4200 Columbia Rd, Martinez, GA 30907
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Posts for: September, 2017

26MillionFansLikeJustinBiebersChippedTooth

Is a chipped tooth big news? It is if you’re Justin Bieber. When the pop singer recently posted a picture from the dental office to his instagram account, it got over 2.6 million “likes.” The snapshot shows him reclining in the chair, making peace signs with his hands as he opens wide; meanwhile, his dentist is busy working on his smile. The caption reads: “I chipped my tooth.”

Bieber may have a few more social media followers than the average person, but his dental problem is not unique. Sports injuries, mishaps at home, playground accidents and auto collisions are among the more common causes of dental trauma.

Some dental problems need to be treated as soon as possible, while others can wait a few days. Do you know which is which? Here are some basic guidelines:

A tooth that’s knocked out needs attention right away. First, try and locate the missing tooth and gently clean it with water — but avoid holding the tooth’s roots. Next, grasp the crown of the tooth and place it back in the socket facing the correct way. If that isn’t possible, place it between the cheek and gum, in a plastic bag with the patient’s saliva or a special tooth preservative, or in a glass of cold milk. Then rush to the dental office or emergency room right away. For the best chance of saving the tooth, it should be treated within five minutes.

If a tooth is loosened or displaced (pushed sideways, deeper into or out of its socket), it’s best to seek dental treatment within 6 hours. A complete examination will be needed to find out exactly what’s wrong and how best to treat it. Loosened or displaced teeth may be splinted to give them stability while they heal. In some situations, a root canal may be necessary to save the tooth.

Broken or fractured (cracked) teeth should receive treatment within 12 hours. If the injury extends into the tooth’s inner pulp tissue, root canal treatment will be needed. Depending on the severity of the injury, the tooth may need a crown (cap) to restore its function and appearance. If pieces of the tooth have been recovered, bring them with you to the office.

Chipped teeth are among the most common dental injuries, and can generally be restored successfully. Minor chips or rough edges can be polished off with a dental instrument. Teeth with slightly larger chips can often be restored via cosmetic bonding with tooth-colored resins. When more of the tooth structure is missing, the best solution may be porcelain veneers or crowns. These procedures can generally be accomplished at a scheduled office visit. However, if the tooth is painful, sensitive to heat or cold or producing other symptoms, don’t wait for an appointment — seek help right away.

Justin Bieber earned lots of “likes” by sharing a picture from the dental office. But maybe the take-home from his post is this: If you have a dental injury, be sure to get treatment when it’s needed. The ability to restore a damaged smile is one of the best things about modern dentistry.

If you have questions about dental injury, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Porcelain Crowns & Veneers.”


By Augusta Smilecare
September 19, 2017
Category: Oral Health
Tags: jaw pain   TMJ  

Does jaw pain keep you up at night or make eating an unpleasant experience? Our Augusta, GA, dentist, Dr. John Massey, provides jaw paininformation on common causes of jaw pain, including TMJ, and discusses ways to ease your pain.

Grinding your teeth or clenching your jaw while you sleep

Grinding and clenching stresses your jaw muscles and joints, causing pain and stiffness that may be worse in the morning. Although it's not always possible to determine the cause of grinding and clenching, stress, bite problems, drinking too much alcohol or sleep apnea may play a role.

An infection in your jaw or a tooth

Pain from an abscessed tooth can radiate to your jaw. Other signs of an abscess can include fever and swollen lymph nodes and gums. Osteomyelitis, an infection that affects your jawbone, can also be a source of jaw pain. Both infections require an emergency visit to our Augusta office to prevent the bacteria from spreading throughout your body.

Bite problems

You may have a bite problem if the teeth in your upper and lower jaws don't fit together properly when you close your mouth. It's possible to suffer from the issue even if your teeth aren't crooked.

Temporomandibular joint disorder (TMJ)

TMJ symptoms affect your jaw joints, muscles and ligaments. In addition to jaw pain, you may notice stiffness, difficulty opening or closing your mouth, clicking sounds or temporary locking of the jaw joint. TMJ doesn't just affect your jaw, but can also cause headaches, ear pain, and stiffness in the muscles of your neck and upper back. TMJ may be more likely to occur if you have a bite problem or grind or clench your teeth. Injuries and arthritis may also increase your risk of TMJ.

How is jaw pain treated?

Ice packs and over-the-counter anti-inflammatories can be helpful no matter what the cause of your pain. If you're a grinder or a clencher, you can reduce stress on your jaw by wearing a nightguard at night. Nightguards are custom-made to fit your mouth and are worn over your bottom teeth.

Antibiotics are prescribled to treat bacterial infections of the teeth or jaw. Prescription pain medications may also be helpful if you have an infection or suffer from severe TMJ pain. If jaw pain is caused by a bite problem, orthodontic treatment to improve the alignment of your teeth may be recommended. TMJ symptoms can often be relieved by wearing an oral splint that repositions your jaw at night, reducing pain.

A visit to the dentist can put an end to your jaw pain. Call our Augusta, GA, dentist, Dr. Massey, at (706) 868-1322 to schedule your appointment.


By Augusta Smilecare
September 12, 2017
Category: Dental Procedures
Tags: fillings  
WhyYouShouldntWorryAbouttheMercuryinYourSilverFillings

Over the last century and a half millions of people have had a tooth cavity filled with “silver” amalgam. Perhaps you’re one of them. The use of this effective and durable filling has declined in recent years, but only because of the development of more attractive tooth-colored materials.

At the same time there’s another issue that’s been brewing in recent years about this otherwise dependable metal alloy: the inclusion of mercury in amalgam, about half of its starting mixture. Various studies have shown mercury exposure can have a cumulative toxic effect on humans. As a result, you may already be heeding warnings to limit certain seafood in your diet.

So, should you be equally concerned about amalgam fillings — even going so far as to have any existing ones removed?

Before taking such a drastic step, let’s look at the facts. To begin with, not all forms of mercury are equally toxic. The form causing the most concern is called methylmercury, a compound formed when mercury released in the environment combines with organic molecules. This is the form certain large fish like salmon and tuna ingest, which we then ingest when we eat them. Methylmercury can accumulate in the body’s tissues where at high levels it can damage various organ systems.

Dental amalgam, on the other hand, uses elemental mercury. Dentists take it in liquid form and mix it with a powder of other metals like silver, tin and copper to create a pliable paste. After it’s placed in a prepared cavity, the amalgam hardens into a compound in which the mercury interlaces with the other metals and becomes “trapped.”

Although over time the filling may emit trace amounts of mercury vapor, it’s well below harmful levels. You’re more likely to encounter “un-trapped” mercury in your diet than from a dental filling. And scores of studies over amalgam’s 150-year history have produced no demonstrable ill effects due to mercury.

Although it now competes with more attractive materials, amalgam still fills (no pun intended) a necessary role. Dentists frequently use amalgam in less visible back teeth, which encounter higher chewing pressures than front teeth. So, if you already have an amalgam filling or we recommend one to you, relax — you’re really in no danger of mercury poisoning.

If you would like more information on dental amalgam fillings, please contact us or schedule an appointment for a consultation.




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John D. Massey, DMD
4200 Columbia Road
Martinez, GA 30907

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