Posted in Periodontist in Virginia Beach

Endodontically Treated Teeth Do Not Feel Pain

While feeling pain is never pleasant, it does serve a purpose. Pain tells us when something is wrong and where the problem is. Also when it goes away, we can be reasonably sure the issue is resolved. However, things can get complicated when those systems suffer a disconnect. This is the case with endodontically treated teeth, which oftentimes do not feel pain.

No pain?

Well, that’s not entirely true. If a tooth splits, or bacteria gains access to the underlying bone, then you will feel pain in your tooth even if it has been endodontically treated. Outside of extreme circumstances, the story is a little different. When teeth undergo root canal therapy, the inner living tissues and nerves are replaced with a filling. Lacking nerves, the tooth loses its power to let us know when bacteria, decay, and other forms of injury occur. Without pain, it’s difficult to signal your brain that your tooth needs medical help. Over long periods of time, ignoring a tooth that requires care can lead to tooth and bone loss, as well as extensive treatment.

Our priority is always to save your natural tooth, however, if due to additional damage we find the tooth is unsalvageable then our next best strategy may be an extraction and tooth replacement.

Long-Term Aftercare for Root Canal

As long as you’re caring for it properly, visiting your dentist regularly, and see no other signs indicating damage – no! Look for swelling, redness of the gums, or anything that looks out of the ordinary. The most important point of consideration is that, outside of physical injury, extreme damage doesn’t occur in an instant. If you do see any of these symptoms, or have been seeing them for long periods of time, we may need to discuss alternative plans for the failed treatment.

Proper care greatly minimizes the opportunity for bacteria to cause additional damage, and it protects the health of your smile. We love making our patients smile, and we are always happy to restore their confidence by way of a dental implant or other replacement option. However, before turning to a replacement option, we want to ensure our patients receive the necessary information to keep their natural smile brightly intact. If you have any concerns about the health of your smile, call us! We are always here to help.

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

Posted in Periodontist in Virginia Beach

Tooth Extractions Due to Dental Decay

In even the healthiest of mouths, there is a constant battle between good and evil – well, a constant battle between your teeth and harmful bacteria, which is virtually the same. Every time you eat, particles and bacteria are introduced into your oral ecosystem. The bacteria are fueled by sugars and other substances, which then produce acids that attack the enamel of your teeth. Fortunately, proper dental care combined with your mouth’s natural defenses can stave off the majority of would-be damage. However, we regularly see cases where the damage progresses irreversibly – usually due to poor oral care – and a tooth extraction becomes necessary.

Tooth Anatomy

Decay is treatable at any stage, but neglected for long enough may result in a tooth (or teeth) that cannot be saved. At this point treatment usually involves removal. It’s important to note that a lack of pain doesn’t mean a lack of damage. Once you’re in pain, you’ve already passed several thresholds of treatable damage. Additionally, the first layer destroyed by decay is the outer enamel. Enamel is not living and very hard – you won’t feel any pain until it reaches the inner layers. However, being that the inner layer of dentin is softer, decay will spread faster through it than the enamel. Ultimately, the decay will reach the living tissues inside your tooth; at this point, you may be able to undergo root canal therapy, or you may require an extraction.

Having a Tooth Pulled

The process of an extraction isn’t scary – we will ensure you’re comfortable with the treatment plan, and work with you from start to finish. In fact, the purpose of the extraction is to relieve pain – once the decayed tooth is gone, your gum tissue will return to a healthy, uninfected state – as long as proper oral care is consistently practiced.

Extractions are important when they become necessary because dental decay is the presence of bacteria and infection inside a tooth. This can severely compromise your health, as untreated oral infections can lead to an increased risk of heart disease. In rare cases the infection can reach vital organs and become life-threatening. Our goal is to keep all of our patients healthy, from preventative care to restorative dental treatment. We may be doctors of teeth, but being healthy all over is a pretty good reason to smile, and we can help you with that.

 

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

Posted in Periodontist in Virginia Beach

Why A Hard/Soft Tissue Graft?

When it comes to the health and beauty of smiles, some patients may be candidates for tissue grafting procedures. This form of treatment is used to replace the hard or soft tissues of the mouth that have been damaged or reduced. There are both medical and cosmetic motivations for a patient to receive a tissue grafting procedure. Our goal is to educate patients on the difference between hard and soft tissue grafts, as well as the reasons they may become necessary. If you find yourself in a position where you require a tissue graft, we will communicate with you each step of the way to ensure your comfort throughout the process.

Soft Tissue Graft

Soft tissue grafts are both medical and cosmetic procedures. Medically speaking, a soft tissue graft is very effective method to repair damage done by gum recession. Gum recession can be caused a variety of ways, but most often it is the result of incorrect tooth brushing. Gum recession is a gradual process, making it difficult for the patient to notice; however, when the roots of your teeth become more exposed, they become sensitive to extreme temperatures. The increased exposure also increases your likelihood of disease or infection. Left untreated, recession can lead to loose teeth or even permanent tooth loss. From a cosmetic point of view, some individuals desire a more even or full gum line to enhance the aesthetics of their smile.

In either case, the tissue grafting procedures remain consistent. The doctor will take soft tissue from elsewhere in the mouth, most commonly the palate, and then secure it to the recipient site. There are several methods by which this can be achieved, and you will be able to talk with us about which is most suitable for your needs. When it comes to healing, your ability to drive after the procedure will depend on whether or not sedatives are administered. You will receive special instructions for your post-operative dental care, and must adhere to a specific diet in order to promote healing. The discomfort you feel post-operatively will depend on how much tissue was grafted, and how it was done. Fortunately, the gums heal relatively quickly and pain medications keep everything very manageable.

Hard Tissue Graft

A hard tissue graft is commonly known as a bone graft. Although it can sound intimidating, a bone graft can offer you very beautiful and natural results if your smile has been damaged. Bone grafts are often recommended for those who have lost teeth and are seeking to restore their smile back to full form and function with dental implants. When a tooth is lost, it starts a process of bone recession in the vacant space created. The longer a tooth replacement is not implemented, the more severe the recession. When a restorative dental implant is to be placed, it is vital that there is enough supporting bone for the artificial root. If there is not, that is when we first graft additional bone into the area.

The amount of bone grafted depends on the preexisting condition of the area; if the tooth is only recently lost, it may only be a minor amount. If it’s been allowed to deteriorate, it may require more attention. As with soft tissue grafting, the doctor will provide instructions to promote healthy healing after your procedure. With proper care and a watchful eye, you will be healed up in no time, and have an absolutely beautiful smile to show for it!

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

Posted in Periodontist in Virginia Beach

Your Medicine Cabinet May Be Damaging Your Smile

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Connecting The Dots of Gum Disease

We all know the knee bone’s connected to the thigh bone, and the thigh bone’s connected to the hip bone – but the chain of command for your oral health can be a little less clear.

Well, plaque is connected to your teeth and daily brushing is key to plaque removal. What’s connected to plaque that isn’t removed? That would be tartar. Plaque hardens and becomes tartar, which makes a permanent home out of your teeth and gums. Only a professional can remove tartar – brushing alone cannot. Untreated tartar can wreck havoc on your oral health, and it isn’t always plain to see. This is what we call gum disease, or periodontitis. Signs you can look for include: swelling and/or redness of the gums (healthy gums should be tight and pink), as well as easy bleeding while brushing or flossing. Left untreated, the problem will worsen as your gums recede, creating pockets for more build-up to nest inside. The chain continues: the build-up’s connected to the infection of gums, and the infection of the gums is connected to the destruction of the bone structure and then removal of your teeth.

Yikes, the periodontitis song isn’t half as fun as the original.

As they say, an ounce of prevention is worth a pound of cure – but what if you’re still seeing signs of periodontitis and you take excellent preventative care of your teeth? The answer may be in your medicine cabinet.

Dental Dangers in your Medicine Cabinet

Yes indeed. Some medications are known to reduce natural saliva production, and saliva prevents plaque from accumulating. A few medicines can even cause abnormal gum tissue growth.

Saliva Reduction: Over 400 medications are known to affect saliva production. This list includes common medications like asthma inhalers and anti-anxiety medications. Nobody but your doctor or pharmacist can tell you which medications may have certain side effects, so always ask questions when receiving a new prescription.

Abnormal gum tissue growth: This type of gum disease is sometimes called “drug induced gingival enlargement” (DIGO), and can be contributed to by medications intended to help other conditions, like seizures. While these prescriptions may be incredibly important, work with your doctor to find one that agrees with your personal medical needs without causing gum disease.

You don’t have to live with painful, unhealthy teeth

If you take excellent care of your teeth and any of these symptoms or other dental discomfort applies to you: talk to your dentist, talk to your doctor, but don’t let your oral discomfort spiral out of control.

The jawbone should only be connected to a healthy smile.

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

5 Reasons to See a Periodontist

Most of us are well-versed with our trips to the general dentist and why regular cleanings are an important part of health care. However, teeth and all of their relating components are complicated systems requiring the help of several specialists – no matter the issue, there is a doctor that can help you! The doctor may be your general dentist, but it could also be a specialty doctor that has extensive training on a specific aspect of your oral health. In this way, you can be confident you are always taken care of and your smile can keep on shining.

We are a periodontics practice, focusing on your periodontal health. This includes your gums and related surgical procedures. We can also replace missing teeth and perform cosmetic procedures to keep you feeling confident. When it comes to trips to our office, here are five common reasons we might see you here:

  1. Implant Placement
  2. Periodontitis Treatment
  3. Gum Lifts & Crown Lengthening
  4. Bone Grafting & Regeneration
  5. Ridge Regeneration

Implant Placement

Implant procedures are one of our primary specializations – having a missing tooth can damage a person’s confidence, but did you know it can also affect the health of their mouth? When your smile has a vacant space, gum tissue and the surrounding teeth will compete to fill it. The damage it can cause is highly preventable, so if you have a missing tooth you should let us know. It is both a cosmetic and medical procedure that we are happy to work through with you.

Periodontitis Treatment

The development of periodontitis (gum disease) is a highly treatable condition that it is important to address. The early stage, known as gingivitis, is entirely reversible with proper care and help from your general dentist. However, once the condition advances, you may need our help to restore harmony to your smile. If left untreated, extensive damage occurs that may even result in the loss of teeth – don’t let that happen, give us a call.

Gum Lifts & Crown Lengthening

Your gums play an important role in the health and aesthetics of your smile! Gum tissue can recede and require corrective treatments, or exist in excess resulting in dissatisfaction with your gummy smile. Gum recession is attributed to several things, including periodontitis or insufficient home care. Fortunately, we can remedy both conditions in our office by either grafting or lifting – don’t let your gums dictate your confidence in your smile.

Bone Grafting & Regeneration

There are a variety of situations that require a bone grafting procedure for when there is not sufficient bone remaining in the mouth, most commonly: extraction site graft, past injury, severe caries, or periodontal disease. Bone regeneration is a procedure used to prevent gum scar tissue from invading a vacant space in order to best reshape or rebuild the jaw. The use of these procedures can greatly enhance the outcome of restorative procedures, such as dental implants.

Ridge Regeneration

Ridge regeneration is a helpful procedure when it comes to the successful placement of implants or dentures. When a tooth is lost, it’s nearly impossible for the surrounding gum tissue to remain unaffected; instances like this require remedial steps to ensure the success of restorative treatments. By using ridge regeneration, we reinforce the integrity of your jawbone and achieve beautiful results with natural looking dental implants.

 

We are here to help you feel confident about the health of your smile. If you believe any of these procedures could benefit you, or if you have any other concerns about your oral health – contact our office and let us help.

 

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

Posted in Gum disease

Keep Calm and Floss On

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On August 2nd, this New York Times article was published and caused quite a bit of controversy in both the dental community and with the general public. While it is not conclusive in its findings, the overarching claim is that flossing may not be as beneficial as once thought. As dental professionals, we take very seriously the responsibility we have ensuring our patients receive the best possible education and care regarding the health of their smiles. For this reason, we feel compelled to express our disagreement with the suggestion that flossing may be overrated, and why that’s a harmful position to propagate.

Let’s first look at the article, which uses a lot of language such as:

  • “…flossing may be
  • “…most of the current evidence fell short…”
  • “That flossing has the same benefit is a hunch that has never been proved.”
  • “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known asgingivitis.”

There is a stark difference between something ‘not having been proved’ and something being ‘disproved’. Please know that there is no evidence remotely close to suggesting the latter. In fact whether the evidence is “mediocre” or not, the only evidence the article does mention (quoted above) is in favor of flossing. A lack of ability to prove something is not cause to discourage an entire population from participating in a highly beneficial component of their health care. This is particularly true because evidence is acquired by conducting large-scale studies, which are extremely costly. It would hardly be economical to spend the research funding to prove something we already have no doubt offers a variety of benefit for your oral and overall health.

We do not agree with the article’s brash call to action, or more accurately, call to inaction, and we fear how this may increase the number of people inflicted with preventable damage to their smile. Looking again at the line “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known as gingivitis.” Gingivitis is the first stage in periodontal disease – the very condition flossing aims to combat. To reduce gingivitis is to reduce your chances of progressing into advanced gum disease, a condition more than half of Americans already suffer from (CDC).

It is unfortunate the scale of damage this article has the potential to incite; too many readers will take this “lack of evidence” as being evidence to the contrary, and feel it gives them permission to neglect a very essential part of their oral health care.

We can only do our best to keep our patients like you educated and on the path to a lifelong happy and healthy smile – a path that certainly includes consistent flossing.

CDC: “Periodontal Disease.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 10 Mar. 2015. Web.

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

Posted in Office News, Periodontist in Virginia Beach

What Types of Sedation Dentistry Are There?

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Pros and Cons of Sedation Dentistry

Sedation Dentistry, or ‘sleep dentistry’, is the use of sedatives to ensure the patient has a relaxed and calm experience during dental procedures at our [CITY] dentist office. We understand dental anxiety is a common and natural reaction. We want you to know that you are taken care of so you can feel excited about improving your smile. You have several different options to consider, and each offers their own unique pros and cons.

Oral Sedation

Oral sedation is a very common sedative, as it only requires the patient to take a simple pill. Depending on the prescribed dosage it may be taken the night before, or as soon as an hour before the procedure. Many patients prefer oral sedatives because no needles are involved, and they prove very effective while also remaining very affordable.
You should consider that you will need a friend or family member to drive you to and from your appointment, and you should not operate a vehicle or other heavy machinery until the effectives wear off – it’s important to follow the medication’s guidelines. Oral sedatives are most commonly used for a light to moderate form of sedation.

Nitrous Oxide

Nitrous oxide, most commonly referred to as ‘laughing gas’, is another simple and non-invasive form of sedation. It is is administered via inhalation through a mask placed over the nose. A major benefit to nitrous oxide is the effects only last as long as the gas is flowing, so you are safe to drive immediately following your procedure. However, it is considered a light form of sedation and may not be sufficient for some patients.

Intravenous (IV) Sedation

IV sedation is another common method which offers the doctor the ability to adjust the level of sedation as-needed throughout the procedure. This form of sedation requires the use of a needle, which some patients find uncomfortable. On the other hand, it provides a deeper form of sedation which can greatly reduce dental anxiety and increase comfort during treatment. It would still be necessary to make driving accommodations.

General Anesthesia

This is the deepest form of sedation. General anesthesia is for patients who do not want to experience any part of the procedure, and renders them unconscious. This is not a good option for patients who do not have severe anxieties as it can only be administered by an anesthesiologist or other certified surgeon, which often drives the cost of the overall procedure up significantly.  However, for some it is the only way they feel comfortable with dental work, and it’s always better to ensure you are receiving the treatment you need. As this is the heaviest form of sedation, you will need someone to drive you home following the procedure.

Please keep in mind we do not recommend sedation dentistry for any specific procedures – only individual patients and their unique needs. There is no procedure that does or does not require a sedative; it completely depends on your comfort level. If you have an upcoming treatment and would like to discuss how sedation dentistry could benefit you, please let us know. We will work with you to ensure your procedure is an anxiety-free experience!

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