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Posts for: May, 2019

Whether she’s singing, dancing or acting, Jennifer Lopez is a performer who is known for giving it all she’s got. But during one show, Lopez recently admitted, she gave a bit more then she had planned.
“I chipped my tooth on stage,” she told interviewers from Entertainment Tonight, “and had to finish the show….I went back thinking ‘Can I finish the show like this?’”
With that unlucky break, J-Lo joins a growing list of superstar singers—including Taylor Swift and Michael Buble—who have something in common: All have chipped their teeth on microphones while giving a performance.
But it’s not just celebs who have accidental dental trouble. Chips are among the most common dental injuries—and the front teeth, due to their position, are particularly susceptible. Unfortunately, they are also the most visible. But there are also a number of good ways to repair chipped, cracked or broken teeth short of replacing them.
For minor to moderate chips, cosmetic bonding might be recommended. In this method, special high-tech resins, in shades that match your natural teeth, are applied to the tooth’s surface. Layers of resin, cured with a special light, will often restore the tooth to good appearance. Best of all, the whole process can often be done in just one visit to the dental office, and the results can last for several years.
For a more permanent repair—or if the damage is more extensive—dental veneers may be another option. Veneers are wafer-thin shells that cover the entire front surface of one or more teeth. Strong, durable and natural-looking, they can be used to repair moderate chips, cracks or irregularities. They can also help you get a “red-carpet” smile: brilliant white teeth with perfectly even spacing. That’s why veneers are so popular among Hollywood celebs—even those who haven’t chipped their teeth!
Fortunately, even if the tooth is extensively damaged, it’s usually possible to restore it with a crown (cap), a bridge—or a dental implant, today’s gold standard for whole-tooth replacement. But in many cases, a less complex type of restoration will do the trick.
Which tooth restoration method did J-Lo choose? She didn’t say—but luckily for her adoring fans, after the microphone mishap she went right back up on stage and finished the show.
If you have a chipped tooth but you need to make the show go on, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”

There's no doubt treating dental problems can improve your health. But because the mouth is among the most sensitive areas of the body, many dental procedures can be potentially uncomfortable after treatment.
We rely on pain medication to alleviate any dental work discomfort, especially during recuperation. Our arsenal of pain-relieving drugs includes strong opioid narcotics like morphine or oxycodone which have effectively relieved dental pain for decades. But although they work wonders, they're also highly addictive.
We've all been confronted in the last few years with startling headlines about the opioid addiction epidemic sweeping across the country. Annual deaths resulting from opioid addiction number in the tens of thousands, ahead of motor vehicle accident fatalities. Although illegal drugs like heroin account for some, the source for most addiction cases—an estimated 2 million in 2015 alone—is opioid prescriptions.
Dentists and other healthcare providers are seeking ways to address this problem. One way is to re-examine the use of opioids for pain management and to find alternative means that might reduce the number of narcotic prescriptions.
This has led to new approaches in dentistry regarding pain relief. In a trend that's been underway for several years, we've found managing post-discomfort for many procedures can be done effectively with non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, acetaminophen or ibuprofen. They don't share the addictive quality of narcotics and are regarded as safer when taken as directed.
There's also been a recent modification with using NSAIDs. Dentists have found that alternating the use of ibuprofen and acetaminophen often amplifies the pain relief found using only one at a time. By doing so, we may further reduce the need for narcotics for more procedures.
The trend now in dentistry is to look first to NSAIDs to manage pain and discomfort after dental work. Narcotics may still be used, but only in a secondary role when absolutely needed. With less narcotic prescriptions thanks to these new pain management protocols, we can reduce the risk of a dangerous addiction.
If you would like more information on managing pain during and after dental work, please contact us or schedule an appointment for a consultation.

Losing teeth continues to be an all too common experience for people, especially those in their senior years. Fortunately, there are several ways to replace them, ranging from partial or full dentures to implants.
Some, though, postpone or simply choose not to replace a lost tooth, often because of the cost. But putting off a dental restoration could have a long-term impact on your health, and not in a good way. Continuing bone deterioration is one of the top consequences of delayed restoration.
Like other bones in the body, the jawbone is living tissue with cells that form, grow and eventually wear out. At the end of their life, these older cells give way to new cells. Eating and chewing play an important role in maintaining this growth cycle: the forces we generate as we chew travel up through the tooth roots to stimulate bone growth in the jaw.
When a tooth goes missing, though, the stimulus ends. Over time the bone cell replacement rate can fall off and the bone slowly loses volume. To make matters worse, bone loss can continue beyond the immediate bone underlying the tooth and affect the rest of the jawbone. The jaw can shrink in height and width, and in time become weaker overall and more susceptible to fracture.
But dental implant restorations in particular could help stop or even reverse bone deterioration at the site of the missing teeth. The titanium post implanted in the jaw attracts bone cells, which grow and adhere to its surface. Over time the bone fills in and becomes stronger.
You don't want to wait too long, though, because implants depend on a minimum amount of bone present for secure placement. You should therefore undergo an implant restoration as soon as it's practical after tooth loss. Otherwise, although we may be able to restore some of the lost bone with bone grafting, you may need to consider another restorative option.
When it comes to replacing missing teeth, time isn't on your side. But the right kind of dental restoration undertaken promptly can make for a brighter, healthier future.
If you would like more information on restoring lost teeth, 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 “The Hidden Consequences of Losing Teeth.”
Have gum disease? Periodontal disease, or gum disease, is an infection of the tissues and even the bone structures of the teeth. A range of treatments is used to stop or reverse periodontal disease. In the early stages of the disease, treatment usually involves non-surgical procedures; however, in more advanced stages, surgery is often required. Led by Dr. John Kelly, Bethesda Row Dental (located in Bethesda, MD) offers a variety of gum disease treatments to their patients.
Good Oral Hygiene.
The best way to treat periodontal disease is to practice good oral hygiene. Gingivitis is a mild form of gum disease that can often be reversed with regular flossing and brushing. Regular bi-annual professional dental cleanings in Bethesda are also a must. Although not a substitute for flossing and brushing, mouth rinses can reduce dental plaque up to 20 percent. Many dental professionals also recommend specialized toothbrushes, which may be a more effective method of removing plaque than standard toothbrushes.
Scaling and Root Planing.
Scaling and root planing, otherwise known as deep cleaning, is one of the most effective ways to treat periodontal disease before it becomes severe. This procedure removes dental plaque and tartar deposits on the teeth and root surfaces. Scaling and root planing reduces pocket depths and heal gum tissue. In most cases of early gum disease, deep cleaning in addition to continued daily hygiene habits at home achieves a satisfactory result of reversing periodontal disease.
Antibiotics/Antimicrobials.
Antibiotic or antimicrobial treatments can be used alone or in combination with surgery and other therapies to reduce or eliminate the bacteria associated with periodontal disease. Antibiotics are taken by mouth or placed under the gums for treatment. Chlorhexidine is an antimicrobial for controlling dental plaque and gingivitis. The medication is available as a mouth rinse or as a gelatin-filled chip that is placed in the pockets and releases the medication slowly for several days.
Surgical Treatment.
If your gum tissue does not respond to good oral hygiene and nonsurgical treatments, your dentist may recommend surgery. For advanced gum disease, surgical treatment using local anesthesia is performed. To reduce the size of pockets, your dentist folds back the gum tissue and removes the disease-causing bacteria. The dentist then reshapes the bones and gums, adding bone grafts if necessary, before stitching the tissue back into place. The outcome of your periodontal health after surgery depends on how well you maintain your oral hygiene following the procedure.
Ready to take charge of your oral health? Call Bethesda Row Dental at 301-657-3220 right now to schedule an appointment with Dr. John Kelly in Bethesda, MD. We will help you heal your gum disease once and for all. You will experience exemplary service and state-of-the-art care at Bethesda Row Dental!