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By Bohle Family Dentistry
January 29, 2019
Category: Uncategorized
Tags: pulp capping  
Less-InvasivePulpCappingCouldSaveYourTooth

There’s one sure thing about tooth decay: you can’t ignore it. In fact, the best outcomes result from finding it early and treating it before it enters the pulp in the center of the tooth, often a filling or similar treatment.

If it does advance to the pulp, you may need a root canal treatment to save the tooth. This is a moderately invasive procedure where we access the pulp and root canals, tiny passageways leading to the root and supporting bone. We then remove all the diseased tissue and fill the empty pulp chamber and root canals with a special filling. Later we’ll crown the tooth for added protection against future infection or fracture of the tooth.

But there’s also another less-invasive method than a root canal called pulp capping. It’s only appropriate to use, however, if the pulp has become exposed or almost exposed by decay, but hasn’t yet shown signs of disease.

Pulp capping can be either direct or indirect. We use direct pulp capping if the healthy pulp has been exposed by the disease process. We first isolate the tooth from the rest of the mouth to prevent contamination and then proceed to remove all of the tooth’s decayed dentin structure. We then apply a biocompatible material directly over the pulp to protect it from further decay and to facilitate healing. We then restore the tooth, usually with a filling, to its proper function and life-like appearance.

When the pulp is threatened by decay but not yet exposed, we may then use the indirect method. In this approach we first remove most of the decayed dentin, but leave a small amount next to the pulp to keep it covered. We then treat this remaining dentin with a material to help it heal and re-mineralize, followed by a temporary filling of the tooth. A few months later we’ll remove this filling and inspect the treated dentin. If it has regenerated sufficiently, we remove any remaining decay and permanently restore the tooth.

As we said, pulp capping is only used with patients with deep decay whose pulp tissue is healthy. But when we can use it we can avoid some of the permanent alterations that often come with a root canal treatment and still save the tooth.

If you would like more information on treatments for tooth decay, 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 “Pulp Capping: A Procedure that May Save a Decayed Tooth.”

By Bohle Family Dentistry
June 01, 2017
Category: Uncategorized
FacialNervePaincanbeManagedwithEffectiveTreatment

Life would be harrowing if we had no ability to feel pain. Although experiencing it is unpleasant, pain's purpose is to alert us to something wrong in our body. Without pain diseases and other problems could worsen to the point of life-threatening.

But pain without a purpose — the nerves simply misfiring — can make life miserable. This can happen with the trigeminal nerves that exit the brain stem and end on each side of the face. Each nerve has three branches that serve the upper, middle and lower parts of the face and jaw.

When they don't work properly, trigeminal nerves can give rise to a disorder known as trigeminal neuralgia. Beginning often as an occasional twinge, they may escalate to several seconds of mild to excruciating pain occurring over weeks, months or even years. An episode may erupt from chewing, speaking or even lightly touching of the face.

We see this condition most often in people over fifty, particularly women. We don't know the exact cause, but there's strong suspicion that the nerve's protective sheath has been damaged, similar to what occurs with multiple sclerosis or other inflammatory conditions. Another possibility is a blood vessel putting pressure on the nerve and disrupting its normal operation. Such an impinged nerve might transmit pain signals at the slightest stimulation and then fail to “switch off” when the stimulation stops.

Although we can't cure trigeminal neuralgia, we can help you manage it and reduce discomfort during episodes. We'll first try conservative, less-invasive techniques, like signal-blocking medications or drugs that reduce abnormal firing.

If these aren't effective, we may then recommend a surgical solution. One such procedure is known as percutaneous treatment in which we insert a thin needle to selectively damage nerve fibers to prevent their firing. If we've determined an artery or vein has compressed the nerve, we might surgically relocate the vessel. These techniques can be quite effective but they do have possible side effects like numbness or hearing loss.

If you've experienced facial pain, don't continue to suffer. Visit us for a complete examination and learn about your options for pain relief. More than likely, there's a way to reduce your pain and improve your quality of life.

If you would like more information on facial 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 “Trigeminal Neuralgia.”

By Dr. Charles Bohle
October 29, 2014
Category: Uncategorized

Looking For An Affordable Paducah Dentist?


Did you know that 1 in 3 Americans can’t find an affordable dentist?  That statitic includes people looking for an affordable dentist in the Paducah KY area.   According to PBS Frontline and Center for Public Integrity, 100 million Americans don’t go to the dentist for checkups and cleanings because of the cost.  In 2008, nearly 5 million children did not get regular checkups simply because their families could not afford the dentists in their area.


Here at Bohle Family Dentistry, in Paducah KY we strive to keep our patients’ teeth healthy as well as being an affordable dentist. We offer aaffordable dentistcouple of different payment options: CareCredit, Personal Finance, etc. With CareCredit, patients fill out the application here in the office or at home and get approved instantly! Personal Finance is a local company here in Lone Oak, KY. We have the patient fill out the application, then fax it over to them, and they will give us a response within an hour. We are also offering the Smile Protection Membership Plan for our patients who do not have insurance.  With the membership, patients will get 2 cleanings, unlimited x-rays and exams, as well as 20% off any procedure that needs to be done. These affordable memberships are yearly, so every year patients can keep signing up!


There is one story that I hold very dearly to my heart. This patient’s name was Lily. She was the sweetest kindest person anyone could ever meet.affordable paducah ky dentist She came up to the front to go over her treatment plan with me, when she started to get upset. It wasn’t the treatment, but the cost. Lily didn’t have insurance and she didn’t have a huge amount of income coming in.  Kelsey went over our affordable membership plan with her, as well as signing her up for CareCredit. She took the plan, and got approved for CareCredit! She was so happy that she had found an affordable dentist. Lily was so glad she took advantage of our services that we offer, and was able to afford it!

If you are interested in affordable paducah KY dentistry call today 270-442-0256 or click.

Visit our YouTube or Google+ Page.

#PaducahKYDentist

By Dr. Charles Bohle
August 12, 2014
Category: Uncategorized

 

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