Our Blog

Winter and its snowball fights are behind us, true, but there might be another kind of snowball heading your way—the snowball effect you risk when small dental concerns are ignored and left to grow into much more serious dental problems.

Here are three early symptoms that might seem minor, but shouldn’t be overlooked:

Sensitivity

Ouch! A sip of something hot, a spoonful of something cold, and you find yourself wincing because your teeth are so sensitive. If this sensitivity continues, call Dr. John Zarrella and Dr. Peter C. Rider. Tooth sensitivity can be a sign of:

• Bad Brushing Technique

Heavy handed brushing and hard-bristled brushes can be so abrasive that they cause enamel erosion and gum recession, making teeth more vulnerable to tooth decay. Your dentist and hygienist can recommend proper brushing techniques for clean and healthy teeth and gums.

• Receding Gums

Without treatment, receding gums can pull further away from the teeth, creating pockets filled with bacteria. Serious infections can develop in these pockets, leading to loose teeth, bone loss, and, eventually, tooth loss.

• Cavities

When a cavity has gotten large enough that it’s reached below the enamel into the more sensitive dentin, you can experience unpleasant twinges when eating or drinking hot, cold, or sweet foods, or even when air hits your teeth. It’s essential to treat any cavity before it grows large enough to reach the tooth’s pulp.

Persistent Bad Breath

Sure, it could have been that garlic anchovy pizza, but if you’ve eliminated odor-causing foods from your diet, if you brush and floss regularly and still have bad breath, it could be a sign of:

• Gum Disease

The bacteria that cause gum infections have a distinct, unpleasant odor. If thorough brushing and flossing isn’t helping, it’s important to visit our Ashland office to prevent more serious gum disease from developing.

• Oral Infections

Bad breath can be caused by infections in the tooth, gums, or other oral tissues. If you experience persistent bad breath, a foul smell or taste in your mouth, or see any other signs of infection, see Dr. John Zarrella and Dr. Peter C. Rider promptly for a diagnosis. Left untreated, oral infections can damage teeth, tissue, and bone and spread to other areas of the body.

• Medical Conditions

Bad breath can also be a symptom of medical conditions such as diabetes, sinus infections, and liver disease. If your dentist rules out dental issues as the cause of halitosis, it’s important to see your doctor for a checkup.

Intermittent Pain

When dental pain comes and goes, you might be tempted to postpone a checkup. But recurring pain can be a symptom of serious dental conditions, including:

• Infection and Abscess

If you feel pain when you bite down, or throbbing pain around a tooth, it could be the sign of pulp inflammation or infection. Pulp injuries should always be treated immediately to avoid an abscess, a pocket of pus caused by bacterial infection. An abscess isn’t just painful, it’s dangerous, because it can cause bone loss around the tooth and spread infection throughout the body if not treated promptly.

• Tooth Injury

Tooth trauma is a reason for an emergency call to your dentist. A cracked or broken tooth won’t get better on its own and should be treated at once to prevent infection and further damage.

• Bruxism  

It’s no wonder you wake up with tooth and jaw pain when you grind your teeth—your jaws are producing hundreds of pounds of pressure on your teeth all night long. Over time, constant grinding will damage enamel and can chip and even crack teeth. Check out options like custom nightguards for healthier teeth and a better night’s sleep.

• Malocclusion

Malocclusion is the medical term for a bad bite, a condition that is the result of your teeth and/or jaws not fitting together properly. As well as tooth and jaw pain and damaged teeth, misalignments cause many other difficulties in your daily life. Talk to your dentist about how orthodontic treatment can improve the health and appearance of your smile.

Don’t ignore “little” dental problems like these. For any persistent symptoms, Zarrella Dentistry is just a phone call away, to help you prevent those little problems from snowballing into major dental worries.

Dr. John Zarrella and Dr. Peter C. Rider and our team at Zarrella Dentistry understand that many of our patients have a fear of dentistry. You may be concerned about experiencing pain from sensitive teeth or routine procedures. General anxiety is also common. Do not put off visiting our Ashland office; we offer various types of sedation to take the pain and fear out of your dental procedure.

Nitrous Oxide Sedation

For many patients, nitrous oxide, combined with local anesthetics, will both provide pain relief and reduce anxiety. Nitrous oxide is beneficial because the dosage can be regulated during treatment and patients are normally capable of driving shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your procedure. You will not be able to drive yourself to the appointment. An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office that provides relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

If you experience higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide is started. This is also effective for reducing anxiety regarding the injection of local anesthetics. A liquid medication followed by nitrous oxide is beneficial for children. This combination can produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure is complete. An injection, pill, or liquid medication can be offered to reduce anxiety before intravenous sedation begins. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Do not hesitate to ask Dr. John Zarrella and Dr. Peter C. Rider about receiving sedation or pain prevention when you visit. We will be glad to explain the options we have available and answer all your questions to ensure that your exam is pleasant for you.

We all know how discouraging can be it to hear you have a dental cavity. Knowing how cavities form can help you prevent them from popping up in your mouth. If you want to avoid a trip to see Dr. John Zarrella and Dr. Peter C. Rider, pay attention to the measures you can take to prevent bothersome cavities.

Did you know that cavities are properly a symptom of a disease called caries? When you have caries, the number of bad bacteria in your mouth increases, which causes an acceleration in tooth decay. Caries are caused by a pH imbalance in your mouth that creates problems with the biofilm on the teeth.

When there are long periods of low pH balance in the mouth, this creates a breeding ground for bacteria. When you get caries, this type of bacteria thrives in an acidic environment.

Depending on which foods and beverages you consume, the biofilm pH in your mouth will vary. The lower the pH number, the higher the acidity. When your intake contains mostly acidic foods that sit on your teeth, cavities begin to form. Water has a neutral pH, which makes it a good tool to promote a healthy pH balance in your mouth.

A healthy pH balance in your mouth will prevent cavities from forming over time. Mouth breathing and specific medications may also be factors that contribute to the development of caries when saliva flow decreases. Without saliva flow to act as a buffer against acid, bacteria has a higher chance of growing.

Don’t forget: Getting cavities isn’t only about eating too many sweets. It’s also about managing the pH levels in your mouth and preventing bad bacteria from growing on your teeth.

If you think you might have a cavity forming in your mouth, schedule an appointment at our Ashland office. It’s worthwhile to treat cavities early and avoid extensive procedures such as root canals from becoming necessary.

Keep up with brushing, flossing, and rinsing with mouthwash so you can prevent cavities over time.

Dr. John Zarrella and Dr. Peter C. Rider and our team at Zarrella Dentistry hear this question all the time. Millions of people have dental crowns that artificially restore the chewing surface of a tooth. Also known as caps, these restorations surround the entire portion of the tooth that is above the gum line. Crowns are custom fabricated to match the color, shape, and size of other teeth and are visually undetectable to others. Several types of materials can be used to create crowns, including stainless steel, resin, metal alloys, porcelain fused to metal, or ceramic. When properly cared for and accurately fit, crowns can stay in place for a decade or more.

There are many reasons to get a dental crown, including:

• To restore a broken or cracked tooth
• To protect a tooth after a root canal
• To restore a severely decayed tooth
• To help anchor a dental bridge
• To complete a dental implant
• To protect a tooth that is at high risk for developing decay
• For cosmetic purposes

Getting a dental crown

The process of getting a dental crown begins at our Ashland office. X-rays are used to ensure the teeth are healthy enough to receive a crown. If the roots and surrounding bone are in satisfactory condition, the tooth will be numbed, filed, and reshaped in preparation for the crown. If the tooth root is not healthy, a root canal may be necessary first.

After the tooth is prepared, a special paste is placed over the upper and lower teeth to make impressions. These impressions serve as blueprints for the dental laboratory responsible for making the crown. They also help ensure the position of the new crown will not negatively affect a patient’s bite. The prepared tooth is protected by a temporary crown while the permanent one is made. When ready, the permanent crown replaces the temporary crown and is cemented in place.

To learn more about crowns, or to schedule an appointment with Dr. John Zarrella and Dr. Peter C. Rider, please give us a call at our convenient Ashland office!