The Dangers of “Veneer Techs”

Everyone wants a perfect, dazzling smile - and getting a set of dental veneers is the most popular way to achieve it! This procedure isn’t inexpensive, but if you spend any amount of time on social media - particularly TikTok - you’ve likely come across videos by so-called “veneer techs” offering significant bargains. Don’t be fooled! The American Dental Association (ADA) and dentists throughout the United States are sounding the alarm about these unlicensed, unqualified, unscrupulous individuals who take their patient’s money and perform “work” that’s resulted in permanent damage in far too many cases.

As Park Crossing Dentistry explains the situation: “Veneer technicians offer veneer application services without the necessary qualifications. These technicians often complete brief training courses, sometimes lasting only a few days, and receive certificates of completion. However, these certificates do not grant them the credentials required to legally perform dental procedures. Only licensed dentists have the education and certification to apply veneers safely.”

Veneer Techs Operate Illegally

Let’s make it clear: "veneer techs" are not recognized, regulated, or affiliated with any dental health organization. In reality, there is no official "veneer tech" title, and performing dentistry without a license is illegal - a felony in most states, including Illinois. As stated earlier, only licensed dentists have the education, training and legal authority to place dental veneers.

Unfortunately, this isn’t stopping veneer techs from operating. Arrests for practicing dentistry without a license are increasing throughout the country - as are reports of the permanent damage these individuals inflict upon their bargain-seeking patients. This shouldn’t be surprising. How ethical can you expect someone who knowingly breaks the law to be? How concerned about your health and safety can you expect that person to be? Veneer techs only want your money, and feel no responsibility toward you.

If you learned about veneer techs on TikTok, do a Google Search to learn about the numerous risks of having veneers applied by a veneer tech! We’ve even made it easy for you - just CLICK HERE to get started!

The Risks of Having Veneers Applied by a Veneer Tech

To summarize the main points of what you’ll learn on Google (or your favorite search engine), here they are on one web page.

Work is performed in an unsterile environment - Dental offices maintain sterile environments by following CDC-recommended Standard Precautions, which include meticulous hand hygiene, consistent use of personal protective equipment (PPE), proper cleaning and sterilization of critical instruments using autoclaves or other methods, regular disinfection of surfaces with EPA-registered disinfectants, safe handling of sharps, and proper management of waste and environmental surfaces. Sterilization processes must be monitored using mechanical, chemical, and biological indicators to ensure complete elimination of microorganisms. Need we point out that the makeshift environments in which veneer techs operate meet none of these standards?

Use of non-medical grade instruments and materials — Unlicensed technicians lack professional dental tools, using improvised equipment like nail salon tools - which also increases the risk of infection and the spread of disease. Moreover, they use low-quality, non-medical-grade acrylic or other materials purchased online, leading to poor results, potential allergic reactions and premature failure of the veneers. Veneers obtained from a licensed dentist should last from 20 to 25 years. Those from veneer techs have been reported to crack and break off within days or weeks after application.

Improper removal of tooth enamel —Despite their small width, veneer application requires the removal of a minimal amount of tooth enamel. Professional dental training is essential to determining the correct amount of enamel removal. Veneer techs may remove excessive enamel, which weakens the teeth, increases the risk of sensitivity and oral pain, and leaves teeth vulnerable to decay and infection. As we always point out, tooth enamel does not regenerate - once it’s gone, it’s gone forever!

Possible tooth and nerve damage — In addition to removing too much enamel, veneer techs can damage teeth in many other ways. As they have no knowledge about tooth anatomy, improper preparation of the tooth can lead to nerve damage or increased sensitivity to hot and cold, causing long-term pain. Going back to the use of non-medical grade materials, a veneer tech arrested in Florida reportedly used Krazy Glue to adhere veneers on the teeth of her patients. Krazy Glue can expand and generate heat. Said one investigator about the case, "It can cook a nerve, meaning root canal therapy. It’s not to be used in the mouth."

Bite alteration — While legitimate, licensed dentists ensure that veneers follow the natural curve of each tooth, and that the bite will be unchanged, veneer techs have no such concerns. A poorly fitted veneer can alter your bite, causing discomfort, jaw pain and other long-term dental complications.

Application over unhealthy teeth — Since veneer techs aren’t dentists, they won’t perform a dental examination to be sure your teeth and gums are free of decay, periodontal disease, or other conditions that need to be corrected before veneers can even be considered. It’s common for veneer techs to apply their improvised veneers over teeth with cavities, or where signs of periodontal disease - such as swollen gums - are present.

High cost of correction — We’ve never seen a report or read an article about a successful, trouble-free set of veneers applied by a veneer tech. If you think you’re getting a bargain by forgoing treatment by a licensed dentist, be assured that you will soon be paying far more than what legitimate treatment would have cost in the first place! Fixing botched work by an unlicensed technician can be extremely expensive and may require procedures costing thousands of dollars per tooth — assuming correction is possible.

The Correct Procedure for Veneers as Performed by a Licensed Dentist

Getting a set of veneers is a multistep process that begins with a consultation with your dentist, who will examine your mouth to be sure it’s free of dental decay, periodontal disease, or other conditions that need to be addressed first. The next step is discussing a treatment plan, during which you’ll select the desired color of your veneers. Our blog post - “What are Veneers?” - covers this topic in detail.

The basic procedure is as follows; specific steps may vary depending upon your individual case:

Teeth will be prepared by removing a layer of enamel, which will allow the veneer to fit securely over the tooth, and create a strong bond.
Your dentist will make a mold of your prepared teeth, and make a set of temporary acrylic veneers while your porcelain veneers are being custom fabricated at the dental laboratory. Veneers take approximately two to four weeks to be made and sent back to the dentist.
Once the veneers are back, your dentist will cement them to your prepared teeth using a special bonding solution.

Direct composite veneers are another option. Also called “composite bonding” or simply “bonding,” composite veneers are sculpted on your teeth directly by the dentist, rather than in an offsite lab. The shaped resin is hardened using a high-intensity light, after which additional layers of resin can be applied and sculpted as needed to create the desired aesthetic result. Our blog post – “Is Composite Bonding Right for You?” – covers this type of veneer in detail.

The Take-Home Message

Unfortunately, social media has spread a great amount of misinformation and bad advice that encourages DIY dental procedures - such as paper clip braces and using a nail file on your teeth - and other cosmetic procedures that forego being performed by a licensed dentist or orthodontist. Our blog post - “Five Social Media Trends That Can Harm Your Teeth” - covers this topic in detail.

The low prices that veneer techs charge are the big draw to their illegal services. As we hope you’ve learned, trusting them to perform this procedure in order to save money is ultimately counterproductive and can cause long-term or permanent damage to your teeth that will be even more expensive to mitigate. At NK Family Dental, we understand the main concern you may have in seeking cosmetic dentistry is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs. Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

What Does an Endodontist Do?

Most people are familiar with the services a dentist provides. And even those who’ve never had orthodontic treatment know what an orthodontist does. But what does an endodontist do? Even if you’ve undergone root canal treatment - the procedure by which endodontists are typically associated with - there’s much more to this specialized branch of dentistry to learn about!

First, What is Endodontics?

Simply put, endodontics is the branch of dentistry concerning dental pulp and tissues surrounding the roots of a tooth. “Endo” is the Greek word for “inside” and “odont” is Greek for “tooth.” Now that you know the origin of the word itself, you can impress your friends!

More to the point, endodontics is the field of dentistry that focuses on the health of the teeth from the inside. Teeth are composed of four dental tissues. Three of them - enamel, dentin, and cementum —are hard tissues. The fourth tissue - pulp - is found in the center of the tooth. Pulp is a soft, or non-calcified, tissue that contains nerves, blood vessels and connective tissue. Basically, pulp is what keeps the tooth alive - or to use the medical term - viable. Endodontics includes a variety of procedures that treat the dental pulp to restore or preserve the health of the teeth.

For more information about dental tissues and tooth structure, our blog post - “Tooth Anatomy 101” - covers this topic in detail.

What are the Differences Between an Endodontist and a Dentist?

After completing dental school and earning their doctor of medicine in dentistry or doctor of dental surgery, additional training is required in the field of endodontics. Endodontists must complete an additional two to three years in an advanced endodontic residency program to be qualified to practice. This additional training focuses on diagnosing tooth pain and root canal treatment, and other procedures relating to the interior of the tooth. While all endodontists are dentists, less than three percent of dentists are endodontists.

Moreover, by limiting their practice to endodontics, endodontists focus exclusively on treatments of the dental pulp. According to the American Association of Endodontists (AAE), they complete an average of 25 root canal treatments a week, while general dentists typically do two. “Endodontists don't place fillings or clean teeth - they dedicate their time to diagnosing and treating tooth pain. They are skilled specialists in finding the cause of oral and facial pain that has been difficult to diagnose.”

Procedures an Endodontist Performs

For those familiar with endodontics, a root canal immediately comes to mind. However, there are several other procedures that an endodontist performs in addition to root canals.

Root canal therapy — This is perhaps the best-known procedure that an endodontist performs. A tooth develops a root canal infection - also known as irreversible pulpitis - when decay spreads to the pulp, or when a bacterial infection develops inside the tooth or at its root tip. It must then be removed from the canal in order to stop dental pain and prevent infection from spreading throughout the body - which can lead to sepsis, a life-threatening medical emergency.

The AAE explains root canal treatment as follows:

“Root canal treatment is designed to eliminate bacteria from the infected root canal, prevent reinfection of the tooth and save the natural tooth. When one undergoes a root canal, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed.”

Unlike the root canal process common years ago, today’s procedure is typically performed in a single visit, with no discomfort. Our blog post - “What You Need to Know About a Root Canal” - covers this procedure and its advancements in detail.

After root canal treatment, the tooth structure remains intact, but without its pulp the tooth is no longer “alive” so to speak. This eventually makes it brittle and fragile, which is why the final step is for a dentist to place a crown over the tooth. The restoration gives the tooth strength and protection so it functions just as before. Crowning also provides an aesthetic benefit, as the tooth may become discolored. Our blog post - “What You Need to Know About Crowns” - covers the functions of dental crowns in detail.

Endodontic retreatment — This is a dental procedure in which a tooth that has previously undergone root canal therapy is reopened to address persistent issues like infection, pain, or incomplete healing. It essentially provides a second chance to save the tooth by re-cleaning and re-filling the root canals.

Apicoectomy — An apicoectomy - also known as a surgical root-end resection - is a follow-up if infection persists or recurs at the tip of the tooth’s root after a conventional root canal treatment. In this procedure, the root tip and surrounding infected tissue is removed. A small filling may be placed to seal the end of the root canal, preventing future infection. The site is then sutured to promote healing, allowing the bone to naturally heal around the root.

Root amputation — Not to be mistaken for an apicoectomy, a root amputation is the surgical removal of one root from a multi-rooted tooth. It is generally performed on the upper molars because they have three roots. This microsurgery procedure is performed to eliminate infection or prevent further bone loss in an area where infection or tooth fracture has caused it. West Fort Worth Endodontics describes it as “… a tactical strike to preserve the integrity of the rest of the tooth and surrounding teeth.” Not every tooth is a candidate for this delicate procedure, but when it can be performed, it's often pivotal in saving part of a damaged tooth.

Cracked tooth treatment — A tooth can crack for many reasons, ranging from biting down on ice/hard food, using your teeth as a tool, or trauma. The sooner a cracked tooth is diagnosed, the more likely it is to be saved. There are three main types of cracks:

Superficial cracks — Minor cracks in the enamel can often be treated with dental bonding, fillings, or crowns.
Cracks involving the pulp - If the crack extends to the pulp, a root canal may be necessary to remove the damaged pulp and prevent infection.
Vertical root fractures — In some cases, even with vertical root fractures (cracks extending from the root upwards), endodontic surgery might be an option if a portion of the tooth can be saved by removing the fractured root.

While not all cracked teeth can be saved, endodontists have the expertise and tools to preserve many teeth that might otherwise be lost.

The Take-Home Message

Endodontists are dental specialists focused on treating conditions related to the dental pulp and the tissues surrounding the tooth's root. They are experts in diagnosing and treating pain and infections within the tooth's interior, allowing the tooth to be saved, rather than extracted.

Whatever endodontic procedure may be necessary for you, today’s advanced treatments are painless and convenient. When performed at NK Family Dental, you’ll experience treatment by our outstanding endodontist, Dr. Sabek.

Dr. Sabek received his Doctor of Dental Medicine from the University of Pittsburgh. In 2004, Dr. Sabek earned his endodontist specialty from the State University of New York at Buffalo, where he soon also received a Master of Science degree in endodontics. He specializes in painless endodontic and root canal treatments that generally require just one single visit for treatment. Dr. Sabek is also committed to using the latest equipment and technology to provide excellent quality care with the highest priority on patient comfort and satisfaction.

It is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and - of course — comfortable root canal treatment. Our spa-like office provides an atmosphere that is modern, tranquil and inviting, designed for the ultimate in comfort.

Our team of experienced, dedicated dental professionals will help address your oral health concerns, and determine the best solution for you based on your individual situation. We strive to identify treatment options that fit your needs. In addition to Dr. Sabek, our dental specialists include our general dentist, Dr. Nilofer Khan and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

We understand that the main concern you may have is cost, which is why we accept all major PPO plans for dental insurance and also offer our in-house dental plan. Please see our financing page for more information.

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

Seven Most Common Questions That Patients Ask Their Dentist

Everyone has questions about their oral health! The person they ask most frequently to be assured of getting accurate information is their dentist. Here are seven of the most common questions that patients ask their dentist!

1.How often should I get a dental checkup?

Visiting the dentist twice a year is typically recommended for most people. However, depending upon one’s oral health and medical conditions, some may need more frequent checkups.

According to Colgate, those who might require additional monitoring include the following:

Pregnant women.
Smokers.
Diabetics.
People with periodontal (gum) disease.
People with a weak immune response.
People who are prone to cavities or plaque build-up.

There is a lingering belief that pregnant women should avoid visiting the dentist. However, the hormonal changes that pregnancy causes can trigger certain conditions - such as periodontal disease and tender gums that bleed easily - or make some existing conditions worse. The American Dental Association (ADA), the American Congress of Obstetricians and Gynecologists and the American Academy of Pediatrics all encourage women to get dental care while pregnant. Our blog post - “What You Need to Know About Dental Care During Pregnancy” - covers this topic in detail.

Moreover, those living with diabetes - particularly uncontrolled diabetes —are at increased risk for developing such oral health issues as periodontal disease, tooth decay, dry mouth and thrush. Our blog post - “Diabetes and Oral Health” - covers this topic in detail.

2. How often should I get dental X-rays?

Most adults have bitewing X-rays every year, and a full mouth series every four to five years. But those with a higher risk for decay or undergoing certain medical treatments may need them every six to 18 months. Bitewing X-rays are a specific type of dental X-ray that captures the upper and lower teeth in a single view, focusing on the areas where the teeth touch, known as the interproximal spaces. They are particularly helpful for detecting cavities between teeth, where decay often begins.

3. What are the best ways to practice good oral hygiene at home?

In addition to daily brushing and flossing, making good oral health an integral part of your lifestyle will go a long way in preventing problems! The following steps can take your care to the next level:

Using products that contain fluoride.
Rinsing with mouthwash after brushing and flossing.
Brushing or scraping your tongue.
Replacing your toothbrush every three months; sooner if the bristles become frayed.
Limiting snacks that are high in sugar.
Eating a balanced diet of fruits and vegetables.
Drinking plenty of water.
Avoiding tobacco in any form.

4. Why are my teeth sensitive?

People with tooth sensitivity —also known as dentin hypersensitivity — feel pain when they consume foods or drinks that are hot or cold, sweet, or acidic. Sensitivity occurs when tooth enamel - which protects the tooth's pulp and dentin - is thinned from repeated exposure to acidity and extreme temperatures. Sensitivity can also occur as a result of the following:

Receding gums.
Tooth grinding (bruxism) during sleep.
Chipped or fractured teeth.
DIY tooth whitening using over-the-counter products.
Orthodontics and fillings.

It's important to see your dentist to determine the cause of your tooth sensitivity and to receive appropriate treatment. Our blog post —“What You Need to Know About Tooth Sensitivity” - covers this topic in detail.

5. Is it normal for gums to bleed?

In a word, no. As Martin Dentistry sums it up: “Bleeding gums can be a sign of gum disease, which is caused by the buildup of plaque and tartar along the gumline. When plaque and tartar irritate the gums, they can become inflamed and bleed easily. Bleeding gums can also be caused by brushing too hard or using a toothbrush with bristles that are too firm.”

By the way, the longer plaque and tartar remain on your teeth, the more damage they can do. You can’t get rid of tartar by brushing and flossing. Only a professional dental cleaning can remove it. If left untreated, early gum disease - known as gingivitis - can progress to advanced gum disease - known as periodontitis, which is one of the leading reasons for tooth loss in adults.

Other causes of bleeding gums include:

Diabetes.
Blood-thinning medications.
Pregnancy.
Smoking.
Nutrient deficiencies.

Even if you think the cause of your bleeding gums is mechanical - such as brushing too hard - don’t diagnose yourself! Scheduling an appointment with your dentist is the only way to receive an accurate diagnosis and timely, appropriate treatment. Our blog post - “What You Need to Know About Bleeding Gums” - covers this topic in detail.

6. How can I improve the whiteness of my teeth?

Everyone wants a radiant smile! However, you need to be careful how you go about it! Whitening toothpastes can be effective in removing surface stains from tooth enamel, and are generally safe when used according to label directions or as advised by your dentist. Over-the-counter (OTC) whitening strips and gel trays have the risk of being misused - such as being left on far longer than label directions state, and/or used too frequently - which can wear away enamel and cause tooth sensitivity.

A professional teeth whitening procedure by a dentist is the most effective - and safest - option. An in-office whitening procedure can produce a result lasting up to three years with proper care - whereas OTC treatments may only last a few months. Avoid causes of staining, such as tobacco use, coffee, tea and red wine. If you drink coffee or tea daily, brush your teeth as soon as possible after each cup, or rinse your mouth with water if brushing isn’t possible.

Professional whitening treatments are also available as a take-home kit option. If this is your choice, your dentist will take impressions and fashion custom-fitted trays to ensure a perfect fit and distribution of the whitening gel. This option does not achieve the immediate results of an in-office treatment, but is ultimately just as effective and safe. Our blog post - “What You Need to Know About Professional Teeth Whitening” - covers this topic in detail.

However, adults ages 50 years and over who are starting to notice yellowing often assume their enamel is discolored, when in fact the dentin is showing through because tooth enamel is wearing off. Dentin is the layer of the tooth just below the enamel, and is naturally a yellowish color. Using a whitening toothpaste or OTC whitening products can further erode the already-thin remaining enamel - thereby making the problem even worse. Should this be the case, your dentist may recommend composite bonding, veneers or dental crowns to safely achieve the desired result.

7. Which is better – a manual or an electric toothbrush?

In the realm of oral hygiene, this has become a matter of debate, with many people relying on their dentist to provide the right answer. But don’t be surprised if your dentist answers your question by recommending a manual toothbrush, and another patient’s question by recommending an electric (also known as a powered) toothbrush! It depends upon which is better for your individual situation.

An electric toothbrush may be recommended for those who wear metal braces, have manual dexterity issues or are at risk for periodontal disease. According to Colgate, some research suggests that it can be more effective than a manual toothbrush in maintaining gum health and reducing tooth decay. An 11-year study published in the Journal of Clinical Periodontology found that using an electric toothbrush resulted in 22% less pocket depth and gum recession and 18% less tooth decay progression. Electric toothbrush users also maintained 19.5% more teeth in their mouth than manual brushers. Other research from 18 studies supports this finding, showing that sonic toothbrushes significantly decreased plaque and gingivitis more effectively than manual toothbrushes over three months.

For healthy people with healthy teeth and gums, a manual toothbrush can do the job just fine! However, as mentioned earlier, be sure to replace it every three to four months, or when the bristles show signs of wear. If you can’t remember the last time you replaced your toothbrush, it’s probably time for a new one!

The Take-Home Message

As we always say, your dentist is your partner in oral health! Never hesitate to ask any questions you may have, and don’t fear embarrassment that your dentist might think it’s a “dumb” question! Dentists want to share their knowledge and educate their patients so they can enjoy a great smile for a lifetime!

At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including dental, orthodontic and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

What Does a Periodontist Do?

Hopefully, you’re conscientious about your oral health and visit your dentist twice a year for an examination and teeth cleaning. While you’re familiar with the treatments a dentist provides – as well as the procedures they perform – your dentist may diagnose a condition that requires referring you to a periodontist. Although this may sound somewhat foreboding, it is actually a positive, as your dentist is ensuring you receive the appropriate care for your diagnosis.

First, What is Periodontics?

Periodontics is the branch of dentistry that focuses on the health of your gums and jawbone, as well as the tissues that support your teeth - such as the periodontal ligaments (fibrous joints that connect the tooth to the dental socket), and the cementum, which connects the tooth to the jaw by anchoring it to the periodontal ligament.

If you want to impress your friends, you can tell them that the term “periodontics” is a combination of two Greek words: “Peri,” which means “around” - and “Odons,”meaning “tooth.”

What are the Differences Between a Periodontist and a Dentist?

A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease (a chronic inflammatory disease that affects the gums and bone supporting the teeth - also known as gum disease), and in the placement of dental implants. Periodontists receive extensive training in both of these areas and more, including three additional years of education beyond dental school.

While general dentists treat early cases of periodontal disease - such as gingivitis - they may refer their patients to a periodontist for treatment of advanced cases. Likewise, general dentists are trained and licensed to place dental implants. The ideal situation for a general dentist to do so is when the patient has a healthy jawbone and gums, does not require a bone graft, and the tooth hasn't been missing for a long time. Typically, however, a general dentist will refer patients to a periodontist.

Procedures a Periodontist Performs

The following are procedures that only a periodontist can perform:

Osseous surgery — Also known as dental pocket reduction surgery or periodontal flap surgery, this procedure is performed to treat advanced gum disease. It involves accessing the roots of the teeth and removing any infected tissue, cleaning out bacteria-filled pockets, and reshaping the bone around the teeth.

According to Periodontal Center of Excellence, “The main goal of osseous surgery is to eliminate deep periodontal pockets and reduce their depth so that proper oral hygiene practices become more effective in maintaining healthy gums and preventing further progression of gum disease.”

Bone graft — This procedure is sometimes performed in preparation for a dental implant. If the jawbone is not thick enough to support an implant, a bone graft can increase it. When a tooth is missing or in the case of severe gum disease, the jawbone deteriorates. A bone graft procedure involves surgically placing bone graft material under the gums on top of the existing bone. This fortifies the jawbone and helps it to regenerate. Once this process is complete and the bone has had time to grow, a dental implant can be placed. Our blog post - “Why You May Need a Dental Bone Graft” - covers this topic in detail.

Gum graft — This procedure may be necessary if the gums have receded too far away from the teeth. Receding gums allow the tooth root to be exposed, which can cause sensitivity and loss of bone support. This procedure involves removing tissue from another area of the mouth and grafting it over the roots of the teeth where the gum tissue has receded to permanently cover and protect the roots.

Although as mentioned earlier, a general dentist can place dental implants if the patient has no complicating factors, the American Academy of Periodontology (AAP) states that periodontists are dentistry’s experts in the surgical placement of dental implants.

“Within the dental profession, periodontists are known as the experts of both hard tissue (teeth and bones) and soft tissue (gums, cheeks, etc.). Placing a successful dental implant requires extensive knowledge of both tissue types. Placing a dental implant is a surgical procedure, and the extra three years of education periodontists receive beyond dental school includes in-depth surgical training that most general dentists don’t receive.”

According to the AAP, here are some possible reasons a periodontist might be required to place your dental implants:

You need multiple implants, which is a more complex procedure with several optional approaches to consider.
You have limited bone structure into which the implant can be inserted.
Your implant will be placed in the upper back jaw near the sinus, which requires sinus augmentation to raise the sinus floor, develop enough bone for the implant and create adequate space between the implant and the sinus.

The Take-Home Message

A periodontist is a dental specialist who has the additional education and training to diagnose and treat periodontal disease, as well as conditions that affect the tissues and bones that support the teeth. A general dentist will typically also refer patients who need a dental implant to a periodontist.

Although a dentist’s preferred periodontist could have his/her own practice in a different location, NK Family Dental is privileged to have one of the nation’s leading periodontists under our own roof. Dr. Amir Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He also is a member of the AAP, the American Dental Association (ADA), the Chicago Dental Society, both the American and International Association for Dental Research, the International Association for Orthodontics, and the American Orthodontics Society.

A reviewer and editorial member of many professional scientific journals, Dr. Danesh has made several oral and poster presentations at national and international meetings, and has contributed to the publication of two books, as well as published more than 20 papers in prestigious dental research journals.

Dr. Danesh is instrumental to our mission to provide the highest quality and most compassionate oral care to our Chicago patients. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

In addition to Dr. Danesh, our dental specialists include our general dentist, Dr. Nilofer Khan, and our endodontist, Dr. Al-Sabek. Please visit our website’s Meet the Doctors page to learn about all of our accomplished dental staff members.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

What is a Dental Emergency?

Experiencing a dental emergency is a situation we all hope we never have to face. But what type of situation requires a call to your dentist for immediate attention? People who tend to be cautious may consider a non-throbbing toothache an emergency, while stoical types might think they can tough out a cracked tooth until their dentist can fit them in during the week. Unless a tooth is knocked loose — or out completely - or the condition causes intense, ongoing tooth or jaw pain, determining what constitutes a dental emergency can be somewhat fuzzy.

Knowing the situations in which calling your dentist a.s.a.p. - or your dentist’s after-hours emergency number - will help you get the necessary help when time is of the essence. Moreover, knowing the conditions that need treatment but won’t be detrimental to your tooth and/or overall health if you schedule a priority appointment with your dentist will save you from going into panic mode.

What Situations Qualify as a Dental Emergency?

Although some situations are obviously emergencies, others may be not as obvious if you’ve never experienced them before. Even so, take them seriously and seek treatment immediately!

A knocked-out (avulsed) tooth — Typically the result of a sports injury or other traumatic event, there can actually be a good chance of having the tooth successfully reimplanted if the circumstances are right, the tooth has been properly handled and you reach the dentist in time. Our blog post — “So You Lost a Tooth! How to Handle Accidental Tooth Loss” — covers this topic in greater detail. For those who participate in contact sports, we strongly recommend using a mouthguard to prevent this type of injury.

To increase the probability of reimplantation, take the following actions immediately after the tooth is knocked out:

Don’t touch the root, only the crown.
Try to place it back in the socket, if possible.
Or place it between your cheek and gum or a container of milk.
Use a cold, wet compress for bleeding.
Call the dentist on the way to his/her office if the injury occurs during office hours. This will give your dentist time to prepare so you can be treated without delay when you arrive.

A loosened tooth — An injury that loosens a tooth in its socket requires immediate attention. Because the tooth is still in your jaw, the probability of saving it is better than a knocked-out tooth. Your dentist can use a splint to attach the loose tooth to the surrounding teeth, giving it stability and support while it heals.

A severely broken or cracked tooth — As with the previous two examples, a damaged tooth is typically the result of trauma, although not necessarily due to injury. Biting down on ice, hard candy and shelled nuts can cause serious damage - as can using your teeth as a tool (such as a bottle opener). Teeth grinding (bruxism) can be another cause. A tooth cracked down to the gumline is an emergency, as is any tooth injury that causes severe, ongoing pain.

An infected oral abscess — A tooth abscess is a pocket of pus from a bacterial infection. Abscesses can occur in different places around a tooth for different reasons and affect not only the involved tooth, but also the surrounding bone and sometimes adjacent teeth. This needs to be treated as soon as possible, as you could develop sepsis - a life-threatening infection that spreads throughout the body. Those with a weakened immune system are at even greater risk. Our blog post - “What Causes a Tooth Abscess?” - covers this topic in greater detail.

Severe dental pain — In addition to a tooth abscess, pain that is intense and ongoing can be a symptom of untreated periodontal (gum) disease or tooth decay that has reached the pulp and become infected (irreversible pulpitis). Once the condition has reached this stage, immediate treatment is necessary.

What Conditions are Urgent, but Can Wait for Treatment During Regular Business Hours?

Some dental conditions require treatment sooner than later, but can be resolved by scheduling an appointment during your dentist’s regular hours. However, don’t become complacent and ignore it, as waiting too long could result in the condition becoming an emergency!

As our blog post - “How Can You Tell If It's a Dental Emergency?” - notes, only your dentist can make the determination whether a situation is a true emergency when it isn’t as extreme as a knocked-out tooth, a tooth cracked down to the gumline or an abscessed tooth. When you call your dentist’s office and explain your circumstances, your dentist should be able to advise you on whether you need to be seen that day, or schedule an appointment for a later date. Situations that may be considered urgent but not an emergency include the following:

Lost filling that does not involve the risk of infection.
Minor toothache.
Minor tooth chip that does not go deep into the crown and does not cause bleeding.
Cracked dental crown – unless the crown has sharp, jagged edges that could cut your tongue or cheek.

What to Do Until You Get to the Dentist

Even in the event of a dental emergency, you may not be able to be seen immediately —especially if you have to go to an after-hours emergency clinic. Here are ways to help alleviate pain and discomfort until you’re able to get treatment.

Cracked or broken tooth:

Rinse the tooth fragment and the mouth with lukewarm water.
Apply gauze to the area for 10 minutes if there is bleeding.
Place a cold, damp face towel on the cheek to minimize swelling and pain.
Take an over-the-counter pain reliever.

Dislodged or loose tooth:

Apply a cold compress.

Take an over-the-counter pain reliever.

The Take-Home Message

Some dental emergencies are unavoidable, such as those resulting from trauma. If you participate in contact sports, wearing a mouthguard can prevent injuries resulting in tooth loss. Moreover, avoid biting down on ice cubes and hard foods - as well as using your teeth instead of bottle openers and scissors - to prevent cracked and broken teeth. Other types of emergencies can be prevented by regularly practicing good oral hygiene and scheduling twice-yearly examinations and cleanings with your dentist, who will find early indications of dental decay, periodontal disease or other conditions so they can be treated in a timely manner.

At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

Our dental specialists include our general dentist, Dr. Nilofer Khan, our endodontist, Dr. Sabek, and our periodontist, Dr. Amir Danesh. Dr. Danesh is a board-certified periodontist and Diplomat of the American Board of Periodontology. He has contributed to the publication of two books, as well as published over 20 papers in prestigious dental research journals.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

Your Flexible Spending Account - Time to Use It or Lose It!

The holiday season is busy for many reasons. But amid the bustle, some important tasks may have not made it onto your “to-do” list. If you have a Flexible Spending Account (FSA) through your employer’s health plan and you haven’t yet used the remaining balance of your funds for this year, time is running out for you to do so! Some FSA plans end on December 31, while others may extend a grace period to use the remaining amount left in your account or allow for a maximum carry over amount for the next year.

Even if your FSA plan has a grace period, don’t take chances! You’ve already paid for your insurance benefits, so make sure you use them instead of losing them at the start of the new year. If you’re considering a visit to your dentist, this is an ideal opportunity to schedule an appointment for a checkup or treatment covered by your plan.

Other types of dental insurance plans typically have a maximum amount of annual benefits after the deductible has been met. If you’ve met your plan’s deductible for dental expenses this year, you may be eligible for certain services to be covered for free, or at reduced cost. If you need a treatment that meets your plan’s eligibility, scheduling it now - rather than next year, when you’ll have to meet your deductible again - makes much more economic sense!

Types of Dental Expenses an FSA Covers

The basic guideline is that anything that treats or prevents a dental disease is eligible for FSA coverage. However, FSAs can differ depending on your employer's plan sponsor. To confirm that a procedure is covered, contact your company’s HR department or the sponsor and carefully go over your plan.

Generally, FSAs cover expenses for the following services:

All diagnostic and preventative services.
Teeth cleaning.
Fillings and sealants.
Fluoride treatments.
Bridges.
Crowns.
Bonding.
Dentures.
Tooth extraction.
Inlays and onlays.
Treatments for gingivitis, temporomandibular joint syndrome and disorder, gum recession, and necessary oral surgery.

Although crowns and bonding are included, they are covered only for restorative purposes — such as to protect a tooth that has had root canal treatment, or a chipped or cracked tooth. Crowns and bonding — including veneers — performed for cosmetic purposes are not covered. Again, check with your company’s HR department or plan sponsor before scheduling treatment to be sure you understand what is and is not covered. Insurance plans can be confusing, so it’s better to ask instead of mistakenly assuming that a procedure is covered, then be billed for it! The same is true for other types of dental insurance plans.

Know Your Dental Insurance Benefits

Our blog post - “Use It or Lose It: Three Things You Need to Do to Get the Most Out of Your Dental Insurance” - provides this easy-to-follow guideline.

First, how do you know if you have “use it or lose it” insurance benefits? Get information on your maximum benefits available (MBA) and your explanation of benefits (EOBs). To do so, locate the full explanation of your dental benefits - whether online or on paper. Before looking over everything in your EOBs, search just for your MBA, which is the maximum amount of money your dental insurance will pay for a variety of dental work in the span of a year - keeping in mind that anything not used by the end of the year does not roll over into the next year, and is lost.

Next, collect your EOBs sent from your dental insurance carrier after all of the dental work you have had performed over the year, and review them to see how much your dental insurance has paid. Totaling this amount and comparing it to your MBA will reveal how much is left that you can use toward dental work by the end of the year. EOBs and other insurance documents can often be unclear, however, so you may want to save yourself the trouble and simply call your dental insurance carrier to ask how much of your MBA is left.

Use Your Benefits for This Year and Plan for Next Year

Earlier, we mentioned the importance of using the benefits you’re entitled to by the end of the year to avoid having to pay for the same service(s) at the start of the new year, when, for many types of plans, you’ll need to pay through the deductible first. But this is also a great time to plan and schedule your visits for next year! Consider these options to make the most of your dental plan:

Visit your dentist for one of your semiannual dental appointments to receive a teeth cleaning and other preventive dental work. This is one of the easiest ways to maintain your oral health and to take advantage of your dental benefits, as most insurance plans will completely cover preventive dental appointments.
Discuss dental plans for the remainder of the year at appointments in the summer or fall months, so you can plan and know what to expect. This helps ensure that there won’t be a scramble to use up your insurance benefits come December, along with everyone else.
Make sure you know what’s covered by your dental insurance and which treatments are not covered. This will help you determine how to effectively plan out your appointments for the rest of the year and into next year. Your dentist office should be able to provide information about what your insurance plan covers, but you can also directly call your insurance provider or visit its website to learn details.

And, of course, talk to your dentist, who is your partner in oral health! Knowing what treatments to expect over the coming year can help you get the most benefits from your insurance plan, no matter what type you have!

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

A New Look At Foods That Are Bad For Your Oral Health

Avoiding sweets and sugary beverages to prevent tooth decay is considered one of the basic rules of good oral health practices. Although solid advice, it isn’t quite as simple as that. As our blog post - “Common Dental Health Myths” - reveals, sugar itself doesn’t promote cavities. The amount of time the sugar remains in your mouth is the real cause. You may think that brushing after every meal will help. It does, but many other foods contain “hidden” sugars that work in a more insidious way to undermine your oral health. Moreover, a regular diet of highly processed foods and fast foods can cause health issues that also affect oral health.

Although most people think mainly in terms of tooth decay, such foods conduct a multi-pronged attack on teeth and gums.

According to the University of Rochester’s Health Encyclopedia, “When you drink and eat starchy or sugary foods, you’re not only feeding yourself. You’re also feeding the germs (bacteria) that can cause tooth decay and gum disease in your mouth. Plaque is a thin, invisible, sticky film of bacteria and other materials. It covers all the surfaces of all your teeth. When sugars or starches in your mouth come in contact with plaque, acids form. These acids can attack your teeth for 20 minutes or longer after you finish eating. Repeated attacks can break down the hard enamel on the surface of teeth. This leads to tooth decay. The bacteria in plaque also triggers an inflammatory response. This causes the breakdown of the gums, bone, and other supporting structures of your teeth.”

For these reasons, it’s time to take a new look at foods that are bad for your oral health. Busting myths that implicate only one category of foods will - hopefully - give you the knowledge you need to reconsider what you eat (or how you eat) if you see your own pattern described here.

The Usual Suspects – Foods that Promote Tooth Decay

Starchy foods — When you chew starchy foods, your saliva breaks down the starches into sugar. Moreover, bread, potato chips, crackers, etc., tend to get stuck between teeth or cling to the gumline. As our blog post - “The Best and Worst Foods for a Healthy Smile” - notes, look for less-refined bread varieties, such as whole wheat. These contain less added sugars and aren’t as easily broken down.

Sour candies - Candy contains large amounts of sugar, but sour candy contains more and different kinds of acids that are tougher on your teeth. Most of these candies are chewy, which means they will hang around in your mouth for a while, increasing the risk of cavities.

Soda, sports drinks, and juice - Continuously sipping sugary beverages like soda or juice feeds the bacteria in your mouth. Again, when bacteria feed on the sugar on your teeth, they leave damaging acids behind.

Pickles and pickled foods — Vinegar has acid, which is essential in the pickling process. This acid not only can cause staining but can wear away your teeth’s enamel. Most pickled foods also contain sugar.

Alcohol — Besides containing a high sugar content, alcohol dries out your mouth. This is a problem, as saliva washes away food particles that stick to your teeth and gums. Drink water between alcoholic drinks to stay hydrated - and count the number of those drinks! The short- and long-term detrimental effects of alcohol on health and well-being are well-documented.

Citrus fruits — Oranges, grapefruits and lemons contain vitamin C - which is good for you. But their acid content can erode enamel. Even squeezing a lemon or lime into water adds acid to a drink. To get their nutritional benefits, eat/drink them in moderation, then rinse with water afterward.

Dried fruits — You might assume that dried fruits are a healthy snack. But many dried fruits - apricots, prunes, figs, and raisins, to name a few - are sticky. They get stuck and cling in the teeth and their crevices, leaving behind sugar. If you eat dried fruits, rinse your mouth with water, then brush and floss after. And because they’re less concentrated with sugar, it is a better choice to eat the fresh versions instead!

The Risk of Hidden Sugars in Processed Foods

While you may have already known about hidden refined sugars in certain kinds of foods, some are very good at concealing their true identity - which is why you need to read the labels carefully!

This advice comes from The Landing Dental Spa:

“Foods that are high in any kind of sugar can lead to tooth decay. Sugar comes in many forms, but ingredients ending in ‘ose’ are usually sugars. Fructose, sucrose and glucose are three of the more well-known types of sugar that can destroy your teeth. That is why it is important to read the ingredient labels when shopping. The higher the sugar appears on the ingredients label, the more sugar is in the product. Soda, processed foods and drinks, candy, cookies and pastries are all high in sugar.

“Remember, even if a product says ‘no added sugar’ that does not mean the product is sugar-free. According to the Oral Health Foundation, it simply means that no extra sugar has been added. These products still may contain sugar, or the sugar may be listed as carbohydrates.”

You also need to be an informed consumer when dining out. According to Ranches Family Dental, “Even though sugar is the primary cause of cavities and tooth decay, salty foods can damage your teeth as well. Salt has the tendency to dry out your mouth, but moisture is necessary for keeping your mouth clean and washing away bacteria. Having a dry mouth can contribute to bad breath, bleeding gums, and gum disease. Eating too much sodium can even lead to gum recession.

“Most of the salty foods at fast food restaurants are processed carbohydrates, which our bodies treat as simple sugars. Bacteria in our mouths feed on these sugars and produce acid in the process, which can erode your tooth enamel over time. Whether you pair your meal with a soda, milkshake, or sweetened coffee drink, the chances are, any beverage you choose from a fast-food restaurant will contain high amounts of added sugar. Even a size small Coca-Cola from McDonald's contains 39 grams of sugar, which is greater than the American Heart Association's recommended daily sugar intake for both men and women.

“It is not just fast-food beverages that contain staggering levels of sugar. Dipping sauces, salad dressings, and even burgers and sandwiches are often filled with sugar as well. If you regularly consume fast food, you could be putting your teeth at risk for developing cavities and decay.”

Not to mention putting yourself at risk for developing type 2 diabetes. People with diabetes are significantly more likely to suffer from gum disease due to their elevated blood sugar level. In fact, about 22 percent of diabetics also have some form of periodontal disease.

A Diet that’s Healthy for Your Teeth is Healthy for You!

An article by Colgate covers the best foods for your teeth. The highlights include the following foods and their benefits.

Leafy greens - Kale, spinach, chard, collard greens, etc., are high in calcium, folic acid, and B vitamins. If you use them in a salad, be careful with the dressing! Read the label to make sure it’s low in sugar and fat, or you’ll defeat the purpose.

Apples, carrots, and celery — Apples provide hydration and fiber. Replacing sugary treats with apples promotes good saliva production. Celery helps clean your teeth because the texture can scrape leftover food particles and bacteria away from them. Carrots and celery also are great sources of fiber, vitamin C, and vitamin A.

Dairy products - Milk, cheese, yogurt, and other related products are high in calcium and protein and promote saliva production to prevent dryness (which promotes plaque build-up). If you’re lactose-intolerant, use calcium- and protein-fortified nut milk, such as almond, soy, or cashew.

Tea, nuts, and lean proteins — Unsweetened black and green teas provide plaque-fighting ingredients. Because black tea can stain teeth, drink with a straw, if possible. Lean beef, fish, poultry, and tofu have phosphorus and protein to help keep teeth healthy. Almonds are a good source of calcium and protein while being low in sugar.

Foods containing fluoride — Fluoride plays a vital role in building strong teeth and bones, helping prevent tooth decay. Eating foods with fluoride helps your teeth absorb this mineral, allowing it to help make your teeth acid-resistant. Most seafood is a good source of fluoride because oceans are full of natural sodium fluoride. Carrots, beets, canned pork and beans, canned tomato products, and cheeses all have some fluoride. This list of fluoride-enriched foods can be found on the USDA National Nutrient Database.

As we’ve said before, we tend to think of physical health and oral health as separate, because physicians take care of the health of our body, while dentists take care of our oral health. However, one affects the other. A diet that provides our body with proper nourishment from healthy sources will also keep our gums and teeth healthy for a lifetime of smiles!

Of course, regular dental care is essential to this effort. At NK Family Dental, it is our mission to provide the highest quality and most compassionate oral care to our Chicago patients, including both dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

How Your Smile Can Make You Look Younger

Do you want to look younger? The more birthdays you celebrate, the more of a disconnect you may notice between the person you see in the mirror, and how you still see yourself. There are many well-promoted ways to turn back the clock - including cosmetic surgery, injectable dermal fillers, Botox®, skincare serums, hair coloring and even hair transplants - yet there’s one typically overlooked area that makes a significant impact on your perceived age: your smile!

While it’s a popular notion that the act of smiling itself makes you look younger, teeth change in appearance over the years - while missing teeth that haven’t been replaced create structural changes in the face that cause or worsen lines, drooping skin and thin lips. The following are common characteristics of an “old” smile:

Yellowish or dull-colored teeth.
Short, flat teeth.
Gaps or spaces between teeth.
Missing teeth.

Although you may not have thought about your dentist’s office as the location of the Fountain of Youth, your dentist can perform a number of procedures designed to give you a dazzling age-defying smile!

Whiten Teeth for an Instant Youthful Boost

Professional teeth whitening by your dentist can provide an impressive immediate result, but it’s important to consult with your dentist to determine if you’re an appropriate candidate. Depending upon the condition of your teeth, an in-office whitening procedure can help if the cause of your discoloration is staining due to the food and beverages (such as red wine) you typically consume, or tobacco use. We don’t intend to preach, but if you smoke, please read our blog post - “How Smoking Affects Your Oral Health” - then seriously consider taking steps to quit.

Otherwise, dull tooth color may be caused by more than what goes into your mouth. According to Dr. Ryan Reeves of Beyond Exceptional Dentistry, the gradual wearing away of enamel is the primary culprit of yellowish teeth in people who are middle-age-plus.

“The enamel is worn away by eating, acid from bacteria, and even by brushing. This thinner enamel is not only less white - it shows more of the yellowy dentin beneath - it’s less smooth, so it doesn’t have the same luster that a more youthful smile does.”

Should this be the case, tooth whitening is typically not recommended. Again, this is why it’s imperative to consult with your dentist about the cause of your tooth discoloration and not take it upon yourself to buy an over-the-counter whitening product. You could do far more harm by damaging your remaining enamel! Your dentist will offer options that provide the desired aesthetic effect - such as composite bonding, veneers or crowns - which will give you the white, bright smile you want while also protecting your teeth.

If whitening is appropriate for you, NK Family Dental is proud to offer Zoom and Opalescence teeth whitening treatments. Each of these excellent, proven treatments is administered by different means. We will recommend the treatment best suited to your situation and aesthetic goals based upon your consultation.

Lengthen and Reshape Teeth Through Cosmetic Dentistry

Did you know that the length and shape of your teeth tell on your age? As Dr. Reeves observes, “Youthful smiles tend to have a very marked difference in the size and shape of the central incisors when compared to the other teeth. Not only are these teeth wider than the other teeth, but they also tend to be taller. As we age, our central incisors tend to wear down to become the same height as our other teeth.”

In addition, he says, “Another characteristic of the youthful smile is that it shows off a lot of teeth. When we are 25, we show, on average, about an inch and a half of tooth and gums. By age 45, that has disappeared, and people tend not to show any tooth when they smile.”

Not only do shortened teeth detract from your smile, they actually lead to significant aging of the face itself. Premier Dental of Ohio provides the following explanation:

“Many people who suffer from aging teeth have a collapsed bite. This means that the teeth shorten over time from frictional damage, and as the teeth get shorter, the upper and lower jaws come closer together. This shortening of the bite leads to more wrinkles and lines in the face.”

Cosmetic dentistry can restore teeth to their youthful proportions. Depending upon your situation, your dentist may recommend the afore-mentioned composite bonding, veneers or crowns as a solution. Building up your teeth and your bite can also prevent some instances of facial aging, as it better separates the upper and lower jaws, thus smoothing out wrinkles. According to Dr. Jeffrey Gross of The Healthy Smile Dental Center, “When the teeth are in the correct position, it fills out the facial volume allowing you to see more teeth, creating a more youthful appearance.”

Remaking a smile is popularly referred to as a “smile makeover,” and isn’t limited to mature adults. Our blog post - “What is a Smile Makeover and is it Right for You?” - covers the many reasons people seek this type of procedure. It is now in high demand by adults of all ages who want the boost in self-confidence that a perfect smile can achieve.

Replace Missing Teeth with Bridges, Implants or Dentures

Missing teeth quickly age the face. As Premier Dental of Ohio explains, “They do this in a couple different ways. First, missing a tooth in a visible area makes you look older. Losing teeth also allow the bite to collapse. This leads to an older appearance of the face, even when the lips are closed together. When multiple back teeth are missing, the cheeks become sunken in. Missing front teeth allow the lips to collapse inward. All of this leads to more visible lines and wrinkles in the face.

“When you replace missing teeth, you can provide the support for facial structures that improves the appearance of those lines and wrinkles. You can also open the bite and prevent further collapsing.”

Your dentist will help you determine which type of restoration for missing teeth is best for your situation. Our blog post - “Implants or Dentures? Which is Right for You?” - covers the advantages and limitations of each in detail. If you have only one missing tooth, a dental bridge may be the recommended option.

Should dentures be recommended, keep in mind that you get what you pay for. Budget dentures tend to cause the most problems with fit and function, and don’t look as natural as their high-end counterparts. A well-designed, custom set of dentures can restore your face to its proper proportions - as well as provide the ability for you to chew and speak properly.

The Take-Home Message

As we are all adults here, we need to admit that appearances count! A youthful look signals health, vitality and viability, which is important for those who want to stay competitive in the job market, dating scene or society in general. A young smile goes a long way in establishing the impression you want to create. Choosing a dentist with the skill, experience, and artistic eye to create the perfect smile just for you is essential to achieving the best result.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

Why You May Need Oral Surgery

Oral surgery is an umbrella term that includes any operation performed on your teeth, gums, jaw or surrounding facial and oral structures. It includes an extensive range of procedures - including wisdom tooth extractions, dental bone grafts, periodontal grafts and corrective jaw surgery.

According to Cleveland Clinic, “Your teeth, gums and jaw joints all work together for optimal oral health and function. The overarching goal of oral surgery is to address any issue that interferes with your health or quality of life.”

You may not yet have had a condition that warrants oral surgery, but most people will eventually need some type of oral surgery procedure. Because we at NK Family Dental believe that knowledge is power, having the answers to common questions about oral surgery will make you a better informed patient should the time come.

How is an Oral Surgeon Different from a Dentist?

The main difference between an oral surgeon and a dentist is the additional education and training required to become an oral surgeon. Dentists normally complete four years of undergraduate school. Following that, they complete the Dental Admissions Test (DAT) and attend four or five years of dental school. After education, dentists receive either a Doctor of Dental Medicine (DMD) degree or a Doctor of Dental Surgery (DDS). As OMS Nashville points out, “There is no important difference between a DDS and a DMD, both have the same curriculum requirements.”

However, the DDS designation doesn’t mean the dentist is an oral surgeon, despite what the name suggests. An oral surgeon - also known as an oral and maxillofacial surgeon - is a specialist who usually receives the same education as a general dentist. After receiving a DDS or a DMD, oral surgeons complete a residency at a hospital that lasts between four to eight years in order to become dental surgery specialists.

A dentist is a primary dental care provider, focusing on overall oral health. In addition to providing six-month checkups and cleanings, a dentist has the following responsibilities:

Diagnosis and treatment of tooth, gum and mouth issues.
Dental restorations - such as fillings, crowns and bridges.
Performing tooth extractions in which there are no complicating factors, such as an impacted tooth, or tooth broken down to the jawbone.
Performing cosmetic procedures, such as composite bonding, veneers and crowns.
Performing tooth whitening procedures.
Performing preventive care, such as applying sealants.
Educating patients about preventive dental care and good oral hygiene practices.
Developing treatment plans for patients.

Types of Oral Surgery Procedures

As previously mentioned, an oral surgeon is a specialist who performs procedures that are more complex than those a dentist can perform. A patient is referred to an oral surgeon by their dentist to provide treatment based upon the dentist’s diagnosis.

Cleveland Clinic cites that tooth extraction is the most common type of oral surgery. If you have severe tooth decay, impacted wisdom teeth or dental trauma, your dentist may recommend a tooth extraction. Sometimes, tooth extractions are conducted to prepare patients for prosthetics devices, such as dentures - as well as to prepare for braces, in the case of overcrowding that would prevent the teeth from moving into proper alignment.

Other types of oral procedures include the following:

Dental bone graft - When bone loss occurs in your jaw, your dentist or oral surgeon will recommend a dental bone graft. Bone loss may occur for multiple reasons. When the roots of your teeth stimulate the nerves in the jaw, it signals your brain to transmit nutrients to the jaw. This keeps your jaw strong and healthy. However, when tooth loss occurs, bone deformation may occur in that area due to the absence of roots that stimulate the nerves. A dental bone graft procedure restores density and volume in your jawbone to allow dental implants to be placed in the future.

Dental implants - Considered one of the most long-lasting and effective teeth replacements, dental implants are small threaded posts. These are made of medical-grade zirconia or titanium which are embedded into the jaw to replace the roots of missing teeth. Once the implants heal, your dentist may restore them with dentures, dental crowns, or dental bridges.

Corrective jaw surgery - Also known as orthognathic surgery, corrective jaw surgery is performed to treat skeletal abnormalities in the jawbone. Corrective jaw surgery may be recommended to patients for a number of reasons, such as to correct misalignment, promote chewing function, or correct facial imbalances. It is also recommended to ease pain caused by TMJ, which results in compromised movement and pain in the jaw joint and its surrounding muscles. The temporomandibular joint functions as a sliding hinge that connects your jawbone to your skull. Some of the common symptoms of TMJ dysfunction include difficulty chewing, jaw pain, and locking and clicking of the jaw joint.

Additional conditions that necessitate oral surgery include the following:

Removing oral cysts and benign tumors.
Performing reconstructive surgery.
Repairing soft tissues.

What Kinds of Anesthesia are Used for Oral Surgery?

Your oral surgeon will determine which type of anesthesia to administer for your procedure. Be candid about anxiety you may have about the surgery, as the surgeon can choose an option that will keep you calm and pain-free throughout.

Here are the most common types of anesthesia. Please understand that this list is only an overview. Discuss specific options with your oral surgeon prior to the procedure.

Local anesthetic — This allows you to remain conscious during the surgery. An anesthetic (such as lidocaine) is injected in and around the surgery area. Local anesthetic is typically used in conjunction with all other forms of anesthesia during oral surgery procedures.

Nitrous oxide sedation with local anesthetic — Also known as “laughing gas,” nitrous oxide can be used during simple oral surgery procedures, as well as more complex procedures, such as wisdom teeth removal and dental implant insertion. Before and during surgery, you breathe a mix of nitrous oxide and oxygen. The gas allows you to stay conscious and relaxed. Nitrous oxide acts as a sedative and analgesic, calming you and controlling pain.

Office-based intravenous anesthesia with local anesthetic — I.V. anesthesia brings sedation and eliminates pain during all types of oral surgery. If you’re anxious or especially nervous, you may request I.V. anesthesia for simple procedures. Most people undergoing dental implant placement or wisdom teeth removal select intravenous anesthesia.

The Take-Home Message

If you’re told that your dental condition needs to be treated with oral surgery, we hope you now have the information to be confident of a pain-free procedure and successful outcome. Knowing what to expect goes a long way in alleviating fear, which sometimes prevents patients from seeking timely treatment - thereby leading to a more serious condition.

It is our mission at NK Family Dental to provide the highest quality and most compassionate oral care to our Chicago patients, including dental and periodontal services. Our practice is trusted for advanced oral surgery procedures and comfortable root canal treatment.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!

What You Need to Know About a Root Canal

Root canal treatment is probably the dental procedure that people dread the most. In fact, it’s the standard reference for an unpleasant experience, as in, “I’d rather have a root canal than (fill in the blank).” If you’ve never had a root canal, the procedure’s bad reputation could make you so anxious that you don’t seek treatment if you have symptoms - which will lead to an even worse situation. If you had a root canal years ago, your memories may be of long, uncomfortable treatments involving hours in the dental chair over two or more visits.

Fortunately, medical advancements in root canal treatment have made the procedure much faster, and painless when performed by an experienced, skilled dentist or endodontist. An endodontist is a dentist who specializes in diagnosing and treating problems inside the tooth. Endodontists receive two or more years of advanced training after completing dental school in order to further develop their knowledge, skills and use of advanced root canal treatment technology.

In the interest of ending the root canal’s scary reputation for good, the American Association of Endodontists (AAE) reported on a 2019 study by the University of Adelaide on modern root canal treatment, authored by Dr. Tallen Chew and published in the Journal Endodontics (JOE). The JOE study concluded that root canal treatments are currently perceived as no worse than other dental procedures, with more than 25 million root canals treated every year by dentists and endodontists.

What is a Root Canal?

Although the term “root canal” is often used to refer to the procedure, it’s actually part of tooth anatomy. Also known as the pulp canal, it’s located inside the tooth root and contains the pulp, or pulp tissue. This tissue is made up of blood vessels, nerve endings and connective tissue. A tooth develops a root canal infection — also known as irreversible pulpitis — when decay spreads to the pulp, or when a bacterial infection develops inside the tooth or at its root tip. It must then be removed from the canal in order to stop dental pain and prevent infection from spreading throughout the body — which can lead to sepsis, a life-threatening medical emergency.

The AAE explains root canal treatments as follows:

While the tooth structure remains intact, it is no longer “alive” so to speak. This eventually makes it brittle and fragile, which is why the final step is to place a crown over the tooth. The restoration gives the tooth strength and protection so it functions just as before. Crowning also provides an aesthetic benefit, as the tooth may become discolored.

How Can I Tell if I Need a Root Canal?

Because of its reputation, many people delay seeking treatment, hoping that symptoms will go away on their own (which never happens). Only a dentist can confirm if your tooth’s pulp is infected or inflamed and will require root canal treatment, but there are some key symptoms to watch for:

Persistent pain — Feeling constant or persistent pain in a tooth, jaw, face or surrounding teeth is a major symptom. This could also indicate gum disease, a cavity, a damaged filling, an infection in an impacted tooth and other dental conditions. Always consult your dentist immediately when you experience any form of tooth pain.

Pain upon touching the tooth or eating — If your tooth is sensitive to both cold and hot beverages/foods, this could be a sign that the nerve endings and blood vessels in your tooth pulp are affected. You might feel either a sharp pain or a dull ache that persists for a while after drinking or eating. According to Kenneth Rothschild, DDS, in his interview for Healthline, “The ligament around the root tip of an infected tooth may become hypersensitive from the pulp dying. The waste products from the dying pulp may irritate the ligament, causing pain from biting pressure.”

Swollen gums — In addition to being a sign of periodontal (gum) disease, swollen gums could be caused by problems with a tooth’s root, especially if the swelling is concentrated near a single tooth that is causing pain. Gums may be tender to the touch, the swelling may be persistent, or it may come and go. The swelling could be caused by infected or dead tooth pulp, and it could also include an abscess containing fluid known as pus. As Dr. Rothschild explains, swelling occurs when the acidic waste products released by dead pulp tissues react with the root or surrounding areas of your tooth. Instead of swelling, you may also have an abscess, gum boil, or parulis.

Tooth mobility - If your tooth feels loose, the pulp could be infected, and the nerve endings could be dead. Acidic waste products caused by nerve death can soften the bone around the tooth's root, causing mobility. However, a loose tooth is only a potential sign of needing a root canal if just one tooth is loose. More than one tooth likely indicates other serious dental conditions.

Tooth discoloration — An infection in your tooth pulp can lead to tooth discoloration. Dark grayish-black coloration seen from the external front of a tooth can be a major sign of internal root tissue damage and infection.

How is a Root Canal Performed?

As our blog post - “What to Expect with a Root Canal” - covers, there are seven core steps to this procedure. Your dentist or endodontist will explain what root canal treatment involves, but here is the breakdown:

Another exam and set of X-rays — While your endodontist or dentist already conducted an exam and took X-rays, doing so once more just before the procedure helps ensure all the correct necessary preparations have been made.
Oral numbing — Local anesthesia will be used to numb the infected tooth and the area around it. Sedation is not a requirement for root canals, but you may be able to request it from your dentist prior to the procedure to help with anxiety. You can read more about sedation on our blog post, “What to Expect with IV Sedation.”
Rubber dam placement — To prevent further bacteria from reaching the tooth, a rubber dam (typically a latex sheet), will be placed over your mouth. Medications used inside the tooth will also be prevented by the dam from being swallowed.
Tooth opening — Your dentist or endodontist will then drill open the top of the tooth.
Removal, cleaning, and shaping — The infected pulp is removed using very precise tools, followed by the interior of the tooth being cleaned out and shaped.
Tooth irrigation — The now-empty pulp chambers are irrigated with water. This may also be followed by an antibacterial agent.
Filling and sealing — Once the interior of the tooth is dry, the tooth will be filled and sealed. The filling is generally a combination of gutta-percha (a natural polymer) and rubber cement, although posts can also be included as needed. You will also receive a temporary filling to top the tooth until you later receive a permanent crown.

Presenting Root Canal Treatment in a New Light

Root canal treatment has become as advanced as every other type of dental procedure, making it painless and convenient. And when you have your root canal procedure performed at NK Family Dental, you’ll experience treatment by our outstanding root canal specialist, Dr. Sabek. Our spa-like office provides an atmosphere that is modern, tranquil and inviting, designed for the ultimate in comfort.

We serve the neighborhoods of Logan Square, Bucktown, Humboldt Park, and Wicker Park with the dedication that’s earned us the reputation as the Best Dentist in Chicago!

Schedule your visit through ZocDoc, or contact us directly. We look forward to treating you soon!