Westfield's Dental Department

Posts for: March, 2019

IfaRootCanalCantbeDonethisProcedureMightSaveYourTooth

Untreated tooth decay can destroy your teeth; prompt action as soon as its diagnosed will help prevent that undesirable outcome. And even if decay has advanced into the tooth's pulp and root canals, there's still a good chance we can stop it with a root canal treatment. Using this procedure, we can clean out the infection and refill the tooth's interior space with a special filling to protect it from further infection.

Although root canal treatments have gained an unwarranted reputation for pain, they rarely cause even the mildest discomfort. More importantly, they work, which is why they're the go-to treatment dentists use for advanced decay.

But sometimes a unique dental situation might make performing a root canal extremely difficult—possibly even doing more harm than good. For example, trying to access the interior of a tooth with a crown restoration might require removing the crown, which could further weaken or damage the tooth. In other cases, the root canals might have become calcified due to trauma or aging and become too narrow to access.

Even so, we may still be able to save a tooth through a minor surgical procedure called an apicoectomy. Rather than access the diseased area through the tooth crown as with a root canal treatment, an apicoectomy makes access to the infected tissue at the root end.

An apicoectomy also differs from a root canal treatment in that we'll need to surgically go through the gum tissue. After numbing the area with a local anesthetic, we'll make a small incision through the gums at the level of the infection. After removing any infected tissue, we would then fill the space with a small filling to prevent re-infection. We then close the incised gum tissues with sutures and allow them to heal.

With the help of fiber optic lighting and surgical microscopes, endodontists (specialists in interior tooth problems) can perform an apicoectomy quickly and with very little trauma at the surgical sight. If you undergo an apicoectomy, you should be back to normal activity in a day or two at the most. And like its sister procedure the root canal, an apicoectomy could help preserve your teeth for many years to come.

If you would like more information on this and other treatments for tooth decay, 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 “Apicoectomy: A Surgical Option When Root Canal Treatment Fails.”


ADifferentKindofChipShotforProGolferDanielleKang

While the sport of golf may not look too dangerous from the sidelines, players know it can sometimes lead to mishaps. There are accidents involving golf carts and clubs, painful muscle and back injuries, and even the threat of lightning strikes on the greens. Yet it wasn’t any of these things that caused professional golfer Danielle Kang’s broken tooth on the opening day of the LPGA Singapore tournament.

“I was eating and it broke,” explained Kang. “My dentist told me, I've chipped another one before, and he said, you don't break it at that moment. It's been broken and it just chips off.” Fortunately, the winner of the 2017 Women’s PGA championship got immediate dental treatment, and went right back on the course to play a solid round, shooting 68.

Kang’s unlucky “chip shot” is far from a rare occurrence. In fact, chipped, fractured and broken teeth are among the most common dental injuries. The cause can be crunching too hard on a piece of ice or hard candy, a sudden accident or a blow to the face, or a tooth that’s weakened by decay or repetitive stress from a habit like nail biting. Feeling a broken tooth in your mouth can cause surprise and worry—but luckily, dentists have many ways of restoring the tooth’s appearance and function.

Exactly how a broken tooth is treated depends on how much of its structure is missing, and whether the soft tissue deep inside of it has been compromised. When a fracture exposes the tooth’s soft pulp it can easily become infected, which may lead to serious problems. In this situation, a root canal or extraction will likely be needed. This involves carefully removing the infected pulp tissue and disinfecting and sealing the “canals” (hollow spaces inside the tooth) to prevent further infection. The tooth can then be restored, often with a crown (cap) to replace the entire visible part. A timely root canal procedure can often save a tooth that would otherwise need to be extracted (removed).

For less serious chips, dental veneers may be an option. Made of durable and lifelike porcelain, veneers are translucent shells that go over the front surfaces of teeth. They can cover minor to moderate chips and cracks, and even correct size and spacing irregularities and discoloration. Veneers can be custom-made in a dental laboratory from a model of your teeth, and are cemented to teeth for a long-lasting and natural-looking restoration.

Minor chips can often be remedied via dental bonding. Here, layers of tooth-colored resin are applied to the surfaces being restored. The resin is shaped to fill in the missing structure and hardened by a special light. While not as long-lasting as other restoration methods, bonding is a relatively simple and inexpensive technique that can often be completed in just one office visit.

If you have questions about restoring chipped teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Porcelain Veneers” and “Artistic Repair of Chipped Teeth With Composite Resin.”


By Kenneth Krause, DMD
March 05, 2019
Category: Dental Procedures
Tags: Cosmetic Treatment  

Get the smile you’ve always wanted with cosmetic dentistry from our Westfield practice.

When it comes to cosmetic dentistry you have a lot of options. From making small changes to incredible transformations, the many cosmetic     cosmetic services offered by our Westfield, IN, dentists, Drs. Kenneth and Katie Krause, can help you achieve your dream smile! Cosmetic dentistry is a great option for healthy individuals looking to enhance the appearance of their smile—here are some of the most popular types of cosmetic dentistry treatments:

 

Tooth Contouring and Reshaping

Do you have excessively pointy teeth or a slightly uneven tooth? If you are someone who is only dealing with one or two minor cosmetic flaws, then tooth reshaping may be all you need to buff away these little problems. By removing bits of enamel from the tooth, our Westfield, IN, dentists can reshape the tooth quickly and painlessly.

 

Dental Bonding

This cosmetic treatment is often used in conjunction with teeth reshaping, and it offers a way to minimally change the shape, size, or color of a tooth. If you have a small chip or discoloration that you wish you could hide, tooth-colored resin can be applied to the area to cover these issues. Once the resin is applied and shaped, it can be hardened permanently to the tooth. This treatment is also completely non-invasive and doesn’t require anesthesia.

 

Porcelain Veneers

Do you wish that your smile was more symmetrical or didn't have that small, yet obvious gap? If you want to alter the overall shape, size, shape, or alignment of your smile, this simple porcelain restoration is the ideal option. Veneers are bonded to the front of your smile in order to become the new outer layer for your teeth. Once these shells are applied, they will be able to cover a host of different imperfections while giving you the flawless smile that you’ve been looking for.

 

Teeth Whitening

This is one of the most popular cosmetic options, as it offers patients a way to achieve a significantly whiter smile in as quickly as one hour. Our powerful whitening system can get smiles up to 10 shades whiter. If you want to get a whiter smile before your wedding day or an important event there is no faster way to get the results you want then with in-office teeth whitening.

 

Interested? Give Us a Call!

Krause Dental in Westfield, IN, is here to help you achieve your cosmetic goals when it comes to improving the look of your smile. If you want to learn more about cosmetic dentistry and how it can have long-term benefits for your smile, give us a call today at (317) 399-9329!