Frank C. Perry, DDS

Inlays and Onlays Get Rid Of the Mercury

AFTER REMOVAL OF AMALGAM

BEFORE REMOVAL OF AMALGAM

 

 

 

 

 

When more than half of the tooth’s biting surface is damaged a dentist will often use an inlay or onlay. Inlays and onlays can be made of porcelain, gold, or composite resin. These pieces are bonded to the damaged area of the tooth. An inlay, which is similar to a filling, is used inside the cusp tips of the tooth. An onlay is a more substantial reconstruction, similar to the inlay but extending out over one or more of the cusps of the tooth. Traditionally, gold has been the material of choice for inlays and onlays. In recent years, however, porcelain has become increasingly popular due to its strength and color, which can potentially match the natural color of your teeth. Inlays and onlays require two appointments to complete the procedure. During the first visit, the filling being replaced or the damaged or decaying area of the tooth is removed, and the tooth is prepared for the inlay or onlay. To ensure proper fit and bite, an impression of the tooth is made by the dentist, and sent to a lab for fabrication. The dentist will then apply a temporary sealant on the tooth and schedule the next appointment. At the second appointment, the temporary sealant is removed. Dr. Perry will then make sure that the inlay or onlay fits correctly. If the fit is satisfactory, the inlay or onlay will be bonded to the tooth with a strong resin and polished to a smooth finish.

Traditional fillings can reduce the strength of a natural tooth by up to 50 percent. As an alternative, inlays and onlays, which are bonded directly onto the tooth using special high-strength resins, can actually increase the strength of a tooth by up to 75 percent. As a result, they can last from 10 to 30 years. In some cases, where the damage to the tooth is not extensive enough to merit an entire crown, onlays can provide a very good alternative.

Do I Suffer From Sleep Apnea??

About 80 million people in North America snore, and approximately 12 million Americans have sleep apnea. So what’s the difference, and why does it matter?

Snoring is caused by the vibration of the soft palate and uvula, occurring when the airway becomes obstructed during sleep. Several things can obstruct the airway and cause you to snore, including allergies, drinking before bed, being overweight and having large tonsils or a deviated septum.

If you snore now and then, you probably have nothing to worry about. But chronic snoring can be a sign of sleep apnea, a more serious sleep disorder. People with sleep apnea stop breathing in their sleep – sometimes up to 100 hundred times an hour – for one minute or longer. Left untreated, sleep apnea can increase your chances of serious health conditions like high blood pressure and heart disease. At a minimum, you may feel groggy in the morning or unable to concentrate during the day.

The good news is sleep apnea is treatable. The two most common ways to treat sleep apnea are continuous positive airway pressure (CPAP) therapy, which is administered by a physician, and oral appliance therapy, which is administered by a dentist. CPAP therapy can be very effective for people with sleep apnea, but some find it difficult to sleep with a mask. More people are increasingly turning to the oral appliances administered by dentists. Oral appliances are small, flexible devices that look like mouthguards. They increase the airway space and reduce air velocity and soft tissue vibration (snoring) by moving the lower jaw into a forward position. Patients who have tried both say that oral appliances are more comfortable to wear, easier to care for and very cost-effective.

We can make you an appliance in a few days to wear in your mouth to prevent sleep apnea

see the photo below

Which Do YOU Want to Go To Bed With

Bad Breath, Bad News

Bad breath is bad news. Don’t let bad breath be a part of your day! In our office, we are asked on an almost daily basis “How can I get rid of my bad breath?”

Here are some quick and easy tips to help keep your breath fresh and clean:

1. Brush and Floss Regularly:
It’s basic advice, but foolproof. Brushing at least twice a day and flossing and tongue scraping once is the best way to combat bad breath. When the bacteria in your mouth have bits of food and debris to feed on, they create the odors that cause bad breath. Keeping your mouth clean will keep your breath clean at the same time!

2. Drink Water:
You don’t always have access to a toothbrush. As it turns out though, water can be an effective way to freshen your breath until you can get home and brush. Water helps clean out your mouth and prevents dryness, another major cause of bad breath.

3. Eat Good Foods:
A good way to prevent bad breath is to stay away from foods that make your breath smell bad, and eat foods those that will help your breath smell good! Melons and citrus fruit are high in Vitamin C, and help kill bacteria in your mouth. Fibrous foods like apples and celery can help remove food stuck in your teeth, reducing smells caused by bacteria feeding on them.

4. Choose gum and mints with Xylitol:
Sugary gum and breath mints are often used to tackle bad breath. However, the stinky bacteria in your mouth love sugar, and giving them more tends to produce acid that can make your breath smell worse AND lead to tooth decay. Xylitol is a sugar alternative that bacteria cannot break down, which makes it a perfect method for keeping your breath fresh and clean.

If you are troubled by your bad breath, ask us for more tips on staying fresh and clean!

Missing Teeth: More than Just a Gap In Your Smile

While it is true that the most obvious effect of missing teeth is a gap in your smile, missing teeth can cause other problems that you might not be immediately aware of. For example, did you know that for every missing tooth you have you lose 10 percent of your chewing ability? Read on to get a better idea of how a missing tooth can affect your life.

Surrounding Teeth
A missing tooth usually means more stress for the remaining teeth. In addition to that, if you are missing a tooth on the lower jaw, the opposing tooth on the top can grow longer to fill the gap in a process known as superuption or extrusion. This could lead to teeth tilting and move out of place by drifting into the space that was left by your missing tooth – a disaster for your beautiful smile!

Digestive Health
If you are missing teeth, you can’t enjoy all of the foods that you are used to eating – bad for your health and bad for your mood! Say goodbye to caramel apples, saltwater taffy, crunchy carrots and even gum. And because the variety in your diet is reduced when a tooth is missing, digestive problems are unfortunate yet common.

Decay and Hygiene Problems
The shifting of your teeth may cause new hygiene issues as it may be difficult to brush and floss like you normally would. This leaves your mouth more vulnerable to gum disease and tooth decay.

Facial Aesthetics
People with more than one missing tooth may also have issues with a collapsed bite which causes a loss of vertical dimension. This could make your face appear shorter, as the distance between the tip of your nose and your chin would decrease.

The good news is that you don’t have to suffer anymore! Dental implants can help you avoid all of the problems listed above and let you live your life normally again. It’s never too late for a dental implant, give us a call at Frank C Perry DDS PC Phone Number 631-654-0707 to find out about this life-changing procedure.

Rene Laennec’s 235th Birthday

February 17, 2016
Rene Laennec’s 235th Birthday- invented the very first stethoscope!
Late in 1816, while examining a patient suffering complications of the heart, René Laennec’s memory of a stroll taken months prior came rushing back. Walking the courtyard of the Louvre that day, he observed two children playing with a long stick–one scraped it with a pin while the other listened giddily to the amplified sound on the other end.
Recalling this, Laennec rolled up a piece of paper and pressed it to his patient’s chest. The beating of her heart was suddenly audible and clear, and the stethoscope–an innovation that would fundamentally change the detection and diagnosis of lung and heart problems–was born.
After several prototypes, he settled on an instrument that resembled a long, wooden tube. Using his invention, Laennec continued his research on sound in diagnostic medicine and made several important contributions to the field. To celebrate what would have been his 235th birthday, artists Helene Leroux and Olivia Huynh depicted Laennec’s very first stethoscope beside the one we know today.
Happy birthday, Dr. Laennec.

Yes. You still have to floss.

The AP recently released an article making the claim that “there’s little proof that flossing works”. Their review cited a series of studies that found flossing does little or nothing to improve oral health.

Here’s the problem: the studies were flawed.

The AP concluded that floss does little for oral health, but it’s important to note that the evidence they cited was very weak at best. In fact, they said so themselves.

As acknowledged by the AP, many of these studies were extremely short. “Some lasted only two weeks, far too brief for a cavity or dental disease to develop” (Associated Press). They also say that “One tested 25 people after only a single use of floss” (Associated Press).

Of course the evidence is unreliable. You don’t simply develop gum disease because you forgot to floss yesterday. Cavities and gum disease do not happen overnight. You can prevent gum disease by maintaining a clean mouth over a long period of time. Wayne Aldredge, President of the American Academy of Periodontology explained: “gum disease is a very slow disease”. In his interview with the AP he recommended long-term studies which he believes would clearly show the difference between people who floss and people who don’t.

Lets put it this way: If a study claims drinking milk does nothing for bone health, but draws conclusions after only three glasses of milk, is it a reliable study? What do you think?

The fact of the matter is floss removes gunk from teeth. You can see it. Gunk feeds bacteria which leads to plaque, cavities, poor gum health, and eventually gum disease. Floss has the ability to reach the food particles that your brush can’t get to.

Aldredge also pointed out that most people floss incorrectly, using a sawing motion instead of moving up and around the teeth to clean the cracks. Positive results come from correct use and it’s critical that people learn to use a tool properly before discarding it as useless.

That’s just what floss is: a tool. Just like your toothbrush, it is designed to keep your mouth clean, and therefore keep your body safe from infection. Both your toothbrush and floss are designed to do what the other can’t, and both successfully remove bacteria from your mouth. Just like proper brushing technique, it is important that you know how to use floss properly, so that you can reap the long-term health benefits of good oral hygiene.

It’s a shame that studies on an important tool such as floss have yielded poor results, but it’s a bigger shame that the studies themselves were poorly designed. Oral hygiene is a long term process, and requires long term observations to make worthwhile conclusions. In the mean time, it’s obvious that you should continue to do everything you can to protect your well being, and floss is one of many tools that can help you do that. If you would like a refresher on the best, most efficient techniques for floss use feel free to call our office today at 631-654-0707!

Taking Care of Your Veneers

Congratulations! You’ve just received your brand new veneers. Your smile has never looked this good, and you probably want to make sure it stays that way! Good veneers can last a long, long time, but only if you take good care of them along the way.

Here are some tips to make your veneers last a decade and even more:

Treat Them Like Teeth
You can ensure that your veneers last a long time if you brush them with the same care that you would your original teeth. Brush twice and floss once daily for best results!

Regular Cleanings
It’s important that we continue to schedule appointments with you so that we can make sure your veneers are looking their best, and that they stay that way. The week after the veneers are placed is the most important visit, followed by your regular dental hygiene visits, during which we can keep an eye out for potential problems.

Try Not to Grind
Many people grind their teeth, but it’s important that you let us know if you have a history of doing so. Measures can be taken to avoid damage to your new veneers over time, such as a nighttime mouth guard to protect your new smile.

Avoid Damage
Biting down on hard food is dangerous for any teeth, and even more so for veneers. Avoid using your veneers to bite down on hard materials and foods. The less stress you put on them the better.

Staining
Veneers keep their shade beautifully over the years, but they are not immune from staining. Avoid the same foods and beverages that you do for your natural teeth such as coffee, tea, wine (and smoking)!

What is involved in the procedure?
First we evaluate your teeth using various kinds of imaging and impressions to ensure that veneers are a good choice for you. Next we create a mock-up so that you can see what your teeth will look like after the procedure, before you make your final decision. If you decide to proceed the first step is to remove a thin layer of enamel from the teeth and then make an impression from which we can build the veneers. The veneers are bonded to the teeth with dental cement and hardened using a special light. That’s where the procedure ends and your new smile begins.

If you are ready for a smile upgrade with veneers, give us a call at Frank C Perry DDS PC Phone Number 631-654-0707!

Take Care of Your Veneers!

Congratulations on your new veneers! You’ve got your smile exactly the way you want it!

takecareveneersIt’s not just for Christmas – it’s for a lifetime! What should you do to keep those pearly whites nice and tidy?

Keep them clean
Your veneers require the same kind of care your natural teeth do. Brush twice and floss once a day for at least two minutes, and drink plenty of water in between. Pick a non-abrasive toothpaste that contains fluoride, and choose a soft-bristled toothbrush to make sure you don’t harm the porcelain.

Stay Away from Stains
Your natural teeth still are vulnerable to staining. So, to keep your natural teeth matching your veneers for an all-over bright smile, you will want to avoid the following stain-culprits as much as possible. Several types of food and drink can cause your natural teeth to stain, such as red wine, coffee, black tea, curry, berries, and tomato sauce. You don’t have to cut these out completely, just remain stain free by practicing moderation!

Watch That Bite
Avoid biting into hard foods such as nuts and ice cubes, as this could cause your veneers to crack or chip.

Buddy-Up with Your Dentist
A visit to the dentist should be as important as remembering your best friend’s birthday, so mark it down in your calendar!

Regular visits to Frank C Perry DDS PC as well as at-home care can keep your porcelain veneers looking shiny and new for a very long time! Call us today to book your appointment! 631-654-0707

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Oral Ecology

Your mouth has entire colonies of microorganisms, and most of them do no harm. There have been over 700 different strains of bacteria that have been detected in the human mouth, most of which are harmless. Sometimes, other disease-causing bacteria are thrown into the mix which can affect our health. They can be controlled with a healthy diet, good oral care practices and regular visits to your dentist.

oral-ecologyBacteria in biofilm (a thin film of bacteria which adheres to a surface) were first detected under the microscopes of Antony van Leeuwenhoek in the 17th century. Bacteria in your mouth have both the ability to be harmful, but also to be beneficial and necessary to your immune system.

The plaque that forms on your teeth and causes tooth decay and periodontal disease, is a type of biofilm. A biofilm forms when bacteria adhere to surfaces in a watery environment, they excrete a glue-like substance which helps them stick to all kinds of materials. Dental plaque is a yellowish color type of biofilm that builds up on teeth.

Watch Out For These Bacteria
Streptococcus mutans
Lives in your mouth and feeds off the sugars and starches you eat. It produces enamel-eroding acids as it feeds, which make it the leading cause of tooth decay.

Porphyromonas gingivalis
Strongly linked to periodontitis. Periodontitis is a serious and progressive disease that can result in bone degeneration. It causes pain and leads to tooth loss.

A biofilm can contain communities of disease-causing bacteria, and if left uncontrolled, they can cause cavities as well as both gingivitis and periodontitis. Bacteria is also the cause of inflammation and pain of a root infection, leading to root canal treatment.
During root canal treatment, the root is dried extremely well and sealed, as to not provide any moisture for bacteria to colonize. A well-filled root canal offers bacteria a nutritionally limited space.

Biofilm can be controlled by proper oral hygiene; however, periodontitis requires an extra helping hand. Treatment of oral infections requires removal of biofilm and calculus (tartar) through non-surgical procedures followed by antibiotic therapy. Chlorhexidine and triclosan can reduce the degree of plaque and gingivitis, while preventing disease-causing microorganisms to colonize.

Don’t let oral bacteria be your “fr-enemy”! Call us today at 631-654-0707 to discuss your oral health options.

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Dental Implant Success

What do you use your teeth for? Eating, drinking, speaking, laughing, the list goes on! How are these affected when you have tooth loss?

implantsuccessIf you have missing teeth, you could be missing a lot! A very reliable and safe method for replacing teeth is dental implants.

Dental implants permanently attach prosthetic teeth to small posts or “roots” that are embedded in the jaw. These posts are made of titanium, and securely fuse to the jaw bone, this helps restore the full functionality of previously missing teeth.

Dental implants not only effectively and reliably replace missing teeth, but also help prevent the loss of jawbone density, restore the support of facial structures, and provide you with the support you need to effectively use your teeth.

The procedure for dental implants can be a quick and easy, and in some cases, can be done in a single day. Your implants become part of you, so they eliminate the discomfort of removable dentures. They also prevent the embarrassment of removing dentures at every snack or meal, as well as the need for denture adhesives.

Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain. Nearby teeth are not altered in order to support a dental implant, thus more of your own teeth are left intact, improving oral health in the long-term as well as your oral hygiene.

Dental implants are very durable, lasting several years, and if they are in good care, can last a lifetime.

Don’t miss out with missing teeth, get your smile back and feel better about yourself!

Here at Frank C Perry DDS PC we specialize in dental implants, so give us a call today on Frank C Perry DDS PC Phone Number 631-654-0707 to discuss your future implant success!

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