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Posts for category: Dental Procedures

By Dr. Vincent A Grosso, II
July 07, 2019
Category: Dental Procedures
Tags: air abrasion  
AirAbrasionAnAlternativetotheTraditionalDentalDrill

Drilling teeth is an essential part of repairing and restoring the damage caused by tooth decay. For generations dentists have relied on the dental drill with its rotating burr to remove decayed and damaged tooth material.

But while the dental drill is effective it also has its disadvantages. In the process of removing decayed material it inadvertently removes healthy structure near the target material. It often requires anesthesia to deaden the work area. And its noise and vibration are often unsettling to patients.

There is a growing alternative, though: air abrasion, a technology that's been around since the mid-20th Century. But recent advances in controlling the dust created by using abrasion, as well as new tooth-colored bonding materials to replace tooth structure, have sparked new interest among dentists and patients alike.

Also known as particle abrasion, this drill alternative uses a pressurized stream of fine particles to remove decayed material. Using a hand wand a dentist can precisely aim the stream of particles (usually aluminum oxide) to the specific areas of decay or softened material that need to be removed. As a result, it removes only a fraction of healthy tooth structure compared to traditional drilling. Air abrasion has also proven effective for removing staining without harming enamel.

Air abrasion also eliminates the sound and vibration associated with dental drills, and may not always require local anesthesia. On the other hand, it does have some limitations. For one, it's not as effective with larger cavities or working around older fillings. The tooth or teeth to be worked on must be carefully isolated from the rest of the mouth to keep the patient from swallowing the abrasive particles. And without a high-volume suction pump and good isolation protocols, the particles can produce something of a “sandstorm” in the treatment room.

But as air abrasion continues to advance, we may see improvements in these limitations. In a future time, the traditional dental drill may go the way of the horse and buggy.

If you would like more information on air abrasion as an alternative to drilling, 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 “Air Abrasion Technology.”

By Dr. Vincent A Grosso, II
May 01, 2019
Category: Dental Procedures
Tags: root canal  

How root canal treatment from your dentist in Kissimmee, FL, can help your smile

If you have been told you need a root canal, you may be fearing the worst. The truth is, root canal treatment is nothing to fear. Modern root root canalcanal therapy is easier than you think, and it’s the perfect solution to remove tooth pain, and avoid tooth extraction. Dr. Vincent Grosso II in Kissimmee, FL, offers root canal therapy to help your smile.

Your tooth can hurt for a variety of reasons including tooth decay, infection, trauma, periodontal disease, and other causes. So, how do you know if you really need a root canal? There are some signs and symptoms which may indicate a root canal can help you. Let your dentist know if you experience:

  • Increasing pain when you eat or drink hot or cold foods or beverages
  • Increasing pain when you bite down or chew your food
  • A red or white bump appearing on your gums next to a tooth root
  • Drainage including blood or pus coming from the bump on your gums
  • A tooth becoming noticeably darker or grayer than the teeth next to it

If you do need a root canal, don’t worry! Dr. Grosso begins by creating a small opening in the top of your tooth. Using ultra-thin instruments, he will draw out the infected and inflamed tissue through the opening. A temporary sedative filling is then placed inside your tooth. This sedative eliminates inflammation, pressure and pain.

When your symptoms have subsided and your tooth is no longer painful, Dr. Grosso will remove the sedative material and fill your tooth with an inert material. The opening is then sealed up with a permanent filling.

Your root canal is complete, and your pain is gone! You also have kept your complete smile! To find out more about how root canals help your smile, call your dentist, Dr. Vincent Grosso in Kissimmee, FL, today!

By Dr. Vincent A Grosso, II
May 01, 2019
Category: Dental Procedures
Tags: Orthodontic  

There have never been more options available to invest in a straighter, healthier, and more attractive smile for children, teenagers, and INVISALIGNadults. Traditional metallic braces are just one of several options available to correct common bite and alignment problems like crowding, overbite, open bite, crossbite, and excessive gaps and spacing. Dr. Jeff DiMariano, your dentist in Sacramento, CA, recommends Invisalign clear aligner trays for teenage and adult patients looking for a discreet and minimally invasive alternative to braces. Read on to learn more about the different types of braces!

 

The Traditional Orthodontic Treatments Available at Our Sacramento Office

Traditional braces are available in a few different styles depending on the patient's alignment needs and personal preference:

  • Metallic braces with wires and brackets
  • Ceramic braces (the clear version of wires and brackets for a more discreet look)
  • Lingual braces (the appliances are placed on the back of the teeth so that they aren't visible)
  • Self-ligating braces (they use clips instead of rubber bands for less pressure and adjustments)

 

The Benefits of Invisalign

Given that many older teenagers and adults are understandably reluctant to wear metallic braces for personal and professional reasons, Invisalign can be a good alternative to discreetly straighten your teeth.

Invisalign can correct many of the same issues as traditional braces, and it offers a number of additional benefits for qualified patients. The trays can be removed for up to two hours every day, allowing you to keep up your oral hygiene routine and enjoy the same foods and diet. In some cases, the length of treatment time is shorter with Invisalign. However, some orthodontic problems are too severe to warrant the use of Invisalign—depending on the type and severity of your bite problems, your dentist will recommend the best type of orthodontic appliance for your needs.

 

Interested? Give Us a Call!

To learn more about which orthodontic options is best for you, contact our Sacramento office today by calling (916) 929-3898 to schedule an appointment with Dr. DiMariano!

HowShawnMendesandMileyCyrusGotTheirStellarSmiles

The 2019 Grammy Awards was a star-studded night packed with memorable performances. One standout came from the young Canadian singer Shawn Mendes, who sang a powerful duet of his hit song "In My Blood" with pop diva Miley Cyrus. But that duo's stellar smiles weren't always quite as camera-ready as they looked that night.

"I had braces for four and a half years," Mendes told an interviewer not long ago. "There's lots and lots and lots of photo evidence, I'm sure you can pull up a few." (In fact, finding one is as easy as searching "Sean Mendes braces.")

Wearing braces puts Mendes in good company: It's estimated that over 4 million people in the U.S. alone wear braces in a typical year—and about a quarter of them are adults! (And by the way: When she was a teenager, Miley Cyrus had braces, too!)

Today, there are a number of alternatives to traditional metal braces, such as tooth-colored braces, clear plastic aligners, and invisible lingual braces (the kind Cyrus wore). However, regular metal braces remain the most common choice for orthodontic treatment. They are often the most economical option, and can be used to treat a wide variety of bite problems (which dentists call malocclusions).

Having straighter teeth can boost your self-confidence—along with helping you bite, breathe, chew, and even speak more effectively. Plus, teeth that are in good alignment and have adequate space in between are easier to clean; this can help you keep your mouth free of gum disease and tooth decay for years to come.

Many people think getting braces is something that happens in adolescence—but as long as your mouth is otherwise healthy, there's no upper age limit for orthodontic treatment. In fact, many celebrities—like Lauren Hutton, Tom Cruise and Faith Hill—got braces as adults. But if traditional braces aren't a good fit with your self-image, it's possible that one of the less noticeable options, such as lingual braces or clear aligners, could work for you.

What's the first step to getting straighter teeth? Come in to the office for an evaluation! We will give you a complete oral examination to find out if there are any problems (like gum disease or tooth decay) that could interfere with orthodontic treatment. Then we will determine exactly how your teeth should be re-positioned to achieve a better smile, and recommend one or more options to get you there.

If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Lingual Braces: A Truly Invisible Way to Straighten Teeth.”

By Dr. Vincent A Grosso, II
April 08, 2019
Category: Dental Procedures
Tags: teeth grinding  
StressandNighttimeTeethGrinding

April is National Stress Awareness Month. But what does stress have to do with dentistry? According to the American Academy of Sleep Medicine, if you have a Type A personality or are under a lot of stress, you are more likely to suffer from a condition called bruxism, which means you habitually grind or gnash your teeth. One in ten adults grind their teeth, and the rate is much higher in stressful professions. In fact, the bruxism rate is seven times higher among police officers!

Many people grind their teeth in their sleep without realizing it, so how would you know if you are a "sleep bruxer"? If your spouse frequently elbows you in the ribs because of the grinding sounds you make, that could be your first clue. Unfortunately, dental damage is another common sign. Some people find out they are nighttime teeth grinders only when they are examined by a dentist since bruxing often leads to wear patterns on the teeth that only happen because of this behavior. Other complications can also develop: The condition can interfere with sleep, result in headaches and cause soreness in the face, neck or jaw. Chronic or severe nighttime teeth grinding can damage dental work, such as veneers, bridgework, crowns and fillings, and can result in teeth that are worn down, chipped, fractured or loose.

The most common treatment is a custom-made night guard made of high-impact plastic that allows you to sleep while preventing your upper and lower teeth from coming into contact. Although a night guard will protect your teeth and dental work, it won't stop the grinding behavior. Therefore, finding and treating the cause should be a priority.

The Bruxism Association estimates that 70 percent of teeth grinding behavior is related to stress. If you are a bruxer, you can try muscle relaxation exercises, stretching and breathing exercises, stress reduction techniques and, where feasible, any lifestyle changes that can allow you to reduce the number of stressors in your life. Prescription muscle relaxants may also help. In addition, teeth grinding may be related to sleep apnea. This possibility should be investigated since sleep apnea can have some serious health consequences—we offer effective treatments for this condition as well.

We can spot signs of bruxism, so it's important to come in for regular dental checkups. We look for early indications of dental damage and can help you protect your smile. If you have questions about teeth grinding or would like to discuss possible symptoms, please contact our office or schedule an appointment for a consultation. You can read more in the Dear Doctor magazine articles “Teeth Grinding” and “Stress & Tooth Habits.”