February 1, 2017
What is Disclosing Solution or Caries Detecting Dye?
This blog describes the use of disclosing solution which is the same as caries detecting dye and shows photos of caries detecting dye used during tooth preparation.
Cavity between teeth shows up on an x-ray as a dark shadow.
The decay is removed and the tooth looks pretty good. Time to test with disclosing solution!
If your dentist is using disclosing solution or caries detecting dye that means they care about you and they care about your teeth! Caries detecting dye or solution is like disclosing solution. Both are composed of a liquid die that will stain bacteria and bacterial byproducts.
Disclosing solution or caries detecting dye is used by dentists and dental hygienists for the following reasons:
- To show you where bacteria are sticking to your teeth
- To improve your brushing techniques
- To evaluate if there is decay on your teeth
- To be conservative in tooth preparation by removing all the decay and leaving healthy tooth structure
You can see why these things would be good for you! The photos included here illustrate the treatment of a cavity that occurred in the ‘flossing zone’ between two teeth. The dentist has removed the obvious decay and shaped the tooth so that a tooth-colored restoration can be placed. Dark, stained areas of decay have been removed. The tooth looks ready to restore but it isn’t. Now is the time to paint on the caries detecting dye!
Disclosing solution or caries detecting dye is painted over the prepared cavity.
Disclosing solution or caries detecting dye is painted over the prepared cavity and then rinsed away. Remaining dye shows remaining decay!
The dye comes in several colors. Red is the most common. The dye is painted onto the cavity preparation and allowed to remain a couple seconds. The excess dye is rinsed away and any stain that remains indicates the presence of bacteria or bacterial byproducts. This is carefully removed by your dentist. Since tooth-colored fillings or restorations bond to your tooth there is no longer a need to cut in undercuts to help hold fillings in. Your dentist will want to be conservative in tooth preparation by removing all the decay and leaving healthy tooth structure.
The tooth is restored to ideal contours knowing that all decay has been carefully removed.
In our office, we may paint on the dye several times. Each time removing just the areas where decay remains and saving as much tooth as possible. This is just one of the many ways we would like our teeth to be treated and so that is the way we treat our patient’s teeth! Please call our office if you have any questions or concerns. We would love to see you!
Yours for better dental health,
Julie Gillis DDS, PC
Restoring Teeth/Restoring Smiles
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December 3, 2016
POH dental floss. Note how the floss separates into a lot of very fine threads. If a tooth filling flosses well with this type of floss, it will floss well with any floss!
So, you just had a tooth filling?
- Can you tell if it was done well?
- Can you tell if your dentist is concerned about the quality of his or her treatment?
- What should you expect to feel?
Was your tooth filling done well? This can be a very difficult question to answer! This article discusses some of the things patients should be aware of to evaluate if their filling was done as well as possible.
At this point, you are probably seeing the photos of floss and wondering, “What in the world does shredded floss have to do with the quality of a filling or tooth colored restoration.?” I am so happy you asked!
What should your dentist do to check for a high quality tooth filling?
In our office, tooth fillings are always tooth colored. We haven’t done a silver/mercury or amalgam filling since 1995! I realized that If I didn’t want silver fillings in my own mouth, why would I do it on others? Other blogs address the benefits of tooth colored fillings over silver fillings, so I won’t go into that here. Here are some of the things we do to make sure our fillings are done as well as possible:
- We make sure you are comfortable throughout the procedure. This helps us achieve better quality tooth fillings. When our patients are calm, we can focus on you and your filling!
- We use the highest quality filling materials and techniques to achieve the best result.
- We assure that the area is clean and dry before the filling is placed.
- We use special cleaning agents and medications to decrease tooth sensitivity and for a better, stronger bond to your tooth.
- We carefully shape your filling to restore the healthy tooth contours that should be present.
- We adjust your bite so that you tooth will be comfortable and strong when you chew.
- We polish the filling so that it will feel smooth to your tongue, and
- We always check tooth fillings with two types of dental floss.
Note the wonderful shredding of POH floss. If your tooth filling is not smooth we will know it!
Finally! The floss comes into play. The two flosses I like to use to test fillings are Glide and POH.
Glide floss is strong and a great way to tell if there is a solid contact present. Because it shreds so easily, POH floss is a wonderful way to see if the edges of the filling are smooth. If there is roughness present, we polish until the POH slides through without catching or ‘snagging’. We appreciate the opportunity to serve you and we strive to do the highest quality dentistry possible. This is the type of dental treatment we would want completed on our own teeth! Please call our office if you have any questions or concerns (970) 242-3635.
Julie Gillis DDS
Restoring smiles/Restoring Health
May 18, 2016
Ever Wondered What is Under Your Tooth Filling?
Ever had a tooth filling replaced?
Tooth filling present in both molars. Notice the gray halo around the larger silver filling – that is tooth decay!
Many people have wondered what is under their fillings and usually don’t have the opportunity to see what their dentist is removing. If this is true for you, this blog will show you what we found below two very small silver restorations. We knew that there would be decay below the silver/mercury tooth filling on the first molar (note the dark halo surrounding the filling on the photo) but our patient wanted us to remove the silver/mercury filling that is present on the back tooth as well.
See the photos below to see what we found below these tooth fillings.
Our office would like your teeth to be as healthy as possible and certainly as healthy as you would like them to be! Oftentimes decay can be caught early enough that the treatment is much less expensive and much less invasive. Patients will often ask us to remove their old silver/mercury fillings because they want the look of white teeth. We find decay often (maybe 50% of the time) when we do this which indicates the limit of x-rays in determining decay.
Your dentist and dental hygienist should look and feel carefully around every restoration in your mouth as this is the area where tooth decay often starts! Finding problems early is another advantage of seeing your dentist regularly for examinations and cleanings! Please call our Western Colorado office at (970) 242-3635 if you have questions about tooth decay or any other dental topic.
Yours for better dental health, Julie Gillis DDS
Restoring Teeth/Restoring Smiles
Dark stained, decayed tooth present below the existing silver/mercury tooth filling. You can also see the dark area of tooth decay below the tooth filling that was on the back molar.
Existing small silver/mercury tooth filling. You can also see an area of stain behind the existing tooth filling.
December 2, 2015
Tooth Decay That Extends Below the Gums and How to Treat It!
When you have a cavity or tooth decay that extends below the gums (subgingival) it may be difficult to treat. Most dental restorative materials require a dentist to keep the area dry during the restoration. This can be difficult when decay is below the gums! (more…)