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Thursday, December 28, 2017

Causes of Filling Failure

Previously on our blog, we’ve discussed warning signs of a failing dental filling. Patients at the Shoal Creek Prosthodontic Center in Austin receive high-quality care, but fillings have a limited lifespan and sometimes need to be replaced. This week, we’re discussing what factors could cause a filling to fail.


According to newly published research, some of the most common factors in filling failure are smoking, alcohol, and genetics. While there’s nothing that can be done about genetics except increasing vigilance, alcohol, and smoking are two factors which cause a variety of oral health problems and are linked to the failure of other prosthodontics. Smoking is associated with higher rates of implant failure, and although the study only examined smoking in men, alcohol was found to increase the risk in both sexes. Of course, continued tooth decay was already known to contribute to filling failure. Another interesting result of the study was that white fillings do not have a higher rate of failure than old amalgam fillings, meaning that they are an aesthetically-pleasing alternative with little risk.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit Frederick Shaw DDS and fill out a contact form.


 

Wednesday, December 20, 2017

Gum Disease and Stomach Cancer

We hope that all of our patients at the Shoal Creek Prosthodontic Group in Austin are taking good care of their oral hygiene, but in case they aren’t, researchers have given them a new reason. According to a recent study, people with periodontal disease are at increased risk for stomach cancer.


There are many factors which raise the likelihood of gum disease and stomach cancer, with smoking being one of the most obvious. We also know that factors in the stomach, such as acid reflux, can have a negative effect on oral health. But this study provides evidence of a causative relationship between oral pathogens and precancerous stomach lesions. Research subjects who had stomach lesions also had higher rates of gingivitis and harmful bacteria and were frequently people who didn’t floss. Scientists believe that gum disease may help to explain the presence of stomach cancer in some people who don’t exhibit other known risk factors.  Given how deadly stomach cancer is, maintaining regular oral hygiene is a small price to pay to reduce the odds of contracting it. If you need help with gum inflammation, contact our office so we can help restore the health of your mouth, and hopefully, your stomach.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit Frederick Shaw DDS and fill out a contact form.


 

Saturday, December 2, 2017

Alcohol and Oral Cancer

Among the people needing dental reconstructive surgery at the Shoal Creek Prosthodontic Group are those battling oral cancer. Many people are aware that tobacco use is a major risk factor for oral cancer, and there is growing awareness that HPV is linked to cancer in the oropharynx. But the American Society of Clinical Oncology recently made news by announcing that alcohol on its own is also a potent risk factor.


The exact mechanism by which alcohol leads to oral cancer has long been debated. One theory holds that its chemical composition breaks down mouth tissue, and when the tissue rebuilds, its DNA may be compromised, causing tumors to develop. It is known with certainty, however, that smoking and drinking alcohol together massively increase the risk of oral cancer. But the new study from the ASCO found that even moderate or light alcohol use alone increases the risk. This is true regardless of the type of alcohol consumed, although people who drink heavily are still at much greater risk than moderate and light drinkers.


The good news is that the ASCO also found that ceasing use of alcohol lowers the risk of oral cancer in the upper aerodigestive tract (which includes the mouth and throat). In the long term, the risk of oral cancer in people who quit drinking declined to the level of people who never drank.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Tuesday, November 21, 2017

Can People with Diabetes Get Implants?

November is American Diabetes Month, and at the Shoal Creek Prosthodontic Group, we’re dedicated to helping our patients manage how these diseases affect their oral health. People with diabetes have higher rates of periodontal disease than other people, which means they may wind up needing prosthetic teeth.


Gingivitis and its advanced form, periodontal disease, result from bacteria eating sugar stuck to the teeth. People with elevated blood sugar are at worse risk of developing gingivitis, and people with periodontal disease tend to experience more bouts of uncontrolled blood sugar. In the worst cases, they lose teeth as a result, but doctors historically questioned whether they were good candidates for implants. Diabetes causes wounds, including the surgical incisions necessary for implant placement, to heal more slowly, and inflammation was believed to harm implants. However, newly collected data published in the Journal of the American Dental Association found that people with uncontrolled diabetes do not suffer unusually high rates of implant failure. They may take longer to heal from incisions and case-by-case consultations are always necessary, but it looks like people with diabetes can benefit from prosthodontics.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Tuesday, November 14, 2017

Foods That Promote a Healthy Smile

Once tooth enamel is lost, it doesn’t return. To keep it strong, our eating patterns need to reflect healthy choices. Fruits and vegetables that have high water content, such as apples, celery, and strawberries, increase saliva flow. Saliva is our mouth’s primary defense against dry mouth and tooth decay. Dr. Fredrick Shaw is dedicated to keeping patient’s mouth’s healthy as possible, and that begins with a nutritious diet.


To maintain a balanced diet, it’s important to eat a variety of foods from each of the five major food groups. It’s necessary to avoid sugars and added sugars as they provide no nutritional benefit to the teeth and gums. Avoid sodas, fruit juices, and energy drinks by replacing them with milk or water. Milk contains calcium that keeps enamel strong and water cleans the mouth with every sip, fighting against periodontal disease and decay.


If you have questions or concerns about dental health, please give us a call. To learn more about our sedation options and all the services we provide at the practice, visit FredrickShawDDS.com for more information.  To schedule an appointment with Dr. Fredrick Shaw in Austin, TX, call 512-451-7491.

Saturday, November 11, 2017

Thank You for Your Continuous Reviews!

At Shoal Creek Prosthodontic Group, our staff appreciates feedback because it teaches us how to improve as a team. Our staff would not only like to thank Brittney for this 5-star review but would like to thank her for being an excellent patient. If you recently experienced exceptional service from our office, please let us know!  


“I took my kids to see Dr. Shaw for their first dental exam. All I can say is what a wonderful experience it was for both of my children. The staff was amazing! Regina cleaned their teeth and was very gentle and friendly, she helped put my kids at ease. All of my billing questions were answered ahead of time so I knew what to expect when I went for our appointment. Keep up the great work Shoal Creek; we will definitely come back for our 6-month cleanings.” - Brittney


If you would like to leave a testimonial or are interested in learning more about the services we provide at the practice, visit FredrickShawDDS.com for more information.  To schedule an appointment with Dr. Fredrick Shaw in Austin, TX, call 512-451-7491.

Friday, November 3, 2017

Cavities in Adults

When we think of cavities, we often think of dental educational materials aimed at children. This makes sense since children are the demographic most likely to suffer from cavities (which scientific literature usually refers to as “caries” or dental lesions). However, the second-most likely demographic to get cavities is seniors, which is why the Shoal Creek Prosthodontic Group wants adult patients to be aware of this issue.


According to information from the Centers for Disease Control in 2011, about one in five American adults had untreated tooth decay. Doctors debate why exactly cavities become more common in patients who had maintained good oral hygiene in middle age. It could be due to changes in diet, worsening dexterity, or loss of access to dental care. Other compounding issues are medication side effects, such as dry mouth, which reduce the body’s ability to fight off oral infections. Part of it could also be generational: people who are in the older age bracket now may not have had fluoridated water when their teeth were emerging, putting them more at risk when their oral care is compromised.


Regardless, it is especially important for seniors to maintain good oral hygiene. Toothpaste with extra fluoridation can be a big help to them, as can dental sealants, which reduce the area in which food debris can get trapped and become fuel for bacteria growth.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Friday, October 27, 2017

What Causes Bleeding Gums?

Don’t think of bleeding gums as just another minor inconvenience; they could indicate a serious threat to your oral health. At the Shoal Creek Prosthodontic Group, we repair teeth and jaws that have been damaged by infectious diseases, but we are also firm believers in prevention. That’s why we want our patients to understand what puts them at risk for gum inflammation.


Bleeding gums are usually due to gingivitis. Also known as gum inflammation, gingivitis results from excessive bacteria growth on the teeth, particularly in the gum pockets. Bacteria produce tartar, which acid sticks to. This is what makes the gums irritated. Regular brushing can help prevent gingivitis, but biannual visits to a dentist’s office are necessary for cleaning out the gum pockets and removing tartar that has hardened into plaque.


There are a few factors which increase the risk of gingivitis. Pregnancy causes hormonal changes which lead to more bacterial growth. Dry mouth, which is a common medication side-effect, reduces the body’s ability to fight oral infections. It is also important for all patients to stick to soft-bristled toothbrushes. Hard bristles further irritate the gums and can cause recession.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Tuesday, October 17, 2017

Celebrate Dental Hygiene Month

October is National Dental Hygiene Month and before it’s over, Dr. Fredrick Shaw of Shoal Creek Prosthodontic Group wants to encourage patients to celebrate. The key to a healthy mouth is practicing a rigorous proper oral hygiene routine. This includes brushing at least twice a day with an ADA approved toothpaste, flossing at least twice a day, and rinsing with an ADA approved mouthwash. You should also visit our office for professional cleanings twice a year.


Prevention is a popular word we use around our practice. This is because we want our patients to prevent gum disease, cavities, and future dental diseases. Through proper diagnosis and treatment planning, we can help our patients maintain a healthy smile, or restore it, if necessary. We offer a wide variety of services to meet all of our patient’s needs.


If you have questions or concerns regarding extrinsic stains or teeth whitening, please give us a call. To learn about other services we provide at our practice, visit www.fredrickshawdds.com for more information. To schedule an appointment with Dr. Fredrick Shaw in Austin, TX, call 512-451-7491. 

Saturday, October 14, 2017

Thank You for Your Positive Reviews!

At Shoal Creek Prosthodontic Group, our staff appreciates feedback because it teaches us how to improve as a team. Our staff would not only like to thank our patient who chose to remain anonymous for this 5-star review but would like to thank them for being an excellent patient. If you recently experienced exceptional service from our office, please let us know!  


“(I am) Very, very pleased with Dr. Shaw and his office staff! Let's face it...no one likes to go to the dentist but this practice makes it not only painless but almost enjoyable! The work they do is the first rate and I highly recommend Dr. Shaw to anyone needing dental work!” –D.K.


If you would like to leave a testimonial or are interested in learning more about the services we provide at the practice, visit FredrickShawDDS.com for more information.  To schedule an appointment with Dr. Fredrick Shaw in Austin, TX, call 512-451-7491.

Tuesday, September 19, 2017

Extrinsic Stains on Teeth

Extrinsic tooth stains are caused by certain lifestyle habits such as smoking, drinking coffee, wine, and/or cola. They can also be caused by lack of oral hygiene. Extrinsic stains develop on the outside of tooth enamel, which makes them easier to remove than intrinsic stains. If you are lacking self-esteem because of the shade of your smile, visit Dr. Fredrick Shaw, DDS to discuss your whitening options.


Extrinsic stains occur on the outside of tooth enamel and may appear yellow or dark brown. These types of stains are usually the result of consuming foods and beverages that contain pigments, such as coffee, tea, or wine.  Extrinsic stains are typically easy to remove after a few whitening sessions. Depending on your preference, whitening can be done in the office or in the comfort of your own home.


If you have questions or concerns regarding extrinsic stains or teeth whitening, please give us a call. To learn about other services we provide at our practice, visit www.fredrickshawdds.com for more information. To schedule an appointment with Dr. Fredrick Shaw in Austin, TX, call 512-451-7491. 

Monday, September 18, 2017

Oral Conscious Sedation for Anxious Patients

Shoal Creek Prosthodontic Group is happy to offer oral conscious sedation to patients experiencing dental anxiety.  Some patients have had negative experiences with dental procedures that make them anxious, and others may have a sensitive gag reflex that has always made dental work dreadful.  Whatever the cause, our doctors at Shoal Creek Prosthodontic Group do not want patients to delay treatment because of anxiety about the procedure.


Oral conscious sedation is administered by taking a pill orally before a procedure.  The medication is a light sedative and does not ‘knock out’ the patient, as they remain conscious.  Instead, the patient will remain in an extremely relaxed state.  When the dentist begins working, local anesthetic is still used at the site of the procedure.  The combination of oral conscious sedation and local anesthetic means the patient can stay relaxed and usually allows the dentist to complete more work in one session.  This can mean less dental appointments overall and of course a more pleasant experience for an anxious patient.


To learn more about our sedation options and all the services we provide at the practice, visit FrederickShawDDS.com for more information.  To schedule an appointment with Dr. Frederick Shaw in Austin, TX, call 512-451-7491.

Pain around Fillings

Fillings are an important part of repairing damaged teeth, but they may cause some sensitivity. A bit of soreness immediately following their placement is not uncommon, but if the pain lasts, or if the area around the filling becomes sensitive long after the placement, the patient should seek further treatment.


A filling may cause persistent pain after its placement if it was misshapen and either prevents the patient from biting down properly or doesn’t completely fill the cavity it was placed in. Both these problems are easy to correct but will not improve on their own. It could also be that the decay the filling was meant to restore went deep into the pulp of the tooth, in which case a root canal will be necessary to remove the infection.


If a tooth with a filling was originally comfortable but becomes painful later, it may be that a second crack has developed, allowing bacteria to infiltrate the pulp of the tooth. It is also possible that the seal holding a filling in place has cracked, which can happen as it ages. Bacteria can take up residence in a cracked seal, contributing to tooth decay around a filling. In these cases, a more extensive restoration may be necessary.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Thursday, September 14, 2017

Loose Teeth

When patients are suffering from loose teeth, the services offered at the Shoal Creek Prosthodontic Group are crucial to their recovery. A loose adult tooth is always a major problem, and the sooner it’s treated, the better.


Dentists distinguish between two kinds of occlusal trauma: primary, which is caused by mechanical damage, and secondary, which is caused by periodontal disease. Teeth that have slowly become loose over time have usually done so as a result of periodontal disease, which damages the jaw bone tissue as well as the gums. Some patients who lose the use of their back teeth attempt to compensate by chewing with their front teeth, but this pressure only serves to further push the remaining teeth out of place.


A periodontist must bring the gum infection under control before the patient’s teeth can be fixed. The recovery process usually involves the placement of a splint at some point, although it varies whether the splint will be permanent. To repair the damage to their jaw bone or prepare for an implant, a patient may need to receive a bone graft at our office.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Tuesday, August 8, 2017

Periodontitis Prevention

If you’ve been told you have gingivitis, you better get to brushing. When gingivitis is left untreated it can turn into a more aggressive form of periodontal disease called periodontitis. Gingivitis is reversible, but periodontitis is not. If you’ve reached this level of gum disease, Dr. Fredrick Shaw, DDS may suggest scaling and root planing which is a deep cleaning below the gum line to improve your periodontal health status.


When plaque and tartar buildup isn't removed by adequate brushing and flossing, periodontal disease will develop. We encourage you to practice proper oral hygiene habits so that you never reach this level of neglect. Periodontitis cannot be completely reversed like gingivitis can. Mild periodontitis will be treated with scaling and root planing, while moderate to severe periodontitis may require surgery. If you have gums that are tender to touch or bleed easily when brushing, visit us immediately for a professional cleaning and dental exam.


If you have questions or concerns regarding periodontal disease, please give us a call. To learn about other services we provide at our practice, visit www.fredrickshawdds.com for more information. To schedule an appointment with Dr. Fredrick Shaw in Austin, TX, call 512-451-7491. 

Wednesday, August 2, 2017

Thank You for Your Positive Reviews!

At Shoal Creek Prosthodontic Group, our staff appreciates feedback because it teaches us how to improve as a team. Our staff would not only like to thank Wesley for this 5-star review but would like to thank him for being an excellent patient. If you recently experienced exceptional service from our office, please let us know!  


“Who would have thought a Prosthodontic office would have a hygiene schedule...not me! I was pleasantly surprised how wonderful this staff was. I knew they specialized in Dentures and Implants but I heard such great things about this place I decided to bring my son here for his dental exam and cleaning. He did awesome! Dr. Shaw took his time doing the exam and made sure I was well informed of my son’s dental needs. Regina the hygienist explained everything to my son as she was doing his cleaning. This office exceeding my expectations and I highly recommend them for any patient of any age!”


If you would like to leave a testimonial or are interested in learning more about the services we provide at the practice, visit FrederickShawDDS.com for more information.  To schedule an appointment with Dr. Frederick Shaw in Austin, TX, call 512-451-7491.

Thursday, July 27, 2017

Veneers

Shoal Creek Prosthodontic Group can give you the opportunity to totally makeover your mouth with veneers! Veneers are made from a thin ceramic shell and fit over your existing teeth, allowing you to completely change the appearance of your smile.  Patients with cosmetic issues like staining, cracked or chipped teeth, and even crooked teeth and small gaps can achieve a dazzling smile with veneers.


Patients can have a new smile using veneers in as little as two visits. First, the dentist will discuss the shape and look you want for your new smile.  Once your teeth are prepared for the treatment, an impression of your teeth is taken. This impression is sent to a dental laboratory to make the final product.  Ask us about temporary cosmetic options for you to wear for the two weeks it may take for the custom product to be fabricated. On your final visit, the veneers are bonded to the surface of your teeth for you to wear home and wear forever!


Veneers let you make a dramatic change to the appearance of your smile and still look natural.  To learn more about out veneers and all the services we provide at the practice, visit FrederickShawDDS.com for more information.  To schedule an appointment with Dr. Frederick Shaw in Austin, TX, call 512-451-7491.

Wednesday, July 12, 2017

What is Crown Lengthening?

At Shoal Creek Prosthodontic Group, we have a dental solution for every patient.  Some patients are in need of extractions and implants, but there are still a lot of ways to save a damaged tooth before it would need to be extracted.  If a cavity occurs close to the gum line, or decay expands to a larger portion of the tooth, patients may think a crown can’t be placed to save the tooth.  A crown lengthening procedure can correct this issue.


Crown lengthening is a standard procedure performed to expose a larger surface area of the tooth at the gum line.  A dentist removes excess gum tissue, exposing more of the tooth and creating a surface a crown could be fit.  This is just one method we utilize to save damaged teeth, and wherever your cavity or issue has occurred, we can help.


To learn more about crown lengthening and all the services we provide, visit FrederickShawDDS.com for more information.  To schedule an appointment with Dr. Frederick Shaw at Shoal Creek Prosthodontic Group in Austin, TX, call 512-451-7491.

Wednesday, July 5, 2017

Bone Grafting

Shoal Creek Prosthodontic Group performs bone grafts for patients who need dental implants but have a weakened jaw bone.  If tooth loss or gum disease has left a portion of the jaw vulnerable, it will weaken over time. When a patient needs a replacement tooth the jaw bone needs to be strong enough to handle the placement of the implant, and a bone graft reinforces the weakened jaw.


There are synthetic options for bone grafts, but a dental graft is usually obtained from a different spot in the patient’s own mouth. This gives the injured or deficient bone a replacement, and encourages growth of new material around the site.  The healing process can take several months, and your jaw is monitored by your dentist until it heals enough to handle the placement of an implant.


To learn more about bone grafting and all the services we provide at the practice, visit FrederickShawDDS.com for more information.  To schedule an appointment with Dr. Frederick Shaw in Austin, TX, call 512-451-7491.

Thursday, June 29, 2017

Intrinsic Stains

At the Shoal Creek Prosthodontic Group, we provide cosmetic treatments for our patients suffering from tooth discoloration. However, there is an important distinction to be made between stains that are caused by external factors and those caused by intrinsic factors which require the attention of a prosthodontist like Dr. Shaw.


Stains on the outside of a tooth may be due to long-term exposure to dark liquids and removed through whitening procedures. But if the stain is caused by damage on the inside, scouring the outside will make little difference. Intrinsic stains can be caused by an excessive amount of fluoride exposure, which the government has recently moved to correct, but they are usually due to trauma.


Dr. Shaw will need to use our advanced imaging tools to assess whether there is an active infection which poses a threat to the patient’s health. In those cases, doctor and patient will need to discuss treatment options such as a root canal or outright replacement of the crown. If the stain is due to an old injury or infection, adjusting the internal structure of the tooth may not be necessary, and the stain can be concealed through veneers or bonding.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Thursday, June 22, 2017

Cleaning Fixed Bridges

When we provide patients with replacement teeth at the Shoal Creek Prosthodontic Group, we hope that they will maintain the proper oral hygiene regimen to make their new teeth last. But there are many types of tooth replacements, and different techniques may have to be used. Let’s take a look at fixed bridges.


When a bridge is cemented to pontic teeth or supported by implants, the main concern is cleaning the area beneath the bridge. When bridges are supported by the surrounding teeth, the most common cleaning method is to thread a strand of floss under the bridge and loop it around. The patient will then slide the floss along each tooth surface and rub it along the underside of the bridge with a back-and-forth motion. The looping may be accomplished with a threader, such as the ones used with orthodontics, or with specialty floss that has a stiffened portion.


Implant supported bridges may be cleaned similarly, but the larger spaces beneath the bridge may also make the use of a proxy brush desirable. (Proxy brushes are the little ones shaped like Christmas trees.) Electric toothbrushes and Waterpiks are also now being manufactured with special tips for cleaning implants.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Tuesday, June 13, 2017

What is an Intraoral Camera?

Shoal Creek Prosthodontic Group takes pride in offering the best dental care and the latest dental technology to our patients.  The intraoral camera is an exciting tool that allows the mouth to be seen from angles that were previously impossible. The tiny camera’s view is also projected onto a monitor, making the same angle of the mouth visible to both doctor and patient at the same time.


The intraoral camera helps you and your dentist better see and understand what is happening to your oral health. These detailed views can help you identify a specific area or issue to your dentist, and help your dentist plan a targeted treatment. This exciting change to a typical dental visit promotes a better understanding of any changes to your oral health. An added bonus to using this technology in our practice is capturing images needed for insurance companies to accept procedures.


To learn about all the services and technology available at the practice, visit FrederickShawDDS.com for more information.  To schedule an appointment with Dr. Frederick Shaw in Austin, TX, call 512-451-7491.

Tuesday, June 6, 2017

Thank You For Your Testimonials!

At Shoal Creek Prosthodontic Group, our staff appreciates feedback because it teaches us how to improve as a team. Our staff would not only like to thank Sheri for this 5-star review, but would like to thank her for being an excellent patient. If you recently experienced exceptional service from our office, please let us know!  


“I have been seeing Dr. Shaw for years for everything - hypoplasia surgery at 30 calls for lots of dental visits at 60! I am so grateful to this man for the things that he has accomplished for my very difficult case, and I have referred numerous friends and colleagues to him. My adult children still see only him! His staff is amazing and Tanya is a must-know! I would give him 20 stars if I could.”


If you would like to leave a testimonial or are interested in learning more about the services we provide at the practice, visit FrederickShawDDS.com for more information.  To schedule an appointment with Dr. Frederick Shaw in Austin, TX, call 512-451-7491.

Wednesday, May 31, 2017

Easing Dental Phobia

As specialists in tooth restorations, Dr. Shaw and the staff of the Shoal Creek Prosthodontic Group see many patients who need extensive dental work. Although everything we do is meant to spare patients pain in the long-term, we understand that many people have a fear of the dentist and want to make sure our patients are as comfortable as possible.


We offer oral conscious sedation and nitrous oxide to keep patients calm and free of pain while they undergo procedures. These forms of sedation don’t require needles and allow the patient to remain conscious but in a state of deep relaxation or euphoria. They are commonly used during extractions and implant placement. Patients may wish to arrange a signal with the staff prior to undergoing treatment to alert them if they are uncomfortable with a deep cleaning. We also strive to ensure that patients fully understand the treatments we are providing to them and that they are able to maintain their post-op instructions.


Besides fearing a procedure will be painful, patients may also be concerned about having missing teeth while undergoing extensive restorations. In fact, there are usually temporary crowns or immediate dentures available for patients to wear during the healing process. Lastly, for patients who suffer from general anxiety, cognitive behavioral therapy from a psychologist has been proven to be effective at reducing dental phobia.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Thursday, May 25, 2017

Acid Reflux and Tooth Sensitivity

At the Shoal Creek Prosthodontic Group, we see teeth that are damaged for all sorts of reasons. While most people understand the role of plaque in tooth decay, they may not know about how much gastroesophageal reflux disease, also known as GERD or acid reflux, contributes to enamel erosion.


Acid reflux is what happens when the sphincter that divides the stomach from the esophagus fails to prevent hydrochloric acid from backing up into the throat and mouth. The acid burns tissues it comes into contact with, including teeth, gums, and salivary glands. As enamel wears down, tooth nerves become exposed, resulting in tooth sensitivity. Damage to salivary glands also contributes to dry mouth, which increases the risk of infection.


Preventing acid reflux usually requires changes in posture and diet. Patients should avoid slouching as well as alcohol, caffeine, smoking, and acidic foods and drinks such as garlic, tomatoes, and citrus juices. It is also wise to not eat before bed. As for existing damage, there are remineralization therapies such as fluoride treatments to help strengthen enamel. Patients can also stimulate new saliva production by chewing sugar-free gum.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Wednesday, May 17, 2017

Dry Sockets

We strive at the Shoal Creek Prosthodontic Group to make sure our patients understand their post-op instructions. A dry socket is no fun. However, if it does occur, we want patients to know we can treat it.


A dry socket occurs when the blood clot which covered the extraction site dissolves or falls away prematurely. This will leave the socket vulnerable to painfully drying out and becoming infected. If you can see the bone at the bottom of the socket, the blood clot failed to form or has fallen away. We’ll need to confirm that a dry socket is the source of your pain by examining it, at which point we can provide a painkiller and clean the socket with a vacuum. We’ll use a medicated wound dressing to cover the extraction site and replace the dressing every few days until it is healed. Patients are also typically provided with antibiotics to fight or prevent infection.


Dry sockets are more likely to form if the extraction was complicated, and we want our patients to be on the lookout for them so they can seek treatment right away. Smoking and taking birth control put patients at higher risk of disrupting their blood clots, and we always recommend patients avoid sucking through straws after getting extractions and that they rinse their mouths gently with saltwater.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Friday, May 12, 2017

What to Do if You Lose a Permanent Tooth

The Shoal Creek Prosthodontic Group specializes in replacing lost teeth, but in some cases, it is possible to save them. If a person’s tooth has been knocked out but is still intact, it is imperative that they see a dentist as quickly as possible and follow this guide.


Only hold the tooth by the crown (the part that’s not the root). The soft tissue surrounding the root is delicate and easily rubbed off. Rinse the tooth with saltwater or milk, and, if possible, put it back in its socket. Biting down on gauze or a cotton ball can help keep a tooth from the upper jaw in place. If the tooth cannot be reinserted or you are unsure which way it is supposed to face (this may not immediately be obvious with molars to a layperson), the tooth should be held in the patient’s cheek. Failing that, it should be held in a container filled with saltwater or milk.


This advice assumes a first-aid kit stocked for dental emergencies is not immediately available. The American Dental Association does recommend cleaning and transport items for lost teeth, which are best to use, if convenient. It also assumes that the tooth was a permanent, natural one. Baby teeth should not be replaced, as they may disrupt the growth of other teeth, but children will be given a spacer to keep the gap open for when the permanent tooth erupts. Implants cannot be replaced until the patient’s jaw bone has healed, at which point the patient will be given a different implant. Lastly, while a tooth’s odds of being saved are best if it is treated within an hour of being knocked out, patients should not prioritize it over injuries which need to be treated in an emergency room.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Tuesday, May 2, 2017

Crowns

Dental crowns are placed like a little cap on top of a tooth.  Crowns are used to protect teeth that are cracked, chipped, stained or so decayed that a filling wouldn’t restore the tooth up to strength.  Your dentist can tell you if a cap is the right solution for a decayed or damaged tooth.


When you need a crown, it can typically be completed within three appointments. First, your dentist will drill out any remaining decay and may need to perform minor contouring the existing tooth to ensure the crown will fit perfectly over it.  An impression is then taken of the tooth to use as a mold for the crown, and the crown is manufactured in a dental lab. Your dentist may have temporary crowns available to wear while you wait for your custom crown.


On your final visit, the crown is bonded over the top of the tooth and should blend in with the surrounding teeth. Once the crown is placed it should be cared for like your own tooth. If you think anyone in your family would benefit from a dental crown please contact us.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.

Tuesday, April 25, 2017

Scaling and Root Planing

In its most advanced stages, gum disease can lead to gum recession and even tooth loss.  Dr. Frederick Shaw, DDS and the Shoal Creek Prosthodontic Group want to help you make sure it never gets to that stage.  When sticky bacteria called plaque builds up on a tooth, the gum starts to pull away from the tooth and form a pocket around the buildup.  This only leads to more gum recession.  Scaling and root planing are used to treat this buildup and prevent the later stages of gum disease.


Scaling and root planning are two parts of a deep cleaning procedure your dentist can perform to help repair gums. The procedure begins with scaling, the process of removing plaque from the surface of your teeth all the way down to your gums. This is followed by root planing, which involves minor contouring to smooth the surface of a tooth near the root.  Once the plaque has been removed and the tooth root has been smoothed, the gums that have pulled away have a clean, smooth surface to reattach to.   Local anesthetic is used during this procedure, and your dentist may recommend completing the treatment over a series of appointments. 


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.

Friday, April 21, 2017

Why are Wisdom Teeth Extracted

It’s rare that patients hear about wisdom teeth in any context outside of their extraction, and people may naturally wonder why that is. Since the Shoal Creek Prosthodontic Group is experienced in tooth extractions and often handles complicated cases, we thought we’d explain why wisdom teeth are so often removed.


The third and largest set of molars, wisdom teeth are the last to erupt. Unfortunately, they usually do so after a person’s face has settled into its adult form and their skull bones have fused together, leaving the wisdom teeth without room to erupt fully. However, in their attempt to push through the gum line, they often shove other teeth out of place and pose a threat to orthodontic work the patient has already undergone.


In simple cases, the patient will be numbed during extraction and the only cutting necessary will be to the tooth itself. In cases where a large amount of the tooth is trapped below the gum line, it may be necessary for the patient to be sedated while the incisions are made. Standard post-extraction care will apply: patients should avoid using straws until they have fully healed and may need to return to have stitches removed.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Wednesday, April 12, 2017

What is Periodontal Splinting?

When teeth are so badly damaged that they need to be extracted, we at the Shoal Creek Prosthodontic Group have a number of removable and permanent replacements for them. But what about when teeth are loose enough to cause problems, but not bad enough to justify replacements? A middle ground procedure we offer is periodontal splinting, also known as teeth binding.


An important note about teeth binding is that it is a means of distributing bite force across numerous teeth, not actually a way of tying teeth together. When binding the front teeth, we dip a porous fiber into resin and cement it to the back of the incisors. In the past, the resin and cement created a large and intrusive ridge, but with modern technology, the splint is much less annoying while remaining just as strong. During the application process, the teeth will be etched with acid, in the same way they are when orthodontic brackets are applied, in order to give them more surface area and a stronger grip. Gaps between the teeth will be temporarily filled with a gel to shield the gums.


Splinting won’t repair any damage that has been done to the teeth or the gums, but it does relieve the demand on individual loose teeth while the patient is biting.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Wednesday, April 5, 2017

Cancer and Oral Health

According to the National Institute of Dental and Craniofacial Research, more than one-third of all cancer patients develop complications that affect the mouth. These effects can range from mild to severe and may include mouth sores, dry mouth, and/or sensitive gums. Maintaining your mouth before, during, and after cancer treatment could lessen these side effects, so it’s important to make Dr. Fredrick Shaw of Shoal Creek Prosthodontic Group part of your cancer care team.


Dental care may understandably be the last thing on a patient’s mind, but it’s important to pay attention to basic oral health so that the condition of your mouth doesn’t hinder treatment. Patients undergoing chemotherapy should be aware that it can affect the teeth, gums, salivary glands, and other oral tissues. Though cancer treatment side effects vary from patient to patient, you should always keep your mouth extra clean by carefully brushing with a soft-bristled brush and mild-tasting fluoride toothpaste after every meal. Depending on the side effects the patient experiences, Dr. Fredrick Shaw can develop a treatment plan to make this process as comfortable as possible.


If you have questions regarding oral health, please give us a call. To learn more about Shoal Creek Prosthodontic Group in Austin, TX, call us at 512-451-7491 or visit our website, www.fredrickshawdds.com

Wednesday, March 29, 2017

Dry Mouth (Xerostomia)

Dry mouth, also known as xerostomia is a condition in which your mouth is unusually dry for periods of time. Most often, dry mouth is a result of a decrease in saliva produced by the salivary glands. It can result as a side effect of certain medications, or be a symptom of an underlying problem. Fortunately, whatever the case may be, Dr. Fredrick Shaw of Shoal Creek Prosthodontic Group can treat this condition.


Saliva is the mouth’s primary defense against tooth decay and assists in maintaining the health of soft and hard tissues in the mouth. When the saliva is reduced, you develop a higher risk for tooth decay. If you are experiencing dry mouth, you may suffer from a constant sore throat, a burning sensation, difficulty speaking/swallowing, or dry nasal passages. Dry mouth not only increases your risk of tooth decay, it can increase your risk of gingivitis, and mouth infections. To treat this problem, Dr. Fredrick Shaw may suggest an oral rinse to help restore mouth moisture. If that doesn’t work, he may prescribe a medication to boost your saliva flow.


If you suffer from a constant dry mouth, please give us a call to discuss your treatment options. To learn more about Shoal Creek Prosthodontic Group in Austin, TX, call us at 512-451-7491 or visit our website, www.fredrickshawdds.com

Wednesday, March 22, 2017

How to Clean Dentures

At the Shoal Creek Prosthodontic Group, we’ve fitted many patients with dentures and helped them maintain their new sets of teeth. Not being living tissue, dentures cannot self-repair like natural body parts and need special care.


Removable dentures need to be kept moist, but they could warp if they are put in hot water. Room temperature water or a specially made cleaning solution is best. A person with dentures should continue to regularly brush their gums and tongue, but dentures should not be brushed with conventional toothpaste. Like natural teeth, they should only be brushed with a soft-bristled brush and there are certain denture-specific toothpastes to use with them. Ultrasonic cleaners are useful but are a supplement for brushing, not a replacement. Patients should remember to brush the underside of a denture before reinserting it, and quickly inform a doctor if a denture or abutment used to support it becomes damaged.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.


 

Thursday, March 16, 2017

Types of Teeth

We make replacements for all kinds of teeth at the Shoal Creek Prosthodontic Group, so it’s important for patients to know what exactly each tooth does. There are naturally thirty-two teeth in a normal adult’s mouth; some can be done without, but some can’t.


In the back of the mouth are three pairs of molars. These teeth are for grinding and chewing. The ones furthest back are called wisdom teeth, and they are often removed because there is not enough room for them to erupt fully. In front of the molars are two pairs of premolars, which are the same, but smaller.


There is one pair of canines in each jaw. These pointy teeth are used for piercing, but their even more important function is to provide the jaw arc with stability at the point of maximum curvature. The two pairs of front teeth are called incisors and are further distinguished by whether they are central or lateral. These are the teeth which are most important for forming speech and are the ones which usually receive the most cosmetic attention.While molars and premolars are often removed without being replaced, leaving a missing front tooth is bad for both the mouth's appearance and its function.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.

Tuesday, March 7, 2017

Don’t Let Plaque Pester You

If you’ve ever felt a fuzzy buildup on your teeth while licking them with your tongue, that pesky buildup is called plaque. Plaque contains bacteria, which following a meal or snack containing sugar can release acids that attack tooth enamel, eventually contributing to tooth decay and gum disease when left untreated. Plaque that is not removed with thorough daily brushing and flossing can eventually harden into tartar. When tartar accumulates, only Dr. Fredrick saw and his team of hygienists can remove it.


Plaque is a sticky, colorless film of bacteria that constantly forms on our teeth and along the gum line. Plaque that is not removed from around the gum line can cause inflammation and irritation to the gums around your teeth. Red, puffy or bleeding gums can be the first signs of gum disease and if not treated, the tissues holding the teeth in place are destroyed and the teeth are eventually lost. In addition to practicing a proper oral hygiene routine, it is important to schedule professional cleanings twice a year to prevent plaque from getting worse.


If you have plaque buildup and are due for a dental checkup, please give us a call. To learn about other services we provide at our practice, visit www.fredrickshawdds.com for more information. To schedule an appointment with Dr. Fredrick Shaw in Austin, TX, call 512-451-7491. 

Wednesday, March 1, 2017

Gingivitis Symptoms

Gingivitis – an inflammation of the gums – is the initial stage of gum disease and is the easiest to treat. If the plaque is not removed by daily brushing and flossing, it produces toxins that can irritate the gum tissue, causing gingivitis. Dr. Fredrick Shaw recommends scheduling professional dental checkups every six months to prevent gingivitis from occurring, however, proper oral hygiene starts at home. Be aware of these symptoms and risk factors if you notice a bit of blood in the sink when you brush.


Healthy gums are firm and pale pink. If your gums are puffy, dusky red and bleed easily, you may have gingivitis. Because gingivitis is rarely painful, it is possible to have it without even knowing it. Signs and symptoms of gingivitis include: swollen, soft, puffy, receding, or occasionally tender gums, gums that bleed easily when you brush or floss, a change in color of your gums, as well as bad breath.


If you suffer from any of the symptoms above, give us a call so we can help you stop gingivitis in its tracks. To learn about other services we provide at our practice, visit www.fredrickshawdds.com for more information. To schedule an appointment with Dr. Fredrick Shaw in Austin, TX, call 512-451-7491. 

Thursday, February 23, 2017

Implant Secured Dentures

At the Shoal Creek Prosthodontic Group, Dr. Shaw has a great deal of experience supplying patients with dentures. People usually think of dentures as removable, but it is possible to make them permanent fixtures in a patient’s mouth through the use of mini-implants. These implants are much less taxing on the patient to install than implants for individual teeth, but can partially help to reinforce the jaw bone.


Mini-implants are narrow rods which can be placed into the patient’s jaw through simple incisions. The long osseointegration process required for full-size implants is unnecessary, as is the need for artificial crowns. Instead, the denture is modified to include holes in it for the mini-implants to slide into, as well as a gel cushion to squeeze and stick to them. The denture is kept securely in place by the mini-implants, not only reducing its risk of falling out, but also providing the jaw bone with more stability so that it will not change shape as much in the future. This reduces the number of refittings the patient will need to undergo. Mini-implants can be installed in a single visit to the office in a safe procedure requiring only conscious sedation.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.

Wednesday, February 15, 2017

Gum Grafts

At the Austin clinic of the Shoal Creek Prosthodontic Group, we regularly see the ravages of periodontal disease on gum tissue. There are many restorative approaches for teeth, and mild gum surgery is frequently done to close pockets in the tissue, but reconstructing receded gums could require a more complicated type of graft.


If the gums have receded too far to be stretched back over the roots of the teeth, Dr. Shaw may think it best to add new soft material. If the new tissue also comes from the patient, this is referred to as a “self-donation.” Donor tissue is usually taken from the soft palate at the roof of the mouth. In some cases, a flap is cut into the soft palate and tissue is removed from beneath it, and the flap is sutured afterward. At other times, some of the outer surface may be transferred as well and sewn over the exposed tooth roots. The donor site would then be protected with surgical film while it heals.


The development of synthetic grafting materials and use of cadaver donors eliminates the need for one of the surgical sites. Getting new gum tissue may seem frightening to a patient, but the surgery has a very high success rate and should greatly reduce the sensitivity of their teeth.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.

Tuesday, February 7, 2017

Toothbrush Care

Brushing your teeth plays an important everyday role for personal oral hygiene and effective plaque removal. You may not give much thought to cleaning your toothbrush; however appropriate toothbrush care and maintenance are important considerations for oral hygiene. At Shoal Creek Prosthodontic Group, we want you to know how and when to replace, clean, and store your toothbrush.


The American Dental Association recommends replacing your toothbrush approximately every three to four months or sooner if bristles are frayed. However, toothbrushes will wear out more rapidly depending on factors unique to each patient. It is also important to never share a toothbrush because this practice could be a concern for people with compromised immune systems or existing infectious diseases. If your toothbrush comes in contact with another, thoroughly rinse the brush with warm tap water to remove any remaining toothbrush and debris. When you are done using the toothbrush, store it in an upright position and allow the toothbrush to air-dry until used again.


If you have further questions regarding toothbrush care, give us a call. To learn more about the services we provide at Shoal Creek Prosthodontic Group in Austin, TX, call us at 512-451-7491 or visit our website, www.fredrickshawdds.com

Wednesday, February 1, 2017

Oral Care for Diabetics

People with poorly controlled diabetes are more prone to dental problems. They are more likely to develop infections of their gums and the bones that hold the teeth in place because diabetes can reduce the blood supply to the gums. If you have diabetes, please call our office to schedule a professional exam with Dr. Fredrick Shaw of Shoal Creek Prosthodontic Group to prevent further dental complications.


If you have diabetes, symptoms of dental problems include bleeding and sore gums, frequent infections, and bad breath. Whether you have type 1 or type 2 diabetes, managing your blood sugar level is critical. The higher your blood sugar level, the higher your risk of tooth decay, gingivitis, and periodontitis. Additionally, high blood sugar may cause dry mouth and make gum disease worse. The decrease in saliva can cause an increase in tooth-decaying bacteria and plaque buildup. You can prevent these problems by maintaining good blood sugar control, brushing and flossing and least twice a day, and scheduling a dental checkup every six months.


If you are diabetic and have questions about the quality of your oral care, please give us a call. To learn more about Shoal Creek Prosthodontic Group in Austin, TX, call us at 512-451-7491 or visit our website, www.fredrickshawdds.com

Tuesday, January 24, 2017

The Benefits of Electric Toothbrushes

In the past, the Shoal Creek Prosthodontic Clinic in Austin, Texas blog touched briefly on electric toothbrushes while describing toothbrush choice in general. We thought now would be a good time to describe electric toothbrushes more extensively.


Toothbrush manufacturers such as Oral B and Kolibree are constantly coming up with new digital features. Many of these incorporate smartphone apps. You can now set a program to tell you whether you’ve been brushing your teeth for long enough, whether you’ve reached every part of your mouth, and whether you need to adjust your settings to brush harder or softer. Parents can also set children’s brushes to provide them with rewards or play a game on their phones while they’re brushing.


The point of most of these features is to correct poor technique. While studies show that electric and handheld toothbrushes are only slightly more effective than handheld toothbrushes when both are used properly, proper brushing technique with a handheld toothbrush is to use it vigorously for two minutes twice a day. In reality, very few people do this. Many patients find that the instant feedback provided by new brushing apps, the decreased time commitment, and the decreased need for hand motions make a huge difference.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 West 38th St, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact sheet.


 

Tuesday, January 10, 2017

Panorex Imaging

Dr. Shaw’s Shoal Creek Prosthodontic Group in Austin is a high-tech clinic with the most modern devices for examining our patients. Among these is the Panorex. Increasingly popular for observing below-the-gum changes, the Panorex eliminates many of the drawbacks of traditional x-rays.


Older x-rays required the patient to bite down on film while a series of photographs were taken. This could be problematic for someone with a toothache! The Panorex requires only that the patient clench a bite blocker with their front teeth for about twenty seconds. During this time the x-ray emitting slides will rotate around the patient’s head on a pair of robotic arms. The patient’s chin will rest comfortably on a ledge, the height of which can be adjusted.


The Panorex’s image is digital, allowing it to be fed into the software Dr. Shaw uses to predict tooth migration and decay. It provides a 360 degree view, meaning patients don’t need to hold still for multiple photographs of small areas. While the Panorex images are mainly used to see whether jaw bone tissue has receded or is responding well to implants, it can also be used to detect oral cancer and deeply impacted teeth. The larger image from the Panorex means that Dr. Shaw may detect sinus and jaw bone issues, as well.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 West 38th St, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact sheet.


 

Tuesday, January 3, 2017

Pocket Reduction Surgery

Reducing gum pockets is one of the most important procedures performed at the Shoal Creek Prosthodontic Center. Before full-blown periodontal disease develops, the gums become inflamed, which is scientifically described as gingivitis. At every step in the gingivitis to periodontal disease process, tooth decay below the gum line creates pockets which will lead to further decay without intervention.


When bacteria feed on tartar, they produce plaque. This is what causes inflammation, which makes the roots of teeth difficult to clean. As tissue rots away, the pockets they leave behind become breeding grounds for bacteria and repositories for more plaque. These pockets are difficult to reach with a toothbrush, but the damage they do to the gum around a patient’s teeth roots is easy to see. To fix the gums, Dr. Shaw will start with a deep cleaning to remove whatever plaque and bacteria colonies have accumulated in the gum pockets.


Closing the pockets may require a gum graft, but if the decay can be caught before it advances too much, it may only require the gum tissue to be pulled over the exposed tooth roots. Whether sutures or post-operation maintenance are required will depend on the specifics of the situation. However, gum reduction is a crucial preventive step, as well as a cosmetic restoration.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 West 38th St, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact sheet.


 

What are Inlays and Onlays?

The Shoal Creek Prosthodontic Group in Austin offers the full range of dental restorations. The most basic means of restoring a cavity is with a filling; for full-mouth restorations, we use conventional dentures. One step above fillings are inlays and onlays. Also known as partial crown, these are restorations to the biting surface of the tooth.


The differences between inlays and onlays are how much of the tooth’s surface they replace and which parts they cover. Onlays are slightly larger and cover the cusps of the crown, which are the pointy bits surrounding the indentation of a molar or premolar. After the decayed part of the tooth has been removed, Dr. Shaw will make an impression of the patient’s mouth to use as the basis for designing a new inlay or onlay. The impression is sent to a dental manufacturer who mills the restoration out of porcelain. If the patient prefers, plastic and glass resins or gold can also be used as materials for this type of restoration (or for many other types, as well).


After a few weeks, the new inlay/onlay will be ready for insertion. During the waiting period, patients can be given temporary restorations. The new, custom-fitted inlay/only will be cemented over the tooth, returning optimal bite function and appearance.


Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 West 38th St, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact sheet.