Trouble Getting Numb For Dental Treatment?

gentle dentist North Dallas

Our bodies work differently. Some dental patients don’t respond to local anesthetics by getting numb. This is understandably concerning when you need dental treatment. (And the word “concerning” may be a huge understatement!)

It’s important to recognize that bad experiences in the past don’t guarantee that you will never be able to become numb.

At Dr. Howard Kessner General, Cosmetic and Implant Dentistry, we take extra time and care with people who have historically had issues getting numb. Various methods used with different medications can overcome numbing factors. We will find the accurate combination to make you comfortable.

Let’s discuss the possible causes.

What Can Affect How I Respond To Numbing Medication?

A pH Imbalance

Your body’s pH level is a measure of the acidity or alkalinity in the blood and other fluids. Also referred to as acid-base balance, the pH scale goes from 0 to 14. A pH below 7 is acidic. A pH above 7 is alkaline or basic. 7.40 is considered a normal blood pH. Your lungs and kidneys work continually to monitor your pH balance.

When the pH level is abnormal, numbing agents can be less powerful. Medical conditions such as asthma, emphysema, untreated diabetes, and cancer can influence pH levels.

An Acute Local Infection

This is related to the previous section because an infection changes the pH balance. If a dental patient has an infection in their mouth (sometimes called a hot tooth), it may need to be treated with antibiotics prior to dental care.

Active Metabolism

If painkilling medications wear off swiftly, it could be due to an extra-active metabolism. Intensive exercise and caffeine can speed up your metabolism. It’s best not to overdo either of these immediately before dental treatment.

Differences In Anatomy

When administering local anesthetics, dentists need to locate your nerve(s). But everyone is wired differently and X-rays don’t always give a clear picture of the location of nerves. The size and shape of your jaw and the amount of fat and muscle influence where nerves are located. Some individuals even have an extra nerve whereas most people have only one.

The Patient Moves During The Injection (We Want To Get On Your Nerves)

We get it. It’s not easy to stay perfectly still when your dentist is putting a needle into your mouth. But you want the painkiller transmitted to the nerve and it’s difficult to hit a moving target.

Red Hair

People with red hair and fair skin may need additional painkilling medication. This sounds wacky, but it is backed by science. The gene that produces hair color (Mc1R) also impacts the pain receptors in the brain. The MC1R mutation that produces red hair is due to the production of pheomelanin. The presence of pheomelanin can increase the body’s sensitivity to pain. This is another way people with auburn tresses are unique. But if you are a redhead who has avoided dental visits, please schedule an appointment by calling us at 972-248-8525. We can help you keep your smile as uniquely beautiful as your hair.

Nervousness

Men and women who are extra nervous at the dentist may have difficulty getting numb. This could be due to a number of factors. Jaw clenching and holding your breath may change the way the body reacts to painkillers. Extreme anxiety may also affect the perception of pain even though there are no biological changes.

Ehlers-Danlos Syndrome

This rare connective tissue disorder influences a body’s reaction to the numbing medication

We Can Overcome These Challenges

Doctor Howard Kessner takes special care of dental patients who have difficulty getting numb. We use different medications and methods to work around these concerns.

There is no need to forego dental treatment if you have had problems with anesthetics. Come talk to us. We will keep you comfortable during dental procedures.

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 8085
Posted in Cosmetic dentistry, Dental implants, Sedation dentistry

How to Kick a Tooth Grinding Habit

how to kick a tooth grinding habit North Dallas

Plenty of men and women all over the world suffer from the habit of grinding their teeth. Some men and women grind their teeth because they are stressed, some people grind their teeth as a coping mechanism, and some people grind their teeth in their sleep without realizing it.

Don’t Ignore Teeth Grinding

Grinding of the teeth, clenching of the jaw, or gnashing of the teeth is known as bruxism. Bruxism can take place consciously or unconsciously both during the day and at night. No matter when or why you grind your teeth, it can be harmful to both your oral health and overall physical health.

Let’s talk about it.

Possible Causes of Teeth Grinding

Some reasons individuals might grind their teeth are:

  • Caffeine consumption
  • Sleep apnea
  • Acid reflux
  • Depression or anxiety
  • Hyperactivity
  • Certain medications

Tooth Grinding Can Cause Serious Dental Problems

The consequences of tooth grinding can include:

  • Tooth pain
  • Jaw pain
  • Loss of tooth enamel or worn-down teeth
  • Increased tooth sensitivity
  • Earaches
  • Broken braces or retainers due to excessive tooth grinding, often at nighttime

Sometimes it is difficult to know if you are grinding your teeth during the night. The main giveaways are if you are experiencing any of the symptoms above. One of the most common and effective ways to quit nighttime teeth grinding is to wear a mouthguard while you sleep.

While there are a variety of reasons for tooth grinding, they can all lead to the same dangerous consequences if left untreated. It’s to seek guidance from a dentist or orthodontist. You might have a dental condition that can cause or complicate your grinding.

How Do You Treat Tooth Grinding?

Some teeth grinders can successfully overcome this impairment on their own. Most individuals, however, need professional help from a doctor or dentist.

Ways to treat tooth grinding include:

  • Use a custom-fitted mouthguard, especially for nighttime tooth grinders
  • Ask your dentist about a habit appliance (especially for children)
  • Avoid caffeine in both food and drinks
  • Learn to manage your stress, depression, anxiety, or hyperactivity
  • Seek counseling

If you are unable to kick the habit of tooth grinding, it is a smart move to consult a professional. Doctor Kessner at Dr. Howard Kessner General, Cosmetic and Implant Dentistry is available for consultations about tooth grinding.

 

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 8442
Posted in Family dentistry, General dentistry, Restorative dentistry

Not Your Mother’s Jewelry: 5 Reasons Tongue Piercings Are Dangerous

lip piercings Dallas

Let’s get right to it; while tongue, cheek, and lip piercings are “so in” right now, here are five reasons to keep piercings where they belong—in your ears:

  1. Excessive drooling—YIKES!
  2. Chipped teeth
  3. Infection (some even in places you wouldn’t think can get infected)
  4. Hypersensitivity to metal
  5. Nerve damage

Drooling

Lip and tongue piercings may make you look cool and edgy. They may express your personality and creativity. But they can cause frequent drooling. That may not be the look you’re going for.

Broken Teeth

Another vital reason to keep piercings away from your mouth, lips, and tongue, is because having any metal in your mouth can chip your teeth. This can happen while eating, drinking, or sleeping. Or even while playing with said piercing.

Do you already have a tooth that’s weakened? These cracks can then be repaired before further damage or decay occurs.

Small cracks in a tooth can be filled, or crowned. But often patients with piercings come in with more serious dilemmas. These may require a root canal or tooth extraction.

Infection

Beware of infection. When it comes to oral piercings, you have to really watch the pierced area. Your mouth is a bacterial zoo, so to speak. Upon piercing anything in your mouth, the bacteria can enter your bloodstream. Neglecting appropriate brushing habits can lead to infection. As well as touching the piercing with dirty hands.

Hypersensitivity or Allergic Reaction to Metal

Many people love body jewelry. But too much of a good thing (like metal) can be bad. Having metal piercings can lead to hypersensitivity to any metal in your mouth, such as silverware. This is problematic for most people. (Stock up on plastic utensils!)

There is also the risk of an allergic reaction at the piercing site. If you know of sensitivity to certain metals, you can get your piercing in a metal you aren’t allergic to. But you are still in danger of the other dangers discussed here.

Nerve Damage

Finally, there’s the risk of irreversible nerve damage. If the previous dangers don’t convince you, this one should. Experiencing a numb tongue is usually temporary. But in extreme cases, like if you can’t stop playing with the piercing, it can become permanent.

 

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 8156
Posted in Dental crowns, Dental implants, General dentistry

Small Dental Annoyance Or Serious Problem?

mouth sores Richardson

Today in the Dallas dental blog we are going to talk about stomatitis. Stomatitis is dental-speak for something very common: non-specific irritations found in the mouth. Stomatitis is typically caused by cold sores, gum disease, or even from biting the inside of the mouth (ouch!). Any time the membranes in the mouth become inflamed, they are referred to as stomatitis.

Most men and women have probably suffered from stomatitis and don’t think it’s a big deal. The good news is that these patients are usually right because the majority of these irritations clear up on their own in less than two weeks. While they might affect the ability to speak or eat or fall asleep, they are ordinarily just a temporary inconvenience.

However, there are cases where a bacterial or a viral infection can occur in these areas of inflammation.

Because of this possibility, your North Dallas area dentist should be aware of these issues. Even if you are fortunate and there is no infection present, your dentist can always help you treat the symptoms of stomatitis.

Hi, my name is Doctor Howard Kessner of Dr. Howard Kessner General, Cosmetic and Implant Dentistry in Dallas. I provide the highest quality preventative, restorative and cosmetic dentistry for my Dallas area patients.

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 6639
Posted in Dental implants, General dentistry, Gum disease

Is Your Smile Holding You Back?

Prestonwood cosmetic smile makeover

Have you ever taken an unplanned trip to the corner store looking completely unkempt in a rush to purchase an emergency item–say cough medicine or a must-have poster board for your child’s school assignment?

On such an occasion you will inevitably bump into someone you know. How do you feel in your baggy sweatpants and stained T-shirt? Or worse yet, pajamas.

Our Appearance Influences How We Feel

Clearly, our outward appearance impacts the way we feel inside. In professional situations, don’t you feel more self-assured when you are wearing flattering, pulled-together business clothes? Aren’t you more likely to articulate your opinion when you are comfortable in your own skin?

When facing someone for the first time, don’t you feel better when you are having a good hair day or have cleared up a recent bout of acne? Blind dates are brutal when you don’t feel at the top of your game.

People Notice Your Smile First

Attractive clothing, well-groomed hair, and a fit body boost confidence for most Dallas folks. But do you know what people notice before any of these features? Your face. Specifically, your smile and eyes. Multiple studies have shown that dazzling teeth and eyes immediately capture attention. Now, it’s difficult to change your eyes unless you get colored contacts. But dazzling smiles are within reach because Dallas dentists can work miracles with cutting-edge cosmetic dentistry.

Cosmetic Dentistry Can Improve Any Smile

With specialized training, finely honed skills, modern equipment, and quality lab services, savvy dentists can turn unattractive smiles into stunning first impressions using a variety of technologically-advanced cosmetic dental procedures. Dr. Howard Kessner General, Cosmetic and Implant Dentistry patients who have received smile redesigns report feeling more confident, more attractive, more effective at work, and happier in their relationships. Some even say that they take more risks and observe more success.

Boost Your Confidence With Cosmetic Dentistry

If you are not satisfied with your smile, you are probably not aware of the effect it has had on your confidence and self-image. Don’t hide behind an unappealing smile any longer. Call Dr. Howard Kessner General, Cosmetic and Implant Dentistry at 972-248-8525 today to schedule an informative cosmetic dental consultation.

family and cosmetic dentistry

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 6924
Posted in Cosmetic dentistry, Dental implants, Restorative dentistry

Adult Dental Health for Dallas Smiles

Preventative Maintenance For Your Irreplaceable Smile In DallasAt Dr. Howard Kessner General, Cosmetic and Implant Dentistry, our goal is preventing dental problems and keeping our patients’s smiles healthy and beautiful. We provide general and family dentistry at our Dallas dental practice.

Adult Dental Health

As a general and family dentistry practice, we have been treating patients of all ages since 1973.

An interesting (and sad) thing we have noticed throughout the years is that many parents disregard their own oral health. Though they vigilantly keep up with their children’s dental visits and cleanings, for some reason, they fail to pay the same attention to their own dental needs.

How Do You Keep Your Smile Healthy Throughout Your Life?

Let’s discuss adult dental needs. Once you are past the cavity-prone childhood and adolescent years, gum health becomes crucial.

Gum Disease is the #1 Cause of Tooth Loss in Adults

Did you know that 47% of U.S. adults have gum disease? In adults, periodontitis (advanced gum disease) is the most common cause of tooth loss. Fortunately, gum disease can be reversed if you catch it in its early stages.

Gingivitis

The first stage of gum disease is called gingivitis. The main symptoms of gingivitis include red or swollen gums. If your gums hurt when brush or floss, it could be a sign. You may also notice unpleasant breath at times. (Others may notice it as well!) Gingivitis is typically caused bacteria on the teeth and along the gum line. The most common treatment is increased brushing and flossing in addition to more frequent dentist appointments. It’s a good idea to visit your dentist every 3 months for deep cleanings and professional treatment. Your dentist may also prescribe a fluoride rinse.

Early Stage Periodontal Disease

When the infection spreads beneath your gums it allows the harmful bacteria to start attacking the bone holding your teeth in place. This may result in redness and swelling of the gums, worsening breath and recurrent bleeding. Early stage periodontal disease can’t be entirely reversed, but your dentist can develop a treatment plan to prohibit it from getting worse.

Moderate Periodontal Disease

At this stage, you are at risk of losing teeth. To treat it at this stage, your dentist will need to remove plaque from below the gum line (this same treatment may also be used with early-stage periodontal disease) in order to help halt the infection. Since your gums are slowly detaching from your teeth at this stage, surgery can reshape your gums and close the pockets between your gums and teeth. With superb self-care and one of our skilled oral hygienists at your side, you can still save your teeth.

Advanced Periodontal Disease

The final stage of periodontitis requires extensive treatment. Your dentist may recommend surgery to prevent tooth loss. Flap surgery is common for this stage and involves cleaning the actual roots of your teeth by scrubbing behind your gums. Your dentist may also smooth or reshape your compromised bone to prevent bacteria from building up.

Why Do You Need Regular Dental Cleanings?

With twice-yearly dental exams and professional cleanings, you can prevent early stage gum disease from advancing to the dangerous stages. During profession dental deep cleanings, our hygienists thoroughly remove the plaque and tartar above and below the gumline. By scaling and planing, they smooth areas to make it more difficult for bacteria to accumulate.

Why Oral Cancer Screenings are Essential

During dental examinations at Dr. Howard Kessner General, Cosmetic and Implant Dentistry, Doctor Kessner look for signs of oral cancer. Oral cancers are cancers in the tongue, mouth, lips, jaw, and throat. Many individuals don’t realize the seriousness of oral cancer.

Consider this sobering news from the Oral Cancer Foundation:

When found at early stages of development, oral cancers can have an 80 to 90% survival rate. Unfortunately at this time, the majority are found as late stage cancers, and this accounts for the very high death rate of about 43% at five years from diagnosis

When your dentist performs an oral cancer screening during your dental examination, he/she will look for red or white spots, bleeding, lumps, difficulty swallowing, loose teeth, any color changes, and mouth sores. Is is important to tell your dentist if your bite has changed, if you have sores that won’t heal, and prolonged hoarseness. An earache in only one ear can also be an indicator.

Having any of these symptoms does not mean you have oral cancer, as they can be caused by other conditions. However, if your dentist does something unusual, he/she may order additional tests or refer you to a medical doctor for further diagnosis and treatment if necessary.

Schedule an Exam and Cleaning Today

We are passionate about preventative dentistry to keep your smile healthy and beautiful. If you are due for a cleaning, call us today at 972-248-8525 to schedule.

Ask Us About Financing

If you don’t have dental insurance, ask us about dental financing options. Remember, it is far less expensive to prevent dental dilemmas than to treat them after they have become severe.

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 8672
Posted in Family dentistry, General dentistry, Gum disease

Use Flex Account Funds For Dental Care

Use Flex Account Funds for Dallas Dentistry If you have money in your Dallas flexible spending account you may want to schedule some cosmetic dentistry before the deadline. Remember, you lose any funds left over after the plan year ends. Why not improve your smile with tax-free dollars?

Even a small change can make a big difference in the appearance of your teeth. You might consider getting a veneer for a chipped tooth or replacing a broken crown. Maybe you want to straighten your teeth with braces or replace amalgam fillings with ones that blend with your natural teeth. Tooth whitening is quick and easy and benefits even the most attractive smiles.

Perhaps aesthetic dentistry is not your first priority. Maybe you have a more pressing dental need such as a cavity that is bothering you or swollen gums. Don’t let these problems get worse and possibly more expensive to treat.

Call 972-248-8525 to book a consultation at Dr. Howard Kessner General, Cosmetic and Implant Dentistry in Dallas. We are located at 7522 Campbell Rd #120.

Howard Kessner is one of the most sought-after Dallas dentists and stays at the forefront of cosmetic dentistry techniques and technology. A radiant smile is possible for anyone in the North Dallas area, regardless of issues such as tetracycline stains, periodontal disease, or missing teeth.

If you are planning to use flex account funds for North Dallas dentistry, make sure you check your employer’s guidelines for eligible cosmetic or restorative dental procedures.

With a smile makeover at Dr. Howard Kessner General, Cosmetic and Implant Dentistry, what will your “after” photo look like?

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 969
Posted in Cosmetic dentistry, Dental implants, General dentistry

5 Critical Things To Know About Periodontal Disease

gum disease exam Dallas

Periodontal disease, also called gum disease, is inflammation or infection of the gums. For the most part, periodontal disease is preventable. This condition is so widespread in the US that it has been called a ‘health crisis’ by the ADA. Fortunately, periodontal disease can be treated.

  1. If left untreated, it can cause irreversible damage such as tooth loss.
  2. Practicing proper dental hygiene and having 6-month dental exams are the best way to prevent periodontal disease.
  3. Periodontal disease can occur without the presence of decay.
  4. Almost half of all 30+ adults in the US have periodontal disease.
  5. In some cases, periodontal disease generates no noticeable symptoms.

Risk factors for periodontal disease include tobacco use, inadequate oral hygiene (especially failing to floss), genetics, teeth grinding, inflammatory conditions, and poor nutrition.

Even if you don’t feel any pain in your mouth, it is critical to see your dentist regularly. To schedule a periodontal disease exam, call Dr. Howard Kessner General, Cosmetic and Implant Dentistry today at 972-248-8525 or visit https://www.drkessner.com/.

“Periodontal Disease Affects Nearly Half of the U.S. Population,” American Dental Association, June 15, 2015, http://www.ada.org/en/science-research/science-in-the-news/periodontal-disease-affects-nearly-half-us-population, accessed June 6, 2017

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 7464
Posted in Family dentistry, General dentistry, Gum disease

Think It’s Not Necessary To Replace Missing Back Teeth?

dental implants Dallas

Some men and women who lose a posterior tooth question whether to replace it. After all, it doesn’t show when you smile and there are other teeth to take over the chewing functions. Why not avoid the cost to replace it and save some money? Actually, there are several vital reasons to replace a back tooth with a permanent tooth implant if possible:

1. The adjacent tooth (or teeth) may start shifting.

If a tooth tips, moves or rotates, it can affect the bite. The unopposed tooth can also move, though it generally moves outward from the bone (over-eruption). Teeth that are displaced can become more vulnerable to gum disease, decay, or TMJ pain.

2. The underlying bone will eventually loosen.

Without the tooth root, the jaw bone shrinks. This changes the shape of the face and gives it a sunk-in look due to a decrease in supporting bone. The vertical shortening progresses and becomes more pronounced as you get older.

3. There will be increased stress on the teeth that take over the chewing functions.

This can lead to excessive wear, fracture, or pain.

If you have a missing posterior tooth and want to learn about dental implants, call Dr. Howard Kessner General, Cosmetic and Implant Dentistry at 972-248-8525 to schedule an appointment.

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 7768
Posted in Dental implants, General dentistry, Gum disease

Dental Care For ICU Patients Lowers Infection Risk

Dallas best family dentist

Hi, I’m Doctor Howard Kessner of Dr. Howard Kessner General, Cosmetic and Implant Dentistry. Today’s post focuses on an article that appeared recently on ScienceDaily.com. The article describes a study of Brazilian ICU patients that compared infection rates of those who received enhanced oral care instead of routine oral care. The patients who received the more intense dental care were 56 percent less likely to develop a respiratory infection during their stay.

“Enhanced dental care included teeth brushing, tongue scraping, removal of calculus, atraumatic restorative treatment of caries, tooth extraction, and topical application of chlorhexidine corresponding to each patient’s needs four to five times a week. Comparatively, regular treatment consisted of mechanical cleansing using gauze followed by topical application of chlorhexidine three times a day.”1

“Bacteria causing healthcare-associated infections often start in the oral cavity,” said Fernando Bellissimo-Rodrigues, MD, lead author of the study. “This study suggests that having a dentist provide weekly care as part of the ICU team may improve outcomes for vulnerable patients in this setting.”1

If a member of your family has serious health concerns, you may want to talk to their doctor about the oral health implications of their condition. In unfortunate cases where one of my patients experiences severe health issues, I am happy to work with their medical team to ensure that their dental health is not compromised. Even some manageable chronic conditions can require more frequent exams and cleanings.

Though this study pertains to ICU patients, it is also a reminder to all of us. Receiving consistent quality dental care and practicing proper daily oral hygiene is critical for everyone. Some patients have an inaccurate view of oral health – they seem to have the notion that it exists autonomously. It is actually interdependent with general physical health.

At Dr. Howard Kessner General, Cosmetic and Implant Dentistry, we see ourselves as key members of your healthcare team and are dedicated to your physical, mental, and emotional health. If you are looking for a consistent dental practice in Dallas, we invite you to schedule a consultation by calling 972-248-8525. You can meet me, Doctor Kessner, and my team of dental professionals. Thanks for visiting our dental blog.

1Wanessa T. Bellissimo-Rodrigues, Mayra G. Menegueti, Gilberto G. Gaspar, Edson A. Nicolini, Maria Auxiliadora-Martins, Anibal Basile-Filho, Roberto Martinez, Fernando Bellissimo-Rodrigues. Effectiveness of a Dental Care Intervention in the Prevention of Lower Respiratory Tract Nosocomial Infections among Intensive Care Patients: A Randomized Clinical Trial. Infection Control and Hospital Epidemiology, 2014; 35 (11): 1342 DOI: 10.1086/678427

 

Contact Dr. Howard Kessner General, Cosmetic and Implant Dentistry:

972-248-8525

Location (Tap to open in Google Maps):

7522 Campbell Rd #120
Dallas, Texas
75248

 

ArticleID 6828
Posted in Dental implants, Oral health, Sedation dentistry
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