Posts for: July, 2016

By Chestnut Dental Associates
July 30, 2016
Category: Dental Procedures
JimmyFallonCanrsquotCatchaBreak-ExceptinHisTooth

Want to know the exact wrong way to pry open a stubborn lid? Just ask Jimmy Fallon, host of NBC-TV’s popular “Tonight Show.” When the 40-year-old funnyman had trouble opening a tube of scar tissue repair gel with his hands, he decided to try using his teeth.

What happened next wasn’t funny: Attempting to remove the cap, Fallon chipped his front tooth, adding another medical problem to the serious finger injury he suffered a few weeks before (the same wound he was trying to take care of with the gel). If there’s a moral to this story, it might be this: Use the right tool for the job… and that tool isn’t your teeth!

Yet Fallon is hardly alone in his dilemma. According to the American Association of Endodontists, chipped teeth account for the majority of dental injuries. Fortunately, modern dentistry offers a number of great ways to restore damaged teeth.

If the chip is relatively small, it’s often possible to fix it with cosmetic bonding. In this procedure, tough, natural-looking resin is used to fill in the part of the tooth that has been lost. Built up layer by layer, the composite resin is cured with a special light until it’s hard, shiny… and difficult to tell from your natural teeth. Best of all, cosmetic bonding can often be done in one office visit, with little or no discomfort. It can last for up to ten years, so it’s great for kids who may be getting more permanent repairs later.

For larger chips or cracks, veneers or crowns may be suggested. Veneers are wafer-thin porcelain coverings that go over the entire front surface of one or more teeth. They can be used to repair minor to moderate defects, such as chips, discolorations, or spacing irregularities. They can also give you the “Hollywood white” smile you’ve seen on many celebrities.

Veneers are generally custom-made in a lab, and require more than one office visit. Because a small amount of tooth structure must be removed in order to put them in place, veneers are considered an irreversible treatment. But durable and long-lasting veneers are the restorations of choice for many people.

Crowns (also called caps) are used when even more of the tooth structure is missing. They can replace the entire visible part of the tooth, as long as the tooth’s roots remain viable. Crowns, like veneers, are custom-fabricated to match your teeth in size, shape and color; they are generally made in a dental lab and require more than one office visit. However, teeth restored with crowns function well, look natural, and can last for many years.

So what happened to Jimmy Fallon? We aren’t sure which restoration he received… but we do know that he was back on TV the same night, flashing a big smile.

If you would like more information about tooth restorations, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Porcelain Crowns & Veneers” and “Artistic Repair Of Front Teeth With Composite Resin.”


By Chestnut Dental Associates
July 18, 2016
Category: Dental Procedures

Periodontal disease is an oral health concern that commonly affects adults in their senior years, but there are also cases of advanced gum disease in young people as well. The potential of losing teeth isn’t the only concern—untreated periodontitis can also have an effect on a patient’s general health. Here are a few of the key signs and symptoms of periodontal disease that you should look for and Gumsdiscuss with your Downingtown, PA general dentist.

Bleeding, Red Gums with Deep "Pockets"
One of the clearest signs of periodontitis is when the gums bleed just about every time you brush. The gums become red, inflamed and painful to the touch. This is because the bad bacteria that live in tartar or calculus has overwhelmed the area surrounding each tooth and is breaking down the gum tissue. As time goes on, pockets begin to form around the teeth. When the pockets are measured at 4 mm deep, that’s cause for concern. When they reach over 6 mm deep, it is considered advanced periodontal disease.

Loose or Moveable Teeth
Another symptom of periodontal disease to look out for is loosening teeth—especially if more than one tooth is affected. As the gums continue to separate from the teeth due to this dental disease, the teeth can’t stay as firmly rooted. Your Downingtown general dentist will perform a test of the mobility of each tooth when evaluating you for periodontitis.

Bad Breath
Very bad breath that doesn’t go away with brushing is another possible sign of periodontal disease. When harmful bacteria overwhelm the gums, it creates a distinctive odor and taste in the mouth that’s difficult to get rid of. Usually, morning breath goes away with toothpaste or gargling with mouthwash, but when bad breath continues throughout the day it may be a symptom of gum disease.

Schedule an Immediate Consultation
If you have any of these signs and symptoms of periodontal disease, it’s important that you see a general dentist at Chestnut Dental Associates in Downingtown, PA for a consultation as soon as possible. Call the office today at (484) 364-4292 to set up a time and day for an appointment.


By Chestnut Dental Associates
July 15, 2016
Category: Oral Health
Tags: sleep apnea   snoring  
ConsultYourDentistforHelpwithDiagnosingandTreatingSleepApnea

Sleep — you'll spend a third of your life in its blissful embrace. But it isn't a luxury: you need it as much as nutrition and exercise. An occasional bad night's sleep leaves you irritable and drowsy; a bad night's sleep every night could endanger your health.

One of the most common causes for chronic poor sleep is obstructive sleep apnea. This occurs when the airway becomes blocked and you stop breathing temporarily. The blockage may be due to an oversized tongue, tonsils or uvula, an abnormal jaw or chin structure, or nasal polyps and congestion. When your brain notices you're not breathing, it rouses you just enough to relieve the blockage. These incidents can occur and end in seconds several times a night without you being aware of it.

This interrupts your normal sleep patterns, including the critical rapid eye movement (REM) of deep sleep that occurs at different times during the night. The results of not getting enough REM sleep are quite unhealthy: besides irritability and reduced concentration, poor REM sleep is linked to depression, headaches, decreased sex drive, acid reflux, high blood pressure or the onset of diabetes. Your night time experience — as well as your sleep partner's — won't be pleasant either as you may experience night time sweating and snoring.

Fortunately, sleep apnea can be treated. Our first considered treatment is a custom-fitted night guard you wear while you sleep that holds the tongue back from the airway. If your apnea is more severe, you may need to consider continuous positive airway pressure (CPAP) therapy, which uses a machine to pump pressurized air through a mask you wear while sleeping to force the airway open. You might also benefit from surgery to remove excess soft tissue obstructing the airway.

If you or your family has noticed any of these symptoms mentioned, make an appointment to see us — we're trained to look for oral signs in the mouth that may indicate sleep apnea. The sooner we can implement a treatment strategy, the sooner you'll begin experiencing a good night's sleep and better health.

If you would like more information on sleep apnea and what to do about it, 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 “Sleep Disorders & Dentistry.”




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Chestnut Dental Associatess


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