My Blog
By Jennifer Robb, D.M.D.
September 17, 2018
Category: Dental Procedures

Crowns and BridgesNo smile is perfect, but smiles which have damaged or missing teeth need restoration to be fully functional and beautiful. Your Lorain, OH family dentist, Dr. Jennifer Robb, uses porcelain bridgework and crowns to fill gaps and bring damaged enamel back to life. Get the wonderful smile you deserve with quality restorative services from Dr. Robb and her team.

What is a dental crown?

Meticulously crafted from fine-grade dental porcelain, a crown is a tooth-shaped cap which covers the visible portion of a damaged tooth. Based on her findings from oral examination and X-rays, your family dentist in Lorain determines if a decayed, injured or misshapen tooth would benefit from this reliable and long-lasting restoration.

The crown process takes a couple of appointments to Dr. Robb's office:

  1. The first involves evaluation of the tooth, taking oral impressions and shaping the tooth to receive the crown.
  2. The second involves permanently bonding the porcelain crown over the prepared tooth and adapting the bite and fit with the opposite arch of teeth.

What is fixed bridgework?

Fixed bridgework replaces missing teeth--one, two or more which neighbor each other. The pontic, or artificial teeth, are naturally-colored and shaped. They attach to remaining real, or abutment, teeth via dental crowns.

Because the abutment teeth receive crowns and anchor the bridgework, they must be ground down and shaped to hold the bridgework in place. The wider the bridge is--in other words, the more pontic teeth there are--the more crowns Dr. Robb will install to hold the appliance securely in place. Your care plan and dental appliance will be custom-made to your specific preferences and oral health needs.

Advantages of crowns and bridgework

These restorations carry the following benefits:

  • Restored smile aesthetics
  • Youthful facial appearance
  • Improve self-confidence
  • Proper speech, biting and chewing
  • Stabilization of teeth adjoining the smile gap (no tooth drift)
  • Long lifespan

When well cared for, most crowns and bridges last for at least ten years.

Cleaning your crown and bridgework

While these restorations don't decay, they can collect harmful plaque and tartar at the gum line, a common place for periodontal problems to begin. So, when you go home with your crowns and bridgework in place, floss carefully at least once a day and brush twice a day just as the American Dental Association advises.

Follow any special instructions your hygienist may give you, and be sure to see Dr. Robb every six months for your route check-up and professional cleaning. Preventive measure such as these will keep your entire smile bright and healthy.

Ready for a change?

Come see Dr. Robb at her Lorain, OH office, and learn more about smile restoration through crowns and bridgework. Call for a consultation at (440) 960-1940.

By contactus@drjrobb.com
September 15, 2018
Category: Uncategorized
Tags: Untagged

Dental decay is caused by oral bacteria interacting with complex carbohydrates (mostly sugars). We supply the carbohydrates to the bacteria by what we eat. Dr. Milan Somborac claims that white flour, white rice, and sugars are the modern agricultural scourges to your teeth.

 

Tooth decay is a chain reaction.

  1. Eating sugar starts the process, especially if the sugar sticks to your teeth.
  2. The metabolic action of bacteria on the sugar produces an acid.
  3. The acid begins to dissolve your tooth enamel. (At this point the process is still reversible.)
  4. Acid dissolution continues into the dentin of your tooth (the layer between your enamel and your dental nerve) and in severe cases may penetrate to the nerve itself, causing nerve death—in very severe cases, it can even cause your death.

 

In today’s era of modern dentistry, it is possible to restore your teeth to the level of function that you had before by removing the soft tooth structure (decay) left behind by acid dissolution. Restorative dentistry includes fillings, crowns, and root canals.

 

Most of our approaches to dental decay are technological not dietary. We place pit and fissure sealants to change your tooth anatomy  by closing off small gaps that can trap bacteria. We add fluoride to water and prescribe fluoride use to strengthen enamel and make your tooth more resistant to cavities.  These, in addition to our restorative arsenal, mean that people are keeping their teeth longer than their ancestors.

 

Dr. Somborac believes that changing the modern diet might be a better way to prevent tooth decay. He suggests avoiding all refined complex carbohydrates.

 

 

*Note: This article is not meant to replace the clinical judgment of your healthcare providers.

 

Somborac, DDS, Milan, Your Mouth, Your Health: Good Carbs, Bad Carbs, and the Mouth-Body Connection, 2nd Edition, Biomed General, 2016

 

Dr. Jennifer Robb is a general dentist who sees both adults and children.

1612 Cooper Foster Park Road

Lorain, OH 44053

440-960-1940

www.drjrobb.com      www.facebook.com/DrJenniferRobb

 

By Jennifer Robb, D.M.D.
September 11, 2018
Category: Dental Procedures
Tags: retainer  
ABondedRetainerMightWorkforYouafterOrthodonticTreatment

If you want to keep that new smile after orthodontic treatment, you’ll need to wear a retainer for awhile. Teeth have a tendency to “rebound” to their old positions and a retainer prevents that from happening.

Most people are familiar with the standard removable retainer. But there’s another option: a bonded retainer. While performing the same function as a removable one, the bonded retainer differs in one important aspect—it’s fixed in place and can’t be removed except by a dentist. It’s especially useful for certain bite repairs like the closure of the gap between the front teeth.

If you’re thinking this retainer sounds a lot like the braces just removed, it’s not. The main part of a bonded retainer is a thin metal wire that we bond with a dental composite material across the back of the affected teeth. While you can definitely feel it with your tongue it can’t be seen by others, which is an advantage over many removable retainers.

The fixed nature of bonded retainers also creates a couple of advantages, especially for younger patients. There’s no compliance issue as with removable retainers—the patient doesn’t have the option of taking it out. That also means it can’t be lost, a frequent and costly occurrence with the removable variety.

But a bonded retainer does have some drawbacks. For one, the wire and composite material make it more difficult to floss. There’s also a possibility of breakage from high biting forces, which if that should occur must be immediately repaired to avoid the teeth rebounding. But while removable retainers have their downsides, it’s much easier with them to keep the teeth clean of plaque—you simply take the appliance out to brush and floss.

With your dentist’s help you can weigh the pros and cons of both types of retainers and decide which is best for you or your child. Whichever one you choose, wearing a retainer will help protect that hard-earned smile for years to come.

If you would like more information on protecting your bite after orthodontic treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Bonded Retainers: What are the Pros and Cons?

By contactus@drjrobb.com
September 11, 2018
Category: Uncategorized
Tags: Untagged

Water is important to your body in a number of ways. One is that water is a key component of saliva (spit). Saliva starts the digestion of starches, keeps the soft tissues of your mouth healthy, and helps control the bacteria that cause cavities.

 

To some extent dry mouth (xerostomia) affects one out of four people. It is a common part of aging, but many medications also contribute to dry mouth.  Other causes of dry mouth can be systemic diseases (lupus, diabetes, kidney diseases), stress, anxiety, depression, nutrition deficiencies, immune system problems, trauma to the head and/or neck, and radiation treatment that involves salivary gland areas.

 

Why is this important?

 

Dry mouth tends to cause root surface cavities that are hard to control and treat. These cavities may cause your crowns, bridges, and implants to fail and may result in the loss of many of your teeth.  Less saliva in your mouth means less rinsing action to remove plaque and food particles from your teeth and gums.

 

The best way to keep hydrated is to drink water. Not coffee, juice, or sugary beverages, but water. In most cases, tap water is fine. Some bottled waters are just repackaged tap water with no additional benefits. Some bottled waters filter out the fluoride that can help strengthen your teeth.

 

Recommendations to Control Dry Mouth:

  • Sip water often
  • Avoid sugary foods and drinks. (Any word that ends with –ose is a sugar!)
  • Chew sugar-free gum
  • Use lip moisturizers
  • Humidify air at home
  • Use a toothpaste that contains fluoride
  • Brush at least four times a day (after each meal and at bedtime)
  • Apply prescription-strength fluoride gel at bedtime or chew fluoride lozenges as prescribed
  • For severe cases, a dentist or physician can prescribe a salivary stimulant drug.

 

Note: Information in this article is not meant to replace the clinical judgment of your health care providers

 

  1. Somborac, DDS, Milton, Your Mouth, Your Health: Good Carbs, Bad Carbs, and the Mouth-Body Connection, Biomed General, 2016

 

Dr. Jennifer Robb is a general dentist who sees both adults and children.

1612 Cooper Foster Park Rd.
Lorain, OH 44053

440-960-1940

www.drjrobb.com                  www.facebook.com/DrJenniferRobb

 

By contactus@drjrobb.com
September 05, 2018
Category: Uncategorized
Tags: Untagged

Could dental cavities be a predictor of future health problems? A book by Canadian dentist Milan Somborac, DDS says they might be. (1) Dr. Somborac thinks that the same refined carbohydrates that cause tooth decay might lead to other disorders (including diabetes, heart disease, varicose veins, hemorrhoids, and diverticulitis) 2 to 4 decades later in your life.

 

Usually refining means making something more pure or improving it. In the case of carbohydrates, refining diminishes them and makes them worse for us. The most common dietary carbohydrates are added sugars (usually words ending in the letters –ose) and white flour.

 

Our modern diets far exceed the 6 teaspoons per day (for women) to 9 teaspoons per day (for men) of sugar recommended by the American Heart Association. Historically, there are few examples of tooth decay in pre-agricultural societies. The first evidences of dental decay occur in the same areas where the first agricultural societies began.

 

We all have bacteria in our mouths (even dentists!). Some of these bacteria feed on carbohydrates (mostly sugars) that we put into our mouths. Just like us, when bacteria eat, they put out a waste product. The bacterial waste product is an acid that can break down the hard outer covering (enamel) of our teeth. A process we recognize as decay or cavities. Dr. Somborac feels that by changing our diets, we can reduce both the chances of dental cavities as well as improving our overall health. Stay tuned for future articles that will continue to discuss this concept.

 

  1. Somborac, DDS, Milan, Your Mouth, Your Health: Good Carbs, Bad Carbs, and the Mouth-Body Connection 2nd edition, 2016, Biomed General

 

Note: Information in this article is not intended to replace the clinical judgment of your health care professionals.

 

Dr. Jennifer Robb is a general dentist who sees both adults and children in her dental practice.

1612 Cooper Foster Park Rd.
Lorain, OH 44053

440-960-1940

www.drjrobb.com      www.facebook.com/DrJenniferRobb





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