1836 Broadway Street, Paducah, KY 42001



Posts for: August, 2013

By Dr. Charles Bohle
August 21, 2013
Category: Dental Procedures

On his way to the top of the urban contemporary charts, the musician, actor and entrepreneur known as 50 Cent (born Curtis James Jackson III) earned his street credibility the hard way; his rise from youthful poverty to present-day stardom is chronicled in many of his rhymes. So when it came time for the rapper to have cosmetic work performed on his teeth, he insisted on doing it in his own way.

“I told [the dentist] to leave [my front teeth] a little bigger than the other ones, because I need to still see me when I look in the mirror,” he told his co-host on the New York radio station Power 105.1. “Don't give me no whole ’noter guy — I like me!”

We understand how 50 Cent feels — in fact, we think it's a perfectly reasonable request.

Cosmetic dentistry has come a long way in recent years, as we strive to meet the increasing expectations of our patients. We realize that different people have different perceptions of what makes a smile attractive — and that in dental aesthetics, beauty really is in the eye of the beholder. That's why, before we begin cosmetic work, we want to hear what you like and don't like about your smile as it is now. In addition, we can also perform what is called a “smile analysis.”

This procedure doesn't cause any discomfort — but it's a crucial part of cosmetic enhancement. In doing the analysis, we look at the various parts of an individual's smile: the spacing, size and alignment of the teeth; the health and position of the gum line; the relationship of the upper and lower jaws; and the relative shape and size of the face. All of these features combine to make a person's smile unique. By looking at them closely, we can help determine the best way for you to improve your smile.

But how can you tell if the cosmetic changes you're contemplating will end up being just right for you? Fortunately, with today's technology, it's easier than ever. Computer imaging offers a chance to visualize the final outcome before we start working on your teeth; it's even possible to offer previews of different treatment options. If you want to go a bit further, we may be able to show you a full-scale model of your new smile.

In some situations, we can even perform a provisional restoration — that is, a trial version of the new smile, made with less permanent materials. If the “temporary” smile looks, feels, and functions just right, then the permanent one will too. If not, it's still possible to make changes that will make it work even better.

Whether you're thinking about having teeth whitening, cosmetic bonding, porcelain veneers, or dental implants to improve your smile, you probably have a picture in your mind of how the end result should look. Will your teeth be perfectly even and “Hollywood white” — or more “natural,” with slight variations in size, spacing and color allowed? Either way, we can help you get the smile you've always wanted.

If you would like more information about smile makeovers and options in cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Cosmetic Dentistry.”

By Dr. Charles Bohle, Bohle Family Dentistry
August 06, 2013
Category: Oral Health
Tags: sensitive teeth  

Nothing ruins a thirst-quenching cold beverage or a dish of your favorite ice cream like a sudden pang of tooth sensitivity. If you're experiencing this problem — and especially if there are other triggers, like biting down — we encourage you to make an appointment. It could be something harmless and temporary, but it's always prudent to check. At the very least, you'll feel better once the underlying problem is identified and treated if necessary.

Here are some common sources of tooth sensitivity:

  • Enamel erosion — typically caused by acidic beverages/food, regurgitation of stomach acids (due to gastroesophageal reflux disease [GERD] or the eating disorder bulimia), or improper brushing
  • Tooth decay — a sugary diet and poor dental hygiene may be contributing factors
  • Tooth fracture or chipping due to tooth grinding (bruxism) or other trauma
  • Gum recession due to age, improper tooth brushing, or gum disease
  • Filling that needs repair or replacement
  • Residual effects of recent dental work

Some things you can try at home to minimize sensitivity include:

  • Ease up on the toothbrush; a light touch is all that's needed to dislodge daily plaque build-up
  • Try using fluoride-containing toothpaste like an ointment over the affected area (fluoride decreases fluid exchange from the oral environment to the nerve inside the tooth)
  • Take a non-steroidal anti-inflammatory such as ibuprofen (use judiciously and according to the package insert guidelines)

Discomfort related to recent dental work should resolve on its own; give it several weeks. If you're feeling discomfort for another reason, even if the sensitivity subsides, the underlying cause may still require attention.

If you would like more information about tooth sensitivity, 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 “Sensitive Teeth.”

By Dr. Charles Bohle, Bohle Family Dentistry
August 06, 2013
Tags: Skin Cancer   Melanoma   Squamous Cell  

Skin Cancer and Dentistry: Everything You Need to Know    By: Lauren Hapeman

Out of several types of skin cancer, two can be detected clinically by an oral health professional: squamous cell carcinoma and malignant melanoma. Both types originate from separate layers of the skin, and they also differ in appearance, the way that they spread, the types of treatment that are given, and their survival rates. It is important to receive a brief intra-oral exam from your oral health professional at every appointment to ensure that the tissues are healthy and that no types of skin cancer are present on the lips, tongue, cheeks, or gums. Due to their ability to detect cancerous lesions early, oral cancer screenings save lives literally every day.

Malignant Melanoma

Skin cancers can fall into two categories (depending on whether or not they are deadly): melanoma and non-melanoma. Malignant melanoma is a dangerous type of skin cancer that, if not detected and treated immediately, can spread to other sites in the body. It is responsible for 85% of all skin cancer deaths. Unlike other types of skin cancer, malignant melanoma spreads in a vertical direction, making excision less discrete. As malignant melanoma spreads, prolonged radiation therapy becomes a necessity. In the mouth, ulcers that are malignant melanoma are red, blue, or purple. They are also raised and can bleed easily. The main cause of malignant melanoma is excessive tanning or exposure to the sun. As melanocytes, the cells that produce the melanin pigmentation, receive excessive UV exposure, they can become irregular and metastasize, resulting in cancer. Exposure to UV rays is a consequence of simply being outdoors, but wearing a sunscreen with an SPF of 30 or higher can prevent malignant melanoma.

Squamous Cell Carcinoma

A less serious, but nevertheless caustic condition is squamous cell carcinoma, which originates in the stratum germinatum, or bottom layer of the skin. Unlike malignant melanoma, the prognosis for squamous cell carcinoma is fairly good. Of course, there is a better outlook for lesions that are diagnosed early, as they typically have not spread. Squamous cell carcinoma is caused by exposure to UV radiation through natural sources, like sunlight, or artificial sources, such as tanning beds. This particular type of skin cancer can also be caused by extreme exposure to heat, which is a consequence of smoking pipes and other tobacco products. When used together, alcohol and tobacco products present a greater risk for skin cancer than simply using one or the other by itself. Squamous cell carcinoma can be detected as a dark red, pink, or purple raised lesion that feels scaly in texture. It can be found on most skin surfaces (the ears, neck, nose, and lips) or in the oral cavity. Following a positive diagnosis, treatment includes cryotherapy (freezing of the lesion), surgical excision, and skin creams. If the squamous cell carcinoma spreads to other areas of the body, radiation treatment may be necessary, but is not common.

In general, skin cancers can be treated with a high success rate. Oral health professionals play an invaluable role in detecting, assessing, and referring patients to have suspicious lesions checked by dermatologists. Early detection of lesions can often mean the difference between successful and unsuccessful treatment.