Posted in dental health, Periodontist in Virginia Beach

Don’t Let Dental Anxiety Stop You.

We’ve all been nervous at some point in our life. Some fears are irrational while others are well earned from negative experiences. We understand what it’s like to feel uneasy and anxious. That’s why your comfort is always at the top of our mind! With sedation, you can have a more relaxing visit while taking care of your oral health needs.

Types of Sedation

Nitrous Oxide Sedation – Nitrous oxide, also known as laughing gas, is most often used for patients who are mildly or moderately anxious. It’s administered by placing a small mask over the patient’s nose. As the gas begins to work, the patient becomes calm, but is still awake and can communicate. When the gas is turned off, the effects of sedation wear off almost immediately.

Oral Sedation –Patients who are more anxious may require something stronger than nitrous oxide. With oral sedation, the patient may be sleepy but can also be aroused if necessary and can respond to simple commands.  Minor side effects such as nausea or vomiting can occur with some medications. You may need assistance to get home after sedation, and patients may need to stay for a short observation after dental treatment has been completed.

While we do not perform IV Conscious Sedation or General Anesthesia we like our patients to be fully informed and are always happy to answer all of your dental questions.

Body ImageIV Conscious Sedation – IV conscious sedation is usually used to help patients relax during surgery or more advanced dental procedures that take a longer to complete. During this form of conscious sedation an IV is placed in the patient’s vein in order to give the sedative medication. A patient is still able to respond to verbal commands and is aware of what is going on but the patient will not remember much of what happened during their procedure. This helps when dealing with a long procedure or patients that have a great deal of anxiety about surgery or their specific procedure.

General Anesthesia (IV Sedation) – General anesthesia puts a patient into a deep sleep. He or she is unable to feel pain or to move around. General anesthesia may be recommended if the patient:

  • Can’t relax or calm down enough for treatment to be performed safely, even with conscious sedation and other behavior management techniques
  • Needs oral surgery or other dental treatment that would be difficult for the patient to tolerate while awake
  • Needs a lot of dental work that can best be done in one long appointment rather than many shorter visits
  • Has a medical, physical or emotional disability that limits his or her ability to understand directions and be treated safely as an outpatient

We have many years of experience, and will use the safest and most effective medications appropriate for you. So, if you’re ready to relax in the chair with sleep dentistry, give us a call and schedule today.

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

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Posted in Periodontist in Virginia Beach

The Pin-Hole Procedure

Alexander
Alexander Before

Many patients have called and asked about the “pin-hole procedure” to repair defects and recession in the gingiva (gum).  There is a national advertising program for this patented procedure, which was developed by Dr. John Chao, who is a general dentist and a lawyer.  It is most unusual for clinical procedures to be given a patent, since medical and dental information is extended freely through journals and research.

Alexander
Alexander After

Legally, no one who performs this type of gingiva (gum) repair can call it a “pin-hole procedure”, unless the clinician attends Dr. Chao’s fairly expensive class, and buys his (also expensive) patented instruments.  Although Dr. Chao has some very nice cases, his techniques and instruments are not terribly different from what periodontists have been using since 1985.

 

Dr. Rogge performs a variety of procedures for recession and cosmetics.  Please visit our website, to look at photos of cases he has treated.  The Pin Hole Technique may or may not be appropriate for all cases and that is why he is well trained in a variety of procedures. He can take a look and help you determine the option that fits your needs best. If you are concerned about the recession and appearance you see in your gum around your teeth, consider calling our office to schedule an evaluation for you and help you with that.

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Posted in dental health, Periodontist in Virginia Beach

4 Tasty Foods to Avoid with Gum Disease

Gum Disease can be painful at any stage. If you have Stage 2 or Stage 3 periodontitis dietary changes will be bittersweet. You may already be finding yourself naturally gravitating to softer foods in effort to avoid discomfort. Here are a few surprises that could aggravate your condition.

  1. Pickles and Relish

PicklingWhile not typically considered something to avoid for oral health, vinegar is the prime suspect here.  As you may know, it’s highly acidic, and acid is notorious for quickly wearing down tooth enamel. So, it’s important to keep this in mind when eating anything pickled while your tooth roots are exposed.

  1. Peanut Butter

You either love it or hate it. You may even be particular in how you eat it, straight from the jar or only in a sandwich… Have you ever tried it with pickles? This easy to digest, childhood staple can be a healthy snack when opting for the “no added sugar” variety. While it may take some getting used to, it’s the sugar that helps peanut butter better stick to your teeth and tooth roots.

  1. Dried Fruit

Dried FruitLoaded with sugar, the stickiness in dried fruit may or may not be something you’re still able to enjoy. Even in small doses, there’s a high chance of this sweet treat getting stuck deep in your teeth and gums. Once lodged, it feeds the bacteria and can further dental erosion.

  1. Crackers

There’s crackers for every occasion, and this appetizer favorite is not typically associated with dental problems. However, consuming an abundant amount of refined carbohydrates is a known cause of inflammation. Avoid exacerbating your situation by limiting carbs.

Having a perio treatment plan with a dedicated hygiene routine will keep your smile on a healthy track. Periodontitis is treatable. Avoiding sticky, sugary and pickled foods is best for patients suffering from gum disease. If you have any questions about what dietary changes are necessary for your oral health, speak with your periodontist directly. We have the best understanding of your unique situation.

 

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Posted in Gum disease, Periodontics, Periodontist in Virginia Beach

4 Risk Factors of Gum Disease

Have you ever had something caught in your teeth for days? It’s likely because it was lodged deep between a tooth and your gums. That gum tissue is what keeps our chompers in place. There are three stages of gum disease. They’re all are treatable and it starts with an infection of bacteria under the gum line.

gingivitis_2The mild form of gum disease is Gingivitis. This is where plaque and other byproducts irritate the gums. It makes them swollen, tender, and more likely to bleed. Periodontitis is stage two. The gum tissue starts deteriorating as it detaches from the teeth forming pockets around the roots. These pockets can have a depth up to 7 millimeters. Finally, Advanced Periodontitis can set in. Tooth pockets get deeper as the severe gum recession leads to bone loss impacting your total well-being. Depending on how quickly and destructive your case is determines if surgical or non-surgical treatment is the best option for you.

Common Risk Factors of Periodontal Disease

  • Genetics – it’s hereditary and some of us are just unlucky! While you may be more susceptible to periodontitis, having a good oral hygiene routine with regular dental visits can help your smile stay healthy. Talk to us about finding the right balance for your needs.
  • Health – underlying medical conditions like diabetes and Crohn’s disease, as well as lowered immunity from illnesses and treatments often affect gum tissue. Medications, hormonal changes and obesity are also culprits and should be discussed.
  • Bad Habits – chewing on ice, not brushing or flossing daily and using tobacco are the most common behavior changes we encourage you to ditch. However, substance abuse and a diet lacking in vitamin C will also impact your smile.
  • Stress – it’s inevitable. But keep an eye on exactly how much it’s weighing you down. High levels or chronic stress can lead to poor hygiene habits. Anxiety can also lower your immune system from effectively fighting off bacteria that causes gingivitis (stage 1).

When to Seek Help

Common red flags of gum disease include:

  • Bleeding gums
  • Swollen or tender gums
  • Gums look bright red
  • Teeth wiggle

There’s no home remedy to cure gum disease. If not stopped quickly, serious damage to your gum and supporting bone will require much more aggressive treatment to save your teeth. Only professional treatment can help, so call today for a consultation (757) 333-7444.

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Posted in Periodontist in Virginia Beach

Who Needs a Frenectomy?

Frenectomy - imageBefore the “who”, let’s start with the “what”— what’s a frenectomy? The short answer: a frenectomy is a minor dental procedure where excessive gum tissue is removed. Specifically gum tissue around the gum line. A frenectomy can be performed on one of two areas in the mouth: the lingual frenum or the labial frenum. Both are common and highly effective.

Lingual Frenectomy

The lingual frenum is beneath the tongue. Depending on growth, you’re likely just fine or may be a bit tongue tied. This is when the lingual frenum is tight enough to impede speech, and is really most common in children. In cases like these, having a lingual frenectomy will loosen your tongue to a greater range of motion allowing for clearer speaking. In some cases, it will also improve appetite if the excessive tissue was hindrance when eating.

Labial Frenectomy

Frenectomy

The second type of frenectomy is on the labial frenum. It is much more visible as it’s the skin that’s attached to the middle of your upper gums. If there’s excess, it will pull your gums away from the bone. This often causes a gap between the two front teeth along with gum recession. If you’re undergoing orthodontic treatment, you may be recommended to have a frenectomy to help close gaps in your smile zone. While denture patients may consider the procedure to have a more secure fit, as the frenum may rub against the prosthetic causing discomfort.

Am I a Candidate for a Frenectomy?

A frenectomy is a quick procedure that can take as little as 15-minutes to fix a life-long problem. As with any dental treatment, we can only be sure you’re a candidate based on your unique case. If you’re tongue tied, feel like your tongue has limited range of motion, getting ready for orthodontic treatment, or if you have dentures, call for a consultation.

 

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Posted in dental health, Gum disease, Periodontist in Virginia Beach

5 Tips for Creating Healthy Oral Hygiene Habits

Lead by Example

Family BrushingKids look to their parents to set standards in all things, including oral hygiene. How you behave is how they will act. Since the best way to teach children is by example, it is important that your child sees you brushing twice a day and flossing. Include your child in the process. Do it together, allowing them to help by putting toothpaste on your brush. Your demeanor in the dentist office will also influence how your little one behaves during their own visit. Remaining calm demonstrates that going to the dentist isn’t scary, and they’ll be much more cooperative during their own chair time.

Make Brushing Fun

Making brushing and flossing a game rather than a chore can be a great way to engage with your kids and get them excited about maintaining their oral health. Pretending the tooth brush is a hiker exploring a cave (their mouth) and the floss is a rope is one idea. Older kids can benefit from a reward system. Every time they brush their teeth they receive a gold star to add to a sticker chart. Once they get a certain number they’re rewarded with something like staying up an extra half hour past bedtime or an extra 15-minutes of electronics time.

Make a Visual Statement

plaqueDisclosingFind plaque disclosing products. These usually come in tablet form or mouthwash that turns plaque buildup bright colors. This is a great visual to help kids understand that even though they don’t see the plaque, it’s certainly there!

Teach Responsibility

Older kids get excited about the idea of having more responsibility. Provide them with the necessary tools to structure their oral hygiene routine. Have them set an alarm to alert them when it’s time to brush for bed and in the morning. They can even keep a brushing and flossing log to track the times and duration of their sessions.

Start Dental Visits Early

Finger-Family-No-BackgroundTeaching kids proper dental practices wouldn’t be complete without bi-annual exams. By visiting your dentist regularly, you instill the importance of consistent exams.  Your dentist loves working with children, and they work hard to make the experience stress free and fun for the whole family.

 

 

 

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Posted in dental health, Gum disease, Periodontics

Periodontics and Untreated Cavities in the US

shutterstock_14313997With the vast advancements in the dental field this last decade, it may be surprising to learn that untreated cavities stemming from gum disease are still a prevalent and persistent issue for many people in the United States. More than one in five Americans has untreated cavities and periodontitis, according to Dr. Bruce Dye, an epidemiologist at the U.S. Center for Disease Control and Prevention. “It appears that we haven’t been able to make any significant strides during the last decade to reduce untreated cavities” (Dye.) 

How do cavities relate to periodontal health?

shutterstock_125978177 Bacterial plaque continually accumulates on your teeth at the gum line. The same bacterial acids that destroy tooth enamel can cause an infection of your gum tissue and the bone surrounding your teeth. When the plaque is not fully removed, it hardens in to tartar – giving the bacteria a place to thrive, in turn leading to cavities and gum disease that gradually breaks down tooth and bone.

Mother Daughter BrushingYou can reduce your odds of developing gum disease and cavities through engaging in healthy lifestyle choices. Practicing good dental hygiene by regularly brushing and flossing is essential.   Limiting sugary drinks and unhealthy snacks that feed the bacteria that lead to tooth decay and periodontitis is another controllable element in cavity and gum disease prevention.  Regular periodontal cleanings are also paramount. When problems are identified and treated early, it prevents the necessity for further costly and invasive procedures.  If you are experiencing sensitivity or pain, schedule an appointment today.

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444