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Inlays/Onlay

 

Inlays/Onlay

Inlay/Onlay are restorations that are placed to replace missing tooth structure. Inlays and onlays are more conservative that full coverage dental crowns. They only replace the missing tooth structure that has been cause from decay, fractured tooth, or other damages to the tooth. Dental inlays and onlays are recommended when a patient has large decay on the tooth structure and cannot be treated successfully with a dental filling, but haven enough healthy tooth structure to avoid a dental crown. This treatment allows the dentist to conserve more of the patient’s tooth structure.

The benefits in having an inlay/ onlay rather than a dental filling are that they are made with very durable solid materials such as porcelain or gold, these materials can last up to thirty years in the mouth if taken care of properly. Inlays/ onlays help strengthen teeth, they also prolong tooth life and prevent any future dental treatment if inlay/onlay is finish correctly. The lifespan of a regular dental filling can be from eight to ten years, and the material is not as strong as the inlay/onlay material. Dental fillings such as composite or amalgam shrink a few percent in volume during hardening, inlays/ onlays exclude this problem.

The difference between an inlay/onlay will be on the surface of the missing tooth structure. The inlay is similar to a dental filling it fits inside the top edges of the tooth. The onlay is inlay-onlay-in-turkeyrecommended when a top edge of the tooth is missing. Onlay is similar to replacing the wall of the tooth. The treatment is similar to a dental crown preparation but instead of preparing the whole tooth they prepare the area where the inlay/ onlay will be placed. An impression is taken and sent to the dental laboratory for fabrication, the inlay/ onlay will be cemented on a following visit. The inlay/onlay blends will have a natural appearance.

To maintain your new dental inlay/onlay you will have to care for it like if it was your natural tooth. Brushing and flossing daily to maintain good oral hygiene, and regular dental visits. If you would like to schedule an appointment with our Santa Ana Dentist Dr. Danial Kalantari please contact your friendly staff of Smiles on Bristol Dentistry. Contact Us

Medication and Oral Health

 

[sgmb id=”1″ customimageurl=”” ]Medication and Oral Health

How does my medication affect my oral health? Generally, many people take medication to make them feel better, but like most medication it comes with side effects, and there are plenty that affect the mouth.  Vitamins, minerals, and herbs can also have a negative effect on your oral health. It is very important to list and tell your dentist of all the medication or vitamins that you are currently taking both over-the counter- and prescribed.  The most common side effects to the oral health that come with medication are dry mouth, taste change, abnormal bleeding, discoloration and inflammation of gums and tissues.

Some medication causes xerostomia (dry mouth).The medication causes a reduction in saliva causing an uncomfortable irritation inside the mouth. There are hundreds of medications that can cause this type of problems that most common ones are antihistamines, antidepressants, seizure medications, muscle relaxants, and high blood pressure medications. Dry mouth can cause a risk in gingivitis, and tooth decay.  If you think that your medication is causing dry mouth talk to your doctor. Your doctor can switch to a different medication or give you tips on how to help with dry mouth.

Taste changes can occur when taking some medications. They can make food taste salty, bitter, or a metallic taste in your mouth.  These types of changes are common on elderly patients who take more than one type of medication.  This feeling usually goes away after you stop taking your medication, but you have to talk to your physician about pro and cons of stopping medications. Some common types of medication are chemotherapy drugs, like methotrexate or doxorubicin. Some antibiotics, heart medications, iron deficiency, diabetic medication, cholesterol lowing medications, and more.8-RA-Medication-Side-Effects-01-722x406

Tooth discoloration is common when taking some medications. Tetracycline has a connection with children having brownish-yellow teeth. Doctors discovered that the use of tetracycline during pregnancy led to children having stains in their teeth.  Tetracycline is not recommended during pregnancy or children under the age of eight. Not only medication can cause a tooth to change color. Vitamins or too much fluoride can create white spots in the tooth enamel. In extreme fluoride cases it can lead to permanently stained brown teeth.  It is important to read the risk and benefits when taking any type of medication.

There is some medication that causes gums to swell or to turn red. The most common would be anti-seizure medication and blood pressure medication. It is very important to brush and floss correctly when taking this medication. Brushing and flossing will reduce the chance of you having periodontal problems or caries.

At Smiles on Bristol Dentistry, our medical history forms make it easy for our patients to list all medical conditions and list all of their medications.  Our dentist in Santa Ana, Dr. Danial Kalantari goes through the medical history before starting the exam; this gives our dentist an idea of what kind of medications the patient is taking.  Please contact Smiles on Bristol Dentistry if you would like to schedule an appointment. Contact Us

Intraoral Camera / Smiles on Bristol Dentistry

What is an intraoral camera? An intraoral camera is a small pen looking video camera that serves the purpose to obtain an image of the outside of the tooth or gum. Everyone has had dental x-rays taken at a point in their life’s therefore we all know what that looks like. Those dental x-rays help Dentist see what the inside of our tooth looks like and to diagnose from any pain we are having. However, what do these intraoral images help for? Well these intraoral images help to show patients a real life time picture of what is going on with their teeth.

Clinical 090

 

Many patients have misgivings when it comes to dental diagnoses that have not been accompanied by any pain. With the use of the intraoral camera you can easily be shown an image of tooth decay or cracked teeth. Most people believe in the saying, “a picture is worth a thousand words.” Which is true once we see something that we had not been able to see before, we tend to take action on what is going on in our body and our teeth. For patients it is great to be able to see what is going on it makes them feel informed taken into consideration once they see it with their own eyes. This allows patients to commit to treatments which they had thought of unimportant before.

 

This diagnostic tool has been around since the early 1990’s, it has been a great tool and it will continue to be by the use of your dentist to give you the answers to all your questions and any other concerns the intraoral camera is also a fantastic educational aid for all types of patients from adults to children. It will educate them about their own health within the oral cavity and allow them to feel more comfortable about any treatment/procedure being done to them. Technological advances are happening all around the world and they are happening here too at your Smiles On Bristol Dental office. Don’t hesitate and find out what technology our friendly Santa Ana dentist Dr. Danial Kalantari has at our office of Smiles on Bristol Dentistry./contact-us/

Scaling & Root Planning/ Deep Cleaning Post Op

Scaling & Root Planning/ Deep Cleaning Post Op
Scaling & Root Planning is a dental procedure that treats periodontal disease, it cleans between the gums and roots of your teeth. This type of cleaning removes any plaque or build up that has accumulated over time below the gum level. If the build up  is left there for a long period of time it  attacks soft tissue and bone causing it to recede and exposing the root of the tooth, causing sensitivity or discomfort for the patient. So if you just recently got  your scaling & root planning (deep cleaning ) we will give you some tips on how to care and what to expect after the treatment. scaling
What to expect after treatment:
In most cases local anesthesia is administer so that the patients doesn’t feel discomfort when the scaling & root planning is being performed. We recommend our patients not to eat anything until the anesthesia wears off. This way you minimize and prevent any  chance of biting your lip, cheek, or tongue. The anesthesia will begin to wear off in approximately 1 to 3 hours after the procedure.
After the anesthesia wears off it is normal to  experience sensitivity from your teeth and gum. This is usually related from the cleaning and removal of the plaque and build up.
It is also normal for your gums to feel slightly sore, the soreness and sensitivity tend to go away in the next couple days after the treatment is completed.
Bleeding may occur in the first 48 hours after scaling & root planning. If heavy bleeding occurs you can apply light pressure with a moistened gauze to the area that is bleeding,
keep it in place for at least 20-30 minutes, this should control the bleeding. If the bleeding increases or doesn’t control after 12 hours please call our office as soon as possible to notify the doctor.
You may also feel your gums tender and red, this will usually go away once the gums begin to heal and you maintain a good oral hygiene.
What to do at home after the appointment:
Rinse daily 2 -3 times a day with warm salt water or your mouthwash for the next week, to help the healing and reduce inflammation of your gums.
Avoid hard or sticky food such as popcorn, nuts, and chips, avoid spicy food and cold drinks. Hard sticky food may get stuck in the gum. Spicy food may cause your gums to burn or itch, and cold drinks will cause sensitivity. Soups, pastas, and scrambled eggs are highly recommended.
Avoid smoking for the next 7 days, smoking or using tobacco products will cause a delay in the healing process.
If arrestin was applied, avoid touching the treated areas. Wait 12 hours after your treatment to begin brushing. Wait 10 days before flossing and using other devices to clean in
between the teeth. Don’t chew gum or eat sticky foods. Arrestin  works as an antibiotic to help fight gum disease.
If your dentist prescribe medication, please take it as indicated by your dentist.
Scaling & Root Planning with regular home-care will help and combat periodontal disease. After completing your deep cleaning regular cleaning are no longer completely effective, your dentist will recommend a periodontal maintenance every 3 months. They recommend every 3 months to monitor your gum disease. If you have question please feel free to contact our Santa Ana Dentist Dr. Danial Kalantari or your friendly staff of Smiles on Bristol Dentistry. /contact-us/

Dental Retainers /Smiles on Bristol Dentistry

Dental retainers are custom made appliances that hold your teeth in position and prevents your teeth from shifting. Retainers are often required after an orthodontic treatment has been completed, there are some cases where the dentist will recommend a dental retainer to stop any future shifting. The most common  type of retainers are clear retainers, hawley retainer ( wire retainer), and a fixed retainer. Here we will talk about the pros and cons of the different type of retainers. types-of-orthodontic-retainers

Clear retainers are becoming the most popular type of retainer. Clear retainers are not very noticeable and patients feel more comfortable wearing this type of retainer all day. It is custom made specifically to your teeth which prevents   any shifting to happen in your mouth. Cleaning your teeth is much easier, you just removed your retainer and brush  and floss normally, improving your oral hygiene. The clear retainer also works as a night guard which prevents grinding your teeth.The cons of the clear retainer are the first retainer have to be switched during 6 to 7 months,and then depending on the condition of retainer.If the retainer is not cleaned correctly it will begin turn into a dark yellow color. The material is a plastic material that covers your teeth and some people have trouble biting down the the clear material.

Hawley retainer or wire retainer are made of a combination of acrylic and a wire that is bendable. The wire is stretched along the front of your teeth. to prevent any shifting. Cleaning of your teeth and of the retainer is very easy, it is removable so you can brush and floss regularly. This retainer can last a lifetime if taken care of correctly, the orthodontist just have to adjust
the retainer during your check ups. The cons of having hawley retainer it is very noticeable, it’s a wire running through the front of your teeth. Some people don’t feel comfortable with having metal in their mouth. The hawley retainer also covers the roof of your mouth causing people to talk with a lisp until they get use to the retainer.

A fixed retainer is a permanent retainer that is attached to the lingual side of your teeth. They are bonded on the anterior part of the lower and upper teeth, and they can’t be removed by the patient. There in no chance in you losing this type of retainer since it’s bonded to your teeth. Fixed retainers are recommended when there’s a high chance of reversal of the orthodontic treatment. They are usually left a year after your wisdom teeth are out, but some cases are left for a lifetime. The cons are it leads to build up because it is very difficult to clean between the teeth. This also causes your gums to swell and caries in between the teeth.

At Smiles on Bristol Dentistry the type of retainer we recommend to our patients are the clear retainers. They’re called Vivera retainers and are not like the regular clear retainers. Vivera retainers are 30% stronger than regular clear retainers, this helps your teeth stay in the desired position. Vivera retainer because of the thickness helps reduce cracking or breaking of the retainer making it minimal the amount of times you have to switch the retainer. They come in sets of 4 retainers per order and it’s enough sets of retainers to prevent any movement of your teeth.

Retainers should be worn as your dentist recommends you to wear. Our Santa Ana Dentist Dr. Kalantari recommends to his patients to wear their retainer for at least 22 hours a day for the first six months. After the six months depending on the recall exam he can give the same instructions or switch to just night time use. If you have any questions regarding dental retainers you can contact your friendly office of Smiles on Bristol Dentistry./contact-us/

Dental Emergency/ Smiles on Bristol Dentistry

 

If you are experiencing a dental emergency, it is important to seek professional help as soon as possible. If it is after hours, your local office will usually have an emergency line you can contact. If you are experiencing bleeding that will not stop, injured jaw, painful toothache, or loose or knocked out teeth and you can’t get in contact with your dentist visit an emergency room. Here are a few tips on how to handle common dental emergencies.emergency-dentist

Broken Tooth: Save any piece of the broken tooth, and apply a cold compress to the site of the broken tooth to decrease any swelling and pain until you are seen by your dentist. Rinse your mouth using warm water. Make sure to bring the broken piece of tooth to the appointment if it’s possible.

Knocked Out Tooth: If your tooth is loose or knocked out rinse the tooth but do not remove and attached tissue. If it’s possible place the tooth in a glass of milk and go to your dentist right away. If you can’t place it in milk you can place it underneath your tongue or between your cheek and tooth. There is a chance the tooth can be placed back.

Injured Jaw: If you injured your jaw place a cold compress to the area of the injury. If your jaw locks and can’t go to your dental office, you can go to the emergency room.

Toothache: Rinse your mouth with warm water, and floss between the teeth to make sure there isn’t any food causing the pain. Visit your dentist as soon as possible to avoid any further damages to your tooth.

Abscess: If you see a bump or swelling on the gum area, you can rinse with warm salt water and contact your dentist as soon as possible. The dentist can help you relieve you from pain and most important drain the abscess. If dental abscess is left untreated it can spread to other parts of the body and can damage tissue and surrounding teeth.

Broken Filling: For broken or loose fillings, you can place an over the counter dental cement on the tooth with the broken or loose filling, or place a sugarless gum until you see your treating dentist.

Loose Crown: If a crown falls off see your dentist as soon as possible and bring the crown with you. There is a chance the dentist can re-cement if there is no cavity or other problem on the tooth. Make sure you have the dentist check the tooth before trying to re-cement it yourself.

Broken Braces and Wires: If you have orthodontic treatment and you feel poking from a bracket or wire you can place wax to the sharp side to avoid any discomfort. See your orthodontist as soon as possible.

To prevent dental emergencies complete all the treatment that your dentist is recommending. If you put on hold fillings, crowns, or root canal they worsen with time and cause issues in the future. Maintaining a good oral hygiene is also important in preventing dental emergencies. Avoid hard or sticky food or snacks. Dental Emergencies are never fun, but scheduling and visiting your dentist regularly will help avoid many emergencies. If you have any questions or an emergency you can contact your friendly staff of Smiles on Bristol Dentistry. /contact-us/

Baby Teeth /Smiles on Bristol Dentistry

Baby teeth are very important to parents and to the team at Smiles On Bristol from the beginning of their existence to the end. These mini chompers   allow baby to chew and speak properly and not only that but baby teeth have a very important purpose to save space for when permanent teeth start to arrive; and also it begins a start for good oral hygiene. Baby teeth development usually begins before the baby is even born. Even if development begins before baby is born, these baby teeth are kept under the gums and don’t show up until baby is about 6 months to a year old .Teething can be as adorable and painful as it sounds. The teething is a process which can cause irritation on infant’s gums however, there are several methods which can help ease this irritation. Several things you can do to help relieve this irritation are massage your baby’s gums with a clean finger, a cool spoon, cold or wet washcloth this will all help to ease the discomfort. As the first baby teeth start to appear the brushing begins, how might brushing baby teeth are important you might ask? Well this allows the child to begin the good practices of oral hygiene.baby-teeth-95035457

Baby teeth basics are a must, as soon as you see the eruption of a baby tooth you should begin to brush to prevent from any caries. It is never too early to start brushing your baby’s teeth. Prevent caries by also making sure baby doesn’t sleep with bottle containing any sugary drinks, milk or even breast milk, make sure baby doesn’t sleep with pacifier that has been containing any sugar. To prevent from having overcrowded or crooked teeth make sure infant isn’t going in the direction of thumb-sucking. Another care basic for baby teeth and also adult teeth, retain from allowing too many sweets, sugary drinks such as: juice, soda, etc… Floss at least once at day once all baby teeth have arrived to prevent from any build up at early childhood.

With all this in mind a good oral hygiene should begin as soon as child starts to develop the first baby teeth. Parents should begin brushing baby teeth as they begin to show up. By doing so you are creating a good oral hygiene that will come in handy once permanent teeth start to appear. This will all pay off as this will prevent any caries at a young age. Most children start losing baby teeth at age 6 starting by the front teeth and finishing with the molars. Permanent teeth should have almost all be out by ages 12 to 14 and a good oral hygiene should continue. Make sure to visit your Smiles On Bristol Dental Office as soon as your infants first baby tooth has arrived and continue your regular dental visits accompanied by well brushing and flossing, don’t forget it is never too early. If you have any questions or concerns please feel free to contact our Santa Ana Dentist Dr. Danial Kalantari or your friendly staff of Smiles on Bristol Dentistry./contact-us/

Types of Dental X-Rays / Smiles on Bristol Dentistry

 

Dental X-rays are very important part of a dental exam. Dental X-rays help the dentist see any problems that are going on, on your teeth, gums, and jaws. They can detect problems like tooth decay, periodontal disease, and impacted teeth. They can also detect more severe problems like bite problems or even tumors. Most of these problems are not visable to the naked eye, and therefore x-rays are taken. There are different types of x-rays that the technician take so the dentist can give a better diagnostic.

The most common type of x-ray is a bitewing x-ray. The bitewing x-ray shows how the posteriorXray-blog7 teeth occlude.In a bitewing x-ray only the crown part of the tooth will show.In this type of x-ray the dentist can check for decay in between the teeth.Decay in between the teeth is very difficult to diagnose without and x-ray. This type of x-ray can show if there is severe bone loss, or how the upper and lower teeth line up. 4 bitewing x-rays are taken in an initial full dental exam.

Another type of dental x-ray is a periapical x-ray. Periapical x-ray show the entire tooth from the crown to the end of the root. Periapical x-rays are used to help dentist diagnose for impacted teeth, abcess, bone loss, cysts, or fractures. 1395401009_5These x-rays are also taken in all intial exams and are usually 14 periapical x-rays for adult  first exams.

Occlusal x-rays are not so common but are taken in some occasions. This type of x-ray show the floor and roof of your mouth. These are use to find extra teeth in the mouth or jaw fractures. Panoramic x-rays are taken when starting orthodontic treatment. Panoramic can detect impacted teeth, abnormalities, cysts, or abcess.

At Smiles on Bristol Dentistry in Santa Ana we take digital x-rays. Digital x-rays are safer to use than traditional x-rays. The reason for it requires less radiation and less exposure time. We have up to date x-ray machines and require all our staff that operate the machine to be licensed. Our goal on Smiles on Bristol is patient safety. If you have any questions or concerns regarding dental x-rays, please feel free to contact our Santa Ana dentist Dr. Danial Kalantari, or our office of Smiles on Bristol Dentistry.  /contact-us/

The Anatomy of our Teeth/Smiles on Bristol Dentistry

What do your teeth really consist of? Our teeth are broken down into two parts, the crown and the root. The crown is the part of the tooth that is visible to everyone and the root is the part of the tooth which is non able visible. The root is beneath our gum line this root helps anchor our teeth to the jawbone. Our tooth are structured of several components first comes the tooth enamel, second come the dentin and lastly comes the pulp chamber.cross-section-of-a-tooth

What is tooth enamel you might ask? This is the protective covering of our teeth. Just like our skin has been designed to protect our body, our enamel has been designed with the same purpose to protect our tooth. The tooth enamel is the part of our tooth that is visible since it is the coating that makes up the crown of our teeth. This enamel is a very tough coating which protects the tooth from a everyday wear and tear. Not to mention the enamel is the hardest tissue in the human body which was intentionally made for all the chewing, biting and grinding. This tooth enamel appears to be white in most cases but it is actually translucent, which causes to be easily stained when teeth are not brushed and flossed daily. To prevent some discoloration on tooth enamel good oral hygiene should always come in hand. Tooth enamel not only helps us for chewing, biting, ect., but is also the protection for our dentin.

Dentin is another part of what our teeth consist off; this dentin is what makes up most of our teeth. Dentin is a yellow almost like bone made out of cells called odontoblast. This dentin gives our teeth the finish touch of a bright white look since our enamel is very translucent. If enamel starts to wear off, our teeth might start to look more dull and yellowish which is because only dentin is being left.Labeledandfulltooth

 

What comes after dentin? After dentin we have our pulp chamber in other words the heart of our teeth. Without the pulp chamber we would never be able to tell if there is anything wrong with our teeth since that is where the feeling comes out off. This pulp chamber is protected first by the enamel, and also it is also protected by dentin which covers most portions of our teeth. Without all these components our teeth would be weak and would not allow us to have proper way of chewing or biting. Also if cavities have passed the dentin to the pulp chamber that is when a root canal comes in place to kill the nerve the feeling of our teeth.

To protect all these components you must brush twice a day and floss daily, also don’t forget to visit your Santa Ana Smiles On Bristol Dentistry Office for your twice a year regular checkups.

Smoking / Smiles on Bristol Dentistry

Smoking can lead to serious health issues like lung disease, heart disease, and stroke. There are ingredients in cigarettes that attack vital organs. The most common problems smokers face is lung problems. Did you know that smoking also affects your oral health? It can lead to problems like staining of the teeth, bad breath, periodontal disease, oral cancers, and many more. It is very important to stop smoking or limit the amount of smoking because of the effects that it has on your health.Bad teeth, smoker

Smoking leads to periodontal problems. Smoking stops the salivary glands from saliva flow, causing dry mouth. The stop in saliva makes the mouth more vulnerable for plaque to build up on your teeth. The buildup affects the gum and causes them to recede. The buildup also affects your bone, and if its left for long times it causes to the bone to recede and this bone does not grow back.

Chewing tobacco or smoking can also lead to oral cancer. This is because of the ingredients that are in the cigarette or tobacco. The first signs of oral cancer are swelling or lumps inside the oral cavity, sores that do not go away within two weeks, bleeding constantly from the mouth, and difficulty swelling or chewing. There are also not visible signs and dentist use a special light to spot abnormalities. These are key signs that you should see a dentist if you have been smoking or chewing tobacco for a long time.

If you have missing teeth and are planning to replace those teeth it is very important to quit smoking. If you plan on an implant it is very difficult for an implant to be successful. The surrounding tissues will have trouble adapting to the implant causing it to fail. Dental bridges will be very difficult to match because of bone lost. Our Santa Ana dentist Dr. Danial Kalantari gives tips to his patients on how to find alternatives to quitting. He tells them to try chewing gum if they feel the need to chew tobacco or exercise if they find an urge smoke.

If you have trouble quitting your dentist can also recommend or nicotine patches to help the urge of smoking. Smoking is an expensive habit that affects your health. If you have any questions regarding smoking, you can contact our Santa Ana dentist Dr. Danial Kalantari or your friendly staff of Smiles on Bristol Dentistry./contact-us/