Category Archives: One day crowns

No Need to Worry – It is Just a Root Canal

What is a root canal?Tooth anatomy

Underneath your tooth’s outer enamel and within the dentin is an area of soft tissue called the pulp tissue.  While a tooth’s pulp tissue does contain nerve fibers, it is also composed of arteries, veins, lymph vessels, and connective tissue.  Each tooth’s nerve enters the tooth at the very tip of its roots.  From there, the nerve runs through the center of the root in small “root canals,” which join up with the tooth’s pulp chamber.

Why do I feel pain?

When the pulp becomes infected or inflamed due to a deep cavity or fracture, the blood supply to the tooth may be lost and the tooth pulp may die. Damaged or dead pulp causes increased blood Infected tooth pulpflow and activity in the tooth’s cells.  Pressure may build within a tooth that cannot be relieved, causing pain that is commonly felt when biting down, chewing, or consuming hot or cold foods and drinks.

Why might I need treatment?Bone loss

Without treatment, the infection will spread and bone around the tooth will begin to degenerate, possibly causing the tooth to fall out.  Pain usually worsens until you are forced to seek dental attention.

What is root canal therapy?

Root canal therapy is a procedure that removes the damaged or dead pulp. The canal is reshaped and filled with gutta percha, a rubber-like material, to prevent recontamination of the tooth.  The tooth is then permanently sealed and a crown is placed.

What is involved in root canal therapy?

If Dr. Marinic recommends a root canal, he will refer you for treatment to anInfected pulp endodontist, which is a specialist who treats injuries, diseases, and infections of the tooth pulp.  A space is created into the tooth’s pulp chamber, which, along with any infected root canal, is cleaned of all diseased pulp and reshaped. Medication may be inserted into the area to fight bacteria.  Depending on the condition of the tooth, the crown may then be sealed temporarily to guard against recontamination or the endodontist may immediately fill the canals.

RCT stepsTemporary fillings are usually removed and the pulp chamber and canals are filled on the next visit.  If the tooth is still weak, a post may be inserted above the canal filling to help rebuild the tooth.  Once filled, the area is permanently sealed. Finally, a porcelain crown is placed over the tooth to strengthen its structure and improve its appearance.

How will I feel after treatment?

There may be some inflammation around the gum tissues, which may cause discomfort for a few days.  This can be controlled by an over-the-counter pain reliever.  A follow-up visit to the endodontist will help him review how the tissue is healing.  From this point on, brush and floss regularly, avoid chewing hard foods on the treated tooth, and see Dr. Marinic on a regular basis for cleanings and examinations.

Are there options to root canal therapy?

The only alternative to root canal therapy is to extract the tooth; however, this alone can cause the surrounding teeth to move, resulting in a bad bite.  Though a simple extraction may be perceived as less expensive, the empty space left behind will require an implant or a bridge, which ultimately can be more costly than root canal therapy.

Dental Emergencies

ToothacheDental emergencies can be avoided by taking some simple precautions, such as wearing a mouth guard during sports and recreation and staying away from hard food such as candy that may crack a tooth.  Accidents do happen however, and it is important to know what actions to take immediately.

Injuries to the mouth may include teeth that are knocked out (avulsed), forced out of position and loosened (extruded) or fractured.  In addition, lips, gums or cheeks can be cut.  Oral injuries are often painful and should be treated by Dr. Marinic as soon as possible.

What do I when a tooth is knocked out?knocked out tooth

Immediately call your dentist for an emergency appointment.  Handle the tooth by the crown, not the root.  Touching the root (the part of the tooth below the gum) can damage cells necessary for bone re-attachment.  Gently rinse the tooth in water to remove dirt.  Do not scrub.  Place the clean tooth in your mouth between the cheek and gum to keep it moist.  It is important not to let the tooth dry out.  If it is not possible to store the tooth in the mouth of the injured person, wrap the tooth in a clean cloth or gauze and immerse in milk or saline solution.

What do I do if the tooth is pushed out of position?

Attempt to reposition the tooth to its normal alignment using very light finger pressure, but do not force the tooth.  Bite down to keep the tooth from moving.  Dr. Marinic may splint the tooth in place to the two healthy teeth next to the loose tooth.

broken toothWhat about when the tooth is fractured?

Rinse mouth with warm water and use an ice pack or cold compress to reduce swelling. Take ibuprofen, not aspirin, for pain. Minor fractures can be smoothed by your dentist with a sandpaper disc or simply left alone. 

Restorative procedures can also be done to fix the tooth.  In either case, treatTooth anatomy the tooth with care for several days.  Moderate fractures include damage to the enamel, tissue and/or pulp.  If the pulp is not permanently damaged, the tooth may be restored with a full permanent crown.  If pulp damage does occur, further dental treatment will be required.  Severe fractures often mean a traumatized tooth with slim chance of recovery.

What should I do when the tissue of my mouth is injured?

Injuries to the inside of the mouth include tears, puncture wounds and lacerations to the cheek, lips or tongue.  The wound should be cleaned right away with warm water, and the injured person taken to a hospital emergency room for the necessary care. Bleeding from a tongue laceration can be reduced by pulling the tongue forward and using gauze to place pressure on the wound.

Can I somehow prepare for dental emergencies?  Yes, by packing an emergency dental care kit including:

  • Dentist’s phone numbers Emergency kit
  • Saline solution
  • Handkerchief
  • Gauze
  • Small container with lid
  • Ibuprofen (Not aspirin – Aspirin is an anti-coagulant, which may cause excessive bleeding in a dental emergency.)

Cosmetic Dentistry

People smilingWhat is cosmetic dentistry and how can it improve my smile?

Dr. Marinic can perform a variety of cosmetic procedures to improve your smile—from subtle changes to major repairs.  There are many techniques and options to treat teeth that are discolored, chipped, misshapen, or missing.  Dr. Marinic can reshape your teeth, close spaces, restore worn teeth, or alter the length of your teeth.  Common procedures include teeth whitening, bonding (white fillings or composites), caps, crowns, veneers, and reshaping and contouring.

What is teeth whitening?White teeth

Teeth whitening is a common and popular chemical process used to lighten teeth.  Some people get their teeth whitened to make stains disappear, while others just want a brighter smile.  Discoloration, which occurs in the enamel, can be caused by medication, coffee, tea, and cigarettes.  Discoloration also can be due to your genetic make up or simply from aging.  Teeth whitening can be performed by Dr. Marinic in the office or, under dental supervision, at home.

What is bonding (white fillings or composites)?

Bonding is the use of tooth-colored material to fill in gaps or change the color of teeth.  Bonding lasts several years and often requires only a single office visit.  Bonding is more susceptible to Silver and white fillingsstaining or chipping than other forms of restoration.   When teeth are chipped or slightly decayed, bonded composite resins may be the material of choice.  Bonding also is used to fill small cavities, to close spaces between teeth, or to cover the entire outside surface of a tooth.

What are veneers?Veneers

Veneers are placed over the front teeth to change the color or shape of your teeth.  Veneers are used on teeth with uneven surfaces; on teeth that are chipped, discolored, oddly shaped, unevenly spaced, or crooked; or on teeth that already have large fillings placed.  Veneers are thin pieces of porcelain or plastic that are cemented over the front of your teeth.  Veneers are used to treat some of the same problems that bonding is used to treat.  Veneers also are an alternative to crowns.

What should I look for in a cosmetic dentist?

In order to make sure your dentist is skilled in cosmetic dentistry, the American Academy of Cosmetic Dentistry (AACD) recommends that you ask Dr. Marinic for the following items before undergoing treatment:

  • Before and after photos – These photos will allow you to examine the results of other patients being treated by Dr. Marinic to make sure his work fits your dental needs.
  • References – References allow you to get a sense of the quality of care the Dr. Marinic provides.
  • Proof of continuing education – Dr. Marinic has taken continuing education courses to keep him up-to-date with the latest techniques in clinical cosmetic dentistry.  Dr. Marinic can answer the questions you have about the techniques used to improve your smile.

Dentistry at It’s High Tech Finest

What does Hi-Tech dentistry mean to you?  Digital radiographs, 3-D imaging, white fillings, one-day crowns?  We have all heard the phrase used time and time again for different industries.  To the lay person, does hi-tech dentistry just mean that their dentist uses a  drill, not knowing that there are electric drills, high speed drills, etc…? Or that their hygienist uses a cavitron that uses water to help take off tarter and stain rather than just hand instruments?  Are all new technologies in dentistry worth the investment?

Daniel K. Marinic, DDS is a pioneer in the Evanston, Wilmette and North Shore community area on dental technology.  In 1996, Dr. Marinic lead the way in the use of CEREC “one visit crowns.”                                Benefit to the patient:  One visit to the dentist to prepare and place the crown

Dr. Marinic became the first dentist in 2007 to install the3D imaging Galileos Cone Beam 3D imager as a tool for diagnosis and treatment planning for those considering dental implants.  Benefit to the patient:  Dr. Marinic and the patient are able to see all the landmarks (major arteries, nerves and sinus’) in the mouth along with the amount of bone surrounding a possible implant, not just a 2-D image that may not show enough bone to hold an implant which could mean implant failure.

Dental imlant 3-D scanHe also uses SiCAT Guides, an innovative computer-aided design system to plan his patient’s dental implant surgery.  Benefit to the patient:  The dental implant is placed precisely in the right place possibly preventing complications.  Benefit to the patient:  The dental implant is placed precisely in the right place, possibly preventing complications.                                                                                                                    Taking out amalgam on patient

When removing mercury-containing amalgam fillings, Dr. Marinic uses the highest quality air filtration system from IQAir, a Swiss-based company with demonstrated high filtration efficiency.  Benefit to the patient:  This system provides safety for both doctor and patient when the toxic gases are released.

The Sirolase laser can be used to improve a “gummy” smile, to treat minor periodontal disease, and to treat cold sores.  Dr. Marinic has been using a soft-tissue laser for over 15 years.  Benefit to the patient:   The laser provides patients with a comfortable alternative to gum surgery, all without the scalpel, sutures and pain associated with traditional gum treatment and when caught early, cold sores do not appear.

Intraoral cameras are tiny digital cameras that fit comfortably in your mouth.  Dr. Marinic can see and magnify even the hard to reach places in your mouth, so that he can see exactly what is going on and show his patient’s what is going on as well.  A crack in a tooth can be seen with an intraoral camera, but not with an x-ray.  Benefit to the patient:  Earlier diagnosis of trouble spots in the mouth that can be compared visit to visit.

Digital X-Rays are a useful diagnostic tool when helping Dr. Marinic detect damage and disease between the teeth and below the gumline which are not visible during a dental exam.  Digital x-rays are stored in the computer and can be shared with specialists through email.  Benefit to the patient:  Dr. Marinic can enlarge the x-ray and alter the contrast of the x-ray to show minute details allowing him to find small defects the old film x-rays could not provide.

Technology is a wonderful aid in dentistry when used by a skilled technician.  Contact us today to see what benefits technology can bring to your smile.