Below is a list of common conditions. If you want more information about a specific condition, click on the condition and you will be directed to further information.
Condition
| Bruxism (teeth grinding) Cavities Cracked Teeth Denture and Partial Problems Discolored Teeth |
Gum Disease Malocclusion (bad bite) Sensitivity Snoring TMJ (jaw joint) Disorders |
Bruxism (teeth grinding)- this condition occurs in both adults and children generally in their sleep. Night grinding is considered a sleep disorder. Children often grind their teeth when their teeth are erupting. This is not uncommon and is considered normal if it is mild. Adults may grind their teeth at night due to malocclusion (bad bite) or as a result of stress. The results of bruxism can lead to worn down spots on the teeth (attrition), tooth sensitivity, brittle teeth that require crowns or TMJ problems. Both adults and children are automatically screened by Dr. Kohani for signs of excessive wear so that they may be further evaluated to prevent serious problems. If you would like more information, contact us today.
Cavities - or what is generally known as tooth decay begins when the protein saliva combines with the sugars and carbohydrates of food particles left or stuck in between the teeth. This combination turns into plaque, which eats away at the hard enamel shell around your tooth. Left untreated, a hole will be created in the enamel and a cavity will rapidly form in the softer dentin. Usually, a filling will correct the problem. Larger cavities may require an inlay/onlay or a crown. However, if left untreated, the decay will spread and the nerve may become involved often causing root canal therapy.
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Cracked Teeth- If you have a broken or chipped tooth as a result of trauma or injury please call the office immediately! Click here for more information to contact us. Often cracked teeth can be a result of faulty fillings with decay under them. If you have a broken or chipped tooth that is not the result of recent trauma, Dr. Kohani can evaluate the tooth for possible minor treatment now to save you from a more significant procedure in the future.
This chip can be corrected by enamel shaping (cosmetic contouring). If the chip is larger, the best option is most likely bonding or veneers. Large chips and fractured teeth generally require a crown and if the fracture involves the nerve root canal therapy may be needed before the tooth becomes infected. In extreme cases, a broken tooth cannot be saved and an extraction is needed. The missing tooth can be replaced with a dental implant and restored with a dental implant crown. Contact us today.
Denture and Partial Problems- Dentures rest on a ridge of bone and gum tissue. Over time, the ridge will shrink causing the denture to no longer fit properly. If there are tooth roots an overdenture may be placed anchored by dental implants to prevent bone loss and tissue shrinkage. If you have a partial denture, the ridge will not shrink as rapidly but there will be some changes over time, causing the partial denture to become loose. Sometimes, a denture can be relined to make it fit better. If the denture or partial denture is worn or brittle, or if the change in the ridge is significant, a new denture or partial denture may need to be fabricated in order to obtain a proper fit.
As your gums change over time, a sore spot will occasionally develop where the denture or partial rests on the gums. If a spot develops, make an appointment for an adjustment or a reline of your denture or partial. Remember, dentures get bacteria build-up on them, just like natural teeth. Even with proper brushing with a cleaning solution and brush, the stains and bacteria may not be removed and you should bring them in the office to be professionally cleaned. Due to this fact, dentures can also develop an offensive odor. If your dentures appear clean but have an odor, contact us for advice on how to remove these odors. Contact us today.
Discolored Teeth - There are several things that cause tooth discoloration:
- *Frequent drinking of coffee, tea, red wine and colas
- *Some antibiotics may darken developing teeth in children
- *Aging- the dentin underneath the enamel of a tooth
gradually darkens with age
*Use of tobacco products - *Accidents that involve a tooth being traumatized will sometimes cause the tooth to gradually “die” and darken
- *After root canal therapy a tooth generally darkens
The three most common remedies for tooth discoloration are whitening, veneers or crowns. Please contact us for an evaluation to see which option is best for you.
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Gum Disease - According to the American Dental Association, at least 60% of adults living in the United States have moderate to severe gum disease. You may have heard the terms: Plaque, Tartar, Calculus, Gingivitis, Periodontitis, Pyorrhea, Periodontal Disease and Gum Disease. These are all terms related to gum disease. Gum disease starts when plaque and tartar (calculus) are allowed to accumulate at the base of your teeth. The bacteria in the plaque lead to an infection in your gums (gingiva) called Gingivitis. If left untreated, the infection will spread to your tissue and bone leading to Periodontitis (Pyorrhea) and deterioration of your bone and ultimately tooth loss. Due to the bacterial infection associated with Periodontitis, tooth abscesses are common.
The signs of gum disease are usually silent in the early stages. Some common signs of gum disease are gums that bleed when you brush or floss, gums that are red or swollen or uncomfortable, gums that have pulled away from the teeth (receded), pus in between the teeth, loose teeth or teeth that are separating from each other, a change in your bite or constant bad breath.
At all our patient examination, a thorough exam, which includes x-rays, visual examination, TMJ evaluation, an analysis of hard and soft tissues along with periodontal charting helps determine the health of your gums as well as which dental hygiene procedures are best for you as well as your specific home and professional care protocol. Contact us today.
Malocclusion (bad bite) - Mal-occlusion literally means “Bad Bite”. A bad bite can be caused by several things. Heredity - both parents may have “perfect teeth” but if a child inherits a small jaw from one parent and large teeth from the other, the result most likely will be crowding of the teeth leading to orthodontic treatment. Missing teeth- if permanent teeth are not replaced by dental implants, a bridge, or a partial denture, the adjacent teeth grow into the empty space and the opposing teeth can “super erupt”. Baby teeth that are prematurely lost due to decay or injury sometimes necessitate the use of a spacer to keep surrounding teeth growing straight until the permanent teeth completely erupts to replace the missing tooth. Grinding teeth (bruxism) - severe cases of bruxism can cause malocclusion.
If malocclusion is left untreated, it can affect the patients appearance and can lead to TMJ problems and an increase risk of decay and periodontal disease.
Sensitivity- Teeth can be sensitive for many reasons. Sensitivity to chewing pressure can be caused by decay, an abscess or a cracked tooth. Sensitivity to sweets is usually caused by decay. Sensitivity to hot and cold usually indicates decay, an abscess, worn teeth or receded gums. It is not unusual for recent dental restorations to be sensitive to hot and cold foods. This sensitivity should decrease with time. If sensitivity with a recent dental restoration worsens or persists, contact us immediately. Contact us today.
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Snoring- Snoring is no laughing matter! Not only does snoring disrupt the sleep cycles of other family members, but in the case of sleep apnea, snoring can be a sign of this dangerous health problem. Sleep apnea cuts off the oxygen flow to the brain and in severe cases of repeated disrupted sleep cycles motor skills may be affected in a negative manner. Snoring is caused by a partially obstructed airway when you sleep. The soft tissue and muscles in your mouth and throat are closed causing your airway to become smaller. If your airway becomes small enough, your soft palate and uvula begin to vibrate when you inhale and exhale. These vibrations are the cause of the sound that people refer to as snoring.
TMJ (jaw joint) Disorders- Often this condition presents itself with a popping sound and sensation near the jaw joint. TMJ problems mostly affect women. Some symptoms of TMJ include : headaches, earaches, ringing in the ears, pain or soreness in and around the jaw joints, dizziness, numbness in the fingers and arms, difficulty swallowing, limited movement or locking of the jaw, clicking or grating sounds in the jaw joints, pain behind the eyes, neck,shoulder or back pain, facial pain and unexplained loosing of the teeth. Left untreated, the symptoms increase in number and severity as you get older. A complete TMJ evaluation with specific TMJ x-rays will be needed to evaluate each individual condition. Dr. Kohani is proficient in an orthodontic technique that can relieve the pressure off the joint after care review of the patients bite and case specific diagnostic records.We have successfully treate patients whom were told that surgery was the only solution within a few weeks or months without any invasive procedures. Contact us today.
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