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What are dental crowns?

June 21st, 2017

A dental crown is often called a “cap.” A dental crown covers all of the visible parts of the tooth and has many functions and reasons for placement.

There are several different types of crowns available at Hayes Family Dentistry. They vary in their material, appearance, and functionality. A PFM, or porcelain fused to high-noble metal, is the most common. A full cast, high noble metal crown is a gold crown, and a stainless-steel crown is meant to be temporary. The most natural-looking crown is one that is all porcelain. These are often used for front teeth.

Getting a crown typically requires two appointments. The first is a preparation with impressions, shaping, and placing a temporary. The impressions are either sent to a dental lab, where the process generally takes two weeks, or done in-office with a machine that can make a crown without needing a second appointment. These crowns are made from a high-quality solid block of porcelain. The shape of the tooth is constructed from a digital 3D image of your tooth.

To accurately determine which type of crown is best, you must first know why you need the crown and in what area of your mouth is it needed, which can be answered when you visit us at Hayes Family Dentistry. For instance, if you have a gold crown on the lower right and need a new crown directly above on the upper right, the best durability and long-lasting relationship is another gold crown.

If you need a crown on a front tooth, a gold crown may not be the best choice. A PFM has strength but is not ideal, as a dark line will appear at the gum line. A full porcelain crown is going to look as close to a natural tooth as possible, but will have less strength than a gold crown.

There are two types of porcelain crowns, depending on how they are made. A dental lab makes a full porcelain crown by baking layer upon layer to make the porcelain look like natural enamel. A full porcelain crown made in-office out of a solid piece of porcelain will have increased strength. However, the natural layered appearance is extremely difficult to achieve.

A crown is placed on a tooth when added strength is needed. Cracks, large broken-down fillings, or previous root canal treatment are all conditions where a crown is the standard care. The type of crown that is most appropriate depends greatly on location.

Dangers of Alcohol and Oral Health

June 14th, 2017

We often have patients who ask, “Can drinking alcohol affect my oral health?” There are, in fact, a few reasons why that martini may not be good for your pearly whites.

In addition to creating an overly acidic environment in your mouth, alcohol severely dehydrates oral tissues because of its desiccant and diuretic properties. Because alcohol saps oral tissues of their moisture so readily, saliva glands can't keep enough saliva in the mouth to prevent dry mouth. In addition, saliva contains antibacterial properties that inhibits growth of anaerobic bacteria, a destructive type of oral bacterial responsible for tooth decay, gingivitis, chronic bad breath, and periodontitis.

What are anaerobic bacteria?

When there is a lack of saliva flow in the mouth and the mouth cannot naturally cleanse itself of oral debris (food particles, dead skin cell, mucous), conditions develop that promote activity of anaerobic bacteria, or bacteria that thrive in dry, airless places. These anaerobes also flourish when an unending supply of proteins (food debris) are available to consume, creating rapidly multiplying layers of plaque that stick to teeth and demineralizes tooth enamel unless removed by brushing and professional dental cleanings.

Oral Cancer and Alcohol

Acetaldehyde is a chemical compound leftover after the liver has metabolized alcohol. Capable of causing genetic mutations, acetaldehyde is also a known carcinogen that contributes to the ill feelings of hangovers. Although most metabolism of alcohol is done in the liver, evidence shows that metabolism also occurs outside the liver and that enzymes in the mouth could encourage accumulation of acetaldehyde in oral tissues.

When combined with poor oral health, smoking, and other detrimental lifestyle factors, alcohol may be considered a primary contributory factor in the development of oral cancer.

Even if you don't drink or drink only occasionally, remaining aware of symptoms that may indicate oral cancer will improve your chances of recovering successfully when you start treatment in the early stages of oral cancer. Signs include red or while speckled patches in the mouth, unexplained bleeding, lumps/swellings, chronic ear or throat pain, and areas of numbness in the mouth or on the face.

If you have any questions about alcohol and its connection to oral health, don’t hesitate to ask Dr. Kevin Hayes and Dr. Sandy Hayes at your next visit to our Cookeville office.

June is National Smile Month: Show off your smile!

June 7th, 2017

The community health awareness group Oral Health America has reported that 82 percent of adults are unaware of the role that infectious bacteria can play in tooth decay or cavities, and almost three out of five children aged 12 to 19 have tooth decay. Since June is National Smile Month, Dr. Kevin Hayes and Dr. Sandy Hayes and our team at Hayes Family Dentistry thought we’d remind our patients about the importance of good oral hygiene visits between office visits.

To keep your family’s smiles healthy and beautiful for years to come, be sure to:

  • Brush at least twice a day with fluoride toothpaste
  • Floss every day to clean between your teeth
  • Eat a healthy, well-balanced diet
  • Reduce your intake of sugary foods and drinks
  • Visit Dr. Kevin Hayes and Dr. Sandy Hayes for scheduled appointments

If you want to know more about healthy home care habits, feel free to ask our team at your next appointment, or ask us on Facebook!

Why should I have my child’s wisdom teeth removed?

May 31st, 2017

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

  • Completely erupted and non-impacted
  • Completely functional
  • Painless
  • Free of decay
  • Disease-free
  • Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Dr. Kevin Hayes and Dr. Sandy Hayes; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Dr. Kevin Hayes and Dr. Sandy Hayes and our team at Hayes Family Dentistry may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Dr. Kevin Hayes and Dr. Sandy Hayes, please give us a call at our convenient Cookeville office!

patient testimonials

"I had multiple bad experiences as a child with the dentist. As a result, I have feared going to the dentist office for years. Dr. Kevin and Sandy are so gentle and caring that I still bring my children to them and we live almost two hours away!" ~ Tasha W.

patient testimonials

"Since age 7, I have been extremely fearful of going to the dentist. It was this age that I was told by a previous dentist that I would eventually have to have a root canal and my front tooth capped due to a bicycling accident. This gave me a scary image and sounded painful. When Dr. Sandy told me a root canal was needed, although it was 18 years later, it still sounded scary and painful. Then I was told about sedation. The entire day of the appointment I don’t recall much. When I woke up, the "scary" part was already over and I felt refreshed with zero pain or discomfort. I was completely satisfied with my smile and the results! As for the staff, each person I was in contact with was excellent in accommodating each need that I had and made me feel like I was a part of their family. I would 100% recommend Hayes Family Dentistry and sedation to anyone. The entire experience was, in one word, amazing!" ~ Kellie A.

patient testimonials

"No pain was felt. New found respect for dentistry. Recovery was a lot easier. Would not see any other dentist. Would recommend Hayes Family Dentistry to anyone and everyone. Very, very pleased with my experience and even brought my wife here. All I can say is WOW!" ~ Jason R.

patient testimonials

"I have been extremely afraid to go to the dentist. I had a bad experience about three years ago where my jaw got locked open during a procedure. For about an hour they had to do warm moist compresses and massage my temporal joint to get my jaw unlocked. I was extremely sore for about three and a half weeks. This created a fear of going back to the dentist. My experience with sedation: when I came in that morning I was not anxious about the appointment because I took a pill that morning that helped calm me. I was greeted, they got me comfortable, and I watched a pleasant video about ocean life. I don’t remember anything about that appointment. My next memory was of waking up refreshed and ready to go the next day. I didn’t have any soreness and didn’t have to worry about what I ate because of my joints being sore. It was the most pleasant experience I have ever had at a dental office. I will definitely have sedation again for any kind of future treatment." ~ Sara H.

patient testimonials

"Are you afraid to smile because you’re ashamed of your smile? Hayes Family Dentistry can help. Are you saying, “But I’m more afraid of going to a dentist than people seeing my smile?” Hayes Family Dentistry can really help; they helped me. Being afraid of the dentist is nothing to be ashamed of—it’s called dental phobia and you’re not alone. A lot of people suffer from it. But now thanks to sedation dentistry, you don’t have to suffer anymore." ~ Tony "Gator" Harrison
(Formerly with Country Giant)

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We love to give back to the community

We love to give back to the community in which we live and work. We provide educational presentations to local preschools, organizational groups like the boy scouts and church programs. Especially rewarding is our involvement with “Teen Challenge” and “Smiles from the Heart.” We are passionate about helping people who may be less fortunate or find themselves in difficult situations.

Hayes Family Dentistry, PC