Posts for category: Dental Procedures

By Chestnut Dental Associates
June 11, 2019
Category: Dental Procedures
Tags: Tooth Extraction  

Are you concerned about the state of your smile? Although it isn't often the first course of action, sometimes a tooth extraction is the bestTooth extraction route to boosting your oral health. Led by your general dentist, Dr. Carl Horchos, Chestnut Dental Associates in Downingtown, PA, offers a full range of dental services to their patients, including tooth extraction. Here are three reasons that you may need this treatment!

 

1. You have a damaged tooth.

If you have a badly decayed tooth, your dental provider will typically try to repair it with a dental filling, crown, or other treatment. However, if your tooth has so much decay/damage that a repair is not possible, your general dentist may recommend a dental extraction.

2. Your tooth is infected.

Tooth root infection is a common reason for dental extractions. While a root canal is usually performed when the pulp of the tooth becomes infected, if the infection is so severe that a root canal and antibiotics do not cure it, your tooth may need to be surgically removed to prevent the spread of infection.

3. You have crowded teeth.

Caused by genetics or injury, crowded teeth can also create general wear and tear, gum disease, jaw joint damage, and tooth loss. Consequently, a tooth may need to be removed if your crowded mouth is generating these issues. Sometimes dentists may also remove a crowded tooth to prepare a patient's mouth for orthodontic treatment.

 

Concerned about the state of your smile? Give us a call!

If you need a tooth extracted, call Chestnut Dental Associates at (484) 364-4292 today to schedule an appointment at our Downingtown, PA, office. Our general dentist's gentle touch will make your extraction simple and easy! We guarantee that you will experience exemplary service and state-of-the-art care here at Chestnut Dental Associates.

By Chestnut Dental Associates
January 21, 2019
Category: Dental Procedures
Tags: cosmetic dentistry   crowns  

Dental CrownsThis simple restoration may be all you need to achieve a healthier smile.

Accidents happen. Whether you chipped a tooth on something you ate or a sports injury left you with a weakened tooth, our Downingtown, PA, general dentist Dr. Carl Horchos has a simple solution to restore your smile’s strength and functionality so that you don’t deal with further complications. This simple solution comes in the form of a dental crown, a customized tooth-shaped cap that is placed over the visible portion of the tooth all the way to the gum line to protect and preserve the structure.

When is a dental crown needed?

As we mentioned, there are several things that can lead to a weak or damaged tooth. The most common issues are decay, infection or traumatic injury. Here’s when you may benefit from a dental crown,

  • You have a cracked or fractured tooth
  • Your tooth is weak enough that it could potentially break
  • You just underwent root canal treatment
  • Your current dental filling is no longer able to support and preserve the tooth
  • You have a discolored or severely misshapen tooth
  • You need to replace a missing tooth (e.g. dental implant; dental bridge)

What is involved in getting a dental crown in Downingtown, PA?

Since a dental crown needs to be able to fit your tooth precisely we will have to take impressions of your mouth. These molds will provide the dental lab with the exact tooth measurements they need to create a ceramic crown that will blend in with the rest of your smile. Our crowns are made from tooth-colored material so they will be made to look just like a real tooth.

Once the tooth is prepared so that the crown can fit over the top of it we will most likely need to place a temporary crown over the tooth to protect it until the permanent crown is ready to be fitted.

Here at Chestnut Dental Associates in Downingtown, PA, we offer comprehensive general, cosmetic and restorative dentistry to meet the needs of all of our patients. If you are wondering whether your smile could benefit from dental crowns, call our office today.

By Chestnut Dental Associates
November 20, 2018
Category: Dental Procedures
Tags: Root Canal  

Root CanalRoot canal treatment can end your pain and help you avoid the loss of a tooth. Downingtown, PA, general dentist Dr. Carl Horchos offers root canals at Chestnut Dental Associates.

What is root canal therapy?

During root canal therapy, your Downingtown dentist removes the pulp from the center of the tooth. The pulp, a collection of connective tissue, nerves and blood vessels, fills the center portion of your tooth but also extends into the small canals in the roots of the tooth.

Once pulp tissue has been removed, the tooth is filled with gutta percha, a rubber-based material. Your treated tooth may also require a crown to protect the tooth.

Why are root canals needed?

Root canals are performed when the pulp becomes inflamed or infected, causing pain. The problem can occur if a cavity isn't treated and tooth decay eventually penetrates the pulp. It's not unusual to need a root canal after an accident that damages or loosens your tooth.

If you don't have a root canal, you will eventually lose your tooth or develop an abscess. Root canals help you avoid these unpleasant consequences.

Isn't root canal therapy painful?

Many people are worried that root canal therapy will be an awful experience. That's not surprising, considering the jokes that circulate about root canals. Fortunately, everything you've heard about root canal pain is wrong. You'll receive local anesthesia when you arrive at the office, and your dentist won't proceed with the therapy until you're comfortably numb. From your perspective, the root canal procedure won't seem much different than having a filling.

Will my tooth feel better immediately?

You may notice some sensitivity in the treated tooth for a few days. Over-the-counter pain medications can be helpful if you do notice mild pain. Within a week or two after your root canal, you'll notice that your pain is finally gone.

Improve your oral health with root canal therapy. Call your Downingtown, PA, general dentist Dr. Carl Horchos of Chestnut Dental Associates at (484) 364-4292 to schedule an appointment.

By Chestnut Dental Associates
October 14, 2018
Category: Dental Procedures
Tags: dental implants  
WhatYouShouldKnowAboutAntibioticTherapyBeforeImplantSurgery

Placing a dental implant within the jawbone requires a surgical procedure. For most people it’s a relatively minor affair, but for some with certain health conditions it might be otherwise. Because of their condition they might have an increased risk for a bacterial infection afterward that could interfere with the implant’s integration with the bone and lead to possible failure.

To lower this risk, dentists for many years have routinely prescribed an antibiotic for patients considered at high-risk for infection to take before their implant surgery. But there’s been a lively debate among health practitioners about the true necessity for this practice and whether it’s worth the possible side effects that can accompany taking antibiotics.

While the practice still continues, current guidelines now recommend it for fewer health conditions. The American Dental Association (ADA) together with the American Heart Association (AHA) now recommend antibiotics only for surgical patients who have prosthetic heart valves, a history of infective endocarditis, a heart transplant or certain congenital heart conditions.

But patients with prosthetic joint replacements, who were once included in the recommendation for pre-surgical antibiotics, are no longer in that category. Even so, some orthopedic surgeons continue to recommend it for their joint replacement patients out of concern that a post-surgical infection could adversely affect their replaced joints.

But while these areas of disagreement about pre-surgical antibiotics still continue, a consensus may be emerging about a possible “sweet spot” in administering the therapy. Evidence from recent studies indicates just a small dose of antibiotics administered an hour before surgery may be sufficient to reduce the risk of infection-related implant failure with only minimal risk of side effects from the drug.

Because pre-surgical antibiotic therapy can be a complicated matter, it’s best that you discuss with both the physician caring for your health condition and your dentist about whether you should undergo this option to reduce the infection risk with your own implant surgery. Still, if all the factors surrounding your health indicate it, this antibiotic therapy might help you avoid losing an implant to infection.

If you would like more information on antibiotics before implant surgery, 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 “Implants & Antibiotics: Lowering Risk of Implant Failure.”

JulianneHoughSharesaVideo-andaSong-AfterWisdomTeethComeOut

Once upon a time, celebrities tried hard to maintain the appearance of red-carpet glamour at all times. That meant keeping the more mundane aspects of their lives out of the spotlight: things like shopping, walking the dog and having oral surgery, for example.

That was then. Today, you can find plenty of celebs posting pictures from the dentist on social media. Take Julianne Hough, for example: In 2011 and 2013, she tweeted from the dental office. Then, not long ago, she shared a video taken after her wisdom teeth were removed in December 2016. In it, the 28-year-old actress and dancer cracked jokes and sang a loopy rendition of a Christmas carol, her mouth filled with gauze. Clearly, she was feeling relaxed and comfortable!

Lots of us enjoy seeing the human side of celebrities. But as dentists, we’re also glad when posts such as these help demystify a procedure that could be scary for some people.

Like having a root canal, the thought of extracting wisdom teeth (also called third molars) makes some folks shudder. Yet this routine procedure is performed more often than any other type of oral surgery. Why? Because wisdom teeth, which usually begin to erupt (emerge from beneath the gums) around age 17-25, have the potential to cause serious problems in the mouth. When these molars lack enough space to fully erupt in their normal positions, they are said to be “impacted.”

One potential problem with impacted wisdom teeth is crowding. Many people don’t have enough space in the jaw to accommodate another set of molars; when their wisdom teeth come in, other teeth can be damaged. Impacted wisdom teeth may also have an increased potential to cause periodontal disease, bacterial infection, and other issues.

Not all wisdom teeth need to be removed; after a complete examination, including x-rays and/or other diagnostic imaging, a recommendation will be made based on each individual’s situation. It may involve continued monitoring of the situation, orthodontics or extraction.

Wisdom tooth extraction is usually done right in the office, often with a type of anesthesia called “conscious sedation.”  Here, the patient is able to breathe normally and respond to stimuli (such as verbal directions), but remains free from pain. For people who are especially apprehensive about dental procedures, anti-anxiety mediation may also be given. After the procedure, prescription or over-the-counter pain medication may be used for a few days. If you feel like singing a few bars, as Julianne did, it’s up to you.

If you would like more information about wisdom tooth extraction, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”



Contact Us

Chestnut Dental Associatess


Chestnut Dental Associates
150 East Pennsylvania Avenue Suite 400
Downingtown, PA 19335
Phone : (484) 364 - 4292
Fax : (484)-593-4792
[email protected]t