A toothache can be caused by multiple factors affecting the tooth. The most common we see include, but are not limited to:
- Fractured Tooth
A fractured tooth is caused by heavy trauma to the remaining tooth structure from opposing teeth or hard foreign items like food. Usually, the tooth goes thru a series of changes including microfractures that leave small lines in the remaining enamel of the tooth. After changes in temperature and increased trauma, the enamel or remaining tooth structure will chip or fracture. Depending upon the size, bonding may be completed or if too deep, the area may need surgical intervention.
- Decay or Cavitated Tooth
Decayed teeth come from sugar and acid allowing bacteria to degrade the tooth structure. Usually, these areas are diagnosed by the dentist by feeling the remaining soft tooth structure with an explorer. These areas may be slightly sensitive and most likely discolored. They may range in color from green, to brown or even black. These areas are fixed with simple bonding unless the cavity has reached the pulp, in which case the options for treatment become root canal or some other surgical option.
- Infection in the Tooth
Infection in the tooth is present when bacteria have had the chance to access the pulp or blood supply of the tooth. This allows the bacteria a highway into the tooth and to make the tooth build up pressure inside the pulp canal. This pressure is translated to the patient as pain or discomfort. In this situation, a root canal or surgical intervention are the only treatments available.
- Infection in the Bone
Infection in the bone happens after a long time of allowing an infection in the tooth to grow. This infection may cause swelling of the surrounding tissues and extreme throbbing. Infection in the bone is often referenced as an abscess and may have drainage of poor tasting infection into the mouth. It is extremely important to get dental emergency care as soon as possible. Dental emergency care can be seeing a dentist for evaluation or visiting a local hospital for drainage of large infections. Allowing days or weeks to pass with an abscess may lead to sepsis or a blood infection that has dire consequences.
Many patients find traditional dentures uncomfortable and lacking retention. The days and times of small denture teeth and clicking/clacking of dentures is gone now with implant denture options at Schroeder Cosmetic and Family Dentistry in Lexington, KY.
Implant dentures use implants to anchor the denture securely. The dentures do not move during speaking, chewing or swallowing which is much more comfortable for the denture, and for you!
How is an implant denture made?
First, the man-made root or implant is placed by the dentist where there is an adequate bone to stabilize it. After three to four months, depending on overall systemic health, the implants are uncovered after they have fused with the bone. The denture process begins by anchoring teeth in wax to the implants to test drive the bite, smile, and size of teeth. Next, after patient approval, the dentists fabricate the final prosthesis.
How long does an implant denture last?
Implant dentures are like cars. With routine maintenance and proper care, they can last multiple decades. If they are placed and ignored with zero maintenance, they will last much less time.
How much does an implant denture cost?
Implant dentures can be an affordable, long-term solution when they are done correctly. For example, poor materials and poor craftsmanship will lead to failing implants and broken dentures. In this day and age, you get what you pay for. In this instance, we provide financing options so that if the patient looks at the fee as “cost per year” of having comfortable, stable implant dentures, it is well worth its value.
How do I get a consultation with the doctors?
You can call Schroeder Cosmetic and Family Dentistry or enter your information below into our submission form. We will review your information and call to set up an appointment. We look forward to meeting you to talk about how we can provide comfortable, stable implant dentures for you or a family member in a patient-friendly environment.
Schroeder Cosmetic and Family Dentistry is honored to receive its 11th Herald Leader Readers’ Choice award! Thanks to our generous voters and patients from the Lexington and surrounding areas, we are honored to accept yet another Readers’ Choice Award!
Our office focuses on maintaining a comfortable environment that is centered around our patients. Our team members and doctors take the time to listen and communicate with each patient to understand their needs and concerns. In addition – we offer Saturday appointments, sedation options, and affordable dentistry that separates us from many other local businesses. With over 45 years of experience between our two doctors, our office provides a wide array of treatments in a relaxed setting. This Reader’s Choice award will join our other awards that include the “Three Best Rated” Award of Excellence from April of this year.
We cannot put into words how excited and grateful we are to be voted your favorite local dentist office! Thank you very much for taking the time and energy to vote for us! We will see you soon!
Have you ever wondered what the difference is between a dental crown and dental veneer? Or maybe even when they would be used or which would look better on you?
Dental veneers are used for cosmetic improvement to the front surface of a tooth. Commonly, light or minimal drilling is done to the unsightly tooth and an impression is taken to record the remaining tooth structure. When the final veneer is placed, it is commonly lighter in shade and more appealing to the eye with its shape, size and contour than the original tooth. This is just a “blanket” for a tooth and would not survive on patients with bad clinching/grinding habits or abnormal bite patterns. It would not survive because veneers may be popped off due to lack of retention or excessive force since they have minimal retention.
Dental crowns not only serve as a cosmetic restoration but also completely cover the tooth. Crowns are similar to having a new “hat” for the tooth as it is used on fractured teeth, unsightly teeth and much more to improve appearance and function of the entire top of the tooth. Check out the photo of these incredible crowns below done right here at Schroeder Cosmetic and Family Dentistry!
Have questions? We have answers! Give us a call at 859-276-5496 to learn more about your options and how we can serve you!
What are implant dentures? Dentures that are supported by dental implants are a modern way of restoring the terminal dentition. When teeth are too far decayed/infected to be restored, an implant denture is a wonderful way to get your smile back. Although time goes by and we experience pain and even embarrassment with our smile or ability to chew, we are here to help our patients work thru the big decision of how to restore their smile. There are two different types of implant dentures that are most commonly presented as options:
- Implant supported dentures- These dentures are fully supported by implants and may lightly lay on the gums after the teeth are removed. These provide great stability and natural mouthfeel but may be more expensive.
- Implant retained dentures- These dentures require fewer implants and may require the gums to take some pressure during chewing. This may be a more affordable option but do not provide the same esthetics and mouthfeel as implant supported dentures. These are commonly called “locator dentures” because the denture snaps into locators that act as caps to snap into.
A dental crown can be a wonderful way to restore a damaged tooth. Teeth may be damaged by large fillings with recurrent decay or even fractures. By reshaping the tooth after appropriate anesthesia, a new “cap” or “hat” may be fitted to the tooth.
When the final crown is fabricated, it is customary to choose a material depending upon several factors including strength, esthetics, finances, and functionality. We will highlight differences in these crown materials below:
- Strength- Gold is very strong but not as esthetic so it should be used only in the posterior if the patient elects. Zirconia is wonderful in terms of strength and esthetics and may be a better option.
- Aesthetics- Porcelain fused to zirconia or E.max are wonderful materials for esthetic anterior crowns.
- Finances- Many insurance plans dictate coverage for a porcelain fused to metal (PFM) crown but that crown type may not always be in the persons best interest. For example, porcelain is very brittle and prone to fracture. If the patient has a hard diet or history of clenching/grinding their teeth, PFM may not be the best option for them.
- Functionality- The marriage between aesthetics and strength may usually be found with zirconia, porcelain fused to zirconia or e.Max. All three materials are wonderful choices that help with the compromise between strength and esthetics.
As always if you have any questions about your treatment options or what crown is for you, feel free to give us a call! We enjoy providing outstanding dentistry in a comfortable environment for the fine folks of the bluegrass. We also offer free consultations about crowns if you have questions about if they are the right treatment choice for you or would just like a second opinion.
Welcome back to the Schroeder Cosmetic and Family Dentistry Blog with some Halloween tips! As the temperature begins to drop and we see summer wind to a close, it’s important to review a few key elements of proper oral hygiene. From Halloween Candy to holiday treats, it’s easy to forget about healthy habits and we understand. Find below some Halloween tips about how you can maintain that beautiful smile this fall.
- Always avoid chewy or sticky candy!
Chewy and sticky candies commonly get stuck interproximally (between the teeth) or deep in the central groove of molars(see picture below). These sticky candies have a high sugar content and are the perfect food supply for decay-causing bacteria! The worst perpetrators here are tootsie rolls and sticky caramel treats!
- Crunchy foods crack teeth!
Peanut brittle is the best example for crunchy holiday treats that will bite you back! Commonly, teeth with large fillings or underlying decay are prone to fractures from extreme pressure and temperature changes. Thus, we suggest avoiding hard crunchy treats so as to reduce the risk of fracture!
- Speaking of cracks, be careful walking at night!
You probably wouldn’t believe how many trauma patients we see the day after Halloween! Children running, Halloween decorations and parents/grandparents with poor vision all lead to accidents! Please be careful making your way thru the yards with a flashlight and try to minimize running by children.
As always, if you have any questions or comments, feel free to give our office a ring! We provide a comfortable dental experience in a family environment that’s focused on you! In addition, evening, Saturday, and sedation appointments are available! Call today to schedule an initial cleaning or a free consultation at (859)276-5496!
Hello and welcome back to the Schroeder Cosmetic and Family Dentistry Blog! We love providing the public more dental knowledge and this blog has done exactly that. Today we’ll be discussing the TMJ and risk factors, symptoms and suggested treatments for TMD.
“If you want to converse with me, first define your terms.”
First, a quick moment of clarification. The “TMJ” stands for the Temporomandibular Joint. If someone says they have “TMJ,” it is equivalent to saying “I have knee” or “I have an elbow.” Therefore, the correct reference to a poorly functioning jaw joint is referenced as “TMD.” TMD stands for Temporomandibular joint disorder and lets the dentist/listener know that your jaw joint is working incorrectly or causing pain.
Next, I’d like to discuss some common risk factors, symptoms and treatment suggestions. Although there are many risk factors associated with TMD, the most common are listed below:
- Excessive bruxism (teeth grinding) or clenching which puts too much pressure on the joint. Do you think your knees would be happy squatting over 1,000 pounds in the gym?
- Stress from work or life causing clenching.
- Arthritis or other systemic joint issues that are related to excessive inflammation.
- Abnormal amounts of elastic tissue. This is most commonly seen in females starting at age 14 during puberty. The elastic tissue on the most posterior portion of the joint may allow the joint to partially dislocate and/or function abnormally.
Not sure if you need to be seen by a dentist or specialist for your jaw issues? Some common symptoms are listed below but the biggest thing to keep in mind is to attack the issue early before chronic inflammation begins inside the joint. Symptoms include but are not limited to:
- Popping, clicking or grating noises upon opening or closing of the mouth.
- Painful or locking opening of the mouth during chewing (mastication).
- Painful or locking closing of the mouth during chewing or conversation.
- Aching facial muscles or jaw area located next to the front of your ear. This pain may radiate down your neck and even affect your shoulders.
Lastly, we always suggest treatment early in the process to address any potential future discomfort. For example, during times of excessive pain in the area, treat the joint like you would a sprained ankle.
- Ice should be applied to the area for 20 minutes of each hour for 3 hours.
- Assuming no systemic conditions would limit consumption, take 2 ibuprofen with food immediately after pain.
- Rest is key! Refrain from gum chewing, ice biting or any other excessive pressure on your jaw.
- Bitegaurds do well to avoid excessive clenching or grinding of the teeth at night.
- If symptoms persist, it is extremely important to seek medical attention from a dentist as soon as possible to make sure it does not become a chronic problem.
Thank you for checking out our blog post and remember, dentistry is not expensive but neglect is. Have a wonderful week and enjoy this summer!
Do you need a filling or a root canal? We’ll try to answer that question in our latest blog post! Although we love to provide information to our patients, this information is simply to educate the public and in no way negates allowing a professional to make a proper diagnosis and treatment plan. Do you need a filling or root canal? Commonly, decay starts on the chewing surface (occlusal surface) and has multiple stages prior to becoming “soft or sticky.” This progression commonly leads to more sensitivity in the tooth and provides a highway for the decay to approach the pulp. The decay progression through the enamel(white layer below) is based on several factors including but not limited to:
- bacteria type and concentration,
- available sugars via diet and acids released
- the buffering potential of saliva
Next, the dentin layer (tan layer below) is softer by nature and contains cells called odontoblasts. Proceeding through the dentin layer, the decay encroaches upon the pulp and this is the point that commonly patients go from needing a filling to needing a root canal. Some common signs and symptoms associated with decay encroaching on the pulp include sleepless nights, obvious signs of infection like swelling or redness and sensitivity to hot/cold lasting over 15-30 seconds. Of course, this information in no way negates the need to have a professional take a look but we feel this information is helpful for patients who don’t understand the process taking place. As always, feel free to call us anytime to schedule an emergency treatment or a free consultation about getting a filling or root canal. Have a great week!
Hello all and welcome to our blog post about preparing your teeth for a wedding! This time of year we watch wedding season come into full swing and we are so excited to help our patients. It is common for brides and grooms to worry about having that perfect smile for their big day! Here at Schroeder Cosmetic and Family Dentistry, we completely understand your situation. Everyone wants a fairy-tale smile for their fairy-tale wedding day.
Below is a few tips and ideas on how to prepare for your own or others big day:
- A normal hygiene routine is crucial in preparation for summer pictures. The American Dental Association recommends brushing twice per day for two minutes. Also, it’s important to floss at minimum once per day.
- Do you notice any coffee, tea or wine staining? At-home and in-office whitening treatments have become common place for patients. Call us for a free consultation at (859)276-5496 and we can give you a professional opinion on what treatment would be best for you. Commonly, a cleaning/polishing 1 month before the wedding day followed by an in-office whitening treatment can help patients attain a picture perfect smile.
- Misaligned, crowded, or fractured teeth? More extensive treatment such as crowns, veneers and Invisalign/Clear Correct retainers may be needed. For this type of treatment it’s important to begin early. As far in advance as 6 months or a year before your big day or wedding season, I would suggest consulting with us about your smile goals. An easy way to remember this rule is when you are scheduling a venue for the wedding day, it is also time to schedule a dental consultation.
Have any questions or specific concerns? Give us a call anytime! We’re here to help make your special day a little extra special!