Category Archives: general dentistry

Do We Really Need to Floss? | Indianapolis Dentist

Bad Breath, Dental Health, general dentistry, General Health, Gingivitis, Gum Disease, Oral Care, Oral Health, Periodontal Disease, Teeth, , , , , , , , , , , , , , , , , ,

We all know we’re supposed to floss daily but let’s be honest – most of us don’t. It just always feels like an unnecessary thing to do. But are you sure it’s unnecessary? You may not think so offhand, but then why do you make sure to do it before your appointments? Yes, we are sure you dread when you’re sitting in the dentist’s chair and they ask, ‘How often do you floss?’ While you’re calculating in your head how much you floss and whether or not you should fib to the dentist about your flossing habits, let’s go over why it’s so important to floss daily. After all, taking care of our teeth is important if we want to keep them for as long as we possibly can.

Better than brushing alone. A toothbrush works to removing plaque with its bristles. Brushing alone has one big drawback: A toothbrush’s bristles can’t adequately clean between the teeth or under the gums. That’s where floss comes in, to get in those tiny spaces between your teeth to get the grime out your toothbrush can’t reach.

Protects your gums. Where the gums and teeth meet are where flossing plays its major role. Particles of food can get lodged here, and plaque in this area will harden over time to form tartar, that your dentist will remove with a scraper. Tartar buildup can lead to gingivitis.

Helps prevent other diseases. Gum disease can have effects that go beyond discolored teeth, discomfort and bad breath. Research has shown that the bacteria in an unhealthy mouth can harm the rest of the body, leading to heart disease, diabetes and respiratory illness.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Choosing the Perfect Smile | Indianapolis Dentist

Cosmetic Dentistry, general dentistry, General Health, porcelain veneers, porcelain veneers, Smile Makeover, Veneers, , , , , , , , , , , , , , , , ,

It’s a new year and a new you. That’s what they tell you anyway. When you think about being that new person, what improvements are you making? Are they physical ones? Do you ever stop to consider improving your smile? Many of us know someone with a great smile, but most of us have imperfections that need improvements. Veneers may be the ideal solution to repair your dental imperfections. They are thin, semi-translucent laminate that are bonded to change the shape and color of your teeth. Yes, you and your dental professional will design your smile to look as natural as possible. No one will notice a thing.

There are two types of veneers – composite resin and porcelain. Surprised? It’s true. But which do you choose? Let’s break down the two options. This way, when you go to your dentist for a consultation, you will have a general understanding of what you’re getting into and can have some questions for your appointment.

Composite:

  • Last about 4-8 years with proper maintenance
  • Made of high-quality reinforced plastic. Given today’s high-end technology these veneers look and feel very good, but under pressure they can damage quite easily.
  • Have a porous surface, which can affect their look after years of use
  • Stain more easily. Often needing whitening treatments to maintain their appearance.
  • Chip easily

Porcelain:

  • Porcelain veneers on the other hand last up to 25 years and do not require as much maintenance
  • Made of high-quality porcelain, natural in color and more resistant
  • Maintain strength and appearance over several decades
  • Do not stain because of the non-porous material

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

When It’s too Crowded | Indianapolis Dentist

Cosmetic Dentistry, Dental Health, general dentistry, General Health, Oral Care, Restorative Dentistry, Smile Makeover, Teeth, Teeth Crowding, , , , , , , , , , , , , ,

There is nothing more uncomfortable than being stuck in a crowd. It’s hot, it makes you feel helpless and chances are someone has bad breath. The same goes for teeth. Teeth crowding is the lack of space for all the teeth to fit normally within the jaws, causing the teeth to become twisted or displaced.

One of the common causes of tooth crowding is natural occurrence – so called mesial drift phenomenon, where your front teeth drift slowly to the center of the mouth. In the past, some dentists believed this was caused by the presence of wisdom teeth, crowding the front teeth from the rear of the mouth, though in reality many of the problems are due to simple insufficient space for the number of teeth as adults grow. Beyond mesial drift, other potential causes – such as weakened support due to periodontal disease, thumb sucking, and tongue thrusting – can also influence teeth to move in directions that are undesirable, leading to misalignment and crowding issues. We see many adult patients who had relatively straight teeth as teenagers coming to correct new crowding that has developed, especially in the lower front teeth.

Many see crowding as a cosmetic problem, the reality is that poorly aligned teeth are at an increased risk for periodontal disease, decay, and the patient is more likely to suffer from TMJ (jaw-joint) problems, as their irregular bite may cause strain on their jaw over time. For these reasons, fixing alignment should be considered more than simply a cosmetic procedure – correcting the alignment allows the patient to have better access to brush and floss, and their bite will be more level.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

It Shouldn’t Be Like Pulling Teeth | Indianapolis Dentist

Dental Health, general dentistry, General Health, Oral Care, Oral Health, Teeth, Teeth Crowding, , , , , , , , , , , , , , , , , , , , ,

Have you ever heard the phrase “it’s like pulling teeth”? It is generally used to describe something unfun. And if you think about it, they’re right – having a tooth pulled is no fun. But there are lots of reason a tooth needs to be pulled.

Your dentist may recommend extraction if you tooth is…

  • Seriously damaged, either due to injury or decay, and cannot be saved
  • A wisdom tooth (third molar), it may cause crowding, alignment problems, pain, or infection
  • Blocking another tooth from coming in
  • A baby tooth that didn’t fall out in time
  • Causing crowding, a dentist or orthodontist may recommend removing some teeth to allow braces to better adjust the remaining teeth
  • 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).

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; pulling teeth today isn’t as painful as the saying makes it out to be.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Teach ‘Em Young: Halloween Edition | Indianapolis Dentist

Dental Health, general dentistry, General Health, Halloween Candy, Oral Care, Oral Health, , , , , , , , , , , , , , ,

Well, we’ve made it back to yet another Halloween night. And while this night is the spookiest of all, it is the days following that are the spookiest for your dentist. This is why it is so important to keep your dental health up during this sugary sweet time of year. There’s no reason to deny children the enjoyment of Halloween candy, in fact, it is the ideal time to teach an important lesson.

Use Halloween as a way to teach children about moderation. By teaching children to eat sweets in moderation, you’ll encourage them to practice moderation in their daily lives, including other foods that may not be the best for us. Allow your children to choose the candy they want to eat, but set a limit on the number of pieces, and remove the extras – they can be saved for a future day, frozen for later, thrown away, or donated.

It is important to know that the effect of sugar is not instant. If children eat candy for a short time period, and then brush their teeth a short time later, the impact of the sugar is fairly minimal. Set a certain amount of time for children to enjoy their Halloween candy. This allows them to prioritize their candy enjoyment, minimize the chances that they’ll consume far too much, and help prevent cavities.

Focus on fun, but effective, tooth brushing. Children don’t care about dental health, so stimulate their interest by swapping a traditional toothbrush for one that has fun characters/colors, or giving them the opportunity to pick their own toothpaste, just make sure it contains fluoride.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Dental Checkups: What to Expect | Indianapolis Dentist

Dental Health, general dentistry, General Health, Oral Care, Oral Health, , , , , , , , , , , , , , , , , ,

In order to maintain a healthy smile, it is important to practice dental hygiene on a daily basis and visit the dentist regularly. Not only will they give you a good deep cleaning, but they will also help to detect any issues that may be coming up on the horizon. But what are you really looking at when you sit in that dentist chair? This is a quick rundown of everything you will come to expect during your dental visit. This way, you won’t have anything to worry about.

The first thing most dentists will do when for a patient’s first visit is conduct x-rays. The x-rays not only provide a current glimpse at the state of the patient’s oral health, but they offer a glimpse at the patient’s dental history. Fillings, crowns, bridges and implants will be plainly visible, as well as any existing problems such as untreated decay.

As the dentist reviews the x-rays, it’s likely that the dentist will discuss your dental history – what problems has the patient had? What prompted the visit? What concerns does the patient have?

Based on the result of the x-rays, it’s likely that the dentist will determine that certain teeth need attention, if a professional cleaning is needed, or showing the patient has in good oral health.

You should now have a pretty good idea of what to expect. Not so bad, right? If you’re still unsure, or if you have any questions, call the dentist’s office – they’ll be more than happy to walk you through the plans, and give you more details about what to expect on your first visit.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Contour Your Smile | Indianapolis Dentist

Cosmetic Dentistry, Dental Health, general dentistry, General Health, Gum Contouring, Oral Care, Oral Health, Restorative Dentistry, Smile Makeover, , , , , , , , , , , , , , , , , , , , , ,

When we think of a perfect smile, we will tend to focus on bright, white, straight teeth. However, many patients realize that there’s another component as well – healthy, nice looking gums. You may not even think about it, but have you ever noticed that some may have gums that are too high, and others have gums that are too low? This is what we mean by nice looking gums. The causes will vary – genetics play a part, but certain prescription drugs can cause gums that cover more of your teeth than normal, and activities such as smoking can cause gum recession, causing your teeth to look longer than expected.

Gum contouring is typically considered a cosmetic procedure – most insurance plans do not consider it medically necessary and will not cover the costs. However, it is available from many dental and periodontal offices. For severe cases of gum recession, exposed tooth roots can cause gum contouring to be considered a medical necessity, as the receding tissue can contribute to long term problems such as tooth decay and tooth loss.

The procedure can be done with traditional surgical techniques or lasers – ask your dentist to determine which they recommend. In many cases, local anesthesia is sufficient, though general anesthesia may be considered for larger procedures. The recovery is typically straightforward – there is some bleeding and swelling expected, but generally the soreness will subside within a week. At the end of the procedure, the patient can look forward to a gum line that is both healthy and cosmetically appealing. Think your gums could be changing on you? Make a dental appointment for a consultation and get started on the smile you’ve always wanted.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Keeping ‘Em White: Refrigerator Edition | Indianapolis Dentist

Dental Health, general dentistry, General Health, Oral Care, Oral Health, Teeth Whitening, , , , , , , , , , , , , , , , , , , , ,

We all try everything to have the whitest smile we can. Brushing, over-the-counter products and professional teeth whitening procedures are all options, but have you ever thought you could brighten your grin in your kitchen? According to the American Academy of Cosmetic Dentistry, certain foods naturally cleanse, brighten, and defend against bacteria that can harm your teeth and gums.

The following 10 foods were recommended by the academy for a healthy, brighter smile.

  • Pineapples can help whiten teeth. Pineapples contain an enzyme called bromelain, which acts as a natural stain remover. Bromelain also helps break up plaque.
  • Ginger can protect against periodontal disease, an inflammatory process that causes the loss of bone and supportive connective tissue in your mouth.
  • Carrots contain vitamin A, which is needed for healthy tooth enamel. Eating them raw stimulates saliva, your mouth’s natural cleanser.
  • Basil is a natural antibiotic that reduces bacteria in the mouth.
  • Cheese is rich in protein, calcium, and phosphorus, all of which help reduce acid in your mouth.
  • Sesame seeds help “scrub” away the plaque on your teeth. Chewing nuts can also provide this coarse, scrubbing action. Sesame seeds also contain bone and teeth-strengthening calcium.
  • Shiitake mushrooms contain a compound called lentinan, which inhibits bacteria from growing in your mouth.
  • Onions contain the sulfur compounds, thiosulfinates and thiosulfonates, which reduce bacteria that cause tooth decay. Eating them raw is a must as cooking will destroy these tooth-friendly compounds.
  • Salmon not only provides calcium but also vitamin D, another nutrient needed for healthy bones and teeth.
  • Broccoli contains iron, which helps form an acid-resistant film or barrier that can protect the enamel of your teeth.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Do You Know Your Teeth? | Indianapolis Dentist

Dental Health, general dentistry, General Health, Oral Care, Oral Health, Teeth, , , , , , , , , , , , , , , , , , , , ,

We all have them – in fact, we have two sets within our lifetimes. They help us eat, speak and plenty of other functions. But have you ever stopped to think, what exactly are these hard, white nuggets in our mouths? Believe it or not, but teeth are complicated structures. Let’s start from the outside and work our way in…

The visible surface of the tooth is known as enamel. Enamel is typically light yellow to white in color, but is semi translucent, so when you are looking at the color of your teeth, you are looking at both the enamel and underlying dentin.

Enamel covers the tooth above the gum line, below is covered in cementum. A yellowish substance, it contains less than half of the mineral content as enamel, making it much softer. However, cementum is to provide a surface to allow the periodontal ligaments in the gums to hold onto the tooth.

Below the enamel and cementum lies the dentin, both much softer than enamel and much less brittle. It’s also more prone to decay. Finally, within the dentin lies the tooth pulp. The pulp is soft tissue, filled with blood vessels and nerves that provide the tooth with oxygen, nutrients, and the ability to transmit ‘senses’ such as temperature, pain, and pressure.

While most people will only see the enamel surface of their teeth, you can see that there are lots of layers that make up a tooth, and all need proper dental care to maintain healthy teeth. By protecting the enamel with proper brushing, and treating cavities formed by decay before they damage the dentin or pulp, proper dental care will ensure a patient has healthy teeth – from pulp to enamel – well into old age.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Care for a Mint? | Indianapolis Dentist

Bad Breath, Dental Health, general dentistry, General Health, Gum Chewing, Oral Care, Oral Health, Periodontal Disease, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Nobody wants to hear, “You have bad breath.”

The problem is, that is generally how you find out that you do. It’s something a significant someone will likely point out to you. We all want to maintain fresh breath throughout the day, but if we don’t have a toothbrush at our disposal how do we accomplish that? It isn’t as difficult as you think. The main goal to keeping bad breath at bay is to keep saliva production going. The more saliva you have being produced the less chance odor-causing bacteria have to set up camp in your mouth. Below are five easy ways to keep your breath fresh all day:

Stay hydrated. If you can’t brush your teeth after a meal, drinking a lot of water can help speed up the process of cleaning harmful bacteria and debris from between your teeth. Drinking milk can even help deodorize some offensive breath odors. Avoid sugary drinks!

Don’t drink too much coffee. It may be tasty, but coffee is a tough smell to get off the back of your tongue.

Don’t smoke or use other tobacco products. Cigarettes, pipes, and snuff can foul your breath. Smoking gives people horrible breath!

Cut back on alcohol. Alcohol can lead to a dry mouth. Too much beer, wine, and hard liquor can make your breath reek for up to eight to 10 hours after you finish drinking.

Chew sugarless gum. Doing so 20 minutes after a meal can help with saliva flow. Gum that’s 100% xylitol-sweetened can help reduce cavities.

Visit Dr. Kirtley today and schedule an appointment to find out what kind of treatment your teeth needs to be healthier and to look better.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.