What We Think About Toothaches

Simple toothaches can often be relieved by rinsing the mouth to clear it of debris and other matter. Sometimes, a toothache can be caused or aggravated by a piece of debris lodged between the tooth and another tooth. Avoid placing an aspirin between your tooth and gum to relieve pain, because the dissolving aspirin can actually harm your gum tissue.

Broken, Fractured, or Displaced Tooth

A broken, fractured or displaced tooth is usually not a cause for alarm, as long as decisive, quick action is taken.

If the tooth has been knocked out, try to place the tooth back in its socket while waiting to see your dentist.


First, rinse the mouth of any blood or other debris and place a cold cloth or compress on the check near the injury. This will keep down swelling.

If you cannot locate the tooth back in its socket, hold the dislocated tooth by the crown – not the root. Next, place it in a container of warm milk, saline or the victim’s own saliva and keep it in the solution until you arrive at the emergency room or dentist’s office.

For a fractured tooth, it is best to rinse with warm water and again, apply a cold pack or compress. Ibuprofen may be used to help keep down swelling.

If the tooth fracture is minor, the tooth can be sanded or if necessary, restored by the dentist if the pulp is not severely damaged.

If a child’s primary tooth has been loosened by an injury or an emerging permanent tooth, try getting the child to gently bite down on an apple or piece of caramel; in some cases, the tooth will easily separate from the gum.

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Braces – If You Have To Have Them, Here’s How

bracesBraces are applied to teeth for various reasons, including poorly aligned jaws, crooked, crowded and missing teeth, or a bad bite (also called malocclusion).

Various things can cause teeth to become crooked or jaws misaligned, including thumb-sucking or a traumatic injury. Some conditions are inherited.

Children between the ages of 7 and 14 are typical candidates for braces because their facial structures are still developing. Adult braces usually entail additional procedures because their faces have already fully developed.

About Braces

Orthodontics is a field of dentistry that deals with corrections involving jaw and teeth alignment. An orthodontist is a specialist who diagnoses and applies braces.

Braces employ the use of wires and are usually one of three types:

  • Old-fashioned, conventional braces, which employ the use of metal strips, or bands.
  • Metal or plastic brackets that are cemented or bonded to teeth.
  • Brackets that attach to the back teeth (also called “lingual” braces).


Orthodontic procedures, also called “orthodontia,” are complex processes.

In most cases, a dentist will need to make a plaster cast of the individual’s teeth and perform full X-rays of the head and mouth.

After orthodontic appliances are placed, they need to be adjusted from time to time to ensure that they continue to move the teeth into their correct position.

Retainers are used following braces to ensure that teeth remain in position.

Aesthetic and Comfort Issues

Advances in technology have vastly improved appearance issues with orthodontia.

Braces today are made from extremely lightweight and natural-colored materials. The materials that braces attach to-brackets-are bonded to the surfaces of teeth but can be later removed.

People can expect to wear braces for about two years-less or more in some cases. Adults are usually required to wear braces for longer periods of time.

Because orthodontic appliances need to be adjusted from time to time to ensure they continue to move the teeth into their correct position, they can create pressure on the teeth and jaws. This mild discomfort usually subsides following each orthodontia adjustment.

Hygiene issues

People who wear braces must be diligent in ensuring that food particles and other debris do not get trapped in the network of brackets and wires. In addition, brackets can leave stains on enamel if the area surrounding them is not cleaned on a daily basis.

Daily oral hygiene such as brushing, flossing and rinsing are a necessity. Some people with orthodontic appliances can benefit from using water picks, which emit small pressurized bursts of water that can effectively rinse away such debris.

Another caveat: Braces and sticky foods don’t mix. Crunchy snacks and chewy substances should be avoided at all costs because they can cause orthodontia to be loosened or damaged.

Space Maintainers

Space maintainers are nifty devices that can help teeth grow in normally following premature tooth loss, injury or other problems.

The devices can help ensure that proper spaces are maintained to allow future permanent teeth to erupt.

If your child loses a baby tooth early through decay or injury, his or her other teeth could shift and begin to fill the vacant space. When your child’s permanent teeth emerge, there’s not enough room for them. The result is crooked or crowded teeth and difficulties with chewing or speaking.

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Perio What? A Periodontist?

dental care

Periodontics is a dental specialty that involves the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Who is a periodontist?
A periodontist is a dentist who specializes in the prevention, diagnosis and treatment of periodontal disease and in the placement of dental implants. A periodontist typically has had two to three years of additional training in diagnosing and treating gum disease and its associated problems. Periodontists are familiar with the latest techniques for diagnosing and treating periodontal disease. Moreover, periodontists can perform cosmetic periodontal procedures to improve your smile. Often, dentists refer their patients to a periodontist when their periodontal disease is advanced.

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Teeth Whitening Procedures

*Drs JS and Kamal Sandhu offer Teeth Whitening for life, with Routine Care.

Whitening procedures have effectively restored the smile of people with stained, dull, or discolored teeth.

The darker tissue of your teeth, the dentin, can become exposed as the outer layer of enamel is worn away by the effects of aging or things like caffeine and tobacco.

teeth whitening

Food particles are naturally attracted to a tooth’s enamel by a certain protein. Products like coffee and tea, berries and soy sauce are notorious for staining teeth. Over time, teeth actually become more absorbent and vulnerable to staining from food and other substances.

One type of stain-caused by traumatic injuries, medications and fluorosis-actually begins inside the tooth; brushing and flossing don’t help. Another type of stain-one that can be more easily attached by brushing, flossing and rinsing-is caused by external factors such as foods.

More and more people today are choosing tooth-whitening procedures to reverse the effects of aging and abuse from food and tobacco stains.

Some commercially available “whitening toothpastes” can be somewhat effective at removing stains and making teeth a few shades brighter. However, many of these products have abrasive substances that can actually wear away your tooth’s enamel.

Bleaching agents actually change the color of your teeth, but only are effective on certain types of stains. For example, bleaching agents have a difficult time removing brownish or grayish stains. These products also are not as effective on pitted or badly discolored teeth, or on restorations such as crowns, bridges, bonding and tooth-colored fillings (porcelain veneers or dental bonding may be more appropriate in this case).

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Veneers Can Reverse Years of Stains

In just two or three dental visits, a veneer can reverse years of stains caused by foods, aging, medications, wine, caffeine and tobacco use.

Special thin laminates, called veneers, can often be used to correct discolored, worn down, cracked and chipped teeth. Veneers can also be used to close unsightly gaps between teeth. Stronger types of veneers made of porcelain, also called composite veneers, typically last longer because they are bonded to the tooth.


An impression of the tooth must be made and a veneer molded by a lab technician. Because veneers require a small amount of enamel to be removed, they are permanent and non-reversible.

The process involves buffing the tooth, removing an extremely thin layer of the tooth to allow for the thickness of the veneer, an impression of the tooth, and final bonding of the veneer to the tooth with special cement. A special light is used to complete the process.

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How Well Do You Know Your Teeth?

Single Appointment Dental Care
Most dental restorative methods require more than one visit to the dentist. This means that on the first visit, you get an injection of anesthesia, your tooth prepared, an impression taken, and a temporary restoration put on your tooth. You make a second appointment for a couple of weeks later, get another injection, have the temporary pried off (if it hasn’t fallen off already), and have a permanent restoration put on. Why go to the dentist a second time when you don’t have to? With CEREC, the procedure is done in a single appointment, start to finish.

Finest Dental Materials
A CEREC tooth restoration isn’t just convenient, it is also healthy. Many years ago, dentists had few options to repair decayed and damaged teeth other than amalgam, gold, and other metals. With CEREC, your dentist can use strong, tooth colored ceramic materials to restore your teeth to their natural strength, beauty, and function. These materials closely match the composition of natural tooth structure. This means when you eat hot food and then drink something cold, the restoration and tooth expand and contract at almost equal rates. So, your tooth does not crack, and you can go on enjoying your evening. Also, the materials are chemically bonded to your tooth, so your dentist can save as much healthy tooth tissue as possible while providing you with a dental restoration that strengthens your tooth.

Cerec Dental Care

Smile Enhancement
Your dentist can use CEREC for more than just crowns and fillings. CEREC is capable of producing any single tooth restoration. Chipped or discolored front teeth can be repaired with beautiful CEREC porcelain anterior crowns or veneers. Your smile makes a lasting first impression. Enhance it with CEREC.

Worldwide, a CEREC restoration is placed every 20 seconds. With a history of over 23 years, this equipment has helped dentists place millions of restorations worldwide. Using metal free materials that are the closest to your natural enamel, CEREC gives you the highest quality restorative care. Ask your dentist today about single visit CEREC restorative care!

For more information please visit the CEREC page

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How Much Do You Know About Dental Implants?

Before development of dental implants, dentures were the only alternative to replacing a missing tooth or teeth.

Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures.

Not everyone is a candidate for a dental implant, however. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. In all cases, dental implants require strict oral hygiene.

Implants are so well designed that they mimic the look and feel of natural teeth. Implants are usually made of a synthetic yet biocompatible material like metal or ceramic.

Surgery is necessary to prepare the area for an implant and place the implant in the mouth. Following the procedure, a period of time is required for the implant to take hold and for bone tissue to build up and anchor the device. In some cases, metal posts are inserted into the implant during a follow-up procedure to connect the tooth.

Because implants require surgery, patients are administered anesthesia and, if necessary, antibiotics to stave off infection following the procedure.

Like any restoration, implants require diligent oral hygiene and proper care to ensure they last a long time.

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Santa Rosa Teeth Whitening, Dental Implants, Veneers

Dental Office Visit


The brief descriptions below are designed to familiarize you with our dentists’ training, professional credentials and work experience.

  • Tooth Whitening
  • Veneers
  • TMJ Treatment
  • Dentures/Partials
  • Root Canal
  • Tooth Colored Fillings
  • Dental Implants
  • Crowns/Bridges

Initial Oral Examination
Your initial oral examination includes a visual examination, charting, periodontal probing, diagnosis and treatment recommendations. We will also take x-rays, which includes the panoramic x-ray for proper diagnosis of the anterior (front) and posterior (back) teeth as well as the bite-wing x-ray series for proper diagnosis of proximal decay of posterior teeth.

Dental Implants
We will work with an implant specialist to create an implant for a missing single tooth, missing multiple teeth, or replace a removable appliance.

Teeth Bleaching
Our state-of-the-art, in-office Power Bleaching system will make your teeth whiter in less than 1.5 hours. Another option is our home bleaching system you take with you for results in 2 weeks. You can also consider a combination program of both systems for optimal, long-term results.

Crowns and Veneers
You can have a new smile with all-porcelain crowns (empressed material) on the anterior teeth. For the posterior, we use porcelain fused to metal.

Fillings: Resin
Tooth-colored fillings that are light cures to match your teeth. Amalgam: Silver-colored fillings, more durable material.

Root Canals
We perform root canals on anterior and premolar teeth.

Periodontal Treatment
You should have a standard cleaning at least twice a year. A periodontal treatment includes an Adult Prophy (basic cleaning). If it has been over a year since your last cleaning, possible treatment will include either Periodontal Scaling (deeper) or Root Planning and Scaling (requires anesthetic). Amazingly, Periodontal Disease is Second only to the common cold.

Mouth Guards (TMJ Treatment)
Whether you are an athlete or casual sports participant, you should wear a mouth guard to protect your teeth. If you grind your teeth while you sleep, a bite guard will help reduce symptoms of TMJ. We custom make mouth guards in both soft and hard materials.

Removable Dental Prosthesis
For missing teeth, we can make dentures or removable partials for you.


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