December 21, 2024

Emergency Dentistry and Home Remedies

Today I had an interesting emergency dental patient. This patient came in with severe swelling of his left cheek. His lower eyelid was swollen. So much that his eye was almost swollen shut. This condition is called cellulitis or an abscess. In this area of the face there are veins that don’t have very good valves and they allow blood to flow in both directions. One of the directions leads to the brain. So it is possible for this type of infection to actually spread to  a patient’s brain. Untreated it can be life-threatening. We drained the infection by beginning a root canal. I expect that this patient’s swelling and pain will resolve in a couple of days and then we can complete the treatment on this tooth and things will turn out just fine.

What made this case interesting was that this patient said that he had been filling the hole that was in the tooth with some over-the-counter dental paste for at least 4 years. He had done a nice job with the paste, but the problem is the paste does not get rid of the cavity and so over the past 4 years his cavity had been getting worse and worse. The reason that the packaging on those grocery store dental pastes advises you to see your dentist as soon as possible is to prevent the problem from getting worse leading to a trip to see an emergency dentist. I imagine if rather than placing the paste when he first noticed the hole 4 years ago he went to see a dentist things would be different. 4 years ago the tooth could probably been treated with a filling. Now it needs a root canal, build-up, and crown. The costs will be almost 10 times as much. The time missed from work will be 3-5 times as much and he put his overall health at risk. I completely understand how life can get in the way and it’s easy to put off things.

The moral of the story is that if you have a tooth break or notice a hole, seek dental care immediately or quickly. It will cost less, and be less likely to interfere with your life and general health. But if life gets in the way and you need a good emergency dentist, we’ll be here.

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What Type of Dentist Do I Need?

With a number dental specialties out there (orthodontics, peridontics, endodontics….), it is hard to know what type of dentist you need. The following article provides a brief overview of dentist specialists, and suggests what services and amenities to look for with a general dentist.

GENERAL DENTISTS AND DENTIST SPECIALISTS

General Dentist: Your general dentist (ie family dentist) is your go-to dentist for most routine procedures, including teeth cleaning, check-ups, fillings, crowns, root canals, sealants, and screenings for oral diseases. He/she will have received a 4-year doctorate degree in dentistry, and will be able refer you to a specialist with further training, if needed.

Endodontist: Your general dentist may refer you to an endodontist if you need a root canal. Endodontists work on the inner portion of the tooth, removing infected tissue and refilling the nerve canal.   

Orthodontist: Your general dentist may refer you to an orthodontist if you do not have proper bite or facial balance. Orthodontists design and apply braces, retainers, and other corrective appliances to realign crooked teeth.  

Oral and Maxillofacial Surgeon: Your general dentist may refer you to an oral and maxillofacial surgeon if you need wisdom teeth removed, facial injuries or jaw disorders treated, reconstructive surgery, or dental implants.

Periodontist: Your general dentist may refer you to a periodontist if you have gingivitis or periodontitis. Periodontists treat diseases of the gum and bone.

Pediatric Dentist: Your general dentist may refer you to a pediatric dentist if you have infants, children, or adolescents who need dental work. Pediatric dentists are trained to work with children.

Prosthodontist: Your general dentists may refer you to a prosthodontist if you need tooth replacement implants, dentures, crowns, or bridges. Prosthodontists are trained to design, construct, and fit replacement teeth.  

Seeing your general dentist will typically cost less than seeing a specialist, and many insurance plans require a referral from your general dentist before they agree to cover the costs of a specialist. For this reason, it is worth having your general dentist oversee and coordinate your dental care.

WHAT SERVICES AND AMENITIES SHOULD A GENERAL DENTIST PROVIDE?

It is important to find a general dentist that provide the services and amenities that you need and desire. Here at Legacy Dental, we meet both your needs and desires with the latest dental technology, a state-of-the-art facility, and friendly staff.

            At Legacy Dental, we provide a range of services, from cosmetic dentistry to TMJ disorder and headache prevention and treatment, saving you from having to make an extra trip elsewhere. In addition to a range of services, we provide technological amenities that you will not find elsewhere. You can watch your favorite DVD or show on screens on the ceiling, detect cavities earlier with the Kavo Diagnodent Laser, and see what we see with the intraoral camera. For a full list of our services and amenities, browse our website at www.legacydental.com/dental-care/.

To schedule your next appointment, call 801-878-0370 or visit http://www.legacydental.com//schedule-dental-appointment. Let us make your next dental visit a good one!      

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A Tooth Extraction

A severely damaged tooth sometimes needs extracted.  A tooth extraction is the removal of the crown and root of a tooth.  Its important to remove infected teeth as soon as possible to ensure oral health. Oral health is important for … Continue reading

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Dental Implants vs. Bridges

As many as 70% of adults are missing one more teeth and by age 74 25% of adults are missing all of their teeth. Replacing missing teeth is a procedure commonly performed. Options for replacing missing teeth include a fixed bridge, a removable bridge or partial denture, dentures, or dental implants. Removable solutions are usually the least expensive, but are the most difficult to get used to. As many as 50% of adults do not use their denture all of the time due to pain, or discomfort, or embarassment. Imagine having this happen:

A fixed bridge is attached permanently to your other teeth. If your other teeth need crowns or fillings its not a bad idea and can be cost -effective. It’s important to know that as many as 1/2 of fixed bridges do not last more than 5 years.

Dental implants are oftentimes the best way to replace teeth that missing. They are predictable, long lasting, and feel similar to your own teeth. They can be more expensive and take more time, but like the old addages say,

  • “You get what you pay for.”
  • “Good things come to those who wait.”

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Coca-Cola…a Salt Lake City Dentist’s View

In New York City, there is a currently a debate to legislate the size of a sugary beverages that can be sold in certain locations. The concern is that consumption of large amounts of sugary drinks leads to obesity which leads to poor health and the associated expenses. A representative from Coca-cola responded to the debate in an article in USA Today. In the article, Ms. Bayne suggests that a calorie is a calorie and that the consumption of sugary beverages in moderation have no ill effects on health.

She suggests the beverages that she might consume during the day. A mini diet coke, powerade zero, 2 regular diet cokes, gold peak tea, and maybe an 8 ounce coke. Her consumption of beverages for weight control is fine. She is only consuming one beverage that contains calories, and she is only consuming 8 ounces of that beverage. The effort in New York, is based on the fact that no one consumes 8 ounces of these beverages, its 4 to 8 times that amount. 

But as a dentist that’s not what I’m concerned about. Ms. Bayne will only consume 97 calories. I’m concerned about the effect that these beverages will have on her teeth. Teeth begin to soften and cavities form when exposed to acid. Acids are rated on a scale called pH. The lower the pH the stronger and more damaging the acid. Teeth soften when the pH is below 5.5.

Ms. Bayne’s mini diet coke pH 3.39.

Followed by Powerade ph 2.75

Another diet coke pH 3.39

Another diet coke pH 3.39

A regular coke pH 2.63

Gold Peak Tea pH 4.8

That’s 6 additional exposures to acid that can damage her teeth. 

Acid Erosion from Coke B 1 year laterThis photo at right demonstrates severe acid erosion of teeth.

I commonly see patients with lots of cavities. The common risk factor is almost always high intake of acidic drinks. I’ve even had them come to their dental appointments to fill their cavities with a 64 ounce drink that they set on the counter to finish later.

I don’t want to get into the politics of whether we need our government to legislate our choices. But Coca-cola’s suggestion that consuming sugary and acidic beverages have no ill-effects is untrue. A regimen like Ms. Bayne’s that has only 97 calories, can be horrible for your teeth. So while the link between sugary drinks and the obesity epidemic may be up for debate, there is NO debate about the role sugary and acidic drinks have in the cavity epidemic. 

Drink water. 

—-

Jonathan Campbell, DDS is a dentist in Salt Lake City. His office uses Previser, and CariFree to assess risk for cavities and develop personalized programs to prevent cavities.

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Continuing Education for Utah Dentists

This week is the Utah Dental Association’s annual meeting. Most dentists and their teams will attend this 2 day event at the Salt Palace in Salt Lake City. I bring this up because a common question we get is how much CE or continuing education does a dentist need to take. In Utah, the requirement for continuing education is 30 hours every 2 years for both dentists and hygienists.

Those hours represent time sitting in a class, participating in a hands-on course, or reading an article. To verify that an article was read a test must be taken after reading. A dentist can be audited for their CE and must show proof of the classes attended or articles read.

If a dentist only attends the Utah Dental Convention each year, they can get 24 of those 30 hours. So it’s not too difficult a task to complete the requirement. In our dental practice we get much more than the required continuing education and my guess would be most other dentists do as well.

Recently I have taken classes teaching about the latest bone grafting techniques for dental implants. I also attended the national dental meeting in Las Vegas.

At these dental meetings they also have social activities, and an exhibit hall where many manufacturers demonstrate their products. Toothbrush manufacturers like Crest, Colgate, and Oral-B are usually well represented and it’s neat to collect samples of all the latest brushes and pastes.

So if you wonder where all the dentists are this week in Salt Lake City, look downtown. We’re trying to learn a few things to help take even better care of your teeth and mouth.

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Can Your Teeth to Be TOO White?

The American obsession with dental hygienehas taken an ironic turn over the past decade. In an attempt to have the bright, white, healthy-looking smile of the stars, many consumers are bleaching their teeth into oblivion.

Dentists call this addiction to whitening “bleachorexia,”calling the overbleachers “bleach junkies.” Such patients abuse in-office and at home bleaching agents, leaving teeth eroded, prone to sensitivity and extremely unhealthy, despite their pearly white exteriors.

“The media has done a good job of making whitening sound innocuous, but it’s not. Carbamide peroxide, the whitening agent in most bleaches, can irritate the gums, causing them to recede, making the teeth brittle, chalky and so thin as to be translucent at the edges when the product is overused.

Many people bleach for many years using combinations of professional bleaching trays tailor made for her teeth, at-home whitening kits, toothpastes and a few sessions at a “bleaching spa.”

For some people, their teeth are never white enough, so they’ll do anything to brighten their smile.  Ironically, beyond making teeth weak and prone to decay, overbleaching can actually strip away the protective enamel allowing the underbody of the teeth, which is naturally more yellow in color, to show through.

When someone is a bleaching junkie, you can spot it right away, says Dr. Irwin Smigel, founder and current president of the American Society for Dental Aesthetics. “It’s not everybody, but we see it often enough that it bothers me. Enamel doesn’t grow back. Sometimes we have to put crowns or veneers on when the teeth have become too damaged,” he says.

Whitening strips and bleach trays may be an invention of the past 30 years, but techniques for teeth whitening go back centuries. In the 1100s, physicians would recommend scrubbing teeth with elecampane (a yellow flower) or a sage and salt mixture to make “them firm, white and healthy” or “clean, white, and sweet,” Trevor Anderson, an osteoarchaeologist, notes in a 2004 paper on medieval dentistry.

Later on, some would use acid washes in an attempt to strip away stains, but unfortunately, these rinses mostly stripped away all the enamel on the teeth, leaving them crumbling.

It wasn’t until the advent of Hollywood and Technicolor movies that there was widespread interest in whitening teeth, usually through whitening toothpastes, he says. Enter the 1980s and in-office bleaching treatments, and it only took off from there.

It may have followed the rise in plastic surgery and other elective cosmetic procedures throughout the 1990s. It’s a matter of what people are willing to put their income into.”

Today, Americans spend more than a billion dollars a year just on over-the-counter teeth-whitening products, according to the American Academy of Cosmetic Dentistry. While bleaching can be done safely, especially under the guidance of a dentist, the advent of at-home bleaching kits and spa bleaching treatments have made it all too easy for bleaching junkies to double up or triple up on treatments at the expense of their dental health.

At Legacy Dental we know that bleaching is very effective in moderation, and it’s safe in moderation.  It’s when you’re bleaching all the time, beyond what is recommended — that’s when you run into problems.  If you are wanting lighter teeth, we can help you will all your bleaching needs.  Come in today, we would love to see you!!

  

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How to Choose a Cosmetic Dentist

 

It is said, “A smile is an inexpensive way to change your looks.” It can be even more powerful if it is attractive to begin with. With regards to your appearance, your smile is your most important physical attribute. If you need to improve your smile, you might need to find a good cosmetic dentist.

Choosing a dentist for cosmetic dentistry can be very stressful. Here are a few strategies to help.

  • Ask your current dentist about improving your smile. He or she may have been taking good care of your teeth for many years and may just be unaware that improving your smile is a concern for you. They may also have the skills to help you with your concerns and they might not. But it’s a good place to start.
  • Ask a friend, especially one that may have had some cosmetic dentistry.
  • Ask someone you meet who has an attractive smile. They might have a great dentist.
  • Ask another healthcare provider, especially those involved in cosmetic specialties. Dermatologists and Plastic Surgeons can be especially good sources for a referral to a cosmetic dentist.
  • Search the internet or use the yellow pages looking for those who promote cosmetic dentistry. If using this route, you might consider multiple consultations.

It should be recognized that there is not an official cosmetic dentistry specialty. So hopefully, those that advertise this service have advanced training in cosmetic dentistry. How to Choose a Cosmetic Dentist&bvt=rss

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Continuing Education for Utah Dentists

This week is the Utah Dental Association’s annual meeting. Most dentists and their teams will attend this 2 day event at the Salt Palace in Salt Lake City. I bring this up because a common question we get is how much CE or continuing education does a dentist need to take. In Utah, the requirement for continuing education is 30 hours every 2 years for both dentists and hygienists.

Those hours represent time sitting in a class, participating in a hands-on course, or reading an article. To verify that an article was read a test must be taken after reading. A dentist can be audited for their CE and must show proof of the classes attended or articles read.

If a dentist only attends the Utah Dental Convention each year, they can get 24 of those 30 hours. So it’s not too difficult a task to complete the requirement. In our dental practice we get much more than the required continuing education and my guess would be most other dentists do as well.

Recently I have taken classes teaching about the latest bone grafting techniques for dental implants. I also attended the national dental meeting in Las Vegas.

At these dental meetings they also have social activities, and an exhibit hall where many manufacturers demonstrate their products. Toothbrush manufacturers like Crest, Colgate, and Oral-B are usually well represented and it’s neat to collect samples of all the latest brushes and pastes.

So if you wonder where all the dentists are this week in Salt Lake City, look downtown. We’re trying to learn a few things to help take even better care of your teeth and mouth.

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Welcome Dr. Justin Patay!

Drs. Jason and Todd Sala are proud to announce the addition of Dr. Justin Patay D.M.D.. Dr. Justin was selectively chosen to join Sala Family Dentistry, and will be providing wonderful dental care to you, our patient. Dr. Justin was born in Santa Maria, CA and raised in Minden, NV. He attended the University of […]

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