Thursday, February 26, 2009

Why Get Sealants for Your Child?

When I was a kid, I loved rock candy, which is pure sugar. Sugary candy that you keep in your mouth for a long time and sugary soda that takes a while to drink are just about the worst things you can do to your teeth. Combine them with less than fanatical toothbrushing habits, and it's no surprise that by the time I was 20, I had a mouthful of silver fillings. So did most of my friends.

My daughter may very well turn 20 without a single major cavity. Part of the reason is that we don't keep candy in the house. Part of the credit goes to the sealants I put on her teeth when she was 9 years old. Sealants have been around for about 30 years and have made a tremendous difference in how many cavities kids get. They're a sort of plastic coating over the molars that takes minutes to apply, and lasts for years. The cost is roughly equal to half the cost of filling one major cavity. Best of all, getting sealants put on is a pain-free process that can save a lot of pain down the road.

Of course you should teach your child to brush and floss, but why not give them a little help while they learn to do it efficiently? I have office hours that will allow you to bring your child in without disrupting his or her school or after-school activities, or your work schedule. (Click here for hours and location.)

If you have general questions about dentistry that you'd like to see addressed on this blog, feel free to email me at sdurante@earthlink.net . The information on this blog is presented for general education only: consult a dentist for advice on specific problems, diagnoses and treatment.

Sunday, February 8, 2009

Some of My Happiest Patients Are Those Who Have Had Root Canals

The words “root canal” are synonymous with pain: “I’d rather give birth than have a root canal.” Yet some of the patients who leave my office with the biggest smiles are those who’ve had a root canal.

A root canal is a last-ditch attempt to save a tooth by cleaning out infected soft tissue inside the tooth. It's done because saving your own tooth is usually more convenient and less expensive than having the tooth extracted, then replacing it (with an implant or a bridge) so your teeth stay lined up and your bite remains stable. For a long time, however, having a root canal meant a lot of drilling and a lot of pain.

In the 25 years I’ve been practicing, root canal procedures have improved greatly: better pain control, better treatment techniques, better results. When I was a teenager, watching my dentist make people pain-free was one of the things that inspired me to choose a career in dentistry. (More on this on my website.) That's why I always schedule adequate time to let the local anesthetic take effect. (You can also request nitrous oxide, if you wish.) I also use a top-notch dental lab that produces crowns that usually fit on the first try, and that match your own teeth.

Some patients who’ve been seeing insurance-approved dentists for years come back to me for root canals and other difficult procedures. When it comes to such procedures, a dentist who accepts an insurance payment as full payment is at a disadvantage: he is often forced to rush because he's seeing patients in half-hour slots, and he may have to choose a dental lab not because of the quality of its work, but because its lab fee is low enough to be covered by the insurance company’s payment. (Read more about my policy on insurance payments.) I take pride in providing my patients with the finest quality of care, which includes scheduling adequate time for procedures and using the knowledge and experience gained over 25 years in practice to make each visit as pleasant as possible. That’s why some of the happiest patients are those who have had root canals.

If you have general questions about dentistry that you'd like to see addressed on this blog, feel free to email me at sdurante@earthlink.net . The information on this blog is presented for general education only: consult a dentist for advice on specific problems, diagnoses and treatment.