Welcome to My Blog!

Welcome to my blog!  I am super-excited about starting my own blog and I hope I can share some of my experiences in dentistry, provide update on latest dental technologies/ products and the latest happenings at my dental office!

image_1

Tooth Cavities — Grandparents spoiling your kids?

So you might be asking me how Grandparents and tooth cavities related?  Actually this is an actual story happened to my patient’s child in my office.  I remembered when the dad brings his 4 years old son to my office for evaluation.  I immediately see almost all of the child’s teeth were blackened.  I asked how this happen. The dad told me that their parents or (the child’s grandparents) have spoiled the kid and let them eat all these candies.  Also, grandparents did not monitor the brushing habit of their kids.

This family is new immigrant from China.  The mother and father works in Phoenix and occasionally they would fly back to China for vacation.  Last summer, when they go back to China for summer, they let their youngest child (who has not begun schooling) to stay with the grandparents for 6 months.  When the mother sees her child after six months, to her surprise, her child’s teeth have developed multiple cavities.

A lot of times, the older generations in China do not have adequate dental care at their old times and also they don’t understand proper dental hygiene instructions.  And also, the grandparents probably spoil the grandchild that probably allows them to eat the candies and not brush properly at night.

The importance of this story is that the parents should teach the child proper dental hygiene at an early age, and also have a routine schedule of taking them to dentists for checkup and cleaning, at least once every six months.  Also, when the child is away to stay with grandparents, proper instructions should be given and also routinely check up on them on nutritional habits, hygiene, and health.  Even the child is staying with relatives, it is pertinent to stay informed on your child.

 

Written by Daniel Tee, DDS, MS

If you have any questions or want to schedule an appointment, Please call 480-820-6131

Practicing General Dentist in Tempe Arizona

Atraumtic Extraction of Teeth — Oral Surgery

Atraumtic extraction of teeth is a surgical extraction technique in which the teeth are extracted with minimal amount of damage to the surrounding bone and tissue structure.

As a dentist, I always focus to deliver optimal dental care to patient.  With all extraction, I take special care to minimize discomfort to patient and to efficiently perform the surgery.  With the new development of surgery instruments and increased popularity of implants, I am able to perform the surgery of extraction in the most atraumatic ways than it has always been in the past.

In the past, usually the two most common types of instruments are elevators and forceps.  The elevators is used to loosen the tooth in the socket by applying torquing pressure on the tooth against the bone socket or the surrounding tissue.  After the tooth has become loosen, a forcep is used to further grab the tooth out of the bone socket.

Most of the time, this traditional extraction technique requires a lot of blunt forces in the process of loosening the tooth.  Sometimes, the surround bone, especially the buccal bone,might become fractured inevitably in the process.

However, with the increased popularity of dental implants, dentists have become more aware of the importance of preserving the bone.  A good natural bone is desirable for optimal implant placement and osseointegration.  Thus, a newer generation of surgery instruments are developed.

The newer generation of surgery instruments are periotomes and luxators.  Even though they were first used by dentist more than a decade ago, these instruments have recently been reintroduced to the dental offices by popular demand due to their ability to allow dentists to perform atraumatic extraction and surgery.

Atraumatic Dental Extraction, Periotome, Periodontal Ligaments, Tempe Dentist, Tempe, Chandler, Mesa, Phoenix, Gilbert, Arizona

During extraction, periotome is iinserted into the gum pocket to sever the periodontal ligaments in order to loosening the tooth.

The periotome instrument is a small surgical knife-like instrument that is inserted into the pocket between the tooth and the alveolar bone.  In there, there are ligaments and fibers extending from root surface of the tooth to the surrounding alveolar bone.   The periotome instrument is inserted and is able to cut through these fibers/ligaments.  In essence, the periotome is performing microsurgery to sever the periodontal ligaments.  Once the fibers are cut, the tooth will be loosened.

Next, luxator is a small instrument with a thin blade at its tip.  The thin blade is further inserted into the space created by the periotome.  With a couple of small twist, the tooth will become completely loose and a forcep can be used to grab the tooth out of the bone socket.

Disclaimer: this surgery technique is not applicable to all situation.  And even though it was inteneded to perform surgery atraumatically, some unexpected situation may arise and dentist would need to perform additional steps to complete the surgery.  Not all tissue or bone can be preserved atraumatically as intended.

 

 

Written by Daniel Tee, DDS, MS

If you have any questions or want to schedule an appointment, Please call 480-820-6131
Practicing Emergency Dentist Serving Tempe, Chandler, Phoenix, Mesa, and Gilbert Arizona

 

Sleep Apnea

Sleep Apnea, Tempe, Chandler, Mesa, Phoenix, Gilbert, ArizonaSleep apnea is the sleeping disorder in which a person is monmentarily not breathing properly during sleep.  This can happen to a numerous reason.  One common reason is that when a person sleep, the mouth is closed and the tongue is sitting more posteriorly and as a result, the air passage become narrow because the tongue sits closer to the opening of the airway.

Often, when the air tries to push through the obstruction, the vibrating sound results and this is what we called snoring.

To resolve this problem, dentist can fabricate a mouth piece that can fit in between upper and lower teeth so that the mouth becomes slightly open and the air passageway widens.

 

Written by Daniel Tee, DDS, MS

If you have any questions or want to schedule an appointment, Please call 480-820-6131
Practicing Dentist Serving Tempe, Chandler, Phoenix, Mesa, and Gilbert Arizona

Dental Avulsion — Immediate Treatment

Dental Avuslion, Hanks Solution, Root canal therapy, Ankylosis, resorption, Tempe, Chandler, Mesa, Phoenix, Gilbert, ArizonaDental avulsion means that the tooth has been completely knocked out of bone socket.  This usually happens to the front tooth when the young child endures physical contact in a sport.  Generally avulsed tooth can be replanted back with good prognosis.  Here is what to do in a dental emergency involving tooth avulsion:

Upon immediate avulsion, try to pick up the tooth by the crown area.  Avoid touching the root area where the vital cells are on the surface of the root.  We need the vital cells to help the tooth to reattach to the periodonteum after replantation.

Next is to clean the tooth with cold running water for 10 second.  Wash off any visible debris but do not scrub the tooth.  You can either replant the tooth into the original socket or put the tooth into a bottle of milk.  The longer the tooth is dried, the poorer the chance of survival.

Take the child to the dentist for evaluation.

I would take a couple of Xray image to verify the condition of the tooth and the bone socket.  I would take xray to verify for proper placement position.  I would splint the tooth together with the adjacent tooth and tell the patient to wear the splint for two weeks.  I would also put patient on an antibiotic regimen.  If tooth is contaminated with soil, I would recommend patient to have medical checkup and evaluate for the risk of titanus.

Sometimes, the tooth would need root canal therapy in the next 7-10 days, followed by periodic checkup and Xray radiograph.

If the tooth has been dried for more than 60 minutes, the prognosis of the replantation goes down.  Root ankylosis or root resorption may occur and the tooth may eventually be lost.

 

Written by Daniel Tee, DDS, MS

If you have any questions or want to schedule an appointment, Please call 480-820-6131
Practicing Emergency Dentist Serving Tempe, Chandler, Phoenix, Mesa, and Gilbert Arizona