Our Blog

Dentists use advanced procedures to save teeth which would have been lost a few decades ago. But sometimes, when a tooth is severely compromised, it just can’t be saved. In this case, extraction is the best and healthiest option. 

When might Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani recommend an extraction? Conditions which call for extraction could include:

• Extensive Decay

When a tooth has experienced mild to moderate decay, the team at Dallas Dental Arts can remove the decayed portion, clean the area, and restore the tooth with a filling or a crown. If the decay is too extensive, there won’t be sufficient healthy tooth structure left for a restoration, and extraction will be necessary.

• Severe Gum Disease

The CDC estimates that almost 50% of those aged 30 and older suffer from some form of gum disease, with the number rising to over 70% of adults aged 65 and older. Serious gum disease, or periodontitis, is the leading cause of tooth loss in adults. 

Periodontitis can cause the gums to pull away from the teeth, creating pockets where bacteria multiply and infection develops. Left untreated, infection destroys the connective tissue and bone which hold the teeth in place. Teeth become loose and eventually fall out. When tooth loss is inevitable, extraction can be a healthier option than waiting for the tooth to fall out.

• Serious Infection

When infection reaches the pulp inside the tooth, immediate treatment is necessary. An infected tooth will never get better on its own, and the infection can spread from the tooth to the surrounding gums and bone, creating a pus-filled abscess. 

When caught early enough, a root canal procedure can save your tooth. If root canal treatment isn’t possible or infection keeps recurring, extraction can be the best option to prevent infection from spreading and destroying gum and bone tissue.

• Extensive Cracks or Fractures

Caught early, cracks in the crown of a tooth or small fractures in a tooth root might be treated with root canal therapy or endodontic surgery. When a crack in the crown of the tooth extends below the gumline, or when a vertical fracture begins in the root of the tooth and spreads upward to the crown, the tooth often cannot be saved. 

• Wisdom Teeth

When wisdom teeth have no room to erupt, they may become completely impacted, lodged in the bone and gum tissue. Or they may begin to break through the gums but aren’t able to erupt completely (partial impaction), making them difficult to clean and vulnerable to infection and decay. When wisdom teeth begin to erupt without sufficient space, they can move horizontally or diagonally, putting destructive pressure on the roots of neighboring molars. 

• Trauma

Often a dislodged tooth can be restored to its place in the mouth when the injury is treated early enough and the damage is limited. When a tooth or its surrounding bone and ligaments are so badly damaged from trauma that the tooth can’t be reimplanted or restored with endodontic or surgical treatment, extraction is the healthiest choice.

When decay, gum disease, injury, or other conditions make it impossible to save a tooth, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will recommend extraction to protect your oral health. Dentists who are experts in extractions have the skill and experience needed to:

• gently extract the tooth
• provide you with sedation options before the procedure
• provide options for pain management after the procedure
• give you detailed instructions for aftercare 
• suggest follow-up options such as tooth implants, which can restore your smile with a replacement which looks and functions like a natural tooth

Extraction is never your first choice, or your dentist’s! Proactive tooth and gum care help save teeth for a lifetime. But when a tooth can’t be saved, an extraction is the best option for protecting your oral health. Contact Dallas Dental Arts in Dallas for more information today.

If you have been bringing your baby in for regular checkups since that first tooth arrived, you might expect that he or she is already familiar with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our staff. Often, though, months pass between visits, which is a very long time for a child. How can you make your preschooler’s return visit a happy one? We have some suggestions!

Before Your Visit

• Prepare your child for her visit. Simple explanations are best for a young child. You might tell your daughter that a dentist is a doctor who helps keep her teeth strong and healthy. Let her know a bit about what will happen. Being told, “You will sit in a special chair,” or, “Can you open wide so we can count your teeth?” will give her some idea of what it’s like to visit our office.
• There are many entertaining books for young children about visiting the dentist. Reading some of these to her for a few days before the appointment will let her know what to expect.
• Use playtime to prepare. You might count your daughter’s teeth or let her “play dentist” and brush the teeth of her favorite doll or stuffed animal.

When You Arrive

• Your attitude can be contagious! If you treat a visit to the dentist like any other outing, chances are your child will too. Your calm presence is exactly what your child needs.
• You might want to come a bit early to let your son explore the office. Bring a favorite toy or book to keep him entertained if you need to. A favorite stuffed toy can be a comfort in an unfamiliar place.
• If you are with your child during his checkup, follow our lead. Don’t be concerned if your child seems uncooperative at first or even throws a tantrum—we are used to working with children, and have techniques to make his experience as relaxed and as positive as we possibly can.

We Are Here to Help

We are your partners in your child’s dental care. Call our Dallas office anytime for suggestions about making your child’s visit a comfortable, comforting experience. Our goal is to start your child confidently on the road to a lifetime of empowering dental visits and lasting dental health.

It’s great that you’re enthusiastic about your dental health! Here are some tips from Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team to make sure you are getting the most out of your brushing by avoiding common mistakes.

Choose the right brush

In almost every case, a soft brush provides the right amount of bristle-strength to clean your teeth and gums effectively. Hard bristles can damage sensitive enamel and gum tissue, so treat yourself kindly. Also, choose a brush head that’s the right size for your mouth, since a toothbrush that’s too large can be uncomfortable and unable to reach all the areas you need to brush.

Don’t keep your brush too long

Three months is about the average life of a toothbrush. Over time, bristles become frayed or worn and lose their effectiveness. It’s also a good idea to replace your brush after an illness.

Be gentle

Even with a soft brush, it’s possible to brush so hard that your enamel and gums are affected. Think of yourself as massaging your teeth and gums rather than scrubbing them.

Use proper technique

Using a “sawing” back-and-forth motion is hard on your enamel and misses plaque and debris between the teeth. Hold your toothbrush at a 45-degree angle, especially at the gumline, to gently remove plaque. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Make sure you cover all the surfaces of your teeth: outside, inside, and chewing. And don’t forget your tongue!

Take your time

Brushing twice a day for two minutes each time is the standard. Most people brush much less; try using the stopwatch on your phone or a two-minute timer to make sure you are spending enough time brushing. On the other hand, if you brush too hard or too often, remember that over-brushing can lead to problems for your gums and enamel.

Your daily routine might be fast and furious, but your dental routine requires a gentle, methodical approach. Ask at your next visit to our Dallas office, and we will be happy to help you design the perfect brushing practices for your busy life.

X-rays have been a function of dental healthcare for a long time. That in and of itself should be good news, because it means we've had plenty of time to improve them. While there is always some risk in exposure to radiation, dental X-ray exposure has decreased significantly due to all the advances in technology. So there’s risk, but X-rays are quite safe.

Think of X-rays as you would about a car. Automobiles these days have all kinds of technology to make them as safe as possible. There's still a chance that you’ll suffer an accident. Would you stop using a car because of that risk? When it comes to dental X-rays, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team believe the positives clearly outweigh the negatives.

X-rays can be done digitally or with film. For film, X-rays require different exposures at different speeds to produce the image. Digital X-rays have software that automatically adjusts the exposure and produces the X-ray in a digital file. Since they substantially reduce your exposure to radiation, digital X-rays are the current standard in dental offices.

In addition to digital X-rays, lead aprons are an essential piece of X-ray safety. They help protect internal organs from X-rays by acting as a shield. They usually come with a thyroid collar as well, since that is one of the most vulnerable areas to X-rays in the body. Lead aprons can absorb up to 95% of any scatter rays that result from an X-ray. Not bad, right?

Although dental X-rays involve some radiation exposure (not all of it can be eliminated), so does everyday life. Getting too much sun, for example, can be dangerous. The truth is, we accumulate radiation in our bodies over a lifetime, so it’s worthwhile to be aware and avoid as much unnecessary exposure as possible. When it comes to your dental health, though, getting an X-ray — especially when your doctor says you need it — offers more benefits than risks.

Ask us about the type of dental X-rays we use during your next visit to our Dallas office!