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…..Because A Smile Lasts A Lifetime Margaret Coleman Szott, DDS, PA “FILLING” YOU IN A Dental Newsletter from the Office of Dr. Margaret Szott Questions or comments, e-mail us at: [email protected] or call us at 336-286-9897 Same-Day Crowns Common Childhood Dental Injuries Dr. Szott’s “Blog Spot” Cavity-Free Kids From Our Family To Yours Newsletter Spotlight E4D Brings You Same Day Dentistry! We live in a busy world and everyone can benefit from technology that helps us get through the day a little bit easier and more quickly. E4D Technologies is a medical device company that has produced a machine that can create same-day custom-built crowns. This machine eliminates the use of traditional messy impression materials allowing dentists to obtain clean, fast, digital im- pressions in a few minutes using a laser scanner in the mouth. The laser is not only extremely precise when capturing the details of teeth needing treatment, but it is as safe as the check-out scanner at the grocery store. The restoration is made with a high-grade ceramic material that is compatible with the natural tissue found in your mouth. The procedure starts as a traditional crown preparation and still requires the use of local anesthesia. Once the tooth is prepped and scanned with the laser, Dr. Szott designs a restoration according to a tooth's appropriate form and function on a laptop computer. The information is sent wirelessly from the laptop to the mill where the E4D will use diamond burs to mill a crown out of an ingot of lithium meta-silicate. The lithium meta-silicate crystal structure allows for easy milling while maintaining integrity. This is considered the "purple" stage of the crown and is tried in the mouth in this intermediary phase to check for proper fit. We also confirm marginal in- tegrity at this time by taking a bitewing x-ray. The restoration is then glazed by Dr. Szott and heat treated in a porcelain furnace at 850 degrees Celsius. The meta-silicate is dis- solved and the lithium disilicate crystallizes resulting in a fine-grain glass-ceramic with superior mechanical and esthetic qualities. The crown is tried in the mouth again and the occlusion (bite) is evaluated and adjusted if needed. The restora- tion is then bonded into place and excess cement is cleaned. Advantages of E4D: Restorations can be completed in just one office visit. There is no need for a temporary crown. Faster recovery time with less tooth irritation. There is less chance for errors or variations during fabrication because the E4D scanner uses laser technology to take an exact digital impression of the tooth. The restoration looks like the natural teeth. The ceramic blocks that the restorations are milled from come in 17 shades so it is easy to match exactly the other natural teeth. The restoration feels like your natural teeth. The restoration is strong and durable. Milled ceramic is stronger than the traditional method of layering and pressing. E4D uses bio-compatible materials that expand and contract like natural teeth. A common fear for patients is that a crown processed through E4D technology will cost more than a crown made the old fashioned way. In truth, the time and lab costs saved by this technique bal- ance out the new technology. Patients receive all the worry-free convenience of a same-day den- tal crown at no extra cost. While this technology was first introduced in 2008, Dr. Szott incorporated it into her practice in January, 2014, now that the technology has been proven reliable and superior to traditional meth- ods. Give us a call if you have any questions about E4D technology. E4D Brings You Same-Day Dentistry! From Our Family to Yours Cavity-Free Kids Cavity-Free Kid Monthly Winners: December Cavity-Free Kids: Kennedy B., Abby B., Jayla G., Noah M., Gabe M., Madison M., Flora S., Daniel S., Andrew S., Matthew S., Abby T., Anna Reese T. January Cavity-Free Kids: Bodhi B., Benjamin H., Ryan J., Ellie N., Will N., Emma R., Ava S. February Cavity-Free Kids: Connor B., Tanner B., David B. Sophie B., Camryn G., Mia L., Isabella M., Lilly O., Vincent T. March Cavity-Free Kids: Rapheal A., Rubell A., Leyna K., Henry K., Matthew L., Michael L., Rachel L, Kennedy N., Micah O., Joshua S., Jack W. April Cavity-Free Kids: Caleb B., Tristan B., Greyson B., Elizabeth C., Kinkead C., Mia E., Alex F., Brady J., Justin M., Elliott T., Grace T., Maddie W., Isaac Y. May Cavity-Free Kids: Eli A., Anna C., Jacob C., Lucas C., Emma D., Cameron G., Trent G., Kayden G., Allison K., Noah L., Matthew M., Audrey M., Ava M., Savanna R., Abbie S., Hunter S., Carly S., Olivia T., Rebekah T., Evan T., Emily W., Jack W. Madison M. December Emma R. January Vincent T. February Kennedy N. March Caleb B. April We would like to take the opportunity to welcome and introduce Mar- tha Denny. Martha is our new office assistant and has been with us since January. She grew up in Greensboro and Burlington and mar- ried her high school sweetheart, Mark. After a short career in banking and accounting, she spent the next 20 years at home raising her three children. While helping her daughter study for her Dental Assisting courses, Martha realized her own interest in the dental field and re- turned to school as a grandmother. She graduated from the Dental Assisting program at Alamance Community College with High Hon- ors and is a Certified Dental Assistant with the Dental Assisting Na- tional Board. As the newest member, of our team, she gets to use both her clinical and administrative skills to “jump in” wherever she is needed most. Welcome Martha! Thanks to all of our Facebook friends for your support. If you haven’t “liked” our page yet, please do so by visiting www.facebook.com/Margaret.Szott.DDS and clicking the “like” button. We are close to getting 1200 likes! Thank you for your support! And lastly, don’t forget to check out Dr. Szott’s monthly blog posted on our website . She writes on interesting dental topics to keep you informed. If ever there is a topic that interests you, please let us know. All kids 12 years of age and younger who are cavity free at their dental hygiene appointments now get to enter their name into a monthly drawing for a $20 gift card to Toys & Co. At the end of the month, a name is randomly selected and in addition to the gift card, the winner’s photo is placed on the cavity-free board in our reception area for an entire month. All other cavity-free kids have their name listed on the board as well. Congratulations to all of our Cavity-Free Kids. Keep on brushing and flossing ….Because a Smile Lasts a Lifetime! Jacob C. May Dr. Szott’s Blog Spot Every month I write a blog regarding something “dental” and post them on our website . In case you haven’t seen our blog posts, here is a list of what you have been missing. December : Only Kids Get Cavities: True or False January : Winterize Your Smile February: Fluoride Toothpaste Use in Young Children: Updated Recommendations March: Dental Myth or Fact? Root Canals Hurt April: April is Oral Cancer Awareness Month May: Baking Soda As A Toothpaste Alternative? If there is ever a dental topic you would like to learn more about, please e-mail me and I will try to incorporate that into our biannual newsletter or our monthly blog. Vol. 12, No. 1, June, 2014 www.szottdds.com Common Childhood Dental Injuries School is out and kids are outside playing, riding bikes, or active in sports. With physical activity comes the risk of a dental injury. In fact, about 50% of children will incur some form of tooth injury during childhood so it is good to know what to do in the event of a dental trauma. Knocked Out Tooth: When a tooth is completely avulsed from its socket intact, the following steps SHOULD be taken: Handle the tooth by the crown only (not the root). The crown is the part of the tooth that is normally seen in the mouth. If the root is dirty rinse it very briefly in milk or water. If the child is conscious, immediately replant the tooth in the socket in the proper orientation. Time is of the essence and re-implantation should not be delayed more than 30 minutes. Hold the tooth in place or have the child bite gently on gauze or a soft cloth. If you are unable to replant the tooth, keep it moist ideally by placing it in the patient’s mouth next to the cheek (if possible). Alternatively, place it in a cup of milk. Seek immediate dental treatment. The tooth will need to be stabilized by a dental profes- sional. When a tooth is knocked completely out, AVOID the following: Do not touch, scrape, or rub the root. Do not let the tooth dry out. Avoid rinsing the tooth in water for more than a couple of seconds. Avoid storing the tooth in water. Do not remove any gum or bone fragments from the tooth. Tooth Knocked Out of Position: This type of injury is known as a subluxation. Often this type of injury will interfere with biting properly. The tooth should be repositioned. This may be difficult to do if the child is uncomfort- able and may need to be done by a dental professional. Once the tooth is repositioned, it most likely will be very loose and need to be splinted to other teeth for support until it heals. Chipped or Broken Teeth: Often times small chips can be smoothed. However, larger fractures may need to be bonded with white filling material to restore lost tooth structure. Crowns or veneers are not recommended in children to repair broken teeth until their growth stops. If tooth fractures extend into the nerve of the tooth, a root canal will most likely be required. If the root fractures, a splint may be required, but there is also a greater chance that the tooth may be lost in the future. Soft Tissue Injuries: The lips, gums, and tongue have a very good blood supply and bleed A LOT when there is trauma. But the great vasculature also means more rapid healing. Sometimes stitches are required to facilitate heal- ing and other times this sort of trauma is allowed to heal on its own. Keep in mind that all tooth trauma can result in discoloration of the teeth involved and/or the need for root canals. Athletic mouth guards are very important in all types of sports (even non-contact) to avoid dental injuries. The bottom line on all injuries is to see the dentist immediately to get treatment that is specific for the type of injury your child has sustained. Laser Scanner Computerized Crown Design Lithium Meta– Silicate Ingot E4D Mill Inside the mill after crown is made Lithium Meta- Silicate Crown Fresh out of the Mill Dr. Szott glazing the crown Crown crystallizing to Lithium Di- silicate form in furnace Final crown out of furnace Final crown seated in mouth Martha Denny, CDA
