Dentist - Kenosha
3600 80th Street
Kenosha, WI 53142
P:262-697-5444, F:262-694-1650
E-mail [email protected]

 

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Posts for: June, 2021

By Josephine Chianello Berman, D.D.S.
June 24, 2021
Category: Dental Procedures
Tags: teeth whitening  
ExperienceAgaintheSmileofYourYouthThroughTeethWhitening

Picture yourself with a beautiful smile…what do you see? Besides straight and uniform teeth framed by the gums, you should also see one other thing indicative of a great smile—your teeth an attractive shade of translucent white.

But as you age your teeth can begin to dull as the enamel loses its translucency and the underlying dentin thickens and yellows. You no longer have the bright smile you once had in younger days.

But if the discoloration is mainly on the outer enamel, teeth whitening could be your answer for regaining your youthful smile. This is a procedure in which we apply a solution containing a bleaching agent (usually hydrogen peroxide) to your teeth. Aided by heat or light to activate it, the solution can temporarily whiten the enamel.

Teeth whitening isn't an exclusive treatment provided by a dentist—there are a number of retail products that enable you to bleach your teeth at home. But there are distinct advantages to having your teeth professionally whitened.

For one, we can control the level of brightness by adjusting the strength of the bleaching solution. This allows you to achieve the kind of look you want—from a more natural and subtler shade to a more dazzling color often called “Hollywood White.”

Any external teeth whitening application will fade with time, regardless of whether they're professional or DIY. But a dental office whitening may last longer due to our stronger solutions and curing techniques. And, by caring for your whitening (by avoiding tobacco and food items that stain teeth) and obtaining occasional touch-ups in our office, the shine could last for a few years.

Again, this particular whitening technique only works with outer staining and yellowing. If your discoloration originates from inside the teeth, you'll need a more invasive method. And your teeth should be reasonably healthy before undergoing whitening.

All in all, though, teeth whitening is an easy and affordable way to brighten your smile. It could help you take years off your appearance.

If you would like more information on teeth whitening, 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 “Teeth Whitening: Brighter, Lighter, Whiter….”


By Josephine Chianello Berman, D.D.S.
June 14, 2021
Category: Dental Procedures
Tags: oral health  
CTImagingTechnologyCanImproveOutcomesforComplexDentalProblems

The mouth is a crowded place with nerves, blood vessels and sinus cavities sharing common space with the teeth and gums. Although important in their own right, these structures can also hinder treatment for complex dental situations like dental implant surgery or impacted teeth.

Treating these and similar situations depends on getting an accurate depiction of “what lies beneath.” Conventional x-rays help, but their two-dimensional images don't always give the full picture. There's another way—cone beam computed tomography (CBCT).

Similar to CT scanning, CBCT uses x-ray energy to take hundreds of “sliced” images that are then re-assembled with special software to create a three-dimensional model viewable on a computer screen. CBCT is different, though, in that it employs a scanning device that revolves around a patient's head, which emits a cone-shaped beam of x-rays to capture the images.

A dentist can manipulate the resulting 3-D model on screen to study revealed oral structures from various angles to pinpoint potential obstacles like nerves or blood vessels. The detailed model may also aid in uncovering the underlying causes of a jaw joint disorder or sleep apnea.

CT technology isn't the only advanced imaging system used in healthcare. Another is magnetic resonance imaging (MRI), which excites hydrogen atoms in water molecules. This produces different vibration rates in individual tissue structures, which are then translated into detailed images of these structures. Unlike CT or CBCT, MRI doesn't use x-ray energy, but rather a magnetic field and radio waves to produce the atomic vibrations.

But while providing good detail of soft tissues, MRI imaging doesn't perform as well as CBCT with harder tissues like bone or teeth. As to the potential risks of CBCT involving x-ray radiation exposure, dentists follow much the same safety protocols as they do with conventional x-rays. As such, they utilize CBCT only when the benefits far outweigh the potential x-ray exposure risks.

And, CBCT won't be replacing conventional x-rays any time soon—the older technology is often the more practical diagnostic tool for less invasive dental situations. But when a situation requires the most detailed and comprehensive image possible, CBCT can make a big difference.

If you would like more information on advanced dental diagnostics, 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 “Getting the Full Picture With Cone Beam Dental Scans.”


By Josephine Chianello Berman, D.D.S.
June 04, 2021
Category: Dental Procedures
Tags: dental implants  
YouCanHaveaSuccessfulImplantOutcomeifYourDiabetesisUnderControl

Around one in ten U.S. adults have diabetes, a metabolic disease that can disrupt other aspects of a person's health like wound healing and vision. It could also cause complications with dental implants, the premier replacement choice for missing teeth.

There are two basic types of diabetes. In type 1 diabetes, the pancreas stops producing insulin, a hormone needed to regulate the amount of sugar glucose in the bloodstream. With the more prevalent type 2 diabetes, the body either doesn't produce enough insulin or doesn't respond efficiently to the insulin produced.

Uncontrolled diabetes can contribute to several dangerous health conditions. In addition to vision impairment and poor wound healing, diabetics are at higher risk for other problems like kidney disease or nerve damage. Drastic swings in blood glucose levels can also cause coma or death.

Many diabetics, though, are able to manage their condition through diet, exercise, medications and regular medical care. Even so, they may still encounter problems with wound healing, which could complicate getting a dental implant.

An implant is composed of a titanium metal post imbedded into the jawbone. Because of its affinity with titanium, bone cells naturally grow and adhere to the implant's metal surface. Several weeks after implant surgery, enough bone growth occurs to fully secure the implant within the jaw.

But this integration process may be slower for diabetics because of sluggish wound healing. It's possible for integration to not fully occur in diabetic patients after implant surgery, increasing the risk of eventually losing the implant.

Fortunately, though, evidence indicates this not to be as great a concern as once thought. A number of recent group studies comparing diabetic and non-diabetic implant patients found little difference in outcomes—both groups had similar success rates (more than 95 percent).

The only exception, though, were diabetic patients with poor glucose control, who had much slower bone integration that posed a threat to a successful implant outcome. If you're in this situation, it's better if you're first able to better control your blood glucose levels before you undergo surgery.

So, while diabetes is something to factor into your implant decision, your chances remain good for a successful outcome. Just be sure you're doing everything you can to effectively manage your diabetes.

If you would like more information on diabetes and dental health, 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 “Dental Implants & Diabetes.”