If an individual experiences soreness that doesn鈥檛 resolve in a couple of days they should call their dentist to have him observe the area experiencing soreness. On occasion, patients can have a periodontal abscess that can be caused by a piece of dislodged tarter or a flare up in a periodontally involved area. Also some patients can experience an outbreak of herpes after their cleaning (usually a recurrence possibly due to localized trauma).

For most patients the soreness resolves and their gums become less inflamed and appear healthier when examined one week after their cleaning. This occurs because most of the plaque causing the inflammation has been removed and the gingiva responds by becoming more healthy.

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The early manifestation of the caries process is a small patch of demineralised (softened) enamel at the tooth surface, often hidden from sight in the fissures (grooves) of teeth or in between the teeth. The destruction spreads into the softer, sensitive part of the tooth beneath the enamel (dentine). The weakened enamel then collapses to form a cavity and the tooth is progressively destroyed. Caries can also attack the roots of teeth should they become exposed by gum recession. This is more common in older adults.

Dental caries is caused by the action of acids on the enamel surface. The acid is produced when sugars (mainly sucrose) in foods or drinks react with bacteria present in the dental biofilm (plaque) on the tooth surface. The acid produced leads to a loss of calcium and phosphate from the enamel; this process is called demineralisation.

Saliva acts to dilute and neutralise the acid which causes demineralisation and is an important natural defence against caries. Aside from buffering plaque acids and halting the demineralisation of enamel, saliva provides a reservoir of minerals adjacent to the enamel from which it can remineralise and 鈥渉eal鈥� once the acids have been neutralised. The enamel demineralises and remineralises many times during the course of a day. It is when this balance is upset and demineralisation exceeds remineralisation that caries progresses. When demineralisation occurs frequently and exceeds remineralisation over many months, there is a breakdown of the enamel surface leading to a cavity. Cavities, even in children who do not yet have their permanent teeth, can have serious and lasting complications such as pain, tooth abscess, tooth loss, broken teeth, chewing problems and serious infection.

The main treatment option for a tooth cavity is to drill out the decay and put in a filling (restoration) made from various materials (e.g., composite resins, amalgam, porcelain).Extensive tooth decay may necessitate a crown, root canal treatment or even extraction of the tooth.

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If I am starting a root canal and my initial attempt(s) at achieving anesthesia do not achieve the desired results, there are a number of additional options available, including intraligamental, intrapulpal and intraosseous anesthesia.

Assuming that my initial block or anesthetic was not entirely effective, I find that many times intraligamental injections make a root canal patient comfortable. Intraligamental injections results usually are best achieved when a dentist uses a special intraligamental syringe that delivers a few drops of anesthesia under pressure at the four corners of a tooth. When properly administered, this type of anesthesia will make a patient comfortable during their root canal. The only drawback is that occasionally teeth given an intraligamental injection become slightly tender for a day or two when a patient applies chewing pressure.

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Cavities refer to tooth decay, which occurs when specific types of bacteria produce acid that destroys the tooth鈥檚 enamel and its underlying layer, the dentin.

Three possible indications that you have a cavity are toothache, tooth sensitivity to sweet, hot or cold foods or drinks, or pain when chewing

Many different types of bacteria live in our mouths and build up on the teeth in a sticky film called dental plaque. When we eat and drink, these bacteria create acids, which can dissolve the protective layer beneath the retained plaque. The acid removes minerals from the enamel, which if left untreated can cause a cavity. Decay begins in the main portion of the tooth (the enamel) and as the enamel is broken down the decay can go deeper into the dentin and can eventually reach the nerve (pulp) of the tooth.

Your dentist can diagnose cavities by examining the tooth surface and by taking an x-ray to see if the cavity has gone from the enamel into the dentin or pulp of the tooth.

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Dentin hypersensitivity, or tooth sensitivity, is a common dental problem. It鈥檚 a condition that can develop over time, as a result of common problems such as receding gums and enamel wear. Most sufferers are between 20 and 50 years old. Tooth sensitivity can start to happen when the softer, inner part of the tooth called 鈥榙entin鈥� becomes exposed. Dentin lies under the enamel and the gums.

Thousands of microscopic channels run through the dentin towards the center of the tooth (see figure below). Once the dentin is exposed, external triggers (such as a cold drink) can stimulate the nerves inside the tooth, resulting in the characteristic short, sharp pain of tooth sensitivity.

Only a dentist can confirm you have dentin hypersensitivity. If you are experiencing any dental problems, please call our dental office in Jersey City for advice. 聽聽We can help to minimize further exposure of the dentin, care for your sensitive teeth and relieve the painful symptoms by making some simple changes to your daily oral care routine and dietary habits.

If you live in Jersey City, Hoboken, Union City, Bayonne, or surrounding areas in New Jersey and need help with you dental problems or for any procedures such as dental implants, dentures, crowns or bridges, please call our office 黑料社 at 201-425-8600.

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Why does this surface staining or discoloration happen? Composite fillings are made partly of plastic resin and this resin can at least at the surface become porous and can either pick up stains or appear more yellow. Fortunately this discoloration is often just on the surface and after removing a few microns of the composite it appears 鈥渞efreshed . Assuming that a tooth is still well filled, having its length of service extended is a good thing, since more frequent refilling may make it more likely that the tooth will eventually require a crown or a root canal.

Patients can help themselves extend the life expectancy of their tooth colored composite restorations by having excellent oral hygiene, since composite fillings that are kept clean tend to exhibit less staining and discoloration. Using your tooth brush and floss properly will tend to keep these fillings looking good and maintain their proper color.

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