Nov 19, 2021
Need a fun conversation topic for your Thanksgiving gathering? How about teeth? Our teeth are fascinating! More than mere pearly chompers that chew your food and give you a beautiful smile, they can also convey a lot of information about us. Just ask Dr. Brunacini, your dentist and favorite amateur dental anthropologist! This month we close our interview series with Dr. Brunacini on Dental Anthropology. Join us for Part 3: If These Teeth Could Talk.
Why are teeth such a useful tool in studying our past?
Dr. Brunacini: Teeth can give us a snapshot in time about someone’s life, such as their age as well as their diet. They are exposed to our diet in ways that other body parts are not, so they often can convey useful information about a person and their environment. Also, teeth are unique in that they are slow to decompose. Your tooth enamel is the hardest substance in your body, stronger than your bones!
What can an anthropologist learn from our teeth?
Dr. Brunacini: Anthropologists can learn a lot from our teeth. Teeth can help determine how old a person was at death, what kind of health they were in, and what kind of diet they had. Teeth can even provide information about the human’s cultural rituals, such as cultures where dental modifications played an important role.
What is something fascinating you’ve learned from the study of teeth?
Dr. Brunacini: For me, the most interesting thing is how our jaws have become smaller over time, possibly due to diet changes, which has contributed to some common chronic diseases. Of course, with smaller jaws there is less room in our mouth for our teeth, which has made wisdom tooth extractions commonplace. Also, sleep apnea and acid reflux are very common diagnoses now that have some connection to jaw development from a young age.
As a dentist, is there an example of information that a patient’s teeth tells you that perhaps they themselves do not?
Dr. Brunacini: In modern days, the teeth we examine and evaluate daily gives us insight into a patient’s overall health. We commonly discuss issues such as bruxism (tooth grinding) with our patients, but we can also see signs of acid reflux and even sleep apnea that can affect the entire body. A patient may not be aware that their teeth can provide us with this sort of information about their health, or that as their dentist we can help them. Our goal is to be a partner for our patients in their oral care, which includes their overall health, and we are always happy to discuss treatment options that can help improve the health of their teeth and their body!
Thank you, Dr. Brunacini!
If you have questions about your teeth or need to schedule your next appointment, please give us a call at 207.781.5900.
Aug 23, 2019
We love helping our patients achieve the smile of their dreams! Many dental issues can be corrected through cosmetic dentistry and the first step for any cosmetic procedure is a simple consultation with Dr. Brunacini or Dr. Karagiorgos. They are here to discuss your dental health goals and help you find the right fit for your needs. A question we often get from patients is if they should replace old metal crowns and bridges with porcelain. There are many advantages to replacing your old crowns, but the reason to replace them isn’t one-size-fits-all. To learn more about porcelain restoration and who could benefit from this procedure, we spoke with Dr. Brunacini.
1. What is porcelain restoration?
Dr. Brunacini: Porcelain is the material that is used to give crowns and veneers the esthetic properties–color, luster, and a tactile sense. Porcelain restoration provides you with the translucency and shine of your natural teeth—you’d never be able to tell there was a need for a crown—and the texture of the polished porcelain is very similar to that of enamel. It is a restoration that needs to be fabricated in a lab, and requires taking an impression to send to the lab. We are now doing crowns that are metal-free. By doing so, we can create highly esthetic AND very strong restorations with minimal risk of chipping or breaking. It is a great option for patients!
2. Why would I need to replace a metal crown or bridge?
Dr. Brunacini: There can be numerous reasons for patients to need to replace their metal crowns. The most obvious one is when a new area of decay develops under an existing crown or bridge. This is one reason we do regular x-rays; they are very important to discover any changes underneath crowns before they become loose or problematic.
Also, for some patients, they find it unsightly to have metal show, so replacing a metal crown with a porcelain crown is a good solution for their needs. For many years, dentists placed crowns with a metal substructure and porcelain overlayed on top of the porcelain. Over time, the porcelain can chip, which may lead to poor esthetics or difficulty cleaning the crown. The only way to fix this situation is to replace it with a new crown.
If you have questions or concerns about your metal crowns, schedule a consultation with me or Dr. Karagiorgos. We are here to help you achieve your dental goals!
3. I’ve heard porcelain crowns can cause more wear and tear on my other teeth. Is this true?
Dr. Brunacini: With newer types of porcelain, there is less concern with wearing down opposing teeth. Of course, it is very important to finely adjust the bite on crowns to be sure they function well with the other teeth. This is why when we fit a porcelain crown, we sculpt and shape the porcelain to fit perfectly with your existing bite.
4. Are there any special care instructions for porcelain crowns and bridges?
Dr. Brunacini: There really isn’t much “special” care needed. For patients who grind their teeth, a night-guard may be indicated to protect the porcelain from chipping. However, most patients can simply stay on top of their regular home care, such as brushing twice daily and flossing daily. This should be sufficient enough to maintain porcelain crowns for many years!
Thank you, Dr. Brunacini!
Whether your reason is cosmetic, physical, or a bit of both, our team of caring dental professionals is here to help you find the right path toward a better smile. If you have more questions about porcelain restoration or would like to schedule a consultation with Dr. Brunacini or Dr. Karagiorgos, call our office at 207.781.5900 today.
Jul 19, 2018
Here at FDA, we offer oral conscious sedation for patients who need help being comfortable and relaxed during dental procedures. With oral conscious sedation, a patient takes a pill an hour before coming in for an appointment and needs a companion to escort them to and from the appointment. When the patient arrives, they are drowsy and relaxed. Our experienced dental team can often perform several procedures while the patient relaxes. However, not everyone is eligible to receive oral sedation. Here is what Dr. Brunacini has to say about the sedation process and who can become a sedation patient:
1. Why does FDA offer oral sedation as opposed to other relaxation options such as nitrous oxide gas or IV sedation?
Dr. Brunacini: Oral conscious sedation can be beneficial for the patient who has significant dental anxiety. It provides amnesia so that the patient doesn’t remember the procedure. Because the patient is more relaxed, typically their healing time is improved too. Nitrous oxide gas does a good job of reducing anxiety, but the patient will still remember their time in the dental chair. We have had great results for our patients using oral conscious sedation!
2. Who do you recommend oral sedation for?
Dr. Brunacini: Patients that have mild to moderate dental anxiety are good candidates for sedation, as well as patients that have a difficult time getting numb. Sedation dentistry can also be a good option for patients who haven’t been to a dentist for a long time and have a lot of work to be completed…typically we can provide more dental treatment in fewer visits while a patient is under sedation. It’s a win-win!
3. What is the process for becoming a sedation patient?
Dr. Brunacini: First, we schedule a comprehensive dental exam in order to determine the patient’s needs. During that appointment, we have an in-depth conversation with the patient about their dental needs and how we can complete the treatment. If oral sedation seems like a good fit for the patient, we will schedule a separate baseline appointment to discuss the details of the sedation protocol as well collect vital signs for monitoring purposes. After the baseline appointment, the patient is scheduled for their dental treatment accordingly.
4. Please describe what a typical sedation appointment is like.
Dr. Brunacini: The patient will take valium the night before prior to going to sleep; the valium reduces anxiety so that they can get a restful night of sleep. In the morning, the patient will take a pill one hour prior to the appointment. This medication is called triazolam and it will begin the sedation process for the treatment. The patient will need a driver to take them to their appointment. Once they arrive at the office, they are connected to our vital signs monitoring system. I will then evaluate the sedation level of the patient and can give more medication to achieve the satisfactory sedation level that the patient requires to perform dental treatment. Once the dental treatment is completed, the patient is sat up and given a sugary beverage to begin waking them up from the sedation. When the patient is awake enough, their driver will be allowed into the room to discuss the dental treatment performed and how to care for the patient afterwards. They are then escorted to their vehicle to go home.
5. If I become a sedation patient, does that mean I will always have to be sedated for all my dental appointments?
Dr. Brunacini: There are certainly those patients that will always require some level of sedation in order to complete their dental treatment. It is the goal; however, to eliminate the need for sedation procedures for any patient. Sometimes it does happen where the patient feels comfortable enough to forgo future sedation procedures for dental work. We are here to support our patients in this process and work to build relationships with our patients based on trust and a commitment to care!
If you’re interested learning more about oral sedation for your next dental visit, call us at 207-781-5900 to schedule your baseline appointment today!
Mar 4, 2015
National Dentists Day is a day devoted to giving dentists a pat on the back for all the work they do. But here at Falmouth Dental Arts, we’d rather shine the spotlight on who matters most to us – you.
Patients like you are the reason we are in dentistry. The best thing you can do for us is to take care of your smile. Don’t live with a smile that makes you feel self-conscious.
Falmouth Dental Arts offers premier aesthetic services like ultra-thin porcelain veneers and exceptional implants. We also offer a state of the art whitening process. We will work with you to find the best solutions for your unique situation.
If you aren’t happy with your smile don’t wait another day. Call us at (207) 781-5900.
Feb 16, 2015
George Washington was plagued by dental disease almost his entire life. His adult teeth began falling out in his early 20’s. Others had to be extracted due to advanced decay. By the time he became president only one remained.
Because of this, Washington frequently sought out the help of dentists. During the Revolutionary War he became close to Franco-American dentist Jean-Pierre Le Mayeur, who became a lifelong friend. Later, during his presidency, Washington relied on dentist John Greenwood to fashion him several sets of false teeth. However, none were made from wood. One set was made from ivory and held together with gold springs, which is a bit more presidential than a hunk of wood. One pair of Washington’s dentures survives and is on view at his home in Mount Vernon.
George Washington’s story is a good reminder of how far we’ve come in dentistry. Despite the best efforts of Revolutionary Era dentists, Washington still suffered a lifetime of discomfort and regularly took laudanum (an opiate painkiller) to deal with the pain. His poor teeth also hurt his self-esteem and made him reluctant to give speeches.
Although there are many ways you should inspire to be like our nation’s first president, having unsightly teeth is not one of them. At Falmouth Dental Arts we offer dental solutions that fit your specific needs and budget for your complete comfort both physically and financially. Most importantly, we will get your teeth functioning properly and looking beautiful once again. Call today to see how we can improve your smile.
