Are you destroying your teeth at night?

Are you destroying your teeth at night?

Are you

To root canal treat or extract?

When do you have to decide?

When the nerve in your tooth starts to die off , pain symptoms and ultimately an absess occurs. If this happens you’re only left with two options for your tooth. Extraction or Root canal treatment.

 

Extraction

Extraction is removal of the whole tooth. It can usually be completed in one sitting under local anesthetic by your dentist. The negative is that you inevitably lose your tooth and are therefore left with a gap.

 

Root Canal Treatment

Only option if you want to save your tooth and the nerve has died off or become infected.

 

What is root canal treatment?

Root canal treatment is the procedure that cleans out the infected or necrotic nerve tissue from the inside of the tooth. The inside of the tooth ( root canals) are then fully cleaned and disinfected before being filled and sealed to prevent infection reoccurring. The filling material used is gutta-percha. It is recommended to get a crown post root canal treatment on a molar tooth to increase the longevity and prevent fracture.

 

Who carries out root canal treatments?

If it is a straightforward treatment in an anterior tooth (tooth nearer the front of the mouth) most general dentists are more then competent to complete this treatment. If it is a complicated root canal treatment or a molar tooth that needs root canal the prognosis for the tooth is better if the treatment is completed by a endodontist. All root canal treatment can be completed in the surgery under local anesthetic. Sedation is also available for nervous patients.

 

What is an endodontist?

An endodontist is someone who has undergone specialist training to a high standard in root canal treatment on top of their general dentistry degree.

 

Our Endodontist

We would like to welcome Dr Geraldine Murray to our practice having undergone further studies in London in endodontics. Geraldine has settled well into the team and can complete root canals along side our anesthetist service if sedation is needed.

If you are interested in root canal treatment please call 01 206 4218 for more information or to schedule an appointment.

Tooth Whitening Tips and Tricks

Tooth whitening:

 

Bleaching teeth is very fashionable in this day and age. Here at Blackrock Clinic Dentistry, we are asked on a daily basis about how safe is tooth whitening. Patients want to know about all the products on the market and which ones actually work.

We would like to give a summary on tooth whitening and some of the products available and which ones we like.

 

In –house bleaching by the dentist:

 

We advise for best results to wear them for over 3hours per day or overnight. You will only a quarter fill your bleaching tray but this will be demonstrated by the dentist. Ensure to wipe your gums after placing your trays on the teeth. Our patients, usually achieve 3-4 shades whiter teeth but this could vary depending on the shade of your teeth at initial consultation. The dentist will discuss this with you. Call Blackrock Clinic Dentistry now on 01 206 4218 or email info@blackrockclinicdentistry.com

Verdict:

  • This is a safe, effective way of whitening your teeth. 90% of patients will get to the shade they are happy with.
  • This is the most common form of whitening your teeth. It involves taking impressions of your teeth and custom made trays are fabricated. The trays are very easy wear and thin so one can sleep with them in easily.
  • The bleach will contain 6% hydrogen peroxide.
  • We would recommend : Post bleaching, rinse your mouth with water and wash out your trays with cold water.
  • Wait for 30 minutes before brushing your teeth. Avoid any fruits or acidic drinks for at least 1 hour but this should be minimized during the bleaching process.

Points to note:

  1. Bleaching your teeth can make them sensitive. If you have a lot of root exposure, then do not bleach your teeth unless under the supervision of your dentist. Your teeth may become sensitive after a few days of bleaching, then STOP, take a 1-2 day break. If they continue to be sensitive, then contact Blackrock Clinic Dentistry about the next steps. You likely will have to stop bleaching your teeth for now. This is rare with the current level of bleach we now use.
  2. When bleaching your teeth, avoid smoking, red wine, coffee, curry or any other dark foods that stain teeth.
  3. Use sensodyne – repair and protect or complete protection for 2 weeks prior to bleaching. Blackrock Clinic Dentistry recommends to also use sensodyne during the bleaching process if your teeth are anyways sensitive. If you find your teeth are painful post a bleaching session, then you can place sensodyne toothpaste into your bleaching tray for 1 hour.
  4. You should not bleach your teeth under 18.
  5. Bleach will not whiten composite (white) fillings/ crowns/veneers/bridges/etc…
  6. Bleaching teeth can make them slightly more porous meaning they could take up stains more easily in the future.

 

Whitening toothpastes:

 

Verdict: They will give a better glow to your teeth and they can make your teeth look whiter.

Points to note:

 

  1. Whitening toothpastes, in general, do not actually whiten teeth. They can remove stains etc,.. They can make the teeth look whiter in different lights.
  2. Whitening toothpastes can also make your teeth sensitive so we advise not to use if you have sensitive teeth in general or root exposure. If your teeth have starting becoming more sensitive since using a whitening toothpaste, then stop. Please find the below article
  3. https://www.dentist.ie/_fileupload/JIDA/2007%2053%20No_%203%20-%20Autumn%20.pdf

 

Whitening Strips

 

Verdict: They are easy to use for short periods of time. They will brighten up your teeth but we advise use these for a “top up” post bleaching with the trays. They may not give a uniform white result.

Points to note:

  1. There are numerous whitening strips on the market offering different levels of bleach. Obviously the stronger the bleach, the more chance of whitening your teeth. However this will also increase the risk of sensitivity. It takes approx. 7 days to see the results.
  2. Whitening strips can also make your teeth sensitive so we advise not to use if you have sensitive teeth in general or root exposure. If your teeth have starting becoming more sensitive since using a whitening toothpaste, then stop.
  3. Whitening strips will not whiten white fillings, crowns, bridges,etc.

Should I bleach my teeth if I have receding gums?

 

  1. The answer varies. It depends on how severe your receding gums are. It depends if your teeth are sensitive. There are different strengths of bleach and it may be possible to bleach your teeth and avoid the root surfaces of your teeth that are exposed due to your receding gums. It really is case dependent and we advise not to bleach your teeth if you do have receding gums unless you discuss it with your dentist.

For more information, please call Blackrock Clinic Dentistry on 01 206 4218.

Help, I am Nervous of the Dentist !

Help, I am Nervous of the Dentist !

Are you scared of the dentist? More than 50% of people are likely to answer yes. It is a very common phobia. Every day, Blackrock Clinic Dentistry deals with nervous patients.

People quote many reasons for feeling scared of the dentist… Fear of the drill, previous bad experience, etc..

These are all very reasonable fears and we do encourage patients to admit their reasons for not attending the dentist on a regular basis. We know it’s a cliché but admitting your fears will help you deal with the problem.

  • It is recommended to have a dental examination every 6months and usually people also require a scale and polish every 6months.
  • We highly advise that patients do not neglect their teeth. A small cavity in a tooth usually means that there is a lot of decay in that tooth. A cavity can lead to an infection in the tooth and then either root canal or an extraction of this tooth will be required.
  • If you are careless about your teeth then this can also affect your self-confidence and also increases the risk of damage to your general health.
  • If your gums are bleeding on a regular basis, then you need to visit the dentist. A mouth wash will not help solve the problem.
  • When teeth become infected this is often followed by a swelling. Swellings can increase very quickly constricting your swallowing and putting your health in danger.

 

So, you are convinced you should have your teeth looked at?

What is the next step on having dental treatment?

  • Find a dentist you can trust and chat to.
  • Book an initial consultation just to talk through your dental requirements.
  • Find out your options for sedation oral or i.v if you feel this will help.
  • Motivate yourself to have your teeth examined before the end of the month.
  • It may help to wear your ear phones during treatment.

 

Do not suffer a tooth ache in silence, let the dentist help.

Push yourself today and call. Say goodbye to stained teeth and hello to a smile you are proud of.

Blackrock Clinic Dentistry are specialists in treating nervous patients and offer oral sedation and I.V sedation with our consultant anaesthetists with emergency appointments available.

Flossing – Is it worth it??

Flossing – Is it worth it??

Why should I floss?

Flossing is a very important part of your daily oral hygiene routine. Brushing alone only cleans 70% of the tooth surfaces. By flossing you’re helping to clean the non accessible areas decreasing the likelihood of cavities or gum disease.

How should I floss?

Below is a video of the best technique.

When should I floss?

It is recommended to floss once daily. When should this be? As long as you get it into your daily routine the timing isn’t too important. It would be ideal to complete before brushing in the evening to dislodge anything that can be brushed away.

At what age should my children start?

Whenever they are able to grasp the habit. Their manual dexterity usually allows then to become half decent at flossing around 10 or 11 years old.

Should it hurt?

Normally there shouldn’t be much tenderness from flossing. Although if you haven’t flossed for a while there maybe tenderness for a couple of weeks until the gums become healthy. It is also normal for the gums to bleed on flossing if you haven’t flossed for a while. If bleeding or tenderness continues after a couple of weeks of routinely flossing it is advised to contact your dentist.

Other options?

If you have difficulty mastering the flossing technique, there are other options for interdental cleaning. You can use interdental brushes or a water pick. Talk to your dentist about what the best option for you is.

Please read the link  below for more information and opinions

Should You Floss Before or After Brushing Teeth?

 

Gum Shields- Do you put yours in your sock?

Gum Shields- Do you put yours in your sock?

Image result for gum shields in mouth

Gum shields are now mandatory in rugby, hockey, playing Gaa and many other sports. Gum shields are proven to lessen the risk of facial injury, including trauma to your teeth. Gum shields will help prevent against tooth fracture, tooth loss, trauma to your soft tissue, root fracture, etc..

Despite the evidence, that wearing a gum shield will help protect against dental trauma, players often refuse to wear theirs. The main reason is that they are ill fitting. Purchasing a shop made gum shield will usually lead to a poor fit as this is not an exact mould of your mouth. It is a straight forward, simple procedure to have a gum shield fabricated to fit your mouth perfectly.  A dentist is required to take a quick impression of your mouth.

Blackrock Clinic Dentistry make custom gum shields in your team colours. Say goodbye to keeping your gum shield in your sock and Call now to have your gum shield fabricated.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4482297/

Teeth and Pregnancy

What Happens to your teeth during pregnancy?

We have all heard tales from our parents and grandparents of dental horror stories regarding pregnancy, including loosing teeth as a result. This doesn’t have to be the case.

Getting a checkup during pregnancy is safe and important for your dental health. Not only can you take care of cleanings and procedures like cavity fillings before your baby is born, but your dentist can help you with any pregnancy-related dental symptoms you might be experiencing.

 

When Do I Tell My Dentist I’m Pregnant?

As soon as you know you’re pregnant or even think you could be let the dentist know as it is important for treatment planning and if any medication is needed.

How Might Pregnancy Affect My Mouth?

Although many women make it nine months with no dental discomfort, pregnancy can make some conditions worse – or create new ones. Regular checkups and good dental health habits can help keep you and your baby healthy.

 

Image result for pregnancy gingivitis

Pregnancy Gingivitis
Your mouth can be affected by the hormonal changes you will experience during pregnancy. For example, some women develop a condition known as “pregnancy gingivitis,” an inflammation of the gums that can cause swelling and tenderness. Your gums also may bleed a little when you brush or floss. Left untreated, gingivitis can lead to more serious forms of gum disease. Your dentist may recommend more frequent cleanings to prevent this.

 

Increased Risk of Tooth DecayImage result for dental caries
Pregnant women may be more prone to cavities for a number of reasons. If you’re eating more carbohydrates than usual, this can cause decay. Morning sickness can increase the amount of acid your mouth is exposed to, which can eat away at the outer covering of your tooth (enamel).

Brushing twice a day and flossing once can also fall by the wayside during pregnancy for many reasons, including morning sickness, a more sensitive gag reflex, tender gums and exhaustion. It’s especially important to keep up your routine, as poor habits during pregnancy have been associated with premature delivery, intrauterine growth restriction, gestational diabetes and preeclampsia.

Related image

Pregnancy Tumors
In some women, overgrowths of tissue called “pregnancy tumors” appear on the gums, most often during the second trimester. It is not cancer but rather just swelling that happens most often between teeth. They may be related to excess plaque. They bleed easily and have a red, raw-looking raspberry-like appearance. They usually disappear after your baby is born, but if you are concerned, talk to your dentist about removing them.

Image result for paracetamol

Are the Medications My Dentist May Recommend Safe During Pregnancy?

Be sure your dentist knows what, if any, prescription medications and over-the-counter drugs you are taking. This information will help your dentist determine what type of prescription, if any, to write for you. Your dentist can consult with your physician to choose medications—such as painkillers or antibiotics—you may safely take during the pregnancy. Both your dentist and physician are concerned about you and your baby, so ask them any questions you have about medications they recommend.

What About Local Anesthetics During Pregnancy?

If you’re pregnant and need a filling, root canal or tooth pulled, one thing you don’t have to worry about is the safety of the numbing medications your dentist may use during the procedure. They are, in fact, safe for both you and your baby.

Image result for dental x ray

Can I Get a Dental X-Ray While Pregnant?

About half of the women in the anesthetic JADA study had X-rays taken while they were pregnant, which were also found to be safe. It’s possible you’ll need an X-ray if you suffer a dental emergency or if there is a need to diagnose a dental problem. Although, radiation from dental X-rays is extremely low, your dentist or hygienist will cover you with a leaded apron that minimizes exposure to the abdomen.

 

Choosing A Great Family Sedation Dentist

Looking for a great sedation dentist?

What is really important?

Location

The practice needs to be easily accessible by car or public transport to make it straigtforward to attend your appointment. They need to have opening hours to suit your schedule and allow appointments to fit into your daily routine.

Time

You need to be reassured that you’re not going to be rushed. If you’re looking for a sedation dentist more than likely you are a nervous dental patient. The most important thing is that you feel you are being listened to by your dentist and that your worries are taken into account. If both the dentist and patient can establish good methods of communication automatically the treatment and experience becomes easier for both

Options

If it’s sedation you’re after it is good to have options. Oral sedation- diazepam, Intraenous sedation , Intravenous sedation with an anaesthesist. These are the options availible within dentistry. All options need you to be accompanied home afterwards and you will be unable to drive, work or opperate machinery for the rest of the day post sedation. Seadion gives you the option of hving dental treatment whilst being aware but very relaxed. Intravenous sedation also has the added benefit of not being able to remember the treatment once it is completed.

The aim of sedaiton?

The reason for providing sedation for dental treatment is to make treatment easier for patients.

The Dodie Fairy Tree – What is your child’s Dodie doing to their teeth?

Pacifier, soother, comforter, dummy, dodie

We have a number of different names for the one thing that has helped make parents lives that little easier but what is it doing to your child’s teeth? Is it increasing your child’s need for braces(orthodontics) in the future?

 

Prolonged pacifier use beyond 24 to 36 months results in a greater chance of their upper back teeth erupting on the inside of their lower teeth( posterior crossbite) at 5 years of age

POSTERIOR CROSSBITE

Posterior Crossbite

Children with a thumb sucking habit who stop between 36 and 48 months of age present a greater prevalence of a gap between their upper and lower teeth at the front (anterior open bite) and sticky out front teeth  (increased overjet) at 5 years of age.

increased overjet

Increased Overjet

Anterior open bite

Anterior open bite

 

Tips to wean child off their dummy: You can try cutting the end off the dummy or dipping it in anti nail biting bad tasting agent but the best thing to do is let the tooth fairy be the baddy.

:Visit the Dodie Tooth Fairy tree in Marley Park and leave the dodie with the tooth fairy. She may want to leave a treat for collection at the tree too. (Preferably non sugary)

1: Write a note to the tooth fairy

2: Leave the note with the dodie at the tree

dodie tree
3: Collect your treat!!If you can’t get to the tree, leave the dodie for the tooth fairy under their pillow for the tooth fairy to collect.

dodie tree

Charity clean

CHARITY CLEAN in aid of THE MIA FUND

On Friday 19th June 2015, we are pleased to announce that all proceeds from every Scale and Polish will be donated to this wonderful charity.

All scale and polish 60euro with 100% donated.

mia-fund-logo-sml

We will be treating patients from 8am-4.30 so book early to ensure an appointment.

The Mia Fund is a Hair Restoration Charity primarily helping children & young people who have suffered temporary or permanent hairloss as a result of cancer treatment, illness or trauma. The Charity offers support through counselling & hairloss treatment. It is a wonderful charity and needs your support.
More information can be found at: www.miafund.ie
Please contact 01 206 4218 to make your appointment and give your support to the Mia Fund.
If you require any more information, then please do not hesitate to contact us.