Dental Questions: What is a root canal?

Before and after X-rays of a completed root canal (rightmost tooth). Notice how the roots have whiter centers once the procedure was finished. 

In today's article, we are going to shed some light on a common (and commonly misunderstood) dental procedure: the root canal. Many patients fear and dread these treatments when in actuality they are painless and routine. We hope you find this information helpful!

Root canals fall under the dental field of endodontics. These procedures may be carried out by a general dentist or at a specialist's office. Then end goal of any root canal treatment is to remove the nerve tissue from the inner tooth, desensitize it and eliminate any bacteria or infection. This process allows us to save and treat many teeth that would otherwise need to be extracted. 

The first step in root canal treatment is to get the tooth in question completely numb. These procedures can be time consuming, so complete anesthesia is absolutely crucial. Contrary to popular belief, modern root canal therapy is virtually painless, with the many patient leaving the office with much less pain than they were in before!

Once the patient is numb and comfortable, a small opening is made in the top of the tooth to access the innermost layer called the pulp chamber. Here, the nerve endings that cause symptoms such as pain and cold sensitivity are cleaned out from the tooth.  This step is continued down the roots of the teeth, where a series of small files are used to clean and shape the root system. Once the pulp chamber and roots are completely cleaned, the tooth is filled with a thick, rubbery material called gutta percha. This step is crucial as it creates a plug against bacteria and recurrent infection.

After the treatment is complete, the top of the tooth is filled and restored, typically with a tooth-colored material. In many instances, teeth that receive root canals will need crowns for optimal strength. This is something the treating dentist will discuss with you and plan ahead of time. 

As with many dental treatments, this article is a general guideline and doesn't cover all aspects of endodontic therapy. If you have been told you need a root canal or want to know more about this type of procedure, please give our office a call. We will be more than happy to ease your mind and point you in the right direction!

Family Day at Thousand Oaks Family Dentistry

This week we celebrated family day at our office. Staff members brought in their spouses, parents and children for exams and cleanings. We are proud to announce that everyone passed with flying colors! It's always wonderful to catch up with loved ones and make sure that their pearly whites shine! If you want to bring your own family by and join in on the fun, call or email our office today to schedule and appointment. 

Periodontists we work with

Properly managing your dental care can take a team of dentists, specialists and laboratories. For our patients that need the help of a periodontist, we are proud to work with Dr. Jeremy Wilgus of Camarillo Periodontics. His office combines the technology, expertise and compassion that our patients seek. 

If you have conditions such as deep pockets or periodontitis you may be referred to Dr. Wilgus. He specializes in a number of surgical and non-surgical techniques to improve gum health and repair damage. Beyond these services, his office offers various procedures to adjust and re-contour the gums. For some patients, a full cosmetic reconstruction will include visits to Dr. Wilgus for crown lengthening or grafting to create an ideal gumline. He is also an expert in placing implants in sensitive areas, such as the anterior teeth. If you would like to know more about periodontal services or why a patient might benefit from the services of a periodontist, please call our office! 

Dental Questions: What is Periodontal Disease?

Periodontal disease follows tooth decay as the most prevalent condition effecting the oral cavity. In fact, over half of all Americans have some type of problem with their periodontal tissues. It is important to understand the differences between the two main categories of periodontal disease- gingivitis and periodontitis.

The word "periodontal" identifies the tissues surrounding the teeth: the gums, bone, connective tissue and ligaments. These structures live in a delicate balance with the bacteria that exist naturally in our mouths. Over time, poor oral hygiene can allow the bacteria to colonize and grow around the teeth, leading to inflammation of the gum tissue. This first stage in periodontal disease is known as gingivitis. At this point, you might notice puffy, red gums that bleed during brushing or flossing. 

As the inflammation progresses and the bacterial colonies grow, the jaws start to undergo bony changes. Our bones will begin to grow away from the source of infection, leading to recession, pocket formation and loose teeth. These changes are associated with the more advanced form of periodontal disease known as periodontitis. 

Fortunately, there are a number or dental procedures aimed at stopping or reversing the effects of periodontal disease. It all starts with a dental exam to determine the extent of damage and assign an appropriate cleaning regimen. Patients with healthy tissue might just need a simple preventative cleaning, while others may benefit from a more intense procedure- such as scaling and root planing. If you would like to know more about periodontal disease, what causes it and how we can treat it, please contact our office!

Medicare and Dentistry

For many retired Americans, Medicare provides a health safety net that would otherwise be unobtainable on a fixed income. Although the service aims to provide similar coverage to many employer insurance plans, it is not comprehensive. One of the most notable gaps in coverage is the lack of dental insurance. 

Every week, our office receives at least one request to bill Medicare for dental treatment. Unfortunately, the differences between medical and dental coding and billing make this impossible. Simply put, there is no avenue for a private dental office to bill to Medicare. With this in mind, it is important to budget for dental procedures to supplement your existing health coverage.

Another important distinction to make is the difference between Medicare and Medicaid. While Medicare is a service for the elderly, Medicaid aims to assist low income families and individuals. The California branch of Medicaid is Medi-cal, which contains a dental component known as Denti-cal. At this time, our office does not accept Denti-cal. However, many dental schools and community clinics specialize in utilizing and billing this service. 

If you would like to know more about dental insurance, coverage and other services, please contact our office. We are always happy to help you better understand your insurance plan and if it can be utilized at our office!

Dental Questions: Why do my gums bleed when I floss?

An example of proper flossing technique.

Gums bleeding while flossing is a frequently recorded complaint at every dental office. Many patients are turned off from flossing as it becomes painful, messy and inconvenient. However, it is important to understand that your gums are probably bleeding because you need to floss more often. 

Plaque accumulates in the spaces between teeth because toothbrushes do a poor job of reaching these areas. As plaque settles at/below the gum line, the tissues there become inflamed, thin and ulcerated. As you floss, you are both eliminating the plaque and bacteria from these areas and temporarily aggravating the  gum tissue (hence the bleeding). Over time, the absence of buildup will allow the gums to heal and rethicken, stopping the bleeding. 

A knee-jerk response to bleeding on flossing is to floss less often or less vigorously. While you may be physically cutting the gums with floss, a proper technique will avoid this. Make sure you thread the floss in between the teeth and move it up the side of each tooth at each contact. Try to "cup" the floss around the teeth and allow it to go slightly below the gum line. This will maximize effectiveness and minimize gingival inflammation. If you would like to know more about flossing, oral hygiene or dental cleanings, please contact our office!

Best Cosmetic Dentist in the Conejo Valley

Check out this new video testimonial from one of our very satisfied patients! Twenty years ago, Jennifer suffered from pain and headaches associated with stress on her temporomandibular joint (TMJ). In solving this, her previous dentist used dental crowns and veneers to improve the way her teeth came together and ease her TMJ pain. Although the procedure was successful, twenty years of wear combined with gum recession had affected the appearance and function of these restorations. 

An important component of the dentistry we provide is managing our patients' fears and expectations. Jennifer was understandably very nervous coming into her appointment to have her crowns and veneers replaced. On top of the typical stress of a dental visit, she was concerned if the new restorations would fit as well as the originals. Fortunately, Dr. Kari Ann Hong is an expert in providing dentistry with a compassionate touch. Jennifer put on our noise isolating headphones and relaxed while Dr. Kari finished the appointment in just two and a half hours! She even left our office in custom temporary crowns that mimicked the esthetics and mechanics of the permanent units to come. 

Having your smile rejuvenated can be a stressful and daunting process. However, we pride ourselves in creating a relaxing atmosphere that makes the experience enjoyable! If you would like to know more about dental crowns, veneers or implants, please contact our office at (805) 480-9820 or at staff@thousandoaksfamilydentistry.com.

Our Wonderful Staff!

Why is our office so great? It has to be the awesome people who come together and make Thousand Oaks Family Dentistry a wonderful place to be. Our busy staff took a little time out of their day to put together these composite photos. Enjoy!

From left to right, top to bottom: Michael, Nancy, Shannon, Kristi Carol and Jonathan and Duke (moral support!)

From left to right, top to bottom: Adrienne, Aleeza, Faith, Jerry, Kari Ann and Lori

We love our staff and are positive you will too! If want to find out more about what makes our office special, please give us a call or email to schedule an appointment. 

Case Presentation: Midline Correction Update!

Here's a final update to our patient who received four Emax crowns to correct their crooked anterior midline. As you can see, the new crowns create a natural and straight smile with extremely esthetic results. In addition to centering and paralleling the patient's midline, the new restorations give the teeth a more rounded and youthful profile. Additionally, we were able to match the shapes of the two lateral incisors, creating a more harmonious appearance all together. 

A case like this highlights the importance of symmetry in cosmetic dentistry. In comparison to the before pictures, our patient's new smile is centered, with the left and right side incisors appearing as mirror images of each other. The result is a smile that exudes "natural beauty." If you would like to know more about the ways we use cosmetic dentistry to improve our patients' smiles, please give our office a call!

link to the original article

Case Presentation: Implant Crown

The advent of dental implants has made many procedures more predictable with better cosmetic results. Today's patients is a great example of the power of modern implants. They came to us missing two mandibular incisors and enough open space for one replacement tooth. Unlike the maxillary (upper) teeth, asymmetric midlines are much less noticeable on the lower arch. Using previous dental technologies, replacing this tooth would have required modifying the two adjacent teeth and creating a dental bridge. Preparing mandibular incisors for bridges is problematic, as the teeth are already so small that any reduction in size makes them very fragile. Additionally, bridges are harder to maintain than individual teeth and create food/plaque traps. 

For this patient, a single dental implant and crown created a perfect cosmetic solution to their missing incisor. They were fortunate to have enough bone level in that area to support the titanium anchor. Many times the bone around the mandibular incisors is too thin, requiring grafting or negating the possibility of an implant all together. This is why a proper consultation, exam and treatment plan is crucial in preparing for an implant procedure. If you would like to know more about dental implants, how we use them and who might be a good candidate, please give our office a call!