Temporary Crowns -Why? and How long will they last?

I just received a question on the blog by someone who had just had a temporary crown placed and they wondered how long it would last as they were nervous because they were going on vacation. 
The purpose of a temporary is to protect the underlying vital tooth (if vital) from sensitivity and prevent the teeth around the prepared tooth/teeth from moving. The temporary must be strong enough to resist breakage for a short period while flexible enough to be easily removed.
I do many crowns and place many temporary crowns and if the permanent crown is to be placed in the next few weeks, my temporary crowns almost never come off or break.  This is when they are cemented with the weakest cement.  Sometimes I have temporary crowns on for a number of months for various reasons.  I can still say that we have a fairly high success rate but you must remember that they will not last more than a few months because they will loosen as the temporary cement leaches out and the tooth is subjected to the forces of chewing.  

All the best
Dr. Ron Barzilay
www.rondentist.com

My Dentist gave me 12 needles, is something wrong?

I have been asked many times about the number of injections given and whether it is OK or not?
Let us start with the basics, it is not the number of times that you have been"given the needle" but for safety it is the the quantity (in cc) of local anesthetic that you are actually being given.  Every dentist can calculate how much of a certain material he/her can give you before you reach unsafe levels (toxic levels).  The amounts that can be given depending on the size and weight of the patient, also whether a child or adult and your general health situation.  Your dentist will know how much he can give you in order to keep you safe.  As to how many injections, that is another story.  Some dentist go in quite aggressively and in 1 "shot" freeze you up. This gets you frozen quickly but sometimes you might be seeing stars.   When I "freeze" a child I can take up to 4 "shots".  The first one a quick short prick, generally not felt, but it freezes the area.  Then another one slightly deeper placing more material and so on.  Throughout we have only used one cartridge or less of material.  I think you get the idea.  Also the number of injections may be related to technique, the length of the procedure and the size of the area being worked on, also whether the area is "frozen" enough or perhaps some extra needs to be added.
In general, your dentist will always do his best to make you comfortable during any procedure he is doing.  Sometimes this may involve 1 " shot" and sometimes multiple "shots".  Don't bother counting, it will not be helpful to you.  If you do have a question, always feel comfortable to ask your dentist.  I am sure he/she will be more than happy to explain to you any questions that you may have.

All the best

Dr. Ron Barzilay

enjoying dentistry in Hamilton Ontario

www.rondentist.com

Toothpaste

We were sitting around the table in the staff room one afternoon and the discussion came around to TOOTHPASTE!
We started to discuss the different uses of toothpaste and this is what we came up with.

1.  To clean your teeth with.  Toothpaste is an abrasive and you place it on your toothbrush to help clean your teeth.
2.  If you get a burn, you place toothpaste on the burn and it will take away the sting.  (Of course we are talking about small burns not 3rd degree to 90% of your body.)
3.  Bee stings and mosquito bites feel much better after placing toothpaste.
4.  Cleaning your silverware.  Toothpaste does a great job taking off that tarnish.
5.  If your dog gets sprayed by a skunk place toothpaste. (one of our staff members swears by it!)
6.  Drying out acne zits.

If you have any others please let us know.

Toothpaste is really an all purpose product.

All the best
from the all of us in Hamilton Ontario

Dr.Ron Barzilay
www.rondentist.com

My tooth is dark at the tip and it is worse since I whitened them!

My tooth is dark at the tip and it is worse since I whitened them!
 Can I fix them?

A patient came in and asked me this today.
What I told her was that her teeth were not really dark that it was just at the tip of the tooth.  What she was actually seeing was the translucency of the tooth through the thinnest area of the tooth.  This is normal.  The enamel is translucent and where it is thin even more so.  In the thicker part of the tooth there is more dentin so the light does not go through as much.  That is why you see the mid tooth as white while the tip will be gray as you see the darkness of the mouth through it.  After you have whitened it may be more noticeable because the whiter tooth contrasts more with the grayness of the translucency.  I assured her it was quite normal and her teeth actually look very nice.  Is there anything that can be done?  Sure, you can have crowns or veneers placed but I though her teeth looked great and didn't need those drastic measures.
You decide:

Enjoying Dentistry in Hamilton Ontario

All the best

Dr.Ron Barzilay

www.rondentist.com

WILL MY FILLINGS FALL OUT IF I FLOSS?

WILL MY FILLINGS FALL OUT IF I FLOSS?


That is a question that I recently received from a new patient.  He does not floss his teeth because he once had a filling fall out when he flossed.  He also informed me that he now has a loose filling and he doesn't want to floss because it could come out.
I reassured the patient that if a filling is loose it will come out!
It has nothing to do with the floss or whether the hygienist touched it during a cleaning.  If it is loose it is loose and it is going to fall out.  Better it should happen sooner then later so you can have it repaired as soon as possible.  The longer you wait with a loose filling in your mouth the more the tooth will decay under the filling and the greater damage done to the tooth.
To recap (no pun intended), a filling will not fall out because of flossing.  It will only fall out if there is an existing problem with the filling.


Having fun doing dentistry in Hamilton Ontario Canada.


All the best
Dr. Ron Barzilay
www.rondentist.com

My tooth hurts but my dentist isn't open until Monday. What can i do until then?

My tooth hurts but my dentist isn't open on the weekend.  What can i do?

Lucky for everyone that today there are many dentists who work on the weekend and you can usually find someone working on the weekend.  As a matter of fact, most dentists usually leave a number on their answering machines of someone who can help you out if you have a dental problem.  Having said that, of course there may be a time when you can't find anyone to help you so what do you do?

Here are a few suggestions.

1)  Everyone runs for antibiotics because you can always get your family doctor to prescribe some for you.
If nothing is swollen or if the tooth does not appear elevated then antibiotics will not help.  Remember antibiotics are not pain relievers, they fight infection.  If something is swollen or a tooth feels elevated then antibiotics could help.

2)  Pain revlievers.  Take your Tylenol or Advil or whatever pain reliever tends to work for you.  It may be enough to get you through till Monday.

3)  Tooth sensitive to hot and cold with a big hole.  I have seen temporary filling materials at pharmacies in the U.S. but not in Canada.  If you are in the U.S. you can try placing that in the hole.  In Canada just find something like ortho wax to close the hole.

4)  Throbbing tooth.  Look for some Orajel or any material for teething babies.  These materials usually have topical local anesthetics which may give you some temporary relief.

5)  Broken tooth that is really sharp.  Take a nail file and see if you can gently  file the rough edge before it tears apart you tongue.

These may help or may not help, just remember that these are suggestions that you may consider trying if you can't find a dentist.  Good luck and try to see someone on Monday.

All the best
Dr.Ron Barzilay
www.rondentist.com

Having fun doing dentistry in Hamilton Ontario Canada.

Do Root Canals harm your health? NO!!!

This past summer a young man came into my practice after hitting his front teeth in a car accident.  Two of the front teeth would require root canals as a result of the blows to them.  The third tooth had part of the crown fractured diagonally but at present did not require root canal treatment.  It would require a crown.
I referred this young man to an Endodontist (specialist in root canals) for this treatment.  Two weeks later this young man came into my office asking to speak to me.  He informed me that he had cancelled his appointment with the Endodontist and was inquiring about having his front teeth replaced with implants.
I asked him why he was considering this course of action?  He responded by telling me that he had read on the internet that root canals would harm his health.
Great, another internet Myth!
I told this young man that he had NOTHING to worry about when it comes to root canals.  That the treatment was safe and validated by years of real scientific study.   He was a little reluctant to tell me about what he had read.  On the other hand, he was not sure if he totally believed what he had read so he came to discuss what he should do regarding his teeth.
I again advised him that root canal treatment would be the best course of treatment in his mouth.  That I had a front tooth with a root canal in it since I was 9 years old.  That is 44 years since I had it done and no I don't suffer from arthritis, Lou Gehrig's disease or a host of other diseases that root canals are supposed to cause.  But of course this is just my own personal observation and not science.  The science, done by Doctors and Dentists and other researchers,  corroborate the safety of this procedure.  I further asked him why would he want to take out his natural teeth and replace them with implants.  Some of these articles say a root canal tooth is a dead tooth and therefore should come out.  Great, you are going to replace one dead part with another dead part - the implant.  In most of the articles you are told that root canal treatment is one of the most expensive treatments in dentistry and you know those greedy dentist are not telling you the truth because they just want to make more money.  Well, the truth is, to extract this fellows  teeth and replace them with implant supported crowns would end up costing him 4-5 times as much money.  Another myth busted, I guess we dentists actually do care more about our patients than the money!!
There is so much more that I could elaborate on what these people are saying but I am busy actually treating and caring for my patients.
Suffice to say that this young man did have the root canals done and he is fine.
To anyone reading this out there, please be careful of all the people out there on the internet who truly would put your health at risk through dissemination of lies and half truths in support of their own personal agendas.  Your Doctors and Dentists are professional who have truly dedicated their lives to improve the lives of others.  They are not the ones you should be afraid of.

Having fun doing dentistry in Hamilton Ontario.

All the best
Dr.Ron Barzilay
www.rondentist.com