My Blog

Posts for: July, 2020

By H. David Allick, DDS, PA
July 28, 2020
Category: Dental Procedures
HerestheScooponYourUpcomingRootCanal

You might be a bit apprehensive if your dentist recommends a root canal treatment, especially if it's your first. That's understandable: Popular culture has portrayed the root canal as an unpleasant experience.

But as a routine dental procedure, root canal treatments have been responsible for saving millions of decayed teeth. And, with local anesthesia, the procedure is painless. In fact, a root canal treatment stops pain that often results from advanced tooth decay.

So, let's take the mystery out of the root canal. Here's the 411 on this vital but often misunderstood dental procedure.

Why the name “root canal”? The terms for the procedure—root canal therapy, root canal treatment or simply “root canal”—arise from one of the principal parts of the tooth involved, root canals. These are tiny passageways that lead from the tooth's innermost layer, the pulp, to the tooth roots. While treatment often focuses on decay or diseased tissue within the pulp, the root canals can be infected too and must be included in the later filling process.

Who can perform a root canal? All general dentists are trained in basic root canal procedures. Depending on your tooth's condition, your family dentist may be able to perform it. But if your tooth has an intricate root canal network or some other complication, you may need an endodontist, a specialist in interior tooth and root treatments. Endodontists can perform advanced root canal techniques and have the specialized equipment to handle intricate cases.

What happens during a root canal? Although details may vary depending on the type of tooth and extent of decay, there's a basic process for all root canal procedures. After numbing the tooth and surrounding tissues, the dentist drills into the tooth to access the inner pulp chamber and root canals, then removes the diseased tissue and disinfects the empty chamber and canals. After preparing the canals, the dentist then fills the empty spaces. This, and subsequent sealing and crowning, protects the tooth from future decay.

After the procedure you may have some minor soreness for a few days, which is usually manageable with mild pain relievers like ibuprofen or acetaminophen. This discomfort will diminish with time, and your tooth will have a new lease on life.

If you would like more information on root canal treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Canal Treatment.”


By H. David Allick, DDS, PA
July 18, 2020
Category: Oral Health
Tags: oral hygiene  
WhateverYourVacationPlansThisYearDontForgetTeethandGumCare

COVID-19 containment restrictions could put a kink in many of our vacation plans this summer. With leisure air travel discouraged and popular attractions like Disney closed, this may be the year for a “staycation.” But however your summer plans turn out, be sure you keep up with the essentials—like taking care of your teeth and gums.

Vacations, whether a road trip or a camping getaway in your own backyard, are times to recharge the “mental batteries” by temporarily leaving everyday life behind. But not everything—you still need to take care of life's necessities, including daily dental care. Not to sound like a schoolmarm, but there is no vacation from brushing and flossing.

Actually, it's not that onerous: Just five short minutes a day is all you need to effectively perform these two essential hygiene tasks before you head out for your vacation activities (or non-activities, as the case may be). During those five minutes, though, you'll be removing built-up dental plaque, a bacterial film that's the top cause for tooth decay and gum disease.

You should also keep an eye on your vacation diet. For many people, seasonal getaways often come with an increase in sweet treats like pastries, ice cream or, the perennial campfire favorite, s'mores. But increased sugar may also raise your risk for dental disease. So, limit those sweet treats, consider alternative snacks without sugar, and brush after eating to keep tooth decay or gum disease from getting a foothold.

An equally important measure for maintaining healthy teeth and gums is a regular dental visit at least twice a year. During these visits we'll clean your teeth of any missed plaque or tartar (hardened plaque) and check for any signs of dental disease. Our goal is to keep you in the best oral health for the long haul.

Everyone needs a break from the routine now and then, even if it's a creative alternative to the traditional summer trip. Just be sure you have your dental care covered before your vacation.

If you would like more information about daily and regular dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Daily Oral Hygiene” and “The Bitter Truth About Sugar.”


By H. David Allick, DDS, PA
July 08, 2020
Category: Oral Health
Tags: mouthguards  
BruinsZdenoCharaBreaksHisJawDuring2019StanleyCup

Boston Bruins defenseman Zdeno Chara had a rough Stanley Cup final against the St. Louis Blues this past June. Not only did the Bruins ultimately lose the championship, but Chara took a deflected puck shot to the face in Game Four that broke his jaw.

With the NHL season now over, the 42-year-old Bruins captain continues to mend from his injury that required extensive treatment. His experience highlights how jaw fractures and related dental damage are an unfortunate hazard in hockey—not only for pros like Chara, but also for an estimated half million U.S. amateurs, many in youth leagues.

Ice hockey isn't the only sport with this injury potential: Basketball, football (now gearing up with summer training) and even baseball players are also at risk. That's why appropriate protective gear like helmets and face shields are key to preventing injury.

For any contact sport, that protection should also include a mouthguard to absorb hard contact forces that could damage the mouth, teeth and gums. The best guards (and the most comfortable fit) are custom-made by a dentist based on impressions made of the individual's mouth.

But even with adequate protection, an injury can still happen. Here's what you should do if your child has an injury to their jaw, mouth or teeth.

Recognize signs of a broken jaw. A broken jaw can result in severe pain, swelling, difficulty speaking, numbness in the chin or lower lip or the teeth not seeming to fit together properly. You may also notice bleeding in the mouth, as well as bruising under the tongue or a cut in the ear canal resulting from jawbone movement during the fracture. Get immediate medical attention if you notice any of these signs.

Take quick action for a knocked-out tooth. A tooth knocked completely out of its socket is a severe dental injury. But you may be able to ultimately save the tooth by promptly taking the following steps: (1) find the tooth and pick it up without touching the root end, (2) rinse it off, (3) place it back in its socket with firm pressure, and (4) see a dentist as soon as possible.

Seek dental care. Besides the injuries already mentioned, you should also see a dentist for any moderate to severe trauma to the mouth, teeth and gums. Leading the list: any injury that results in tooth chipping, looseness or movement out of alignment.

Even a top athlete like Zdeno Chara isn't immune to injury. Take steps then to protect your amateur athlete from a dental or facial injury.

If you would like more information about dealing with sports-related dental injuries, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Athletic Mouthguards” and “The Field-Side Guide to Dental Injuries.”