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Dental Inlays & Onlays

Cracked, broken, and decayed teeth require restoration or they will break down further until they become infected and/or require extraction. At Family Dental Health, our goal is to preserve your natural teeth for as long as possible.

Depending on the extent and location of the damage, we will likely recommend an inlay, onlay, or crown. Different levels of the same idea, these restorative dentistry treatments are custom-made to protect your tooth and restore it to its full, healthy, and functioning condition.

Another reason you may need an inlay, onlay, or crown is due to extensive tooth decay breaking down your tooth that requires more than a simple filling to fix, or an old filling that needs to be replaced. Here’s how these options compare:

• Fillings: only fill a small, center portion of the biting surface of your tooth; is not a treatment for extensive damage
• Inlays: fill a larger portion of the biting surface than a filling contained within the cusp
• Onlays: fill and cover the biting surface of your tooth including up and over the rounded ridges (cusps)
• Crowns: cover the whole tooth; all or most of the portion visible above your gums

Benefits of Inlays & Onlays

Inlays and onlays can be a great intermediate solution between a filling and a crown. Family Dental Health can help determine if you need an inlay or onlay. If you do, here are some of the benefits:

• While considered a relatively “old” technique, inlays/onlays are still the most appropriate and most effective treatment in many cases.
• Your tooth can withstand 50-75% more chewing pressure with an inlay or onlay.
• Inlays/onlays are a restorative dentistry treatment that holistically heals your tooth.
• Inlays/onlays can last longer than fillings.
• Inlays/onlays are made with porcelain or resin to match your natural tooth color.
• An inlay or onlay is less expensive than a crown.
• Sometimes an inlay or onlay can be completed during one dental visit.
• An inlay/onlay fits perfectly over your tooth so there will be no bulging that bothers your tongue, cheek, or bite.

Getting an Inlay or Onlay

If you’re in the Portland area and need an inlay or onlay, Dr. David Case has you covered! Depending on your case, the inlay/onlay treatment will either require one or two trips to the office.

For the two-visit process: the tooth is prepared by cleaning out any decay and taking an impression. You may be given a temporary filling just to protect the tooth from further damage. The inlay or onlay will then be made in a lab using your impression. You’ll return for a second visit to remove the temporary filling and have your inlay/onlay permanently placed on your tooth.

For the one-visit process: the tooth will still be prepared with a good cleaning. But instead of taking impressions, the dentist uses digital technology to take a photo of your tooth and create a perfect inlay/onlay right there in the office. You’ll relax until it is ready and they will place it on your tooth, all in one day.

Contact us today to make an appointment for a professional assessment of what kind of filling, crown, inlay or onlay you might need.

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Adult Dentistry: It’s Never Too Late for Dental Care

Good News for Grown-Ups

“Adulting” can be hard. Between rent, bills, kids, a career, and other responsibilities, it can be tough to make time for yourself. But independence, parenting, fulfilling work, and the wisdom that comes with age can be pretty fantastic, too. So how does your oral healthcare fit into a grown-up lifestyle?

Family Dental Health serves adults from all over Portland. Read more for our tips on how to care for your oral health at this particular stage in life.

• Priorities: You manage a lot on any given day. Brushing your teeth and making a dental appointment may not feel like the most pressing of matters, but you know they are important in the long run—so you do it.
• Family Life: Many people are more motivated to take care of themselves when good habits easily fit in with family life, and others are looking to you to set a positive example. Whether you are caring for children or aging parents, preventative oral healthcare is more likely to happen when done together as a family.
• Benefits: If you have a job that provides dental coverage, there’s really no reason not to see the dentist. You should even be able to use paid time off for the appointment. Ever heard of “me time”?
• Holistic Dentistry: As we get older, we tend to know ourselves better. Holistic medicine is getting more popular as people consider all the ways one part of their health affects another. Keep solid notes on how your whole body and mouth are doing and share the notes with both your doctor and your dentist.

Adult Oral Health Concerns

As grown-ups, we all know that time is not always on our side. As you age, some things are actually hurting your chances of having a healthy mouth and lifestyle. You won’t get yesterday back, so when it comes to starting and maintaining healthy oral care habits, it’s never too late to start implementing healthier habits today.

Here is what you’re up against:

• Stains: Yellow teeth look old and unhealthy. Avoid or decrease sugar, coffee, red wine, and nicotine to keep your pearly whites actually white. (And if you need a little help, there are plenty of teeth whitening options available.)
• Enamel: Sugar in soda, juice and desserts threaten your enamel. Enamel is the hard, protective cover on each tooth and it can never be replaced. Sensitive toothpaste can help preserve your enamel.
• Receding Gums: Brushing too hard, smoking, and simply aging can cause your gums to pull back and reveal more of your tooth. Talk with your dentist if you’re concerned about receding gums.
• Gum Disease: Nearly half of all Americans over 30 have gum disease. Gum disease can be painful inflammation called gingivitis or advanced gum disease called periodontitis. Bad breath, bone loss, and tooth loss are all potential side effects of severe periodontitis.
• Pregnancy & Nursing: Oral care is important for pregnant and nursing women. Having children takes a toll on your body and you need to replenish and care for yourself. Gum disease in pregnant women has even been linked to birth defects and labor complications, so it’s worth the time and effort to prevent it.

Adult Preventive Care

It doesn’t matter how old you are, you’ll never grow out of needing to brush your teeth, eat a healthy diet, and visit the dentist. These three habits are the keys to a healthy mouth for people of all ages.

At this age, a lot of people are counting on you, so maintain healthy habits today for the best chance of a healthy mouth later in life. Make an appointment to get a professional cleaning in Portland or just to learn more about adult oral health care.

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Ages & Stages: Kids & Oral Hygiene

Very few opinions are universally shared, but we’re willing to bet on one: the best dental checkups are the ones where Dr. David Case says the beautiful words: “No cavities!” At-home oral hygiene routines are the most effective tool people of any age have to keep their teeth healthy, but when it comes to pediatric dentistry, it also helps for caregivers to remember what stages children are in to encourage age-appropriate oral hygiene routines at home.

• Kids under 6 years old have mouths that are still growing and changing, and they probably want to brush themselves (“I do it!”) whether they have the fine motor skills to reach all their teeth or not. Let them brush on their own and encourage their efforts but lend a hand when needed.
• When kids reach the “tween” years of 7 through 12, they know how to take care of their teeth—they just may not want to be bothered. Keep emphasizing the health benefits of diligent dental self-care, and as their sense of personal responsibility and accountability for their own health choices continues to evolve, we promise your efforts will start to sink in—even if it doesn’t seem like that now!
• The teenage years are crucial ones for dental health. Cavity formation is at its highest in very young kids, but those rates spike again in the teen years—and the daily oral care practices of teenagers are likely to be the ones they take with them into adult life.

If you want to know more about kids and oral hygiene or you’d like to schedule an appointment for a visit with Family Dental Health, don’t hesitate to give us a call!

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

TMJ: The Root of Your Pain

Temporomandibular joint dysfunction is a really long name… so let’s call it TMJ.  That sounds more familiar—you’ve probably heard it before. Maybe some lingering pain in your chewing muscles and bones even have you wondering if you have it.

TMJ dysfunction is sometimes called TMD, TMJD, or TMJ Syndrome, especially if there seem to be a number of other jaw-related issues. Dr. David Case at Family Dental Health is here to tell you more about TMJ and what to do if you’ve got it.

What is TMJ?

A sailboat requires a complex system of ropes, pulleys, and hooks to catch the wind in its sails and get moving. Your jaw is also made of an incredible team of muscles, bones, joints, and tissues working together in order to function. If anything affects any one part of these pieces in your jaw, it could lead to chronic pain and problems with the joints in your jaw. TMJ is a broad term that includes any of this pain or dysfunction.

TMJ can feel like anything from a headache to an inner ear infection, with pain moving from your face and head down to your neck and shoulders. If you have TMJ, talking, chewing and yawning can be very uncomfortable. You might also hear clicking in your jaw, feel your jaw lock in place, or experience muscle spasms.

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Filling in the Gaps: Restoring Your Smile & Quality of Life

Life is full of unexpected surprises, and while we’d love for all of them to be smile-inducing, that’s not entirely realistic—and there may be many reasons you hide your smile. If you’re hiding your smile because of one or more missing teeth, we want you to know you’re not alone. In fact, 120 million people in the U.S. are missing at least one tooth, and more than 36 million Americans do not have any teeth at all.

Whether the cause is tooth decay, gum disease—#1 on the list of reasons, with 50% of Americans over the age of 30 having the most severe form of periodontitis—illness, or injury, there are solutions. Dr. David Case at Family Dental Health would like to fill you in on your options, which have expanded and improved over the years thanks to technological advancements and continuing education.

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Salivary Diagnostics: What Can Your Saliva Reveal?

If you’ve tuned in to any crime scene investigation shows, you’ve probably heard of salivary testing, but did you know it’s becoming increasingly common in dental offices? Salivary testing has a bright future in medicine because of how much it can tell us about your state of health—both oral and overall.

One of the reasons it’s especially important in the dental office is because we screen for oral cancer, and the number one culprit for diagnoses in recent years is human papillomavirus (HPV), which can be detected through saliva.

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Crowning Glory: Esthetic Dental Crowns

The first known dental crowns were made as far back as 200 A.D. when Etruscans used gold to create crowns and bridges. Can you imagine what the process must have been like without the technology we have now? If you’d rather not, we can’t blame you!

Thanks to digital x-rays and impressions, dentists today can create crowns that blend in so well with the rest of the mouth, you’ll forget you weren’t born with them. The updated materials appear very natural, especially ceramic and porcelain.

But I Love Gold!

Gold is still an option for crowns today, and it’s not a bad option in terms of durability—they’re extremely fracture-resistant and seal well to prevent recurrent tooth decay. However, gold is usually the most expensive material for the creation of crowns, and most people want their dental restorations to be a secret only they know—especially if the tooth in need of crowning is an incisor or canine.

For those anterior (front) teeth, porcelain and ceramic are excellent crown options; they’re the most economical solution and can be color-matched to blend in with your smile perfectly.

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Good, Clean, Wholesome Family Dentistry

You love your teeth. You brush them twice a day, floss once a day, and see your dentist regularly. Right? We love your teeth, too! In fact, there’s so much to know about caring for your oral health that dentistry has quite a few categories of specialties and different kinds of dentists.

The primary dentist in your life should be your family dentist, also known as a general dentist. Your family dentist is who you will see most often for dental check-ups. But how exactly is family dentistry different from other kinds of dentistry? Portland dentist Dr. David Case shares more below about family dentistry.

Types of Dentistry

All dentists have an undergraduate degree and then go on to about four years of dental school. This earns them either a doctorate of dental medicine (DMD) or a doctorate of dental surgery (DDS). To become more specialized, the dentist will need additional education and clinical experience.

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When a Toothache is Not a Toothache

Most of us have experienced a toothache. At their mildest, toothaches may cause just enough discomfort to get on your nerves and disrupt your concentration, but at their worst, they can be debilitating. Because the pain feels like it’s coming from your tooth, it’s natural to assume that all toothaches are caused by cavities, gum disease or some other tooth-related problem. However, Dr. David Case would like you to know that not all toothaches are related to your teeth.

Wait, what? Toothaches that have nothing to do with teeth? Yes– as anyone at Family Dental Health will tell you –it is possible and it does happen. That being said, most toothaches are tooth-related.

How can a toothache not come from your tooth?

Your mouth is a complex organ that contains a number of different types of tissue, nerves, and microorganisms. While run-of-the-mill dental problems like tooth decay and gum disease are responsible for the majority of toothaches, there are many other conditions that can cause localized pain in one or more teeth –and some of them have nothing to do with your teeth. Here are a few examples:

• Temporomandibular joint dysfunction (TMJ or TMD)
• Trigeminal neuralgia
• Maxillary sinusitis
• Shingles
• Oral herpes

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Rising Oral Cancer Rates – Have You Been Screened?

The prevalence of oral cancer in America is increasing, with an estimated 49,750 people being diagnosed in 2017 alone. Of those newly diagnosed individuals, it is projected that only 57% will live 5 years beyond receiving the news. Oral cancer will cause almost 10,000 deaths annually, equating to nearly 1 person per hour.

These statistics are a lot to digest and can cause quite a bit of fear. This fear might be elevated when we look at the reason oral cancer death rates are high—not because it’s more difficult to remove, but because it’s usually discovered in late stage. This makes sense knowing that only 14-18% of dentists in the United States screen for oral cancer. That’s right, 14-18%.

However, Portland dentist Dr. David Case wants to provide you with peace of mind by educating you on what to look for and screening you for oral cancer regularly. Read on to learn more and feel free to give us a call with questions and concerns.

Open Up

A lot of us feel we’re familiar with the appearance of our mouths. We conduct diligent oral hygiene routines (we certainly hope this is true!) and take note of any discomfort, pain, and/or abnormal coloring of our tongue, teeth, and gums. But what about your cheeks, hard and soft palates, uvula, tonsils, and underneath your tongue? Do you regularly examine your inner lips, lift the top and lower the bottom in order to see more of your gums?

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