Blog

It was a small fall! A miniscule piece of popcorn! A minor foul on the basketball court! But now there’s a chip in your otherwise perfect smile. Is a chipped tooth worth calling Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok?

Any time your tooth is injured is time to call our Kingston, ON office. Even a small chip can affect your tooth structure and should be evaluated. We will also want to check your tooth and gums to make sure there is no underlying injury that could be more serious, and to treat your tooth as soon as possible so that no further damage occurs.

A very small chip might need nothing more than smoothing and polishing to remove sharp edges. A small chip in your enamel can be repaired with dental bonding, where a composite like those used to fill cavities will be shaped to cover and fill the chip. This composite will be matched to your tooth color for a seamless repair. A porcelain veneer is also an option for you. These procedures will restore the look of your tooth and protect it as well, because even a small chip can lead to tooth sensitivity or further damage in the future.

A larger chip, such as a fractured cusp, might require a crown. But a large chip might also mean that the inside of the tooth has been compromised. If the dentin or pulp are affected, pain, infection, and even tooth loss could result. A root canal might be necessary to preserve the tooth, so prompt treatment is necessary.

Regardless of the size of the chip, call our Kingston, ON office as soon as possible. We can give you tips for pain management, if needed, until you see us. If you can save the chip, bring it with you when you visit in case there is the possibility of bonding it to the injured tooth.  But even without that missing piece, there are ways to restore the look of your original tooth. Remember, repairing a chipped tooth is not just cosmetic. We want to keep your smile healthy, as well as beautiful!

When you’re pregnant, you expect physical changes. That’s part of the excitement of the journey! What isn’t expected—and not nearly as exciting—is when your familiar smile seems to be changing as well.

If you’ve noticed that your teeth feel loose, or that your regular tooth alignment has shifted, you might be experiencing one of the unexpected, but quite common, side effects of pregnancy—tooth mobility.

How is this “wiggle room” possible? After all, you’re making sure that you’re eating a diet rich in protein, vitamins, and minerals, including calcium, vitamin D, and all the other nutrients which keep teeth and gums healthy. You’re brushing and flossing regularly to prevent cavities and gum disease. You haven’t changed your healthy dental habits, so why are you seeing different results?

The answer lies in the hormonal changes which occur with pregnancy. Your body has significantly increased production of hormones such as estrogen, progesterone, and relaxin. One of the benefits of these higher hormonal levels is their relaxing effect on your ligaments and joints. Relaxed ligaments and joints help make pregnancy and childbirth easier.

But you can’t target hormones just where they’ll be most useful. An increase in hormones affects the ligaments and joints throughout your body. And while this explanation might seem unrelated to loose teeth, it is, in fact, the “root” of the matter.

A complex support system holds our teeth securely in their sockets. Instead of being rigidly fused to the jaw, each tooth root is surrounded by a periodontal ligament within the socket. This ligament is largely made of flexible connective tissue, and attaches to both the root of the tooth and the bone tissue of the jaw, holding the tooth in place. Its flexibility helps cushion your tooth from pressure and impact, and allows the tooth movement which makes orthodontic work possible.

The hormones which relax ligaments and joints throughout the body have that same relaxing effect on the flexible ligaments and joints in the mouth. So it’s not uncommon to find that your teeth feel a bit looser, or that your customary tooth alignment has shifted, or that you’re experiencing discomfort in your jaw joint, especially if you grind or clench your teeth.

Fortunately, while loose teeth are alarming, it’s most often only a temporary condition. Your teeth and ligaments should return to their normal, stable status after your baby is born. But because dental health can impact on your pregnancy, see us if you notice any changes in your smile. We want to rule out any other causes of tooth mobility, including gum disease, tooth abscesses, or other serious conditions.

Other proactive prenatal tips to keep your smile its healthiest?

• Call us when you learn about your pregnancy. We can offer suggestions for caring for yourself and your dental health during this exciting time.
• Keep up with your dental hygiene. Brushing and flossing are more important than ever to keep your gums healthy.
• And, because your gums might be more prone to gingivitis now, extra cleanings as needed can keep plaque buildup from forming.
• Don’t forget your regular appointments at our Kingston, ON dental office for exams and cleanings. We want to help prevent any small problems from becoming larger ones.

Pregnancy is a time of many physical changes. Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok will work with you to ensure that one thing which remains constant is your beautiful, healthy smile!

The short answer to this question? Yes. Because your child’s breath is a reflection of his or her oral health, you should talk to Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok if you notice any unpleasant changes. While better dental hygiene is usually the answer for young children, bad breath can also be a symptom of more serious problems.

Oral Hygiene

Most often, bad breath is simply a sign that your child needs a little help developing proper brushing and flossing habits.

• Show your child how to use a soft-bristled brush that fits in the mouth comfortably, be sure to brush all the surfaces of each tooth, and don’t forget to angle toward the gum line. And brush long enough. Once all the baby teeth have arrived, two minutes of brushing is usually recommended for children.
• It’s not too early to floss! Adults need to handle the flossing duties for children until they can manage on their own, so it’s a perfect time to teach technique. And, just like toothbrushes, floss should be flexible and soft.
• Don’t forget the tongue. Our tongues harbor the bacteria that cause bad breath, so finish off your child’s routine with a gentle brush of the tongue.

Better oral habits mean not only fresh breath, but give those baby teeth the best chance of staying healthy until they are naturally replaced by adult teeth. After all, baby teeth not only help your child learn to eat and speak properly, but they act as necessary placeholders so the permanent teeth are able to erupt in exactly the right spot.

Talk to a member of our Kingston, ON office team at your child’s next appointment if you are concerned about oral hygiene–they have many great suggestions for making brushing and flossing more efficient, comfortable, and even fun for your child.

Most people hear the word root canal and panic. With today’s state of the art equipment and improved local anesthetic devices, and some knowledge, a root canal does not have to cause panic. Root canals are a common dental procedure, done quite often at our Kingston, ON office.

Why do I need a root canal?

There are several reasons why Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok may suggest a root canal including:

• An infection in your tooth that has reached the nerves
• A deep cavity that cannot be filled because the pulp and nerves are also effected
• Injury to the tooth
• A deep cracked tooth
• Broken tooth
• Repeated fillings of the effective tooth

What is a root canal?

A root canal is a dental procedure that is used to prevent the loss of a tooth and relieve pain. Inside your teeth is pulp which consists of soft tissue blood, connective tissue, blood vessels, and nerves. When the pulp becomes infected, swollen or diseased a root canal is necessary to save your tooth. During a root canal, Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok will remove the infected pulp. The tooth’s root canals and pulp chamber of your tooth will be cleaned, so all the diseased pulp is removed and then your tooth will be sealed.

What to Expect During a Root Canal

Your root canal will start out just like any other dental procedure. We will go over any questions you may have, and then numb the area surrounding the tooth. After the area is numb the root canal will begin.

The amount of time it takes to do your root canal varies depending on number of roots that need to be cleaned. Most teeth have one root canal, while others have between two and four. For a single canal, the procedure usually lasts less than an hour. The more canals your tooth has the longer amount of time it will take and in some cases, you will require more than one visit.

How much pain will I have after a root canal?

Once the local anesthesia wears off, your pain can be controlled by over the counter pain medications such as Ibuprofen, Naproxen, or Acetaminophen. In some cases, Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok may prescribe a prescription dose of pain medication. Within two days you should be feeling much better and able to return to your regular lifestyle.