Monthly Archives: October 2015

Dr. Gentry’s article in The Elm, The University of Maryland

The University of Maryland

Halloween-Dental-Care

Tips for Your Teeth: Halloween Edition

Tips for Healthy Teeth

  • Eat Halloween candy right after meals. The saliva produced during meals will help dilute the acids produced by the mouth bacteria in response to the sugar and the saliva will help rinse away food particles.
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  • Avoid candy that lasts a long time. It’s the length of time the sugar is in your mouth that is the critical factor. The longer the candy is in the mouth the more damage to the teeth.
  • Stay away from sticky candy. The longer the sugary candy is stuck to the teeth the more decay will occur. Stay away from gummy bears, sticky fudge and taffy. Stay away from sour candy. Sour candy is highly acidic leading to erosion of enamel.
  • Drink more water. Tap water with fluoride is best. This will help wash away the candy.
  • Eat good healthy foods and don’t fill up on sugary candy. You need good nutrition for healthy teeth and gums.
  • Stay away from sodas and sports drinks. The frequent contact with the sugary liquid will increase damage to teeth.
  • Chewing sugarless gum after eating candy will cause increased saliva production, which will neutralize the acid in the mouth and wash away food.
  • Brush as soon as possible after eating. If you ate sour or acidic foods rinse with water a few times first to neutralize the acid so not to push the acid into the enamel. Brush for two minutes.
  • Floss! Flossing removes plaque and food stuck between the teeth where the toothbrush can’t reach.Happy Halloween
  • Visit your dentist regularly to catch dental problems early, and “treat” them before they get really scary. … Remember good oral health is a major contributor to good overall health.

by Philip A. Gentry, DDS, FAGD
Fellow, Academy of General Dentistry
Dean’s Faculty, Department of General Dentistry
University of Maryland School of Dentistry

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Halloween treats that Dr. Gentry hands out to trick or treaters

From The Horse’s Mouth

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Dr. Gentry examining Stewie

Horses have 2 sets of teeth, 24 baby teeth, which are replaced by 5 years of age by between 36-40 permanent teeth. These consist of 6 upper and 6 lower incisors, 12 upper and 12 lower back premolar and molar teeth. Most male horses also have canine teeth, called fighting teeth, while females do not. There is an interdental space with no teeth, just gums, between the incisors and premolars. This is where the bit part of the bridle is placed.

Horses eat pretty much constantly for 10-12 hours a day and their teeth continuously erupt to offset the wear from the repeated chewing. Young adult horse teeth can be 5 inches long. Most of the tooth is under the gums and it slowly erupts about 1/8 of an inch each year until the horse gets old and eventually the teeth become very short and eventually fall out.

It is possible to tell the approximate age of a horse by its teeth. The expression “Don’t look a gift horse in the mouth” means that it is rude and ungrateful to check the teeth of a horse given to you as a present, as you would one you were considering purchasing. So don’t be ungrateful when you receive a gift.

Horses teeth wear unevenly and develop sharp edges, which irritate and lacerate the tongue and cheeks and make it difficult and painful to eat and have the bit in their mouth. A procedure called floating the horse’s teeth, where an equine dentist smoothes the sharp edges is done 1-2 times a year.

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Fractured teeth of the day. Every day I see broken teeth. Here are 2 examples from today.

This patient cracked his molar biting a chicken bone. I was able to save the tooth, and without a root canal, but it did require a crown lengthening periodontal surgery and a crown.

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Fractured distal lingual cusp.
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Broken piece removed
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Broken piece.
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Porcelain crown cemented over tooth.

This next patient bit down on a mint candy and fractured her molar down the root. The tooth could not be restored and was extracted and we will place a dental implant.

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Fractured mesial lingual cusp.
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Piece removed, fracture extends down root.

Implant case of the week.

This was a challenging implant restoration case due to the alignment of implants. In order for the implant to osseointegrate  firmly into the jaw bone we like to place the implants where the jaw bone is the thickest and strongest. In this case the best bone was not lined up nicely so we had to stagger the implants. I was still able to make the final implant crowns line up perfectly in the mouth.

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Before and After

Retention Grooves to help crowns last longer.

On these 2 crowns, the first porcelain and second gold, that I did last week in my office I show how I place retention grooves in my crown preparations to help lock my crowns in. These grooves prevent rotation and help secure the crowns in place. These slots allows for more surface area for the cement and results in a longer lasting restoration that holds firmly in place. This is especially important in short weak teeth. With this technique I am able to save teeth that otherwise would need to be extracted or require periodontal crown lengthening surgery.

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Broken down molar.
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Cleaned out and composite buildup and retention grooves/slots placed.
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Porcelain crown cemented in place.

 

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Two patient’s smiles I made happy today.

The first patient was concerned about his broken down front upper teeth and the gap between the teeth.

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before
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after

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The next patient broke her lateral incisor tooth. It is very dark since it was traumatized and had a root canal many years ago.

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before
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after