What Causes Sensitive Teeth?

Does sensitivity keep you from enjoying your favorite cold treat?  Does a cup of coffee make your mouth cringe?  You may be suffering from sensitive teeth.  But what causes sensitive teeth and how can you fix it?  Here are a few possible causes and suggestions to help you get started.

1. Exposed tooth roots - Many of us brush way too hard under the impression that harder means cleaner.  It doesn’t.  Brushing too hard can eventually wear away your gums leaving your tooth roots exposed.  The tooth root has pores that lead to the nerve of the tooth.  When these pores are exposed triggers like hot and cold have a much quicker access to the root causing discomfort or pain.  Talk to your dentist.  He may suggest a sensitivity toothpaste or mouthwash.

2. Tooth decay – Tooth decay can also cause sensitivity.  The most common form of decay is cavities.  A second form of tooth decay is cracking.  Large fillings can lead to weakness in the rest of the tooth, providing the potential for cracking.  Additionally, munching on too many hard treats like candy or ice can also lead to a crack.  To fix the sensitivity, you would need to eliminate the decay.  Schedule an appointment with your dentist to find relief from sensitivity caused by tooth decay.

3. Too much acid – Acid in the things we eat and drink can eventually wear away the enamel on teeth, leaving the dentin exposed.  Without the enamel barrier, teeth can easily become sensitive.  Your dentist will know how to help you minimize future acid erosion and protect the dentin already exposed.

4. Whitening agents – Over-whitening and working continuously to keep our pearly whites pearly can cause sensitivity.  Bleach and other chemicals used in teeth whitening products can cause sensitivity throughout your mouth. The simplest solution may be to stop using the whitening product; or talk with your dentist about switching to different whitening methods, or using different product lines.
 

If you or any family members have further questions, please contact us and we would be happy to discuss any concerns.  Why wait.......call today (512) 992-2822 or visit our website Rigby Advanced Dental.

Thumbsucking........Is It Bad Long Term?

That’s a common question we hear from a lot of parents.

Thumb sucking is a natural and common behavior that many babies start naturally on their own. Babies have a reflex for sucking, and will automatically begin to suck on anything placed in or around their mouths shortly after birth. If their thumbs come in contact with their mouths, the process begins.

This sucking reflex begins to disappear around the age of 4 months as a child moves on to different milestones. Yet thumb sucking can continue because it no longer is a reflex, but instead turns into a habit that provides comfort and relief.

If you watch a child that sucks his or her thumb, you’ll notice the thumb sucking is usually associated with a need: maybe they are tired, hungry, or scared. While many children stop the habit on their own, it can be something that continues on for years. This is when thumb sucking can become a problem. Prolonged thumb sucking may cause:

• A child’s teeth to become improperly aligned, pushing the front teeth outward

• Malformation of the palate roof of the mouth due to prolonged contraction from the sucking action

• Speech problems, including mispronouncing certain letters of the alphabet, and lisps when talking

When should you begin to take action?

For the most part, experts agree that you should ignore the behavior in children and toddlers preschool age and under. Most children will stop thumb sucking on their own; the more emphasis you put on it, the bigger deal it will become.

If the habit continues on from there, the best way to handle the situation is to help the child stop sucking on their own.

Give the child extra attention when thumb sucking is most prevalent.

Help them find other ways of dealing with stress.

Talk openly about thumb sucking and what you can do to stop/change the behavior.

Apply something that tastes bad onto the thumb as a means of helping your child accomplish the goal of quitting. It should be used with his/her permission as a reminder, not as a deterrent from you.

Apply a bandage around the thumb as a reminder.

Distract the child when he/she begins to suck. Start an activity that requires the use of both hands.

If you or any family members have further questions, please contact us and we would be happy to discuss any concerns.  Why wait.......call today (512) 992-2822 or visit our website Rigby Advanced Dental.

Today's Implant Restoration!

Check out the dental implant restoration Dr. Rigby just completed for one of our outstanding patients!  The implant was placed and restored by Dr. Rigby.  It was allowed to integrate with the surrounding bone for roughly six months before final restoration.  The patient had a very smooth and comfortable healing period and was surprised by how simple and straight forward dental implants can be.  Both Dr. Rigby and the patient were pleased with the outcome.

Front View Before Implant Placement

Lateral View Before Implant Placement

Front View After Implant Restoration

Lateral View After Implant Restoration

Panorex After Implant Placement

Esthetic Smile Line After Implant Restoration

At Rigby Advanced Dental a set clinical protocol is followed for all of our dental implant patients, doing this ensures our best possible effort has been made to achieve success.  Through his extensive training as a Prosthodontist, Dr. Brent Rigby has been able to master the many aspects of dental implant therapy.  Rigby Advanced Dental not only offers complete implant care, but also offers a variety of other dental services.  Please visit our website Rigby Advanced Dental for details.  We enjoy being able to provide top notch dental care to the people of Bee Cave, Lakeway and other surrounding Lake Travis areas!

Why You Should Schedule A Dental Cleaing

One of the most important ways to stay healthy is to schedule a regular dental checkup.  Dental health is often neglected and put off until a problem arises. Yet keeping your pearly whites in top shape not only keeps your smile white, but can also help you avoid other health problems. The following ten reasons are why you should schedule a dental cleaning and keep your mouth happy and healthy.

1. Keep your body healthy – Gum disease has been linked to heart disease and strokes. Having regular cleanings will help keep your teeth and gums healthy, leading to better overall health.

2. Keep gum disease at bay – Again, gum disease has been linked to serious health problems. Regular cleanings will help prevent gum disease, which can also lead to loss of teeth.

3. Stop oral cancer – The best way to stop oral cancer is to catch it early or prevent it from developing in the first place. Regular cleanings will screen for mouth cancer, which could mean the difference between life and death.

4. Keep your teeth healthy – Regular cleanings will help you keep all of your teeth for the rest of your life. Poor dental hygiene leads to cavities and tooth loss. Having your teeth cleaned on a regular basis will help ensure that you live a long life with all of your teeth.

5. Prevent halitosis – Halitosis, or bad breath, is a problem for millions of people. Regular cleanings combined with at-home dental care, will keep your mouth free of disease and bacteria, which will leave your breath smelling fresh.

6. To whiten your teeth – A bright, white smile makes you smile more. A regular cleaning helps reduce plaque, and leaves your teeth in the best shape possible.

7. Keep you on your toes – By visiting your dentist for a cleaning every few months, you are more likely to stay on top of your at-home dental care routine because you know your dentist will notice if you slack.

8. To detect problems early – Instead of waiting until you suffer from pain, regular cleanings will give your dentist the chance to notice problems sooner so you can be treated before the problem gets out of control.

9. Keep you on schedule – As you age, its important to have a great relationship with your health care providers, and maintain every aspect of your health. By sticking to a schedule, you’ll have less to think about, less to plan, and more to enjoy as the years roll by.

10. Make use of your insurance – Instead of using your dental insurance only when you have a problem, take advantage of the perks. Most insurance policies include regular cleanings. Find out the details of your plan, and connect with your dentist today.

Give us a call today and keep on track by getting your mouth squeaky clean......(512) 992-2822 or contact us at Rigby Advanced Dental.

Periodontal Disease........What Causes It?

Periodontal gum disease is an infection of the gums that can result in tooth loss. Gingivitis is a form of periodontal disease. Having gum disease is a bothersome and stressful experience, especially if you end up having to have some or all of your teeth removed. There are several causes of gum disease, including the following:

Make sure to get a regular cleaning and check-up

Genetics

•  Some people are more inclined to have gum disease, especially if there is a family history of having it.  It is common to inherit certain traits that makes an individual more susceptible to periodontal disease.  It is worth noting, that periodontal disease is often caused by certain bacterial strains that inhabit an individuals mouth.  These strains are passed from parent to child through direct exposure and not genetics.  Often the reason gum disease is prevalent in a family is due to innocent exposure by a parent tasting food with the same utensil a child is using or rinsing a pacifier in their mouth before giving it to the infant, thus passing these pathogens to their children.  Often these types of events are unavoidable and the reason why some families struggle with gum disease and others do not.

Stress 

• Stress makes it harder for your body to fight off any infections, including gum disease.  Leaving the oral environment susceptible to decline. 

Teeth grinding

•  Grinding your teeth puts extra pressure on the sensitive areas of your teeth and gums.

Smoking

• Smoking and other tobacco use is one of the leading causes of gum disease.

Hormonal changes

• Pregnancy and puberty are just a few of the hormonal fluctuations that can make your gums more sensitive and susceptible to gum disease.

Obesity

• Being overweight often means you are not getting the nutrients that your body needs. This can increase your chances of developing gum disease.

Other diseases

• If your body is weakened by other diseases, such as cancer or AIDs, you have a higher chance of gum disease because your immune system may not be able to fight infections.

Medications

• There are certain medications that can increase your chances of gum disease, including oral contraceptives.

The best thing for you to do to prevent periodontal gum disease is to maintain a healthy mouth. Brushing and flossing daily is essential. Regular checkups with your dentist are also necessary to ensure that your teeth and gums are clean and healthy. Only your dentist will be able to help you ward off gum disease before it takes control. Keep your smile as beautiful now as it was when you were a child by following a strict dental regimen. Your teeth will thank you later.  Give us a call if you have any questions (512) 992-2822 or contact us at Rigby Advanced Dental.

Oral Cancer......What Are the Signs?

According to studies, nearly 37,000 Americans will be diagnosed with oral cancer this year.  Oral cancer will cause roughly 8,000 deaths this year and of those newly diagnosed 37,000 only about half will be alive five years from now.  This survival rate for this cancer is particularly bleak due to late detection.  Most oral cancer goes undetected until it has metastasized to another location because of the minimal signs of oral cancer.  Therefore it is even more important to recognize the potential signs of oral cancer to aid in early detection.  Here are a few things to watch for with regard to oral cancer.

Make sure to have a regular oral cancer exam by your dental health professional.

1. Appearance - The main symptom an individual with oral cancer may notice in the early stages is an irregularity in the appearance of the tissue within the mouth.  The cancer may manifest itself through a red or white patch of tissue in the mouth or an ulcer looking rather like a canker sore.  If you develop a sore in your mouth that lasts for more than 14 days, it is best to have it checked out by your dentist.  They can determine if there is any cause for concern or further testing.

2. Pain – Another potential sign of oral cancer is pain or difficulty when chewing, swallowing, or speaking.  Again should this symptom persist, especially if it occurs simultaneously with other symptoms, contact your health care professional or dentist.

3. A mass - A mass or lump which can be felt within the mouth or neck is another potential symptom of oral cancer.

4. Numbness - Any numbness of the oral or facial region could also be cause for concern.  Contact your health care provider to get this checked out as soon as possible.

5. Hoarseness - One final common sign of oral cancer is hoarseness.  If you suffer from prolonged hoarseness unrelated to another illness contact your physician for an exam.

Dr. Rigby recommends having a routine head and neck cancer screening biannually at your regular dental hygiene visits.  If you or any family members have further questions, please contact us and we would be happy to discuss any concerns.  Why wait.......call today (512) 992-2822 or visit our website Rigby Advanced Dental.

Dry Mouth......What Causes It?

Ever experienced a dry mouth?  We all need saliva to moisten and cleanse our mouths, keep bacteria under control, and to help us digest our food properly.  If we don’t produce enough saliva, we experience a dry mouth, which can be uncomfortable.

There are several causes for dry mouth, also known in medical terms as Xerostomia.  Causes range from:

• A side effect from prescription and non-prescription drugs used to treat everything from depression and anxiety, cols and allergies, acne, diarrhea, and asthma.
• A side effect of certain diseases, such as Parkinson’s disease, Alzheimer’s, diabetes and rheumatoid arthritis.
• A side effect of muscle relaxants and sedatives.
• A side effect for medical treatments that may have damaged the salivary glands, such as radiation and chemotherapy treatments.
• Dehydration from excessive sweating, fever, blood loss or burns.
• Lifestyle choices, such as smoking or chewing tobacco.

Besides being uncomfortable, dry mouth can lead to more serious problems, such as increasing a person’s risk of gingivitis and gum disease.  Treatment is often a very simple process.

If you think dry mouth is caused by medicines or prescriptions, talk with your doctor about the dosage and other options.  If you aren’t sure what is causing your dry mouth, you can change some of your daily habits.

• Drink more water to keep your mouth moist.
• Suck on sugar free candy to help increase saliva.
• Protect your teeth by visiting your dentist regularly.
• Breath more though your nose, not through your mouth.
• Add moisture to your bedroom with a room vaporizer.
• Use an artificial saliva substitute.

If you or any family members have further questions, please contact us and we would be happy to discuss any concerns.  Why wait.......call today (512) 992-2822 or visit our website Rigby Advanced Dental.

Finance Your Dental Treatment Through CareCredit

CareCredit is an excellent way to pay for expected and unexpected dental treatments that are not covered by insurance.  Whether you are in need of cosmetic or routine dental care, CareCredit is available to handle out-of-pocket costs.  You can receive dental care now rather than wait.  CareCredit is perfect for your dental treatments.

CareCredit is a great way to finance your dental treatment

Who is CareCredit?

CareCredit is a company owned by GE that allows you to have your dental procedures taken care of immediately.  They eliminate the financial barrier and optimal treatment without delay.  Additionally, another benefit to using CareCredit is that it can be used for other medical procedures, not just dental.  The company has over 100,000 providers who accept CareCredit and has helped over 7 million customers.  They are also endorsed by the American Dental Association.

What makes CareCredit Different from a Credit Card?

CareCredit is exclusive to health care needs.  Applying is free and easy and you find out instantly if you’re approved.  You are eligible for their no interest promotion every time you use it.  Their no interest option can be implemented for 6, 12, 18 and 24 months depending on what promotion your dentist offers.  Interest is charged retroactive to the purchase date if you have not paid the balance in full at the end of the 6, 12, 18 and 24 month period.  Minimum payments are required.  If you are unable to pay off the full balance at the end of the period there are extended payment plans with low fixed monthly payments and a low interest rate.  Best of all there are no teaser or introductory rates, no prepayment penalties and it never expires.

CareCredit is the perfect option for your dental treatments.  Whether you want lumineers, clear braces or needing to pay for critical dental care you now have the option to have no interest financing.  CareCredit brings peace of mind that your dental care needs can be met without delay.

If you or any family members have further questions, please contact us and we would be happy to discuss any concerns.  Why wait.......call today (512) 992-2822 or visit our website Rigby Advanced Dental.

Fluoride? What's The Big Deal

Once upon a time, it was not uncommon to drink from the pure, clean water of a stream.  Today, you are unlikely to see anyone drinking water from a natural source without running it through a Brita pitcher first.  As sad as it is to admit, society is taking a hard toll on Mother Nature.  Things that were once safe and abundant are now unsafe, limited, and treated with chemicals.  All of these treatments for something as common as water might have you wondering exactly what is coming out of your kitchen sink.

Super Water Right From The Tap

One of the most common additives to water is fluoride.  For those that are adamant against any additives in their water, this is actually a favorable additive.  Fluoride helps prevent tooth decay.  While fluoride is found naturally in water, the fluoridation process only boosts the natural fluoride levels to the best level for the highest amount of protection.  In other words, water already contains the cavity fighter – society is simply making it stronger.

The addition of fluoride to water has been a common practice for over 65 years.  The process reduces tooth decay by up to 40%.  Even though fluoride is available in other products, like toothpaste and mouthwash, the “super” water is still providing essential protection.  In this age of excess, particularly sugar, the added fluoride can mean the difference between a cavity and a healthy tooth.

If you worry about the treatment process of your water, mark fluoride off the list.  This helpful additive has kept millions of people in better oral health. It will continue to serve millions more in the future.  The next time you drink a glass of tap water, think of it as part of your daily dental routine.  Dr. Rigby and your teeth will thank you every six months.

Today's Implant Placement!

Check out this dental implant placement Dr. Rigby just completed for one of our outstanding patients!  The procedure took approximately an hour and the results are "FANTASTIC"!  Both the patient and Dr. Rigby were pleased with the outcome and look forward to completing the treatment soon.

Before Panorex

 

 

 

After Implant Placement Panorex

After Implant Placement Close Up

At Rigby Advanced Dental a set clinical protocol is followed for all of our dental implant patients, doing this ensures our best possible effort has been made to achieve success.  Through his extensive training as a Prosthodontist, Dr Brent Rigby has been able to master the many aspects of dental implant therapy.  Rigby Advanced Dental not only offers complete implant care, but also offers a variety of other dental services.  Please visit our website Rigby Advanced Dental for details.  We enjoy being able to provide top notch dental care to the people of Bee Cave, Lakeway and other surrounding Lake Travis areas!

Tips to Beat Bad Breath!

There’s no way around it - bad breath is embarrassing. Chronic bad breath can seem like a nemesis, constantly foiling your plans and preventing you from engaging in social activities. We know what to avoid food-wise: anchovies, onions, garlic, etc., but what else can you do? Consider these helpful tips to help you overcome bad breath and start smiling again!

1. Visit Dr Rigby's Bee Cave dental office regularly! Only a professional can remove hardened tartar (a source of bad breath) from below the gumline. We can also diagnose the source of the problem, recommend hygiene products, and devise a plan of action.

2. Brush and floss daily. This seems like a no-brainer, but let’s be honest. How often do you really floss? If you’re like most people, then it’s about as often as you flip your mattress. Debris builds up between teeth, decays, and emits a foul odor. Flossing removes the debris, and it’s absolutely essential for fresh breath.

3. Scrape your tongue. Bacteria hides beneath your taste buds, but a gentle, cost-effective tongue scraper can effectively remove a good percentage of this bacteria. Tongue scrapers last for years, and it might just be the most important thing you do to eliminate odor-causing bacteria.

4. Replace your toothbrush. Your toothbrush’s damp bristles can become a host for bacteria over time. Replace your toothbrush every 2 to 3 months for a fresh approach to fighting bad breath.

5. Use alcohol-free mouthwash. Buyers beware! Many popular mouthwashes contain alcohol, which can mask odors, but ultimately exacerbates the problem by contributing to dry mouth. Consider using an alcohol-free rinse or a baking-soda solution to actually rid your mouth of bacteria.

6. Drink water. Sipping water throughout the day can wash away debris and prevent dehydration, a common cause of bad breath.

7. Go green. Certain herbs and spices act as natural breath fresheners that kill odiferous bacteria. Try adding fresh mint, parsley, coriander, tarragon, rosemary, or cardamom to your diet. Steep these herbs in hot water for a few minutes and enjoy a breath-freshening after-dinner elixir.

8. Introduce vitamin-rich foods. Studies show that foods rich in vitamin D (yogurt, cheese, milk) and Vitamin C (citrus fruits, berries, melons) can counter bad breath and create an environment inhospitable to bacteria.

9. Avoid liquid offenders. Minimize your intake of notorious bad-breath allies like coffee, wine, and whiskey.

10. Chew sugar-free gum. While this isn’t a permanent solution, sugar-free gum can stimulate the saliva glands and provide temporary relief. And because it’s sugar-free, it won’t contribute to decay, which can heighten the problem.

Don’t be embarrassed to talk to Dr. Rigby about bad breath (known in dentistry as halitosis). It’s very common, and we’re here to help you feel good about your oral health. We can recommend products and treatments that will restore your health and your self-confidence. Call (512) 992-2822 for a complimentary consultation. Our Bee Cave dental office serves the Lake Travis and other surrounding areas.

Oral Cancer Screening

Three to five minutes that may save your life

It’s a fact that oral cancer is most frequently discovered in its later stages, when the survival rate is only 20-30%. This is largely because in its early stages it may be painless, and may not present symptoms that you might notice.  Rigby Advanced Dental recognizes the importance of early oral cancer detection and includes a visual and tactile screening for oral cancer during all exams.

Early detection through opportunistic screenings

Rigby Advanced Dental is working to increase the number of cases caught in the earliest, highly survivable stages of the cancer.  All family members over 18 should be screened at least yearly.  We recommend more frequent screenings when patients engage in known risk factors such as tobacco use.  The screening is a simple, painless, 3-5 minute exam.

Important --- These simple screenings are for EVERYONE.......not just people with teeth.  With increased age comes increased risk and as individuals loose their teeth or transition into dentures there is a misunderstanding that the dentist does not need to be seen.  It more important for these individuals to be seen on a regularly basis not only to check their prostheses but also to assess their general cancer risk and oral health.  

In addition to twice yearly routine dental exams and cleanings, please contact us promptly if you or your family members experience any of the following possible signs of oral cancer:

• A sore that does not heal within 14 days
• An unusual lump or discoloration of the tissues inside the mouth
• Any unusual pain or difficulty in chewing, speaking, or swallowing
• Wart like masses in the mouth
• Prolonged hoarseness
• Numbness in the mouth or facial region

The good news is that a simple routine head and neck exam can catch things early.  Precancerous lesions are removed easily and healing time is usually quick.  Get in today to have an exam if it has been awhile!

 

6 Steps to a Thorough Oral Cancer Screening

The dentist or dental hygienist will:

 

Step 1: Tongue ‘n Gauze

Extend your tongue as far as it can go, examining the sides and underside for white and red patches, and feels your tongue for lumps. NOTE: This is the most common site of oral cancers in non-smokers.

 

Step 2: Lip & Cheek Roll

Feel for lumps or bumps, looking for white or red areas that should not be there.

 

Step 3: Double-Digit Probe

Examine the floor of your mouth from the top and bottom simultaneously for lumps, looking for white and red patches.

 

Step 4: Palate Tickle

Check the roof of your mouth for lumps and area’s of softness on the hard palate, looking for white and red patch.

 

Step 5: Neck Caress

Palpate your neck for enlarged lymph nodes a possible sign of infection or something more serious.

 

Step 6: Tonsil Ahhhhhhh

Depress your tongue with a dental mirror, examining your tonsils for symmetry, enlargement, redness, or unusual bumps.

If your dental provider does a thorough oral cancer screening at every visit, recommend them for a Dental Lifesaver Award.

Tooth Extraction

Unfortunately for some, tooth extraction is an inevitable adventure!  Teeth often have to be removed to ensure adequate infection control and to improve the overall health of a patient, but before it "needs" to be done understanding the why or why not is important.  

Webster's dictionary states, "tooth extraction is the removal of a tooth from its socket in the bone".  If a tooth has been damaged by decay or a fracture, dentists try to repair it and restore it with a filling, crown or other treatment. Sometimes, though, the damage is too extensive for the tooth to be repaired and the only logical solution is to remove it, and this is the most common reason for extracting a tooth.

Here are some other common reasons for tooth removal:

• Extra Teeth --- these often can block other teeth from erupting into the mouth.
• Orthodontic Work --- teeth may need to be extracted to create room for the teeth that are being moved into place.
• Head and Neck Radiation Therapy --- these people may need to have teeth in the field of radiation extracted.
• Chemotherapy Patients--- individuals undergoing this treatment may develop infected teeth.  Chemotherapy weakens the immune system and increasing the risk of infection.
• Organ Transplant Patients--- teeth that are at risk of being potential sources of infection after the transplant when immuno-suppressive medications are given may need to be removed.
• Wisdom Teeth --- are often extracted for preventative reason.  They can be removed before or after they come in and are most often extracted in the late teens or early twenties.  Wisdom teeth may be impacted (partially or completely covered by bone or soft tissue) or have dental decay present causing pain requiring their removal.  Similarly, a wisdom tooth that has emerged partially may be blocked by other teeth or may not have enough room to come in completely and this can irritate the gums, causing pain and swelling, requiring the tooth/teeth to be removed.

 

Extracted Wisdom Teeth (Third Molars)

Preparation For The Appointment

Through medical and dental histories will be collected, this helps to determine if any medical/dental condition will increase the risk for tooth removal.  A radiograph (x-ray) of the area will be taken, this helps in seeing and planning the best way to remove a tooth.  If you are having all of your wisdom teeth removed, you may have a panoramic x-ray, which takes a picture of all of your teeth at once.  This type of x-ray shows the relationship of your wisdom teeth to your other teeth, as well as the upper teeth’s relationship to your sinuses and the lower teeth’s relationship to the inferior alveolar nerve, which provides sensation to your lower jaw, lower teeth, lower lip and chin.

Some health care professionals prescribe antibiotics to be taken before and after surgery, but this varies by practitioner. Antibiotics are more likely to be given to people with infection at the time of surgery or with weakened immune systems, those who will be undergoing longer surgeries, or very young or elderly people.

If you’re going to have conscious sedation or deeper anesthesia, wear clothing that has short sleeves or will allow you to roll the sleeves up easily so that an intravenous (IV) line can be placed in a vein. You will be told not to eat or drink anything for six hours before the procedure. You should also make sure you have someone available to drive you home.

How It’s Done

• Simple extraction --- is performed on a tooth that can be seen in the mouth.  Most can be done under a local anesthetic, with or without anti-anxiety drugs.  In a simple extraction, the tooth will be grasped with forceps and move the forceps back and forth to loosen the tooth before removing it.  Sometimes, an instrument called a luxator or elevator, which fits between the tooth and the gum, is used to help loosen the tooth.
• Surgical extraction --- involves teeth that cannot be seen easily in the mouth, either because they have broken off at the gum line or because they have not come in yet.  Another reason for a surgical extraction is that the tooth to be removed requires a flap be cut in the gum for access to remove bone or a section of the tooth.  They can be done with local anesthesia or conscious sedation.  Patients with special medical conditions and young children may be given general anesthesia.  In a surgical extraction, the dentist will need to make an incision in your gum to reach the tooth.  In some cases, the tooth will need to be broken into sections to be removed.

 

Removal of An Upper Tooth

If you are having teeth extracted and are receiving conscious sedation, you may be given steroids in your IV line to help reduce postoperative swelling.

If you need all four wisdom teeth removed, they usually are taken out at the same time. Or if you wish and depending on the practitioner, they can be removed in halves, left at one appointment and the right at another.......there are pros and cons to each method, which Dr Rigby is happy to expound upon.  The top teeth usually are easier to remove than the lower ones.

Here are the types of wisdom teeth in order from easiest to remove to most difficult to remove:

• Erupted (already in the mouth)
• Soft-tissue impacted (just under the gum)
• Partial-bony impacted (partially stuck in the jaw)
• Full-bony impacted (completely stuck in the jaw) 

Also, if your wisdom teeth are tilted sideways, they can be harder to remove than if they are vertical.

Follow-Up After Extraction
 

Most simple extractions do not cause much discomfort after the procedure.  You may take an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Advil, Motrin and other brand names) for several days, or you may not need any pain medication at all.......everyone is different when it comes to healing.

Because surgical extractions are more complicated, they generally cause more pain after the procedure.  The level of discomfort and how long you have discomfort depend on the difficulty of the extraction.  You may be prescribed a pain medication for a few days and then suggest switch to an NSAID.  Most postsurgical pain disappears after a couple of days.  It is possible you will be tender over the area for a few weeks, but there should not be any major discomfort long term.

A cut in the mouth tends to bleed more than a cut on the skin because the incision cannot dry out and form a scab.  So after an extraction, you’ll be asked to bite on a piece of gauze for about 20 to 30 minutes to put pressure on the area and allow the blood to clot.  The area may still bleed minimally for the next 24 hours or so and taper off after that.  Don’t disturb the clot that forms on the wound.

You can put ice packs on your face to reduce postoperative swelling.  If your jaw is sore and stiff after the swelling dissipates, try warm compresses.  Eat soft foods for a few days then try other food as you feel comfortable.  Rinse with warm salt water (1/2 teaspoon of salt in a cup of water) for the first few days to help keep the area clean.  Most swelling and bleeding ends within one or two days of the surgery.  Overall healing takes between one and two weeks.

If the extraction needs to be closed with stitches, the stitches are usually dissolvable and should disappear in one to two weeks.  Rinsing with warm salt water will help the stitches to dissolve.

You should not smoke, use a straw or spit after surgery.  These actions can pull the blood clot out of the hole where the tooth was.  That causes more bleeding and can lead to a dry socket, which occurs in about 5% of all extractions.  It is most common when lower back teeth are removed and happens more often in smokers and women who take birth control pills.

Risks To Be Aware Of

Infection can set in after an extraction, although you probably won’t get an infection if you have a healthy immune system.

A common complication called a dry socket occurs when a blood clot doesn’t form in the hole or the blood clot prematurely breaks off or breaks down.  In a dry socket, the underlying bone is exposed to air and food.  This can be very painful and can cause a bad odor or taste.  A dry socket needs to be treated with a medicated dressing to stop the pain and encourage the area to heal.

Please contact us if pain is a persistent problem!

Other potential risks and complications include:

• Accidental damage to adjacent teeth --- such as fracture.
• An incomplete extraction --- a tooth remnant remains.  Most often the remnant is removed to prevent infection, but occasionally it is less risky to leave a small root tip in place, if needed.
• A fractured jaw --- caused by the pressure applied during the extraction.  This is a risk most often encountered in older people with osteoporosis of the jaw.
• A hole in the sinus during removal of an upper molar.  A small hole will usually close up by itself in a few weeks but may require additional surgery if it doesn’t heal spontaneously.
• Sustained numbness in the lower lip and chin, caused by trauma to the inferior alveolar nerve (during removal of the lower wisdom teeth). Complete healing of the nerve may take three to six months. In rare cases, the numbness, although not disfiguring, may be permanent. 

When To Call a Professional
 
If a swelling gets worse instead of better, or you experience fever, chills or redness in an area, please give us a call.  If you have an infection, antibiotics will usually be prescribed.  Also please call, if after 3-4 days post surgery an extraction site becomes very painful or prolonged, this may be a sign that you may have a dry socket.  Similarly, If the area continues to bleed after the first 24 hours please give us a call.

Broken Implant Screws........No Problem!!

One of the things we do here at Rigby Advanced Dental is complex dentistry.......Dr. Rigby loves a good challenge!  We regularly have patients sent to us from other practitioners in need of a helping hand.  Not to long ago an oral surgeon gave us a call and referred a patient that was having problems with some existing dental implants that were placed over 20 years ago.  After a  through work-up Dr. Rigby determined the problems present as follows;

1. The existing "bridge" had fallen off and the patient could no longer eat food on that side.
2. The existing screws that held the "bridge" on were fractured and still inside the implants under the soft tissue that had grown over the implants since loosing the prosthesis.
3. The existing "bridge" was inadequate to repair and use again due to fractured porcelain and failure to use proper dental engineering principals to prevent catastrophic failure some time in the future.
4. Determine the implant system, size and diameter to order necessary parts for restoration if the screw remnants could be removed without damaging the dental implants. 

Here a few of the initial x-rays taken;

Panorex of the patients existing broken screws. 

A close up view of the broken screws in the implants.  If you look very closely you can see the front implant screw remnant is actually broken in two pieces.......this of course was discovered upon retrieval of the fragments.

One of the biggest difficulties dentists run into when considering restoration of older dental implants is what type are they, whether or not the original parts are still made and if the implant manufacturer is still in business or who owns the rights to the system.  This is one of the reasons other practitioners often decide to refer cases to a Prosthodontist......like Dr. Rigby.......they often have specialty training and experience with older systems and, when in doubt, have the necessary contacts to get things figured out!

Luckily, Dr. Rigby was able to determine all of the above information drawing on his years of experience with dental implants and previous clinical experiences.  Dr. Rigby recommended removal of the screw fragments once the overlying soft tissue had been excised.

In true prosthodontic fashion, Dr. Rigby was able to retrieve the screw remnants on the first attempt using his large bag of tricks and a bit of luck.........Dr. Rigby often jokes that if everything goes according to plan then he knows he's living right!  Healing abutments were placed to allow the soft tissue to heal properly before a final prosthesis was fabricated.

The Healing Abutments in place.  They allow for proper soft tissue healing around the implants.

Final prosthesis adjusted and torqued to place.

Once an appropriate amount of time had passed for the soft tissue to heal a final prosthesis was completed and the patient was once again able to function normally and enjoy eating.  The final prosthesis was fabricated differently using an all gold splinted restoration allowing proper dental engineering techniques to avoid screw fracture in the future.  Upon final adjustment and seating the patient stated, "You have no idea how much this means to me.......not only did you save me money and from having to get more implants, but you actually made me feel like this was a fun experience......don't even ask me how you did that!"

If you or someone you know is having a problem with existing implants or has other concerns please do not hesitate to contact Rigby Advanced Dental for a free consultation today.

Rules for Flossing

Flossing is the number one thing patients say they forget to do when it comes to their dental hygiene plan. That’s unfortunate because it’s also one of the most important.  Flossing helps remove bacteria missed by brushing, which prevents gum disease and the loss of teeth.

Use Floss The Right Way!

If you’ll follow these simple rules for flossing, you can start preventing cavities today:

• Floss once a day. 
• Morning, noon, or night, it doesn’t matter when you do it, just that you do it at least once per day. (Of course, more is always better.)
• Floss for all ages. 
• If you have teeth, floss them.  A patient asked once, “Do I really need to floss between all of my teeth?” The answer is simple: “Only the ones you want to keep.”  It’s important to get kids started on the right track early with an oral hygiene plan.  Just like brushing regularly and putting your socks away, it’s so much easier to perform routine tasks as an adult if you formed that habit in your earlier years.  You may not think it’s important for baby teeth since they eventually fall out anyway, but bacteria grows in between teeth and can cause sore gums and gum disease.
• Proper Flossing Technique is key. 
• If you’re taking the time to floss anyway, you might as well do it right. Right?  Simply flossing down to your gum and right back up won’t cut it.  You need to use a “hugging” motion— up and down, between and around every tooth—to reach all those places your toothbrush can’t.
• Blood isn’t necessarily bad. 
• Occasionally when you floss (especially if it’s been a while) your gums may bleed.  While you do want to pay close attention to this, bleeding gums don’t necessarily mean you should stop.  Often, gums that bleed regularly or easily are an indication of a more serious problem like gum disease or gingivitis.
• Use what works.  
• When selecting floss at the store, pick the one you’re most likely to use.  If you haven’t looked in a while, you’ll be pleased to discover that you have lots of options.  In addition to traditional floss that comes on a roll, you’ll see floss holders, ingenious devices with a “handle” like a toothbrush. These may be easier for you to use—especially for kids.  You’ll also find individual flossers, small contraptions that look like toothpicks and can fit between your teeth.  You’ll even see different flavors, sizes, and shapes of dental floss.  Keep experimenting until you find something you like that works for you. And then stick with it.

Flossing can be time consuming, but it is well worth your time. It can save you thousands of dollars in dental work for only three minutes a day of cleaning between your teeth. Always remember to floss! If you have questions do not hesitate to call (512) 992-2822 or email us today.

Implants in One Day

Implants in one day?  Is it really possible?  Believe it or not, if you fit the right criteria, you can go from having teeth to implants in one day.  You may have seen commercials for this procedure or perhaps a friend recommended it and your interest is peaked.......well never fear, Rigby Advanced Dental is on the cutting edge of technology and offers this procedure right here in Bee Cave & Lakeway, TX.  As a trained Prosthodontist, Dr. Rigby has the extensive knowledge and experience to perform these difficult implant procedures to ensure the best possible outcome.  With that being said, there is a lot you should know about this treatment, so please before any decision has been made, thoroughly research the topic to familiarize yourself with the procedures involved and discuss you concerns with Dr. Rigby.

How does it work?

Once you have had a thorough exam, we will discuss your treatment options.  If we have decided that your teeth require removal, you may be interested in implants.  You can have implants to support your new teeth. You may not even need to wear dentures – ever.

In one procedure we will take out your remaining teeth, place implants (4 to 6 in each jaw), and place a temporary implant bridge for each jaw.  You will leave the office with your new implant bridges – they look just like teeth.

Example of Upper and Lower Implant Locations

Breakdown Model of Denture, Screws, Abutments, and Dental Implants

Expect several follow up visits and a soft food diet for the next 3 to 4 months.  After that time, we make your final implant bridges.  This healing period is designed to allow the implants to fuse to the bone and your gums to heal. It allows us to make any needed changes to the teeth for the best cosmetic outcome.  The temporary implant bridges prevent you from needing to wear a removable denture.

Upper and Lower Implant Supported Dentures

Panorex Radiograph - Showing Implants and Final Prostheses

Final Smile Immediate Implant Dentures

Important Facts:

• You can receive treatment like this right here in the Lake Travis Austin, TX area.

• A Prosthodontist has been specially trained to perform these procedures
• Involving a dental specialist in your treatment puts you in the best trained hands possible.

• There is a lot of planning that goes into this kind of treatment. 
• While the actual surgery may take place in one day, there will be several other appointments to plan and finish your implants.

• Not everyone is a candidate for this treatment, but many are. 
• There are different ways to provide the same end-result.  Sometimes it is not possible to place the temporary implant bridge on the day of surgery, but it can be placed later.  You will be able to wear at least a removable denture in most cases.

• Finances are a concern for everyone – we can help you.

Call (512) 992-2822 or email Rigby Advanced Dental for a free consultation with Dr. Rigby.  Please remember that this is a general overview for your information only; please see us or your dentist to discuss this kind of treatment.

Foods That Can Stain Your Teeth

We got thinking the other day about some of the foods that can stain your teeth and wanted to put together a handy list for our patients and friends.  These are a few we came up with.........all things in moderation of course!

• Coffee
• A morning staple for many, this energy booster is one of the worst for white teeth.

• Red Wine and Grape Juice
• If you’re an avid wine or juice drinker, nobody needs to tell you about the effects these beverages can have on your teeth. If you drink red wine, try switching to a white wine.  Another  great tip is to try swishing some water around in your mouth after you drink.

• Soda
• Dark-colored sodas are bad for your teeth in many ways, but if you find you can’t cut them out completely, try drinking them through a straw so that staining liquid is bypassing your teeth.

• Blueberries
• Blueberries are rich in two things: Antioxidants and color. Blueberries (and other dark berries) can stain your teeth, but that’s no reason to give them up for good. Try to brush your teeth after you eat them to prevent stains.

• Curry and Mustard
• Yellow Sauce = Yellow Teeth......need we say more.

• Tomato Sauce
• The base of all things Italian, red tomato sauce is one ingredient many people don’t realize can actually stain their teeth.

• Soy Sauce
• Most often found in Asian foods, this salty sauce can leave your teeth looking a little lackluster.

• Popsicles
• Ever had your lips and tongue turn red (or blue or purple or green) after you ate a Popsicle or a flavored slushy? Guess what? They do the same thing to your teeth.

• Beets
• While this reddish-purple veggie is great for your health, it sure can have a dark effect on your mouth.

A Super White Smile

You don’t have to give up everything on this list to keep your teeth white. However, you may want to cut back when you can (especially on the sugary items). Brushing your teeth immediately after consuming any of these simple pleasures is always a good idea. It’s especially important to avoid any of them after a whitening treatment, when your teeth are extra-sensitive to staining.

At Rigby Advanced Dental, we offer a wide variety of take-home and in-office teeth whitening products, we have a solution for your problem.  Please give us a call today to schedule your appointment (512) 992-2822.

What Are Dental Veneers?

One of the hottest topics discussed in dentistry today is the use of Dental Veneers in the restoration of an individuals smile.  Interestingly enough, veneers have come full circle in technology and aesthetic ability over the last 30 years and it seems that with Hollywood and the media's ability to hype a product they are here to stay and hopefully continue to improve smiles everywhere!  Here at Rigby Advanced Dental we often hear the questions, "What are dental veneers?", "How long do they last?", "Can I get them?" and "How much do they cost?".  To better inform our dental friends about veneers we will address these questions and more in this post.

Porcelain Veneers

Dental veneers (sometimes called porcelain veneers or porcelain laminates) are very thin, custom-made covers of tooth-colored materials designed to mask the front surface of teeth to improve their appearance.  These coverings are bonded to the front of the teeth often changing their color, shape, size, and length.  Individuals often elect to have these restorations done to address aesthetic concerns and to customize their smile in a minimally invasive way.  

Dental veneers can be made from Porcelain or from Resin Composite dental materials.  Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth.  Resin veneers are thinner and require removal of less of the tooth surface before placement, but they are more prone to staining over time and on average do not last as long as the porcelain veneers.  You will need to discuss the best choice of veneer material for you with Dr. Rigby.

When are Veneers Indicated and What Problems Do They Address?

Veneers are routinely used to fix teeth that are discolored, worn down, chipped, broken, misaligned, uneven, irregularly shaped, or to close spaces (gaps) between them.  The indications for when dental veneers are appropriate is a very controversial and debated topic in the dental field today.  At the center of the argument is the ethical debate of whether or not the veneering procedure is harmful to their patients and if cosmetic concerns should dictate the procedures performed by dentists and specialists alike.

Here at Rigby Advanced Dental, Dr. Rigby firmly believes and upholds the American College of Prosthodontists stand that each and every case is unique and that these types of decisions are best made on an individual basis, after everyone involved has been informed of the pros and cons of restoration.  Veneers are a wonderful thing for our patients and can help improve overall aesthetics, but not everyone is an ideal candidate for them.

What is the Procedure for Getting a Dental Veneer?

Getting a dental veneer usually requires three trips to the dentist......one for a consultation and two to make and deliver the veneers. One tooth or many teeth can simultaneously undergo the veneering process described below.

• Appointment #1 --- Diagnosis and Treatment Planning
• This first step involves active participation between the patient and Dr. Rigby.  The purpose of this visit is for the patient to explain what they are attempting to achieve and their expectations with dental treatment. 
• During this appointment Dr. Rigby performs a clinical examination to make sure dental veneers are appropriate and discusses what the procedure will involve and its limitations. Dr. Rigby will then gather some diagnostic information about your mouth by taking X-rays (radiographs) and making impressions of your mouth and teeth.  

• Appointment #2 --- Tooth Preparation
• A local anesthetic will be applied and time allowed for it to take affect.  Dr. Rigby will then prepare the teeth for veneers by removing approximately ½ millimeter of enamel from the tooth surface, which is nearly equal to the thickness of the veneer to be added to the tooth surface. 
• Dr. Rigby will then make a final impression of your prepared teeth and this model is sent to a dental laboratory, which in turn fabricates the veneers.  On average it takes 1 to 2 weeks for the veneers to be completed and ready for final delivery to the patient.  While the veneers are being fabricated Dr. Rigby can make custom temporary dental veneers and place them on the teeth until the permanent ones are completed.

• Appointment #3 --- Veneer Placement and Bonding
• Before the dental veneer is permanently cemented to your tooth, Dr. Rigby will evaluate them on the teeth for fit, contour and color.  He will then remove and trim the veneers as needed to achieve the proper fit and contour.  A permanent cement shade will be selected for a final custom touch and the teeth will be prepared for bonding.
• To prepare your tooth to receive the veneer, the teeth will be cleaned, polished, and etched which roughens the tooth to allow for a strong bond between the teeth and veneers.  A special cement is applied to the veneer and the veneer is then placed on your tooth. 
• Once properly position on the tooth, Dr. Rigby will apply a special light to the dental veneer, which activates the bonding chemicals in the cement.  
• The final steps involve removing any excess cement, evaluating the bite and making any final adjustments to the veneer as necessary.  Dr. Rigby may ask you to return for a follow-up visit in a couple of weeks to check the how the gums (gingiva) are responding to the presence of the veneers and to again examine their placement on the teeth.
  
  

Upper Anterior Porcelain Veneers

What Are the Advantages of Dental Veneers?

• Patients ability to customize their smile to meet their expectations.
• They provide a natural tooth translucency and appearance.
• Porcelain veneers are stain and plaque resistant.
• Gum tissue tolerates porcelain well.
• The color of a porcelain veneer can mask an underlying cosmetic concern.......making dark or stained teeth appear whiter, brighter and more appealing.
• Veneers offer a conservative approach to changing a tooth’s shape, contour and color.

What Are the Limitations and Disadvantages of Dental Veneers?

• The process is not truly reversible as some will claim.
• Porcelain veneers are more costly than composite resin bonding.
• Veneers are usually not repairable should they chip or crack.
• Your teeth may become more sensitive to hot and cold foods and beverages.
• Avoid eating and drinking substances that are highly staining......like red wine and grape juice.  
• Veneers may not exactly match the color of your other natural teeth not restored.
• The veneer’s color cannot be altered once in place.......if you plan on whitening your teeth, you need to consider doing this beforehand.  Dr. Rigby follows a strict protocol to avoid any guessing or surprises in shade when delivering a final prosthetic restoration.
• Veneers are not indestructible and can be dislodged or debonded with improper care.  Avoid activities like biting your nails, chewing on pencils, ice, or other hard objects.  Avoid putting excessive pressure on your teeth whenever possible.
• Teeth with veneers can still experience dental decay and cavity formation.
• Veneers are not a good choice for individuals with unhealthy teeth, weakened teeth, or for those who have an inadequate amount of existing enamel on the tooth surface.
• Individuals who clench and grind their teeth are poor candidates for porcelain veneers, as these activities can cause the veneers to crack, chip, or debond.
  
  

Porcelain Veneers Smile

How Long Do Dental Veneers Last?

This question is relative to what dental material is used for the final restoration.........as mentioned earlier, either Composite Resin or Porcelain can be used.  On average, Porcelain Veneers last between 5 to 10 years......with some lasting longer and others shorter, depending on personal hygiene and routine dental care. Composite Resin Veneers have an average life span of 3-5 years......often requiring replacement sooner than the dental porcelain alternative.  The most common reasons for repair or replacement of veneers is recurrent dental decay, staining around the margins of the existing restorations, gingival recession, and accidental damage.

Do Dental Veneers Require Special Care?

Here at Rigby Advanced Dental we will say ABSOLUTELY YES!  Especially when it comes to your at home use and dental hygiene visits.  Veneers should only be cleaned with specific dental abrasives to ensure their long term luster and brilliance.  One thing to always keep in mind is veneers are dental restorations and by nature are not impervious to damage just like your natural teeth.  Special care should be taken to avoid chewing hard foods and drinking substances that are stain-causing (coffee, tea, red wine, or grape juice).  Please continue to follow good oral hygiene practices including brushing and flossing as you normally would. 

What Are the Alternatives to Dental Veneers?

Alternatives to veneers include resin bonding (composite) and crowns.  Veneers offer a nice intermediate option that is a minimally invasive procedure.  Veneers may be best suited for individuals who want to change the shape of their teeth more than just a little bit......as is done with bonding......but not enough to require a crown.

If you have an questions or are considering dental veneers please do not hesitate to call (512) 992-2822 or stop by Rigby Advanced Dental to schedule a FREE prosthodontic consultation.