Our Apex Dentist Shares Why Getting Dental Crowns Is A Good Thing!

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You already have plenty of reasons to be anxious about going to see your doctor. Dreading the thought of having a crown installed shouldn’t be one of them! As you’re about to find out, dental crowns are tremendously reliable and they play a very important role in restorative dentistry.

Reasons Why You May Need Dental Crowns

Crowns are dental appliances that almost always cover the entire surface of a tooth. (In certain cases your dentist may recommend a partial crown, but these are rare.) Dental crowns are necessary in a wide variety of different situations, from major cavities to supporting other forms of restorative dentistry. If you’re also having a bridge or a partial denture installed, for instance, you may require one or more crowns to support the larger appliance.

Any tooth that is vulnerable to further damage and incapable of functioning normally is a good candidate for a crown. Large cavities are probably the most common reason to install crowns, but plenty of others exist. Physical damage may call for a crown after an impact-related injury. Crowns may even sometimes be required to protect a tooth following a root canal.

How An Experienced Dentist Installs Crowns

Your road to a successful crown installation begins with a preparatory visit. The first thing your dentist will do is shape your tooth to receive the new appliance. This is done under anesthesia to minimize discomfort. Depending on the kind of crown you and your dentist pick out, roughly 1 millimeter of material needs to be removed from your natural tooth.

Once your tooth is ready, your dentist will take impressions to send to a dental lab. You’ll then likely be fitted with a temporary crown to keep your teeth in working order while the permanent piece is created. Once it’s ready, you’ll return to your dentist’s office so your new crown can be cemented in place.

One of Restorative Dentistry’s Greatest Success Stories

While no artificial replacement can match a healthy, natural tooth for strength and longevity, properly-installed crowns come close. Most experienced dentists will confidently predict that a crown will last at least ten years. In fact, longer lifespans (thirty years of more) are entirely possible if you take care of your crown and your other teeth.

Few dental appliances are quite as refined and reliable as good crowns, and they can make a world of difference in your mouth. Talk to our apex dentist today if you already know you need a crown installed.

 

Minimally Invasive Veneers Can Change Your Smile Says Our Apex NC Dentist

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Minimally invasive porcelain veneers are very thin and designed to cover the surface of the teeth to which they are applied. With this type of veneer, tooth structure is left intact and only altered when necessary.

With all of the available treatment options for people who are unhappy with their smiles, it might be difficult to choose which one is best for an individual.

With all of the available treatment options for people who are unhappy with their smiles, it might be difficult to choose which one is best for an individual.

Common misconceptions about minimally invasive porcelain veneers:

•   Minimally invasive porcelain veneers will make teeth look too big or too long. In almost all cases, some tooth reshaping is necessary to allow the teeth and smile to look better than the smile the patient started with.

•   Minimally invasive porcelain veneers can lead to gum disease. The dentist will finish and polish edges to avoid ledges and to make the veneers smooth. As with all teeth, patients should brush and floss around the veneers.

•   There will be sensitivity after having veneers bonded. With minimally invasive veneers, since the tooth enamel is maintained, sensitivity is very rare.

Always remember to consult your dentist for the option that will best suit you. Ask them all the questions or concerns they might have, and whenever you feel comfortable about the process, then go ahead and start it.

 

Gingivitis Prevention – What You Need to Know to Maintain Good Oral and Physical Health

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Gingivitis is a mild form of gum disease. It causes your gums to become reddened, irritated and swollen. Many people are unaware they have this condition, but it’s important to take symptoms seriously and seek treatment promptly as it is the early stage of gum disease.

When diagnosed early, this conditions can be treated and even reversed. However, if left untreated, this condition can advance to gum disease, which is a far more serious oral health issue that is not reversible. Gum disease can result in tooth and bone loss, and is one of the leading causes of tooth loss among adults. Gum disease affects more than your mouth, proven by recent studies that have linked gum disease to diabetes, heart attacks and strokes.

Associated Symptoms

Healthy gums appear pale pink and are firm. This condition is rarely painful, making it difficult for you to be aware of its presence. The following are symptoms you should look for:

  • Receding or swollen gums
  • Soft, puffy gums
  • Occasional tenderness of gums
  • Bleeding gums from flossing or brushing
  • Dusky red gums
  • Bad breath

Causes of This Early Gum Disease

Typically, poor hygiene is the primary cause of this mild gum disease. The following are also contributing factors:

  • Diabetes
  • Smoking
  • Certain medications
  • Genetics
  • Stress
  • Substance abuse
  • Pregnancy
  • Poor nutrition
  • Hormonal fluctuations
  • Certain diseases and conditions
  • Puberty

Steps for Gingivitis Prevention

The most important step in prevention is to visit your general dentist on a regular basis. You should have dental maintenance visits at least twice per year, unless told otherwise by your local dentist office. This condition can usually be reversed with a thorough, professional cleaning and dental checkup followed by good oral health practices at home.

To be sure you are cleaning your mouth properly, ask your general dentist to show you the proper technique. According to the American Dental Association, your teeth should be brushed, using the proper technique, twice per day. In addition, an interdental aid, such as dental floss should be used daily. Other recommendations for gingivitis prevention include using a toothpaste with antimicrobial properties, and including your tongue in your brushing routine.

While sleeping, there is no disruption to the growing bacteria in your mouth. Therefore, your mouth should be the cleanest before going to bed so bacteria aren’t doing damage to your teeth and gums while you sleep.

If you’re concerned about gingivitis or have noticed symptoms, don’t delay and schedule a visit to our local Apex dentist office today.

 

Same Day Crowns in Apex: Long-Lasting Results Without the Wait!

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Same Day CrownsDental crowns offer natural-looking restoration results for teeth that have been damaged from trauma or infection. Until recently, receiving a custom-made, permanent crown could take weeks; now, Dr. Hansen offers same day crowns in Apex, NC, thanks to advanced dental technology called CEREC. Learn more about this innovative approach to dental crowns below.

If you’re ready for dental crown treatment without the wait, contact us at (919) 363-8444. Dr. Hansen can provide a consultation to see if same day crowns will help improve the health and vitality of your smile.

What is CEREC?

CEREC stands for “Chairside Economical Restoration of Esthetic Ceramics.” It’s a long term, but conveys a simple idea: CEREC allows Dr. Hansen to create and place a custom-made dental crown in one day. Previously, custom dental crown fabrication meant sending impressions off to a dental lab for a dental ceramicist to create the restoration. However, our practice’s state-of-the-art machinery uses 3D images obtained from your mouth to create a replica of your natural tooth. Dr. Hansen can make any small adjustments once the crown is placed to ensure that your bite is comfortable.

What are the benefits?

CEREC has so many benefits; for our busy patients, less time at the dentist’s office is the best advantage. However, CEREC also:

  • Allows for same-day restoration of your smile: A healthy, restored smile now doesn’t have to mean long treatment times. Whether Dr. Hansen is protecting a vulnerable cracked or chipped tooth, or is finishing a root canal procedure, you can have your final, permanent smile completed in just one day.
  • Uses the same, high-quality materials: CEREC crowns are made from the same materials as those of many traditional dental crowns. CEREC just allows Dr. Hansen to bring the technology of dental labs into his Apex, NC practice to save you time.
  • Provides a comfortable design process: Uncomfortable dental impressions are unnecessary for fabricating a CEREC crown. Dr. Hansen utilizes a 3D imaging device to provide accurate measurements.
  • Eliminates the need for temporary crowns: Since there is no waiting period while the permanent crown is fabricated in a dental lab, patients don’t have to spend 2 to 3 weeks wearing a temporary crown. Temporary crowns are usually made from composite resin and are not only less durable than a permanent crown, but are less protective, too. With CEREC, your tooth is better protected through a permanent crown than it would be with a temporary one.

Are the results really permanent?

Fast results don’t have to mean low-quality. Dr. Hansen and our team know that you have a busy schedule, so we offer time-saving solutions for dental services. However, we never skimp on the quality and safety of the procedures. CEREC crowns are fabricated from the same safe and effective materials used at more traditional dental labs. You can also expect CEREC crowns to last the same length of time as a traditional crown.

How can I receive a CEREC crown?

Scheduling a consultation with Dr. Hansen is the best way to figure out whether a CEREC crown will work for you! Dr. Hansen can go over additional treatment options, and discuss your expectations to make sure you are fully satisfied with the results. Contact our Apex, NC practice at (919) 363-8444.

Tooth-Colored Fillings vs. Silver Fillings: Which Should I Choose? Ask an Apex Dentist

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So you have a tooth that has a cavity and needs a filling. Now what?

Most people know that the two most common options are tooth colored fillings (called composite fillings) and silver fillings (called amalgam fillings).  And most people would agree that the composite fillings are much more aesthetically pleasing than the amalgam fillings.  Some patients prefer not to have amalgam fillings because they contain mercery.  However, it is important to note that ongoing scientific studies conducted over the past 100 years continue to show that amalgam fillings are not harmful.  Sometimes the aesthetic outcome is reason enough to choose a tooth colored filling, especially when the tooth is one that is visible when the patient smiles.

But there are other important reasons that most Apex Dentists these days are choosing to use tooth colored composite fillings rather than amalgam.  And these reasons have to do with the major difference in the way they are placed in the mouth.

Composite fillings are resin-based and are chemically bonded to the tooth.  Amalgams are not.  They are held in place due to a physical retention.  This means that after the dentist removes the decay, he also has to remove additional healthy tooth structure in order to create the proper undercuts and retention grooves to hold the amalgam in place.  This process leaves less remaining tooth structure.

The good thing is that amalgams usually lasts for a really long time.  The bad news is that when they do wear out, they tend to cause larger problems because there is less tooth structure remaining to work with. That is why it is common for a very large amalgam to be replaced with a crown.

If a tooth has a composite filling, the dentist is able to be very conservative in how much tooth structure

he/she removes other than the decay.  This could mean that years later when the composite filling eventually wears out, hopefully another larger composite filling can be placed, rather than a crown.

Another common issue is that teeth with old amalgams tend to develop more cracks.  Because the amalgam filling is not bonded to the tooth, the enamel surrounding the filling is unsupported.  Over time, that unsupported tooth structure microscopically flexes when stress is placed on the tooth.  Years of this flexing can cause cracks to form. These cracks can lead to more extensive (and expensive) treatment, such as a crown,  a root canal, or even loss of the tooth depending on the severity of the fracture.

Whether you have composite or amalgam fillings it is important to maintain your regular cleaning and check-up appointments with your Apex dentist. He/she can keep you informed about the condition of your fillings. That way when one does wear out (and they will, because unfortunately no dental work lasts forever), you can be pro-active, which typically leads to a less expensive and more conservative outcome.

Apex Oral Surgeon Explains Why You Shouldn’t Ignore Cracked Teeth

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Have you ever had dental pain or discomfort when biting into food or after eating/drinking something that is hot or cold?  This pain or discomfort might not be constant like it is with a cavity, but intermittent.  If so, it is possible you may have a cracked tooth.

There are several reasons that patients develop cracked teeth.  Some situations that can result in fractured teeth are:

  • teeth with large fillings

  • teeth with root canals

  • clenching or grinding teeth

  • chewing ice or other hard foods

  • trauma to the tooth from an accident

  • too much pressure on one tooth as a result of the patient’s occlusion (the way the teeth come together in the mouth)

If the crack in the tooth does not extend further than the enamel, your dentist may not recommend any treatment.   These cracks, known as craze lines, are common in adult teeth.  Think of a teacup with a crack in it but that is still able to hold water without it leaking.

However, if the fracture extends beyond the enamel, it is very important to have the tooth treated. In this situation we have a leaky teacup! It can be difficult for patients to distinguish between the different types of cracks, so it is important to visit your Apex dentist so the fracture can be properly evaluated.  Try to pay attention to exactly where the pain is coming from so that you can tell your dentist.

Molar are more vulnerable to cracks because they absorb most of the impact when chewing food.  Front teeth are more commonly fractured due to trauma.

Your Apex dentist will determine a treatment plan based on the severity of the fracture. Treatment typically includes placing a dental crown on the cracked tooth.  If the fracture effects the pulp chamber a root canal may also be necessary.  If the tooth is split beyond repair, an extraction is likely necessary.  In this situation tooth replacement is possible with implants or bridges.

Postponing treatment can lead to more serious complications such as an infection or a deeper fracture.  That is why it is important not to ignore warning signs or dental pain and sensitivity.  By seeking treatment early, there is a typically better prognosis for the tooth. which also usually results in a lower financial cost of treatment.

Tips for a Healthy Back to School Smile from a Family Dentist in Apex

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It’s that time of year!  Back to school!!!  The time of year that Moms and Dads are found scratching their heads at Target trying to figure out whether the 3 prong, plastic, 2 pocket folders comes in 5 different colors so they can check it off the school supply list (There is always one item that makes buying the whole list in one trip impossible).  We have been there!

Along with school supply shopping, it is also time to start thinking about what to pack in your child’s lunch.  Among the seemingly endless options there are prepackaged lunches and individual serving sizes of chips and cookies. These foods are usually high in sugar, sodium, and fat and, while easy to grab at the last minute before you miss the bus, do not make the best choices for school lunches.  Sticky foods, such as fruit roll ups and fruit snacks, get stuck in the grooves of your child’s teeth and will likely stay there until they brush later that evening…giving bacteria an abundant supply of sugar.

The good news is that there are other choices that are convenient and far healthier for your child’s teeth and body.

Here are a few ideas the are both convenient and healthy (and please feel free to share your ideas in the comment section below…we believe in the “it takes a village” philosophy).

Cheese- Cheese is actually one of the best foods for your teeth because it neutralizes acids caused by bacteria and contains calcium, which can help the teeth remineralize. Cheese sticks are convenient because they offer single portion servings.

Hard boiled eggs-another healthy and convenient option that provides protein which is helpful for tissue development.

Nuts-especially raw nuts, the rough texture can help clean acid off the teeth and the provide protein.

Vegetable cups- vegetables are much lower in sugar than fruits and also tend to provide more fiber.  Carrots and cucumbers are popular, but try sugar snap peas or sweet bell peppers to keep kids from getting bored as this often makes them crave quick and often unhealthy alternatives.

Water-Opt out of sending juice boxes and sport drinks to school and just send water, which neutralizes the acids in the mouth and cleanses your teeth.

Another important part of helping keep your child’s smile healthy is by keeping them up to date with their dental exams, cleanings, and fluoride treatments. In 2015, the CDC reported that almost 20% of school age children have untreated dental decay.  Taking your child to visit their Apex Dentist helps keep their teeth healthy and helps them have positive dental experiences from a young age.

If your child is old enough to play sports requiring mouthguards, ask your Apex Dentist if they can provide you with a custom mouthguard.  It is important for your child to protect their teeth by wearing a mouthguard. One thing we know is that a better fitting mouthguard is one your child is more likely to actually wear.

Good luck to all our beautiful kids on their first day back at school, whether its the first day of kindergarten or their senior year of high school.  They grow up so fast, so remember to cherish every moment and every (healthy) smile!

Do Wisdom Teeth Need to be Extracted? Ask an Apex Oral Surgeon

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We have found that while many of our patients with wisdom teeth know that they should be extracted, very few of them understand why.

So here you go…A Little Wisdom about Wisdom Teeth.

There are several reasons your Apex Dentist might recommend having your third molars, also known as Wisdom teeth, extracted.   Very few people have adequate space in their dental arch for wisdom teeth.  If you are one of the lucky ones that does have enough room, be sure your toothbrush is reaching all the way back to those teeth, as they are often very difficult to keep clean.  If/when 3rd molars develop cavities (as they often do), it is usually better to put financial resources towards having these teeth extracted rather than filled as they usually only cause more problems down the road.

dental-arch

For patients who do not have enough room in their dental arch, the 3rd molars are often unable to properly erupt, making it difficult or even impossible to keep clean.  The improper eruption can cause a variety of problems including but not limited to, periodontal infections, dental decay, and dental abcesses.

The first radiograph was of a patient for whom Dr. Hansen had to perform an extraction not only the partially erupted  wisdom tooth but the 2nd (more important) molar as well due to the decay caused by the wisdom tooth.

radiograph

The second radiograph demonstrates another reason that 3rd molars often need to be extracted:  dental abcesses.  This particular abcess was so large that this patient was a risk of her lower jaw breaking. The radiograph also demonstrates the importance of routine dental check ups, as this patient did not have any pain associated with the dental abcess.   She literally would not have ever known that it was there except that she was consistent with her dental examinations, including dental radiographs.

Understanding dental problems that can arise from  wisdom teeth is important so patients are able to take necessary steps to seek treatment. Typically, your Apex dentist will recommend having wisdom extracted between ages 15 and 25 because healing and recovery is much easier for younger patients.

If only our wisdom teeth made us all-knowing and wise…that would make for a good case in keeping them!

Everything You Need to Know About Dental Sealants from a Family Dentist in Apex

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What is a sealant?  

A sealant is a tooth-colored resin material that is placed on chewing surfaces of teeth to help them stay cavity-free.

crack

Why do teeth need sealants?

Molar and premolar teeth often have very deep pits and fissures.  While bacteria can easily enters these groves, toothbrush bristles are often too large and therefore ineffective.  As a result, these areas become the perfect breeding ground for bacteria to multiply which can lead to dental decay. A sealant does just what its name suggests…it seals off the grooves so that bacteria can’t enter.  After a sealant is placed these areas can no longer harbor bacteria and your tooth brushing once again becomes effective.

tooth-groove

What teeth need sealants? 

Any teeth that have deep groves or pits can benefit from sealants.  These are most often found on molar and premolar (teeth right in front of the molars) permanent teeth, but varies from one individual to another.  One person might benefit from sealants on all molars and premolars (16 teeth), while another may only need their molars (8 teeth) sealed.

Once a tooth has a dental filling in it, it no longer benefits from a sealant.

People often think that only children benefit from sealants.  That is because sealants are typically placed on a child’s molars when they first erupt.  The reality is that any teeth with deep pits and fissures (that do not already have fillings) can benefit from sealants because they  will help prevent future cavities.

How is a sealant applied?

No tooth structure is removed in order to place a sealant.  Instead it is kind of like painting your fingernails: resin material is only added, nothing is taken away.  The tooth is thoroughly cleaned with a pumice and etch.  The tooth is then washed thoroughly. Finally, the sealant material is applied and then cured with a light in order to harden it.

before-after-sealantHow long do sealants lasts?

Sealants typically last two to five years.  Although, it is not uncommon to see sealants in adults that were placed in childhood and are still intact.

Avoiding sticky, chewy, and hard foods can potentially prolong the life of a sealant.

If a sealant is no longer fully intact then it is no longer effective and should be replaced by your dentist.  If it has been less than two years since the sealant was placed, ask if your Apex family dentist offers a warranty for sealants.

Four Things to Consider When Choosing a Dentist in Apex NC

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apex

Are you new in town or looking for a different dental experience?  There are many dentists to choose from in the Apex Cary area and so sometimes it can be overwhelming as you try to find a good fit for you and your family. It is important to choose a dentist who you feel you can trust. Look for a dentist who…

 1)  Is an Active Listener

You should feel like your dentist gives you a customized dental experience. Not a one size fits all appointment.  This can only be done if the dentist takes time to not only look in your mouth, but to listen to you.  The dentist might be an expert on what is going on in your mouth, but you are the expert on why.  What’s is going on in your life and how is that effecting your overall and dental health?  Are you a mom who is busy doing a fabulous job taking care of your children but tend to put yourself on the back burner?  Are you a bride preparing for your wedding and want the best smile of your life?  Did you just get your first job, have dental insurance for the first time since before college and want to get back on track? How do you feel about your smile?  If there is something you could change about your smile, what would it be?

Your dentist should be interested in you.  Not just your mouth.

2) Respects Your Time and Your Resources

A dentist should not keep you in the waiting room too long and should be punctual for appointments.  Scheduling coordinators should give you options for appointments that are convenient for you. If taking off work is difficult, find a dental office that offers appointments on Saturdays or late weekday hours.

 A dentist should also offer different billing options so that your financial resources can be optimized.  For example, hopefully they file your insurance, have financing options, and/or offer a cash discount if you are a cash paying patient.

3)  Educates You about all aspects of your appointment

The entire dental team should be good educators.

The dentist will educate you on all matters related to your oral health and how it effects your overall health and well being. This includes performing oral cancer screenings as a part of a head and neck exam.

The dental hygienist should educate you on what you can do daily to keep your teeth healthy and maintain your smile.

Insurance can get confusing.  What you will pay, what insurance will pay? Do you pay up front?  Or only the difference? The financial coordinator’s job is to help you understand all aspects of your financial arrangement.

4)  Stays Current with Technology and Continuing Education

 You wouldn’t use a phone from 15 years ago.  So why go to a dentist who does not stay up to date with current technology?  Advancements in technology in the dental field offer many of the same benefits as those outside the field.  More comfort, less time, better results. For example, same day CEREC crowns mean less wait time for patients. They also mean no annoying temporary crown while you wait for the permanent one to come back from the lab.

Continuing education allows dentists to stay current with technology and procedures.  It gives them an opportunity to brush up on procedures they are already comfortable with and expand their scope of practice.

Not sure what your dentist does to stay up to date?  Just ask!  If your dentist is already doing this, he/she would most likely love the opportunity to share this information with you!

 

Overall, just remember to trust your gut.  Taking some time to find a dental practice that meets your specific needs is worth the effort. Perhaps that means calling to ask for an office tour and to meet the dentist and staff before scheduling your first appointment.  Once you find the right fit, you will be glad you did!