286 East State Road 434
Longwood, FL 32750
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Posts for: February, 2017

By Ilya V. Freyman, DMD
February 13, 2017
Category: Dental Procedures
Tags: crowns  

Repairing a decayed tooth may be as simple as removing the damaged tooth material and filling the void. Many filling materials can now match the color of a tooth, so the dental work is hardly noticeable.

Sometimes, though, the decay is too extensive or we've treated the tooth several times and it won't support another filling. If the tooth is still viable, we may be able to cover it with a custom crown.

Also known as a cap, a crown fits over and is securely affixed to the tooth with bonding material or cement. Crowns have been used for decades to restore teeth, but the materials they're made of have changed with time.

The original crowns were made of metal, usually gold or silver. They were strong and could hold up well to the daily forces produced by chewing or biting. They did, however, visually stand out and came to be regarded as unattractive. There were porcelain materials available that could closely mimic the life-likeness of teeth, but they could be weak and brittle.

Dentists came up with a hybrid crown that could supply strength as well as an attractive appearance. These were composed of two parts: an inner metal frame for strength overlaid with porcelain for appearance. These fused crowns were the most popular until the mid-2000s.

About that time, newer forms of porcelain came on the market that were not only attractive, but also durable. Although caution should still be taken when biting something hard, they've proven to stand up well to biting forces. Fused porcelain to metal is still in use, but usually for back teeth where biting forces are higher and the crown won't be as noticeable as on front teeth.

Crowns can also address cosmetic issues with chipped, fractured or excessively worn teeth. But with any crown you should be aware that much of the original tooth material must be removed to accommodate the fit. The altered tooth will require a crown or other restoration from then on. Crowns must also be custom-made by a dental technician in a process that can take weeks.

Still, the process can be well worth it. With proper care and maintenance, a crown could serve you and your smile well for many years to come.

If you would like more information on crowns and other restoration options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Crowns & Bridgework.”

By Ilya V. Freyman, DMD
February 09, 2017
Category: Oral Health
Tags: root canals  

One of the biggest fears many people have about dental visits includes root canal therapy. While this is procedure that can seem root canaloverwhelming at first, there are many reasons that you would need to have a root canal. The actual procedure is not typically any more painful than having fillings put in place. A root canal is often the only thing that can save your tooth from potential removal. Before you decide to pass by caring for your tooth pain, visit with your dentist in Longwood, FL, Dr. Ilya Freyman.

Root canal therapy usually starts with an anesthetic to remove the pain followed by the drilling of a small hole in the tooth allowing access to the root. Through this hole your Longwood dentist will remove the dead or dying root using small tools and a microscope. The interior of the tooth is then cleaned and sealed so that infection does not return. The hole is then filed with tooth colored filling to seal it from future infection. A root canal can make the difference between saving your tooth and having further decay begin leaving you with no alternative but to have the tooth pulled. The procedure could make all the difference in how long you have your natural teeth. A root canal can be even easier if you seek help early on and don’t wait too long.

Visiting the dentist doesn’t have to be such a difficult experience. Remember that a professional in root canal therapy in Longwood, FL, can change help you to maintain your natural teeth longer. The pain may go away temporarily but it is not likely that the infection will. This could lead to major problems later in life. Call us today at (407) 260-0224 to schedule a consultation with Dr. Freyman. We look forward to helping you stop the pain and get back to eating and drinking as you once did before tooth pain.

By Ilya V. Freyman, DMD
February 05, 2017
Category: Dental Procedures

Did you see the move Cast Away starring Tom Hanks? If so, you probably remember the scene where Hanks, stranded on a remote island, knocks out his own abscessed tooth — with an ice skate, no less — to stop the pain. Recently, Dear Doctor TV interviewed Gary Archer, the dental technician who created that special effect and many others.

“They wanted to have an abscess above the tooth with all sorts of gunk and pus and stuff coming out of it,” Archer explained. “I met with Tom and I took impressions [of his mouth] and we came up with this wonderful little piece. It just slipped over his own natural teeth.” The actor could flick it out with his lower tooth when the time was right during the scene. It ended up looking so real that, as Archer said, “it was not for the easily squeamish!”

That’s for sure. But neither is a real abscess, which is an infection that becomes sealed off beneath the gum line. An abscess may result from a trapped piece of food, uncontrolled periodontal (gum) disease, or even an infection deep inside a tooth that has spread to adjacent periodontal tissues. In any case, the condition can cause intense pain due to the pressure that builds up in the pus-filled sac. Prompt treatment is required to relieve the pain, keep the infection from spreading to other areas of the face (or even elsewhere in the body), and prevent tooth loss.

Treatment involves draining the abscess, which usually stops the pain immediately, and then controlling the infection and removing its cause. This may require antibiotics and any of several in-office dental procedures, including gum surgery, a root canal, or a tooth extraction. But if you do have a tooth that can’t be saved, we promise we won’t remove it with an ice skate!

The best way to prevent an abscess from forming in the first place is to practice conscientious oral hygiene. By brushing your teeth twice each day for two minutes, and flossing at least once a day, you will go a long way towards keeping harmful oral bacteria from thriving in your mouth.

If you have any questions about gum disease or abscesses, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Periodontal (Gum) Abscesses” and “Confusing Tooth Pain.”