Frenum/Frenectomy?

What is a Frenum? (Pronounced “Free-num”)

A Frenum is a fold of tissue that connects the lip directly to gum tissue which usually contains strands of muscle tissue.

Where does a Frenum Exist in the Mouth?

They are in many areas. Just explore your mouth with your tongue! You can find a frenum attaching from the inner of the upper lip above the central incisors attaching to the gum. Similarly, you’ll find the same on the lower lip. In addition, another important frenum will be responsible for attaching the floor of your mouth to the base of your tongue. This is called the lingual frenum. Frenums can run great lengths of attachment to underlying tissue and vary in thickness.

Can a Frenum be a Problem?

Most of the time, frenums are not a problem. However, it depends.

What’s a Frenectomy?

That’s simple. For one thing, it involves a tiny bit of local anesthetic. Without delay in about 5 seconds the laser obliterates the tedious attachment. At an instant, all gone. Furthermore, no bleeding and no stitches. In a word, maybe an Advil later on during your day.

Laser Scalpel utilized for the deed.

Frenums and Newborns

For example, let’s examine a long frenum on a baby’s tongue. Notably for a newborn baby whose breastfeeding, a high lingual attached frenum can frustrate and impair the newborn’s ability to “latch on” to the mother. In this case, the tightly bound tongue is restricted from the mechanical suckling action for the baby. Subsequently, nourishment can be compromised.

Poor Baby……

Fenums and Orthodontics

Frenums can be problematic for the orthodontist if you want the gap in between your teeth closed. On the negative side, this thick muscle attachment is notorious for pulling and splaying front teeth apart. Consequently, I always advise to get your frenectomy BEFORE you begin your orthodontic treatment. Most importantly, this will potentially minimize the chances of the gap annoyingly reappearing post orthodontic completion. On the other hand, a frenum can be responsible for your iconic identity.

The Gorgeous Lauren Hutton, dare I say…..

Frenums and Periodontics

A high frenum attachment will pull the gingival attached tissue AWAY from your teeth further exacerbating gingival recession. Ouch! That hurts me just thinking about it. Consequently, gingival recession results in exposed roots. Thus, teeth will be more sensitive to cold temperatures.

Thick Frenum Attachment ( Before Laser )
After Laser

Note: the gum receding away (Before Laser)
(After Laser)

Frenums and Speech Impact

Verbal communication is paramount in life. If one is “tongue tied”, the complications of how that affliction can impact the social, emotional and general well being of the individual is staggering. It’s mind blowing. The thought of a simple zap with the laser swipe and how it could subsequently release a tenacious frenum. In the first place, elimination is simple. Secondly, it’s inexpensive. Of course, it’s nonthreatening. Likewise, it takes about 5 seconds. In the final analysis, it could have a profound impact. As a result, it’s life altering. In effect, a crippling speech impediment eliminated.

Credits

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

You Tube : Robert Emilio DDS & Associates 

Instagram:  dentist_in_connecticut

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

Pass this Link to Your 

I want that Gap in Between My Teeth Closed!

The very common procedure of Bonding is routinely utilized for closing a front tooth gap.  For some people their front tooth gap defines their individuality; their face and attitude with a mere smile. For others, the gap represents a disfigurement; a cruel trick played by Mother Nature.

I do believe that bonding technology originated from the NASA Space Program. NASA scientists engineered the process of securing(bonding) ceramic tiles to the hull of the space shuttle. Bonding was proven to be  a reliable, durable, easily repairable, and most effective approach of securing ceramic tiles to the hull of the space shuttle. The ceramic tiles were crucial in heat displacement and essential for the survivability of our returning astronauts. The process of Bonding is both Science and Art.

Bonding is technically a process of fusing two like or unlike surfaces. In dentistry, we are constantly bonding enamel to a host of dental materials such as composite resin, ceramic, ceramic /resin hybrid material and metal such as gold alloy.

The process of bonding first involves surface preparation of the surfaces planned to be bonded. Tooth enamel is etched with 37.5% Phosphoric Acid for 15-30 seconds then washed off with water. This etching process creates a microscopic roughness of the surface enamel. Once etched, the surface is air blown super dry. A clear colored bonding agent (unfilled resin), gets vigorously scrubbed and applied with a tiny micro brush by me, to the prepared surface. This unfilled resin supersaturates the previously micro-textured enamel surface. The resin seamlessly fills into the micro-roughen landscape of the enamel engaging unbelievably small undercuts of enamel rods which make up the enamel surface you and I can not see with our naked eyes. A specifically engineered Ultra-Viloet Blue light is then shown onto the applied resin by the dental assistant. The light initiates and activates a polymerization (hardening ) shrinking of the applied resin. This “curing” acts to fuse or “bond” the unfilled resin with incredible adhesion to the enamel of the tooth. Once the bonding agent is fully cured in about 20 seconds, multiple incremental layers of tooth colored  material is artistically  added and contoured to mimic a desired shape, by me.

The Principle of Bonding is Classic. It’s been around since the 70’s. What has improved are the materials of adhesion and options of bondable materials.  The choice of materials to be bonded to enamel all require slight nuances in their preparation prior to being bonded to the unfilled layer of the enamel.

Pictured Below:

In this case of gap closure performed today, the surface materials are the patient’s enamel and composite resin material. It took me twenty minutes. No shot indicated. No Pain. Everybody happy!

 

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Before

 

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After

 

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

Missing Tooth Options.

A patient presented pain free with a fracture to the gum line ( upper left bicuspid tooth). He had minimal pain only  when he pressed his finger on the gum line of the remnant root area. There was no infection noted around the area. The incident when the tooth fractured, was unremarkable “The tooth just snapped off”, as he plainly stated.

Fractured Root canal treated tooth
Fractured Root canal treated tooth Pre-Op picture of Tooth #13

Options were discussed 

1- Doing nothing, essentially leaving the root in place. “Not a good idea”,  as I mentioned because the rotting root would act as potential source for a future infection.

2- Simple extraction of the remnant root. “A very good idea, but what about the space?” I asked. “You can’t walk around like a homeless guy. It’s near the front, for god sake.”

3- Simple extraction of remnant root combined with a bridge to span the gap. The question to ask one self when faced with this predicament, “Do you want to have two of your teeth ground down to stumps, in order to close the gap for the replacement of one tooth?”  I explained. The consequences of possibly creating an unwanted root canal in the process, seems to be an absurd option for a single tooth replacement.

4- Simple extraction of remnant  root and replacement with a removable device, a partial denture. “Terrible idea”, I said. “You are way too young to put your teeth in a cup at night!”

5-Simple extraction of remnant root, socket preservation combined with a staged implant approach…………….Excellent Idea…. we both agreed!

BINGO! And that’s what we did.

Extracted fractured tooth with bone graft
Extracted fractured tooth with bone graft

Post Op-Picture
Extracted Root with Bone graft and Barrier

The patient was informed to return for suture removal in 2 weeks.

I plan to place a dental implant fixture in 2 months via a guided surgical approach.

STAY TUNED !!!!  

You can Visit my You Tube site Robert Emilio DDS and Associates where you can find my entire official……Dental Implant Seminar for your review.

 

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

“I want a tooth.”

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Being a dentist, I do get that request by patients frequently.  My sportive response usually goes like this.  “Do you want that new tooth to stay in your mouth or do you want it to go into that tin cup on the side of your bed on  your bed stand?”

You have got several options to confront that gap.

1) You can Do Nothing. You are not going to die without that previously extracted tooth. An option,  but not a very good one. According to the Mayo Clinic: People who keep their teeth live an average of  10 years longer than people who lose their teeth due to proper nutrition….. Tooth loss can affect ones self confidence and can be emotionally traumatic. It’s a fact. People constantly judge everyday. Upon meeting you, a stranger will access you on your weight, choice of vocabulary and smile.

2) Removable Partial Denture. Its plastic, uncomfortable, difficult to chew with, traps food attacks to adjacent teeth with metal clasps. That same metal clasping will wear adjacent teeth down.  Yes, it’s in a cup at night. Relatively inexpensive. You should not sleep with the device in. “Do you sleep with your sneakers on?”  Life Span 5-10 years. A Four Visit Procedure.

3) Fixed Bridge. Looks natural. All Ceramic. Easy to chew with. Fixed into place with resin bonded adhesion. Adjacent teeth effected in the preparation of the bridge.  Can be a great option. More expensive than the removable option.  Life Span 5-10 years.  Two Visit Procedure.

4) Dental Implant. Looks great. Increased bite power. Fixed into place via osseointegration. Natural in form and shape to previous tooth. Preservation of surrounding bone. Competitive pricing with comparison to the fixed bridge option. Can last a lifetime. Multiple visit procedure.

Every Closure of Space Different and requires a complete discussion of pros and cons. Ask me on your next hygiene recall visit or request a dedicated consultation.

Go To My New YouTube Channel and You Will see My Seminar on This Topic

Robert Emilio DDS Seminar

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Implant Fixture

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Removable Partial

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Fixed dental Bridge

 

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