Blog Archive

Extraction and Immediate Bonded Bridge Dec 9th, 2016

A photo essay Patient F presented to the office for her 6-month Re-care appointment, when it was noticed that # 24 had a facially draining abscess. Radiograph below shows mandibular anterior teeth with extensive bone loss with periapical lesion on # 24. Treatment option discussed included coronal splinting with or...

Anterior Composite Repair – 7 Year Follow Up – A Photo Essay Jun 6th, 2016

In 2009 the patient fell off his bike and resulting trauma is what he presented to the office with: Pre op 2009 Incisal damage of # 7, Fractured Distoincisal corner with pinpoint pulp exposure and incisal edge chipped on # 9. I have always wondered, that skilled as we might...

Compensating Extreme Occlusal Wear With Composites – A Photo Essay May 15th, 2016

Male patient in late 40s with extreme wear and awareness of habit of heavy teeth grinding. The patient is interested in repairing the damage but does not have the financial resources to take on this large a reconstruction all at once. I am uncertain and unsure of what I can...

Sugar, Teeth and Health Jan 3rd, 2016

Sugars in food has been used since the earliest days of our civilizations. It is said that the technique of crystallizing sugar from sugarcane juice was developed in India around 350 BC. It then spread through trade to the rest of the world. The word sugar is a variation of...

Occlusal (Mouth) Guards – Designing Criteria Aug 10th, 2015

As dentists we have to diagnose for and make mouth guards for patients for the purpose of defeating the habit of teeth grinding or clenching. Yet in most dental practices the design of this occlusal device is usually determined largely by the efficacy of the dental lab the office works...

Unaesthetic Front Tooth – Conservative Treatment Option Jun 25th, 2015

Every once in a while we have to deal with an infrequent but annoying problem. Of a discolored front tooth. Anywhere else in the mouth this subtle but slowly progressing change would have been ignored or worse remained undiagnosed until symptoms appear. Being the teeth in the front and in...

Retirement Dental Planning May 2nd, 2015

This essay was the result of a conversation with a patient facing imminent retirement. His request was simple: to create a plan with long term prognosis of teeth and gums in mind and to do the needful to prepare him for a trouble free retirement. Most people begin the process...

Mindful Teeth – Why We Grind Our Teeth Apr 9th, 2015

People visit a dentist characteristically to treat a problem in the mouth, usually pertaining to the teeth or the gums. No surprise there. Would you consider a dental evaluation if you had chronic sinusitis, ringing in the ears, chronic back pain or neck cramping or migraines or persistent waking up...

Dental Phobia Nov 6th, 2014

Dentist have heard this common refrain from some patients: “Nothing personal but I don’t like you Dentists.” This is most honest confirmation of a patient dealing with Dental Phobia. Most people do very well to manage this fear on their own. I have seen children who are absolutely nonchalant in...

Dental Insurance- A Dentist Perspective Jul 27th, 2014

This is an opinion piece and not a fact checked reference source. The intention of this essay was to answer some of the commonly heard questions and misconceptions about dental insurances. An attempt has been made to answer some of the queries, address some of the confusion and probably provide...

Sleep Apnea, Gastric Reflux and ADHD Jul 8th, 2014

Sleep Apnea, Gastric Reflux and ADHD (By Jai Kakanar DDS) This was originally published as a blog on my website: www.myglendaledentist.com Of late one of the areas of focus amongst Dental continuing education programs is in the field of Sleep Apnea. Most medical doctors are not yet aware of the...