3/28/2016 8:04:00 AM | Irv Schindler

Seeking medical attention for an emergency is often fraught with confusion – what constitutes an emergency may be unclear, particularly when it comes to teeth. However, knowing what to do in case of an emergency can help save teeth and prevent other complications from developing in the future.

A dental emergency, from a cracked tooth to a severe toothache, should never be ignored. Dental emergencies include:

Broken Tooth: A broken tooth is considered a dental emergency, and you should see your dentist as soon as possible. In the meantime, gather any pieces that have broken off and rinse the mouth out with warm water. To stop any bleeding, apply gauze to the affected area until it stops. A cold compress can be applied to the face to keep swelling down and to minimize any pain.

Toothache: A toothache can be caused by a number of problems, but the first step in assessing the cause is to use floss and brush the teeth to ensure no food has been trapped in them. If the ache is accompanied by swelling, use a cold compress and contact your dentist.

Loose or Knocked Out Tooth: If the tooth is partially dislodged, or extremely loose, use a cold compress to reduce swelling and over-the-counter pain medication to help with any pain until you can see the dentist. If the tooth has been completely knocked out of the gum, be sure to treat the tooth with care. Never hold it by the root, instead pick it up by the crown (the exposed part of the tooth) and rinse it with water if it’s dirty. Try to place the tooth back in its socket, but do not force it. If it isn’t possible to keep it in the gum, place the tooth in a container of milk or a solution of water and a pinch of table salt. Products such as Save-a-Tooth are also helpful as they contain a cell growth medium that can help protect the structure of the tooth until a dentist can be seen. Teeth that have been knocked out can be saved, but the window of opportunity is small – try to see the dentist within the hour for best results.

Tooth Abscess: A tooth abscess is a potentially life-threatening infection in the soft gum above an infected tooth – it can cause soreness, pain, sensitivity to heat and cold, and swelling. Contact your dentist immediately if you discover swelling or persistent soreness on your gum, or if a high fever develops. To manage the pain and potentially extract the infected pus from the gums, try rinsing with a mild solution of water and salt. See your dentist as soon as possible.

If you are concerned about your teeth or gums, or if you experience any of these problems, contact Irv Schindler, DDS as soon as possible. Schedule an appointment at our Columbia dental office to care for the pain and care for your tooth.

3/7/2016 8:15:00 AM | Irv Schindler

If you are having problems keeping your lower complete denture in place while you eat and chew, you are not alone. While not a common problem for upper dentures, patients generally have a harder time keeping lower arch full dentures securely in place. Slipping dentures can not only create embarrassing moments while eating or speaking, but they can also create discomfort and soft tissue sores. If you are having problems with your lower complete denture, there is a solution.

What Makes Lower Dentures Move?

Upper and lower dentures utilize suction and muscle control to achieve a tight fit between the denture base and the gums. It is more difficult to maintain suction to prevent movement with lower dentures compared with upper dentures. The wearer needs to learn to utilize their tongue to help keep lower complete dentures in place. However, this is difficult to do, especially as the tongue plays an important role in eating and speaking as well.

Stabilizing Lower Complete Dentures 

Over-the-counter denture pastes are used to help secure dentures. Finding the right solution to stabilizing lower complete dentures then becomes an important aspect to enjoying everyday life.

Dentists often suggest dental implant-supported dentures as the solution to lower denture problems. Implants are placed into the bone of the lower jaw ridge to secure dentures in place. With as little as two implants, dentists are able to change the lives of patients who are suffering from ill-fitting lower dentures.

How Implant-Support Dentures Work

A dental exam will help your dentist determine if implant-supported dentures will work for you. The titanium implant posts require healthy jaw bone quality and gum tissue to facilitate an optimum environment for long-term results. Once a patient has qualified for implant-supported lower dentures, the next step is placement.

There are some dentists who can place the implant posts, but most will utilize the expertise of a periodontist or oral surgeon to ensure that posts are precisely positioned for improved health and longevity. Once the area has healed, a dentist or prosthodontist creates the implant denture and secures it atop the implants.

Once the denture is in place, the patient no longer has to worry about sliding dentures while eating and chewing.

Dr. Irv Schindler is an implant restoration dentist who provides solutions for patients with lower complete denture problems. If you are looking to replace missing teeth or are struggling with ill-fitting dentures, contact our Columbia dental office to schedule an appointment.

2/22/2016 11:30:00 AM | Irv Schindler

In cosmetic dentistry, tooth bonding is considered one of the simplest, most non-intrusive procedures. This versatile procedure allows dentists to facilitate a range of cosmetic and functional improvements, from repairing chipped teeth, to restoring color (whitening), to insulating exposed roots. Tooth bonding is a straightforward procedure, usually taking no longer than 60 minutes to complete (if that), and is usually accomplished without any need for an anesthetic.

The Tooth Bonding Process and Applications

Bonding is accomplished using a composite resin that's brushed onto the surface of the teeth. To facilitate maximum adhesion, the teeth are first prepared for bonding. The teeth are roughened and a conditioning liquid applied. The composite resin is then brushed onto the tooth surface and sculpted to achieve the desired result. To ensure that the color of the composite resin matches the color of the surrounding tooth surface, a shade guide is used when the resin is prepared.

The composite resin used in bonding can also be used as an alternative filling when treating a decayed tooth. As a filling, composite resins are healthier and more cosmetically appealing than the standard mercury based (metal) amalgams.

Another more practically-oriented application for bonding is the use of the bonding agent to cover the root of a tooth that's become exposed due to the recession of the gum line. Left untreated, exposed roots can create sensitivity, pain and discomfort.

The Pros and Cons of Tooth Bonding

As stated previously, the simplicity and expediency of bonding is exceptional. The procedure is simple, almost always pain free and can contribute noticeably to the cosmetic enhancement of your smile. 

Sturdiness is perhaps the most significant disadvantage of bonding, at least when compared alongside other cosmetic procedures designed to accomplish similar ends. Other restorative measures such as crowns and veneers are likely to last longer than the bonding materials. Moreover, the composite resin, with time, wear and tear, may begin to chip off. Some dentists are more inclined to use dental bonding on the front teeth, as there is less bite pressure and the composite adhesive is less likely to dislodge.

Good adherence to basic dental hygienic practices-- brushing, flossing, mouth wash, regular cleanings etc.-- can go a long way in ensuring that the bonding material remains sturdy and in-tact. It's also advised to avoid putting any undue pressure on the surface of teeth that have been bonded. So if you're inclined to chew on ice, chew on your fingers or on the backs of pencils, then now's a good time to break from these bad habits. Your beautifully restored teeth will thank you!

For more information on tooth bonding or to schedule an appointment, please contact the dental office of Dr. Irv Schindler in Columbia, MD.

12/14/2015 10:12:00 AM | Irv Schindler

We're excited to announce the official launch of our Irv Schindler, DDS blog.

We'll be posting helpful dental tips, news from the dental industry, news from our practice, and more about the latest in dentistry.

We built our practice on the notion that we're there for our patients when they need us and we want our online presence to be a reflection of that principle. We hope this blog provides an extra level of service to our current and future patients.

If you would like to stay up to date on the latest from Irv Schindler, DDS, simply click the RSS “Subscribe to feed” link located on our website and subscribe. Our subscribers will be updated when we make a new blog post.

Here's to your best oral health ever!

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