White or brown stains on teeth can occur from several reasons. Sometimes the stain is only on one tooth and sometimes it is widespread throughout the mouth. Developmental defects and /or staining are an esthetic problem and they may indicate a weakened tooth, to which early intervention can be beneficial to the patient. In this blog we will discuss different reasons for staining and developmental defects in teeth and the treatment of them.
A small white or yellow stain on a singular tooth is usually caused from local trauma to the developing tooth. Trauma or infection of a baby tooth can affect the permanent tooth that is developing in the gums under the baby tooth. The result may not be seen until the permanent tooth erupts many years later.
The permeant incisors and first molars start developing in the first year of a baby’s life. Sometimes if the baby was sick, ran a fever or suffered from complications in development after birth we may see white or yellow areas in several front teeth and six-year molars. These are areas of enamel that are hypomineralized and they tend to be weaker and more susceptible to decay. This situation is called MIH (Molar- Incisor Hypoplasia.) It is important to treat the six-year molars early, after their eruption to limit their breakdown and decay. Treatment of the molars may be with fillings or crowns determined by the extent of the defect. Incisors may be treated with bonding, whitening. and/or microabrasion. When a child is old enough crowns or veneers may be considered. Over exposure to fluoride or certain antibiotics as a young child can also cause brown, grey or yellow stains on multiple teeth.
There are also genetic disorders that can affect the overall development of all the teeth, for example Dentinogensis Imperfecta and Amelogenesis Imperfecta. Some disorders affect multiple areas of the body, not just the teeth. In these cases, it is important to be treated consistently from a young age as teeth erupt, along with a long-term restorative plan to preserve as much tooth structure as possible.
Dr. Shabtai Sapir has extensive experience treating many of the defects discussed above and has published numerous scientific articles on these defects. Treatment needs to be preventive as well as provide an esthetic solution. If you or a loved one suufers from any of these issues call Norfolk Family & Pediatric Dentistry (508)850-6992 to set up a consultation.
Before Teeth with white and yellow staining defects After treatment with Enamel Microabrasion
Case of Dentingensis Imperfecta impacting all teeth in the mouth- Pretreatment
If you or a loved one had a dental emergency, would you know what to do? A cool head and some basic first aid knowledge help tremendously. So does having the phone number of your emergency dentist handy. At Norfolk Family & Pediatric Dentistry, Dr. Shabtai Sapir and Dr. Minda Sapir have your best oral health in mind. So, when the unexpected strikes, call their office for kind and accurate advice and a same-day appointment when required. Read here about what you can do to prepare yourself before seeing your dentist.
What is a dental emergency?
5 million teeth are knocked out annually in the United States--many due to sports. Additional causes are falls, motor vehicle accidents, or other unanticipated circumstances. Other dental emergencies include:
- Oral lacerations
- Lost or cracked fillings or crowns
- Broken orthodontic appliances
- A severe toothache
- A dental abscess (infection)
- Damaged denture, bridgework, or other tooth replacement
In these cases, treatment cannot wait, and you need to take action right away. Your Norfolk emergency dentists advise keeping an emergency kit handy, particularly if you have children involved in sports. Some basic supplies should include:
- Sealable plastic bags
- One or two bottles of water
- Disposable vinyl gloves
- Dental floss
- Reusable ice packs
- Small hand towels
- Orthodontic wax
- Over-the-counter pain relievers such as acetaminophen or ibuprofen
What to do right away
Here are some examples of dental emergencies and what you need to do immediately.
Avulsed tooth You can replant a knocked out tooth by holding it by the crown (top) and placing the roots into the empty socket. Hold it there while going to the dentist's office. If he or she treats and splints it within an hour of injury, you increase the chance that it will survive.
Chipped or cracked tooth The fractured piece should be placed in milk and not left dry,
and brought to your Norfolk, MA, emergency dentist. Cover jagged tooth edges with orthodontic wax. The doctor likely can bond the pieces back in place with composite resin, or for more serious damage, a crown and or root canal therapy may be needed.
A severe toothache Call the office for an appointment. In the meantime, take analgesic medication, and if there is swelling ice your jaw to reduce swelling (10 minutes on and 10 minutes off).
Oral laceration Apply direct pressure with a clean cloth or sterile gauze. If bleeding continues after 15 minutes, get to the hospital emergency room.
Foreign object lodged between teeth Gently try to pry it out with dental floss. If this doesn't work, wait for treatment by Dr. Sapir.
Our dentists are highly trained in emergency and restorative dentistry, and they are ready to help. If you have a pressing dental concern, call Norfolk Family & Pediatric Dentistry right away at (508) 850-6992.
Caring for your child's smile is a privilege and a responsibility. At Norfolk Family & Pediatric Dentistry, we take your youngster's oral health very seriously and partner with you, the parents, in maintaining a lifetime of healthy teeth and gums. Your pediatric dentist in Norfolk, Dr. Shabtai Sapir, is highly trained and experienced in pediatric dentistry. Alongside general dentist Dr. Minda Sapir, they offer a comprehensive list of preventive, restorative and cosmetic services, you can trust them with your child's well-being.
What we offer
At Norfolk Family & Pediatric Dentistry, the doctors and their team offer an amazing range of services, beginning when your little one gets his or her first baby tooth. Preventive exams and hygienic cleanings are gentle, careful and thorough, watching for gum disease, decay, dental bite development and alignment issues.
And, each service offered is fear-free, accomplished in a child-centered, fun atmosphere. The dental team offers state of the art sedation options, too, for complex restorative procedures and to ease the nervous or special needs child.
Included in the list of treatments are:
- Oral exams, hygienic cleanings and digital X-rays
- Braces (initial evaluation happens by age seven as advised by the American Association of Orthodontists)
- Plastic sealants to coat and protect deeply grooved molars from decay
- In-office fluoride treatments to prevent cavities and reduce dental sensitivity
- Dental crowns to even bite or save damaged teeth
- Laser Dentistry- Tongue ties and Frenectomies
- Wisdom teeth removal
- Tooth-colored fillings to restore decayed teeth seamlessly
- Composite resin bonding to repair chips, small gaps and cracks
What's most important
Of course, your Norfolk pediatric dentist always supports the healthy eating and oral health care habits taught in the home. These include:
- Offering (and modeling) a tooth-friendly diet (fruits, vegetables, plenty of water, dairy products for calcium and lean meats for protein)
- Brushing and flossing children's teeth for them until they have the dexterity and discipline to do it independently
- Supervising the oral hygiene habits of older children
- Making sure children wear mouth guards when playing sports (including running and other non-contact activities)
We can help
Together, you and the team at Norfolk Family & Pediatric Dentistry can keep your children smiling for years. If you have any questions or concerns about your youngster's oral health, or if there's a dental emergency, please contact the office right away at (508) 850-6992.
Show our soldiers some appreciation. Feel free to add a picture or letter for our troops to add to the candy. We will be donating Oral hygiene products as well. Call (508)850-6992 for hours and detials.
How sedation dentistry from your Norfolk dentist can help you
Visiting the dentist is one of the most important things you can do to protect the health of your smile and your overall health. So, what do you do if you are afraid of the dentist? How do you overcome that fear? Sedation dentistry may be the answer! Dr. Minda Sapir and Dr. Shabtai Sapir at Norfolk Pediatric & Family Dentistry in Norfolk, MA want to share the facts about how sedation dentistry can help provide a comfortable, relaxing experience at the dentist.
Being afraid of the dentist is a common occurrence for many people, especially children. Dental anxiety, as it is called, can stem from a bad previous experience at the dentist, childhood fears, the noises and smells in a dental office, leaning back in the dental chair, and many other causes. Whatever the cause of your dental fears, your dental anxiety needs to be dealt with. It isn’t “all in your head.”
The first step is discussing with your dentist what it is that makes you afraid. Great communication is so important in dealing with dental fears. After your dentists know what bothers you, they can make the appropriate recommendations about sedation measures, including:
Inhaled nitrous oxide delivered through a mask if you want to feel mildly relaxed during your appointment; once the mask with the nitrous oxide/oxygen mixture is removed, the effects dissipate and you will feel completely attentive.
Oral sedation if you want to be mildly or moderately relaxed during your appointment. You will feel relaxed and drowsy, but still will be responsive to questions. The effects of oral sedation can remain for several hours, so it is important to bring someone with you to drive you home.
Intravenous sedation takes immediate effect. You will be drowsy during your appointment and may not remember much. The desired amount of sedation can be controlled for optimal effects.
Now you can overcome your fear of the dentist, saving you stress, time and money, because your dentist can get more necessary treatment completed in one appointment. For more information about dental anxiety and sedation dentistry call Dr. Minda Sapir and Dr. Shabtai Sapir at Norfolk Pediatric & Family Dentistry in Norfolk, MA today!
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