Dr. Pacita Pumilia

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Pumilia Family Dental Group
755 S. Mulford Rd.
Rockford, IL 61108
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Posts for: August, 2014

By Pumilia Family Dental Group
August 29, 2014
Category: Dental Procedures
LeaMichelesWiseDentalDecision

Not long ago, Glee star Lea Michele had all of her wisdom teeth removed. This is a very common procedure that people in their twenties, like Michele, often undergo to prevent serious dental problems down the road. The actress found that the procedure really was actually not very difficult to tolerate.

“Feeling all better from my surgery!” she tweeted to fans a few days later. “Back to work tomorrow.”

Why do wisdom teeth so often cause problems? For one thing, they come in years later than the other 28 permanent teeth — usually between the ages of 17 and 25. By that time, there is often no room in the jaw to accommodate them. As man has evolved, the jaws have actually become smaller in size — often creating a lack of space for the wisdom teeth to erupt into proper position. If wisdom teeth become blocked (impacted) by other molars that are already there, infection and damage to neighboring teeth may result.

Sometimes the wisdom teeth themselves cause the problem by growing in at an odd angle. They push against other teeth, often compromising the adjacent tooth's supporting bone. While you would think pain would occur if any of these problems were present, that does not always alert us to a wisdom-tooth problem. It's usually diagnosed with the help of x-rays.

Wisdom tooth extraction is often performed in the dental office using a local anesthetic (numbing shot) to keep you from experiencing any pain, along with conscious sedation to help you relax. The type of anesthesia that's best for you will be determined before the procedure.

After we gently remove the tooth or teeth, you may need to have the site sutured (stitched) to promote healing. You will rest for a short time before going home, and may need to have someone drive you, depending on what type of anesthesia you were given.

Once you get home, you should apply an ice pack on the outside of your cheek for about five minutes on, five minutes off for as many hours as possible to help reduce any postoperative swelling on the first day. Starting on the second day, the warm moist heat of a washcloth placed on the cheek and hot salt water rinses will make you more comfortable. You may want to eat soft foods and brush your teeth very carefully during the recovery period, which lasts only a few days as Lea Michele discovered. Before you know it, you'll be “feeling all better!”

If you have any questions about wisdom teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Wisdom Teeth.”


By Pumilia Family Dental Group
August 13, 2014
Category: Dental Procedures
ProtectYourVeneersWithaFewCommonSensePrecautions

Porcelain veneers are a proven way to achieve a new smile. Composed of thin layers of dental porcelain and other materials laminated together to form one life-like unit, veneers are applied to the outside of a prepared natural tooth to enhance its appearance. Given the right circumstances, they’re an excellent solution for correcting mild to moderate spaces between teeth, slight deviations in tooth position, and problems with the color and shape of a tooth.

Veneers are very strong and can resist most of the forces you generate when you chew your food. But dental porcelain is also a form of glass — strong but not indestructible. Following a few maintenance guidelines will help you avoid damaging a porcelain veneer and incurring additional dental care costs.

Practice daily oral hygiene. Although veneers aren’t subject to disease or decay, the tooth structure they cover and the surrounding gum tissues are. You should, therefore, brush and floss veneered teeth just as you would any other tooth. And, there’s no need for specially formulated toothpastes — any non-abrasive fluoride brand will work.

Avoid excessive biting or chewing. While it’s a good practice for natural teeth to avoid applying too much biting force to hard materials, it’s especially important for veneers. Attempting to open hard-shell nuts with your teeth or chewing on bones, pencils and other hard objects are just a few of the activities that could lead to a shattered veneer.

Use a bite guard for clenching habits. People who excessively grind or clench their teeth (a condition called bruxism) can also put undue stress on their veneers. We can help alleviate some of this stress by fashioning a bite guard you wear at night. The guard will help protect your veneers from teeth grinding while you sleep.

Limit foods and drinks that cause staining. Tea, coffee, wine and similar substances can leave teeth stained and dingy. Although your new veneers won’t typically stain, the natural teeth around them can — the brighter veneers would then stand out prominently from the dingier natural teeth.

Porcelain veneers are proven “smile changers.” Taking care of them with a few common sense precautions will ensure the change is long-lasting.

If you would like more information on porcelain veneers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Smile Design Enhanced With Porcelain Veneers.”


By Pumilia Family Dental Group
August 01, 2014
Category: Dental Procedures
DemiMooreDoesntMindtheGap

Once upon a time, a well-known Hollywood actress might have hired a private eye to keep unflattering pictures from appearing in the media. Today, that’s no longer the case. Take timeless beauty Demi Moore: In a widely circulated set of photos, her gap-toothed grin showed she was actually missing one of her front teeth!

It turns out the actress released the pictures herself, as she live-tweeted the tooth replacement procedure from her dentist’s office. Moore later explained that the tooth fell out suddenly as she was sitting at her desk.

Celebrities are just like regular folks… except they have more followers on twitter. So we’re happy when they show us that no matter how bad a dental problem may seem, there’s almost always a way to regain a gorgeous-looking smile. We’re not sure exactly how Demi’s dentist chose to restore the damaged tooth — but depending on the individual circumstances, modern dentistry offers a number of ways to close the gap.

A crown (or cap) is a replacement for the entire visible area of the tooth. It may be needed due to accident or trauma, or as a follow-up to root canal therapy. Placing a crown usually requires more than one office visit. First, the tooth is prepared by removing any decay and shaping it, and a precise model is made of the bite. Next, the permanent crown is custom-made in a dental laboratory; this is placed during a subsequent visit. Advances in technology, however, have made it possible in some instances to deliver the permanent crown in a single office visit. If the tooth still has a healthy root structure, a crown is usually a viable option — even when most of the visible part is gone.

What if the entire tooth, including the roots, are missing? Then your replacement options could include bridgework or a dental implant. A fixed bridge is a series of crowns joined together as one unit. The teeth on either side of the gap are prepared just as they would be for crowns, and the bridge (including a replacement for the missing tooth in the middle) is attached. Bridges have been used successfully for many years, but they have a drawback: They require enamel to be removed from the healthy teeth on either side of the gap, which could lead to a greater chance of decay, gum disease, or a root canal in the future.

The optimal solution, however, might be a dental implant. With this remarkable technology, the replacement tooth is solidly anchored into the jaw via a screw-shaped post made of titanium — a metal which actually becomes fused with the living bone tissue. A custom-made, lifelike crown is then securely attached to the metal implant. Dental implants are the most successful tooth-replacement procedure; they help preserve bone quality in the jaw — and with regular care, they can last a lifetime.

So if your smile is making you camera-shy, why not talk to us about your tooth-restoration options? If you would like additional information, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Crowns & Bridgework” and “Dental Implants.”




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