You might think that the point of going to your general dentist is for cleanings and maybe an occasional filling. But you are wrong if you believe that’s all your dentist can offer you! A wide variety of treatments is available at a typical general dentist’s office.
Most visits to your general dentist include an initial consultation, thorough examination, and diagnostic tests if needed like dental x-rays. You’ll have the opportunity to express any problems or concerns you have, and your dentist will identify any issues that you might not be aware you have. You can also expect a meticulous professional cleaning to eliminate tartar buildup and stains that you may not have been able to get rid of at home.
You can expect these common procedures at many general dentistry practices:
- Fillings – to repair damage caused by tooth decay, often using composite resin material to provide a strong yet cosmetically appealing solution.
- Bonding – using composite resin to repair issues like cracks, chips, gaps or stains.
- Crowns – also called caps, these restorations are fitted over damaged or broken teeth to restore tooth structure and function, and to protect them from future damage.
- Bridges – to replace missing teeth, a bridge structure anchors an artificial tooth or teeth. Crowns fit over natural teeth on both sides of a gap, in which the artificial tooth replaces a missing tooth to provide a natural appearance and functional replacement.
- Dentures – if a number of teeth are missing, dentures are removable false teeth with the goal of functioning and looking like real teeth.
- Root canal treatment – when the interior pulp of a tooth is badly damaged or infected, this procedure removes the faulty portion and completely restores the tooth to avoid tooth loss.
- Teeth whitening – when teeth have become discolored with age, tobacco use, diet, or more, it can be very difficult to restore their white shade without the aid of professional whitening. General dentists may offer at-home kits or in-office whitening treatments.
- Maxillofacial treatments – mouth, jaw, or facial procedures are sometimes offered, including options like TMJ treatment or dental implants.
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Gum disease is a serious problem. You should treat it as soon as possible following the recommendations of your dentist. Also known as periodontal disease, it has several treatments, depending on the severity of the issue.
Your first course of action is to completely revamp your oral hygiene habits. Daily flossing and brushing following meals are essential habits to develop. You must have a clean mouth before you go to bed. If you smoke, you should stop. Your mouth’s health depends on it.
If you haven’t been keeping up with your professional checkups and cleanings, you need to start again. Long-term gum health is greatly impacted by the plaque, tartar, food debris and bacteria left on teeth. Hardened calculus, or calcified plaque, can be removed using a process called scaling. This process may require local anesthesia.
Your progress will be evaluated by your dentist to see if your gum tissue is recovering. With enough progress and response to treatment, your gum disease treatment may not progress beyond these initial steps; however, for more severe cases of gum disease, you may require oral surgery.
Surgical procedures are available that can regenerate and repair the soft gum tissue in the mouth, as well as hard tissues such as bone or teeth. Your oral surgeon will want to reduce or completely eliminate gum pockets, or open areas beneath the gum line, improving and renewing gum to tooth attachment. Normal oral functions and aesthetic appearances are aimed to be restored.
There are many sedation dentistry options available to patients treating their gum disease with oral surgery. These include local anesthesia and IV or conscious oral sedation. Talk to your oral surgeon to see what’s appropriate for your specific needs.
Don’t wait to treat your gum disease. Do what you need to do to ensure a lifetime of better oral hygiene and gum health.
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If oral surgery is in your future, you might be worried about what’s to come. The way to relieve that worry is to talk to your oral surgeon. Your oral surgeon has the experience and knowledge necessary to guide you through whatever concerns or questions you may have. Here is a guide to some of those questions and answers:
How will I handle pain following surgery?
- In many cases, you will have been prescribed narcotic pain relievers. If you are taking narcotics, take them only as recommended and do not mix them with over-the-counter pain relievers or alcohol. Driving while on narcotics is dangerous and can have serious consequences for you personally and for others. If you weren’t prescribed any medication, use anti-inflammatory analgesics such as ibuprofen or naproxen sodium.
What will happen to my stitches in the days following surgery?
- Some stitches will be designed to dissolve over time and will not need to be removed. Others will not come out on their own and will need to be removed at a subsequent appointment. In many cases, losing a single stitch or two in the days following surgery isn’t serious; however, for bone-graft treatments, it is problematic and you should contact your surgeon immediately.
Can I eat normally after surgery?
- Immediately after surgery when you’re still experiencing any mouth or tongue numbness, don’t eat anything. You could mistake the soft tissues of your mouth for food and do serious damage to your mouth without realizing it. After your numbness subsides, consume soft foods of tepid temperatures for several days to allow for healing. Talk to your surgeon to learn when you can resume normal eating patterns as dictated by your particular surgery.
What other tips do you have?
- Stay hydrated and rest as much as possible to facilitate complete and quick healing. Call your surgeon if you have excessive bleeding or pain that doesn’t lessen with time. Be aware of signs of infection (swelling, redness, odorous or sour discharge) at the surgical site and seek professional care when needed.
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Oral surgery to correct problems with the jaw is known as orthognathic surgery. Jaw issues can result from birth defects, changes due to growth, or injury or trauma to the face. While orthodontics can correct bite problems when only the teeth are involved, oral surgery may be required when repositioning of the jaw is necessary to correct the issue. If you suffer from any of the following concerns, orthognathic surgery may be a consideration:
- Difficulty chewing, biting or swallowing
- Problems with opening and closing your mouth, or with speaking
- Persistent jaw or temporomandibular joint pain
- Clenching or grinding of teeth causing excessive wear to the teeth
- Inability to make the lips meet without straining
- Un-proportional facial appearance or protruding jaw
- Malocclusion, open, or incorrect bite
- Recessive lower jaw and chin
- Sleep apnea and breathing problems
Most jaw surgeries are performed completely in the mouth, so no facial scars are visible. The oral surgeon makes cuts in the jawbone and then moves them to the correct position. Once the jaw is correctly aligned, screws and bone plates are placed to secure the jaw into the new position. Sometimes it may be necessary to add extra bone to the jaw from your hip, leg, or rib.
Orthognathic surgery is performed by an oral and maxillofacial surgeon usually in a hospital setting. Recovery time from jaw surgery takes three to six weeks. Your general or family dentist should be able to refer you to a skilled oral surgeon for a consultation and examination to determine a treatment plan. Jaw surgery can improve not only your facial appearance, but also chewing, speaking and breathing functions.
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If you or a loved one is scheduled to have or has recently had oral surgery, you probably have a lot of questions. Here are some of the most common questions:
- One of my stitches came out after my surgery, should I be worried? Losing a stitch isn’t a problem. In the majority of cases, stitches are put in place during surgery to assist in clot formation and bleeding control. If you have undergone a bone-graft procedure, however, contact your surgeon because you may need to be seen immediately.
- What can I eat after surgery? Immediately following surgery, eat only soft foods of tepid temperature. Avoid very hot or very cold foods. Eat nothing that is crunchy or chewy so you won’t damage the surgical site.
- I am having a lot of pain following my procedure, what should I do? If you have been prescribed pain medication, take it as recommended. If no prescription was given, use over-the-counter medicines containing natural anti-inflammatory properties such as ibuprofen. Stay hydrated by drinking room temperature water and get plenty of rest.
- I had a tooth extracted, how can I tell if I have a dry socket? Dry socket is the result of the loss of the blood clot present in the extraction site. Smoking, using a straw, poor oral hygiene or failure to rest properly following the extraction procedure can lead to this condition. Typically dry socket will present within one week of extraction and is treated with sterile wash and pain-relieving, medicated gauze.
- I had a procedure this morning and am still bleeding. Is that normal? Bleeding following extractions or other surgical procedures is common. If you are bleeding more than normal, bite down on some sterile gauze or a damp teabag for twenty or thirty minutes. Don’t keep removing the gauze to look for blood; that can make the bleeding worse. Call your surgeon if you feel your bleeding is excessive.
Your oral surgeon can answer these questions and more. Don’t hesitate to call the surgeon’s office to get the peace of mind you require to heal comfortably following your procedure.
Our dental office is located in Baltimore
What is a dental crown?
- A dental crown encases a damaged tooth completely within a custom-fit cap, or crown, fitting perfectly over the affected tooth. A dental crown is designed specifically for you and your tooth’s particular design, fit and function. It is a restorative therapy that can restore function to a tooth that may have had excessive decay, has been cracked or has recently undergone root canal treatment.
How do dental crowns work?
- A dental crown covers a damaged tooth entirely and can be used to improve not only the tooth’s appearance, but also its shape or alignment.
What is a dental bridge?
- A dental bridge makes a literal bridge between two anchor teeth, filling a gap left by a missing tooth that has either fallen out naturally or is the result of acute decay or facial trauma. Dental crowns cover the bordering anchor teeth, allowing the bridge to fit securely and to function as your natural tooth.
What materials are used for dental crowns?
- Dental crowns can be porcelain (ceramic), porcelain-fused-to-metal, or gold or other metal alloy. Porcelain or ceramic crowns can be designed to closely match the color and translucency of your natural teeth. Metal alloys are usually stronger, and are a better choice for back teeth.
Is a dental cap a crown?
- Yes! A dental cap is another name for a dental crown.
Am I a candidate for a dental bridge?
- If you are missing a tooth and you have adjacent teeth that are stable, dental bridges are for you. Even if you are missing a front tooth or a tooth that has only one border, there are types of dental bridges that could meet your needs.
Are there alternatives to a dental bridge?
- Dental implants are rising in popularity as technology has improved. A dental implant can restore a single tooth or can restore several, and are the standard of care for the replacement of a missing tooth today. Because a dental implant continues to stimulate the jawbone, it doesn’t lead to bone loss over time.
We treat patients from Baltimore and the surrounding area
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