Back to Basics

Back to Basics:

As dentists, our job is to properly communicate various dental issues and recommendations with our patients.  To improve our communication, it helps you to know some of the terms we use in describing some of the anatomy of the oral cavity, the problems that candevelop, and the steps you need to take to fix them.

Dr. Aanenson

The Anatomy of a Tooth:

 

  • Enamel – Enamel is the hardest structure in the human body, and it covers the external surface of each tooth.

  • Dentin – Dentin is the structure that lies between the enamel and the pulp. It forms the core substance of the tooth. It is softer than enamel and darker yellow in color. Dentin is responsible for giving teeth their color, and every person’s is different.

  • Pulp – Pulp is the collection of blood vessels and nerves inside the hollow chamber of a tooth.

  • Crown – The crown is the portion of the tooth that protrudes out of the gums. You could also describe the crown by stating that it is the part of the tooth that you can see. Enamel is only found on the crown of a tooth.

  • RootThe root of the tooth is the portion anchored into the jawbone. Each tooth has a different shaped root. Molars have multiple roots, and the shape of the root is important in the tooth’s stability in the bone.

 

Dr. Aanenson

Other Dental Terms Defined:

What is a cavity?  A cavity, or tooth decay, is the destruction of enamel and dentin by bacteria in your mouth.  The bacteria in your mouth eat sugar and produce acid as a by-product.  When the acid is allowed to stay in contact with the tooth surface for an extended period of time, it begins to eat its way through the enamel.  Once it passes through the enamel layer, it begins to spread through the dentin.  If the decay isn’t stopped, it will extend all the way to the pulp.  Once it reaches the pulp, the nerves and blood vessels become infected.

What is a filling?  When a cavity is removed from a tooth, the dentist ensures that he has removed all unhealthy enamel and dentist, leaving only solid, healthy enamel and dentin.  This cavity removal process creates a hole in the tooth.  The dentist repairs this hole by filling it with a dental restorative material to restore the normal shape, size and contour of a tooth.  This allows you to use the tooth for normal function again.

What is a composite?  Composite is a type of dental filling material.  It is a resin polymer that forms a bond to the tooth structure.  Composite requires a blue light to “cure” it (harden it after it has been formed to the proper shape).

What is plaque?  Plaque is a soft material that accumulates on the teeth every single day.  Plaque is made up of food particles, bacteria, and minerals present in your saliva.  Plaque is easily removed with a SOFT toothbrush and floss, and it is attracted to rough surfaces.

What is tartar?  Tartar, also called calculus, is a hard material that forms on the teeth from plaque that is not adequately removed.  When plaque stays on a tooth surface for more than 24 hours, it begins to calcify or harden.  This hardened substance is impossible to remove with a toothbrush or floss.  It can only be removed by being scraped off by a dental hygienist or dentist.  Tartar that is not removed causes periodontal disease.

What is gingivitis?  Gingivitis, also called gum disease, is an inflammation of the gums, and it is almost always caused by plaque and/or tartar buildup at the gumline of the teeth.  Gingivitis is characterized by swollen, red, painful or bleeding gums. 

Dr. Aanenson

  What is periodontal disease?Periodontal disease, if left untreated, will cause you to lose your teeth.  When tartar accumulates on the teeth, it irritates the gum tissue and bone that help hold the tooth in place.  This irritation, over time, causes destruction of the bone, which results in a lack of stability for the tooth.  If periodontal disease is caught in its early stages, it can usually be easily treated in your dentist’s office.  More advanced stages may need to be treated by a specialist called a periodontist.  Periodontal disease can be “silent”, not causing any pain or discomfort, so it is important to see your dentist regularly. 

What is bruxism?  Bruxism is the term dentists use to describe the habit of clenching or grinding your teeth.  It can occur at night or during the daytime, and it leaves noticeable signs inside your mouth.  Your dentist can tell if you have this habit.

Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

Spring Cleaning

Spring Cleaning

Spring has sprung!  This time of year is a time for new beginnings and fresh starts.  Trees are budding, and flowers are in bloom.  Most people are familiar with the concept of spring-cleaning.  We clean out our closets and our flowerbeds.  We throw out things we do not use anymore. 

Obviously, spring-cleaning carries with it the idea of cleaning up the things to keep.  It also implies cleaning out things that are past their usefulness. 

When you spring-clean, you strive for a clean slate, bringing things back to a state that is more easily maintained so that they stay cleaner for longer.

As your dentists, of course we want you to apply this concept to your mouth!

Spring Cleaning for Your Mouth

Cleaning Up the Things to Keep

We want you to keep your teeth.  Forever.  We want your teeth to outlast you!  In order to keep your teeth for the rest of your life, they must have healthy gums and supporting bone.  They also need to stay cavity free.

The key to keeping teeth free of decay with healthy gums and bones is keeping them as clean as possible.  There are two essential steps you must take to keep your mouth clean.

Professional Teeth Cleanings – To achieve a perfectly healthy mouth, it is absolutely necessary for you to have professional teeth cleanings on a consistent basis.  Our wonderful dental hygienists are masters at removing every trace of bacteria from your teeth and gums.  No matter how diligent you are, you can never clean every bit of plaque and tartar on your own at home.  Professional teeth cleanings are a must for a clean mouth.

  • Interval of Teeth Cleanings – All men are not created equally when it comes to plaque and tartar buildup. We are all unique, with specific risks and needs. For this reason, some people need to have professional teeth cleanings at different intervals than the average of six months. Ask your dentist and dental hygienist which interval will give you the healthiest outcome!

Great Home Care – As amazing as our hygienists are, they cannot do all of the work for you.  Their job stops when you walk out of our doors, and the ball is then in your court.  They leave you with a clean slate and all the information you need to keep it clean.  If you have a particularly difficult area to clean on your own, ask your dental hygienist.  They each have customized ways of teaching you how to clean your teeth to the best of your ability.  Follow this regimen for great home care.

  • Brush twice daily with a fluoride toothpaste after breakfast and before bedtime. If possible, use an electric toothbrush, which is proven to remove more plaque buildup than a manual toothbrush.

  • Floss every night before bed. Brushing alone does not get the job done. Flossing is the only way to remove plaque and food debris from between the teeth.

  • Add a mouthwash to your daily routine. There are so many different types of mouthwash available today, and they have different purposes. Ask your hygienist which type is best for your specific needs.

 

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 Cleaning Out Useless or Obsolete Things

Okay, this may seem like a strange concept when applying it to your oral health.  We have two ways that you should “clean out” things related to your mouth.

  1. Throw Out Your Toothbrush – Toothbrushes are wonderful tools that have greatly improved dental healthcare. But they do not last forever. If yours is frayed or splayed or otherwise “worn out”, toss it. For electric toothbrush users, buy the replacement heads, and throw this one out. Old toothbrushes can harbor bacteria and even grow mold. Once the bristles are worn out, they may not even touch the tooth surface as they should.

  2. Take a Tip from Marie Kondo – The bestselling author of “The Life-Changing Magic of Tidying Up” has a unique tactic for cleaning out your closet. Hold up an item and think about how it makes you feel. If it does not bring you joy, get rid of it. If we were to apply that tactic to your mouth, what would you get rid of? Is there an old discolored filling that you hate? Do you have a tooth that you try to hide when you smile? If there is something in your smile that does not bring you joy, please schedule a consultation with Dr. Jason, Dr. Alex or Dr. Serena to discuss how we can change that for you.

 

Maintaining a Clean Mouth

Have you noticed the phenomenon that it is much easier to keep something clean once it is clean?  The fact that the countertops are free of clutter makes you want to keep any clutter from building up. 

The same is true for your teeth.  The feeling of a perfectly clean mouth just after your professional teeth cleaning is so good that you are more motivated to follow a great home care regimen.  Don’t let that momentum fizzle out.  Commit to keeping up that great home care routine so that your “spring clean” lasts all year!

Do You Need a “Spring Cleaning”?

It is time for a fresh start!  Call our offices at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) today to schedule your professional teeth cleaning with our fabulous hygienists or a consultation with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell.

Sparkling water

Sparkling Water: A Surprising Cause of Cavities

 

Most people know that foods and drinks high in sugar can cause cavities.  It is common knowledge that sodas and candy are bad for your teeth. What many people are unaware of is that sparkling water can also damage the teeth.

Due to an increase in its popularity in recent years, we are frequently asked about sparkling water (carbonated water) and whether it can damage your teeth.  Although most sparkling water contains nothing more than carbonated water (perhaps with a few minerals) and natural flavors, most people do not expect it to be as acidic as soda, which typically contains phosphoric acid. Unfortunately, sparkling water is very acidic due to the carbonation process, which forms carbonic acid.

Yes, Sparkling Water Can Harm Your Teeth!

A group of researchers at the University of Birmingham in the United Kingdom wanted to find out if sparkling water could cause enamel erosion.

First, they measured the pH of various sparkling waters and found a pH of around three (ranging from 2.7-3.4). This pH level is just as low as most sodas!

This research group took some extracted teeth and placed them in glasses filled with different types of flavored carbonated waters. They found that the sparkling water does erode away tooth enamel.  In fact, they found that flavored sparkling water has as much or more of an erosive effect on teeth as orange juice, which is known to be very damaging to teeth.

The following is what this group of researchers concluded:

"Flavored sparkling waters should be considered as potentially erosive, and preventive advice on their consumption should recognize them as potentially acidic drinks rather than water with flavoring."

In other words, sparkling water can erode your tooth enamel and should not be considered “water” at all. Rather, it is more appropriately classified as an “acidic drink”. 

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 What does this mean for your teeth?

Enamel is the hardest substance in the human body.  It is a protective coating over the core nerves and blood vessels in our teeth.  The purpose of our teeth is to chew food; the enamel serves to withstand the mechanical and chemical forces that teeth are subjected to as they do that job.  Anything that softens, erodes, or breaks enamel is bad because it weakens the tooth.  Enamel erosion makes it easier for the bacteria in our mouths to cause cavities and can cause major breakdown of your teeth, which causes the need for more dental work in your future.

A healthy mouth has a pH level slightly above neutral (7.0).  Anything below neutral is an acid.  Enamel begins to soften or demineralize at a pH of 5.5 or below.  Many of the things we eat and drink are lower than 5.5 pH.  In a normal, healthy mouth, saliva can act as a buffer and bring the pH back up to neutral once the acid is gone (i.e. once you have stopped eating or drinking).

What should you do?

 

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  • Be aware of the sparkling water that you consume. Some sparkling waters are flavored with citrus flavorings such as lemon, lime, orange, etc…, which add citric acid on top of the carbonic acid. 
  • Pay attention to the amount of sparkling water that you consume.  You should never be drinking more sparkling water than regular water.
  • Do not slowly sip on acidic drinks throughout the day. This makes it more difficult for your saliva to keep your mouth at a neutral pH.  Drink it quickly.
  • After drinking a sparkling water, rinse your mouth with water to help quickly return it to a neutral pH.
  • Chew sugar-free gum after drinking something acidic.  This helps to stimulate good saliva flow and return the pH to neutral.

 


Special Considerations:

If you have a high risk for cavities, you should stay away from all acidic drinks.  If you do not know your cavity risk, ask Dr. Aanenson at your next dental visit.

If you have a dry mouth, you do not have the proper amount of saliva to counteract the acid in these drinks, so you should stay away from all acidic drinks.

Would you like more information about how acidic drinks like sparkling water can affect your teeth? 

Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell! They will assess your cavity risk and describe how sparkling water could be specifically harming your teeth.

Dental Trauma

Dental Trauma: What to Do When Your Child Suffers an Injury to the Teeth

Spring is almost here, and children’s sports are going to be in full swing!  This means an increased risk for injuries to your child’s teeth.

As children grow and learn new things, the risk of injury is relatively high.  Toddlers fall down when they are learning to walk.  Children have accidents when learning to ride a bicycle.  Adolescents suffer trauma when learning to play sports.

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Accidents and injuries happen.  In children, often these accidents involve injuries to the mouth and teeth.  This blog highlights what you need to know about trauma to the teeth.

Different Types of Trauma to the Teeth

Baby Teeth vs. Permanent Teeth

All of these types of trauma can happen to both baby teeth and permanent teeth.  The consequences of trauma to baby teeth are usually less severe than those for permanent teeth, simply because baby teeth fall out. 

The only serious consequence of trauma to a baby tooth occurs when the trauma affects the underlying permanent tooth as it is developing.  The crown (or visible part) of the permanent tooth forms underneath the roots of the baby tooth.  If an injury occurs which forces the baby tooth or its roots into the developing permanent tooth during this formation stage, the permanent tooth can be deformed.

The majority of injuries to teeth occur on the front of the face and affect front teeth.  It is possible for a back tooth to be injured if a child is hit from the side, for instance with a baseball.  The recommendations below apply to both front teeth and back teeth.

Injuries that Move a Tooth

When force from an injury moves a tooth, it needs to be addressed quickly. 

What You Will See:

The tooth looks whole, but it is in a different position.  It could be pushed up into the gums, hanging down out of the gums, or protruding at an unusual angle.  It is very common to have bleeding in the gums around a tooth that has been moved.

Baby Teeth vs. Permanent Teeth

In general, the treatment for this type of injury is the same for baby teeth and permanent teeth.  In severe cases, the baby tooth may be extracted.

What You Should Do:

Call your dentist immediately and start heading toward the office.  Attempt to move the tooth back to its normal position using light finger pressure only.  Whether you are able to reposition it or not, go to the dentist for an x-ray of the tooth to evaluate the health of the root, and the bone around the tooth.

Follow-Up Care:

Your child will need a soft diet for a period of a few days up to two weeks.  The goal is no additional pressure on the injured tooth as it is healing.  You may need to give your child over-the-counter pain reliever such as Children’s Advil or Children’s Motrin as needed for pain.

Follow-up with your dentist in 3 months.  He will x-ray the tooth to confirm healing and the health of the tooth and its surrounding structures.

Possible Long-Term Consequences:

When a tooth moves, it is possible that the nerve supply to the tooth has been broken where it enters at the tip of the root.  In many cases, the nerve supply can reattach, and the tooth heals.  In other cases, the nerve does not reattach, and the tissue inside the tooth dies.  A dead nerve must be removed, and the tooth needs a root canal.

The injury to the surrounding structures may also damage the connection between the tooth and the jaw bone.  A condition called ankylosis often develops, in which the tooth becomes fused to the bone and is unable to move.  This is a major concern in orthodontic treatment, when you desire to move that tooth.

Injuries that Chip or Break a Tooth

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If an injury to a tooth causes a portion of the tooth to chip or break off, the consequences are usually a little milder than a tooth that is moved or knocked out.  In minor cases, the small chip can be filled in to return the tooth to its natural shape.  In severe cases, the chip extends into the nerve of the tooth, and a root canal is needed.

What You Will See:

The tooth looks broken or jagged on the edge.  Look specifically for any pink or red spots in the center of the tooth.  This is the nerve inside the tooth, and large breaks may extend this far. 

Baby Teeth vs. Permanent Teeth

In general, the treatment for this type of injury is the same for baby teeth and permanent teeth.  Minor cases will be restored with filling material. In severe cases, a permanent tooth will need a root canal, and the baby tooth may be extracted.

What You Should Do:

Call your dentist immediately and start heading toward the office.  Try to locate any fragments of the tooth, and bring them with you.  Whether you are able to find it or not, go to the dentist for an x-ray of the tooth to evaluate the health of the root, and the bone around the tooth.  The dentist will evaluate the depth of the chip and determine whether or not the nerve is affected. 

Follow-Up Care:

If you have the tooth fragment, your dentist can reattach it to the tooth.  If not, he can rebuild the tooth back to its normal shape and size. 

Your child will need a soft diet for a period of a few days.  You may need to give your child over-the-counter pain reliever such as Children’s Advil or Children’s Motrin as needed for pain.

Follow-up with your dentist in 3 months.  He will x-ray the tooth to confirm healing and the health of the tooth and its surrounding structures.

Possible Long-Term Consequences:

The force to the tooth, which chipped it, could also have disrupted the nerve supply, as noted above.  Your dentist will monitor the tooth closely for any signs of a dead nerve.  If a root canal become necessary, your dentist will guide you in the steps involved in treatment.  It is important to know that the nerve inside a tooth could die at any point in the future, even decades later.

The tooth could also become ankylosed

The dental treatment, which restores the broken tooth, may need replacement at any point in the future.  Be careful not to use that tooth for anything besides chewing and speaking (i.e. holding hair pins or cutting fishing line).

Injuries that Knock Out a Tooth

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A tooth that is completely knocked out needs immediate action!  The longer you wait, the less chance the tooth has of surviving.

What You Will See:

The tooth is completely gone from the mouth.  Evaluation of the tooth should show the crown (visible part) of the tooth, as well as the root.

Baby Teeth vs. Permanent Teeth

There is no treatment for knocked out baby teeth.  The child will have a space in that tooth’s site until the permanent tooth comes in.

For a permanent tooth, we make every attempt to save and reattach the natural tooth.

What You Should Do:

Call your dentist immediately and start heading toward the office.  Hold the tooth by the crown ONLY.  Do not touch the root.  If you can, put the tooth back into the socket after very gently rinsing off any dirt or debris.  If you are unable to put the tooth back into the child’s mouth, place it in a cup with milk or saliva.  That’s right: fill up a cup with enough spit to cover the tooth.  Saliva is the best thing to keep the cells and fibers on the knocked-out tooth alive until it can be reimplanted into the mouth.

Whether you are able to reinsert it or not, go immediately to the dentist.  The dentist will clean and reinsert the tooth, using anesthetic if the child is in pain.  The sooner the tooth is reimplanted, the better the chances of its full healing.

Follow-Up Care:

Follow the recommendations for a soft diet and OTC pain relievers noted above.  The dentist will follow-up with you more frequently to confirm healing and reattachment of the tooth.

Possible Long-Term Consequences:

The consequences noted above, a dead nerve and ankylosis, are both highly likely when a tooth is completely knocked out.  Another possible consequence is failure of the tooth to reattach.  In this case, it is necessary to extract the tooth and replace it with a dental implant. 

Adhering to your dentist’s prescribed follow-up schedule will keep you informed of any of these consequences as they occur.

Be Prepared for Injuries to Your Child’s Teeth

As you can see from the instructions listed above, getting in to see your dentist as soon as possible is very important!  Save our number in your phone, and call us at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) as soon as an injury happens.  Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell will treat your child’s emergency and give you all the information you need for the right follow-up care. 

Your Child's First Dental Visit

Your Child’s First Dental Visit

At our Dental Centers in Freeman and Parkston our goal is for every dental visit to be a good one.  We understand that setting the right expectations can help us meet that goal.

When it comes to kids, not knowing what to expect can generate fear, anxiety and/or misbehavior.  Here is what to expect from your child’s first dental visit.

When to Make the Appointment

The American Academy of Pediatric Dentistry recommends that children have a dental evaluation by their first birthday or within 6 months of getting their first tooth, whichever comes first.  The purpose of a dental visit this early in life is not to perform dental treatment.  Education is the main purpose. 

If your child is already past this recommended age, do not worry!  Simply make an appointment as soon as possible.  The visit will vary a little based on the child’s age.  The purpose remains the same.

Educating the Child

If your child is an infant or toddler, the education comes in the form of the experience.  The child learns from the senses of sight, sound, taste, smell and touch.  He will see the smiling face of the dentist and his staff and learn what the dental tools look like.  He will hear the normal sounds of a dental office.  He will taste and smell the toothpaste or dental cleaning paste used by the dental hygienist.  And he will feel the gentle touch of the dentist evaluating his mouth.

It is important for parents to know that it is normal and acceptable for a small child to cry.  The dentist or hygienist may use that as an opportunity to look inside the child’s mouth and see as many teeth as possible. 

Educating the Parent

Even more important than the child’s education is the parents’.  The cause of most preventable problems that arise with children’s teeth is a simple lack of information and education.

A Child’s Oral Hygiene

At this dental visit, every parent receives instruction on proper oral hygiene of the child’s teeth and tips on various ways to accomplish this.  Keep in mind that not every technique or trick works on every child.  You may have to try several different approaches before you find the one that works best for you and your child. 

An example of a unique approach to flossing a toddler’s teeth is this:  Sit on the floor cross-legged.  Have your child lay down with his head in your lap and look straight up at you.  When the child opens his mouth, you will be able to easily see and access the teeth for flossing. 

This technique also works well with brushing.  If you use this technique for brushing, use only a pea-sized dot of toothpaste and no water.

Oral hygiene for baby teeth is just as important as it is for permanent teeth.  Do not make it an optional part of the bedtime routine.  This link has some great songs to sing while brushing and flossing your child’s teeth.  We know it can be a chore; do your best to make it a fun one.

A Child’s Nutrition

At the first dental visit, parents are taught how to help prevent cavities with good nutritional choices.  Your dentist will ask questions about current nutritional habits and eating patterns.  The most common error parents make is sending their child to bed with a sippy cup full of juice or milk.  The only thing a child should have access to overnight is water.

A Child’s Habits

Your dentist will assess risk for damage to the teeth and developing jaws by any habits like thumb-sucking or pacifier use.  For more information on these habits, please read our previous blog.

A Child’s Growth and Development

At this visit, the dentist evaluates the teeth and jaws for proper growth and development.  There is a pretty wide range of “normal” when it comes to teeth coming into the mouth.  The dentist’s objective is to detect any abnormalities in a child’s development as early as possible so that you can plan for the future.

For example, your dentist would inform you if there appears to be a deficiency in the growth of the jaws that would require early orthodontic treatment.  We want you to be as prepared as possible for any future dental work.

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 Dental X-rays

Dental x-rays are only taken on children under the age of 5 if there is evidence of a problem.  An x-ray is necessary if a large cavity is present with the risk of spreading infection into the jawbone.  Any injury to the teeth also requires an x-ray.

Around age 5-6 years, we take dental x-rays to evaluate the proper development of permanent teeth underneath the baby tooth roots.

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Fluoride

Professional fluoride treatments are proven to reduce a child’s risk for developing cavities.  We recommend fluoride as a preventive treatment for most children because we strongly believe in prevention.

If you have questions about professional fluoride treatments, please ask Dr. Jason, Dr. Alex, Dr. Serena or your dental hygienist at your next visit.  We are more than happy to discuss the benefits of fluoride and the reasons we strongly recommend it for children.

Is it Time for Your Child’s First Dental Visit?

Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to set up a happy visit for your child with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell and our fabulous dental hygienists.  They will get you and your child started with a great dental experience.

Interdisciplinary Dentistry

Interdisciplinary Dentistry

You’ve probably heard the saying, “Jack of all trades”; maybe you didn’t know that the rest of that phrase is “ . . . master of none”.  The theory behind this phrase is that a person can be competent in many tasks, but is usually limited to excellence in just a few.  At our dental centers in Freeman, Parkston, and Viborg, we believe that this phrase applies to dentistry.  Because our goal is for each patient to receive excellent care in every realm, we cooperate with medical and dental specialists to accomplish interdisciplinary dentistry. 

We understand that, as a patient, it is more convenient to have all of your dental care performed in one location.  However, when it comes to a choice between convenience and excellence, we will always choose excellence.  When Dr. Jason, Dr. Alex and Dr. Serena create a customized treatment plan for their patients, they considers what type of practitioner will best perform each individual procedure.  These decisions are made on a case-by-case basis, much like a primary care physician may treat a case of high blood pressure in his or her office, but refer out a complicated cardiovascular issue to a cardiologist.

Dental Specialties

The American Dental Association recognizes nine dental specialties in dentistry.  These specialties are characterized by residency programs, which add several years to their education, and certifying boards, which recognize their limitation of practice to a specific specialty.  The nine recognized dental specialties are:

  1. Dental Public Health – promotion of oral health and disease prevention

  2. Endodontics – root canals and surgeries related to infections originating within the tooth

  3. Oral & Maxillofacial Pathology – diagnosis of abnormal lesions and diseases of the oral cavity

  4. Oral & Maxillofacial Radiology – interpretation of images of the head & neck complex, including x-rays and cone beam computed tomography

  5. Oral & Maxillofacial Surgery – surgical intervention ranging from simple extraction of teeth to complex realignment of the upper and lower jaws

  6. Orthodontics – realignment of teeth and bite relationships

  7. Pediatric Dentistry – dentistry for children

  8. Periodontics – treatment of diseases and conditions of the supporting structures of the teeth: bones, ligaments, and gum tissue

  9. Prosthodontics – restoration of missing tooth and jaw structures

Many people are surprised to learn that there are currently no recognized specialties for TMJ, cosmetic dentistry, and dental implants.  Advertising claims can be misleading in these areas. 

Why Do Some Dentists Pull Wisdom Teeth, Place Implants or Do Root Canals?

Many general dentists have practiced long enough to determine which procedures they are able to perform with excellence, rather than just being competent.  They will spend more time in continuing education learning the procedures that they love, and will consistently improve their skill in specific techniques.  This is why some general dentists are able to provide excellent treatment in areas another general dentist would refer to a specialist.

On the other hand, you may find that a dentist who used to do root canals in his office no longer does.  It is likely that this dentist has found he is not able to efficiently provide the very best root canal for his patients, and they will receive a more positive long-term success rate by seeing an endodontist for that specific procedure. 

Medical Specialists

As we discussed in a previous blog on how oral health affects your overall health, there are many connections between the mouth and the rest of the body.  As we continue to gather more information about your head & neck with the 3D imaging and continued learning in dentistry, we are better able to recognize these connections and advise you to see the appropriate medical specialist.

The Importance of the General Dentist

In cases where interdisciplinary dentistry is necessary, the general dentist plays an important role.  In addition to performing certain procedures in the care of the patient, the general dentist is instrumental in organizing and coordinating the flow of communication and treatment among the various specialists.  

If you have a complicated dental history and think you need interdisciplinary dentistry, call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell! Their commitment to excellent care will ensure you see the proper doctor for each individual procedure your treatment requires.

New Year, New Smile

New Year, New Smile

 

It is that time of year when people around the world are resolving to make changes for the better.  A common theme in many New Year’s resolutions is improved health.  One of the great perks of improving your health is that it usually involves improving your appearance, too!  If you are exercising to enhance your health, you may also be losing weight or toning muscles.  If you resolve to get more sleep, you will lose those dark circles under your eyes.

The same applies to taking care of your teeth.  The steps you take to make your mouth healthier will make your smile prettier.  Here are a few ways you can improve the health and appearance of your smile.

Brush Up on Your Oral Hygiene Regimen

 

Keeping your teeth free from plaque reduces your risk of unsightly cavities and gum disease.  Here is the most effective way to keep your pearly whites pearly and white.

Brush twice a day, preferably after breakfast and before bed.  Make sure you are using a soft-bristled toothbrush at a 45 degree angle to the edge of the gums.  Make sure you touch every surface of every tooth.  This should include the cheek side, tongue side, and biting surface.  The most commonly missed area is the inside (tongue side) of the lower teeth.  Do not go to bed without brushing!

Floss nightly!  Brushing alone is not enough to ensure proper plaque removal.  The toothbrush bristles cannot reach in between the teeth; therefore, they leave harmful plaque, bacteria, and food debris on the teeth.  Flossing is absolutely mandatory to keep your teeth and gums healthy and beautiful.

Use a mouthwash.  Swishing mouthwash is a great way to flush out unhealthy bacteria from the various nooks and crannies of the oral cavity.  If you are cavity prone, use a mouthwash containing fluoride to strengthen your enamel and fight cavities.  If you have a dry mouth, stay away from mouthrinses containing alcohol.  For someone with red, swollen gums, a whitening mouthwash containing hydrogen peroxide is a great tool for reducing gum inflammation.

Treat Yourself to Teeth Whitening

There are many ways to improving your smile.  Whitening your teeth is one of the quickest ways to give your smile a boost.  At the dental centers in Freeman, Viborg and Parkston, we are proud to offer KöR professional teeth whitening.  With both in-office and at-home whitening products, we can help you find the type of whitening that most easily and quickly meets your needs. 

Another way you can achieve a brighter smile is by using an electric toothbrush and whitening toothpaste.  This works to polish off surface stains accumulated by years of drinking coffee or tea and using tobacco products.  Ask our dental hygienists about the other benefits of an electric toothbrush.  Most patients find that once they begin using an electric toothbrush, they cannot return to a manual toothbrush.  Electric toothbrushes truly give a cleaner, smoother, shinier appearance to the teeth.

Straight Teeth are Healthy Teeth

Many people consider crooked teeth to be a cosmetic issue.  In addition to an improved appearance, straightening your teeth actually creates a healthier oral environment.  A research experiment was conducted in which plaque was collected from both patients with straight teeth and those with crowded teeth.  This study concluded that not only do crooked and crowded teeth harbor a greater quantity of plaque; they actually harbor more dangerous bacteria than straight teeth.

Closing gaps between the teeth helps prevent food impaction, which leads to cavities and periodontal disease.  Aligning crooked teeth makes brushing flossing easier to accomplish.  Ask us how Invisalign® can make your mouth healthier!

Full Smile Makeover

Perhaps you have always wanted a full smile makeover, and 2018 is your year.  Missing teeth can be replaced with dental implants.  Broken teeth can be restored crowns.  Cavities can be repaired with cosmetic tooth-colored fillings.  

You can even get a beautiful, straight, white smile with veneers.  A veneer is a covering of at least one full surface of the tooth.  Veneers are made from porcelain or composite (an in-office dental restoration).  They can be contact lens thin for minor corrections and refinements.  Or they can be several millimeters thick to correct misalignments and dark discolorations.

The possibilities are almost endless!  To get started on your full smile makeover, schedule a consultation with Dr. Jason, Dr. Alex and Dr. Serena.  They will evaluate your current situation and discuss the treatment options available to meet your cosmetic goals.

Happy New Year!

Whether 2018 is the year for minor improvements or major life changes for you, there are two things that will always be a great idea: 1) Make healthy choices.  2) Smile! 

If you’d like help improving that smile, we are here for you. Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

How Implants Make Dentures Better

How Implants Make Dentures Better

The History of Dentures

More than 36 million Americans do not have any teeth.  Unfortunately, this state, called edentulism, is nothing new.  Teeth have been removed due to decay and gum disease for thousands of years.  People have also been attempting to replace those missing teeth for thousands of years.  There is historical evidence that dentures were made as far back as 700 BC!  Contrary to popular belief, President George Washington’s dentures were not made from wood, but from a combination of carved ivory, human teeth and animal teeth.

The history of dentures has been a long, ever-changing one.  Man has been attempting to improve “false teeth” for thousands of years.  Most of these changes have been in the materials and techniques by which the dentures are made.  In general, dentures have relied on the remaining jawbone for their only structural support.  And as the jawbone continually changes in response to the absence of teeth, maintaining a proper fit with full dentures is a constant battle.  Only in recent decades have we been able to give a full set of dentures something to anchor onto: Dental implants!

The Trouble With Dentures

A traditional full set of dentures has a large acrylic base that holds the false teeth.  This base simply rests on the gums and jawbone remaining in the mouth after all of the teeth have been extracted.  The gum and jawbone remaining after the teeth are pulled are called the alveolar ridge.  The upper and lower jawbones are unique in that their only purpose is to support teeth.  Once teeth are removed, the bone shrinks and recedes because it no longer has anything to hold onto.  This process happens slowly over a period of years.  As the ridge shrinks, there is less and less for the denture to sit on, so dentures become increasingly loose and difficult to wear.  Some people are able to adapt to full dentures and use the muscles in their cheeks, lips and tongue to hold them in place while eating and talking.  However, many people are not able to achieve that level of muscle control and struggle to keep their dentures in place, often suffering difficulty chewing, and embarrassment when talking or laughing.

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Better Dentures 

The solution for this worsening problem with ill-fitting dentures is dental implants.  Dental implants improve dentures in two different ways.
The root form: Dental implants are placed into the jawbone and function similarly to a natural tooth root.  The jawbone responds to an implant the way it would to a tooth root and does not shrink in height or width.  The dental implant acts to maintain the jawbone, giving the denture more surface area of the alveolar ridge to rest on, which is less likely to shrink and change over time.
The abutment: The abutment is the portion of the dental implant system that projects out of the gum tissue.  Abutments come in many shapes in sizes, depending on their purpose.  For the purpose of denture retention, a locator abutment is placed into the implant root form.  The denture contains a cap set into the denture acrylic base for each locator abutment in the jawbone.  There is a range of caps available, giving you and your dentist flexibility in how tightly your denture locks onto the locator abutment.  Because of this locking action, the dentures do not move when you chew or talk! 

 

This is a vast improvement from traditional dentures, which depend on a person’s muscles to hold them in place.  In this scenario, rather than having an acrylic denture base which simply fits over the gums, there are interlocking pieces on both the implant and the denture, creating a secure connection.  This connection eliminates the embarrassment and fear that plagues traditional denture wearers.

Implant-Supported Dentures 

Dental implants, used to support dentures, employ the same technology used for a single-tooth replacement implant.  It begins with 3D imaging for preoperative planning.  Dr. Jason, Dr. Alex and Dr. Serena will work in close collaboration with your oral surgeon to plan the position of the implants for the most optimal support of dentures.  Once the surgical phase is complete, and the implants have achieved adequate stability to withstand chewing forces, Dr. Jason, Dr. Alex and Dr. Serena will fabricate dentures with appropriate attachments to connect securely with your implants.  With implant-supported dentures, any adjustment period is much shorter due to the security and stability of the implant-denture connection.  This creates a level of function far superior to any achieved by traditional dentures.  Patients are more comfortable and more confident with implant-supported dentures.

Do You Have Poorly Fitting Dentures? 

If you are interested in implant-supported dentures, Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

Dental Implants: Restoration of a Missing Tooth

Dental Implants: Restoration of a Missing Tooth

A Missing Tooth 

In dentistry, we use the term prognosis to describe how long a tooth will continue to function properly.  That term also encompasses any treatment done on a tooth as a predictor of how long the treatment itself will last and keep the tooth in proper function.  Giving a prognosis of a tooth or treatment is a little like predicting the future.  We are not giving an exact timeline; we are making an educated guess.  We want your teeth and the work we perform on them to last as long as you do!

When a tooth has a hopeless prognosis, the only treatment option is removal of the tooth by extraction.  When a tooth or the proposed treatment to save a tooth has a poor long-term prognosis, we will always give you the option to remove the tooth.  Once the tooth is removed, you will have several options for replacing it.  We believe that your time, effort and money are best invested in something that will last.  The treatment option with the highest success rate for replacing a missing tooth is a dental implant.

Anatomy of a Dental Implant 

One of the reasons a dental implant has such a high success rate is that its anatomy mimics a natural tooth more closely than any other treatment option available in dentistry.  This configuration allows a dental implant to stand alone; it does not anchor or rest on any other teeth the way a bridge or a removable partial does.

A dental implant consists of three parts:

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  1. Implant body - The implant body is the root replacement. It is made from titanium, like implants and prostheses used in other parts of the body. This titanium root form comes in many different sizes, and using our 3D image of your jawbones, we will select the proper size for your specific missing tooth. In some cases, the implant can be placed at the time of extraction, called an immediate implant. In other situations, it is necessary to allow the jawbone to heal for several months between the extraction and the placement of the dental implant. Once the implant has been placed into the jawbone, it must heal for several months, allowing the bone to grow into the threads of the implant form, which is a process called osseointegration. After a minimum of 3 months of healing, we assess the level of osseointegration of the implant to ensure that the implant is stable and ready to withstand chewing forces.

  2. Abutment - The abutment is the connector between the implant root and the dental crown. An abutment can be made from several different materials, as needed for appearance. The abutment is affixed to the implant root with a small screw, and it protrudes from the gums, providing the core structure for a crown.

  3. Abutment-supported crown - An abutment-supported crown is very similar to a traditional dental crown. It covers the entire abutment form to the gumline and restores the natural anatomy of the tooth, enabling you to return to normal function in this area.

 

What Is the Process for Replacing a Missing Tooth with a Dental Implant? 

Visit 1:  Implant Planning

At this visit, images are taken of the proposed implant site, including photographs, dental x-rays, and a 3D CBCT image.  Dr. Jason, Dr. Alex or Dr. Serena will determine the best treatment to restore your missing tooth and discuss the details of the upcoming surgical visit.  They will refer you to a skilled oral surgeon for the surgical placement of the dental implant.

Visit 2: Surgical Placement of the Implant

During the surgical visit, you have the option to be sedated, and if you desire this, please discuss it with your surgeon BEFORE this visit.  You can also elect to have the procedure done with local anesthetic only, meaning you are awake throughout.  Implant placement is a relatively quick procedure and usually causes less discomfort than a tooth extraction, so many people choose to remain awake for this visit.  You should feel only vibration as the site in the bone is being prepared and the implant placed.  You will be given very strict post-operative instructions regarding your stitches, care of the surgical site, and oral hygiene to follow.

Visit 3: Post-operative evaluation

Between one and two weeks later, you will return to the oral surgeon for the removal of any stitches and a post-operative evaluation of the surgical site.  This is typically a very quick visit, and most, if not all, post-operative pain or discomfort has subsided by this time.

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Visit 4: Uncovering and Testing Implant

At three months post-op, the implant will be exposed to the mouth (if it is not already) by removing the gum tissue over it with a dental laser.  If the implant shows the correct amount of stability, we can proceed with visit 5.

Visit 5: Impression for Abutment and Crown 

This visit may be done in combination with visit 4 if the implant has osseointegrated.  An impression is taken of the implant site and the surrounding teeth. The abutment and crown are designed and fabricated by a dental laboratory.  A healing cap may be placed to maintain the position of the gum tissue while the abutment and crown are being made.

Visit 6: Final Placement of Abutment and Crown

When the abutment and crown are completed, the healing cap is removed from the implant, and the abutment and crown are placed.  The abutment is attached to the implant via a small screw, which is torqued to the appropriate tightness.  Dental x-rays confirm the fit of the crown.  Once the crown meets our standards and feels perfect to you, it will be cemented and cleaned.

Do You Have a Missing Tooth that You Would Like Restored with a Dental Implant?

Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell! They will discuss your treatment options in detail and help you decide if a dental implant is right for you.