Kurt P. Chroust, DDS

Dentist - Rosemount

15180 Chippendale Ave.,Rosemount, MN 55068

(651) 423-1900

 

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15180 Chippendale Ave
Rosemount, MN 55068
(651) 423-1900

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Posts for: October, 2018

TreatingaBabyToothwithInnerDecaycanbeComplicated-butStillNecessary

Even though a child’s primary (“baby”) teeth eventually give way, it’s still important to treat them if they become decayed. Primary teeth serve as guides for the emerging permanent teeth — if they’re lost prematurely, the permanent tooth may come in misaligned.

If the decay, however, affects the tooth’s inner pulp, it poses complications. A similarly decayed adult tooth would be treated with a root canal in which all the pulp tissue, including nerve fibers and blood vessels, are removed before filling and sealing. Primary teeth, however, are more dependent on these nerves and blood vessels, and conventional filling materials can impede the tooth’s natural loss process. It’s better to use more conservative treatments with primary teeth depending on the degree of decay and how much of the pulp may be affected.

If the decay is near or just at the pulp, it’s possible to use an indirect pulp treatment to remove as much of the softer decay as possible while leaving harder remnants in place: this will help keep the pulp from exposure. This is then followed with an antibacterial agent and a filling to seal the tooth.

If the pulp is partially exposed but doesn’t appear infected, a technique called direct pulp capping could be used to cover or “cap” the exposed pulp with filling material, which creates a protective barrier against decay. If decay in a portion of the pulp is present, a pulpotomy can be performed to remove the infected pulp portion. It’s important with a pulpotomy to minimize the spread of further infection by appropriately dressing the wound and sealing the tooth during and after the procedure.

A pulpectomy to completely remove pulp tissue may be necessary if in the worst case scenario the pulp is completely infected. While this closely resembles a traditional root canal treatment, we must use sealant material that can be absorbed by the body. Using other sealants could inhibit the natural process when the primary tooth’s roots begin to dissolve (resorb) to allow it to eventually give way.

These all may seem like extraordinary efforts to save a tooth with such a short lifespan. But by giving primary teeth a second chance, their permanent successors will have a better chance of future good health.

If you would like more information on treating decay in primary teeth, 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 “Root Canal Treatment for Children’s Teeth.”


By Chroust Family Dentistry
October 16, 2018
Category: Oral Health
Tags: smoking  
QuittingSmokingcanImprovetheHealthofYourTeethandGums

While cigarette smoking has been linked with lung cancer and heart disease, it, can also contribute to dental disease. You can reduce these risks by doing one thing — quitting smoking.

But that’s easier said than done: forty-six percent of smokers try to quit every year, but only one in ten are successful long term. The difficulty is tied to tobacco’s active ingredient, nicotine, an addictive substance that triggers chemical and behavioral dependence. Nicotine “re-wires” the brain to feel pleasure when it encounters the chemical, and to feel bad when it’s deprived. Social, occupational or recreational activities can further reinforce the habit.

Many smokers try to quit through sheer willpower or “cold turkey.” Because of nicotine’s addictive properties, this rarely works — instead, you need a comprehensive strategy tailored to you.

You should begin first with trying to understand your individual smoking patterns: when do you smoke, how frequently, or during what activities? To help with this you can use a “wrap sheet”, a piece of paper you keep wrapped around your cigarette pack. Each time you take out a cigarette, you would record how you feel on the sheet. This also slows down the action of taking out a cigarette and lighting it, which can help you become less mechanical and more mindful of your habit.

You can also break your dependence by gradually introducing restrictions to your smoking: smoke only in certain locations or at certain times; substitute other stress-relieving activities like a walk or other physical exercise; or gradually reduce the number of cigarettes you smoke. You can do the latter by setting a goal, say to smoke 20% fewer cigarettes each successive week; this will force you to increasingly make choices about when you smoke.

Finally, don’t try to go it alone. You can benefit greatly from professionals, including your dentist, to help you kick the habit through Nicotine Replacement Therapy (NTR) with prescription medication, counseling or smoking cessation support groups.

Quitting smoking isn’t so much stopping a behavior as it is “unlearning” one and establishing new, healthier ones. The first step, though, is accepting you need a change, one that will benefit your whole life.

If you would like more information on quitting smoking, 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 “Strategies to Stop Smoking.”


By Chroust Family Dentistry
October 06, 2018
Category: Dental Procedures
CharlizeTheronBackinActionAfterDentalSurgery

When they’re introducing a new movie, actors often take a moment to pay tribute to the people who helped make it happen — like, you know, their dentists. At least that’s what Charlize Theron did at the premiere of her new spy thriller, Atomic Blonde.

"I just want to take a quick moment to thank my dentists," she told a Los Angeles audience as they waited for the film to roll. "I don’t even know if they’re here, but I just want to say thank you."

Why did the starring actress/producer give a shout-out to her dental team? It seems she trained and fought so hard in the action sequences that she actually cracked two teeth!

“I had severe tooth pain, which I never had in my entire life,” Theron told an interviewer from Variety. At first, she thought it was a cavity — but later, she found out it was more serious: One tooth needed a root canal, and the other had to be extracted and replaced with a dental implant — but first, a bone grafting procedure was needed. “I had to put a donor bone in [the jaw] to heal,” she noted, “and then I had another surgery to put a metal screw in there.”

Although it might sound like the kind of treatment only an action hero would need, bone grafting is now a routine part of many dental implant procedures. The reason is that without a sufficient volume of good-quality bone, implant placement is difficult or impossible. That’s because the screw-like implant must be firmly joined with the jawbone, so it can support the replacement tooth.

Fortunately, dentists have a way to help your body build new bone: A relatively small amount of bone material can be placed in the missing tooth’s socket in a procedure called bone grafting. This may come from your own body or, more likely, it may be processed bone material from a laboratory. The donor material can be from a human, animal or synthetic source, but because of stringent processing techniques, the material is safe for human use. Once it is put in place your body takes over, using the grafted material as a scaffold on which to build new bone cells. If jawbone volume is insufficient for implants, it can often be restored to a viable point in a few months.

Better yet, when grafting material is placed in the tooth socket immediately after extraction, it can keep most of the bone loss from occurring in the first place, enabling an implant to be placed as soon as possible — even before the end of a movie’s shooting schedule.

Will Atomic Blonde prove to be an action-movie classic? Only time will tell. But one thing’s for sure: When Charlize Theron walks down the red carpet, she won’t have to worry about a gap in her smile.

If you have questions about bone grafting or dental implants, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Immediate Dental Implant.”