Dental Bonding is a wonderful and safe technique for fixing cosmetic flaws in teeth and even replacing damaged tooth structure. It is a fast and affordable way to conceal stains and cracks, fill gaps, and restore chipped or broken teeth. Dr. Hammel uses a moldable plastic, called resin, to cover existing teeth or replace missing part of the tooth structure. Once the resin hardens and bonds to the existing tooth, it blends in and looks very natural.
What can bonding do?
Bonding can quickly and painlessly solve a number of dental problems. It can:
Change the color of teeth
Whiten teeth that are too dark or stained
Hide cracks in teeth
Close spaces between teeth
Lengthen small teeth
Restore chipped or broken teeth
Restore decayed teeth
Restore worn teeth
Protect teeth from further damage
What can I expect during my bonding procedure?
Bonding is typically a one-appointment process, but like most dental procedures your visit will probably start with an examination and any necessary cleaning. Dr. Hammel will then prepare the particular tooth or teeth by applying a very mild etching solution. This solution slightly roughens the surface of the teeth so the resin bonding material can attach with a very strong bond. A conditioning gel may be applied at this time.
The bonding material is actually soft and flexible, and can be molded like putty or clay. It is a composite resin that will be colored to match the natural shade of your teeth. Dr. Hammel will mold and sculpt the resin to cover the affected teeth or replace the missing tooth structure. A high intensity light will be aimed at the sculpted bonding material, quickly turning it hard and durable. Often Dr. Hammel will repeat this procedure, applying multiple thin layers, so the entire procedure could take more than an hour. Once hardened, the bonded restorations are very strong, and will look and feel very much like your natural teeth. Finally, all new surfaces are smoothed and carefully polished.
How does bonding work?
Basically, bonding is a composite resin that is molded to replace tooth structure or is applied in a thin layer to cover part of an existing tooth. This resin is a soft putty-like material that can be colored and shaped according to the patient’s needs. A high intensity light turns the flexible resin into a hard durable material that looks like natural tooth.
How long does bonding last?
Bonding is considered a permanent tooth restoration, but that does not mean it will always last forever. Estimates on average lifespan vary from five to twelve years. Often new bonding can be used to repair a damaged portion of the bonding restoration, and the entire restoration can always be replaced if necessary.
Cosmetic fillings are a tooth-colored alternative to traditional amalgam fillings, and are used to replace areas of decay in a tooth. They are less noticeable than amalgam fillings and improve the appearance of your smile.
Why do I need a filling?
A cavity is tooth structure that has been weakened by decay. When Dr. Hammel removes this decay, he replaces the removed structure with a filling to protect and retain the structure of the tooth. It is called a filling because it fills the space where the decay in the tooth has been removed.
What are cosmetic or tooth-colored fillings?
When Dr. Hammel removes tooth decay, he replaces the removed structure with a filling to protect and retain the structure of the tooth. Traditionally, dentists have used metal “amalgam” fillings for this purpose. Cosmetic fillings, also known as composite fillings or tooth-colored fillings, are a tooth-colored alternative to traditional amalgam fillings. They are made of a composite plastic resin, and they look just like natural teeth.
What are the disadvantages of amalgam fillings?
Amalgam fillings are much darker than natural tooth structure, so they stand out in sharp contrast with the color of your teeth. This is sometimes called the “metal-mouth” look. Amalgams can corrode and leak over time, potentially staining teeth. Additionally, many are now concerned over the health consequences of mercury content in amalgams.
What are the advantages of cosmetic fillings?
The most obvious advantage of the cosmetic fillings is that they are nearly invisible in your mouth. They won’t stand out as dark spots in that beautiful smile you’ve been working hard to get. Cosmetic fillings bond very tightly to your existing teeth and work extremely well for small cavities. There is obviously no danger of metal-sensitivity.
Am I a good candidate for cosmetic fillings?
Anyone who has a filling in their mouth or needs a cavity filled should certainly ask Dr. Hammel about cosmetic fillings. They are strong and durable and look almost invisible. If you want the very best for your smile, then you want to use materials that appear very natural and tooth-like. That is exactly what cosmetic fillings were designed for.
Can I have my old amalgam fillings replaced with cosmetic fillings?
It’s very likely that you can, since removing the old amalgam is usually a quick and easy procedure. Dr. Hammel will have to examine the tooth structure under and around the old filling to see if more extensive dental work is necessary, but if not, he can give you a new cosmetic filling in the same appointment.
What can I expect from the cosmetic filling procedure?
Once the cavity has been treated or the old amalgam filling has been removed, the process is very similar to the dental bonding procedure. Dr. Hammel will prepare the tooth so that it is ready to bond tightly with the new filling. The filling made of composite, a plastic resin that is very flexible and can be molded like putty. He will apply the resin in layers, hardening each layer as they go with a high intensity light. This is a one-appointment procedure that gives beautiful long-lasting results.
Crowns are restorations that replace the entire visible structure of a severely damaged tooth. A bridge is a replacement tooth anchored by crowns or existing teeth on either side.
What is a crown?
Sometimes the surface of a tooth becomes too badly damaged to be fixed with a filling or other dental technique, but the root structure beneath the gums is still strong. In this case, Dr. Hammel can cement a crown or “cap” on the old tooth. This crown will completely cover what is left of the existing tooth, and will be sized and shaped just like the original healthy tooth. Crowns are made of different materials, and the circumstances of each patient will determine which material is best.
Why would I need a crown?
Crowns are used when a tooth is too damaged for a filling, when a tooth is badly cracked or broken, when a tooth has become badly worn down. Crowns are a good solution because Dr. Hammel can save the healthy structure of the existing tooth and the healthy roots. He creates a totally new tooth surface that is strong and durable and keeps your teeth stable.
Why use a crown instead of a filling?
Fillings are used when there is a spot of decay in an otherwise healthy tooth. But sometimes there is too much damage to the structure of a tooth to even safely hold a filling. If a large percentage of the tooth is damaged, the entire visible surface of the tooth above the gumline can be replaced with a crown.
Why use a crown instead of pulling the tooth?
The roots of your teeth are firmly planted in your gumline, and your teeth affect the way your face looks. A crown rebuilds the tooth to its original size and shape, saving as much of the healthy tooth and root as possible, and preserving the spacing between the remaining teeth. Removed teeth leave gaps that can cause improper bite and change the appearance of your face.
What are the types of dental crowns?
Crowns are distinguished by the materials they are made from. There are typically three types available. Dr. Hammel can explain which materials make sense for you based upon your individual circumstances because each material has its own advantages.
Gold Crowns
Gold is an excellent material for crowns because the material is extremely workable and provides and excellent fit between the crown and the existing tooth. Gold requires the least preparation of the existing tooth, keeping more of the original tooth structure than is possible with other methods. There is no possibility of gold crowns chipping, and since they are not as hard as porcelain crowns, they are not as likely to cause wear on other teeth. The downside of gold may be its distinctive appearance. In the back of the mouth, where gold is often used, this may not be an issue. However, when it is visible in your smile, the gold crown will make an obvious contrast with natural teeth.
All Porcelain or All Ceramic Crowns
These crowns offer the advantage of a very natural appearance, and for this reason are often used for front teeth. Porcelain can be created to perfectly match your surrounding teeth, making the crowns almost indistinguishable. This type of crown does require considerable preparation, leaving less of the existing tooth, and it is often challenging for the dentist to get a fit as tight as with a gold crown. Their beautiful, life-like appearance continues to make them a popular choice.
Porcelain-over-Metal Crowns
This popular crown type provides an excellent combination of esthetics and durability. The porcelain is color matched to your existing teeth and fused to a metal base. With a metal center, this type of crown can never match the translucency of a natural tooth or an all porcelain crown, and a thin darker line can develop where it meets the gum. However porcelain-over-metal crowns look very natural and are exceptionally strong and durable.
What is the procedure for placing a crown?
If the tooth is extremely damaged, Dr. Hammel may perform a root canal first. Otherwise, he will prepare the tooth by filing it down enough to fit the crown over it and between the adjacent teeth. The filed down tooth will be the base that cements to the finished crown. He will then take impressions of the tooth and the surrounding teeth which the lab will use as a model for the new crown. Since the lab typically takes two weeks to prepare the permanent crown, he will often insert a temporary crown until the permanent one is ready. On a second visit, the temporary crown is removed, and the permanent crown is cemented in.
How long do crowns last?
Crowns are considered permanent dental restorations, but that does not mean they are expected to last forever. With proper hygiene a dental crown will probably last from ten to fifteen years, but could last much longer.
Bridges
When a tooth is missing, and not just damaged, crowns can be used as anchors on adjacent teeth, with a false tooth attached to “bridge” the gap.
What is a bridge?
A bridge is a false tooth that is fused to one or two crowns. This false tooth, or pontic, is held in its position on the gum by the anchoring crowns next to it.
What kind of bridges are there?
The traditional fixed bridge is a false tooth fused to two crowns. The crowns fit permanently on the teeth on both sides of the new false tooth, and anchor it in place as a “bridge” over the gum. This dental technique is otherwise similar to regular crown procedure. The fixed bridge offers the most natural fit and appearance.
The cantilever bridge is a false tooth that is anchored to a tooth or teeth on one side, and not the other. This dental technique is otherwise similar to regular crown procedure. A cantilever bridge does not have the same strength as a traditional fixed bridge and can only be used in areas of less stress, like front teeth.
The removable bridge is not cemented permanently. It may be available at a lower cost, but will require extra hygiene attention.
What alternatives do I have to a bridge?
A partial denture is a removable appliance that can replace one or more teeth, and dental implants are a permanent alternative for missing teeth. Ask Dr. Hammel about the advantages of each in your particular situation.
Dentures are removable replacement teeth. If you have no healthy teeth, a complete denture gives you a brand new replacement set, while a partial denture replaces just some missing teeth. There are different types of dentures for different situations. Dr. Hammel can explain which may be the best for your circumstances.
What are dentures?
Dentures, also called “false teeth”, are removable replacement teeth, made primarily from acrylic resin. If you have no healthy teeth, a complete denture gives you a brand new replacement set, while a partial denture replaces just some missing teeth. There are different types of dentures for different situations. Dr. Hammel can explain which may be the best for your circumstances.
Why might I need dentures?
If you have lost some or all of your original teeth, or if they are beyond saving, your appearance and health could be at risk. Mouths that are missing teeth can be very unhealthy, and can make a face sag or develop a sunken look. This can make a person appear older than they really are. Replacing your teeth with dentures can also help you chew the foods you love, strengthen the muscles in your face, and help you pronounce words better - all the things that your original healthy teeth were designed to do.
What options do I have to dentures?
Dr. Hammel can best explain your options, but for some he might include bridges, or dental implants.
What are the different kinds of dentures?
Dentures are distinguished by where they are placed, how many teeth they are replacing, and how they are held in place.
What are complete dentures?
Complete or “Full” dentures are replacement teeth for all the teeth in your mouth. This complete set of “false teeth” is appropriate when one has lost all of their teeth, or when one’s only remaining teeth are unhealthy and need to be removed.
What are partial dentures?
Partial dentures are used when only some teeth need to be replaced. The healthy teeth remain in the mouth where they can act as anchors. The partial denture firmly connects to these anchoring healthy teeth with metal attachments. Filling the gaps between the healthy teeth is important because it helps keep your teeth in alignment and can reduce decay and gum disease.
What are upper dentures?
As the name suggests, upper dentures are removable replacement teeth for the upper teeth only. Some people find these easier to adjust to than complete dentures.
What are overdentures?
Overdentures are conventional dentures used with one or more of your natural teeth as anchors. The remaining teeth are prepared to provide support for the appliance and the denture is designed to fit right over them. Overdentures require more preparation and can be more expensive than conventional dentures, but provide stabilization that makes eating easier and more comfortable.
What are conventional dentures?
Conventional Full Dentures are removable teeth replacements that are made and placed after the remaining teeth have been removed and the tissue has healed. This healing process may take six weeks to several months, during which the patient will be without teeth, or can use a temporary or immediate denture.
What are immediate dentures?
Immediate dentures are placed immediately after Dr. Hammel has removed your remaining teeth. This saves the patient from going six weeks to several months without teeth as the tissues heal and the bone stabilizes. He can however require more overall visits and raise the costs of the denture procedure. Once in place, the immediate dentures actually help reduce the initial swelling from the teeth removal. After the healing process is complete, the immediate dentures will be relined to adjust their fit, or may be completely replaced by the permanent conventional dentures.
What can I expect from the denture procedure?
Most procedures begin with the removal of existing teeth. Oral surgery is sometimes, but not always necessary to prepare the mouth for dentures. Anesthetics will be used to make sure that you remain comfortable during any of these procedures. Dr. Hammel will make a wax bite impression to serve as a model for the new denture. If an immediate denture is being placed, he will make the necessary measurements before the final teeth are removed. Once the dentures are fabricated there will often be a number appointments to fine tune things like color, fit and shape.
What can I expect after I am fitted with dentures?
Dr. Hammel will advise you on how to keep your new dentures clean. Cleaning your dentures and keeping them in good working order is important to helping them last for many years.
Things will certainly feel different, especially in the beginning as you adjust to your new set of teeth. At first, the dentures may feel bulky seem awkward while chewing. At this early stage, increased saliva and some discomfort is common, but should diminish over time. Denture wearers need to get used to speaking and eating with their new teeth, and this takes some time. If discomfort or fit problems persist, adjustments or new dentures may be necessary.
Gum recontouring procedures change the shape and appearance of gums to improve the overall look of a smile.
What is gum recontouring?
Properly proportioned healthy-looking gums can make a big difference in your smile because the shape of your gums affects the shape of your teeth. Gums contouring evens out uneven gums and restores the proper look and proportions to your gumline. Dr. Hammel can comfortably remove excess tissue to fix a “gummy” smile, and can add tissue to receded gums that make teeth look too “long”.
What will Dr. Hammel do to fix my “gummy smile”?
Dr. Hammel uses special instruments, most commonly a laser, to trim excess gums and maybe excess bone tissue. This “sculpting” procedure is known as a gingevectomy. It will give your smile a more youthful, natural appearance, since your newly shaped gums will properly frame and showcase your teeth. The procedure will be quick and comfortable, and the laser will actually seal the gum tissue, helping you to heal faster.
What will Dr. Hammel do to fix teeth that look too long, because of receding gums?
Dr. Hammel will first make sure that you are completely comfortable, and you will hardly feel a thing. Then he will remove a small amount of tissue from the roof of your mouth and carefully graft it to your gumline. This simple procedure will make your gums a beautiful frame for your teeth, giving you a younger-looking smile.
Who is a good candidate for gum recontouring?
Anyone who has uneven gums, a “gummy” smile or receding gums with teeth that look too “long” is a good candidate for gum recontouring. “Gummy” smiles make your teeth look to small. Gum recession not only makes your smile look older, but it could lead to loose teeth and sensitivity to hot and cold.
What do gums have to do with my smile?
When you look at the perfect smile, sometimes you can’t instantly separate all the elements that make it appealing. But if you look closely, one thing that beautiful smiles have in common are correctly proportioned gums. If the gums don’t look right, something will look “off” about the smile because the shape of the gum affects the shape of the teeth. A “gummy” smile makes your teeth look short and less attractive. When the gums are pulled back and receded, teeth can look too “long”. Proper proportion, size and color in healthy gums make your smile look its best.
What can I expect from the gum recontouring procedure?
Uneven gums can be evened by taking tissue away where there is too much, and adding tissue where there is too little. First, Dr. Hammel will use anesthetics, if necessary, to make sure you remain comfortable during the procedure. If the problem is a “gummy” smile, he will use special instruments, most commonly a laser, to trim excess gums and maybe excess bone tissue. To correct receding gums, Dr. Hammel will remove a small amount of tissue from the roof of your mouth and carefully graft it to your gumline. These are quick procedures that can be completed with little or no discomfort.
What can I expect after the gum recontouring procedure?
Your gums may be tender and a little swollen for the first week following the procedure, and if so Dr. Hammel will recommend an analgesic like Ibuprofen. Usually he will have you rinse your mouth with salt water or a special antibacterial mouthwash. You will do this once or twice a day for the next two weeks to prevent infection and aid the healing process.
Am I a candidate for gum recontouring procedure?
If you have a "gummy" smile that makes your teeth look short and unattractive, or if you reveal too much of your gum tissue when you smile, you are a candidate for gum recontouring.
Why are dental implants the best option for replacing missing teeth?
Every way you look at it, dental implants are a better solution to the problem of missing teeth. While high-tech in nature, dental implants are actually more tooth-saving than traditional bridgework, since implants do not rely on neighboring teeth for support.
Esthetic
Dental implants look and feel like your own teeth! Since dental implants integrate into the structure of your bone, they prevent the bone loss and gum recession that often accompany bridgework and dentures. No one will ever know that you have a replacement tooth.
Tooth-saving
Dental implants don't sacrifice the quality of your adjacent teeth like a bridge does because neighboring teeth are not altered to support the implant. More of your own teeth are left untouched, a significant long-term benefit to your oral health!
Confidence
Dental implants will allow you to once again speak and eat with comfort and confidence! They are secure and offer freedom from the irksome clicks and wobbles of dentures. They'll allow you to say goodbye to worries about misplaced dentures and messy pastes and glues.
Reliable
The success rate of dental implants is highly predictable. They are considered an excellent option for tooth replacement.
What are the benefits to replacing missing teeth?
Dental implants are designed to provide a foundation for replacement teeth which look, feel, and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contours will be preserved. The implants themselves are tiny titanium posts which are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, implants can help preserve facial structure, preventing the bone deterioration which occurs when teeth are missing.
Dental implants are changing the way people live! With dental implants, people are rediscovering the comfort and confidence to eat, speak, laugh and enjoy life.
What is involved in placing implants?
After the gums have had several weeks to heal, the next step is begun. The artificial teeth are made and fitted to the post portion of the anchor.
First, surgery is performed to place the anchor. Surgery may take up to several hours and up to six months may be required for the bone to grow around the anchor and firmly hold it in place. Some implants require a second surgery in which a post is attached to connect the anchor to the replacement teeth. With other implants, the anchor and post are already attached and are placed at the same time.
Implant surgery can be done in a dental office. A local or general anesthetic may be used. Dr. Hammel will give you instructions on diet and oral hygiene.
Let us help you decide on the best course of action on replacing a missing tooth.
We provide the dental implants to permanently solve problems of lost or damaged teeth. As specialists in dental implant procedures, we want to discuss with you how we can restore your perfect smile. Contact us and a member of our team will get in touch with you shortly to arrange for a convenient date for your free, private consultation.
What are Mini-Implants?
Mini Dental Implants are small implants that can be placed in one day to stabilize dentures. The whole procedure takes a matter of hours, with very little discomfort or recovery time. They are wonderful for those with a denture or other prosthetic that will not stay in place.
What is the mini-implant procedure?
First Dr. Hammel will numb the area, and use a special drill to create the space for the screws. Typically six mini-implants are inserted in these holes and tightened to serve as anchors. Your denture will be retrofitted with a metal housing for each post so that the denture can snap into place. Now that the denture is anchored, it cannot slip or move, and makes the denture-wearing experience much easier. The procedure causes little discomfort and requires almost no recovery time, so many patients are able to eat dinner that same day.
Veneers are thin shells of plastic or porcelain that cover just the visible portion of your teeth. They can fix most cosmetic problems and totally transform a smile in just two appointments.
What are veneers?
Veneers are thin shells of plastic or porcelain that cover just the visible portion of your teeth, typically the front and the chewing surface. They can fix most cosmetic problems and totally transform a smile in just two appointments. Veneers are usually placed on front teeth that can be seen when you smile, and can be used to resurface just one or several teeth. They are similar to artificial fingernails in size and appearance, and serve a similar function as they are bonded to the natural surface to improve appearance. But veneers are very firmly and permanently bonded, and are custom designed for the exact fit and color for your teeth. When you see a complete smile makeover, very often the person has received a new set of porcelain veneers.
Am I a good candidate for veneers?
If you have one or more teeth that are healthy, but need some cosmetic improvement, you should talk to Dr. Hammel about veneers. People get veneers for a variety of reasons, but the result is always beautiful new teeth that make your smile more youthful and attractive.
Why do people choose to get veneers? What can veneers do?
Veneers completely cover the front of your teeth, giving them a brand new, healthy appearance. Since veneers can change the size and shape of a tooth, they can be used for a variety of purposes. They can:
Close spaces between teeth
Lengthen and change the shape of teeth
Whiten stained teeth that resist conventional whitening
Improve the appearance of chipped, cracked or worn teeth
Protect teeth from further damage
Are veneers a good option for a total smile makeover?
Yes. In fact, when you see a total smile makeover, very often what you are seeing is a brand new set of beautiful porcelain veneers. They can totally transform a smile in as little as two visits.
What are Composite Veneers?
Dr. Hammel can create composite veneers right on your tooth during the course of one appointment. The material and process for composite veneers are the same the dental bonding procedure. Cosmetic veneers are strong and durable, but not as durable as porcelain veneers. If they fracture, however, they do not have to be replaced as porcelain veneers do. Dr. Hammel can fix a composite veneer fracture by patching it in the same way they created it. Composite veneers do not resist staining as well, and may darken some over time. Since the process is quick and painless, they can replace any composite veneers that lose their natural color.
What can I expect from the composite veneer procedure?
Dr. Hammel roughens the surface of the teeth so the resin bonding material can attach with a very strong bond. The bonding material is actually soft and flexible, and can be molded like putty or clay. It is a composite resin that will be colored to match the natural shade of your teeth. They will mold and sculpt the resin to create a thin shell over the front of the tooth. A high intensity light will be aimed at the sculpted bonding material, quickly turning it hard and durable. He will repeat this procedure, applying multiple thin layers, so the entire procedure could take more than an hour. Once hardened, the composite veneers are very strong, and will look and feel very much like your natural teeth. Finally, all new surfaces are smoothed and carefully polished.
What are Porcelain Veneers?
Natural teeth have a translucent appearance that can be most closely duplicated with beautiful porcelain veneers. Porcelain delivers the highest quality, longest lasting and most lifelike results for veneers, and that is why it is typically used in “smile makeovers”, where an entire smile is to be transformed. The porcelain is extremely hard and durable as well as very resistant to staining. It will show little signs of the darkening with age that is more common with composite veneers.
There are a few potential disadvantages to porcelain veneers to discuss with Dr. Hammel. He takes no less than two appointments because the teeth must be prepared by removing some of the existing tooth structure to make room for the veneers. Also, while the finished veneers form a tight, strong and durable bond with your tooth, the porcelain can fracture under extreme stress. If fractured, by teeth grinding or improper use, a porcelain veneer will probably need to be replaced.
What can I expect from the porcelain veneer procedure?
Porcelain veneers take at least two appointments because Dr. Hammel must first shape your teeth and prepare them for the new veneers. Typically, this means removing some tooth tissue to make room for the new veneers, and roughing the tooth surface to ensure a tight, strong bond. Next Dr. Hammel will make a wax impression of your teeth to be used as a model for the porcelain to be shaped to your precise specifications. At the end of this first appointment, Dr. Hammel can insert temporary plastic veneers to protect your teeth while the dental lab is creating your custom fitted veneers. During the second appointment, your doctor will remove the temporaries, and use an adhesive to bond the porcelain veneers to your teeth. A harmless, high intensity light will harden the adhesive and create a strong durable bond between the veneers and the teeth.
What type of veneer is right for me?
For lower cost and fewer appointments without much alteration to your natural tooth structure, composite veneers make a good choice. The strength, durability and life-like appearance of the porcelain veneers make them very popular and a stellar choice for a full smile transformation.
Once I have veneers, what can I expect?
Once the veneer is in place, it will function just like a regular tooth. A veneer is considered a permanent tooth restoration, but that doesn’t mean it is expected to last forever. Proper care and habits and regular dental examinations and cleanings will allow you to keep your veneers looking beautiful for ten years or more.
Tooth whitening is extremely popular cosmetic dentistry procedure that delivers beautiful results quickly and easily. With the latest advanced whitening techniques, Dr. Hammel can give you a dazzling, long-lasting white smile in almost no time.
How does it work?
Whitening is a safe and effective way to quickly deliver a dramatic change to your smile. As we age, minerals penetrate the enamel of our teeth and darken them. Certain factors also affect the whiteness of our teeth.
Dr. Hammel has different options available for whitening teeth, but generally it is accomplished by applying a bleaching gel directly to the teeth. The active ingredient in this gel, usually hydrogen or carbamide peroxide, breaks down and forces oxygen into the enamel and dentin of your tooth structure. The oxygen breaks down the stains and makes teeth whiter, without hurting the structure of the teeth.
Factors that affect the whiteness of your teeth include:
Age
Some staining and discoloration is natural as we age since we accumulate stains from foods and beverages and other elements over the years.
Tobacco Use
Cigarettes, cigars, pipes, and smokeless tobacco all stain teeth, especially after long-term repeated exposure. These stains can be minimized and often virtually eliminated by professional dental whitening. However, continued use after the whitening process will affect how long the whitening lasts.
Food and Beverages
Some foods, like colas, red wine, tea and coffee, stain teeth, especially after long-term repeated exposure. These stains can be minimized and often virtually eliminated by professional dental whitening. However, continued use after the whitening process will affect how long the whitening lasts.
Medications
In some cases, medication can cause stains or tooth darkening. These stains can be some of the most stubborn and difficult to remove. Flourosis, a condition caused by too much fluoride, can cause discoloration, as can tetracycline and some antibiotics used during childhood years. Your doctor can explain how professional whitening can help in these situations.
How long does it take?
The length of time the bleaching process takes depends on the method used and the type of stains being removed. In-office procedures typically take one to three hours. With take-home whitening procedures, results can typically be seen in as little as three to four days, with the final result commonly taking about two weeks. Of course the degree of staining and the level of desired whiteness are factors in the total time.
Is whitening for me?
Whitening produces results in over ninety percent of patients, and it doesn’t hurt teeth. Different factors will affect the process, and some people are better candidates than others. In general, yellow and light brown teeth, stained over a period of years make excellent candidates, while darker brown or grayish stains require special techniques. Whitening will not lighten artificial material in your moth like bonding, fillings and veneers. Those with sensitive teeth, damaged teeth, gum disease, and pregnant women are encouraged to discuss their conditions with Dr. Hammel.
What are the different whitening options?
Two types of whitening are offered by Dr. Hammel, in-office whitening, and take-home whitening kits. Both offer excellent results. The difference between the techniques involves the strength of the whitening gel and the length of time it remains in contact with the teeth. Some techniques are better than others on particular types of stains. Dr. Hammel will explain which method is best for you, and could suggest either or a combination of both for best results.
Take-home whitening kits are an affordable and effective way for many people to achieve excellent whitening results. After preparing your teeth for whitening, Dr. Hammel will take impressions of your teeth and fabricate plastic trays molded specifically to fit your mouth. At home, you fill the trays with the whitening gel and fit them over your teeth. The trays hold the gel in contact with the teeth and are worn for a specified period of time. Some treatments are specifically designed to be worn overnight while you sleep. The trays are typically worn daily for ten to fourteen days (or nights), or until the desired whiteness is achieved.
In-office procedures sometimes called laser bleaching or power bleaching, are safe and effective methods to whiten teeth in the fastest way possible. Most in-office whitening takes one to three hours, including preparation time. Many patients prefer in-office bleaching because it offers instant results. Once the teeth are prepared for whitening Dr. Hammel applies the gel to the surface of the teeth and it remains on the teeth for about an hour while you relax comfortably in the chair. In some instances a laser or special light is used to assist the gel in the whitening process.
What is Zoom whitening?
Zoom whitening is offered in both a take-home and an in-office system. Most people make good candidates for the in-office procedure which produces excellent results in little more than an hour. This involves application of a hydrogen peroxide gel and the unique patented Zoom light. Once Dr. Hammel has prepared the teeth, he applies the gel and projects the zoom light directly on the treated teeth for about an hour.
Why is whitening from Dr. Hammel better than using an over-the-counter product?
Over the counter products are not as effective or long lasting as the techniques offered by Dr. Hammel. Additionally the trays that hold the whitening gel are not custom fitted, and could allow leakage that irritates gums.
What preparation does Dr. Hammel do before whitening the teeth?
Dr. Hammel will thoroughly examine your teeth to determine if you are a good candidate for whitening, and what is the best method for your needs. A dental cleaning is always a good idea to make sure that the whitening gel can easily contact the clean, prepared surfaces of your teeth. They will also repair any damaged or sensitive teeth and address any cavity or gum problems before proceeding with the whitening procedure.
What results can I expect?
Whitening produces results in over ninety percent of patients, and it doesn’t hurt teeth. Typical results can produce a change of several shades of whiteness, lasting three to five years. Different factors affect how long the process takes, what method is used and how long the whitening lasts.
Is whitening safe?
The American Dental Association has approved whitening products, and clinical trials and studies have found them to be safe and effective. Most people suffer no side effects from whitening procedures, but some sensitivity to hot and cold foods is possible. This typically lasts for less than 48 hours.
Nitrous Oxide Sedation is a very effective way to help you stay relaxed and comfortable during a dental procedure. It is a very light form of sedation, which works fast and wears off quickly.
What is Nitrous Oxide Sedation?
Nitrous oxide, often called “laughing gas” is an colorless gas that can help you relax. It is very safe when professionally administered, and it works extremely well to reduce the anxieties in many dental patients. Approximately one-third of all dentists use nitrous oxide in their offices. It is often used to sedate a patient for a short period of time, or in conjunction with another sedation medication.
Is Nitrous Oxide Sedation for me?
Dr. Hammel has been trained exactly when and how to administer nitrous oxide, so feel free to ask if it is right for your situation. They wants to sedate you only as much as necessary, but there are other methods of conscious sedation available if nitrous oxide is not enough for you to feel comfortable. In general, it delivers a very good, light sedation for patients who have some minor discomfort with dental visits, especially during some more invasive procedures. Very often it is used for a short period of time when drilling or pulling a tooth and thinks sedation would make things less stressful for you. Sometimes it is used in conjunction with other sedatives to keep patients very relaxed and totally comfortable.
What can I expect from Nitrous Oxide Sedation?
Dr. Hammel will put a mask on your face or a small tube called a cannula under your nostrils to give you a mixture of oxygen and nitrous oxide. It usually takes effect very quickly, and lasts for as long as it is kept on. During the procedure you will feel extremely relaxed, with a sensation that has been described as “dreamy”, but you will remain awake. Once the nitrous oxide is off, patients usually feel normal again very quickly, and can almost always drive themselves home after the appointment.
Is Nitrous Oxide Sedation safe?
Yes, it is extremely safe when given by a medical professional. Nitrous oxide is one of the safest medications available. While most people have no negative reaction to relatively short periods of time on nitrous oxide, it does make a small percentage of people feel nauseated. Dr. Hammel has been trained how to best deliver nitrous oxide, and will have you under close supervision for the duration of the procedure.
Oral sedation is a wonderful option for patients who need more than just nitrous oxide, but don’t need or want IV Sedation or general anesthesia. It allows many people to be comfortably sedated through an entire dental visit using just a small pill.
What is Oral Sedation?
Oral sedation is a method of conscious sedation where Dr. Hammel uses pills to sedate a patient. Most healthy adults are good candidates for oral sedation. For some, comfortable dentistry is as simple as taking one small pill.
What is Conscious Sedation?
Conscious sedation is modern dentistry that lets even the most high fear patient have a relaxing and comfortable dental visit. Since the patient is comfortable, Dr. Hammel are able to accomplish the work of several appointments in just one. There are a number of conscious sedation techniques, but they all have certain things in common. While the goal of general anesthesia is for the patient to sleep, in dentistry it is much more common to use conscious sedation, where the patient is sedated and comfortable, yet still awake. When Dr. Hammel uses conscious sedation, you don’t really fall asleep, even though sometimes it feels like you did. That’s because sedation feels so relaxing and peaceful that the patient doesn’t even notice the passing of time. Many of the medications used in conscious sedation have an amnesiac effect as well, leaving patients with little or no memory of their dental appointment, and further adding to the feeling that the patient was asleep.
Is Oral Sedation for me?
Oral sedation is wonderful and incredibly effective for most healthy adults. For many, it is the answer they have been looking for all their life. Discuss sedation with Dr. Hammel if any of the following sounds like you:
You are uncomfortable in the dentist's office
You are too scared to even call the dentist and make an appointment
You can’t stand the smell and sounds of the dentist's office
You are delaying treatment you know you need
You are in pain when you eat, but too anxious about the dentist to take care of it
You are unable to find a dentist that you feel you can trust
You have trouble getting numb - the anesthetic doesn’t seem to work on you
You are afraid to smile
You are concerned about how many dental appointments you know you’ll need
You are looking for a way to have the work of several appointments done in just one or two
You remember bad experiences with a dentist in your past
You need your wisdom teeth removed
You have sensitive teeth
You have a strong gag reflex, especially when the dentist is working in your mouth
You have trouble with jaw soreness when you have to keep your mouth open
You have back or neck pain when you sit in a dental chair
You have sensitive teeth
You are afraid of needles
What can I expect from Oral Sedation?
There are many different medications and sedation techniques, so it is best to get specifics from Dr. Hammel. Generally, you will be given a prescription for a pill to take before your appointment. Since this is sedative medication, you will need a companion to drive you to the appointment. Once you arrive, Dr. Hammel will begin monitoring your vital signs, including heart rate and blood pressure, to make sure that you stay completely safe through the procedure. He will then assess your level of sedation, and ask how you feel. In some circumstances, Dr. Hammel may use more medication, but often this is unnecessary. The dentistry will all be performed while you are relaxed and totally comfortable. When it is safe for you to travel, your companion will take you home, and then you will rest comfortably for the rest of the day.
Is Oral Sedation safe?
While all methods of sedation are very safe, the history of oral sedation has been especially safe as well as very effective. Dr. Hammel uses very common medications that are extremely safe and widely prescribed. Your vital signs will be constantly monitored from the moment you arrive at the office through the appointment, and until Dr. Hammel are certain you are ready to leave. In fact, he and his whole dental team are highly trained in safety and emergency procedures, making the dentist office one of the safest places you can be!
Regular dental cleanings by Dr. Hammel or his dental hygienist are part of a proper oral hygiene program. Cleanings help fight plaque, the major cause of tooth decay, gingivitis and serious gum disease.
Why do I need regular dental cleanings?
The fight against plaque is a major component of preventative care, and Dr. Hammel can be your main ally in this effort. While daily brushing and flossing are your first line of defense against plaque, the professional cleaning from Dr. Hammel or a dental hygienist is more thorough than the best you can do at home. Even proper brushing alone can’t remove the tartar that accumulates at the gumline. Good hygiene and regular dental cleanings are cost-effective, too. It costs much more to have teeth repaired and replaced than it does to have regular exams and cleanings.
What happens during a regular dental cleaning?
Usually an exam and cleaning are scheduled during the same appointment. Your dental hygienist is an expert at giving teeth this thorough regular cleaning known as a prophylaxis or “prophy”. Stubborn plaque and tartar will be removed with specially designed dental tools. Tartar is the plaque which has hardened at and even below the gumline. Your hygienist can clean tartar below the gumline as well in an intensive cleaning called scaling. Often the last step in the cleaning is polishing.
How often do I need cleanings?
Many adults require cleanings every six months. If your mouth is prone to tooth decay, tartar buildup or gum disease, Dr. Hammel will recommend more frequent appointments.
Regular dental exams are a crucial part of preventative dentistry because they allow Dr. Hammel to address dental problems in their early stages, and to identify serious problems. Most people need an exam every six months, but they may recommend more frequent visits depending on your circumstances.
Why do I need dental exams?
Dental problems tend to get worse when left untreated. When your see Dr. Hammel for regular visits, small problems won’t have a chance to become major concerns. For instance, the longer tooth decay goes unchecked the more damage it can do to a tooth, and the less of the original tooth that can be saved. Good hygiene and dental visits are cost-effective, too. It costs much more to have teeth repaired and replaced than it does to have regular exams and cleanings. Routine exams also give you the best chance for early detection and treatment of serious oral problems.
What happens during a routine dental exam?
Usually an exam and cleaning are scheduled during the same appointment. The dental hygienist will first give your teeth a thorough cleaning. Then Dr. Hammel will review the x-rays, and if necessary take new ones. He will make a visual inspection of the inside of your mouth, and may use instruments like a long handled mirror, and a dental explorer. If all is healthy, your gums will be firm and pink, and your teeth won’t have any soft, rough or discolored surfaces. Dr. Hammel will recommend treatment for any signs of decay or other problems, and make notes on any conditions that deserve observation on the next visit.
How often do I need exams?
Many adults require exams every six months. If your mouth is prone to tooth decay, tartar buildup or gum disease, Dr. Hammel will recommend more frequent appointments.
Polishing is often the last step of a dental cleaning, scaling, and some restorative procedures. It smooths and polishes the tooth or restoration surface and removes some stains.
What is polishing?
Polishing is often the last step of a dental cleaning, scaling (deep root cleaning), and some restorative procedures, like when a new crown is placed. It smoothes and polishes the tooth or restoration surface and removes some stains.
Tell me about the polishing procedure?
Dr. Hammel or a hygienist will polish your teeth as the last finishing touch to regular cleanings and deep root cleanings (called scaling and planing). When a new restoration like a crown or composite filling has been placed in your mouth, Dr. Hammel may polish it as well. Dr. Hammel uses either a prophy jet polisher or a rubber cup polisher. The rubber cup holds a small amount of polishing paste which is held against the tooth surface on a spinning handpiece. Think of this as a gentle power sand and buff for your teeth. The prophy jet is more like a power washer, as it uses a jet of water and baking soda to smooth and polish teeth. Both methods are effective for removing some stains, and leaving teeth looking smooth and polished.
Should I have my teeth polished?
While polishing is common, and helpful in certain circumstances, it is not a mandatory part of a standard cleaning. Ask Dr. Hammel when and why he recommends polishing teeth.
Plaque that remains on teeth eventually hardens into tartar, which is virtually impossible to remove with brushing and flossing alone. Scaling is the deep-cleaning procedure Dr. Hammel or the hygienist uses to scrape the tartar off your teeth at and below the gumline.
What is scaling?
Scaling is the deep-cleaning procedure Dr. Hammel or a hygienist uses to scrape the tartar off your teeth at and below the gumline. It is important to remove tartar because tartar makes teeth even more susceptible to tooth decay. Tartar also causes gingivitis, inflammation of the gums. Scaling is the process of actually scraping the teeth with dental instruments, or the use of an ultrasonic machine that aids in the process. The scaling is usually followed by a process called planing, which smoothes any roughness from the surface of the tooth. After scaling and planing, teeth are more resistant to plaque, and gums can return to their normal pink, healthy state.
What’s the difference between cleaning and scaling?
Regular cleanings remove the sticky plaque above the gumline, while scaling removes the hardened plaque, or tartar, at and below the gumline.
What can I expect from a scaling procedure?
Dr. Hammel may use an ultrasonic machine to assist in this process, but most likely, he or a hygienist will use metal dental instruments to scrape the tartar off teeth under the gumline. In order to make you as comfortable as possible, Dr. Hammel will first make sure that your gums have been sufficiently numbed with anesthetics. For many people, the anesthetics are sufficient, but if you are particularly uncomfortable with this procedure, ask Dr. Hammel if some type of sedation would be appropriate. The scaling is usually followed by a process called planing, which smoothes any roughness from the surface of the tooth. After scaling and planing, teeth are more resistant to plaque, and gums can return to their normal pink, healthy state. But, proper dental hygiene is important to keep the teeth and gums healthy, otherwise the tartar and gingivitis are likely to return.
Why would I need scaling?
Dr. Hammel and a hygienist observed tartar on your teeth and the condition of your gums during the exam or the cleaning. If you have bleeding gums or other signs of gum inflammation, or gingivitis, the most likely cause is tartar buildup at and below the gumline. Once the scaling and planing are finished, your gums will heal in against smooth teeth in an area that has been cleaned of bacteria, plaque and tartar. If the scaling is not done, the gingivitis could worsen into serious gum disease called periodontitis, and the tartar will contribute to tooth decay.
What are the benefits of scaling?
Removal of tartar, or calculus, will reduce tooth decay. Scaling can also reverse gingivitis before it becomes more serious gum disease. Once the scaling and planing are finished, your gums will heal in against smooth teeth in an area that has been cleaned of bacteria, plaque and tartar. If the scaling is not done, the gingivitis could worsen into serious gum disease called periodontitis. The benefits of scaling, however, only last as long as the calculus remains off the teeth. Some patients will need periodic scaling if they are prone to tartar buildup, or they don’t practice proper oral hygiene.
X-rays take pictures called radiographs that show Dr. Hammel the interior of dental structures and tissues, like teeth, gums and bones. These allow them to make a more thorough examination than is possible with the naked eye, and can help spot problems that would otherwise go undetected and untreated.
How do x-rays work?
More x-rays pass through softer tissues than harder tissues, so softer areas like gums and cheeks look darker on an x-ray. If you put an impenetrable object like a piece of lead between the x-ray machine and the film, no x-rays would get through that spot, and it would leave a totally white impression. Similarly, the strong dense enamel of your teeth looks very light on the x-rays, and areas of softer decay look darker. Dr. Hammel have been trained to read x-rays to determine if there are any signs of problems.
Why do I need x-rays?
Some dental problems are hard or even impossible to see with the naked eye. Regular x-rays will help spot problems, and when compared to previous x-rays, will show any unusual changes or developments. Dr. Hammel wants to make the most thorough examination possible so that problems can be addressed and reversed at an early stage. This will help preserve your original teeth, and save you the time, trouble and expense of extensive dental problems.
How often do I need x-rays?
Dr. Hammel will determine how often you need x-rays depending upon your age and your dental history. An adult without a history of dental problems may go two to three years between x-rays, while a child or an adult prone to decay will need them more frequently.
Are x-rays safe?
X-rays are safe because you aren’t exposed to this radiation very often or for very long. To minimize the risks even more, Dr. Hammel will make sure that the rest of your body is covered with a lead apron. Large doses of radiation could be harmful however, so people who are around x-rays all the time leave the room during the procedure.
An abscessed tooth, or periapical abscess, is a painful condition caused by infection in a badly damaged or decayed tooth. Once the nerve dies in a badly damaged tooth, infection can cause a fluid buildup where the soft pulp tissue lies in the center of the tooth. The pressure and swelling can be quite painful.
Do I have an abscessed tooth?
In an abscessed tooth, the nerve is dead or almost dead, so the tooth is usually not sensitive to cold. Cold may actually make the tooth feel better as it causes the swelling to reduce some, causing less pressure. The tooth will be sensitive to touch however, and the patient will feel pain even when the dentist gently taps on the tooth. Biting and chewing may be very painful and the gums may be swollen and red.
What is an Abscessed Tooth?
An abscessed tooth, or periapical abscess, is an infection of the tissue inside of a tooth with a dead nerve. Often this is the result of an untreated severe cavity, but could result from a deep filling or from trauma to the tooth. The pain and pressure comes from a buildup of fluid inside the tooth. This painful condition needs to be treated immediately to prevent further infection and damage.
How will Dr. Hammel treat an abscessed tooth?
Dr. Hammel will eliminate the infection and attempt to preserve as much of the tooth as possible. An abscessed tooth is often treated with a root canal, if the tooth can still be saved. This procedure removes the nerve and pulp center of the tooth, but saves the root and some of the surface tooth structure. The tooth is then filled and fitted with a dental crown. If a tooth is too badly damaged to save, Dr. Hammel may have to extract the tooth.
Why do I need to take care of an abscessed tooth?
Dr. Hammel's goal is always to save as much original tooth structure as possible. If an abscessed tooth is caught before the infection spreads too far, they can perform a root canal and save the tooth. An untreated abscess can lead to total loss of the tooth, and can spread infection to other teeth, the gums, jaw and other areas of the body.
Halitosis, or “bad breath” is a common, but embarrassing condition that often has a dental cause. A thorough examination by Dr. Hammel can help determine the cause and rule out a more serious condition.
How can I tell if I have bad breath?
Unfortunately, those around us are often aware of our bad breath before we are since it is difficult to smell your own breath. If it is not too uncomfortable, you could ask a close friend or family member for their opinion. To test your own breath, try licking the back of your wrist and scraping the back of your tongue with a spoon. Let the saliva on your wrist and the spoon dry for a few seconds, and then smell them. Smelling the spoon and the back of your wrist will give you a good idea what your breath smells like to everyone else.
What causes bad breath?
There are a variety of dental and non-dental causes for bad breath. Everyone suffers from transient or temporary bad breath at some point in their life, due to factors like smelly foods, hunger, dry mouth and poor dental hygiene. Chronic bad breath is often a dental hygiene issue, but it could be a sign of a serious dental problem or non-dental medical condition. The biggest dental cause of bad breath is bacteria on the tongue or trapped between the teeth and gums. Often Dr. Hammel can help you reduce or eliminate this kind of bad breath. In any event, visit Dr. Hammel so he can recommend treatment and rule out any more serious medical issues.
What can I do about my bad breath?
Many cases of bad breath can be relieved by proper flossing and brushing, at least twice a day, especially after meals. Cleaning your tongue with a brush or tongue scraper will also help alleviate the odor in many cases. Make sure to drink plenty of water, as dry mouth is often a cause of bad breath. There are many over-the-counter products available, from toothpastes to antibacterial mouthwashes. Dr. Hammel can help you determine which products would be best for your circumstances.
What can Dr. Hammel do about my bad breath?
Dr. Hammel will start by giving you a thorough examination to see if there are signs of tooth decay or gum disease that are contributing to the bad breath. A thorough cleaning of your teeth and gums, combined with proper brushing and flossing may reduce or eliminate the problem. They may recommend the use of special mouthwashes designed to control the bacteria that cause bad breath. A dental examination is also important to rule out more serious causes of bad breath.
Tooth decay is the process of a tooth’s mineral content being dissolved. A cavity, or caries, is a hole in a tooth that is caused by tooth decay.
Do I have a cavity?
A cavity, or caries, is a hole in a tooth that is caused by tooth decay. If you experience pain when eating something cold or sweet, and the pain goes away fairly quickly, you may have a cavity. If it is a cavity, the sooner you get it taken care of, the less severe the damage will be. A toothache that is not sensitive to cold may have another cause. See Dr. Hammel for proper diagnosis and treatment.
What causes tooth decay?
The foods we eat react with the bacteria in our mouth to form acids that can eat away and decay the hard tissue of our teeth. Plaque is the bacteria most responsible for tooth decay. A cavity, or caries, is a hole in a tooth that is caused by this decay.
What is a cavity?
The foods we eat react with the bacteria in our mouth to form acids that can eat away and decay the hard tissue of our teeth. A cavity, or caries, is the actual hole in the tooth that is caused by this decay.
What will Dr. Hammel do to fix my cavity?
Simple cavities are treated with a filling. Dr. Hammel will use a drill or dental instrument to remove the decayed tooth tissue, and replace that removed tooth structure with a filling. The filling will either be a metal amalgam, or will be a tooth-colored composite. Some cavities are too large for a filling. If the damage is very extensive, and too much of the tooth tissue has decayed, Dr. Hammel may recommend a dental crown. If the cavity has been left untreated, and the tooth has become infected, this serious condition is called an abscess, which might require a root canal. The sooner you have your tooth examined, the more options Dr. Hammel will have to preserve your natural tooth.
How can I prevent cavities?
The best prevention is to floss and brush your teeth twice a day, especially after meals or snacks. Brushing helps remove the plaque, bacteria that forms on teeth, which is the major cause of tooth decay. Dental floss can get into the spaces between teeth where you toothbrush can’t reach.
Why should I take care of a toothache?
First, the toothache could be a sign of a non-dental problem, and not a problem with the tooth itself. If the problem is with the tooth, early treatment is important, because Dr. Hammel wants you to keep as much original tooth structure as possible. An early cavity can be filled before the tooth abscesses and needs a root canal. An early abscess can be treated with a root canal, instead of tooth extraction. A tooth that is too far damaged and infected may have to be extracted to prevent further damage to the mouth, and extraction is always Dr. Hammel's last resort.
Dry mouth, or xerostomia, is caused by an inadequate supply of saliva. Very common in older adults, dry mouth is usually due to medication side effects, but may have other causes.
Do I have dry mouth?
Dry mouth is not a specific disorder, but actually a symptom of another issue. Besides an uncomfortable dryness in the mouth, those suffering from dry mouth may also experience:
Sore throat
“Stringy” or “thick” saliva
Bad breath
Tooth decay
Problems speaking and swallowing
Why should I see Dr. Hammel about my dry mouth?
For many, dry mouth is just annoying, and not a serious problem. But for some it can lead to other serious conditions. Saliva keeps the tissues in our mouths well lubricated, keeps out teeth clean, and helps digest food. Inadequate saliva can be uncomfortable, lead to problems eating and speaking, and contribute to tooth decay.
What causes dry mouth?
While aging itself is responsible for some dry mouth, most cases are due to the side effects of medications. There are literally hundreds of medications that list dry mouth as a side effect. Dr. Hammel can help determine the particular causes of your dry mouth, and help rule out rarer but more serious conditions.
What can I do about my dry mouth?
If a medication is the cause, your physician may be able to prescribe an alternate medication. Many common sense approaches will also help, including taking frequent sips of water and stimulating saliva with sugar free gum or candy. Reducing your intake of caffeine, carbonated beverages and alcohol may also help.
What can Dr. Hammel do about my dry mouth?
Consult Dr. Hammel to rule out some serious conditions that reduce the flow of saliva. Once he has ruled out other causes, Dr. Hammel will recommend some simple remedies. There are also some oral rinses and artificial saliva products available. He will recommend that you be especially vigilant about oral hygiene, since inadequate saliva can increase your chance of tooth decay.
Gingivitis is an inflammation of the gums that is usually caused by plaque. It is the earliest and most easily treated from of gum disease, as it only affects the gums, but it must be treated to avoid more serious gum disease.
What is gingivitis?
Gingivitis is early stage gum disease which affects only the gums and not the surrounding bone and tissue. Symptoms include gum inflammation and infection. It is a serious problem which afflicts perhaps up to 90% of adults, but it is treatable and reversible. If left untreated, it can develop into periodontitis, severe gum disease that can cause permanent tooth and jaw damage. If you have symptoms of gingivitis, make an appointment with Dr. Hammel for a thorough examination and proper treatment.
What causes gingivitis?
Gingivitis is an inflammation and infection of the gums. It can be caused by trauma to the gums or by irritating rough edges of teeth or dental work, but is usually caused by plaque. Plaque is a sticky film of bacteria that forms daily on our teeth. It reacts with the food we eat to produce acids and toxins that cause tooth decay. Newly formed plaque can be removed by brushing and flossing, but plaque that is not removed hardens into tartar or calculus. This hard layer of tartar forms at and below the gumline and cannot be removed by brushing. Tartar causes decay even faster than plaque alone and irritates the gums. The resulting inflammation and infection of the gums is called gingivitis. Untreated, this condition can develop into a serious gum disease, called periodontitis.
What does gingivitis look like?
Gingivitis will appear as:
Red, or reddish-purple swollen, tender gums
Gums that bleed very easily, even with gentle brushing (blood on toothbrush even with gentle brushing of the teeth)
Gums that hurt only when touched
Gums that have a “shiny look”
Gums that have receded from your teeth
Continuous bad taste in mouth or bad breath
Mouth sores
How can I prevent gingivitis?
You can reduce the risk of gingivitis greatly by:
Brushing and flossing regularly
Quitting tobacco use
Making regular dental visits for examination and cleaning
What can Dr. Hammel do about gingivitis?
Dr. Hammel will give your mouth a thorough examination to see if any of your teeth or dental work has rough edges that are contributing to this problem. Either Dr. Hammel or his dental hygienist will give your teeth a thorough cleaning above and below the gums. This will usually include a process called scaling, where the dental professional uses instruments to scrape the tartar off teeth below the gumline. Scaling is followed by a smoothing procedure called planing to make sure there are no rough surfaces to continue irritating the teeth. Dr. Hammel can further describe the procedure and the techniques for making patients completely comfortable during the appointment.
Why is it important to treat gingivitis?
Gingivitis is the milder and very treatable form of gum disease that affects just the gums. Untreated gingivitis can develop into serious gum disease, called periodontitis, which can cause tooth loss and permanent damage to your jaw. This is preventable. If you develop the signs of gingivitis, see Dr. Hammel for a thorough examination and treatment.
An impacted tooth is one that fails to properly emerge through the gums. Dr. Hammel will recommend extraction of impacted wisdom teeth if they pose a problem for your mouth and other teeth.
What are wisdom teeth?
Wisdom teeth are actually your third set of molars, the chewing teeth towards the back of your mouth. They typically emerge, or erupt, in one’s late teen or early twenties. If there is room in the jaw to accommodate them, and they emerge fully and straight, without crowding other teeth, then there is no need to remove them.
Why would wisdom teeth need to be removed?
Though there is nothing inherently wrong with wisdom teeth, they are often removed so that they don’t cause problems for your other teeth and the rest of your mouth.
Wisdom teeth often get impacted, which means they did not fully or properly emerge through the gums. Partially emerged teeth can be difficult to clean, which leads to plaque accumulation and tooth decay. Teeth that are not positioned straight can cause comfort issue and crowd existing teeth. Ask Dr. Hammel to show you your wisdom teeth on the x-ray and explain how their positioning affects your mouth.
What does impacted mean?
An impacted tooth is one that did not fully or properly emerge through the gums. It could be that there is not enough room in the gums for more teeth, or that the teeth are coming in at the wrong angle. Sometimes a tooth is partially erupted, which means that only part of the tooth came through the gums. Partially emerged teeth can be difficult to clean, which leads to plaque accumulation and tooth decay. Teeth that are not positioned straight can cause comfort issue and crowd existing teeth. Ask Dr. Hammel to show you the position of your teeth on the x-ray, and explain the significance of their position.
What can I expect from a wisdom tooth extraction?
This is a very common and typically a very simple procedure. Dr. Hammel may perform the procedure, or may refer you to a specialist, but it is extremely safe and can be performed with little discomfort. The patient will be given a local anesthetic to numb the area, and it is very common for the patient to be sedated as well. This sedation is designed to keep the patient relaxed and comfortable throughout the appointment. Dr. Hammel will sedate you just enough to make you comfortable, with techniques that range from the simple use of nitrous oxide (laughing gas), to oral medications which lightly sedate, to deeper sedation with intravenous medications. Ask Dr. Hammel to explain which options are available and what would be best for your circumstances.
Why can’t I just keep my wisdom teeth?
Many people can keep their wisdom teeth. But dentists recommend extraction when the jaw has no room for more teeth or when wisdom teeth are not emerging properly. Though there is nothing inherently wrong with wisdom teeth, they are often removed so that they don’t cause problems for your other teeth and the rest of your mouth.
Early detection is the key to successful treatment of oral cancers, so Dr. Hammel is the first line of defense. Ask him about oral cancer screening at your next regular visit.
What is oral cancer?
Oral cancer is a common cancer which has a high mortality rate if it is not caught in the early stages. Early detection is key, so regular dental visits are very important. It affects all parts of the mouth, tongue and lips.
What are the signs of oral cancer?
The following are signs of oral cancer. Make an appointment immediately for a thorough examination if you suspect a problem:
Small, white or red spot or sore anywhere in the mouth, including the tongue, lip, gum tissue, cheek lining, the hard or soft palate or other mouth area.
Often pale, but can be dark or discolored
A deep, hard edged crack
Often initially painless
Could eventually cause a burning sensation or pain
A sore or lesion that bleeds easily or does not heal in two weeks
Any part of the mouth that changes in color
A lump, thickening, rough spot, crust or small eroded area
Pain, tenderness, or numbness anywhere in the mouth or on the lips or tongue
Difficulty chewing, swallowing, speaking or moving the jaw or tongue
A change in the way the teeth fit together or the fit of your dentures
A sore throat or a feeling like something is stuck in the throat
How can Dr. Hammel help?
Dr. Hammel is the first line of defense because regular dental visits are an opportunity to thoroughly examine your mouth. Not only are regular dental visits part of the good oral hygiene that reduces the risk of oral cancers, but dentists are often the ones who detect oral cancers first. Ask Dr. Hammel to discuss oral cancer screening with you at your next visit.
What can I do to reduce the risk of oral cancer?
Tobacco use is, by far, the biggest cause of oral cancers. All the following may help reduce your likelihood of oral cancers:
Quitting or reducing smoking and smokeless tobacco use
Periodontitis is advanced gum disease. While gingivitis, the earlier stage, affects only the gums, periodontitis is inflammation and infection that has spread to surrounding tissue, including tooth and bone.
What is periodontitis?
Gum disease is categorized by severity. Gingivitis is milder, treatable and reversible early-stage gum disease that affects only the gums. Periodontitis is advanced gum disease, where the inflammation and infection have spread to surrounding tissues.
What causes periodontitis?
Periodontitis is caused by plaque, which unremoved, causes a gum infection which spreads to surrounding tissue. Plaque is a sticky film of bacteria that forms daily on our teeth. It reacts with the food we eat to produce acids and toxins that cause tooth decay. Newly formed plaque can be removed by brushing and flossing, but plaque that is not removed hardens into tartar or calculus. This hard layer of tartar forms at and below the gumline and cannot be removed by brushing. Tartar and plaque combine to accelerate tooth decay and irritate gums. The resulting inflammation and infection of the gums is called gingivitis. Untreated gingivitis creates pockets of plaque, tartar and bacteria between your teeth and gums. This spreads infection below the gums, eventually causing bone and tissue loss. This condition, known as periodontitis, is the biggest cause of adult tooth loss.
What are the symptoms of periodontitis?
Periodontitis will appear as:
Red, or reddish-purple swollen, tender gums
Gums that bleed very easily, even with gentle brushing (blood on toothbrush even with gentle brushing of the teeth)
Gums that hurt only when touched
Gums that have a “shiny look”
Gums that have receded from your teeth
Continuous bad taste in mouth or bad breath
Mouth sores
New spaces between teeth
Pus between teeth and gums
Teeth that are loose or a bite that changes
How can I prevent periodontitis?
Periodontitis is advanced gum disease, which results from untreated gingivitis. If you have symptoms of gingivitis, contact Dr. Hammel for a thorough examination and treatment. You can reduce the risk of gingivitis greatly by:
Brushing and flossing regularly
Quitting tobacco use
Making regular dental visits for examination and cleaning
What can Dr. Hammel do about periodontitis?
As with a case of gingivitis, Dr. Hammel or his dental hygienist will give your teeth a thorough cleaning above and below the gums. This will usually include a process called scaling, where the dental professional uses instruments to scrape the tartar off teeth below the gumline. Scaling is followed by a smoothing procedure called planing to make sure there are no rough surfaces to continue irritating the teeth. Since the infection is more widespread, Dr. Hammel may also need to perform surgical procedures to get below the gumline, to graft tissue on the gums, and to rebuild the bone lost to infection. He can further describe the procedures and the techniques available for making patients comfortable during the appointments.
Why is it important to treat periodontitis?
Periodontitis is the major cause of adult tooth loss. Not only are your gums, teeth and the bones of your jaw at risk, but the infection and bacteria from periodontitis can lead to heart disease and stroke, and pregnancy complications. Inhaling bacteria from your mouth can also cause Pneumonia. If you have any symptoms of gingivitis and periodontitis, contact Dr. Hammel for a thorough examination and treatment.
Plaque is a sticky film of bacteria that coats teeth. When we eat, plaque reacts with the food in our mouth and releases acids that eat away at teeth enamel, causing tooth decay.
What is plaque?
Plaque is a sticky film of bacteria that coats teeth. It consumes sugars in the foods we eat, and releases acids as a waste product. These acids slowly eat away at the enamel of teeth, if left unchecked, can cause tooth decay. Over time the plaque layer on teeth can harden to become tartar or calculus. This hard layer continues to release acids, and is even harder to remove than regular plaque. Plaque is a leading cause of gingivitis, early stage gum disease.
What causes plaque?
Plaque is naturally occurring bacteria in our mouths, and it can never be permanently eradicated. It becomes a problem when it is not regularly removed from our teeth by brushing and flossing.
What is tartar or calculus?
Tartar and calculus are both names for hardened plaque. This can be removed during a regular dental hygiene visit.
How can I prevent plaque?
You can’t prevent the formation of plaque, but there are things you can do to minimize the damage it can cause. You can fight plaque and prevent its buildup by:
Flossing every day and brushing at least twice a day
Using special after-brushing anti-bacterial rinses designed to fight plaque
Limiting sweets and sugary foods
Brushing after eating sweets and sugary foods
Making regular dental visits
What can Dr. Hammel do about plaque?
Dr. Hammel will certainly advise you on how to properly brush and floss, since this is your first and best defense against plaque. During your regular visits, he or a dental hygienist will give your teeth a very thorough cleaning, and use instruments to remove tartar buildup. Dr. Hammel may be able to use special dental sealants on your molars, where decay often starts.
Tooth Sensitivity is a very common problem that can be treated effectively by Dr. Hammel with different products and techniques. It occurs when gums have receded or tooth enamel is worn down to reveal the sensitive parts of the tooth.
Why are my teeth so sensitive?
The sensitive parts of the tooth have been exposed due to damage to the enamel or recession of the gums. The enamel on the outside of your teeth, the hardest substance in your body, protects the inner sensitive part of your teeth. Sometimes this enamel gets cracked, worn or decayed. Your gums also protect the sensitive roots of your teeth by forming a tight seal where the gums meet the teeth. Gums sometimes recede from their natural position and expose the roots of the tooth. Typical causes for this recession are gum disease, or even just brushing teeth too hard and vigorously.
If the enamel is worn or damaged, or the gums recede, the dentin layer of the tooth is exposed. The dentin is not as hard as enamel, and it contains pores and small tubules that lead to the soft sensitive center and nerve of the tooth. These tubules allow cold and heat to reach the nerve, causing hypersensitivity and shooting pain. Sensitive teeth can be painful when one drinks hot and cold liquids, eats cold foods like ice cream, and even when one breathes cold air.
What can I do about sensitive teeth ?
If your brushing is forcing your gums to recede, you need to discuss proper brushing technique with Dr. Hammel to prevent further damage. Special tooth pastes can help sensitive teeth by either desensitizing the tooth or by filling the tubules in the dentin that are exposing the nerve. These toothpastes typically take at least a month to work. Visit Dr. Hammel for a thorough examination and for a recommendation of products.
How can Dr. Hammel help my sensitive teeth?
Dr. Hammel will give you a thorough examination to discover the cause of your sensitivity and address each specifically to prevent further damage. In the case of gum recession this may be instruction on proper brushing, or treatment for gum disease. To treat damaged enamel, they can use a filling , or dental bonding or a crown to create a new surface for the sensitive tooth. Visit Dr. Hammel for a thorough examination and treatment.
Bruxism is either the clenching or grinding of teeth, or both of them together. Dr. Hammel will often recommend a mouth appliance to prevent damage to your teeth, and stress reduction to change the behavior.
What is bruxism?
Bruxism is either the clenching or grinding of teeth, or both of them together. It is usually a greater problem at night when one is unaware that they are doing it. Often the patient’s partner will be the first to notice it as they can hear the noise coming from the other side of the bed. It is commonly believed that this subconscious nighttime bruxism is due to stress and anxiety.
What damage does bruxism do ?
Grinding can damage teeth by scraping and wearing away the surface. This can be cosmetic problem, as teeth shorten and change shape, and can lead to sensitive teeth as the enamel becomes worn. Clenching can cause muscle strain and fatigue, earaches and headaches, and put severe stress on the hinge of the jaw, the temperomandibular joint.
How can Dr. Hammel treat bruxism?
Dr. Hammel will give you a thorough examination to see if your teeth or dental work has been damaged by the bruxing. Though there is no sure treatment for bruxism, it has been positively linked to stress and anxiety. Dr. Hammel will probably suggest modifying your behavior to bring down the stress in your life. To prevent damage to your teeth, they will prepare a custom-fitted plastic appliance for you to wear when you sleep. This won’t stop the bruxing, but the plastic of the appliance will prevent your top and bottom teeth from contacting each other.
There are many possible causes for a toothache. Two of the most common dental causes are the presence of a cavity or an abscess. Some of the other causes of toothache are quite serious, so you should certainly consult Dr. Hammel for a proper diagnosis.
Do I have a cavity?
A cavity, or caries, is a hole in a tooth that is caused by tooth decay. If you experience pain when eating something cold or sweet, and the pain goes away fairly quickly, you may have a cavity. If it is a cavity, the sooner you get it taken care of, the less severe the damage will be. See Dr. Hammel for proper diagnosis and treatment.
Do I have an abscessed tooth?
An abscessed tooth, or periapical abscess, is an infection of the tissue inside of a tooth with a dead nerve. Often this is the result of an untreated severe cavity. The pain and pressure comes from a buildup of fluid inside the tooth. Since the nerve is dead, the tooth will not be sensitive to cold, but is usually very sensitive to the touch. This painful condition needs to be treated immediately to prevent further infection and damage.
What else could be causing my toothache?
Several other disorders, many of them serious, can mimic the sensation of a toothache, including Temporomandibular Dysfunction, Sinusitis, Angina, Trigeminal Neuralgia, common earaches, and some cancers. If you are experiencing dental pain, you should immediately consult Dr. Hammel for a proper diagnosis.
Why should I take care of a toothache?
First, the toothache could be a sign of a non-dental problem, and not a problem with the tooth itself. If the problem is with the tooth, early treatment is important, because Dr. Hammel wants you to keep as much original tooth structure as possible. An early cavity can be filled before the tooth abscesses and needs a root canal. An early abscess can be treated with a root canal, instead of tooth extraction. A tooth that is too far damaged and infected may have to be extracted to prevent further damage to the mouth, and extraction is always Dr. Hammel's last resort.
Orthodontic treatment corrects a “bad bite” by exerting a gentle pressure over time to straighten teeth. Modern braces are much less noticeable, and some patients can even be treated with practically invisible braces, called Invisalign®.
What is orthodontics?
Orthodontics is the dental specialty for treating malocclusion, the condition commonly referred to as “bad bite”. Orthodontic treatment works by exerting a gentle pressure over time to straighten teeth. The braces that exert this pressure are fitted by dental specialists called orthodontists.
How do braces work?
Orthodontic treatment works by exerting a gentle pressure over time to straighten teeth. Braces exert this pressure with brackets that attach to teeth and arch wires that run from bracket to bracket. Modern dentistry has made this hardware much smaller and less visible. In some cases, Dr. Hammel can use brackets and wires that are transparent or attach behind the teeth. Invisalign® is a newer technology that uses clear appliances that look like mouthguards. Ask Dr. Hammel what technology is recommended for your particular circumstances.
Why do some people have a bad bite?
Most malocclusions or “bad bites” are hereditary. These inherited problems include too much space between teeth, missing teeth, extra teeth, crowded teeth, as well as various jaw issues. Some malocclusions are acquired through prolonged thumb-sucking, early or late loss of baby teeth, or accidents. However the malocclusion developed, Dr. Hammel can recommend orthodontic treatment that corrects it.
Should I get braces?
Dr. Hammel knows that braces are a very reliable way to improve the appearance of your smile. This improvement may affect more than just your appearance as it can make you feel more attractive and more confident. They wants you to have a beautiful, healthy smile - one that you can be proud of. Many “bad bite” problems affect not only the teeth, but the development and appearance of the face. Malocclusion can affect the way a person looks, talks, and chews. Discuss your particular circumstances with Dr. Hammel.
What age is the best to get braces?
Teeth can be moved by orthodontic treatment at any age, but some treatments are more effective when one is younger. The American Association of Orthodontists recommends an evaluation for children no later than age seven. Adult patients can very often get the same results as child patient, but in some instances the treatment will take longer. Dr. Hammel can show you options for your particular circumstances.
What is Invisalign®?
One of the latest and most exciting advances for patients with malocclusion (bad bite and/or crooked teeth) is Invisalign ® and the other new clear aligners. Invisalign® is the brand name for a new kind of braces that are removable and practically invisible. It is actually a series of clear aligners that you wear like an athlete wears a mouthpiece. As the treatment progresses, your teeth gradually move to fit the aligner, and then you start wearing the next aligner. Dr. Hammel will design the treatment program so that by the time you are finished wearing the last aligner in the series, your teeth will have adjusted to the proper position.
Who is a good candidate for Invisalign®?
Once your permanent teeth are in, usually between the ages of twelve and fourteen, you ar a candidate for Invisalign®. While teens love how invisible their orthodontic treatment can be, Invisalign® is especially popular with adults. Now it is not too late for people to address crooked teeth and bad-bite issues later in life. Before Invisalign®, some adults thought they were “too old” to have metal braces on their mouth. Ask Dr. Hammel whether your dental problems can be treated with the Invisalign® technology.
What are the advantages of Invisalign®?
Invisalign® can treat many orthodontic problems
It is clear and practically invisible - nobody has to know you are straightening your teeth
You can remove it out to brush and floss your teeth as normal
You can remove it to eat and drink what you want- just put it back in when you are done
It is very comfortable. There are no wires or brackets and no adjustments
A tooth extraction is the removal of a tooth, a safe and routine procedure that is no cause for worry. If extraction is recommended, for a wisdom tooth or any other tooth, Dr. Hammel will explain why this is the best course of action for the health of your mouth.
What is tooth extraction?
A tooth extraction is the removal of a tooth, a safe and routine procedure that is no cause for worry. Sometimes it is referred to as “pulling teeth”. Dr. Hammel may perform the procedure right in his office, or under certain circumstances refer you to an oral surgeon.
Why would I need an extraction?
Dr. Hammel may recommend extraction for a number of reasons, including:
The tooth is so badly decayed that it cannot be saved and the mouth would be healthier without it
The tooth has been broken in a way that cannot be repaired
A tooth is impacted, which means it has not properly emerged through the gums. This often happens with wisdom teeth.
A tooth is positioned in away that it could crowd or damage other teeth
Removal in preparation for braces or orthodontic treatment
Very serious gum disease, called periodontitis
What are wisdom teeth?
Wisdom teeth are actually your third set of molars, the chewing teeth towards the back of your mouth. They typically emerge, or erupt, in one’s late teen or early twenties. If there is room in the jaw to accommodate them, and they emerge fully and straight, without crowding other teeth, then there is no need to remove them.
Why would wisdom teeth need to be extracted?
Though there is nothing inherently wrong with wisdom teeth, they are often removed so that they don’t cause problems for your other teeth and the rest of your mouth. Wisdom teeth often get impacted, which means they did not fully or properly emerge through the gums. Partially emerged teeth can be difficult to clean, which leads to plaque accumulation and tooth decay. Teeth that are not positioned straight can cause comfort issue and crowd existing teeth. Ask Dr. Hammel to show you your wisdom teeth on the x-ray and explain how their positioning affects your mouth.
What can I expect from an extraction?
While it may sound like a scary procedure, modern dentistry has made the procedure routine, with minimal discomfort. Make sure to share any concerns you have with Dr. Hammel. Extractions are performed with anesthesia which numbs the area of the mouth around the tooth to be extracted, so while you will feel some pressure from the procedure, there should be little or no pain. If you have trouble getting numb, or have dental fears that make you uncomfortable with dentistry, discuss this ahead of time with Dr. Hammel. It may be possible to use sedation dentistry to keep you relaxed and comfortable throughout the whole procedure. Once you are comfortable, the procedure is usually relatively quick. Afterwards, Dr. Hammel will give you instructions on keeping the removal area clean and helping the area properly heal. It is important to carefully follow these instructions to prevent infection or other complications. He may also discuss the benefits of and options for tooth replacement, including partial dentures, bridges and dental implants.
What alternatives do I have to extraction?
This really depends on your particular circumstances, so it is best to ask Dr. Hammel whether there are any alternatives. Depending on the circumstances it may be possible to repair a damaged tooth with a crown and/or a root canal instead of extracting it. While extraction may seem initially like the least expensive option, Dr. Hammel will probably recommend replacing the extracted tooth. An extracted tooth that is not replaced can leave a gap that causes problems for the surrounding teeth and potentially affecting your bite. If it is an option, repairing and saving the tooth may end up being less expensive than extracting and replacing that same tooth with partial dentures, bridges or dental implants. Ask Dr. Hammel to explain all the options, and why extraction is or is not recommended.
An abscessed tooth has an infection that can only be removed by extracting the tooth or performing root canal treatment. Root canal treatment is a dental procedure designed to remove infection from the soft center of a tooth and save the rest of the tooth.
Why would someone need root canal treatment?
Some toothaches or gum pain are actually symptoms of an infection inside a tooth, called an abscess. Tooth decay and trauma can break through the hard outer layers of a tooth, exposing the inner tooth to bacteria and infection. If there is infection in the soft center of a tooth, it has to be stopped from spreading to the gums and the rest of the mouth. A spreading infection can cause damage to other teeth, your gums and jawbone, and even spread through your body. Root canal treatment removes the infection and saves the rest of the tooth.
What is a root canal?
Root canals are actually specific parts of a tooth, but usually the term, “root canal” refers to a common dental treatment designed to save a tooth. The crown of the tooth, the part you see above the gum, has a soft center filled with blood vessels and nerves. These nerves and blood vessels also run through the tooth roots, down to the gums, inside thin tunnels known as root canals. When these nerves, blood vessels and other soft tissue get infected, a condition called an abscessed tooth, infection and bacteria can travel through the root canals down to the gums. To stop the spread of infection without extracting the tooth, Dr. Hammel performs a root canal treatment. The soft tissue is all removed, and the hard tissue of the tooth is cleaned and filled. The procedure is very common and can be done with minimal discomfort. Since the procedure actually saves much of the original tooth structure, it is a better, healthier option for the patient than having the tooth extracted.
What can I expect from the root canal procedure?
Root canals have really gotten a bad reputation, but for many people the procedure is not much more complicated than having a cavity filled. Dr. Hammel may perform root canal treatment right in the office, or refer you to a specialist, called an endodontist. In any event, the treatment can be done quickly and comfortably.
Before anything else is done, Dr. Hammel will make sure that you are completely comfortable with local anesthetics that numb the area around the affected tooth. If local anesthetics are not enough to make you comfortable, or of you have trouble getting numb, ask Dr. Hammel about sedation dentistry.
Dr. Hammel will create an opening in the hard surface of the tooth, and use special tools to clean out the soft tissue, the nerves and any bacteria or infection.
Once all the soft tissue has been removed, all the empty spaces, including the root canals, will be filled with special filling material to keep out any future infection. Dr. Hammel may wait a week to be certain the infection has been eliminated before permanently filling the tooth. If this is the case, temporary filling will close the tooth until the next appointment, the following week, when the tooth is permanently filled and closed.
After root canal treatment, the tooth will be more brittle than a “live” tooth, so Dr. Hammel will fit the tooth with a dental crown. Once the crown has been fitted, there may be some initial tenderness, but the new tooth will soon function and feel just like the original healthy tooth.
What are my alternatives to root canal treatment?
If you have an abscessed tooth, the infection must be removed to stop it from spreading. The only alternative to a root canal is extraction of the tooth.
While extraction may seem initially like the least expensive option, Dr. Hammel will probably recommend replacing the extracted tooth. An extracted tooth that is not replaced can leave a gap that causes problems for the surrounding teeth and potentially affect your bite. If root canal is an option, it may end up being less expensive than extracting and replacing that same tooth with a partial denture, bridge or a dental implant. Ask Dr. Hammel to explain all the options, and why root canal is recommended.
Sealants protect teeth from tooth decay by adding a protective layer to keep out plaque. Ask Dr. Hammel how this wonderful technology can, quickly and easily, help you and your children fight cavities.
What are sealants?
The chewing teeth toward the back of the mouth, the molars and pre-molars, have pits and fissures that can be difficult to clean. If plaque is not properly removed, it results tooth decay. Sealants are a layer of composite plastic that Dr. Hammel can apply to your teeth to fill these pits and fissures to keep out the plaque. It’s like a suit of armor for your teeth! While often used for children, they are also beneficial for any adults who are struggling with tooth decay.
Are sealants for me?
Sealants are most often used on children’s molars and pre-molars, soon after they get their permanent teeth. But there is no reason that they cannot be used on adults, and they often are. Any child or adult who is struggling with tooth decay, especially in the back, chewing teeth, can benefit from sealants. Ask Dr. Hammel about sealants for yourself and your family.
What can I expect from the sealant procedure?
The procedure for placing sealants is very similar to the procedure for bonding or composite veneers. The appointment will start with a thorough exam and a professional cleaning. Dr. Hammel will use an etching solution that prepares the surface of the tooth to bond tightly with the sealant. The sealant is a composite resin material, a kind of plastic, that they will literally paint on the surface of the tooth. A special light will be used to instantly harden the sealant. Dr. Hammel will then check your bite, and make adjustments if the sealant is too thick. The hardened and firmly attached sealant is immediately ready for biting and chewing as normal.
What can I expect once I have sealants?
Sealants are considered permanent restorations, but that doesn’t mean that they will last forever. They can, however, last up to five years or longer. If part or all of the sealant wears off of the tooth, there is no cause for concern. Not only is the material non-toxic, but the sealant can easily be repaired or replaced with the same procedure used to originally place it. Get to Dr. Hammel’s office as soon as possible.
Proper oral hygiene and regular visits to Dr. Hammel are the best defenses against plaque, the root of most dental problems. Dr. Hammel encourages adult care and prevention that is focused on fighting against plaque, the preservation of natural tooth structure, and early detection and treatment of serious oral problems.
Why is care and prevention important for adults?
Dental problems tend to get worse when left untreated. When you see Dr. Hammel for regular visits, small problems won’t have a chance to become major concerns. For instance, the longer tooth decay goes unchecked the more damage it can do to a tooth, and the less of the original tooth that can be saved. Good hygiene and dental visits are cost-effective, too. It costs much more to have teeth repaired and replaced than it does to have regular exams and cleanings.
What kind of care do adults need?
Adult care and prevention focuses on preventing tooth decay and gum disease, the preservation of natural tooth structure, and early detection and treatment of serious oral problems.
Most tooth decay and gum disease are due to plaque, so Dr. Hammel wants keeping plaque in check to be your first priority
To resist plaque, adults need to brush their teeth with a fluoride toothpaste at least twice a day. Brushing before bedtime is especially important, but brushing in the morning and after eating is recommended whenever possible.
Use a soft-bristled toothbrush that is small enough to reach all your teeth. Replace it when the bristles start to wear.
Floss your teeth every day to clean plaque from those places between teeth that can’t be reached by a toothbrush.
Schedule regular dental visits every 6 months, or more frequently if Dr. Hammel indicates that you are prone to plaque and tartar buildup. These visits will include a thorough examination and a professional cleaning by Dr. Hammel or his dental hygienist.
Discuss painful or problem areas with Dr. Hammel as soon as possible, so more serious problems can be prevented.
What prevention is possible with regular dental visits?
Regular dental visits serve two important purposes - to regularly give teeth a very thorough cleaning, and to examine teeth and gums for signs of serious problems. Some serious problems can be prevented if detected early.
What If I’ve Been Avoiding the Dentist?
We want you to know two things. First - you are not alone. Millions of people avoid the dentist for many different reasons. Second - we will not judge you or criticize you. We know that the last thing you need to hear is a lecture, so you have our promise that you won’t get one here. We just want to help you get your mouth healthy and your smile beautiful. If you’ve been procrastinating going to the dentist, whether because of fear of the dentist or because you just don’t have the time, sedation dentistry, may be the answer to your problem. For some people, sedation dentistry is as easy as taking a small pill. Dr. Hammel can discuss different sedation options with you, and can tell you if sedation is appropriate for your circumstances.
Dr. Hammel uses the most advanced dental technology and state-of-the-art equipment to serve you and your family. Every year, Dr. Hammel continues his education with additional training on the latest in dentistry so our community can continue to have the best care available. Here are some of the amazing things happening at Dr. Hammel's office right now:
Smile Makeovers with cutting-edge cosmetic technology
It is now possible to choose the smile you want. Modern cosmetic dentistry lets Dr. Hammel reshape, resurface or replace any tooth or all the teeth in your mouth. Schedule an appointment with Dr. Hammel to discuss the possibilities.
The latest in tooth replacement with advanced implant technology
There are now options to dentures and traditional tooth-replacement technology. Implant systems can give you back the smile and the confidence. Ask Dr. Hammel how the latest technology lets you smile, speak and eat your favorite foods without worries, and gives you the smile of your dreams.
Faster and more gentle - Advanced laser dentistry
Lasers are one of the most exciting recent developments in dentistry because they let Dr. Hammel get more accomplished and take away the discomfort at the same time. Less visits and more comfort! Find out more at your next visit.
The Latest in Comfort with Sedation Dentistry
If you have been avoiding the dentist because of fear or because you just don’t have the time - the answer is finally here. Modern sedation techniques make dentistry accessible and comfortable for everyone. Call Dr. Hammel to find out what type of sedation is right for you, and get that healthy mouth you’ve always wanted.
Today’s Technology for Whitening Your Smile
Nothing can change your smile as much and as quickly as professional whitening at Dr. Hammel’s office. Schedule a visit today and find out how advancements in whitening can safely and quickly give your smile a big lift.
In addition to the primary goals of preventing tooth decay and gum disease, children have special needs for their developing teeth. Dr. Hammel will discuss a care and prevention plan that addresses these special needs and promotes good dental hygiene for the whole family.
