1836 Broadway Street, Paducah, KY 42001



Posts for: March, 2015

My Dentures Don't Fit Anymore

dentures don't fit

If have lost your teeth and now wear dentures, you understand that dentures don't really replace your teeth.  They are just a substitute for not having any teeth.  Even if your initial set or sets of detures fit well and you were able to use them, as time goes on you will have less and less support for your denture.  In fact, if you have had your denture for five years, it mostly likely does not fit like it did when you got it.  You attempt to compensate for this by using more and more dental adhesive.  Eventually even that doesn't help.

There is a simple explanation for this.  When you have your natural teeth a special type of bone in your jaw helps hold and support those teeth.  That is also the bone used by your denture for support and suction.  When you don't have your teeth anymore, your body realizes that the bone is not needed and it begins to slowly dissolve.  Over the years as that bone is lost, the support for your denture is also lost. So your denture has less and less support and fits more and more poorly.  Eventually there will be little to nothing to support your denture.

What can a person do?  Your best option when you lose your teeth is to put something back into the bone so it doesn't dissolve away.  The dentures don't fiteasy placement of a dental implant will preserve your natural bone so that you do not lose your support.  It will also keep your face looking more youthful.  The implant can also be used to support your denture keeping it stable and stopping the movement and floating so many people have problems with.  My  favorite proceedure is doing a Snap-In-Denture.  This is where 4 implants are put in and your denture is adjusted so that it snaps onto the implants.  This keeps the denture stable with no floating.  It could be the answer to all your problems.

If you would like to learn more about a Snap-In Denture, click here.  To make an appointment call 270-442-0256 or click here.  Visit our Google+ and YouTube pages.  #paducahkydentist.

Yes, Wine Tasters Are At Risk Of Tooth Decay!

wine harms your teeth

Calm down and take a breath.  I am not telling you to stop drinking your favorite adult beverage.  But I do want to tell you what a new study has found.  Researchers from the University of Adelaide, an Austrailian school has found that the acid in wine can cause damage to your teeth.  This is not going to happen to the person who has a glass of wine or two but it will affect those who are professional tasters.

The acid levels in wine are very similar to those found in orange juice.  No, I am not saying stop drinking orange juice but only giving you a reference. It is the acid in the wine that does the damage.

A professiona wine taster doesn't drink wine like you do.  They take a sample and hold it in their mouth to evaluate it.  They might do this dozens of times a day and it is the repeated exposure to the wine acids that cause the damage.  In fact, the study showed that just ten, one-minute wine tasting can change the tooth structure.  It softens the surface enamel making it more likely to get a cavity.  The acid can dissovle the enamel.  It doesn't happen at once but takes a prolonged period of exposure.  With a wine taster they may do this acid exposure day after day for a long time which eventuallys softens the tooth.  For a person who has a glass or two of wine with dinner, there are no worries.

So what does a wine taster do?  Luckily there are specific types of toothpaste that are strong in calcium phosphate and fluoride which remineralizes the tooth.  It essentially rehardens the tooth, reversing the damage done by the wine acids.

So don't worry, go ahead and pop the cork and enjoy your favorite grape.  Unless you hold wine in your mouth all day, you will be ok.

If you would like to learn more about Bohle Family Dentistry, click here.  If you would like to make an appointment, click here or call 270-442-0256.  Visit our Google+ and YouTube pages.  #paducahkydentist

Is Your Tooth Still Painful After A Root Canal?

root canal pain

Recent a patient complained to me that she had seen a root canal specialist for toothache and needed a root canal.  She said that the root canal was performed with no problems but now her tooth was still sore and tender.  Her question was this, how is my tooth still hurting when the nerve has been removed?  She had a level of frustration in her voice that was understandable.

I did my best to explain that yes, the nerve from inside her tooth had been cleaned out and removed but there are nerve ending in the ligament that surrounds her tooth.  When there is inflammation and swelling caused by a sick tooth, this ligament can also be swollen and sick.  It takes some time for that swelling to reduce and the tissue be normal again after the root canal is completed.  That is likely the cause of her pain and after several days it should feel much better.root canal pain

There are other possible causes of pain.  When a root canal is done you want to clean out the tissue all the way  to the end of the tooth but not past it.  It is possible that during the cleaning process and instrument called a file went beyond the end of the root.  This damages the tissue there which will take a bit of time to heal and be sore until it does.  It is also possible that a material called a sealer, which is used to seal off the inside of tooth was pushed out of the end of the tooth.  This can aggravate the tissue there also causing tenderness.

Another cause of pain after a root canal is what I like to call the "Princess and the Pea" syndrome.  That is where after a root canal is done the filling put into the tooth is a little too tall.  This causes you to hit first and heavy on that tooth making a tooth sore that normally would not be.  Even the smallest amount of a high tooth will get sore and stay sore until the highness is reduced.  Like the lady on the matress who could feel the small pea, a person with a high tooth can definately feel it, even if it is only slightly tall.  Adjust that tooth and the soreness will go away.

There is another very  uncommon cause of pain after a root canal.  It is referred to as "phantom pain".  This is where the nerve that leads to the tooth is sensitive and it acts like it is still attached to the tooth nerve even though the nerve has been removed.  The nerve will feel and act like the tooth is still sick even when it is not.  This is very frustrating to the dentist and patient alike when it occurs.  Fortunately this is very rare.

If you  would like to find our more about the services at Bohle Family Dentistry, click here.  If you would like to make an appointment, click here.  Please visit our Google+ and YouTube pages.  #paducahkydentist.

By Dr. Charles Bohle
March 17, 2015
Category: Oral Health

Dental Injections Make You - Comfortably Numb

comfortably numbBack in the days of the old west, when you needed a tooth pulled you went and visited the local blacksmith.  He would take some of his pliers that he used to remove horse shoes and use it on your mouth.  There was no anesthesia so the treatment was as bad as the problem.  Imagine getting an infected tooth pulled with out it being comfortably numb.  No wonder that people died of toothaches!

In today's dentistry, local anesthetics are vital to you having a comfortable experience.  They are a tremondously safe drug and work on virtually everyone.  It is not magic.  It works by blocking the pain stimulas from the nerve to the brain where the anesthesia was administered.  The signals are still sent to the brain by the site that is stimulated but they get blocked so the brain doesn't know that anything is happening.  This is a good thing for the patient and the dentist.  It means that you can get dental work down painlessly!

It is not an uncommon occurance to be told by someone that, "I am allergic to novacaine".  It is usually an older person who had a bad experience as a child with a local anesthetic.  Today's anesthetics are a completely different drug family from the old novacaine that some people had comfortably numbtrouble with.  If fact, you cannot even buy novacain anymore so you don't need wot worry about having a problem now if you had a problem before.  These drugs are tremondously safe.

There are times when someone receives an injection and does not get completely numb.  There are two main reasons for this.  First, the injection did not get enough of the anesthetic close to the nerve.  This can be fixed by giving more anesthetic.  In people who have trouble getting numb on the lower there are other concerns.  If the anatomy of your jaw is only a  little different than expected, you can miss the nerve because it is not where you think it should be.  These are the "hard to numb" people you here about.

A second reason would be if the area is inflammed.  Inflammed tissue doesn't allow the anesthetic to work properly or make it work a shorter time.  I will tell you that I have had patients who I could not get numb and they had no inflammation or anatomic problems.  I stopped the procedure and ask them back another day.  Guess what, at the next appointment there were no numbing problems.  Sometimes that is the way it goes.

So be glad you can get comfortably numb.  As we like to say, numb is our friend.

If you want to find out more about the services offered at Bohle Family Dentistry, click here.  For an appointment call 270-442-0256 or click here.

Visit our Google+ or YouTube page.        #paducahkydentist


By Bohle Family Dentistry
March 16, 2015
Category: Oral Health

Plenty of parents use little tricks to persuade young ones to eat their vegetables, wash their hands, or get to bed on time. But when actress Jennie Garth wanted to help her kids develop healthy dental habits, she took it a step further, as she explained in a recent interview on Fox News.

“Oh my gosh, there's a froggy in your teeth!” the star of the '90s hit series Beverly Hills 90210 would tell her kids. “I've got to get him out!”

When her children — daughters Luca, Lola, and Fiona — spit out the toothpaste, Garth would surreptitiously slip a small toy frog into the sink and pretend it had come from one of their mouths. This amused the kids so much that they became engaged in the game, and let her brush their teeth for as long as necessary.

Garth's certainly got the right idea. Teaching children to develop good oral hygiene habits as early as possible helps set them up for a lifetime of superior dental health. Parents should establish a brushing routine with their kids starting around age 2, when the mouth is becoming filled with teeth. A soft, child's size toothbrush with a pea-sized dab of fluoride toothpaste and plenty of parental help is good for toddlers. By around age 6, when they've developed more manual dexterity, the kids can start taking over the job themselves.

Here's another tip: It's easy to find out how good a cleaning job your kids are doing on their own teeth. Over-the counter products are available that use a system of color coding to identify the presence of bacterial plaque. With these, you can periodically check whether children are brushing effectively. Another way of checking is less precise, but it works anywhere: Just teach them to run their tongue over their teeth. If the teeth fell nice and smooth, they're probably clean, too. If not... it's time to pull out the frog.

And don't forget about the importance of regular dental checkups — both for your kids and yourself. “Like anything, I think our kids mirror what we do,” says Garth. We couldn't agree more.

If you need more information about helping kids develop good oral hygiene — or if it's time for a checkup — don't hesitate to contact us and schedule an appointment. You can learn more in the Dear Doctor magazine article “How to Help Your Child Develop the Best Habits for Oral Health.”