Tag Archives: General Dentistry

How Do Dental Sealants Work?

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89683018Sealants, also known as dental sealants, are made out of a plastic material that’s placed on the molars and premolars for added protection against tooth decay.

The main reason why sealants are primarily placed on the permanent back teeth, or the molars and premolars, is that these teeth have fissures or grooves. These deep fissures or “pockets” can trap bacteria and food particles, as well as are difficult to clean. This combination makes the permanent back teeth vulnerable to tooth decay. Although using fluoride toothpaste and getting fluoride treatment at the dental office does help provide protection to all the surfaces of your teeth, your permanent back teeth need extra protection and that’s where dental sealants come in.

Dental sealants help make sure that the grooves and fissures are not at more of a risk for plaque buildup and tooth decay as your other teeth are.

Are dental sealants applicable only to the permanent back teeth?

Although dental sealants are usually placed on the premolar or molars, dental sealants can also be used on other permanent teeth, so long as they have grooves or pits.

In some children, for example, their baby teeth may also have grooves that could benefit from having dental sealants placed on them.

Are dental sealants exclusive to children?

No. While children are the ones who usually get dental sealants on their molars and premolars, adults too can sometimes have dental sealants placed on their back teeth. That is, if their teeth with grooves and fissures do not have fillings or dental sealants yet.

How are dental sealants placed?

The dentist first cleans the tooth surface thoroughly using a paste and rotating brush. Then, the dentist washes the tooth and lets it dry for a few seconds or minutes. The dentist then appliances an acidic solution on the grooves of the tooth’s chewing surface. The solution is left there for a few seconds before the dentist rinses it off. The use of the solution helps create small microscopic areas in the grooves and fissures, as well as fine rough surfaces. The rough surface and microscopic areas help the dentist attach the dental sealant to the tooth.

Once the tooth has completely dried up, the dentist places the dental sealant on the tooth. The sealant is then hardened using a light. Although some dentists may choose to use a two-component dental sealant that sets and hardens on its own.

Once done, your dentist will send you on your way and you can chew on your tooth again as you did before.

Dental sealants have been used to great effect since the 1970s. There are enough studies to show how dental sealants can help tremendously in lowering one’s risk for tooth decay, essentially preventing it on the chewing surfaces it’s applied to. Dental sealants have also been known to last for years, if not decades. Although if you want and if deemed necessary, the dentist can place a new dental sealant on your permanent back teeth.

While dental sealants and fluoride treatments tremendously help lower your risk for tooth decay and other dental problems, it’s still important to take proper care of your teeth at home and to visit the dentist regularly for checkups and professional cleaning.

 

Why Do I Need Fluoride Treatment?

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ThinkstockPhotos-146796980The enamel is the hard, protective shell that covers much of the surface of your teeth. It is strong and durable. It also happens to be your teeth’s natural, built-in defense system against various dental problems, such as cavities and tooth decay.

Unfortunately, regardless of how strong the enamel is, bacteria, especially when allowed to build up, can slowly eat away at it. This can result into cavities and tooth decay, among many other things.

To prevent this from happening, dentists recommend using fluoride toothpaste and receiving regular fluoride treatments to help improve the strength of the enamel and even reverse the tooth decay and its effects.

What is Fluoride?

Fluoride is a mineral that’s found naturally in different kinds of food, as well as in water.

By receiving fluoride treatments, the strength of the tooth enamel is restored and improved. The treatment also helps make the teeth become more resistant to acid, making them less prone to tooth decay down the line.

Why is Fluoride So Important?

Of course, the main benefit of fluoride is that it helps in preventing tooth decay. However, fluoride can also reverse the effects of early gum disease, as well as replace the minerals in the enamel that plaque has eaten away.

To put it simply, fluoride is vital in keeping teeth healthy and making sure it stays that way.

In children, especially those under the age of six, fluoride treatments is important because it can help prevent bacteria from building up in areas like the gums. This helps tremendously in establishing long-term dental health early on, while at the same time, it also improves the child’s chance against gum disease.

Those who have been fitted with orthodontic braces and other orthodontic treatments can also benefit from fluoride treatments as it helps prevent bacteria from building up and being trapped.

Can Adults Benefit From Fluoride Treatments?

While you’ve probably heard about how fluoride can help in strengthening developing teeth, which basically means that children benefit the most from fluoride treatment, such a treatment is just as important when it comes to fighting off tooth decay.

Fluoride, whether coming in the form of a fluoride treatment, a mouth rinse or wash or a toothpaste, can improve the average adult’s chance against tooth decay and other dental complications.

Certain conditions can also benefit from fluoride treatments, including but not limited to:

  • Xerostomia. Certain diseases or medications can cause Xerostomia or dry mouth. However, regardless of what exactly caused it, having a dry mouth means there’s little saliva in your mouth, which is a major risk factor for gum disease.
  • Gum recession. Gum disease, in its worse stages, can cause the gums to recede and teeth to appear shorter. While this is not pleasing to look, the recession of the gums can eventually lead to the roots being exposed and prone to tooth decay, or eventually, tooth loss.

 

Patients whose teeth have deep pits and grooves, as well as those who’ve had dental work done on them in the past can also potentially benefit from the presence of additional fluoride in their mouth.

Then again, it is up to your dentist to decide whether or not your oral health could use the additional fluoride and just how much extra it needs.

Request an appointment with your dentist as soon as possible to know how you could provide your teeth with additional protection, whether it is through fluoride treatments or other means.

If you feel that you would benefit from a fluoride treatment, contact Dr. George Kirtley at 317-841-1111 to schedule a consultation today or visit www.smilesbygeorge.com.

Dr. George Kirtley welcome patients from Spring Hill, Beach Grove and Warren Park.

How Smiling Affects Self-Esteem

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teeth whiteningIn both sociology and psychology, self esteem is defined as the “reflection of an individual’s overall subjective emotional evaluation of his or her own worth”. It is also their judgement of their own selves, as well as their attitude toward their selves.

Self-esteem is also one of the deepest of all the core emotional needs of the human being and one of the key components of maintaining healthy relationships with other people. The higher your self-esteem is, the more people will be accepting of you, which in turn makes you feel important – another deep need of the human being.

The Effect of Self-Esteem on Human Relationships

In a healthy relationship, each person likes the other and accepts them just the way they are, regardless of the differences in opinion, beliefs and perspectives. However, forging ideal and healthy relationships with people you meet isn’t easy, as there’s always the risk of rejection and the lack of acceptance from other individuals or groups. And, this rejection is often the cause for the development of antisocial behaviors in those that are rejected.

The best way to lower the risk of being rejected and disliked, both at home and outside, it’s important to express unconditional acceptance of other people, a behavior which usually is reciprocated by others.

Now, you may wonder, where does smiling factor in all of this?

Well, for starters, smiling is widely considered as one of the best ways to project one’s desire to express unconditional acceptance to people they meet.

Wearing a Smile

It’s been said that it takes just twelve muscles to smile, while it takes 113 muscles to frown. And, when you smile at other people, you project to them your own self-confidence, which in turn helps make them feel better and make you more likable.

Smiles are so powerful that many people have married and stayed married simply because of a single smile that they both shared across a room. And, as cliché as that may sound, it simply just proves just how valuable smiles are.

Improving Your Smile

Unfortunately, though, making an effort to smile takes more than just developing a positive attitude. For one, regardless of how proud you are as a person, it’s not that easy to flash a smile when your teeth are missing, crooked, chipped, discolored or basically, not the pearly whites that you want them to be.

Fortunately, modern dentistry has many ways to help you fix your smile and make you more confident to flash it more often. Though, it’s important to keep in mind that while dental procedures can help you a lot, the best way to improve your smile and therefore, your self-esteem, is to start doing so at home.

At home, make it a point to practice a good oral routine. Preferably, this should include brushing twice a day for two to three minutes each session. Flossing should also be done at least once to prevent bacteria and plaque build-up in the gaps in between teeth that brushing alone won’t be able to remove. Rinsing with a fluoride mouthwash can also help.

A good oral routine at home and frequent trips to the dentist for dental checkups, as well as professional cleaning, are the keys to maintaining not just a better-looking smile, but one that’s unarguably much healthier.

If you’d like to improve your self esteem starting with your smile, contact Dr. George Kirtley at 317-841-1111 or visit www.smilesbygeorge.com to learn morea bout his practice.

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

Caring for your Implants | Cosmetic Dentist Indianapolis

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177406608Receiving a dental implant(s) treatments isn’t the easiest procedure. There are many steps, visits and waiting time to go through the entire process correctly. You’ve put in a lot of time and money in to your new restorative, now how can you ensure they last a lifetime? Once you have your dental implants in place, you want to make sure they are taken care of properly.

Dr. Kirtley also wants to make sure your dental implant(s) are cared for properly as well! We’ve compiled a short list of easy steps to properly care for your new implant(s).

Proper care for your new implant(s):

-Brush and Floss twice a day – just like your regular teeth, implants need to be cleaned and flossed to prevent food particles from invading your gums and implant structure.

-Say no to Staining – dental implants can stain the same as normal teeth. Steer clear of smoking, coffee, tea, sodas and wine. Moderation is key.

-Mouthwash – special germicidal mouthwash is often prescribed by dentists for patients with dental implants. It helps reduce the risk of infection.

-Dental visits twice a year – regular dental visits are a part of normal dental hygiene; however this is especially true for people with dental implants. Your dental implants will need a thorough cleaning and plaque removal. Along with the cleaning, the condition of your gums, jaw and anchors will be checked.

Caring for restorations is just like caring for your natural teeth: brush, floss and maintain regular dental cleanings and check-ups, as scheduled. Easy, right? With proper care, your dental implants can last you a lifetime.

Contact Dr. George Kirtley for an appointment today for more information on implants at 317-841-1111 or generaldentistryindianapolis.com.

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

Teeth Crowding Solutions | Indianapolis Cosmetic Dentist

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woman smileMany people have – or believe they have – problems with their teeth crowding that goes untreated. Crowding can be caused by a number of different factors, and knowing the actual cause may impact the treatment options. Crowding is the lack of space for all the teeth to fit normally within the jaws. The teeth may be twisted or displaced. Crowding occurs when there is disharmony in the size or number of teeth to available jaw size.

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. It is still not completely understood why this happens, but we do know that presence of the wisdom teeth are not usually directly related.

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.

If you notice crowding in your front teeth, make a point of asking Dr. Kirtley about options during your next regular checkup. There are a number of treatments available, and treating the crowding early can help prevent more serious problems from developing in the future. Even if your concerns are simply cosmetic, we can work with you to ensure that your teeth will have the best chance for minimal movement in the future.

For more information on tooth crowding 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.

Is a Dental Implant for You? | Indianapolis Cosmetic Dentist

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tooth whiteningMany people are living with damaged teeth in form or another. Perhaps you are one of those people? Do you have a cracked tooth, a severe cavity or physical trauma to a tooth, stemming from an accident? With circumstances like these the chances are more than likely that your tooth may not be able to be saved. Modern dentistry has a number of options that look and feel like a natural tooth, and one of the most common solutions for teeth that can’t be saved is the dental implant.

What is a dental implant? A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge(perio.org), through a combination of procedures that work together to provide a prosthetic tooth for patients. The procedure for installing the implant is straightforward, but takes time.

Implants consist of three primary components:

– A titanium post screwed into the bone of the tooth socket

– A titanium extension post is attached to the screw base and provides a socket for the crown

– A dental crown – often porcelain – is attached to the middle titanium post

Once the damaged tooth is removed, the area will be allowed to heal. Once healed, the post is attached to the bone, and again the mouth is allowed to heal. During this time, a lightweight temporary crown will be placed (often using a retainer) to maintain the patient’s smile and protect the post. After the screw is healed in place, the new permanent crown is attached, and the patient has a new artificial tooth that looks exactly like the tooth it replaced.

Dental implants are a popular choice because they last a very long time, have a high success rate, can be used for treating a wide variety of serious problems, and provide a replacement tooth that is almost indistinguishable from a natural tooth. Dental implants are popular among patients because the implant looks and feels like a tooth, implants do not require special cleaning like bridges, and they do not need to be removed nightly like dentures.

Once the procedure is complete, the resulting implanted tooth will allow you to eat normally, speak normally, and will look and feel just like a natural tooth. The dental implant has a very high success rate. However, there are many variables, especially the timing between each step of the procedure, so be sure to talk to your dentist about specifics before you commit to the procedure.

Properly cared for dental implant can last for decades.  If you have a tooth that is damaged, or if you believe a dental implant may be right for you, ask your dentist about implants.

For more information on dental implants 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.

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.

Dental Sealants | Indianapolis Cosmetic Dentist

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Woman having teeth examined at dentistsTooth decay is likely to occur when food particles sit in the depressions, nooks, and crannies in and between teeth, allowing bacterial colonies to form, creating acid that eats holes into teeth. While brushing and flossing will do a reasonably good job of removing food particles from the depressions in teeth, dental sealants are a procedure used by dentists to help prevent accumulation of food in the depressions of teeth in the first place.

Dental sealants are a thin plastic coating painted onto the chewing surfaces of teeth – typically molars or premolars – to help keep food from settling within the bite surface. Dental sealants bond to the bite surface, providing a protective surface between the tooth and the food, so that patients are even less likely to experience tooth decay. Because sealants can not only keep food out, but also prevent treatment of existing decay, dental sealant is typically a procedure applied to young patients – often children and teenagers in their most cavity prone years (6-14).

The process for applying sealants is fairly straightforward. First, teeth are thoroughly cleaned and dried. An acidic solution is used to roughen the surface of the enamel to allow the sealant to properly bond, and then teeth are rinsed and dried again. Finally, the sealant is painted on in a thin layer, and hardened with a special light used to cure the plastic. Properly applied, a dental sealant can protect the bite surface of teeth for up to 10 years.

If you have children in the cavity prone age ranges, or if you’re concerned about tooth decay on rear teeth that are difficult to brush, ask your dentist about dental sealants. They may not be an option for every patient, but your dentist will be able to advise you about whether or not you or your children are good candidates, as well as informing you of the cost and time frame of the procedure.

For more information on dental sealants 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.