Online Dental Education Library
Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.
Teeth Whitening - Brighter, whiter...
The subconscious impact of a white smile is radiant health, happiness, warmth and invitation. This phenomenon has been reinforced with the spread of American culture worldwide, where an especially white smile has even been coined a "Hollywood smile". Today brighter, lighter, whiter teeth have become a norm. Tooth whitening by bleaching is a successful, conservative, relatively inexpensive and safe alternative... Read Article
Smile Design with Porcelain Veneers
In part two of the series on Smile Design, Dear Doctor takes an in-depth look at Porcelain Veneers, a superior yet minimally invasive technique for smile enhancement. We'll explain not only when they're appropriate, but also when they're not... Read Article
Porcelain Veneers – Without A Drill
No drilling — reality or ridiculous? A no-drill technique requires a second look, as new materials and concepts have created new esthetic possibilities. Reactions and opinions among dentists have ranged from absolute disbelief to moderate acceptance. This article gives hope and reasons for patients to get excited about this conservative drill-free cosmetic technique... Read Article
Cosmetic Dentistry - A Time For Change
Join us as we review the myriad of possibilities available to you for cosmetic dental change. But the biggest part is not just how your smile looks, it's how you feel when you show it... Read Article
Dental Implants - Your Third Set of Teeth
A discovery fifty years ago paved the way for one of dentistry's most exciting, natural looking and successful tooth replacement systems. Learn how dental implants might just possibly change your life... Read Article
What is Tooth Decay?
Tooth Decay is an infection, and many people don't realize that it is preventable. This article is the first in a series about tooth decay, perhaps the number one reason children and adults lose teeth during their lifetime. Explore the causes of tooth decay, its prevention and the relationship to bacteria, sugars and acids... Read Article
Don't wait for cavities to occur and then have them fixed — stop them before they start. Modern dentistry is moving towards an approach to managing tooth decay that is evidence-based — on years of accumulated, systematic, and valid scientific research. This article discusses what you need to know to assess your risk and change the conditions that lead to decay... Read Article
The Beauty of Tooth Colored Fillings
The public's demand for aesthetic tooth colored (metal free) restorations (fillings) together with the dental profession's desire to preserve as much natural tooth structure as possible, has led to the development of special "adhesive" tooth colored restorations... Read Article
Wisdom Teeth – To Be Or Not To Be
Facts you need to know about these curiously named teeth. They are so-called because a moderate amount of wisdom is supposedly achieved at about the same time these teeth typically make their appearance. This article will review the problems associated with wisdom teeth and whether or not they should be removed... Read Article
Oral Hygiene - Dental Health for Life
The best tools for maintaining your oral health and minimizing dental problems are a quality toothbrush, toothpaste, a roll of dental floss, approved mouthwash and good diet. This article cuts through the confusion with a winning game plan for oral health... Read Article
Understanding Gum Disease
Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of silent (periodontal) disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article
The Impact of a Smile Makeover
Americans are catching on to the emotional and social importance of a healthy, beautiful smile, and they're seeking out ways to improve their smiles. Learn why and what a change could mean for you...Read Article
The orthodontic treatment using clear aligners consists of a series of aligners that you change about every two weeks over a course of treatment lasting six to eighteen months depending on how much movement is needed... Read Article
This article may just save your life. Learn how to notice any unusual lesions (sores or ulcers) anywhere in your mouth that do not heal within two-three weeks. Early detection is key... Read Article
Implant overdentures represent a major change for the dental profession and the public. The lower jaw two-implant overdenture may be considered a more appropriate starting point over regular dentures... Read Article
TMD – The Great Impostor
This “chameleon” of dental disorders manifests in a variety of ways, including joint pain, sinusitus, ear pain, tooth and headaches. The causes of TMD, its signs and symptoms and what can be done to treat this common disorder... Read Article
Lasers Shine a Light on Dentistry
Lasers have revolutionized medicine and now they're beginning to blaze a new trail in dentistry. Today, at the dawn of the 21st century there are a variety of dental uses for lasers, from diagnosing cavities and the removal of gum and tooth structure to the treatment of disease... Read Article
Oral Sedation Dentistry
Step out from under the shadow of fear and into the calm of sedation dentistry. There are safe and time-tested options available to ensure that you have a positive and painless dental experience. Your apprehension and hypersensitivity to pain melt away, yet you remain awake and in control... Read Article
Sleep Disorders and Dentistry
If my partner snores loudly, should I be concerned and what can be done to alleviate the problem? Why does my sleeping partner have lapses in breathing while sleeping and is it dangerous? Why do I wake up exhausted even though I get up to 10 hours sleep at night? The answers to these and more questions and how dentistry can help all revealed within... Read Article
About Dear Doctor Dentistry Magazine
Dear Doctor - Dentistry & Oral Health is a dental magazine written for the education of the general public. Dear Doctor provides information that is accurate, authoritative, and trustworthy on all aspects of dentistry and oral health including teeth whitening, porcelain veneers, dental implants, cosmetic dentistry, smile makeovers and more.
Copyright © 2012 Dear Doctor, Inc. All rights reserved. Copying or reproducing any text or graphics is strictly prohibited.
In the future, could small cavities be detected early and filled without anesthesia, and with only the minimum removal of tooth material? Will routine dental procedures be performed with patients noticing no vibration or pressure? Will the piercing whine of a dental drill be a sound that's heard in dental offices no more? The answer may well be yes — in fact, it's happening right now with air abrasion technology.
The air abrasion instrument is a hand-held tool that dentists use for a variety of purposes. A bit like a mini-sandblaster, it uses compressed air (or another gas) to produce a fine stream of abrasive particles that can be precisely aimed. The small, high-speed particles (often silica or aluminum oxide) remove tiny bits of material in the decayed portion of the tooth; the debris is then whisked away through a suction tube.
Sound futuristic? It is, but it's not exactly new: Air abrasion instruments were first developed in the 1940's, but recent advances in high-volume suction and improved dental restoration materials have given the process a renewed appeal. Some of the uses for air abrasion tools include: removing dental caries (cavities) and filling them with composite (tooth-colored) material; preparing teeth for bonding, veneering or other procedures; and removing stains or even repairing small defects in teeth.
How It Works
The tiny abrasive particles (.002” or less in diameter) remove only minute amounts of tooth structure, making a drill seem coarse by comparison. The air pressure, flow rate, nozzle diameter, and other settings on the instrument can be accurately controlled to produce the precise amount of abrasion needed. The result is a minimally-invasive method of removing decayed or unwanted tooth material.
Even though powerful suction is used to remove spent abrasive and debris, it's still necessary for everyone to wear protective eyewear as a precaution. A rubber dam (shield) is also generally used to keep abrasive particles from affecting other teeth or getting into areas of the mouth where they don't belong. Nearby teeth and gums can also be coated with a protective resin if needed.
Advantages of Air Abrasion
Because it doesn't require a whirring drill, air abrasion generates no pressure or vibration, and makes very little noise. It can eliminate the need for anesthesia, especially if the cavity isn't deep. It reduces the chance of damaging the tooth during a procedure, and it leaves more healthy tooth material behind. This makes it ideal for children, or others who are sensitive to dental discomfort. In fact, it's perfect for treating tiny cavities that have been detected by laser diagnosis (cavities that aren't big enough to be seen on an X-ray), and sealing them up before they become bigger problems.
Minimally-invasive procedures are where air abrasion truly shines. Because it's a relatively fine-scale instrument, it isn't suitable for treating deep cavities or removing old metal fillings. However, as a high-tech tool for performing many preventive and restorative dental procedures, it offers some unique benefits to both dentist and patient. And some day, it just might make the dental drill obsolete.
Tooth Decay — A Preventable Disease Tooth decay is the number one reason children and adults lose teeth during their lifetime. Yet many people don't realize that it is a preventable infection. This article explores the causes of tooth decay, its prevention, and the relationship to bacteria, sugars, and acids... Read Article
Tooth Decay – How To Assess Your Risk Don't wait for cavities to occur and then have them fixed — stop them before they start. Modern dentistry is moving towards an approach to managing tooth decay that is evidence-based — on years of accumulated, systematic, and valid scientific research. This article discusses what you need to know to assess your risk and change the conditions that lead to decay... Read Article