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Posts for category: Dental Procedures

By Randolph Family Dentistry
May 02, 2019
Category: Dental Procedures
Tags: teeth whitening  

Teeth whitening is necessary for that Hollywood smile. Everyone wants a smile to showoff during special occasions: birthdays, graduationsteeth whitening and weddings! Here's some more information about teeth whitening from your Randolph, MA, dentists, Drs. Eyad Salloum and Preethy Sarah George.

More About Teeth Whitening

Teeth whitening is an effective and safe way to achieve that sparkly white smile. It's an economical dental procedure that lightens teeth three to eight shades in about an hour. Good deal, right?

Drs. Eyad Salloum and Preethy Sarah George, your Randolph dentists, have the experience and skills to professionally perform this procedure. It's a quick procedure and, unlike over-the-counter whitening products, it's more effective and your dentist takes the necessary precautions to protect your gums and tooth-root surfaces.

Pre-procedure

It's preferable to get an oral exam before the whitening process. Your doctor needs to inspect your teeth to determine if there are any conditions that need to be dealt with before getting your teeth whitened.

Professional Whitening Methods

  • In-Office Whitening: The doctor uses high-concentration bleaching gels to ensure powerful whitening solutions. The procedure consists of the following:
    1. Covering your gums and tooth-root surfaces
    2. Using a thin retractor that holds lips and cheeks away from your teeth
    3. Applying hydrogen peroxide gel on teeth
    4. Wait for about an hour

  • Take-Home Whitening: This is a time-saving option for people who are always on-the-go. The procedure consists of the following:
    1. Your doctor will make a mold of your teeth to make two thin, flexible plastic mouth trays (one for the top set of teeth and one for the bottom set)
    2. You'll be given whitening gel to put in the trays
    3. Then position the trays over your teeth
    4. Leave for an hour and repeat if necessary

Consultation

Would you like to learn more about teeth whitening? If so, call Randolph Family Dentistry in Randolph, MA at (781) 963-0860 for more information!

By Randolph Family Dentistry
March 15, 2019
Category: Dental Procedures
Tags: crowns  
NotallCrownsareAlike-orCosttheSame

All crowns are designed to restore functionality to a damaged tooth. But crowns can differ from one another in their appearance, in the material they’re made from, and how they blend with other teeth.

A crown is a metal or porcelain artifice that’s bonded permanently over a decayed or damaged tooth. Every crown process begins with preparation of the tooth so the crown will fit over it. Afterward, we make an impression of the prepared tooth digitally or with an elastic material that most often is sent to a dental laboratory to create the new crown.

It’s at this point where crown composition and design can diverge. Most of the first known crowns were made of metal (usually gold or silver), which is still a component in some crowns today. A few decades ago dental porcelain, a form of ceramic that could provide a tooth-like appearance, began to emerge as a crown material. The first types of porcelain could match a real tooth’s color or texture, but were brittle and didn’t hold up well to biting forces. Dentists developed a crown with a metal interior for strength and a fused outside layer of porcelain for appearance.

This hybrid became the crown design of choice up until the last decade. It is being overtaken, though, by all-ceramic crowns made with new forms of more durable porcelain, some strengthened with a material known as Lucite. Today, only about 40% of crowns installed annually are the metal-porcelain hybrid, while all-porcelain crowns are growing in popularity.

Of course, these newer porcelain crowns and the attention to the artistic detail they require are often more expensive than more traditional crowns. If you depend on dental insurance to help with your dental care costs, you may find your policy maximum benefit for these newer type crowns won’t cover the costs.

If you want the most affordable price and are satisfied primarily with restored function, a basic crown is still a viable choice. If, however, you would like a crown that does the most for your smile, you may want to consider one with newer, stronger porcelain and made with greater artistic detail by the dental technician. In either case, the crown you receive will restore lost function and provide some degree of improvement to the appearance of a damaged tooth.

If you would like more information on porcelain crown, please contact us or schedule an appointment for a consultation.

By Randolph Family Dentistry
January 24, 2019
Category: Dental Procedures
CharlizeTheronBackinActionAfterDentalSurgery

When they’re introducing a new movie, actors often take a moment to pay tribute to the people who helped make it happen — like, you know, their dentists. At least that’s what Charlize Theron did at the premiere of her new spy thriller, Atomic Blonde.

"I just want to take a quick moment to thank my dentists," she told a Los Angeles audience as they waited for the film to roll. "I don’t even know if they’re here, but I just want to say thank you."

Why did the starring actress/producer give a shout-out to her dental team? It seems she trained and fought so hard in the action sequences that she actually cracked two teeth!

“I had severe tooth pain, which I never had in my entire life,” Theron told an interviewer from Variety. At first, she thought it was a cavity — but later, she found out it was more serious: One tooth needed a root canal, and the other had to be extracted and replaced with a dental implant — but first, a bone grafting procedure was needed. “I had to put a donor bone in [the jaw] to heal,” she noted, “and then I had another surgery to put a metal screw in there.”

Although it might sound like the kind of treatment only an action hero would need, bone grafting is now a routine part of many dental implant procedures. The reason is that without a sufficient volume of good-quality bone, implant placement is difficult or impossible. That’s because the screw-like implant must be firmly joined with the jawbone, so it can support the replacement tooth.

Fortunately, dentists have a way to help your body build new bone: A relatively small amount of bone material can be placed in the missing tooth’s socket in a procedure called bone grafting. This may come from your own body or, more likely, it may be processed bone material from a laboratory. The donor material can be from a human, animal or synthetic source, but because of stringent processing techniques, the material is safe for human use. Once it is put in place your body takes over, using the grafted material as a scaffold on which to build new bone cells. If jawbone volume is insufficient for implants, it can often be restored to a viable point in a few months.

Better yet, when grafting material is placed in the tooth socket immediately after extraction, it can keep most of the bone loss from occurring in the first place, enabling an implant to be placed as soon as possible — even before the end of a movie’s shooting schedule.

Will Atomic Blonde prove to be an action-movie classic? Only time will tell. But one thing’s for sure: When Charlize Theron walks down the red carpet, she won’t have to worry about a gap in her smile.

If you have questions about bone grafting or dental implants, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Immediate Dental Implant.”

By Randolph Family Dentistry
January 21, 2019
Category: Dental Procedures

Dental ImplantsIf you have missing teeth and want to restore your smile to its original beauty, it's time to discover the benefits of dental implants. With help from your dentist, you can find the best tooth replacement option for you. Dental implants can replace your teeth and help you feel great about your appearance in the process. Find out more about dental implants and what they can do for your smile with Dr. Eyad Salloum and Dr. Preethy Sarah George at Randolph Family Dentistry in Randolph, MA.

What is a dental implant?
Dental implants are a restorative dental procedure focusing on replacing missing teeth. Dentists implant these restorations directly into the jawbone beneath a missing tooth. The bone then grows around the implant to hold it in place, a process which creates a permanent stand-in root and provides a sturdy foundation for the prosthetic tooth. Implants are widely considered one of the best tooth replacement options and are permanent, non-removable, and look just like natural teeth.

Am I a candidate for dental implants?
Dental implants can benefit anyone from a patient with a single missing tooth to one who needs an entire arch of teeth replaced. However, the jawbone deteriorates when it is not adequately stimulated, resulting in bone atrophy. Patients with significant bone atrophy do not have enough bone left to hold the implant in place and may need a bone grafting procedure to rebuild the area. In addition to sufficient bone volume, patients should have an excellent at-home oral care routine. Keeping your teeth free from teeth decay and gum disease is key to keeping them — and your dental implants — healthy.

Dental Implants in Randolph, MA
The process for dental implants requires several appointments and several weeks or months of healing time:

  1. Your dentist prepares the implant site.
  2. A dental laboratory uses a mold taken of your mouth to design the implant.
  3. Your dentist surgically places the implant’s fixture into the jawbone
  4. The implant site heals over the course of several months.
  5. Your dentist reopens the implant site to expose the fixture.
  6. A prosthetic tooth is attached to the fixture via an abutment, completing the implant.

For more information on dental implants, please contact Dr. Eyad Salloum and Dr. Preethy Sarah George at Randolph Family Dentistry in Randolph, MA. Call (781) 963-0860 to schedule your appointment with your dentist today!

By Randolph Family Dentistry
December 25, 2018
Category: Dental Procedures
Tags: air abrasion  
AirAbrasionAnAlternativetotheTraditionalDentalDrill

Drilling teeth is an essential part of repairing and restoring the damage caused by tooth decay. For generations dentists have relied on the dental drill with its rotating burr to remove decayed and damaged tooth material.

But while the dental drill is effective it also has its disadvantages. In the process of removing decayed material it inadvertently removes healthy structure near the target material. It often requires anesthesia to deaden the work area. And its noise and vibration are often unsettling to patients.

There is a growing alternative, though: air abrasion, a technology that's been around since the mid-20th Century. But recent advances in controlling the dust created by using abrasion, as well as new tooth-colored bonding materials to replace tooth structure, have sparked new interest among dentists and patients alike.

Also known as particle abrasion, this drill alternative uses a pressurized stream of fine particles to remove decayed material. Using a hand wand a dentist can precisely aim the stream of particles (usually aluminum oxide) to the specific areas of decay or softened material that need to be removed. As a result, it removes only a fraction of healthy tooth structure compared to traditional drilling. Air abrasion has also proven effective for removing staining without harming enamel.

Air abrasion also eliminates the sound and vibration associated with dental drills, and may not always require local anesthesia. On the other hand, it does have some limitations. For one, it's not as effective with larger cavities or working around older fillings. The tooth or teeth to be worked on must be carefully isolated from the rest of the mouth to keep the patient from swallowing the abrasive particles. And without a high-volume suction pump and good isolation protocols, the particles can produce something of a “sandstorm” in the treatment room.

But as air abrasion continues to advance, we may see improvements in these limitations. In a future time, the traditional dental drill may go the way of the horse and buggy.

If you would like more information on air abrasion as an alternative to drilling, 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 “Air Abrasion Technology.”