Come visit us at www.rondentist.com

Come visit us at www.rondentist.com

Monday, August 21, 2017

I had a Root Canal, I had a Crown and the Tooth still hurts! Why?

I had a root canal treatment.  They put the crown on afterwards and now the tooth is still sensitive.
Why does this happen?
Well let us start off by saying that root canal treatment is highly successful but highly successful does mean that there are failures.  Even with a success rate in the 90 percentile and above, if you are one of the few where it doesn't work, it is very unpleasant.
Why can a root canal treatment fail?  There may be an extra canal or 2 which we did not see and accordingly did not clean and therefore bacteria was left in the tooth.  As good as we get, and we are always getting better with greater magnification and better techniques, we still miss canals. Sometimes there maybe a fracture in the tooth which causes ingress of bacteria and dooms the tooth.
These things can happen and even with our best efforts a root canal may fail.  Keep in mind, our success rates are always improving and at 90 plus success rate we are not doing to bad.

All the best

Dr Ron Barzilay

enjoying doing Dentistry in Hamilton Ontario

www.rondentist.com

Monday, July 24, 2017

My Child is grinding his teeth at night and it is driving us crazy! What should we do?

I have had patients come in and ask me this question.  In the past I would have said that there is nothing you can do and they will grow out of it.  Today, I would ask them if the child is also snoring. I would ask a whole range of questions to see if possibly they have a number of different issues.  Depending on the results of our screening I may now refer the child to their family doctor to possibly send the child for a sleep assessment.  We would be concerned regarding the possibility of sleep apnea.  Today we understand that bruxism (teeth grinding) maybe the brains' way of trying to wake someone because the brain may not be getting enough oxygen. There is no question that as the child grows the airway will get larger and the problem of bruxing usually fades.  But you need to ask yourself is it worth waiting if it is an airway problem and your child is not getting enough oxygen to their developing brain.  How many nights without oxygen for a child brain is enough?   For this reason there are pediatric sleep studies and if the child has sleep apnea the treatment usually involves  removal of tonsils and adenoids and possibly orthodontic expansion of the maxilla.  The airway is openned and the child usually does better at school, stops snoring and bruximg and a whole range of other problems tend to improve.
All the best
Having fun doing dentistry in Hamilton Ontario

Dr Ron Barzilay

www.rondentist.com

Friday, June 9, 2017

SO HOW DO YOU GET YOUR KIDS TO BRUSH THEIR TEETH???

I get this question many times from parents.  Many times I get children and adults coming into the office and it is clear that they are not brushing their teeth.  When I ask if they brushed their teeth today, they answer "yes".  It is perfectly clear to me that they have not brushed their teeth but I move on because I don't want to embarrass anyone by confronting them.  How do I know they didn't brush?  It is quite clear by the amount of debris on the teeth.  Even if they did the worst job possible, you wouldn't have this much debris on the teeth.
I recently had a young man of 13 in the office.  He had just had his braces removed perhaps a month or two earlier and his gums were inflamed, fiery red.  I ran a probe over his teeth and huge amounts of white gunk (plaque) came off with the probe.  I asked him if he brushed his teeth today and he answered "yes he did".  The amount of plaque and the redness of his gums really worried me because this was a fork in the road for this young man.  Either a life of cavities and gum disease and eventually tooth loss or a beautiful smile with minimal tooth issues.  I asked him how long he had brushed his teeth today and he said a half hour.
I gave him a new tooth brush in the office and asked him to brush his teeth the way he does at home.
He brushed a little here and a little there and told me he was done.  I asked him how long he thinks that he brushed his teeth for and he answered, 1 minute!  I told him that he had brushed for 20 seconds.  I then took the tooth brush and systematically brushed his teeth so that I reached every area in his mouth in a systematic fashion..  I brushed his teeth this way for 2 minutes then I asked him to repeat what I had done.  He tried, didn't quite do it that well but he started to get the idea.  I guided him to  the the system that would let him clean every area and to how long it should take.  I told him he needs to do this morning and evening.  I had him back in two days and we repeated the same process with him brushing then with my repeating  and then with him brushing again.  I brought him in a week later and his oral hygiene had improved tremendously.  The red was almost gone and the teeth were clean.  We repeated again what we had done previously and I am bringing him in again in a month from now.
So how do you get them to brush?  You need to be involved, you need to work with your kids.  You need to let them understand that you are going to keep working with them until they brush their  teeth regularly and the way you show them.  The actual technique of brushing is not as important as the regularity of brushing and the time spent each time they brush They will come to the realization that it will be better for them if they just put a little effort into it themselves.  Eventually this will become a habit and they will brush for life.  You have to think of yourself as their personal trainer in the brushing department except that you are not getting paid.  Remember, spend the time with them!!!!

All the best
Dr. Ron Barzilay
Having fun doing dentistry in Hamilton Ontario

www.rondentist.com