Root Canal Dentist Cary NC
Periodontal and Soft Tissue Management
At our Cary NC dentist office, we often see periodontal and soft tissue related issues in our patients. Research from the Centers for Disease Control and Prevention suggests over 47 percent of the US population aged 30 years and older have mild, moderate or severe periodontitis.* Periodontitis, also referred to as periodontal disease, is an inflammatory disease characterized by the loss of connective tissue between teeth and gums. If not treated, the bones and tissues that support the teeth may be destroyed. Eventually, teeth become loose and have to be removed.
Dentists in Cary, NC That Care
Bad breath, red, swollen or bleeding gums, loose teeth and longer appearing teeth are signs of gum disease. Every adult patient at Alliance Dentistry is screened for periodontal disease at our Cary, NC dentist office. We review medical history and identify underlying conditions or risk factors that may contribute to gum disease. Our Cary NC dentists examine your gums and measure your pocket depths (the spaces formed when gums pull away from teeth.) We also take radiographs to see whether there is any bone loss. Based on these findings, we establish an appropriate soft tissue treatment plan. While the number and types of treatment may vary, based on the severity of the disease, the main goal of our dentist office is always to control the infection.
Scaling and Root Planing (Deep Cleaning)
In what most people consider a dental cleaning, plaque and tartar is removed from above the gum line. Individuals with periodontal disease, however, require a deep cleaning, called scaling and root planing. Scaling consists of removing tartar from above and below the gum line. Root planing smoothes out the rough spots along the root surface where germs gather, which helps to remove bacteria that contribute to the disease.
Arestin® is an antibiotic that helps kill the bacteria that contribute to periodontal disease. At Alliance Dentistry, we place Arestin ® into gum pockets at the time of scaling and root planing, making scaling and root planing more effective. Tiny, round particles slowly release the antibiotic over time into the gum tissues which allows for better healing and a reduction in the size of the periodontal pockets.
iLase ™ is a dental soft tissue laser designed for a variety of dental procedures. At our Cary, NC dentist office, we most commonly use iLase ™ for the retraction of tissues prior to crown impressions and for soft tissue crown lengthening in teeth that are otherwise too short for restorations.
Oral Surgery/Tooth Extractions by Qualified Dentists in Cary, NC
While we do all we can to maintain teeth, there are occasions when removal of a tooth or multiple teeth is the best treatment for some patients. When such a procedure is necessary,a Cary NC dentist will discuss options for replacement of the missing teeth and have a satisfactory plan in place with which our patients feel comfortable. Often, this involves one or more implants. Our Cary, NC dentist office works closely with oral surgeons and periodontists in the area to deliver the best and most appropriate treatment for our patients.
What Can I Do About a Tooth Knocked Out in an Auto Accident?
Each year, collisions by cars, trucks, motorcycles, and other vehicles cause injury to many, many unfortunate accident victims throughout the United States. Facial damages and dental injuries are quite common during a motor vehicle accident. Jaw injuries, or temporomandibular joint (TMJ) damage, are often sustained by traffic accident victims as well. One of the most harmful types of dental injuries commonly caused by traffic accidents is an avulsed tooth.
What Is an Avulsed Tooth?
A tooth is considered avulsed when it is knocked out of its socket entirely. Accident victims must be careful with an avulsed tooth if it is to be restored to its socket. You should handle an avulsed tooth carefully, as any misstep along the way can lead to permanent damage. It is essential to see a family or root canal dentist in Cary, NC as quickly as possible after a tooth has been knocked out. To optimize the chances of saving the tooth, you should:
- Try not to touch the root of the tooth, which is the part of the tooth that was under the gum line. It is a sensitive structure that can be damaged easily.
- To clean an avulsed tooth that is dirty, hold it by the crown (not the root) and rinse it with milk. If you don’t have milk, then rinse it with water.
- Keep the tooth moist by putting it into a glass of milk. If that is not possible given the situation, you can place the tooth in your mouth, holding it between the cheek and gum. Or, it can be placed in a cup filled with saliva. If those options aren’t available, you can keep the tooth moist by placing it in water.
- Seek dental intervention immediately, as there is only about a two-hour window of time to put the tooth back in the mouth if it is to survive.
Additionally, when a tooth is knocked out, the supporting tissues, nerves, and blood vessels may be damaged as well. The nerves and blood vessels cannot be repaired, so avulsed teeth will likely need a root canal. However, once the tooth is put back into its socket, the root of the tooth can reattach to the jawbone as it heals, and this will help restore the tooth to proper functioning. The odds are better for children than adults when it comes to saving avulsed teeth. Only the permanent teeth are reimplanted.
Getting Help for Dental Injuries
Teeth can also be fractured, broken, split, or knocked out of their correct position during automobile accidents. If you or a loved one has suffered accident-related dental injuries, you may have to work with a personal injury attorney to ensure you will recover an award of financial damages to cover the cost of your dental repairs. Your root canal dentist Cary, NC residents rely on is a key player here, as the dental professional will need to provide documentation as evidence of your need for dental repair and treatment. For more information or to set up dental treatment after an auto accident, contact a qualified root canal dentist Cary, NC in your local area.
*Eke P, Dye BA, Wei L, Thorton-Evans GO, Genco RJ. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res 2012; 91 (10):914-920.