My Blog

Posts for: March, 2021

By Paula S. Fillak, DMD, Ltd.
March 25, 2021
Category: Oral Health
WhyEarlyDentalVisitsCouldBrightenYourChildsDentalHealthFuture

By the time your child reaches their first birthday, they may have only a handful of primary teeth. So, should you schedule their first dental visit or wait until they're older?

Absolutely schedule it—a dental visit at age one is one of the most important steps you can take to protect and promote your child's dental health. Starting routine dental care at this early stage can help ensure they enjoy healthy teeth and gums now and in the future. Here's why.

Keeps you a step ahead of tooth decay. Children can experience a rapidly advancing form of tooth decay called early childhood caries (ECC). If not prevented—or treated promptly should it occur—ECC can quickly destroy primary teeth. If they're lost prematurely, future permanent teeth may not erupt properly. Regular dental visits can help prevent or diagnose decay before it causes major damage.

Intercepts problems before they grow. Dental problems, especially bite-related, usually appear in late childhood or early adolescence. But they can start much earlier with signs only a dentist might be able to detect. Early treatments can correct or minimize a developing bite problem, saving you and your child more extensive treatment later.

Reduces your child's dental visit anxiety. The dental office can be an unfamiliar environment for a child that can trigger anxiety. But children who start dental visits sooner rather than later are more apt to adapt and view visiting the dentist as a routine part of life. You may also want to consider a pediatric dentist who not only specializes in children's dental care and development, but may also promote a “kid-friendly” treatment environment.

Promotes the importance of dental care. Beginning regular dental visits shines the spotlight on your child's dental needs and development. As a caregiver, you can gain important insight and support from your dentist toward ensuring your child's teeth stay healthy and develop normally. As a side benefit, increased attention on your child's dental care may increase the same for your entire family.

The first years of a child's life sets the foundation of their dental health for the rest of their lives. You can help make sure that foundation is as sound as possible by beginning early dental visits.

If you would like more information on effective dental care for children, 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 “Age One Dental Visit.”


By Paula S. Fillak, DMD, Ltd.
March 15, 2021
Category: Dental Procedures
RemovingTeethMightMakeItEasierToStraightenaSmile

Dentists remove millions of teeth each year, often because of tooth decay or gum disease. But disease isn't the only reason—a tooth extraction might make it easier to straighten a crooked smile.

Realigning teeth for therapeutic or cosmetic reasons is a regular undertaking in dentistry, but the process itself often differs from person to person. Each individual patient requires their own treatment plan taking into account factors like the kind of bite problem involved, the size of the jaw and the space available to move teeth.

This plan could indeed involve removing teeth. For example, an abnormally small jaw could cause crowding. Not only can crowding move teeth out of position, it may also leave little to no room for moving teeth. Although dentists can minimize crowding by influencing jaw development in early childhood, removing teeth for more space is usually the only option available to older adolescents and adults.

Similarly, teeth can fail to erupt properly and remain partially or fully submerged beneath the gums (known as impaction). There is an orthodontic method for pulling an impacted tooth fully onto the jaw, but only if the tooth isn't too far out of alignment. Otherwise, it may be better to remove the impacted tooth and then correct any gaps with braces or a dental implant.

There's also a situation on the opposite side of the spectrum that could benefit from teeth removal—when one or more permanent teeth fail to form, known as congenitally missing teeth. This can cause gaps in the smile or a “lopsided” appearance where a tooth on one side of the jaw is present while its counterpart on the opposite side of the jaw is missing.

The missing tooth can be replaced by an implant, bridge or other restoration. But another option may be to remove the existing counterpart tooth, and then close the gaps. This can result in a much more attractive smile that might be simpler and less costly than replacing the missing tooth.

Again, the decision to remove teeth to improve smile appearance depends on the patient and their particular dental condition. But in the right situation, it could make straightening a smile easier and more effective.

If you would like more information on orthodontic treatments, 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 “Removing Teeth for Orthodontic Treatment.”


By Paula S. Fillak, DMD, Ltd.
March 05, 2021
Category: Dental Procedures
Tags: tooth decay  
FrequentSinusInfectionsTakeaTriptoYourDentist

If you suffer frequent sinus infections, you might want to see a dentist. No, really—your recurring sinusitis might stem from a decayed tooth.

Tooth decay can start as a cavity, but left untreated can advance within the tooth and infect the pulp and root canals. If it reaches the end of the root, it can cause the root tip and surrounding bone to break down.

A severe toothache is often a good indicator that you have advanced tooth decay, which can usually be stopped with a root canal treatment.  But a decayed tooth doesn't always produce pain or other symptoms—you could have a “silent” infection that's less likely to be detected.

A symptomless, and thus untreated, infection in an upper back tooth could eventually impact the maxillary sinus, a hollow air-filled space located just above your back jaw. This is especially true for people whose tooth roots extend close to or even poke through the sinus floor.

That “silent” infection in your tooth, could therefore become a “loud” one in the sinuses causing chronic post-nasal drip, congestion and, of course, pain. Fortunately, a physician or an ear, nose and throat (ENT) specialist might suspect a dental origin for a case of recurring sinusitis, a condition known as maxillary sinusitis of endodontic origin (MSEO).

Antibiotic treatment can clear up sinusitis symptoms short-term. It's unlikely, though, it will do the same for a dental infection, which may continue to trigger subsequent rounds of sinusitis. The best approach is for a dentist, particularly a specialist in interior tooth disease called an endodontist, to investigate and, if a decayed tooth is found, treat the source of the infection.

As mentioned earlier, the solution is usually a root canal treatment. During this procedure, the dentist completely removes all infected tissue within the pulp and root canals, and then fills the empty spaces to prevent future infection. In one study, root canal therapy had a positive effect on alleviating sinusitis in about half of patients who were diagnosed with a decayed tooth.

If your sinusitis keeps coming back, speak with your doctor about the possibility of a dental cause. You may find treating a subsequently diagnosed decayed tooth could alleviate your sinus problem.

If you would like more information on how your dental health could affect the rest of your body, 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 “Sinusitis and Tooth Infections.”