Posts for: December, 2017
Soon after the primary (baby) teeth begin to give way, the teeth a child will have the rest of their lives start erupting into the mouth. But while they’re permanent, they’re not as strong and developed as they will be in adulthood.
That’s why we treat young permanent teeth differently from older adult teeth. For example, a decayed adult tooth may need a root canal treatment; but this standard treatment would often be the wrong choice for a child’s tooth.
The reason why involves the pulp, the innermost layer of a tooth, which plays a critical role in early development. Young permanent teeth continue to grow in sync with the jaws and facial structure. Most of this growth is in the dentin, the layer between the enamel and pulp, which increases proportionally to the other layers as the tooth matures. The pulp generates this new dentin.
A root canal treatment completely removes the diseased tissue of the pulp. This isn’t a major issue for a mature tooth because it no longer needs to generate more dentin. But it can have long-term consequences for an immature tooth whose growth may become stunted and the roots not fully formed. The tooth may thus become brittle and darkened, and might eventually require removal.
Because of these potential consequences, a root canal treatment is a last resort for a young permanent tooth. But there are modified alternatives, depending on the degree of pulp exposure or infection. For example, if the pulp is intact, we may be able to remove as much soft decayed dentin as we can, place an antibacterial agent and then fill the tooth to seal it without disturbing the pulp. If the pulp is partially affected, we can remove that part and place substances that encourage dentin growth and repair.
Our main goal is to treat a young tooth with as little contact with the pulp as possible, so as not to diminish its capacity to generate new dentin. Avoiding a full root canal treatment if at all possible by using these and other techniques will help ensure the tooth continues to develop to full maturity.
If you would like more information on dental care for children, 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 “Saving New Permanent Teeth after Injury.”
The holidays are a time for getting together with family and friends from near and far. The memories you make at these joyful celebrations are the ones you’ll treasure forever, but it can be hard to show good cheer if you’re not happy with the way your teeth look. If you’re keeping that grin under wraps, we may be able to perk up your smile with some quick and economical in-office treatments.
A professional teeth cleaning is one of the best values in dental care. In just minutes, we can remove the buildup of hardened tartar that can make your teeth look dull and yellowed. Tartar can also lead to tooth decay and gum disease—two kinds of trouble you don’t need! While you’re in the office, you will also have a thorough exam that could prevent minor issues like small cavities and bleeding gums from becoming more serious dental problems. When you leave, your teeth will look and feel sparkly clean.
If your smile doesn’t look as bright as you’d like, ask about teeth whitening treatments. In-office whitening is a safe and effective way to lighten your teeth up to 10 shades in a single visit! If you have more time, you can get similar results from a take-home kit that we can provide—one that’s custom-made just for you.
Are chips or cracks making your teeth look less than perfect? Cosmetic bonding could be the answer. Translucent, tooth-colored bonding material can be applied to your teeth to repair minor cracks, chips or spacing irregularities. This in-office procedure usually requires just one visit and can make a dramatic difference in your smile.
So as holiday celebrations draw near, why not give yourself a reason to smile? Contact us or schedule an appointment for a consultation to see if professional teeth cleaning, teeth whitening or cosmetic bonding could give your smile some holiday sparkle! You can also learn more by reading the Dear Doctor magazine article “Important Teeth Whitening Questions Answered.”