Posts for tag: smyrna dentist

Question: Is tongue piercing safe?


Answer: Oral piercing has become fashionable over the last decade. While oral piercing can involve the lips,cheek, uvula, the tongue remains to be the most commonly pierced. Tongue piercing involves placing a "barbell"-type stud through the tongue.


There are several common risks associated with tongue piercing.

Infection- This is possibly due to nonsterile techniques and/or improper care after the piercing. Treatment can include antiobiotic therapy, localized cleaning and oral hygiene instructions. Serious infections, involving the tongue, jaw and chin can require emergency medical treatment.


Chipped or Broken Teeth- Usually occurs through biting the barbell especially in new piercings with the initial longer barbell. To minimize the risk, a shorter barbell or made of acrylic/plastic should be worn.


Enamel Loss- Most commonly occurs at the back of the teeth through repeated rubbing against the jewelry. A shorter barbell or one made of non-metallic material can also be worn to prevent enamel loss.


Gum recession- Over time, repeated contact between the tongue ring and the gums can lead to receding gums especially with long stem barbells. Smaller tongue rings can reduce the risks of receding gums.


Future considerations for the tongue ring user:


1. Replacing metal barbell with a shorter, plastic based barbell.

2. Using antiseptic mouthrinse, such as Listerine on a daily basis and brushing the tongue regularly.

3. Exercise conscious control of the movement of tongue jewelry during chewing or speech.


Please contact Dr.Glasmeier if you have any questions re: tongue rings.

Question: Once a denture is broken, then repaired, can it ever be the same?

I dropped mine, since the dentist repaired it I now have a space between my two front teeth I've never had. The dentist said if you don't get too close you don't notice it so much. What!! The inside of the plate is rough. I have a toxic taste of what acrylic smells like. And when I talk I have a lisp. He took an impression so it would be right and it does clip on as it should, that aside doesn't fit. Do I have to live with this as he said? I feel like I was written off and I don't know where to turn. Do you have any advice?


Answer: Sounds like the dentist attempted to perform a lab repair and the broken pieces were not reapproximated correctly. Depending on how bad the denture fractured, it can be a very difficult to repair and sometimes impossible. If there is a space between the teeth that was not there, it means the broken pieces are not bonded back together correctly. The rough surface is due to newly formed acrylic and may possibly not be 100% compatible with the acrylic in your exisitng denture.


If you are having issues with phonetics, esthetics and fit issues, I would go back to your dentist and voice your concerns over the repair. I, often times, will not do repairs as they can be very difficult and very unpredictable. As a result I often advise having a new one made based on the extent of the fractures as well as the age of the denture.


Hope this helps!


I have a strange dent in one of my front's small, but noticeable. I pointed it out to my dentist and he asked if I used a hard bristle brush, which I don't. Otherwise he didn't seem too concerned about it, which I find odd. Since this is a front tooth I'm particularly concerned about it. Can you help?


Your dentist is probably right. "Dents" or missing enamel around the gumline can be caused by different things. Please visit my website to read about abrasion, erosion and abfraction as these are all phenonenoms that can contribute to this. Your dentist wasn't concerned because it is a very common finding and unless you are having symptoms (cold, touch, sweet sensitivity), he probably treatment was not necessary.


What he was eluding to is that if you brush too hard or use a hard bristle brush, you can physically wear away the enamel off the tooth down by the gumline. I call this "toothbrush abrasion" and I see it on 4 out of every 5 patients. Brushing too hard can setup these areas for sensitivity and increased the chances of cavities.


Talk with your dentist as they might be able to put a filling on the area to make the surface smoother and prevent sensitivity!



Dr.G, why do you favor IV sedation over oral sedation? Mark S.


Hi Mark,


Great question!! While I like oral sedation and I use it all the time, my biggest concern is patient safety. How many times have you heard of a child, or even an adult for that matter, swallow more pills that they were supposed to. As a result, you have no idea what to predict or how the person react. Some will just make theirself purge or in extreme circumstances have their stomach pumped.


Oral sedation can work well but not necessarily be as predictable in seeing the outcome. Some will barely be sedated, some not all, others will be completely "snowed" over and there are many variables that can determine this: age, height, weight, medical history, male vs female, level of anxiety, etc. Oral sedation works relatively well but I would recommend having your dentist do a test run if you have inadequate results with oral sedation. I, sometimes, will due to a test appointment with the medications with my patient and not do any treatment but more less assess how the patient will respond. Being able to see this helps ascertain what treatment we can do and how much.


Its because of this that I prefer IV sedation, where I have more control over what goes on, and I can reverse the process quickly if I am not happy with how it is going. It tends to be more predictable, faster acting, and ultimately safer. You won't find any oral surgeons who would prefer oral or IV sedation due to the same reasons!


Hope this helps!


What are mini implants and how are they used in dentures?


They are miniature titanium screws/anchors that are placed into the jawbone to help with various dental procedures such as:


1. Improving the fit of dentures

2. Help replace small, missing teeth.

3. Assist in orthodontics to move teeth into more favorable positions.


The implant simulates a root of a tooth and has a ball that sits on the top of implant that articulates with a denture or a crown. It works similar to a ball and socket joint that provides excellent retention and resistance form. It is most useful in denture applications to help provide resistance against lifting forces.


Mini implants are placed under local anesthesia and are quite pain free when compared to something like a root canal or an extraction of a tooth. There are not incisions, no cutting of the bone, and no long healing times. After placement, the ball of the implant will be sticking out of the gum tissue and will be the only visible portion of the implant. Because they are minimally invasive, there is very little healing period and dentures can be stabilized the same day the implants are placed. Depending on the situation, sometimes a new denture is made against the new implants or the existing denture can be refit ("retrofitted") to the new implants.


So who is a candidate for mini implants?

-Ill-fitting or poor fitting dentures

-Patients that cannot eat foods like corn, apples, steak, crackers, etc.

-Someone who is afraid to laugh, smile or speak for fear of their denture

coming out.

-Patients that want pain-free, immediate results and not long healing times.


Ask Dr.Glasmeier about mini implants and how they can help make your dentures better!!