McNutt Dental Care

Procedures

Below is a variety of information relating to dental procedures we perform in our office and sites reflecting some of Dr. McNutt’s personal interests. We believe overall health and well being begins with a healthy mouth.

 

Braces

If you have crooked teeth and/or a misaligned bite (an underbite or overbite), there are a variety of treatments that can help straighten teeth, including braces and retainers. Ask your dentist to refer you to an orthodontist, a dentist who specializes in correcting irregularities of the teeth. The orthodontist will ask questions about your health, conduct a clinical exam, take impressions of your teeth, take photos of your face and teeth, and order X-rays of the mouth and head. An appropriate treatment plan is made based on analysis of the gathered information. In some cases, a removable retainer will be all that’s necessary. In other rare cases (especially when there is an extreme overbite or underbite), surgery may be necessary. In most cases, however, braces will be needed. Visit WebMD for more information.

Bridges

Dental bridges literally bridge the gap created by one or more missing teeth. A bridge is made up of two crowns for the teeth on either side of the gap — these two anchoring teeth are called abutment teeth — and a false tooth/teeth in between. These false teeth are called pontics and can be made from gold, alloys, porcelain, or a combination of these materials. Dental bridges are supported by natural teeth or implants. Visit WebMD for more information.

Bruxism

Most people probably grind and clench their teeth from time to time. Occasional teeth grinding, medically called bruxism, does not usually cause harm, but when teeth grinding occurs on a regular basis the teeth can be damaged and other oral health complications can arise. Visit WebMD for more information.

Canker Sore

A canker sore is a shallow sore shaped like a crater (ulcer) on your tongue or on the inside of your lip or cheek. Canker sores have a red border and a white or yellow center. They may be painful and can make it hard to talk and eat. You may have one or more than one canker sore at a time. Unlike cold sores, you cannot spread canker sores to other people. See a picture of canker sores. Anyone can get a canker sore but women, teenagers, and young adults have them more often. People usually get their first canker sore between the ages of 10 and 40. Most people have canker sores at some time in their lives, and some people have them regularly. Visit WebMD for more information.

Composites/Bonding

Dental bonding is a procedure in which a tooth-colored resin material (a durable plastic material) is applied and hardened with a special light, which ultimately “bonds” the material to the tooth to restore or improve person’s smile. Visit WebMD for more information.

Crowns

A dental crown is a tooth-shaped “cap” that is placed over a tooth — to cover the tooth to restore its shape and size, strength, and improve its appearance. The crowns, when cemented into place, fully encase the entire visible portion of a tooth that lies at and above the gum line. Visit WebMD for more information.

Digital Radiograph

Are you behind on your dental visits, and now you’re being driven in by a toothache, other dental problems, or guilt? If so, be prepared — not for a lecture from your dentist — but for discovering that there is a host of new options to keep teeth healthy and beautiful. Here are some of the newer dental care procedures and techniques that leading dentists are bringing into their practices. Visit WebMD for more information.

Extractions

A tooth that is severely damaged may need to be removed. A surgeon who specializes in surgeries of the mouth (oral and maxillofacial surgeon) or your dentist can remove a tooth. Before removing your tooth, your dentist will give you a local anesthetic to numb the area where the tooth will be removed. A stronger, general anesthetic may be used, especially if several or all of your teeth need to be removed. General anesthetic prevents pain in the whole body and will make you sleep through the procedure. After the tooth is removed, you may need stitches. You can gently bite down on a cotton gauze pad placed over the wound to help stop the bleeding. The removed tooth can be replaced with an implant, a denture, or a bridge. A bridge is a replacement for one or more (but not all) of the teeth and may be permanent or removable. Visit WebMD for more information.

Flap Surgery

You may need surgery for severe gum disease (periodontitis) if it cannot be cured with antibiotics or root planing and scaling. A flap procedure cleans the roots of a tooth and repairs bone damage caused by gum disease. A gum specialist (periodontist) or an oral surgeon often performs the procedure. Visit WebMD for more information.

Flossing

Every six months, you visit the dentist for a cleaning — and likely a lecture about the importance of flossing. But if you’re like many dental patients, the advice travels in one ear and out the other — much like, well, dental floss gliding between the spaces of your teeth. “There is no instant gratification with flossing — that’s the problem,” says Alla Wheeler, RDH, MPA, associate professor of the Dental Hygiene Program at the New York University School of Dentistry. “Patients don’t think it does anything.” But flossing does about 40% of the work required to remove sticky bacteria, or plaque, from your teeth. Plaque generates acid, which can cause cavities, irritate the gums, and lead to gum disease. “Each tooth has five surfaces. If you don’t floss, you are leaving at least two of the surfaces unclean,” Wheeler explains. “Floss is the only thing that can really get into that space between the teeth and remove bacteria.” Flossing, Wheeler says, might also be an overlooked fountain of youth. Gum disease can ruin the youthful aesthetics of your smile by eating away at gums and teeth. It also attacks the bones that support your teeth and the lower third of your face. People who preserve the height of that bone by flossing look better as they age. Visit WebMD for more information.

Flouride

Fluoride is a mineral that occurs naturally in many foods and water. Every day, minerals are added to and lost from a tooth’s enamel layer through two processes, demineralization and remineralization. Minerals are lost (demineralization) from a tooth’s enamel layer when acids — formed from plaque bacteria and sugars in the mouth — attack the enamel. Minerals such as fluoride, calcium, and phosphate are redeposited (remineralization) to the enamel layer from the foods and waters consumed. Too much demineralization without enough remineralization to repair the enamel layer leads to tooth decay. Fluoride helps prevent tooth decay by making the tooth more resistant to acid attacks from plaque bacteria and sugars in the mouth. It also reverses early decay. In children under 6 years of age, fluoride becomes incorporated into the development of permanent teeth, making it difficult for acids to demineralize the teeth. Fluoride also helps speed remineralization as well as disrupts acid production in already erupted teeth of both children and adults. Visit WebMD for more information.

Gum Disease

Gingivitis, also generally called gum disease or periodontal disease, begins with bacterial growth in your mouth and may end — if not properly treated — with tooth loss due to destruction of the tissue that surrounds your teeth. Visit WebMD for more information.

Impact Teeth

Wisdom teeth, otherwise known as third molars, are the last set of teeth to develop. Sometimes these teeth emerge from the gum line and the jaw is large enough to allow room for them, but most of the time, this is not the case. More often, one or more of these third molars fails to emerge in proper alignment or fails to fully emerge through the gum line and becomes entrapped or “impacted” between the jawbone and the gum tissue. Impacted wisdom teeth can result in swelling, pain, and infection of the gum tissue surrounding the wisdom teeth. In addition, impacted wisdom teeth can cause permanent damage to nearby teeth, gums, and bone and can sometimes lead to the formation of cysts or tumors that can destroy sections of the jaw. Therefore, dentists recommend people with impacted wisdom teeth have them surgically removed. It’s not just wisdom teeth that sometimes become impacted and need to be removed. Other teeth, such as the cuspids and the bicuspids can become impacted and can cause the same types of problems described with impacted wisdom teeth. Visit WebMD for more information.

Lasers

Lasers have been used in dentistry since 1994 to treat a number of dental problems. But, despite FDA approval, no laser system has received the American Dental Association’s (ADA) Seal of Acceptance. That seal assures dentists that the product or device meets ADA standards of safety and efficacy, among other things. The ADA, however, states that it is cautiously optimistic about the role of laser technology in the field of dentistry. These lasers are different from the cold lasers used in phototherapy for the relief of headaches, pain, and inflammation. Visit WebMD for more information.

Neuromuscular Dentistry

Neuromuscular dentistry is a dental treatment philosophy not recognized by any professional association in which temporomandibular joints, masticatory muscles and central nervous system mechanisms are claimed to follow generic physiologic and anatomic laws applicable to all musculoskeletal systems. It is a treatment modality of dentistry that focuses on correcting “misalignment” of the jaw at the temporomandibular joint (TMJ). Neuromuscular dentistry acknowledges the multi-faceted musculoskeletal occlusal signs and symptoms as they relate to postural problems involving the lower jaw and cervical region. Neuromuscular dentistry claims that “misalignment problem(s)” can be corrected by understanding the relationships of the tissues involved, which include muscles, teeth, temporomandibular joints, and nerves. In short, proponents of neuromuscular dentistry claim that it adds objective data and understanding to previous mechanical models of occlusion. Visit WebMD for more information.

Oral Cancer

Cancer is defined as the uncontrollable growth of cells that invade and cause damage to surrounding tissue. Oral cancer appears as a growth or sore in the mouth that does not go away. Oral cancer, which includes cancers of the lips, tongue, cheeks, floor of the mouth, hard and soft palate, sinuses, and pharynx (throat), can be life threatening if not diagnosed and treated early. Visit WebMD for more information.

Plaque

Plaque is the sticky, colorless film of bacteria that forms on teeth. It makes teeth “feel fuzzy” to the tongue and is most noticeable when teeth are not brushed. Visit WebMD for more information.

Root Planning & Scaling

Root planing and scaling is one of the most effective ways to treat gum disease before it becomes severe. Root planing and scaling cleans between the gums and the teeth down to the roots. Your dentist may need to use a local anesthetic to numb your gums and the roots of your teeth. Some dentists and dental hygienists will use an ultrasonic tool for the planing and scaling. This tool is not as uncomfortable as a standard scraping tool, but not all cleanings require this type of tool. Your dentist may place antibiotic fibers into the pockets between your teeth and gums. The antibiotic will help speed healing and prevent infection. The dentist will remove the fibers about 1 week after the procedure. Visit WebMD for more information.

Sealants

Sealants are a thin, plastic coating painted on the chewing surfaces of teeth — usually the back teeth (the premolars and molars) — to prevent tooth decay. The painted on liquid sealant quickly bonds into the depressions and grooves of the teeth forming a protective shield over the enamel of each tooth. Visit WebMD for more information.

Sensitive Tooth

Tooth sensitivity is tooth discomfort in one or more teeth that is triggered by hot, cold, sweet, or sour foods and drinks, or even by breathing cold air. The pain can be sharp, sudden, and shoot deep into the nerve endings of your teeth. Visit WebMD for more information.

TMJ

Temporomandibular joint pain and dysfunction affects some 10 million people in the U.S. and is a frequent concern of people posting on the WebMD ENT Message Board. One researcher estimated that 75% of the U.S. population will experience one or more symptoms associated with this common joint and connective tissue disorder sometime in their lives. Ninety percent of people who seek a diagnosis or treatment for TMJ are women, mostly of childbearing age. Visit WebMD for more information.

Tooth Decay

Tooth decay is the process that results in a cavity (dental caries). It occurs when bacteria in your mouth make acids that eat away at a tooth. If not treated, tooth decay can cause pain, infection, and tooth loss. You can easily prevent tooth decay by brushing and flossing your teeth regularly, seeing your dentist for teeth cleaning and checkups, and avoiding foods that are high in sugar. Visit WebMD for more information.

Veneers

Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size, or length. Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement. You will need to discuss the best choice of veneer material for you with your dentist. Visit WebMD for more information.