root canal treatment
sleep apnea & snoring
Wisdom teeth are extracted for two general reasons: either the wisdom teeth have already become impacted, or the wisdom teeth could potentially become problematic if not extracted.
What are impacted wisdom teeth? Wisdom teeth are the third molars, the last teeth to erupt into the month. Impacted wisdom teeth are unable to erupt. They may have grown in at an awkward angle or are blocked by another tooth or even your jawbone. Over time, your impacted tooth could cause problems such as decay, damage to other teeth, infection and/or pain.
Wisdom teeth appear between the ages of 17 and 21. However, they may begin causing problems years earlier. Most of the time there is not always enough room at the back of your jaw for your wisdom teeth; this can lead to inflammation, pain and difficulty opening your jaw.
Another concern is that wisdom teeth that have grown in improperly can cause infections by trapping food particles in the jaw area behind the teeth. This area then becomes infected because regular brushing and flossing is difficult and ineffective. Such infections may be frequent and can cause considerable pain and medical concern. Dr. Pampena routinely removes wisdom teeth surgically in the office while patients are sedated. Having removed over 1000 of these teeth, Dr. Pampena is quite experienced with this type of oral surgery.
Dr. Pampena will always suggest saving a tooth whenever possible. Other than wisdom teeth, you may have other problematic teeth that have decay or have been traumatized. There are ways to save your original teeth from extraction and we suggest that you speak with Dr. Pampena or one of our The Pines Dental team members before you decide which course of action is best for you.
There is no reason for concern if you require a root canal. Endodontics, also known as root canal therapy, refers to a filling of the root structure of your tooth. This is usually required as a result of trauma to the tooth or significant decay that involves the nerve or pulp of your tooth.
During a root canal procedure, the tooth is cleaned, filled and restored to its original shape and size. Generally, a crown is placed over the tooth to protect it from further breakdown. This crown will protect your tooth for years to come, and the root canal therapy allows your tooth to survive. In addition, contrary to some people' beliefs, modern research shows that root canal therapy has a very high success rate of approximately 95%.
When it is indicated, saving a tooth via root canal therapy and a protective crown is highly beneficial since the alternative is extraction of the tooth. If the space is left open, the teeth will shift into the space over time and can cause many other problems with the other teeth and the jaw joint.
As with all treatments that Dr. Pampena provides here at The Pines Dental in Welland, ON, we will ensure your complete comfort and understanding. A root canal is nothing to be worried about, it is however extremely important in the saving of your tooth!
¬¬Snoring is the noise made when the airway is compromised during sleep. When you breathe norma¬¬lly, there is no noise. Air passes quietly through the nose and past the flexible structures in the back of the throat, such as the soft palate, uvula, tonsils and tongue. While you are awake, muscles hold the airway open. When you fall asleep, these muscles relax, but normally the airway stays open and there is no noise.
Snoring occurs when the throat structures are abnormally large and/or when during sleep the throat muscles relax enough to cause the airway to collapse and partially obstruct air flow. As the lungs try to suck and push air past these obstructions, the structures vibrate as the air rushes past, and the sound we know as snoring occurs. While snoring may be harmless, it can also be a sign of a more serious medical condition, such as obstructive sleep apnea. Obstruction sleep apnea occurs when there is a greater blockage of the airway and as a result, the person stops breathing for a period of time during sleep. This causes decreased levels of oxygen in the blood and has been shown to be linked to higher incidences of Hypertension Cardiovascular disease and diabetes.
Snoring interrupts that restful, quiet sleep which is so important to our good health. Usually, people do not hear themselves snore, but snoring can cause disrupted sleep for both the individual that snores and their sleeping partner! This is known as “second hand snoring”. It can lead to daytime sleepiness and fatigue, which can affect one's ability to function effectively at home and/or work, and also could lead to health problems. It is important to eliminate snoring so everyone can get a restful night’s sleep and maintain good health.
If you snore, you are not alone. Statistics indicate that approximately 40% of adults over the age of 40 snore some or all the time. That number will continue to grow, because the factors that cause snoring continue to be prevalent in our population. Normal, smooth, unobstructed breathing is a key to getting a restful night’s sleep!
If you have any questions or concerns about sleep apnea or snoring, talk to one of The Pines Dental team members here in Welland, ON today.
The temporomandibular joint (TMJ), or jaw joint, allows you to open and close your mouth, speak, swallow and chew food. Dysfunction of the joint may result in symptoms like clicking and popping sounds, headaches, neck and facial pain, locking of the jaw and ringing in the ears.
The TMJ are part of a large group of muscles, ligaments and bones that work together as a system. Because of this complex system a problem in one area can cause symptoms elsewhere. Many things can trigger TMJ disorder, such as trauma to the face, whiplash, bad posture, an uneven bite (malocclusion) where the teeth are not being able to properly support the jaw. This can occur from missing teeth, misaligned teeth, or back teeth that are too short. When this condition is prolonged, the body begins to compensate by involving muscles in other areas such as the neck, throat, and upper and lower back, arms, etc.
If you suffer from head, neck, or facial pain, Dr. Pampena, here in Welland, ON, can help to relieve symptoms and restore optimum function. Dental treatment involving the use of splints, bite plates or functional appliances can be used to reposition the lower jaw. Dr. Pampena is experienced and qualified to treat TMJ disorders
If you or someone you know has jaw pain, chronic headaches, neck and shoulder stiffness, ringing in the ears or even dizziness, speak with Dr. Pampena or any one of The Pines Dental team.
Hygiene is the foundation of dental health. Our Welland dental hygiene team and our caring dentist, Dr. David Pampena, will make you feel empowered and eager to establish and maintain your oral health by means of clear instruction, effective communication and ongoing support.
Teamwork is the Key to Success. Our experienced Welland dental hygienists will schedule your appointments for your continuing oral health care. Effective long term health care is a team effort and our hygienists and Dr. Pampena will work together in determining which areas of your oral health are of concern and need extra attention. Dr. Pampena and his team will clearly outline your treatment plan, using a diagram to highlight any areas that need special attention and giving clear instruction on what is needed to improve your oral health.
Dr. Pampena knows his patients love his team's supportive, positive and gentle approach to their treatment. Remember, bacteria related to gum disease has been linked to several prevalent medical conditions; including, diabetes and heart disease. Please get those teeth and gums checked and maintained regularly! If you have any questions regarding your oral hygiene care, home care, or your overall oral health, please feel free to speak with one of our Pines Dental team members today.
The pits and grooves of your teeth are prime areas for opportunistic decay. Even regular brushing commonly misses some of these intricate structures on the chewing surfaces of your teeth.
Sealants are thin coatings applied to the pits and grooves of molar teeth designed to prevent the intrusion of bacteria and other debris into the deep crevices on the tops of your teeth. Sealants actually were developed about 50 years ago, but didn't become commonly used until the 1970s. Today, sealants are becoming widely popular and effective; young children are great candidates for preventative measures like sealants because in many cases, decay has not set in.
The placement of sealants is a trauma free procedure that the hygienist is qualified to apply. They are applied in a few minutes and are long-lasting, requiring re-application every 5-10 years. If you have any questions about sealants, please contact us and feel free to speak to Dr. Pampena or one of our The Pines Dental team members today.
Sports Dentistry is the treatment and prevention of Orofacial athletic injuries and related oral disease and manifestations. Pre-season screenings and examinations are essential in preventing injuries. Examinations include health histories, at risk dentitions, diagnosis of cavities, bite relationships, orthodontics, loose teeth, dental habits, crown and bridgework, missing teeth, artificial teeth, and the possible need for extractions for orthodontic concerns or wisdom teeth.
Determination of the need for a specific type and design of athletic mouth guard for injury prevention is made at this time. Here in Welland, Dr. Pampena and his team are specifically trained on the prevention of sports injuries.
A sports mouth guard is one of the most important pieces of athletic equipment. If you treasure your child’s or your own smile, a custom designed sports mouth guard is a must! There are three types of sports mouth guards, the most efficient and effective type of sports mouth guard is custom designed here at The Pines Dental by Dr. Pampena. The other two guards are a fitted mouth guard which is pre-made and fitted to your mouth and a ready-made sports mouth guard which is available in most sports equipment stores. Although inexpensive, these two alternatives are also the least effective!
Protect both you and your child from serious injuries, have Dr. Pampena and the team here in Welland, ON at The Pines Dental custom design and build a proper, professional sports mouth guard for you or your child.
The Pines Dental offers both full and partial dentures, and our Denturist David is here to help you with all of your denture requirements.
Dentures are probably the most common way world-wide to replace missing teeth, especially when a patient is missing many teeth. They are an affordable option, removable prosthetic that can be worn relatively easily by the patient. In addition, dentures are the most affordable, especially when compared with other alternatives such as dental fixed bridgework or implant-supported restorations.
Our Denturist David provides a complete full and partial denture service including the fabrication of new custom fitted dentures offering high function and beautiful aesthetics. Best of all, David offers faster denture fabrication because he makes the dentures in his own laboratory. David also does not need to wait for a third party that will take longer to make the dentures. Denture repairs are often completed on the same day of your appointment. David also works closely with Dr. Pampena and can offer additional services that a traditional denturist cannot.
If you have any questions about full or partial dentures, please ask any one of our The Pines Dental team members for more details, and get ready to smile!
You may need specialized gum surgery for a number of reasons. These reasons may include, but are not limited to, the following:
1. To expose more solid tooth structure from underneath the gums so a tooth can be fixed.
2. To repair an exposed surface of a tooth or teeth that are sensitive or at risk of early tooth loss.
3. To prepare an area for a dental implant.
4. To clean the roots of teeth that are not accessible to the hygienist’s instruments.
5. To build up bone between and around teeth to stabilize them.
Following a number of post-graduate courses in periodontal surgery, Dr. Pampena has gained experience with all the above mentioned procedures and performs them routinely.