Tag Archives: dental

Oral Cancer Screening

I do an oral cancer screening on all patients, and usually end up doing about 1 biopsy a month. I use magnification glasses, and it only takes about 20 seconds- I know what to look for!  This month I did 3 biopsies, and that motivated me to write this blog post on oral cancer exams.  Two were benign fibromas, and the other was a papiloma (HPV) showing mild to moderate dysplasia. I removed this fibroma on the inside of the patient’s lower lip because he kept biting it and it was annoying and bothering him.

fibroma
fibroma on lower lip
fibroma_suture
fibroma removed and sutured

The papilloma virus patient  had no idea the lesion was there. This lesion was way back on his soft palate and I didn’t even see it until I held his tongue down to check his throat. This papilloma was showing mild to moderate dysplastic changes and could have turned into oral cancer.

papilloma_soft_palate
papilloma

papilloma_palate 

oral_pathology_report
pathology report

Dr. Gentry’s Article on How to Brush Your Dog’s Teeth.

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Dr. Gentry with his dog, Luna, who often accompanies him to the office

Want to keep your pooch’s pearly whites in tip-top condition? Local dentist (and devoted dog owner) Philip Gentry offers this step-by-step advice for keeping Fido’s smile healthy and clean:

1. Use a specially designed dog toothbrush and pet toothpaste. Never, never, use human toothpaste. It’s not meant to be swallowed and will irritate a dog’s stomach.  Two brands that I recommend are Sentry Petrodex Enzymatic toothpaste for dogs (poultry or peanut butter flavor) or Arm & Hammer’s Advanced Pet Care Enzymatic dog toothpaste (chicken or beef flavor).

2. Gently introduce the toothpaste by allowing your dog to lick it off your finger. Do this first, before you bring a toothbrush into the picture.

3. Next, use your finger to rub the toothpaste around the outside of the teeth and gums. Avoid the inside surface so as not to be bitten.

4. Once your dog gets used to the drill, you can introduce a toothbrush. Be sure to consider the size of your dog when choosing a toothbrush (smaller brush and head for a small dog; larger and longer brush for a bigger dog).  Look for a soft brush that has bristles on both sides of the handle. Pet stores also sell finger brushes that fit over your fingertip.

5. Brush daily at a relaxed time in a location with plenty of light. Start brushing the front teeth and work backward, moving the brush in a circular motion. Lift the dog’s lip so you can see better.

6. Reward your pup with praise and petting. Make it a fun experience. It’s okay to give treats, too—ideally dental chews that are specifically designed to remove plaque and tartar. I like Greenies brand.

7. Avoid giving your dog table scraps and sweets. They will cause plaque build-up, decay and gum disease. Note: the sweetener Xylitol (which is found in candy, gum, human toothpaste, certain protein bars and other products) is toxic to dogs!  Click here for a complete list of products that contain Xylitol.

8. Don’t stress if you can’t reach all of your dog’s teeth. Start the very first brushing with a goal of doing 10 seconds on the front teeth. Then work your way up to one minute, brushing all the teeth.


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Dental Implant case of the Day.

For this patient, we were unable to save her back right lower molar. We extracted the tooth and placed a dental implant. Here are the clinical photos:

implant#31
dental implant
implant-crown#31
screw retained crown
implant-crown#31-final
screw access channel filled
digital-design-scan
digital design scan
implant-crown-screw
restorative torque wrench, titanium screw, implant crown
tooth#31-before-extraction
back molar before extraction
implant-tooth#31
final implant x-ray
happy-patient
happy patient

Dental Implant case of the Day

Here are the clinical photos from today’s implant delivery appointment:

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Encode healing abutment
dental-implant
dental implant
implant-crown
screw access channel
implant-final
access channel filled
final-x-ray
perfect fit
happy-patient
happy patient

         

These x-rays show the importance of taking an x-ray to confirm that the implant  crown is lined up and seated correctly.

x-ray1
gap between crown and implant
x-ray2
crown repositioned-no gap

Nice dental implant case :-)))

This patient had a fractured molar that we tried to save with a root canal. The root fracture was too large and we were unable to save and restore the tooth.  So I recommended to extract the tooth and placed a dental implant. Turned out fantastic and the patient is very happy he can chew again on his left side :-)))

Dr Gentry dental implant

Immediate complete denture case

This patient had a heart attack and some other health issues and wasn’t taking very good care of his teeth.  He came to me with tooth pain and wanted me to help.  Since his remaining teeth were in poor condition, I recommended to extract his remaining teeth and make complete upper and lower dentures.

immediate-denture-before
before
immediate-denture
after
denture-patient
happy patient

x-ray

Anti-Snoring device that I make for patients

The dangers of snoring
More than 80 million North Americans snore. Taking into account the snorer’s spouse and children, as many as 160 million people are negatively affected by snoring. And snoring doesn’t merely interrupt your sleep cycle. The struggle for breath can result in soaring blood pressure, which can damage the walls of the carotid arteries and increase the risk of stroke. At certain levels of severity, complete blockage of the airway space by the soft tissues and the tongue can occur. If this period of asphyxiation lasts longer than 10 seconds, it is called Obstructive Sleep Apnea (OSA), a medical condition with serious long-term effects.

What causes snoring?
During sleep, muscles and soft tissues in the throat and mouth relax, shrinking the airway. This increases the velocity of airflow during breathing. As the velocity of required air is increased, soft tissues like the soft palate and uvula vibrate. The vibrations of these tissues result in “noisy breathing” or snoring.

Surgical techniques used to remove respiration-impairing structures have shown only moderate success rates (20 to 40 percent). For the majority of snorers, the most affordable, non-invasive, comfortable and effective snoring solution remains a dentist-prescribed, oral snoring preventative device such as Silent Nite.

snoring prevention appliance

How Dr. Gentry can help you with a Silent Nite Slide-Link appliance
Silent Nite sl is a custom-fabricated dental device that moves the lower jaw into a forward position, increasing space in the airway tube and reducing air velocity and soft tissue vibration. Special connectors are attached to transparent flexible upper and lower forms. The forms are custom laminated with heat and pressure to the dentist’s model of the mouth. The fit is excellent and comfortable, permitting small movements of the jaw (TMJ) and allowing uninhibited oral breathing.

snoring appliance
Patient wearing the anti-snoring appliance
snoring appliance instructions
Instructions and connectors to vary jaw position

This video is actually for dentists, and explains all about the anti-snoring device.