s a relatively minor affair, but for some with certain health conditions it might be otherwise. Because of their condition they might have an increased risk for a bacterial infection afterward that could interfere with the implant’s integration with the bone and lead to possible failure.

To lower this risk, dentists for many years have routinely prescribed an antibiotic for patients considered at high-risk for infection to take before their implant surgery. But there’s been a lively debate among health practitioners about the true necessity for this practice and whether it’s worth the possible side effects that can accompany taking antibiotics.

While the practice still continues, current guidelines now recommend it for fewer health conditions. The American Dental Association (ADA) together with the American Heart Association (AHA) now recommend antibiotics only for surgical patients who have prosthetic heart valves, a history of infective endocarditis, a heart transplant or certain congenital heart conditions.

But patients with prosthetic joint replacements, who were once included in the recommendation for pre-surgical antibiotics, are no longer in that category. Even so, some orthopedic surgeons continue to recommend it for their joint replacement patients out of concern that a post-surgical infection could adversely affect their replaced joints.

But while these areas of disagreement about pre-surgical antibiotics still continue, a consensus may be emerging about a possible “sweet spot” in administering the therapy. Evidence from recent studies indicates just a small dose of antibiotics administered an hour before surgery may be sufficient to reduce the risk of infection-related implant failure with only minimal risk of side effects from the drug.

Because pre-surgical antibiotic therapy can be a complicated matter, it’s best that you discuss with both the physician caring for your health condition and your dentist about whether you should undergo this option to reduce the infection risk with your own implant surgery. Still, if all the factors surrounding your health indicate it, this antibiotic therapy might help you avoid losing an implant to infection.

If you would like more information on antibiotics before implant surgery, 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 “Implants & Antibiotics: Lowering Risk of Implant Failure.”


By Denise A. Perrotta DMD
October 08, 2018
Category: Oral Health
Tags: teething  
EaseYourChildsTeethingDiscomfortwiththeseTips

Although it’s a natural part of dental development, teething is no picnic for your baby. This process in which each of their twenty primary teeth gradually erupt through the gums usually begins around their sixth to ninth month and may not end until around age three.

These periodic tooth eruptions can cause your baby to bite, gnaw, drool or rub their ears. Teething can also disrupt sleeping patterns, decrease appetite and cause gum swelling and pain that can turn your otherwise happy baby into an unhappy one.

Managing these teething episodes is one of the most common topics parents bring up with their dentists. Since teething is supposed to happen, there’s no need for medical intervention unless the child is also experiencing diarrhea, rashes, fever or prolonged irritability associated with teething episodes. In most cases, the best you can do is to make your child more comfortable. Here are a few things to help you do just that.

Provide cold items for gnawing. Rubber teething rings, wet wash cloths or pacifiers that have been chilled can give your child something to gnaw on and ease the pressure of sore gums while the chilled temperatures help numb pain. Be sure, though, that the items aren’t frozen because extremely cold temperatures can burn the skin.

Gum massage. You can massage your child’s gums with one of your fingers during a teething episode to counteract the throbbing pressure coming from the erupting tooth. Just be sure your finger is clean and don’t use any numbing agents unless advised by your dentist or pediatrician.

OTC medication. You can ease mild to moderate teething pain with over-the-counter pain relievers like acetaminophen or ibuprofen in dosages appropriate for your child’s age. But don’t apply rubbing alcohol to the gums or massage in any pain reliever—both practices can burn the skin. And, as mentioned before, only apply numbing agents like Benzocaine with the advice and supervision of a healthcare professional.

Besides these practices, be sure to keep up regular dental checkups to monitor the teething process and ensure all is going normally. And remember: though it may seem harrowing at times, the teething process won’t last forever.

If you would like more information on easing the effects of teething, 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 “Teething Troubles: How to Help Keep Your Baby Comfortable.”




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