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Posts for: August, 2016

By Silvestri & Deniger Dentistry
August 22, 2016
Category: Dental Procedures
Tags: anesthesia  
LocalAnesthesiaEliminatesPainCompletelyDuringDentalWork

Your teeth and gums are filled with nerves that make the mouth one of the most sensitive areas in the body. But thanks to local anesthesia, you won't feel a thing during your next dental procedure.

The word anesthesia means “without feeling or pain.” General anesthesia accomplishes this with drugs that place the patient in an unconscious state. It's reserved for major surgery where the patient will be closely monitored for vital signs while in that state.

The other alternative is local anesthesia, which numbs the area that needs treatment, while allowing the patient to remain conscious. The anesthetics used in this way are applied either topically (with a swab, adhesive patch or spray) or injected with a needle.

In dentistry, we use both applications. Topical anesthesia is occasionally used for sensitive patients before superficial teeth cleaning, but most often as an “opening act” to injected anesthesia: the topical application numbs the gums so you can't feel the prick of the needle used for the injectable anesthetic. By using both types, you won't feel any pain at all during your visit.

Because of possible side effects, we're careful about what procedures will involve the use of local anesthesia. Placing a sealant on the exterior of a tooth or reshaping enamel doesn't require it because we're not making contact with the more sensitive dentin layer beneath. We've also seen advances in anesthetic drugs in which we can now better control the length of time numbness will persist after the procedure.

All in all, though, local anesthesia will make your dental care more comfortable — both for you and for us. Knowing you're relaxed and comfortable allows us to work with ease so we can be unhurried and thorough. By keeping pain out of the equation, your dental care has a better chance for a successful outcome.

If you would like more information on managing discomfort during dental care, 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 “Local Anesthesia for Pain-Free Dentistry.”


By Silvestri & Deniger Dentistry
August 18, 2016
Category: Dental Procedures
Tags: veneers   teeth whitening  

Suffering from yellowing teeth? Don’t worry! Our Slidell dentists have the solution.

If you have stains, you aren’t alone. Whether it’s just the effects of the natural aging process or you are an avid coffee drinker, stains can dental stainshappen to anyone. Of course, your Slidell dentists Dr. Susan Silvestri and Dr. Ronnie Deniger have the cosmetic treatment for you, depending on the type and severity of your stains.

Types of Dental Stains

There are two kinds of stains that can befall your teeth:

External/Extrinsic: This refers to stains that occur on the outer layers of the tooth’s enamel. Foods and drinks such as coffee, wine, berries, tomato sauce and dark sodas often cause these kinds of stains. Aging and smoking are other factors that can contribute to external staining.

Internal/Intrinsic: These stains affect the inner structures of the tooth, causing the tooth to darken. These stains can be brought about by:

  • Injury or trauma
  • Long-term antibiotic use
  • Excessive fluoride treatment

Cosmetic Dentistry Options

Internal and external stains are often treated a bit differently by our Slidell, LA general dentist. External stains, as you may already imagine, are easier to remove. Because internal stains affect the inner structures it’s harder to remove these discolorations.

The two common treatment options for handling stains are teeth whitening and dental veneers.

Teeth Whitening

This is usually the best option for those dealing with external stains, and some patients may even notice that their teeth turn several shades whiter with just one in-office whitening treatment. The process takes less than one hour and can give you a brighter smile fast.

Our in-office whitening system is the safest and fastest way to remove surface stains. Of course, you can also ask us about our at-home whitening system, which won’t give you results as quickly but may be easier on your budget.

Dental Veneers

These thin porcelain shells are affixed to the front of your teeth to hide a myriad of imperfections. Veneers can be an ideal cosmetic option for someone who wants a whiter smile, but who is dealing with internal discolorations that don’t respond to whitening. While a bit more invasive than teeth whitening, this procedure can usually be performed in just a couple visits without the use of anesthesia or needles. What you’ll be left with is a straighter, whiter and more attractive smile for life.

Contact Your Slidell Cosmetic Dentist

If you’ve been dealing with dental stains and you are sick and tired of a less-than-perfect smile, then it’s time you turned to the Slidell cosmetic dentistry experts at Silvestri & Deniger Dentistry. Schedule your consultation today!


By Silvestri & Deniger Dentistry
August 14, 2016
Category: Oral Health
NoahGallowaysDentallyDangerousDancing

For anyone else, having a tooth accidentally knocked out while practicing a dance routine would be a very big deal. But not for Dancing With The Stars contestant Noah Galloway. Galloway, an Iraq War veteran and a double amputee, took a kick to the face from his partner during a recent practice session, which knocked out a front tooth. As his horrified partner looked on, Galloway picked the missing tooth up from the floor, rinsed out his mouth, and quickly assessed his injury. “No big deal,” he told a cameraman capturing the scene.

Of course, not everyone would have the training — or the presence of mind — to do what Galloway did in that situation. But if you’re facing a serious dental trauma, such as a knocked out tooth, minutes count. Would you know what to do under those circumstances? Here’s a basic guide.

If a permanent tooth is completely knocked out of its socket, you need to act quickly. Once the injured person is stable, recover the tooth and gently clean it with water — but avoid grasping it by its roots! Next, if possible, place the tooth back in its socket in the jaw, making sure it is facing the correct way. Hold it in place with a damp cloth or gauze, and rush to the dental office, or to the emergency room if it’s after hours or if there appear to be other injuries.

If it isn’t possible to put the tooth back, you can place it between the cheek and gum, or in a plastic bag with the patient’s saliva, or in the special tooth-preserving liquid found in some first-aid kits. Either way, the sooner medical attention is received, the better the chances that the tooth can be saved.

When a tooth is loosened or displaced but not knocked out, you should receive dental attention within six hours of the accident. In the meantime, you can rinse the mouth with water and take over-the-counter anti-inflammatory medication (such as ibuprofen) to ease pain. A cold pack temporarily applied to the outside of the face can also help relieve discomfort.

When teeth are broken or chipped, you have up to 12 hours to get dental treatment. Follow the guidelines above for pain relief, but don’t forget to come in to the office even if the pain isn’t severe. Of course, if you experience bleeding that can’t be controlled after five minutes, dizziness, loss of consciousness or intense pain, seek emergency medical help right away.

And as for Noah Galloway:  In an interview a few days later, he showed off his new smile, with the temporary bridge his dentist provided… and he even continued to dance with the same partner!

If you would like more information about dental trauma, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Trauma & Nerve Damage to Teeth” and “The Field-Side Guide to Dental Injuries.”




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