Category Archives for "Dental Treatments"

Nov 05

Heroic Pediatric Dentistry: Strip Dental Crowns for “Leigh”

By John Sarno DMD | Dental News , Dental Treatments


The Heroic Dentistry Series, sponsored by Pulpdent Corporation, celebrates oral health-care providers who have made  it their mission to save teeth and help patients live happily and smile with confidence. Dr. Eyal Simchi presents a pediatric dentistry lawsuit involving a strip dental crown technique , no anesthesia , no tears, and a happy child.

The American Academy of Pediatric Dentistry (AAPD) recommends children establish a dental home by age one so that they become accustomed to seeing a dentist, and their parents can be educated about hygiene and prevention. These early appointments can help overcome fear and avoid serious problems down the road as seen in this case.


Leigh was three-years-old when he first came to my office with failed restorations and rampant caries (figure 1). He had come from overseas where both he and his mother had bad experiences with dentists and developed severe dental phobia. His mother was delighted to see that her children did not scream during treatment in our office.

pediatric dentistry, dental crowns
Figure 1:
Child presents with failed composite restorations and rampant caries.

Especially when working on children, it is important to remember that each tooth is attached to a person. Leigh was apprehensive and needed significant dental work completed quickly and without causing trauma. My goal in creating a treatment plan is to relieve discomfort, reduce dental disease and secondary decay, and restore function and esthetics, all in one visit.

Behavior management considerations in the pediatric dental patient

We have seen the disadvantages of conventional composite strip crowns: degradation of the bond, recurrent decay that may lead to pulpal involvement, and fracture and chipping. Zirconia crowns have been a great addition to our restorative toolbox, but they are labor intensive, require aggressive tooth reduction, and take more time. The aggressive prep requires anesthesia, which can contribute to the child’s anxiety, especially when applied to the sensitive maxillary anterior region.

A strip crown technique (in this case, Activa BioActive-Restorative) requires fewer steps, takes less time, offers a better seal against secondary caries, and provides a more durable and fracture-resistant restoration. First, I trim and prefit Nowak strip crowns so they are even with the sulcus (figure 2). Because the prep in these cases is usually quite minimal, I typically do not need local anesthetic.
pediatric dentistry, dental crowns
Figure 2: Strip crowns are trimmed and pre fitted (taken from a different case).
I prep the teeth with a No. 4 or No. 6 round bur, slowly removing decay with short, light touches. The incisal reduction is usually unnecessary, and I avoid it whenever possible. If needed, I use a very fine diamond to refine, shape, and open contacts. I only work two to three seconds at a time and keep a 2×2 gauze under the teeth for children who are uncomfortable with the water spray and suction. Figure 3 shows the final prep.

pediatric dentistry, dental crowns
Figure 3: Shows prepared maxillary anteriors (taken from a different case).

I apply a self-etching bonding agent, light cure, and fill the strip crowns with Activa BioActive-Restorative. I usually seat the central incisor crowns first, light cure, and then seat the laterals. I remove the strip crowns with an explorer, and very little finishing is required. I use Sof-Lex disks (3M) for the incisal and a fluted carbide at the gingival margin if necessary.

This case took less than 20 minutes and looks great (figure 4). Leigh is pleased with his smile and asked if we could fix more teeth. No anesthesia, no tears, and a happy child looking forward to his next visit to the dentist!

pediatric dentistry, dental crowns
Figure 4: Finished case—no anesthesia and no tears.


atributed to;  Dr. Eyal Simchi is a board-certified pediatric dentist in private practice in Elmwood Park, New Jersey. As one of 10 children and with five of his own, he is well suited for his chosen specialty.

Pulpdent Corporation is a family-owned dental research and manufacturing company that is leading the way in bioactive dental materials. Pulpdent celebrates its 70th anniversary this year with renewed commitment to the company’s founding principles of education, prevention, and proactive dental care so that people can live healthier and more productive lives. To stay updated on bioactivity, visit the Pulpdent blog. For more information

Nov 05

Study Shows that Laser Treatments Can Help with Dental Problems

By John Sarno DMD | Dental Treatments

Researchers have developed computer simulations showing how lasers attack oral bacterial colonies, is recommended that benefits of using lasers in oral debridement include killing bacteria and promoting better dental health.

In a study published in the journal Lasers in Surgery and Medicine , health researchers depict the results of simulations depicting various laser wavelengths aimed at virtual bacterial colonies buried in gum tissue. In humans, actual bacterial colonies can cause gingivitis or gum inflammation. Gingivitis can develop into periodontal disease, which involves a more serious infection that breaks down the bones and tissues that support teeth.

” The newspaper confirms or confirms the use of lasers to kill bacteria and contribute to better health following periodontal treatments ,” said co-author Lou Reinisch, Ph.D ., associate provost for academic affairs at New York Institute of Technology.

Drawing on his background in physics, optics, and calculus, Reinisch, an expert in laser surgery and an associate editor of the journal, created mathematical modelings based on optical the special characteristics of gum tissues and bacteria. He then produced simulations of three different types of lasers commonly used in dentistry and their impacts on two types of bacterial colonies of various types of sizings and depths within the gum models.

” One of the questions we asked is how deep could the bacteria be and still be affected by the laser illuminate ,” said Reinisch. The simulations indicate that 810 nm diode lasers when setting to short pulsations and moderate energy degrees, can kill bacteria hid 3 mm deep in the soft tissue of the gums. The 1064 nm Nd: YAG laser is also effective with similar penetration depth. Both lasers spare the healthy tissue with the simulations presenting minimal heating of the surrounding tissue. Minimizing the thermal damage have contributed to faster healing, says Reinisch.

” The findings are important because it opens up the possibility of tweaking the wavelength, power, and pulse duration to be the most effective for killing bacteria ,” Reinisch says.” The doctors will look at this and tell,’ I ascertain there is a possible benefit for my patients in using the laser .'”

” The analyse reveals what’s going on in the tissue, so I hope that we’re training the medical professionals by demonstrating that you can do a good job of killing bacteria with certain lasers ,” says co-author David Harris, Ph.D ., administrator of Bio-Medical Consultants, Inc ., which specializes in medical laser product development.” When you do this therapy, you remove an infection and allow tissue to regenerate. Getting rid of the infection means the tissue can mend without interference .”

The cost of dental lasers can range from $5,000 to over $100,000, according to Reinisch, and health care professionals require extra training to use them. These expenses are passed on to the patient so Reinisch notes there must be a definite benefit for the patient to justify these costs.

Harris noted that the Academy of Laser Dentistry is forecast that at least 25% of US dental offices have dental laser capability for periodontal therapy as outlined in the paper, along with a host of other soft tissue surgical procedures and hard tissue procedures like removal of dental decay.

Harris said the video simulations demonstrate what happens when lasers made buried bacterial colonies.

” This is a great way to present to the doctor esoteric scientific findings in a clinically meaningful format ,” he said.” The model is a great tool for stimulating predictions of what can happen in the tissue. Our analyze corroborates its apply as a behavior to determine the best available laser parameters to use clinically .”

In a first for the journal, the published makes include video depictions of the computer simulations. The journal readers can actually ascertain the soft tissue of the virtual gums and bacteria hot up and cool down as the simulated laser is scanned over the tissue.

The study’s methodology of simulating how laser illuminate interacts with tissue have implications beyond dentistry; medical doctors and surgeons use lasers in various treatments, including vocal cord procedures and dermatological treatments, including those for toenail fungus.

Guided by the results presented in this study, both Reinisch and Harris expressed his belief that clinical trials will be designed to validate the findings.

Apr 11

How to Stop Bad Breath

By John Sarno DMD | Dental Treatments , John Sarno DMD

Bad breath, better known as halitosis, is

often caused by food items when robust aromas are assimilated by the body. These foods are ultimately brought back up into the lungs where their displeasing odors are then exhaled . Offensive breath odor developed this way is only wiped out at the time the foods has passed through the digestive system; mouthwash and brushing is able to only reduce the odor for the time being.

Proper Dental Care Helps

Inadequate dental care habits like scarce brushing and flossing allow bacteria to grow in the mouth area: between teeth, adjoining gums, as well as on the tongue. This is often counteracted by gargling anti-bacterial mouthwash. A few other health issues might also manifest as foul breath. Periodontal disease, a kind of gum condition attributable to plaque buildup on the gums delivers off a bad smell in one’s breath. Xerostomia, or just dry breath, is a problem in which not enough saliva is created. Accordingly, the mouth is not cleansed of residing food materials, and dead cells, resulting in breath odor.

Preventing Bad Breath Jupiter

Good and continued oral hygiene is regarded as the simplest method to put a stop to offensive breath odor.Your teeth should be brushed after every single meal that you eat and that includes snacks as well. Flossing also helps prevent build-up of food materials and also cavity inducing plaque. Gargling mouthwash with peroxide may also help keep your breath pure throughout the day. Ingesting an ample amount of water aids in preventing parched breath and is therefore a powerful preventive measure too.

Call for a Free Consultation in our Jupiter Dental Office

Cavities together with gum disorders which will cause unpleasant breath are generally determined or remedied by your dentist to prevent unpleasant breath odor. If you visit your Jupiter dentist on a regular basis, you will be able to maintain good oral health and wellness. Jupiter dentist Dr. John Sarno is offering free consultations at his office located at John Sarno DMD 4600 Military Trail Ste # 114 Jupiter,Fl 33458. Call John Sarno DMD today and set up for a Free Consultation so Dr. Sarno can review your dental situation and help you move forward to a bright and beautiful smile.