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Posts for: November, 2020

By Curt P. Posey, DDS, Inc.
November 29, 2020
Category: Dental Procedures
HowAFVsAlfonsoRibeiroSavedHisTooth

Remembered fondly by fans as the wacky but loveable Carlton on The Fresh Prince of Bel-Air, Alfonso Ribeiro is currently in his fifth year hosting America's Funniest Videos. It's the perfect gig for the 48-year-old actor, who loves to laugh and make others laugh as well. This is quite the opposite experience from one he had a few years ago that he remembers all too well: a severely decayed tooth.

After seeing his dentist for an intense toothache, Ribeiro learned he had advanced tooth decay and would need root canal treatment. Ribeiro wasn't thrilled by the news. Like many of us, he thought the procedure would be unpleasant. But he found afterward that not only was the root canal painless, his toothache had vanished.

More importantly, the root canal treatment saved his tooth, as it has for millions of others over the last century. If you're facing a situation similar to Alfonso Ribeiro's, here's a quick look at the procedure that could rescue your endangered tooth.

Getting ready. In preparation for root canal therapy, the tooth and surrounding gums are numbed, often first with a swab of local anesthesia to deaden the surface area in preparation for the injection of the main anesthesia below the surface. A dental dam is then placed to isolate the infected tooth from its neighbors to prevent cross-contamination.

Accessing the interior. To get to the infection, a small access hole is drilled. The location depends on the tooth: in larger back teeth, a hole is drilled through the biting surface, and in front teeth, a hole is drilled on the backside. This access allows us to insert special tools to accomplish the next steps in the procedure.

Cleaning, shaping and filling. Small tools are used to remove the diseased tissue from the interior tooth pulp and root canals. Then the empty spaces are disinfected. This, in effect, stops the infection. Next, the root canals inside the tooth are shaped to allow them to better accept a special filling called gutta percha. The access hole is then sealed to further protect the tooth from future infection, and a temporary crown is placed.

A new crown to boot. Within a couple weeks, we'll cap the tooth with a long-lasting lifelike crown (or a filling on certain teeth). This adds further protection for the tooth against infection, helps strengthen the tooth's structure, and restores the tooth's appearance.

Without this procedure, the chances of a tooth surviving this level of advanced decay are very slim. But undergoing a root canal, as Alfonso Ribeiro did, can give your tooth a real fighting chance.

If you would like more information about root canal treatments, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “A Step-By-Step Guide to Root Canal Treatment” and “Root Canal Treatment: How Long Will It Last?


By Curt P. Posey, DDS, Inc.
November 19, 2020
Category: Cosmetic Dentistry

Most people would like to change up their smiles--even just a bit. Maybe a chipped tooth or dental stains make them self-conscious. Or, extractions have created unsightly gaps. Whatever your concern, you qualify for smile refurbishments If your teeth and gums are basically healthy. Your cosmetic dentist, Dr. Curt Posey, helps scores of people in the Fresno, CA, area achieve smiles they love.

You'll have a lot of choices

Cosmetic dentistry has developed so much over the past several years, patients enjoy almost endless options, states the American Academy of Cosmetic Dentistry (AACD). How can you know what to choose?

Arrange a consultation with your cosmetic dentist in his Fresno, CA, office. Dr. Posey likes to do a complete health exam before beginning a smile makeover. He'll share the results with you and then discuss your ideas.

So, be prepared before going to your appointment. Here are some things you may wish to consider:

  • Would you like to correct some obvious smile flaws such as uneven tooth length, stains from coffee and cigarettes, or defects such as missing or crooked teeth?
  • How much of your time and personal budget can you devote to your dental work?
  • Are you preparing for a special occasion such as a wedding or class reunion and wish to optimize your results quickly?
  • Are conventional tooth replacements or dental implants your best options for replacing missing teeth?

Together, you and Dr. Posey will arrive at a treatment plan suited to your appearance, age, gender, goals, budget, and what's realistically possible. And remember, Dr. Posey uses a holistic approach to all his dental treatments. So, you know he works with you to achieve a smile that is healthy, functional, attractive, and perfect for you and no one else.

What we offer

You may choose from or combine these popular aesthetic services:

  1. Professional teeth whitening to remove years of dental stains without harming your tooth enamel or gum tissue
  2. Composite resin bonding to repair cracks, gaps, poor shape and size, and other flaws with a durable mix of glass and plastic
  3. Dental implant placement, today's finest tooth replacement option
  4. Porcelain crowns, jackets of beautiful ceramic crafted to cover and protect damaged or misshapen teeth
  5. Porcelain veneers, super-thin laminates designed to disguise dental defects and to strengthen weak enamel
  6. White fillings, the lifelike and durable alternatives to metal restorations
  7. Contouring and reshaping, a reshaping of irregular enamel edges and surfaces to improve the shape and size of selected teeth.

Get ready

Your new smile is on its way when you consult with your cosmetic dentist in Fresno, CA, Dr. Curt Posey. To learn more, phone our office at (559) 227-6755.


By Curt P. Posey, DDS, Inc.
November 19, 2020
Category: Oral Health
Tags: dental care  
AMildNSAIDMayBeAllYouNeedToManageDiscomfortAfterDentalWork

Undergoing dental work is for the most part a pain-free affair. But once you're home and the anesthetic begins to wear off, you may have some discomfort.

Fortunately, most post-procedure pain can be managed with non-steroidal anti-inflammatory drugs or NSAIDs. And while stronger versions of these pain relievers can be prescribed, you may only need one sold over-the-counter.

NSAIDs like ibuprofen or acetaminophen work by inhibiting the release of prostaglandins, substances that stimulate inflammation in traumatized or injured tissues. It differs in this way from the two other primary pain medications: Steroids act like natural hormones that alleviate physical stress in the tissues; and narcotics like morphine or codeine suppress the brain's reaction to nerve firings.

While these stronger types are effective for stopping pain, they can have several serious side effects. Narcotics in particular can be addictive. Although they may be necessary in serious cases of acute pain, most dentists turn to non-addictive NSAIDs first, which are usually effective with the kind of discomfort associated with dental work and with fewer side effects.

That's not to say, however, that NSAIDs are risk-free—they must be taken properly or you could suffer serious health consequences. For one, NSAIDs have a blood-thinning effect that's even more pronounced when taken consistently over a period of weeks. This can lead to bleeding that is difficult to stop and erosion of the stomach lining leading to ulcers. Prolonged use can also damage the kidneys.

As a rule of thumb, adults shouldn't take more than 2400 milligrams of ibuprofen or other NSAIDs in a day, unless otherwise directed by their doctor. For most, a 400-milligram oral dose taken with food (to minimize stomach upset) is usually sufficient to relieve pain for around five hours.

You'll usually avoid unwanted health effects by keeping within your dentist's recommended doses and taking an NSAID for only a few days. Taking an NSAID properly can help keep your discomfort to a minimum after dental work without the need for stronger drugs.

If you would like more information on managing dental pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treating Pain With Ibuprofen.”


By Curt P. Posey, DDS, Inc.
November 09, 2020
Category: Dental Procedures
Tags: partial denture  
ARPDCouldBeYourAnswertoReplacingMissingTeeth

Before implants, people often turned to a removable appliance to replace multiple missing teeth. Known as a removable partial denture (RPD), this appliance could restore both appearance and function at an affordable price.

But although implants may have diminished their use, RPDs haven't gone extinct. They're still a viable option for patients who can't afford implants or fixed bridgework, or who can't obtain implants due to the state of their dental health.

Although replacing only a few teeth rather than an entire arch, RPDs are similar in basic concept to full dentures. The prosthetic (artificial) teeth are anchored in a resin or plastic that's colored to resemble the gums, precisely placed to fit into the missing gaps. This assembly is further supported by a frame made of vitallium, a lightweight but strong metal alloy. The appliance fits upon the arch with the missing teeth, supported by vitallium clasps that grip adjacent natural teeth.

Each RPD must be custom designed for each patient to fit perfectly without excessive movement during chewing. Too much movement could warp the fit, reduce the RPD's durability or damage other teeth. To achieve this secure fit, dentists must take into account the number and location of missing teeth to be replaced, and then apply a specific construction pattern to balance the appliance.

There are RPDs that are meant to be used short-term, as with a teenager whose jaw isn't yet mature for dental implants. But the metal-framed RPDs we've described are designed for long-term use. There is, however, one primary downside: RPDs have a propensity to collect dental plaque, a thin biofilm most responsible for dental disease that could further deteriorate your dental health.

To avoid this, you'll need to keep both the RPD and the rest of your teeth and gums as clean as possible with daily brushing and flossing, and appliance care. And like dentures, it's best to remove the RPD when you go to bed at night to discourage the growth of harmful bacteria.

To see if an RPD to replace your missing teeth is an option for you, visit us for a complete dental exam. From there, we can advise you further as to whether an RPD could affordably restore your missing teeth and your smile.

If you would like more information on RPDs, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Removable Partial Dentures.”




Fresno, CA Dentist
Curt P. Posey, DDS, INC.
7078 N. Maple Ave. Ste #105
Fresno, CA 93720
(559) 227-6755
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