Wednesday, February 13, 2013

How does a microsope help with a root canal?

Has your dentist ever told you that he or she can't do this root canal and sent you to an endodontist?  Often they will say...they have a microscope which will help them find the canals!  This is true!  The microscope allows us to see deep inside the tooth and find little branches or canals that are hard to find.  Here is a demonstration of the 6 different magnifications that I work with.

 
Above is a dollar image taken with a camera and no magnification.  Imagine that you are looking into a tooth trying to find canals the size of Washington's pupil.
 
 
 
Above is the dollar image taken with the lowest magnification on the microscope.  Remember to look at Washington's eye
 
 
 
 
 
The above magnification is where I do most of my work and then go to higher magnification in specific instances.
 
 
 
Here is the highest magnification.  As you can see it is much easier to find a canal the size of Washington's pupil at a higher magnification.
 
 
The microscope has changed endodontics and allows us to find canals that we couldn't have found before.  I can't imagine working without one!


Thursday, January 31, 2013

Kid History: "Healthy Food"

MouthHealthy.org is Now Live

This has some really useful information on it, try it out!


MouthHealthy.org, the ADA’s new website for consumers, has information you need to take better care of your mouth today so it will take care of you for life.
Visit your life stage and find healthy habits, top concerns, nutrition and fact or fiction.


Wednesday, January 23, 2013

We found this new post by the ADA helpful and interesting

 

 SHOULD I TAKE ANTIBIOTICS BEFORE MY DENTAL PROCEDURE?
 
You have an orthopedic implant (joint replacement, metal plates or rods, etc.) from a previous orthopaedic surgery.

• A potential complication of these implants is bacterial infection, which occurs in approximately 1-3% of patients. These infections require more surgery as well as antibiotic usage for an extended period of time. Most infections occur around the time of the procedure (within one year), but some have occurred much later.
• In theory, late implant infections are caused by the spread of the bacteria from the blood stream to the implant. Unfortunately, there is no clear scientific evidence to support this theory. We know that many patients with orthopedic implants frequently have bacteria in their blood that does not spread to their implants.
Dental procedures have long been considered a potential cause of implant infections even after the initial orthopedic postoperative period. This is because dental procedures can introduce bacteria from the mouth into the bloodstream. However, this fact should be considered in the context that eating and performing oral hygiene at home may also introduce oral bacteria into the blood.
• Traditionally, antibiotics have been provided prior to dental procedures in patients with orthopaedic implants to minimize the bacteria that get into the blood.
• Best evidence, however, does not show that antibiotics provided before oral care help prevent infections of orthopedic implants.
• The routine use of antibiotics in this manner has potential side-effects such as increased bacterial resistance, allergic reactions, diarrhea, and may even cause death.
Patients who have compromised immune systems might be at greater risk for implant infections;
• Diabetes, rheumatoid arthritis, cancer, chemotherapy, chronic steroid use are examples suggesting immunosuppression. Please discuss your potential for immunosuppression with your physician or dentist.
• Patients who are immune-compromised might wish to consider antibiotics before dental procedures because of their greater risk for infection.
• Decisions with regard to antibiotic premedication should be made by patients, dentists and physicians in a context of open communication and informed consent.