Posts

How long do crowns last?

 Nothing lasts forever, but the reason for  having a crown done is to "preserve your tooth". Often patients avoid going along with a dentists idea of making a crown for their tooth and instead ask can have a filling.  he truth is that almost any tooth can have a filling but the larger the restoration, the less predictable the result. Teeth with large fillings can me more prone to recurrent decay, food impaction( due to faulty contacts) and fracture ( since the tooth structure is compromised by not having a crown). The other day I was at my office. My son David was treating a longstanding patient of mine whose crown had come off. I peeked into his mouth and it was clear that he had experienced a fair amount of gingival recession around the tooth and he had developed recurrent furcal decay( decay between the roots).  David cleaned out the decay and filled it with a glass ionomer restoration and was able to recement the crown. I looked through my patient's old paper chart

What's new in the practice?

My son David joined my practice last September and is seeing  patients. He is doing a great job and the feedback from our patients has be extremely promising. The timing couldn't be have better since I have needed a surgery and the medications I am currently taking will render me immunocompromised for the next couple of months. All of my staff has stayed on and my son is truly talented and capable dentist.  I really look forward to returning to practice as soon as my doctor(s) give me the green light. The truth is I feel better now than I have in the last few years and I have a great support system. It also has been heartening hearing from concerned friends, patients and colleagues. Sometimes,  just sometimes, something that seems bad news, can turn out to be good. In my instance it has been a positive experience that has been given me improved health.  While my hospital stay was not a bowl of cherries, it was necessary and I received excellent care. I am truly fortunate and look

How to Clean Teeth Like a Dentist

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Oral hygiene is the foundation of good dental health. Brushing and flossing regularly is the best way to keep your smile healthy and clean. Consider this your cleaning tutorial on the art of dental hygiene, instructed by, Dr. Webb & Dr. Awtrey and the skillful hygienists at Abilene Family Dentistry. Toothbrush, Toothpaste, Floss & Mouthwash Before... (Read More) The post How to Clean Teeth Like a Dentist appeared first on Abilene Family Dentistry. http://dlvr.it/TCvw3T

An ounce of prevention?

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 When discussing oral health, preventing problems from worsening is the way to go.  Small fillings are better than waiting until problems worsen. A small filling can lessen the need for a root canal or an extraction in order fix the problem once it worsens.  Getting cleanings and check ups also lessons the probability of patient developing periodontal poblems. Brushing well and flossing also keep the teeth cleaner and less likely to develop smooth surface decay  (not in the pit and fissures).  Unfortunately many patients ignore the dental problems until they are hurting. By this point prevention is not an option and our fixes, sad to say, are not guaranteed to permanently fix tooth problems. Often by the time a patient "feels" significant tooth pain the situation is so advanced that the long term prognosis for their tooth is compromised even after their problem is addressed. This is why dentists advise their patients to come for checkup and cleanings every 6 months. Of

Is dentistry going to the dogs?

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Acrylic dentures ,as a opposed to cast framework partial dentures, are used for patients whose remaining teeth have a guarded prognosis due to mobility, bone loss and /periodontal disease. Patients who are candidates for these often do not want to remove their remaining teeth and may not find implants an affordable option. Since these "transitional" dentures are made from acrylic, adding additional teeth is a relatively easy procedure that involves taking a pickup impression and sending this with the denture to the lab so that they can pour up a new model and add a replacement tooth to the denture.  These all acrylic dentures are a common choice for patients who don't wand definitive comprehensive treatment but instead just want to replace their currently missing teeth.   The other day, one of our residents filled out her Rx to the laboratory for fabrication of an acrylic partial denture. These partial appliances are all acrylic with the acception of hand bent wires t

Dental pain and diagnosis?

 Patients often present with dental pain and would like to get a diagnosis and appropriate dental treatment. They often complain of a tooth ache, which is not very specific, since There can be a number of causes for tooth pain and there are many differential causes.  Often my residients and students try diagnosing using the dental radiographs as their primary tool. Dental radiographs are just one of the items in our tool box. For me , the first thing I do is ask the patients a bunch of questions... When do you have pain? do you have pain on biting, pain after eating, hot or cold sensitivity  or prolonged pain. The answers to these questions have a lot to do with narrowing down why the patient is having pain.  I definitely look at the radiographs to see if their is an obvious problem in the quadrant they are feeling pain( perapical radiolucency or a large carious lesion).  If a tooth is sensitive to cold it means that it is vital and any teeth with root canals in the area can not be th

How do you perform examinations?

 Our study club just watched a lecture on how he does examinations of his patients..It makes alot of sense. 'First he goes over problems he sees and gives a tour of the mouth to his patient. Then he explains what could happen if the problems are not addressed. Only after this initial tour does he go over possible treatment options.  I use a similar approach with my patients. I find that this allows patients to better understand their problems and why I recommend specific treatments. Also the last part of the exam is the cost of various treatment options as well as the pros and cons of each choice. I find that hearing about cost of treatments , especially if given at an earlier point of the exam can keep my patient from "hearing" my explanations, since once they hear the cost they can fixate on picking an inferior but less costly treatment plan. After all, who wants to spend thousands of dollars completing their treatment. This is especially true if they don't unders