Sleep Apnea & More

Dental Sleep Apnea Bubnik Dental Dr. Brenda Bubnik Dentist Azilda Chelmsford Sudbury dentistry
Sleep Apnea / Snoring appliances, TMJ issues, Cold Sore Treatments, Laser Treatments

There are many health concerns outside of the teeth that the dentists can help with. Snoring and Sleep Apnea appliances can be made (when the patient has had a sleep study done) to stop the snoring or treat the mild to moderate cases of Sleep Apnea (thus ridding the need of using a CPAP machine).

Many people also suffer pain of the face and jaw. These are TMJ (temporomandibular joint) issues. The pains of the face are monitored and if required appliances are made in order to treat the issue and prevent issues from getting worse.  Often the TMJ is healed with a group effort of physiotherapists and massage therapists to help in the alignment prior to setting them into a stable position with an oral appliance to maintain the adjustments.

Multiple people suffer with Herpetic Cold Sores. This is a virus which resides in the nerves of the head and neck, and surfaces in times of stress (illness, sun and wind exposure).  Medications can be prescribed to ease the symptoms.  Also Laser treatments can be started, which has been found to decrease the frequency, size and discomfort of the lesions after multiple treatments.

The Laser can also be used to surgically remove other lesions, such as fibromas, re-shape gingiva, and remove excess gingiva.

Dental Implants

Dental Implants Bubnik Dental Dr. Brenda Bubnik Dentist Azilda Chelmsford Sudbury dentistry

If a patient has lost a tooth, many teeth or are unable to wear their dentures, we are able to help function with the use of dental implants. Dental Implants can replace a single tooth, a few teeth or help keep dentures ‘locked in’ tight and can improve function.

Dentures

Dental Dentures Bubnik Dental Dr. Brenda Bubnik Dentist Azilda Chelmsford Sudbury dentistry

If one has not been able to maintain the health of their teeth through time, the office is able to replace all the teeth in the oral cavity by means of complete dentures.

Crowns and Bridges

Dental Crowns Bridges Bubnik Dental Dr. Brenda Bubnik Dentist Azilda Chelmsford Sudbury dentistry

Once a tooth or multiple teeth have been worked alot or have large fillings comprising most of their bulk, a tooth may need fortification / strengthening via a full coverage crown. Also if some teeth are missing and one still has teeth on either side of the space, a permanent bridge can be created in order to fill the space and strengthen the teeth on either side of the space.

Conscious Sedation and Nitrous

Dental Conscious Sedation Bubnik Dental Dr. Brenda Bubnik Dentist Azilda Chelmsford Sudbury dentistry
The office offers conscious sedation as we are aware many people arrive with a pre-exising phobia of dental treatments.

It is the ultimate goal of the office that with care and explanation of treatment to the patient concerned, we will be able to ease the level of the phobia.  But in order to get to that ultimate goal, we understand it takes time, so until the patient is ready to proceed without aides, we administer Conscious Sedation with Nitrous and / or Oral Sedation to help ease the patient’s mind.

Root Canals and Extractions

dental root canals Bubnik Dental Dr. Brenda Bubnik dentist Azilda Chelmsford Sudbury dentistry
Root canals are done on the cases that are deemed possible to be accomplished by the practitioner.

Otherwise, if the anatomy is complex, a referral will be made to an Endodontist (root canal specialist) in the area to perform root canals.  Also extractions are performed routinely, save those that carry an anatomical complexity, and those again will be referred to an Oral Surgeon if required.

Routine Fillings

dental routine fillings Bubnik Dental dentist Brenda Bubnik Azilda Chelmsford Sudbury
The dentists both perform all types of routine fillings for teeth with full head and neck exams as part of check-ups.

Many routine fillings and repairs necessary to keep the teeth in place and the patient comfortable, are performed on a daily basis.  Not only do the teeth of the patient matter but the whole body’s health is of conern to the doctors. Thus a full head and neck exam is performed on the patient annually- here we are able to assess the health of the vital structures of the head and neck.

Often the dentist will be the first member of the health care team to highlight issues with respect to their cardiovascular health, diabetic control, acid refulx, thyroid problems, and muscular issues

They will spend time and effort to help the health of the individual in ALL respects- including speaking to physicians regarding medications, potential need of sleep studies, the care and management of oral and other cancers.  Also x-ryas are required to ensure a complete check-up.  However, these images are only taken as needed, and the office has digital x-rays which decrease exposure by 75% of the previous methods.

Family Dentistry

Dental Family Dentistry Bubnik Dental Dr. Brenda Bubnik Dentist Azilda Chelmsford Sudbury dentistry
Our goal is to become an important part of your Family Health through Family Dentistry.

With a family dentistry focus we will treat your grandparents, the parents and your children all with the same amount of care and consideration.  It is the office’s frame of mind that great dental health starts with children, and part of that is ensuring that the child’s dental appointments feel fun!

We believe that starting off ‘right’ and not having fearful situations occur as children, allows for greater oral health in the adult body.  The Adults that already present with dental phobias are cared for greatly with the goal of the treatment being to change that person’s mind over time to make this place not such a chore to attend.

Finally , in the golden years we love to see our patients remain comfortable and living with the best quality of life possible.  Dr. Brenda Bubnik believes so much in geriatric care that she also spends a day a month caring for the residents of St. Gabe’s Long Term Care Center in Chelmsford.

Teeth Whitening

Dental teeth whitening Bubnik Dental dentist Brenda Bubnik Azilda Chelmsford Sudbury

The risks of teeth whitening

Considering whitening (bleaching) your teeth? Before you do, discuss the possible risks of teeth whitening with your dentist – especially if you plan to whiten your teeth using an at-home bleaching system.

Risks associated with tooth whitening include tooth sensitivity and damage to the roots of teeth. Dentists may be able to predict if you will have problems with or sensitivities to the procedure. They also may be able to help you alleviate sensitivity by recommending certain procedures and toothpastes designed to treat sensitive teeth. Dentists can also check for signs of root damage caused by teeth whitening and treat the condition if detected in time.

Tooth coloration

Why do teeth change color and become darker or more yellow? The internal portion of teeth normally darkens over time. In addition, personal habits – such as tobacco use or drinking coffee, tea or wine – can cause staining. Certain medications also can discolor teeth.

Teeth cleaning by your dental office can often remove any external stains – and it promotes good oral health. Be sure to visit your dentist for a thorough cleaning and examination before you decide to whiten your teeth. You may find that a professional cleaning is all it takes to give you a whiter, brighter smile.

To bleach or not to bleach?

Generally, teeth whitening is successful in at least 90 percent of patients. As a rule of thumb, yellow-colored teeth respond well to whitening, while brownish-colored teeth don’t respond as well. Gray stains caused by smoking, taking tetracycline or fluorosis (ingestion of too much fluoride) most likely will not be dramatically changed by teeth whitening.

Likewise, teeth whitening may not enhance your smile if you’ve had bonding or tooth-colored fillings placed in your front teeth. The whitener will not affect the color of these materials, and they will not match your newly whitened smile. In these cases, you may want to investigate other options, such as porcelain veneers or dental bonding on other teeth.

Is bleaching a good option for you?

Before you decide to whiten your teeth, here are some issues to consider:

  • What does your dentist advise? Not all stains can be lightened by over-the-counter or professional bleaching, and your dentist will be able to give you guidance. If you have sensitive teeth, gum disease or teeth with worn enamel, your dentist may discourage tooth whitening.
  • Is bleaching worth the cost? Tooth whitening procedures in the dental office are not typically covered under Delta Dental plans. Always check your specific plan coverage before undergoing any dental procedure or treatment.
  • Should you have professional treatment or use an at-home bleaching system? Bleaching can be performed by your dentist in the office or at home. (The Academy of General Dentistry recommends dentist supervision for any whitening treatment, even over-the-counter preparations.)

Although over-the-counter teeth whitening treatments are less expensive, they may require a longer treatment period, and the risks of gum irritation or damage to previous dental work are increased. If you want quicker and more reliable results, you should ask your dentist about in-office teeth whitening or laser teeth whitening. In-office whitening may require more than one visit to the dentist’s office. Results from a dentist-supervised whitening procedure can last anywhere from one to five years (depending on your eating, drinking or smoking habits).

Whether or not you decide to whiten your teeth, keep in mind that good daily oral health habits like brushing and flossing and regular checkups and cleanings go far in keeping your smile bright and healthy.

Dental Fillings

Dental fillings Bubnik Dental dentist Brenda Bubnik Azilda Chelmsford Sudbury

Dental fillings are used to treat a cavity your dentist will remove the decayed portion of the tooth and then “fill” the area on the tooth where the decayed material was removed.

Dental fillings are also used to repair cracked or broken teeth and teeth that have been worn down from misuse (such as from nail-biting or tooth grinding).

First, the dentist will use a local anesthetic to numb the area around the tooth to be filled. Next, a drill, air abrasion instrument, or laser will be used to remove the decayed area. The choice of instrument depends on the individual dentist’s comfort level, training, and investment in the particular piece of equipment as well as location and extent of the decay.Next, your dentist will probe or test the area to determine if all the decay has been removed. Once the decay has been removed, the dentist will prepare the space for the filling by cleaning the cavity of bacteria and debris. If the decay is near the root, your dentist may first put in a liner made of glass ionomer, composite resin, or other material to protect the nerve. Generally, after the filling is in, your dentist will finish and polish it.

Several additional steps are required for tooth-colored fillings and are as follows. After your dentist has removed the decay and cleaned the area, the tooth-colored material is applied in layers. Next, a special light that “cures” or hardens each layer is applied. When the multi layering process is completed, the dentist will shape the composite material to the desired result, trim off any excess material, and polish the final restoration.

What Types of Dental Filling Materials Are Available?

Today, several materials available for dental fillings. Teeth can be filled with gold; porcelain; silver amalgam (which consists of mercury mixed with silver, tin, zinc, and copper); or tooth-colored, plastic, and materials called composite resin fillings. There is also a material that contains glass particles and is known as glass ionomer. This material is used in ways similar to the use of composite resin fillings.

The location and extent of the decay, cost of filling material, your insurance coverage, and your dentist’s recommendation assist in determining the type of filling best for you.

Cast Gold Dental Fillings

Advantages of cast gold dental fillings:

  1. Durability — lasts at least 10 to 15 years and usually longer; doesn’t corrode
  2. Strength — can withstand chewing forces
  3. Aesthetics — some patients find gold more pleasing to the eye than silver amalgam fillings.

Disadvantages of cast gold dental fillings:

  1. Expense — gold cast fillings cost more than other materials; up to 10 times higher than cost of silver amalgam filings
  2. Additional office visits — requires at least two office visits to place
  3. Galvanic shock — a gold filling placed immediately next to a silver amalgam filling may cause a sharp pain (galvanic shock) to occur. The interaction between the metals and saliva causes an electric current to occur. It’s a rare occurrence, however.
  4. Aesthetics — most patients dislike metal “colored” fillings and prefer fillings that match the rest of the tooth.

Silver Dental Fillings (Amalgams)

Advantages of silver dental fillings:

  1. Durability — silver fillings last at least 10 to 15 years and usually outlasts composite (tooth-colored) fillings.
  2. Strength — can withstand chewing forces
  3. Expense — is less expensive than composite fillings

Disadvantages of silver dental fillings:

  1. Poor aesthetics — silver fillings don’t match the color of natural teeth.
  2. Destruction of more tooth structure — healthy parts of the tooth must often be removed to make a space large enough to hold the amalgam filling.
  3. Discoloration — amalgam fillings can create a grayish hue to the surrounding tooth structure.
  4. Cracks and fractures — although all teeth expand and contract in the presence of hot and cold liquids, which ultimately can cause the tooth to crack or fracture, amalgam material — in comparison with other filling materials — may experience a wider degree of expansion and contraction and lead to a higher incidence of cracks and fractures.
  5. Allergic reactions — a small percentage of people, approximately 1%, are allergic to the mercury present in amalgam restorations.

Tooth-colored Composites Dental Fillings

Advantages of composites dental fillings:

  1. Aesthetics — the shade/color of the composite fillings can be closely matched to the color of existing teeth. Composites are particularly well suited for use in front teeth or visible parts of teeth.
  2. Bonding to tooth structure — composite fillings actually chemically bond to tooth structure, providing further support.
  3. Versatility — in addition to use as a filling material for decay, composite fillings can also be used to repair chipped, broken, or worn teeth.
  4. Tooth-sparing preparation — sometimes less tooth structure needs to be removed compared with amalgam fillings when removing decay and preparing for the filling.

Disadvantages of composite dental fillings:

  1. Lack of durability — composite fillings wear out sooner than amalgam fillings (lasting at least five years compared with at least 10 to 15 for amalgams); in addition, they may not last as long as amalgam fillings under the pressure of chewing and particularly if used for large cavities.
  2. Increased chair time — because of the process to apply the composite material, these fillings can take up to 20 minutes longer than amalgam fillings to place.
  3. Additional visits — if composites are used for inlays or onlays, more than one office visit may be required.
  4. Chipping — depending on location, composite materials can chip off the tooth.
  5. Expense — composite fillings can cost up to twice the cost of amalgam fillings.
    In addition to tooth-colored, composite resin fillings, two other tooth-colored fillings exist — ceramics and glass ionomer.

Ceramic Dental Fillings.

  1. These fillings are made most often of porcelain, are more resistant to staining than composite resin material but are also more abrasive. This material generally lasts more than 15 years and can cost as much as gold.
  2. Glass ionomer is made of acrylic and a specific type of glass material. This material is most commonly used for fillings below the gum line and for fillings in young children (drilling is still required). Glass ionomers release fluoride, which can help protect the tooth from further decay. However, this material is weaker than composite resin and is more susceptible to wear and prone to fracture. Glass ionomer generally lasts five years or less with costs comparable to composite resin.

What are Temporary Dental Fillings and Why Would I Need One?

Temporary fillings are used under the following circumstances:

  1. For fillings that require more than one appointment — for example, before placement of gold fillings and for certain filling procedures (called indirect fillings) that use composite materials
  2. Following a root canal
  3. To allow a tooth’s nerve to “settle down” if the pulp became irritated
  4. If emergency dental treatment is needed (such as to address a toothache)

Temporary fillings are just that; they are not meant to last. They usually fall out, fracture, or wear out within a month. Be sure to contact your dentist to have a temporary filling replaced with a permanent one. If you don’t, the tooth could become infected or you could have other complications.