882C Emerson Street
Palo Alto, CA 94301
Jurosky, Kathryn A D.D.S.
500 Middlefield Rd
Palo Alto, CA, 94301-2123
Frank L Altick D.D.S. Apc
824 Bryant St
Palo Alto, CA, 94301
(650) 327-1787
Brown, Paul W D.D.S.
777 Welch Rd # H
Palo Alto, CA, 94304-1602
Dr. Harvey P Boyarsky D.D.S.
888 Middlefield Rd
Palo Alto, CA, 94301-2915
(650) 327-3172
These days, computers are really changing the way we live and work. You've probably experienced their impact in your own home. And believe me, technology is also helping raise our dental practice to a new level of safety, accuracy, and comfort.
Keeping up with all these advances is a full-time occupation that's as important as my work at chairside. One of the most promising of these breakthroughs is an improvement on the oldest evaluation technology we have - dental x-rays.
For close to a century, dentists have used x-rays to detect cavities and damage invisible to the eye. We've long been aware of the drawbacks. Though x-ray radiation is slight, many patients find it a cause for concern. And reading the negative requires a skilled, professional eye-which means my patients can't see what I see.
That's why my office uses a Computed Dental Radiography System as an x-ray alternative. A computer enhances a "photo" of your teeth and shows it instantly on a screen. This new system requires 90% less radiation than the old film x-rays, and can magnify the image up to 300 times. It's as easy to read as a snapshot. When I discuss something I see in your mouth, you'll be able to view it right along with me.
This is an exciting time to be a dentist. We're re-thinking and refining virtually every aspect of our dental practice, and I wanted to pass a bit of it along to you.
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.
There are many causes of toothache and pain in the area of the mouth. When experiencing pain and/or swelling, it is important to see your dentist to have the area evaluated. The pain and/or swelling is most often related to a disease process that originates within a particular tooth.
The pulpal tissue within the tooth can be irritated by bacteria, external traumatic events, repetitive or extensive dental care procedures, or even periodontal disease causing a toothache. When this irritation occurs, the pulpal tissue reacts by becoming inflamed.
Since the pulpal tissues and the tissues supporting the tooth have a rich supply of nerve fibers, the inflammatory process can cause pain as these nerve pathways are stimulated. Additionally, the pulp tissue is encased inside tooth structure and it cannot swell and expand in reaction to injury like tissues in other areas of the body.
When the injured pulp tissue attempts to swell within the confined root canal space, the pressure buildup can cause a significant toothache.
Pain originating from the dental pulp can be either "spontaneous" or "elicited." Spontaneous pain occurs without an identifiable stimulus, whereas elicited pain occurs only in specific situations. Elicited pain requires a specific stimulus such as drinking cold or hot fluids or biting on the tooth.
As is typical anywhere in the body, the initial stages of a disease process do not always cause symptoms. Millions of teeth have irreversible pulpal disease yet the patients have no clinical symptoms.
Most of these situations will become evident when the dentist obtains a thorough history, does a clinical examination, performs specific tooth tests, and takes a series of well-angulated radiographs. It is important to note that pulpal disease can refer pain to other areas within the head and neck.
If the results of the endodontic examination indicate that root canal disease is not the source of the patient's toothache, then the dentist must consider other possibilities. When attempting to identify the source or cause of facial pain and/or swelling, the dentist must consider that the symptoms could actually originate in a tooth (endodontic disease), the gum tissues (periodontal disease), the muscles (myofacial pain), the joints (TMJ), the sinuses (sinusitis), or even the surrounding vascular (blood vessels) or nerve tissues.
Facial pain requires an accurate diagnosis so that the proper treatment can be recommended. At times, various medical and dental specialists may need to be consulted before an accurate diagnosis can be determined.
By Clifford J. Ruddle, DDS, in collaboration with Philip M. Smith, DDS
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.
