I Was Only Eating An Almond.

We all know the added health benefits to eating Almonds. Almonds contain the “good” fats, fiber, Vitamin E, Magnesium and protein. They assist in lowering blood sugar, lowering blood pressure and lowering cholesterol. They are just bad for teeth with large old silver restorations.

A patient came in today with a very saddened face. Her lower right molar tooth in question had no pain to touch or temperature sensitivity. As she stated, “something felt crunchy when I was chewing on an almond and soon after, I felt a sharp edge of my tooth with my tongue.”

The history of her tooth goes back over twenty years.  It had been previously filled twice with an amalgam filling. A radiograph check confirmed that the tooth was structurally remaining  in good condition. The nerve within the tooth was just fine.

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The side view
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Tongue side Fractured Off Cusp– towards the back aspect of the tooth.

This tooth had a tremendous amount of very healthy enamel.

In general, the functioning aspect of  Lower Posterior Teeth are the outer cusps, the “loading” cusps (buccal cusps). The inner “carrying” cusps (lingual) are non functional or non-loading cusps and are essentially bystanders in chewing. The opposite functionality could be said for an upper tooth.

I  felt that a Ceramic Onlay would be the perfect restoration. Ideally it would bring the tooth back to full function because the loading cusps were intact. There was no pain on chew, which would indicate a residual fracture line under the amalgam restoration. This would require a full coverage crown if it were the case. The nerve of the tooth was totally fine. No root canal procedure was indicated here.

An Onlay is sort of  a three quarter crown. After delivery of a simple local anesthetic, the process of creating an onlay requires that I clear away any pre-existing restoration, undermined, cracked, or weaken tooth structure resulting from the original insult. What remains should only be the sound tooth structure.

A ceramic restoration is created by my in-office milling machine (CEREC).  The CEREC created onlay restoration is super engineered to fit “into and onto” the prepped tooth with an accuracy of a 25 microns (0.025 of a millimeter).  That is a very small number. The seam in-between tooth enamel and restoration is tight, exact and imperceivable.

The restoration is then bonded into place with a resin cement and fine polished to perfection. The process in my office, start to finish, takes one hour.

The advantages are many:

An onlay is a very conservative restoration. I don’t need to aggressively shape the tooth as I would for a Full Coverage crown restoration. Less drilling means, less of a chance that you will need a root canal procedure.

The material is a Composite Hybrid of Ceramic and Resin (Cerasmart). It has a very long track record. It lasts many years.

A bonded restoration translates into a whole stronger tooth, subsequently less prone to fracturing in the future.

Esthetically, they are beautiful.

TIP: There is hope after all for you Almond Lovers with big beaten down silver restorations. You do not need to live in fear………….. I have been informed by numerous patients this to be true.
Apparently, Organic Almonds are softer and are less likely to break your teeth.

 

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Final Bonded Ceramic Restoration

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com

At What Age Do I Bring My Kid In?

The answer for this question is ambiguous on the web ranging from 6 months to 5 years old. Here’s the reality.

Baby teeth should all be in place at or around two years old, plus or minus 4 months. That’s a total of twenty decidious teeth (primary teeth).

Girls tend to be much more mature and cooperative in a seated position for a dental evaluation, more so than boys. In general, it’s almost impossible to get a vulnerable supine child to sit firmly while that overhead light shines down onto their face for more than 30 seconds, let alone cooperate with requests by strangers wearing blue lab coats.

Therefore, it is my experience that the first visit for a girl should be at around Three years of age and a boy probably closer to Four years of age. Girls tend to be more gentile and passive at this tender age, more cooperative for sure.

Children have better nutrition today. In general, unless there is an underlying systemic issue or medically undiagnosed acid reflux, it’s rare to see caries laden teeth in the mouth of a four or five-year old; although I have been tricked. Massive decay in between the teeth can be hidden where my explorer can’t reach. It’s a horrible feeling for patient and doctor when missed. Traditionally, radiographs can only tell if there is something brewing in between teeth. That’s the rub. Children’s skeletal development is fragile.  I am remiss to expose children to radiographs at this early fragile age, plus they just can’t bite down hard enough on the bite block to get a meaningful diagnostic radiograph. It hurts to bite down on that thing. Frustration has driven me to search out cutting edge  technology. I recently purchased advanced non radiation halogen light technology which eliminates the deleterious effects of exposure to your child.  This device essentially offers a bypass to exposing your child and aids in the detection of inter-proximal decay. Dexis CariVu Caries Detection.

My advice is to bring your child in on your approaching recall visit as the “covert introduction”  to the dental office. The child would benefit from engaging in the new environment with  positive encouragement from staff strictly as an observer. This will set  the stage for a return visit as a young new patient in the nearing week or two. It’s best to solidify the experiences from the covert visit while still fresh in the mind of the child.

During the child’s first visit as a patient, no X-rays will be taken. If anxiety levels are minimal, light technology can be utilized to view inter proximal areas of teeth. A cursory clinical evaluation to confirm tooth number, alignment  and home care quality to be determined, reviewed and reinforced. Nutritional discussion is also handled on this visit if indicated. The primary focus is on creating a positive non threatening environment early on with positive cues and reinforcement thru dialog and reward.

Toy Chest 🙂

 

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com

“Does Candy and Drinking Hot Tea Give You Cavities?” …. Leslie asks

Yes, and most definitely yes.

Go to the interview Leslie and her Candy.

Candy and sugar are synonymous.

Black licorice a particular favorite of mine, I’ll admit is a triple threat. Consisting of sugar, it’s notorious for plucking away perfectly good dental work, such as crowns, off of unsuspecting teeth. The black coloring adds the extra drama of the unbrushed teeth look. Next Halloween, if want to give your hygienist a nightmare recall visit, make a quick snack of it on the way over to the office for your appointed time. Drinking hot tea just melts things away creating a more hydrodynamically  homogeneous sugary environment that will actually create the worst kind of cavities; root decay. The hot liquid sugar just sits on the soft vulnerable part of the tooth with the bacteria laying down acid  gnawing away creating big dental problems.

Dental decay involves plaque formation. When candy is consumed and if the sugars aren’t cleaned off your teeth, the naturally present bacteria in your mouth feed on the candy and produce destructive acids. The acids dissolve away the enamel of the tooth, hence a cavity.

There is some good news. If you want that candy, go for it!

Studies show that if you brush your teeth properly within 12 minutes of consuming the candy, no changes will occur in the enamel.

 

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com

Is Bleaching Bad For My Teeth?

Everything in moderation is what I say. In general, teeth whitening, better known as teeth bleaching is safe. In moderation, it will not damage the enamel of your teeth.

Whitening gel varies in formulations with concentrations ranging  from 35%  to 10% carbamide peroxide with application times for around  30 minutes, once a day, for 7-10 days.

The process of bleaching will lead to increased sensitivity because it opens up the internal pores of the teeth. This allows the bleach to penetrate the tooth, lifting particulate debris  to the teeth’s surface resulting in a whiter overall smile.  TIP: To prevent this uncomfortable feeling of cold and air sensitivity during and after the process,  it is best to use a special toothpaste with potassium-nitrate in its formulation soon after the gel is brushed off and away.  Any over the counter “for sensitive teeth” brands works well to minimize the lingering after effects of tooth zingers after the process. It may take a couple of weeks to get back to normal; ie less hypersensitivity.

The best time to whiten your teeth is soon after your hygiene appointment. All surface stains and tartar will have been properly removed by my hygienist and your stain free polished enamel will be ready for maximum  whitening potential from the whitening gel.

Teeth whitening is temporary. Any restorative material that’s non enamel will not lighten in shade. After whitening, sometimes composite restorations will need to be changed over to match the existing previously placed bonding.  Remember, whitening does not last. Your tooth does fade back to the original shade within 6 months or so.

Whiten  may not be an option for you if you have anterior composite work existing. Another consideration for a permanent shade is ceramic veneers or ceramic crowns. This would be a more definitive long-term suitable result for you. Ceramic does not stain. Ask me next time you come in for your hygiene check if Ceramic Whitening is an option for you. Or if you can’t wait, make an appointment for a consultation to address your specific needs.

Some More Tips if  You do Bleach Your Teeth:

Continue the process at home using a whitening toothpaste

Utilize a straw to consume dark beverages. Not recommended with hot coffee,,,, LOL.

Cut out tobacco products.

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Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com