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It's easy to be skeptical about X-rays whether we speak of a full-body X-ray or a dental X-ray. Radiation is radiation. It's vital to know all the facts before judging too harshly, though. Dental X-rays can be one of the best preventive tools for your dental health. We offer various treatments at Masterpiece Dentistry at Copley, but helping you become better informed is one of the best ways to decide what will be best for you.

According to the AmericanDental Association, healthy adults typically receive routine dental X-rays every two to three years. The timeline for children is every one or two years, and one and a half for teens. Children and teens require more X-rays than adults because their teeth are still developing, which makes them more susceptible to cavities.

In general, John Pappas will determine how often dental X-rays need to be taken for each individual patient, taking into consideration physical symptoms, clinical findings, and risk for infection. Most dental professionals use Caries Management by Risk Assessment (CAMBRA) to help them determine how often X-rays should be taken, so you can rest assured that we are making an informed decision.

In addition to that, it should be reassuring to know that these days, most dental X-rays are digital, which significantly reduces your exposure to radiation. In fact, you’re likely to pick up more radiation just from being in the sun! Lead aprons and thyroid collars are also tools that John Pappas and our team use to keep X-ray exposure to a minimum.

At our office, we believe that diagnosing cavities and other potentially harmful conditions by dental X-ray does you more good than harm. If you have any questions about our X-rays, feel free to give our Boston, Massachusetts office a call or bring up the subject during your next appointment!

As the school year gets under way in Boston, Massachusetts, you’ve got a lot going on. New classes. New teachers. New activities. New books and supplies and . . . well, it’s a lot! Luckily, you have some familiar skills you can rely on to help you enjoy all these new experiences with a healthy, confident smile.

You may not have realized it, but the skill sets you’ve developed for school are useful beyond the classroom. Let’s put those skills to use with our dental study guide:

Do Your Homework

Dental care begins at home! Brush for two minutes twice each day and floss once a day to remove cavity-causing plaque.

If you’re in orthodontic treatment, you might need to brush and floss more often, whether several times a day or after each meal or snack. Follow your orthodontist’s recommendations and use orthodontic friendly tools like interproximal brushes and floss designed for braces.

If you have trouble with getting your teeth their cleanest, electric toothbrushes and water flossers can be a game changer when it comes to removing plaque and food particles from tricky spaces. Talk to John Pappas to see if these tools are right for you.

Essential Supplies

Put together a kit for your backpack or locker so you’ll always have the smile-approved supplies you need on hand. These tools will help you manage any expected—and unexpected—dental challenges while you’re away from home. Your bag might include:

• Travel toothbrush in a ventilated case (bacteria aren’t fans of fresh air!)
• Travel size toothpaste
• Small mirror to make sure your smile is food-free
• If you wear braces, add orthodontic floss and interproximal brushes, dental wax to prevent irritation from loose wires or brackets, and extra rubber bands as needed
• If you have a retainer or aligners, bring your appliance case to prevent damaging or losing them
• Your dentist’s and orthodontist’s phone numbers for emergencies

Add any other items you think will be helpful, and you’ll be prepared to handle any dental-related issues throughout the day.

Follow Directions

Your dental team at Masterpiece Dentistry at Copley has the best recommendations for a healthy smile—but these recommendations only work if you follow them!

• See John Pappas for regular checkups. These appointments are the time to learn about better brushing techniques, a dental-healthy diet, and other ways to help prevent cavities. Bonus: Regular cleanings will keep your smile sparkling!
• If you’re an orthodontic patient, wear your aligners, appliances, or elastics for the recommended number of hours each day. If you don’t, your treatment could take longer.
• If you wear aligners, it’s important to change your trays on schedule. Changing to a new set of aligners too soon can cause stressful pressure on your teeth and jaws. Changing trays later than recommended can delay your progress.

Any Questions? Ask!

Asking questions is one of the best ways to learn. Your dental team at Masterpiece Dentistry at Copley has years of education and experience to help you answer some of the questions you have about navigating your school day.

How can you keep your smile clean and fresh throughout a long day of school? Which cafeteria foods are orthodontic-friendly? Why are mouthguards so important when you play sports?

Your dental team has the answers—or knows how to help you find them. Work with your team to make sure that you’re able to enjoy all the possibilities of the school year, from classroom to lunchroom to extracurriculars, with a healthy confident smile!

Cavities are the reason why most people fear going to the dentist. But they’re also the reason you should be visiting John Pappas on a regular basis.

Specifically, cavities are the breakdown of teeth caused by acid from food, bacteria, and plaque that inhabit the inside of the mouth. While many people simply think that cavities only form on top of a tooth, John Pappas and our team at Masterpiece Dentistry at Copley want you to know they can actually form on the sides along the gum line and between the teeth, too. This acid will eat away at the tooth, forming a soft hole.

Anybody, either children and adults, can get cavities. In fact, according to the Centers for Disease Control and Prevention, in the U.S. alone about 16 percent of all children ages six to 19 have untreated cavities, and about 24 percent of adults 20 to 64 years old have them. This is detrimental to overall oral health, because cavities have a tendency to grow over time, potentially spreading to other teeth and causing increased oral pain, possibly even affecting the nerve.

That's why it's important to ensure that you're visiting Masterpiece Dentistry at Copley at least once every six months, so that cavities can be found and filled before they become too problematic and painful. Typically, they're found by doing a routine teeth cleaning, though X-rays or further examination may be necessary to determine the full extent of a cavity. Cavities are treated by removing the area of the tooth where decay has set in and rebuilding the tooth with a metal filling. If the cavity is too large, however, more extreme measures may be necessary, such as placing a crown or performing a root canal.

As we noted above, cavities are why people dread going to the dentist, but also the reason everyone should see the dentist every six months. Additionally, brushing twice daily, flossing, and cutting down on sugar-packed foods can reduce the risk of developing cavities.

For more information on how to best care for your teeth and why it's important to visit the dentist twice a year, please give us a call at our convenient Boston, Massachusetts office today!

Dentists use advanced procedures to save teeth which would have been lost a few decades ago. But sometimes, when a tooth is severely compromised, it just can’t be saved. In this case, extraction is the best and healthiest option. 

When might John Pappas recommend an extraction? Conditions which call for extraction could include:

• Extensive Decay

When a tooth has experienced mild to moderate decay, the team at Masterpiece Dentistry at Copley can remove the decayed portion, clean the area, and restore the tooth with a filling or a crown. If the decay is too extensive, there won’t be sufficient healthy tooth structure left for a restoration, and extraction will be necessary.

• Severe Gum Disease

The CDC estimates that almost 50% of those aged 30 and older suffer from some form of gum disease, with the number rising to over 70% of adults aged 65 and older. Serious gum disease, or periodontitis, is the leading cause of tooth loss in adults. 

Periodontitis can cause the gums to pull away from the teeth, creating pockets where bacteria multiply and infection develops. Left untreated, infection destroys the connective tissue and bone which hold the teeth in place. Teeth become loose and eventually fall out. When tooth loss is inevitable, extraction can be a healthier option than waiting for the tooth to fall out.

• Serious Infection

When infection reaches the pulp inside the tooth, immediate treatment is necessary. An infected tooth will never get better on its own, and the infection can spread from the tooth to the surrounding gums and bone, creating a pus-filled abscess. 

When caught early enough, a root canal procedure can save your tooth. If root canal treatment isn’t possible or infection keeps recurring, extraction can be the best option to prevent infection from spreading and destroying gum and bone tissue.

• Extensive Cracks or Fractures

Caught early, cracks in the crown of a tooth or small fractures in a tooth root might be treated with root canal therapy or endodontic surgery. When a crack in the crown of the tooth extends below the gumline, or when a vertical fracture begins in the root of the tooth and spreads upward to the crown, the tooth often cannot be saved. 

• Wisdom Teeth

When wisdom teeth have no room to erupt, they may become completely impacted, lodged in the bone and gum tissue. Or they may begin to break through the gums but aren’t able to erupt completely (partial impaction), making them difficult to clean and vulnerable to infection and decay. When wisdom teeth begin to erupt without sufficient space, they can move horizontally or diagonally, putting destructive pressure on the roots of neighboring molars. 

• Trauma

Often a dislodged tooth can be restored to its place in the mouth when the injury is treated early enough and the damage is limited. When a tooth or its surrounding bone and ligaments are so badly damaged from trauma that the tooth can’t be reimplanted or restored with endodontic or surgical treatment, extraction is the healthiest choice.

When decay, gum disease, injury, or other conditions make it impossible to save a tooth, John Pappas will recommend extraction to protect your oral health. Dentists who are experts in extractions have the skill and experience needed to:

• gently extract the tooth
• provide you with sedation options before the procedure
• provide options for pain management after the procedure
• give you detailed instructions for aftercare 
• suggest follow-up options such as tooth implants, which can restore your smile with a replacement which looks and functions like a natural tooth

Extraction is never your first choice, or your dentist’s! Proactive tooth and gum care help save teeth for a lifetime. But when a tooth can’t be saved, an extraction is the best option for protecting your oral health. Contact Masterpiece Dentistry at Copley in Boston, Massachusetts for more information today.