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Archive:
- 2019
- November (6)
- Be Alert to the Unintended Consequences of Cancer Treatment to Oral Health
- Treating a Young, Permanent Tooth Requires a Different Approach
- Keep Oral Care in Focus for a Family Member With Special Needs
- Share These Timely Dental Care Tips With Your College-Bound Son or Daughter
- More Than Indigestion: How Acid Reflux Could Harm Your Teeth
- Tooth Sensitivity Could Be a Sign of Deeper Problems
- October (6)
- Do a Little Extra Food Prep to Ease TMD Discomfort
- How to Lower Your Child's Tooth Decay Risk From Halloween Candy
- Make Your Baby as Comfortable as Possible During Teething
- That Scalded Feeling Isn't in Your Head - It Could Be Burning Mouth Syndrome
- Here's What You Can Do to Avoid Gum Disease
- Don't Panic Over Your Child's Teeth Grinding but Do Keep an Eye on It
- September (6)
- To Extract or not Extract? The Big Decision About Your Child's Wisdom Teeth
- Here's What you Need to Know about a Root Canal Treatment
- Don't Delay Seeing the Dentist If You Suspect Gum Recession
- Periodontal Maintenance Can Help You Avoid Another Episode of Gum Disease
- 3 Reasons to See a Pediatric Dentist
- Don't Let Gum Disease Cut Short Your Implant's Service Life
- August (6)
- That Toothache Might Not Be From Your Tooth: The Problem of Referred Pain
- 4 Serious Health Conditions That Gum Disease Might Make Worse
- Your Sinus Infection Might be a Sign of a Tooth Problem
- Don't Let Summer Heat Increase Your Risk of Dental Disease
- Make Sure Your Kids' Teeth Are Ready for School
- Oral Hygiene Might Be on the Decline With the Newest Adult Generation
- July (7)
- Taking a Trip Abroad? Do This to Protect Your Dental Health
- If Appropriate, Antibiotics before Implant Surgery Could Reduce Infection Risk
- Sealants Provide a Little Extra Protection for Children at High Risk for Decay
- How Dentists Provide Your Child the Benefit of X-Rays as Safely as Possible
- Transforming Your Smile with Veneers, Step by Step
- Floss First or Last? Here are Reasons for Either Approach
- Dentures with Implants Could Help You Avoid Bone Loss
- June (6)
- This Rare Tongue Condition Often Looks Worse than it Actually is
- Root Canals are a Safe Way to Save Teeth
- What You can Do to Stop Sugar from Harming Your Health
- Crown Lengthening Could Help with Treating Hard to Reach Cavities
- Jaw Joint Disorders may be Connected to Other Health Problems
- A Retainer-Like Device can Preserve the Space Left by a Lost Primary Tooth
- May (6)
- 3 Things You Can do to Help Promote Your Child's Dental Development
- Consider an Effective and Affordable RPD for Teeth Replacement
- 3 Tips for Successful, Safe Home Teeth Whitening
- Root Canal Therapy Might Just Save Your Tooth!
- Your Teenager not Ready for an Implant? Here's What We Can Do Instead
- Preserving the Pulp is Priority One with a Newly Erupted Permanent Tooth
- March (6)
- 3 Things You Should Know About Teeth Grinding
- 4 Things to Avoid if You Want to Support Your Child's Dental Development
- Here's How to Manage School Snacks and Your Child's Dental Health
- Catch Root Resorption Early for Best Chances of Saving Your Tooth
- A Child's Teeth Grinding is Normal - But You Should Still Keep an Eye on it
- You Don't Have to Live with a Gummy Smile. Here's How We Can Change it!
- February (6)
- 3 Reasons You Should Consider Tooth Whitening
- Your Toothache is Telling you Something's Wrong in Your Mouth
- You May Need Your Dentist's Help Easing the Pain of Severe Canker Sores
- 4 Tips to Prevent Childhood Tooth Decay
- Use the Same Prevention Strategy to Defeat Tooth Decay and Gum Disease
- 3 Reasons Why Your New Dentist Needs Your Treatment Records
- January (6)
- A New Veneer with Minimal or No Tooth Alteration
- How a New Approach to Treating Decay Could Benefit You
- 'Get Rid' of Those Unattractive Teeth with Porcelain Veneers
- 3 Things You Might Notice with Your Child's Teeth That Need a Dentist
- You may Need Orthodontic Treatment Before Obtaining Implants
- Porcelain Veneers Might not be the Best Option for Teenagers
- 2018
- December (6)
- Why the Treatment Model for Your Jaw Joint Disorder Matters
- Practice Daily Oral Hygiene to Prevent Calcified Plaque Formation
- Regardless of What You've Seen Online, Don't Fear a Root Canal Treatment
- Look at Your Options for Saving a Tooth First Before Replacing it
- Dental Visits are Key to Detecting Early Developing Tooth Decay
- 4 Reasons you may want Your Dentist to Whiten Your Teeth
- November (6)
- Dental Care is Difficult but not Impossible for a Special Needs Child
- Survey Says: They'd Rather Have a Root Canal
- Your Case of Gingivitis Could Develop into Something More Harmful
- This November, Become a Non-Smoker
- Dentures are Still a Viable Choice for Tooth Replacement
- Don't Ignore Sudden Tooth Pain - Your Teeth may be Telling you Something
- October (6)
- Try the Conservative Path to Jaw Pain Relief First
- Inflammation: the Link Between Gum Disease and Cardiovascular Disease
- How to Maximize Your Child's Dental Health Potential
- Don't Stress Over Your Child's Teeth Grinding Habit Unless it Persists
- 3 Factors That Could Affect the Success of a Root Canal Treatment
- Ease Your Child's Teething Discomfort with these Tips
- September (6)
- Simple or Surgical? Choosing the Right Kind of Tooth Extraction
- Not all Dental Crowns Share the Same Quality of Life-Likeness
- We can Build up Lost Bone Before Your Implant
- Treating Gum Disease around Tooth Roots is Hard - but Not Impossible
- 3 Ways to Take the Jitters Out of Dental Visits
- A Low Sugar, High Fiber Diet will Help Keep Your Teeth and Gums Healthy
- August (6)
- Cosmetic Questions to Ask to Get You on the Right Path to a Better Smile
- World Cup Soccer Coach-Dentist Saves the Day!
- What to do if Your Child has a Toothache
- Be on the Alert for Gum Disease While Wearing Braces
- Veneers may Offer a Less Invasive Way to Transform Your Smile
- Recreational Marijuana Could Increase Your Risk of Gum Disease
- July (7)
- 4 Reasons why Quitting Chewing Tobacco is Good for Your Oral Health
- If at All Possible, Primary Teeth are Worth Saving
- Your Dental Care Efforts are Just as Important as Your Dentist's
- Know the Facts to Reduce Your Child's Teething Discomfort
- Get Your Vitamins the Natural Way for Optimum Dental Health
- Don't Delay Treatment of Gum Disease
- What You Should Know About Veneers for Teenagers
- June (6)
- 3 Types of Tooth Pain and What They Might be Telling You
- 3 Questions to Answer Before Your Smile Makeover
- Professional Whitening Offers an Effective Way to Restore Your Smile's Luster
- Gum Disease is Still a Threat to Your Dental Implants
- Saving a Diseased Primary Tooth Could Mean Better Oral Health Later in Life
- Winning the War on Gum Disease Requires Post-Treatment Vigilance
- March (5)
- Although a Challenge, Chronically Ill Children Need Tooth Decay Prevention
- Transform Your Smile with Porcelain Veneers
- 4 Things You Should be Doing Now for Your Baby's Long-Term Dental Health
- Topical Fluoride Adds Extra Protection against Tooth Decay
- 3 Tips for Helping Your Kids Develop Great Tooth-Friendly Habits
- 2017
- October (5)
- Monitoring Your Child's Thumb Sucking Could Help Avoid Future Bite Problems
- The Right Treatment for Your Child's Injured Tooth Increases its Survival
- Antibiotics Could Help Ensure your Implant Surgery is Successful
- 4 Reasons Why You May Need to See a Periodontist for Your Gum Disease
- These 3 Tasks Show How Saliva is Amazing
- May (5)
- Watch for These Developing Bite Problems with Your Child's Teeth
- Techniques for Keeping Impacted Canine Teeth from Spoiling Your Smile
- Consider Bone Health When Deciding Between Implants and Dentures
- Don't let Periodontal Disease Cause Your Gums to Recede
- New Saliva Test may Help Identify Oral Cancer Earlier
- April (5)
- A Healthy Diet is Your Best Source for Vitamins and Minerals
- Encourage Your College-Bound Child to Practice Good Oral Health Habits
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- An Affordable RPD Could be the Answer to Your Missing Teeth Problems
- Safety is a Priority When Imaging Children's Teeth with X-Rays
- 2016
- November (5)
- Reduce Your Oral Cancer Risk with Better Diet and Lifestyle Choices
- Don't Let the Acid in Sports and Energy Drinks Ruin Your Tooth Enamel
- Inflammation is a Key Element in Both Oral and Systemic Diseases
- Don't Let an Eating Disorder Wreck Oral Health
- Effective Dental Care Depends First on Getting the Big Picture
- September (5)
- Implants can Support a Total Tooth Replacement Restoration
- Keeping up Good Hygiene Still a Necessity with Dental Implants
- Keep Your Saliva Flowing - Your Oral Health Depends on it
- Certain Mouth Rashes Don't Respond to Topical Steroid Treatments
- Effective Oral Hygiene is Key to Disease Prevention While Wearing Braces
- June (5)
- Dental Offices Hold to the Highest Standards to Protect Patients from Infection
- 4 Things You Should be Doing to Maintain a Healthy Mouth
- A Crown Could be the Answer to Preserving Your Damaged Tooth
- Teens Benefit Most from A Temporary Solution to Missing Teeth
- Keeping Gum Disease at Bay Could Help Your Overall Health
- March (5)
- Treating Small Enamel Cracks Could Help you Avoid a Dangerous Tooth Fracture
- Kids, Cats and Canines: Dental Development Through the Ages
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Though not Always Seen, it's Still Important to Replace a Missing Back Tooth
- Advancing Gum Disease Requires Thorough Treatment to Control it
- 2015
- December (5)
- Five Facts about Bacteria
- Extracting Wisdom Teeth Now May Prevent Dental Problems Later
- Cosmetic Gum Surgery Can Restore Health as Well as Appearance to Gums
- Dental Amalgam Continues to be a Durable and Safe Tooth Filling
- Treating a Baby Tooth with Inner Decay can be Complicated - but Still Necessary
- August (5)
- Attention to Detail Crucial to a Beautiful Smile Supported by Dental Implants
- Air Abrasion Offers a More Pleasant Dental Office Experience than Drills
- Replacing a Back Tooth May Help You Avoid Future Dental Problems
- Conscious Sedation Eases Treatment Anxiety for Young Dental Patients
- Brushing and Flossing Hard to Do? Consider Your 'Power' Options
- 2014
- September (5)
- Making the Right Choices With Removable Partial Dentures
- Determining the Cause of Tooth Looseness Key to Effective Treatment
- Finding the Right Bacterial Balance for Optimum Oral Health
- Successful Outcomes With Dentures Depends on Attention to Detail
- Extend the Life of Your Dental Appliance With Proper Care
- 2013
- 2012
- August (8)
- Nine Things to Expect During Your Appointment with the Dental Hygienist
- Oral Health Tips for Special Needs Children
- Testing Your Knowledge on Caring for Your Dentures
- Understanding The Factors That Can Influence Dental Implant Success
- FAQ: What You Need to Know About Your Child's Baby Teeth
- Crowns: Do You Know Your Options?
- Cat Cora's 6 Ways to Keep Kids Off Junk Food
- Sinus Surgery — Creating Bone for Dental Implants “Out of Thin Air”
- 2011
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Categories:
My Blog
Posts for: April, 2016

Stained teeth can be embarrassing — so much so you may even hesitate to smile. Before you seek out a whitening solution, though, there are a few things you need to know about tooth staining.
Tooth staining is more complex than you might think. There are actually two types: extrinsic, staining from foods and other substances of the outer surface of the enamel; and intrinsic, discoloration deep within a tooth that affects their outward appearance. The latter staining has a number of causes, including the type of dental materials used to fill a tooth, a history of trauma or the use of the antibiotic tetracycline during early tooth development.
There are some noticeable differences between the two types, although an examination is usually necessary to determine which you have. Extrinsic staining tends to be brown, black, or gray, or occasionally green, orange or yellow. Intrinsic staining can be red, pink or, if caused by tetracycline and fluoresced under ultraviolet light, yellow. If only one tooth is discolored it’s most likely intrinsic due to decay in the tooth pulp.
What can be done also depends on which type. Extrinsic staining can be modified through whitening, with either an office application or a home kit (there are differences, so you should consult with us before you decide). It may also be essential to modify your diet by restricting foods and beverages (coffee, wine or tea) known to cause staining and by eliminating tobacco use. You should also practice daily hygiene, including brushing with a toothpaste designed to diminish staining, and regular office cleaning and polishing.
Intrinsic staining can’t be addressed by these methods. Instead, you may need to undergo a procedure where we enter the interior of the tooth and insert a bleaching agent. If this isn’t an option, you can also choose a cosmetic restoration such as a porcelain veneer or crown that will cover the tooth to better match the color of your other teeth.
Dealing with stained teeth begins with a visit to our office to determine what type of discoloration you have and to learn your options. But regardless of what type you have, there is a way to a brighter smile.
If you would like more information on the causes and treatments of tooth staining, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Staining.”

One of the most effective techniques for saving decayed or injured teeth is the root canal treatment. Yet when many people hear they need it, they become nervous at the prospect.
Much of this stems from a common misunderstanding that undergoing a root canal is painful. It’s not — today’s anesthetics are quite effective in numbing pain during a procedure, and mild pain relievers like ibuprofen are usually sufficient to manage any discomfort afterwards.
In fact, a root canal treatment relieves pain caused by decay within a tooth. As decay progresses, it can enter the interior known as the pulp, which contains bundles of nerves and blood vessels. It attacks these nerves causing pain and infection. If the infection progresses through passageways known as root canals that are in the roots of the tooth, the pain can intensify. More important, the tooth is in danger of loss as the root and connective tissues that hold the tooth in place are injured from the spreading infection.
During a root canal treatment, we access the pulp by drilling a small access hole, usually in the biting surface or in the rear of a front tooth. Once we enter the pulp chamber we remove all the contaminated tissue. Once thoroughly cleansed, we fill the empty chamber and canals with a special filling (usually gutta percha) to prevent future infection. The access hole is then sealed and at a subsequent visit we strongly recommend placing a permanent crown to provide further protection from damage to the tooth.
Root canal treatments are quite common. All general dentists have been trained in endodontic treatment and can perform most types of procedures. More difficult cases (like a complex root canal network that may be hard to access) may require the services of an endodontist, a specialist in root canals. Endodontists use advanced techniques and specialized microscopic equipment to treat complicated situations.
It’s actually good news if we recommend you undergo a root canal treatment — it means your tooth has a good chance of survival once it’s disinfected and the decay is removed. But don’t delay: the sooner we can treat your tooth, the better your chances of a healthy outcome.
If you would like more information on root canal treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Common Concerns about Root Canal Treatment.”

If your sleeping partner snores, it could be more than an annoyance: it could be a sign of sleep apnea. This occurs when air flow into the lungs becomes obstructed in the throat for a few seconds during sleep. The obstruction can take many forms, but a common one arises from the tongue relaxing against the back of the throat, producing snoring sounds as air attempts to pass through this restricted area.
Sleep apnea can cause severe problems: lower daily energy levels and mood from poor sleep; lower oxygen saturation that could affect brain function; and increased risk for cardiovascular disease. So, if you’re awakened by your partner’s snoring (or they’re complaining about yours!), it’s important to have it checked and treated.
This begins with a visit to us for a complete oral examination. Like many dentists, we’re well trained in the anatomy and structures of the mouth, as well as the causes and treatment of sleep apnea. We’ll examine your mouth, take into account any possible symptoms you’re experiencing and, if your suspicions are correct, refer you to a sleep physician to diagnose if you have sleep apnea.
Treatment will depend on its cause and severity. An oral appliance worn during sleep is the recommended first treatment for mild to moderate sleep apnea that involves the tongue as an obstruction. We develop a custom appliance that helps move your tongue away from the back of the throat, reducing both apnea and snoring sounds. For more advanced sleep apnea you could benefit from a Continuous Positive Airway Pressure (CPAP) machine. This device generates continuous air pressure through a mask worn while sleeping that helps keep the airway open.
Of course, there are other causes for obstruction, some of which may require surgical intervention to relieve the problem. Abnormally large tonsils, adenoids or excessive soft tissue can all restrict air flow. Surgically removing or altering these structures could help reduce airway restriction.
Whatever type or degree of sleep apnea you or your partner may have, there are solutions. The right treatment will not only improve overall health, it will help both of you get a better night’s sleep.
If you would like more information on sleep apnea and how to treat it, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “If You Snore, You Must Read More!”