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Posts for: December, 2017

By Silvestri & Deniger Dentistry
December 18, 2017
Category: Oral Health
Tags: teething  
TakeTheseActionstoMakeYourChildMoreComfortableDuringTeething

Teething is an important phase in your baby's dental maturity. During the approximate two-year process, they will acquire their first set of teeth.

It can also be an unpleasant two years as each tooth sequentially breaks through the gums. The severity of teething problems differs with each child, but there are common signs: irritability, biting and gnawing, chin rash, drooling or ear rubbing among them. Although for most babies the discomfort isn't that great, the pain can occasionally be a lot for them — and their care-givers — to handle.

Although having a very unhappy infant can be nerve-jangling, there's no real cause for concern health-wise. If, however, they begin to run a fever or experience diarrhea, that could be a sign of something more serious. In those cases, you should see a doctor as soon as possible.

Otherwise, there are some things you can do to make them more comfortable during teething episodes. One thing to remember: cold items for biting or gnawing usually work wonders. So, be sure you have chilled teething rings or pacifiers (but not frozen — the extreme temperature could burn their gums). For older children, an occasional cold food like a popsicle can bring relief.

You can also try massaging the gums with your clean finger, which will help counteract the pressure of an erupting tooth. But avoid rubbing alcohol or aspirin on the gums, and you shouldn't apply numbing agents to children less than two years of age unless advised by your doctor.

If their pain persists, it's permissible to give them a mild pain reliever like the appropriate dosage for their age of baby acetaminophen or ibuprofen. Again, you should give this by mouth and avoid rubbing it on the gums.

By the time they're three, all their primary teeth should be in and teething symptoms should have largely dissipated. In the meantime, make them as comfortable as you can รข?? in no time the unpleasantness of teething will pass.

If you would like more information on coping with your child's teething, 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 “Teething Troubles: How to Help Keep your Baby Comfortable.”


By Silvestri & Deniger Dentistry
December 10, 2017
Category: Dental Procedures
DrawingImpactedTeethintotheOpencanRestoreaSmile

You don’t have to be a dental professional to appreciate a beautiful smile. Likewise, you’ll also know when something’s not quite right with one.

Such can be the case when a tooth fails to erupt properly, causing most or all of the crown to remain below the gum line, a condition known as impaction. Upper canines (or “eyeteeth,” for their location in the arch under the eyes) are especially susceptible to impaction: located on either side of the lateral incisors, which are on either side of the central incisors (the two center front teeth).

The upper canines are important both for function and appearance. Working with their lower counterparts they help cut through food as we chew, so you lose some of that efficiency when they don’t erupt properly. Impacted teeth are susceptible to abscesses and cysts, and can impinge upon and damage the roots of other teeth. And just as importantly, their absence also disrupts the smile as nearby teeth tend to move or “drift” toward the open space.

Rather than remove the impacted canines as is often done with back teeth, it may be more advantageous for both function and appearance to “coax” them into full eruption. This requires first pinpointing their exact location below the gums using x-rays or cone beam 3-D imaging.

If the teeth are in reasonably good position we must first prepare them for orthodontic treatment by surgically exposing the crown from the gums and bonding a small bracket to it. We then attach a small gold chain to the bracket that extends outside of the gums when we suture them back into place. The chain is attached to orthodontic hardware that exerts pressure on the impacted tooth for several months to “pull” it out into the arch.

This procedure has the best chance of success if undertaken before the end of jaw development in early adulthood. Otherwise, it may be better to remove the impacted canines and replace them with dental implants, followed by orthodontic treatment of other teeth to restore their proper position and bite relationships. In either case, your impacted upper canines don’t have to be a problem — we can restore both your mouth function and your smile.

If you would like more information on impacted teeth and treatment options, 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 “Exposing Impacted Canines.”


By Silvestri & Deniger Dentistry
December 06, 2017
Category: Oral Health
Tags: Oral Cancer  

Find out how only a couple minutes of your time could just end up saving your life.oral cancer

We know that visiting the dentist isn’t always high on your list of exciting things to do, and if you aren’t dealing with symptoms you may just assume that everything is fine. Unfortunately, there are issues that can arise that you may not immediately notice but a medical eye can catch. Our Slidell, LA dentists Dr. Susan Silvestri and Dr. Ronnie Deniger are here to tell you why you should come in every six months for routine dental exams.

Besides removing plaque and tartar from teeth and checking to make sure you don’t have cavities or gum disease, these trips that you take to visit our Slidell, LA, general dentists twice a year could also save your life. While you may not even realize it, when we are cleaning your teeth and gums we are also checking for signs of oral cancer.

Oral cancer screenings are completely painless and they only take a minute or two. We check all oral tissue and even your tongue to look for discolorations, sores, lumps or other signs of oral cancer. With life-threatening conditions like oral cancer, the sooner you can detect the issue the better. Luckily, by coming into our office for routine exams we are better able to pinpoint early signs of oral cancer so that you can get the proper treatment you need.

Are you at risk for oral cancer?

While anyone can develop oral cancer, there are certain factors that can increase your chances. Some risk factors include:

  • Your age (those over the age of 40 are at a higher risk)
  • Using tobacco products
  • Heavy alcohol consumption
  • Being diagnosed with HPV (the human papillomavirus)
  • Gender (men are more likely to develop oral cancer than women)
  • A poor diet

Of course, whether you have risk factors or not it’s important that you come in at least twice a year for routine screenings and preventive dental care. If you are at risk it’s also a good idea to talk to us about whether or not you could benefit from getting oral cancer screenings more regularly.

If you have questions about oral cancer screenings or if you need to schedule your next dental visit call the experts at Silvestri & Deniger Dentistry in Slidell, LA. Whatever your dental needs may be, we are here to serve you.




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