Monthly Archives: November 2015

Dental Extractions | Indianapolis, Il Dentist

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skd284147sdcThere’s a classic idiom in the English language that compares unpleasant, difficult tasks to pulling teeth. Known as dental extraction, pulling teeth is recommended in some situations. While it’s certainly true that few people are ever excited about having teeth pulled, dental extractions have come a long way, and the procedure is no longer cause for dread.

Your dentist may recommend extraction for a number of reasons:
– If the tooth is seriously damaged, either due to injury or decay, and can not be saved
– If the tooth to be extracted is a wisdom tooth (third molar), it may cause crowding, alignment problems, pain, or infection
– If the tooth to be extracted is blocking another tooth from coming in
– If the tooth to be extracted is a baby tooth that didn’t fall out in time
– If the tooth to be extracted is causing crowding, a dentist or orthodontist may recommend removing some teeth to allow braces to better adjust the remaining teeth
– If the teeth are infected, or could potentially be an infection source in high risk patients such as those undergoing organ transplants or cancer treatment

Extractions typically fall into one of two classes – simple and surgical. Dentists often perform simple extractions, where oral surgeons often perform surgical extractions. Simple extractions generally involve a single tooth that is visible in the mouth, with clear alignment – after numbing the area with local anesthetic, the tooth will be loosened using an instrument known as an elevator, and then pulled with an instrument known as forceps. For surgical removal, the surgeon may use local anesthetic, moderate sedation, or general anesthesia, and likely use a combination of tools and techniques to remove teeth that may be difficult to see (or still within the gums).

While extractions are very common and generally safe, they do have some risk. The most common complications are dry sockets (where the bone is exposed to air during healing), accidental damage to nearby teeth, and incomplete extractions (where a portion of the tooth remains in the gum). You should talk to your dentist about the risks of these complications.

If your dentist recommends an extraction, it’s likely that you have a potentially serious problem. While it’s unlikely you’ll celebrate the news, you need not fear: there are worse problems to have than pulling teeth.

For more information on tooth extractions and to make an appointment call, Dr. Kirtley at 317-841-1111 or visit his website  porcelainveneersindianapolis.com

Dr. Kirtley gladly welcomes patients from Spring Hill, Beech Grove and Warren Park.

Types of Cosmetic Procedures | Indianapolis Cosmetic Dentist

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459899307Are you looking for a perfect smile? Modern dentists have many dental procedures that focus on aesthetics rather than simply oral health. Some cosmetic procedures are superficial, others are significant and involve surgery, but nearly every visible problem is treatable with one or more cosmetic procedures.

Common cosmetic procedures include the following:
– Composite white fillings repair cavities without having silver filling in the mouth. Existing metal fillings can be replaced with modern white resin
– Bonding uses composite resin to help change the size, shape, or color of teeth. Because it attaches to teeth in the same way that composite fillings attach, bonding can be used to fix chips on visible front teeth.
– Teeth that are discolored or stained can be whitened – either in the office or using take-home trays
– Veneers – a thin layer of porcelain on top of the tooth – can be used to change tooth shape, size, or color
– Crowns can be used as a cap on top of teeth damaged by cracks or decay
– Orthodontics – either traditional or Invisalign – can be used to permanently straighten teeth.
– Gum tissue can be surgically altered – either added via grafts to help with recession, or removed to create a more appealing tooth length
– For missing, broken, or severely damaged teeth, full implants can be used to provide a replacement tooth

Because modern dentists have implants as a final catchall, virtually any problem – even major problems involving multiple missing teeth – can be solved given enough time and room in the patient’s budget. However, your dentist will be able to guide you through the process, creating a treatment plan that maps the various procedures and prioritizes them – making sure that the procedures are done in the proper order to maximize their effectiveness. If you have elements of your smile you’d like to change, or if you have questions about particular cosmetic procedures, call your dentist and schedule an appointment – they’ll be happy to explain the procedures, pros, cons, and discuss whether or not you’re a candidate for any various procedure.

Contact Dr. George Kirtley for an appointment today to get the bright white smile you have always wanted at 317-841-1111 or generaldentistryindianapolis.com.

Dr. George Kirtley welcomes patients from Spring Hill, Beech Grove and Warren Park

What is Gingivitis? | Indianapolis, Il Dentist

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Smiling woman with perfect teethGingivitis is one of those things none of us want to hear we have. Hearing you have gingivitis can be embarrassing, since it probably means you haven’t been keeping up with your home oral care. Gingivitis is not the same thing as periodontitis, although sometimes a person may be affected by both. Gum disease is mostly caused by improper oral hygiene that allows bacteria in plaque and calculus to remain on the teeth and infect the gums. Gingivitis is inflammation of the tissues surrounding and supporting the teeth and is most commonly a result of poor dental hygiene. Gingivitis is a very common condition and varies widely in severity. It is characterized by red, swollen gums that bleed easily when teeth are brushed or flossed.

But there are other factors that increase the risk of developing gingivitis. Some of the most common risk factors are as follows:

  • Smoking or chewing tobacco prevents the gum tissue from being able to heal.
  • Crooked, rotated, or overlapping teeth create more areas for plaque and calculus to accumulate and are harder to keep clean.
  • Hormonal changes in puberty, pregnancy, and menopause typically correlate with a rise in gingivitis. The increase in hormones causes the blood vessels in the gums to be more susceptible to bacterial and chemical attack.
  • Cancer and cancer treatment can make a person more susceptible to infection and increase the risk of gum disease.
  • Stress impairs the body’s immune response to bacterial invasion.
  • Mouth breathing can be harsh on the gums when they aren’t protected by the lips, causing chronic irritation and inflammation.
  • Poor nutrition, such as a diet high in sugar and carbohydrates and low in water intake, will increase the formation of plaque. Also, a deficiency of important nutrients such as vitamin C will impair healing.
  • Diabetes mellitus impairs circulation and the gums ability to heal.
  • Medications such as anti-seizure medications promote gum disease(Source: medicinenet.com)

The longer that plaque and tartar remain on your teeth, the more they irritate the gingiva. If harmful bacteria is not removed from teeth, they will begin to irritate the gums and cause gingivitis. If left untreated, gingivitis will often extend from the gums to the bone and lead to periodontitis. When the underlying bone gets infected, it will start to recede away from the teeth and form deep gum pockets. These pockets collect plaque and bacteria as they are very difficult to keep clean, and more bone loss occurs. As periodontal disease progresses into later stages and more bone tissue is lost, the teeth may eventually become loose and fall out.

Gingivitis can be prevented by proper and consistent oral hygiene. Make certain to eat a balanced diet and visit the dentist regularly. Brush your teeth twice daily with fluoride toothpaste. As always, floss your teeth every day!

For more information on oral health and to make an appointment call, Dr. Kirtley at 317-841-1111 or visit his website dentalimplantsinindianapolis.com 

Dr. Kirtley gladly welcomes patients from Spring Hill, Beech Grove and Warren Park.