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Silver nanoparticles dental materials

silver nanoparticles dental materials

Silver nanoparticles Dental materials – What’s new? Silver nanoparticles are starting to be used in dental materials of all sorts.  Well experimentally, anyway.  There has been a bit of an uptick in research being put out and most of it looks very promising.  Silver particles are already being used as antimicrobial agents for wound dressing, […]

CBCT vertical root fracture

CBCT vertical root fracture

Using a CBCT to find a vertical root fracture A tooth with a vertical fracture will often cause diffuse pain around the tooth that is difficult or impossible for the patient or doctor to accurately identify.  It can make several teeth in the area sore and although the patient can point to a general area, […]

Endodontic microsurgery versus dental implant

endodontic microsurgery

Endodontic microsurgery : When to give up on a tooth and do the dental implant Dental implant is a superior option to endodontic microsurgery with respect to survival.  Literature does not allow comparison of other relevant outcomes such as psycho-social, economic, and need for additional interventions.  Systemic Review Torabinejad Jan 2015 JOE   Endodontic microsurgery […]

IAN microsurgery after injury

microsurgery of trigeminal nerve

IAN microsurgery – Repair of the Trigeminal Nerve About 50-60% of patients can expect some perceived improvement in symptoms following an IAN microsurgery. Moderate to severe nerve damage are unlikely to have complete sensory recovery.  Nice IAN microsurgery article. Exactly when to refer is debatable. 8 months to a year is when it is considered […]

COMT (Catechol-O-methyl transferase) role in TMD – Wheaton dentist


New research has shown one of the genes that increases the likelihood of development of chronic pain.  COMT (Catechol-O-methyl transferase) enzyme degrades catecholamines such as dopamine, epinephrine, and norepinephrine in our brain and there are multiple variants of this enzyme.  COMT is associated with pain responsiveness and contains some combination of amino acids valine and […]

Nickel allergy or nickel sensitivity in dentistry and orthodontics – Wheaton orthodontist

wheaton orthodontics

Collection of studies and information about nickel allergy or nickel sensitivity in the dental field Orthodontics Nickel titanium wires are often used for orthodontics. Nickel ion release is higher when a cell phone is used a lot.  The saliva concentration of nickel in patients with nickel titanium wires or other orthodontic appliances containing nickel is […]

Placebo effect and why it works for some

wheaton dentist

Chemical reason some are more prone to placebo Scientists don’t know all the details but we do know that placebo treatments work for some issues (especially those that involve brain chemicals like dopamine and endorphins).  Examples of health problems that are altered by those chemicals include chronic pain (in my field that means TMD) and […]

Saliva testing in dentistry


Saliva testing is being used more and more as a predictor of medical issues.  A small sample of the patient’s saliva is run through a liquid chromatography-mass spectrometry to check for miniscule concentrations of molecules.  In this blog I am tracking interesting findings that I come across. Alzheimer’s disease Checking for certain metabolites is an […]

Xylitol….Is it effective at reducing dental decay?

Bauer family looking up

Yes but not all decay We have been recommending xylitol products for about 3 years now for our high risk patients (those getting a lot of cavities especially those taking medications that dry out their mouth).  I believe it may be helping some individuals, but am constantly monitoring the research to refine my recommendations.  Research […]

Amalgam vs Composite


Should you get a metal amalgam filling or a plastic composite filling? Amalgam vs Composite!! Researching amalgam vs composite?  Read all about the two dental fillings here.  Amalgam is, as name implies, an amalgamation or mixture of different metals.  A composite is a plastic based material that we bond to the tooth.  If you want […]