https://www.jggdental.com/blog daily 0.75 2021-09-01 https://www.jggdental.com/blog/links-between-dental-health-and-heart-health monthly 0.5 2021-09-01 https://www.jggdental.com/blog/foods-to-avoid-for-white-teeth monthly 0.5 2021-08-16 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1629133878870-07MN45EKSXEF7E9B60QW/Zoom+Before+After.png Blog - Foods to avoid for whiter teeth Patient before and after of the Phillips Zoom Whitespeed Procedure, done in the office in about 45 minutes. https://www.jggdental.com/blog/category/heart+health monthly 0.5 https://www.jggdental.com/blog/category/teeth+whitening monthly 0.5 https://www.jggdental.com/blog/category/dentistry monthly 0.5 https://www.jggdental.com/blog/category/dental+office monthly 0.5 https://www.jggdental.com/blog/category/san+antonio monthly 0.5 https://www.jggdental.com/blog/category/alamo+heights monthly 0.5 https://www.jggdental.com/blog/category/dentist monthly 0.5 https://www.jggdental.com/blog/tag/white+teeth monthly 0.5 https://www.jggdental.com/blog/tag/heart+health monthly 0.5 https://www.jggdental.com/blog/tag/teeth+whitening monthly 0.5 https://www.jggdental.com/blog/tag/dental+office monthly 0.5 https://www.jggdental.com/blog/tag/san+antonio monthly 0.5 https://www.jggdental.com/blog/tag/alamo+heights monthly 0.5 https://www.jggdental.com/blog/tag/dentist monthly 0.5 https://www.jggdental.com/home daily 1.0 2021-09-08 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/c6802aff-8cf8-4677-b0ef-e27b3ff57084/office+11.jpg Home https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/7f33c8d7-2dc7-438b-8655-262e0386dac8/Office+9.jpg Home https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/e575199c-4502-4b82-b880-f8c9dfd46b58/office+8.jpg Home https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/bdef2668-a66f-48b8-b6de-f24309477daf/office+15.jpg Home https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/ad4c83fd-cb48-4716-8232-985a656a718f/tv+.jpg Home https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/91f13e0d-5e62-4635-a32b-1f1f7ff00900/office+12.jpg Home https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1618202396783-2FAFBV1G4YM0WR14280B/Ganeshappa+Family Home Meet your doctor Dr. Joana Ganeshappa (Dr. G) grew up in Laredo, Texas, and moved to San Antonio when she was a teenager. After completing her undergraduate degree in biology at the University of Texas at San Antonio, Dr. G earned her Doctorate of Dental Surgery (DDS degree) from Baylor College of Dentistry in Dallas, TX, while her husband completed his residency in Gastroenterology. Since graduating, Dr. G. has committed to staying educated and informed on the latest developments in dentistry including sedation, sleep apnea, pediatric, cosmetic, and implant dentistry. Dr. Ganeshappa feels blessed to finally have the opportunity to open up a small practice close to home, that allows her the flexibility to cater to her patient’s needs, while still being involved with her two children, Shaili and Bailen. Dr. Ganeshappa is focused on constantly enhancing patient care by staying up-to-date with the latest technology and advances in dentistry. Dr. Ganeshappa and her husband, Ravi, reside in San Antonio with their two children. Ravi Ganeshappa is a Gastroenterologist here in San Antonio and works at numerous hospitals around the city. Dr. Ganeshappa enjoys exercising, cooking, traveling, reading, and spending time with her friends and family. https://www.jggdental.com/contact daily 0.75 2021-08-16 https://www.jggdental.com/about daily 0.75 2021-04-12 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1618202635057-3JY26RMERUYXN2PSQZSP/Cleaning About - Transforming dental healthcare From routine cleanings and fillings to bruxism devices, Joana Gutierrez Ganeshappa D.D.S. is equipped to handle all your personal dental needs. So if you're looking for a new dentist, or haven't been to one in a while, or more of a hand holding approach - we have a full overview of all our services so you can look no further! https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1611073527952-QDB7FMVOXOG0CFCNMRI1/unnamed-53.jpg About - First Class Patient Amenities We may be a dental office, but we hope our practice feels a little homier for you or your children with the different amenities we have throughout our space. You are more than welcome to take advantage of these during your appointment. Please let us know if there is anything we can do to make you feel more comfortable! Netflix on Overhead TVs Pillows & Blankets Complimentary Beverages & Snacks Warm Scented Towels Aromatherapy https://www.jggdental.com/services daily 0.75 2026-04-02 https://www.jggdental.com/services-1 daily 0.75 2021-01-05 https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257873663-UIEP0NPR7WLXHEWM0EJF/image-asset.png Services (Copy) hand-drawn armchair icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257949474-24WVPWDYQ2XUALLQ3P2D/image-asset.png Services (Copy) hand-drawn aim target icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257884218-5M8IJDOP8N07F4IMOC4Z/image-asset.png Services (Copy) hand-drawn empty pill bottle icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257964989-8DUQISWFIW61SQVEJ0WJ/image-asset.png Services (Copy) hand-drawn simplified needles in back acupuncture icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1591890351443-9BFPVD8JAZDMEYXJNIIQ/image-asset.jpeg Services (Copy) - “I underestimated how hard it would be adjusting to working from home, but with Dr. Schell’s help, I was able to regain focus.” — OLIVIA R., CLOVE CLIENT https://www.jggdental.com/speciality-dentures daily 0.75 2021-01-13 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847896255-71GDMB4JOGTFXFRK00TD/image-asset.jpeg Speciality Dentures - Speciality Dentures Dentures are designed to replace missing teeth, and are worn by millions of Americans. Technological advancements have resulted in dentures that are lightweight and mimic the look and feel of natural teeth. Most dentures are made from a combination of metals and synthetic material such as acrylic resin. Types of Dentures Dentures are generally classified as partial or full. Partial dentures are designed to replace a small section of teeth, and help prevent existing healthy natural teeth from shifting position; full dentures generally replace an entire set of teeth such as upper and lower dentures. Many candidates for conventional dentures (also called “immediate” dentures) are able to wear the appliances immediately following removal of affected natural teeth. Before immediate dentures are worn, a mold of the patient’s mouth – specifically the jaws – must be made in order for the dentures to be customized for the individual. Partial dentures, also sometimes called “overdentures,” are designed to fit over a small section of implants or natural teeth. Partial dentures are characteristic by their pinkish gum-like plastic bases, on to which replacement teeth are attached. Small clasps are used to attach the denture to existing teeth. Some clasps, which can be more expensive, are made of natural-looking material that is hard-to-detect. In some cases, a crown will be installed on an existing healthy tooth to facilitate a better hold for the clasp. How are Dentures Made Denture candidates can expect to have their appliances fitted after about five visits. The process takes about a month. During the first visit after diagnosis, your mouth and jaw are measured and an impression is made. The impression is critical for ensuring proper bite relationship, as well as the proper relationship of the appliance to the size of your face. After the impression is made, a temporary set of dentures may be applied so the patient can ensure that the fit, color and shape are suitable. Getting Used to Your Dentures New dentures do take some time getting used to. Wearers can expect this period of adjustment to last as long as two months. Some denture wearers need to wear their dentures without removing them for a certain period of time. This allows your dentist to make the critical initial adjustments for proper fit, and to identify any pressure points that may be causing discomfort. Care for Your Denture Dentures today are made from very advanced materials designed to give you a natural appearance. However, keep in mind that just like your teeth, dentures should be cared for with diligence. This means daily brushing and regular visits to your dentist for minor adjustments. Just like natural teeth, dentures need to be cleansed of plaque, food particles and other debris. Keeping your dentures in top shape will also help keep the soft tissues of your mouth healthy; an unclean or malformed denture can cause infections and irritation. Remember to rinse and brush your dentures after every meal, and soak them in denture solution overnight. This also allows your gums to breathe while you sleep. Here are some simple techniques for keeping your dentures clean: People can brush their dentures in a variety of ways. Some people use soap and water or a slightly abrasive toothpaste. Popular denture pastes and creams also can be used. Avoid using highly abrasive chemicals or pastes, or vigorously brushing with hard bristled toothbrushes. These can scratch or even crack dentures. Hold your dentures gently to avoid loosening a tooth. Clean your dentures with cool or tepid water over a water-filled sink. Hot water may warp a denture. A small washcloth placed in the bottom of the bowl will ensure that your denture isn’t damaged if it falls. Soak your dentures overnight in any commercially available product like Efferdent or Polident and remember to rinse your dentures before placing them back in your mouth. Remember to use a separate toothbrush to clean your own natural teeth, as well as all of your gum tissues. In lieu of a toothbrush, a soft washcloth may be used to wipe your gums. Over time, even daily care of your dentures may require them to be cleaned by the dentist. A powerful ultrasonic cleaner may be used to remove hard accumulations of tartar and other substances. Adjustments People’s mouths undergo change all of the time. Gums change shape; in many cases, gums tend to shrink over time after teeth have been extracted. Most denture wearers experience a break-in period of as long as two months, during which the tissues surrounding their extracted teeth must heal. Conventional denture wearers must periodically visit their dentist to have the appliances adjusted. This is because patient’s gums sometimes change shape or shrink; moreover, daily maintenance of the appliances over time may also obviate the need for minor adjustments. Adjustments are critical because a loose-fitting appliance, or one that has not been adjusted to compensate for gum or jaw changes could cause pressure points, leading to mouth sores and possible infection. Regular dental visits also provide an opportunity to replace or repair loose teeth, or make small repairs to dentures that may have become chipped or cracked. Over the long run, the base of a denture may need to be “re-lined” because of wear and tear from constantly rubbing against your soft palate or roof of your mouth. Common Concerns Technology advancements have made dentures very natural looking; however, it is only natural for first-time denture wearers to be self-conscious about their appearance and speech. Over time, a denture wearer’s confidence level increases, and this usually ceases to be an issue. Like any new thing, caring for dentures takes practice. Under normal circumstances, denture wearers can eat most foods with confidence that their appliance will not shift. Caution must be taken, however, to avoid certain kinds of hot, hard, crunchy, chewy or sticky foods. During the break-in period, denture wearers are usually advised to eat on both sides of their mouth so the appliances don’t get out of balance, or tip to one side. During your initial visit, we will determine whether you are a good candidate for Invisalign. This treatment is often a good choice for adult patients and others who are interested in a virtually invisible orthodontic treatment. In addition to being discreet, Invisalign aligners are also very comfortable because they are custom made from smooth, thin plastic. The aligners are removable as well, which allows you to easily remove them as needed in order to eat, brush, and floss. We welcome you to call or visit us today to learn more about Invisalign. Dentures Adhesives In general, dentures that fit well may still need a small measure of help staying put. A good quality denture adhesive is acceptable. Older, poorly fitting dentures may damage the soft tissues of the mouth, and should be replaced as soon as possible. https://www.jggdental.com/tooth-contouring daily 0.75 2021-04-28 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619635359826-PYYXOFRVHLMGFL4Y386U/bonding-before-and-after-300.jpg Tooth Contouring - Tooth Contouring/Bonding Sometimes little defects in teeth can attract more than their fair share of attention. The eye often seems drawn to the tiny chip in a front tooth; the slight mismatch in tooth size among adjacent teeth; the extra-pointy canine. If you find yourself staring at these subtle yet distracting features in your own smile, help is available — often with a minimally invasive, relatively inexpensive procedure known as tooth contouring (reshaping). Tooth contouring involves removing a tiny amount of tooth enamel with a drill to sculpt a more pleasing shape and make the tooth fit in better with its neighbors. The tooth is then polished for a smooth finish. The procedure is most often used on the upper front incisors and canines, which are your most visible teeth. Cosmetic problems that can be corrected with tooth contouring include: small chips, uneven tooth length, slight overlaps, and tooth edges that are too flattened or pointy. It can even be used to correct minor bite problems from teeth touching unevenly during contact. Conversely, your teeth should not be reshaped if any bite imbalances could result from it. In that case, one of several other highly effective cosmetic dental procedures would be recommended. Tooth contouring can also be used to give teeth a more feminine or masculine shape, simply by rounding or squaring the edges. What to Expect The first step in the contouring procedure is to examine your teeth and diagnose how the reshaping will accomplish your goal of smile enhancement or correct a bite problem if you have one. This will ensure that the teeth being reshaped will not only look better but also will be healthy. Sometimes a reshaping of the root surfaces is required to protect you from gum disease. In that case, an x-ray may be necessary to isolate and protect the sensitive inner tissue (the pulp). However, most often tooth contouring only involves the removal of a bit of enamel — the hard outer covering of the tooth. Because enamel is not living and contains no nerves, you will likely not need even a local anesthetic. You will probably feel some vibration as your tooth is gently sculpted, and then polished smooth. Reshaping one tooth usually takes less than half an hour — and the results will be obvious as soon as you look in the mirror! Sometimes reshaped teeth can be a little sensitive to hot or cold after the procedure, but this should last no more than a day or two. Tooth contouring can be combined with whitening for a dramatically younger - looking smile. It's also often used in conjunction with cosmetic bonding or dental veneers — both of which can be used to reshape teeth with larger imperfections. https://www.jggdental.com/sealants daily 0.75 2021-04-12 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1618203173191-E54MH8EPZJ5DB7BDN4WB/exam+.jpg Sealants - Sealants The most likely location for a cavity to develop in your child's mouth is on the chewing surfaces of the back teeth. Run your tongue over this area in your mouth, and you will feel the reason why: These surfaces are not smooth, as other areas of your teeth are. Instead, they are filled with tiny grooves referred to as “pits and fissures,” which trap bacteria and food particles. The bristles on a toothbrush can't always reach all the way into these dark, moist little crevices. This creates the perfect conditions for tooth decay. What's more, a child's newly erupted permanent teeth are not as resistant to decay as adult teeth are. The hard enamel coating that protects the teeth changes as it ages to become stronger. Fluoride, which is found in toothpaste and some drinking water — and in treatments provided at the dental office — can strengthen enamel, but, again, it's hard to get fluoride into those pits and fissures on a regular basis. Fortunately, there is a good solution to this problem: dental sealants. Dental sealants are invisible plastic resin coatings that smooth out the chewing surfaces of the back teeth, making them resistant to decay. A sealed tooth is far less likely to develop a cavity, require more expensive dental treatment later on, or, most importantly, cause your child pain. How Sealants Are Placed You can think of a sealant as a mini plastic filling, though please reassure your child that it doesn't “count” as having a cavity filled. Because tooth enamel does not contain any nerves, placing a sealant is painless and does not routinely require numbing shots. First, the tooth or teeth to be sealed are examined, and if any minimal decay is found, it will be gently removed. The tooth will then be cleaned and dried. Then a solution that will slightly roughen or “etch” the surface is applied, to make the sealing material adhere better. The tooth is then rinsed and dried again. The sealant is then painted on the tooth in liquid form and hardens in about a minute, sometimes with the help of a special curing light. That's all there is to it! A note about BPA: A 2012 study that received wide press coverage raised concerns that trace amounts of the chemical bisphenol-A (BPA) found in some (but not all) dental resins might contribute to behavioral problems in children. The study authors noted that while they had found an association, they had not actually proven that BPA in dental sealants causes these problems. In fact, BPA is far more prevalent in food and beverage packaging than in dental restorative materials. The American Academy of Pediatric Dentistry and the American Dental Association have since reaffirmed their support for the use of sealants. Taking Care of Sealants Sealed teeth require the same conscientious dental hygiene as unsealed teeth. Your child should continue to brush and floss his or her teeth daily and have regular professional cleanings. Checking for wear and tear on the sealants is important, though they should last for up to 10 years. During this time, your child will benefit from a preventive treatment proven to reduce decay by more than 70 percent. https://www.jggdental.com/sleep-apnea-device daily 0.75 2021-01-13 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847895626-I0RS2T6LQGM9IRYBEERM/image-asset.jpeg Sleep Apnea Device - Sleep Apnea Device Sleep apnea is a common disorder in which you have one or more pauses in breathing or shallow breaths while you sleep. Breathing pauses can last from a few seconds to minutes. They may occur 30 times or more per hour. Typically, normal breathing then starts again, sometimes with a loud snort or choking sound. Sleep apnea is usually a chronic (ongoing) condition that disrupts your sleep. When your breathing pauses or becomes shallow, you'll often move out of deep sleep and into light sleep. As a result, the quality of your sleep is poor, which makes you tired during the day. The most common type of sleep apnea is obstructive sleep apnea (OSA). In this condition, the airway collapses or becomes blocked during sleep. Untreated Sleep Apnea Can Increase the risk of high blood pressure, heart attack, stroke, obesity, and diabetes Make irregular heartbeats more likely Increase the risk of having work related or driving accidents Oral appliances are most effective in the treatment of mild to moderate sleep apnea although they do provide a treatment alternative for patients with severe OSA who cannot or will not tolerate positive airway pressure therapy (CPAP). Despite their double-retainer-like appearance, oral appliances are said to be comfortable to use. Sometimes for more complicated sleep apnea an oral appliance and CPAP are used in combination. Dr. Ganeshappa favors a “mandibular repositioning dental appliance,” a device that moves the lower jaw forward. It will serve to reduce the likelihood of the sleeper's tongue falling backward far enough to block the airway. Ask Dr. Ganeshappa if a Sleep Apnea Device could be right for you. https://www.jggdental.com/sedation-dentistry daily 0.75 2021-01-13 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847895626-I0RS2T6LQGM9IRYBEERM/image-asset.jpeg Sedation Dentistry - Sedation Dentistry “Do you fear the dentist? You’re not alone. Dental phobia is a common phenomenon, affecting children and adults across the country, including patients here in San Antonio. As many as 15% of the U.S. population avoids visiting their dentist’s office due to dental phobia. It’s not uncommon for patients who fail to attend their regularly scheduled dental appointments to suffer from much higher rates of dental decay, pain, unsightly teeth, and even tooth loss. Neglected teeth and gums have also been linked to a variety of serious medical conditions, including: heart disease, respiratory infections and even dementia. Overcoming dental phobia is not easy. Dr. Ganeshappa strives to make your experience at our office as calm and relaxing as possible. We offer an array of therapeutic techniques, including sedation dentistry. What is Dental Phoebia? In short, dental phobia mean “fear of the dentist.” However, there is a spectrum of severity when it comes to dental phobia. Some patients have dental anxiety with mild and manageable symptoms. On the other hand, some patients suffer from extreme cases, which can cause the patient to have a panic attack, vomit, or even pass out. Dental phobia can have an array of symptoms. Common symptoms of dental anxiety, include: sweating, nausea, shaking, dizziness and feeling extremely hot or cold. More extreme signs of phobia can include laughing and hysteria. What is Sedation Dentistry? Sedation dentistry is the practice of using medication to help patients to relax through dental check-ups or treatments. Types of Sedation? There are multiple levels of sedation available. During your initial consultation, Dr. Ganeshappa will discuss all of your options and determine which type of sedation is right for you based on your level of fear and the type of work that you need carried out. In some cases, it is not possible to know what treatment is needed, and so it may be necessary to undertake a second visit under a different type of sedation. IV Sedation for Moderate Dental Phobia Patients who have IV (or intravenous) sedation often find that they have a slight awareness of the procedures being carried out, but can remember very little after. This type of sedation is used for minor dental procedures, like cavity fillings, veneers, or crowns.” https://www.jggdental.com/zoom-in-office-teeth-whitening daily 0.75 2021-09-08 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1631127858447-SZZ43PLEIMUU09SLE6JE/Zoom+Before+After.png Zoom in Office Teeth Whitening - ZOOM in Office Teeth Whitening Transform Your Smile With ZOOM In Office Teeth Whitening A pearly-white smile is a beautiful look and a great way to improve your self-confidence. Many of our patients are opting for Zoom on office whitening for a fast, safe, and effective way to whiten their teeth. Zoom combines the newest advances in dental technology with proven formulas that ensure that your experience is painless, while the results are satisfying. Reasons Why Teeth Become Stained Tobacco usage Drinking dark liquids such as red wine, coffee, tea, and cola Natural aging process and prescription medication, which cause yellowing and graying Advantages of ZOOM Faster treatment times Longer lasting results Reduced sensitivity Removal of stains on crowns, veneers, and other restorations Safe procedure Treatment performed by an experienced professional How Does ZOOM Work? ZOOM is a bleaching process that lightens the dentin and enamel of the teeth. ZOOM contains a hydrogen peroxide component (25%), which is the active ingredient in the gel. When hydrogen peroxide is applied to the teeth, the peroxide component breaks down into tiny oxygen bubbles. It is these bubbles that eliminate yellowing and staining. A specialized light, containing a unique infrared filter, is used to activate the gel and expedite the process. This light reduces the amount of heat on the surface of the teeth, therefore, reducing sensitivity. As with any whitening procedure, the results can vary from patient to patient, and the degree of staining. Zoom is only applied to patients with healthy teeth and gums; therefore, it is important to get a consultation with Dr. Ganeshappa prior to this procedure. Tooth decay and gum disease need to be addressed before we can perform this procedure. Patients should use an anti-sensitivity toothpaste provided by Dr. Ganeshappa for two weeks prior to procedure. What is Expected on Day of Procedure Pre-procedure pictures will be taken Patient may select a movie or TV show to watch during the treatment Cheek retractors will be placed to expose the teeth surfaces The gums will be covered to reduce sensitivity The dentist will apply the whitening gel to the teeth The halide light will be applied to activate the ZOOM gel After 15 minutes, the gel is removed from the teeth More gel is applied, and the light is placed for another 15 minutes Again, the gel is removed from all teeth More gel is applied for the last 15 minutes Gel is washed off, and retractors removed Post-procedure pictures are taken Take home maintenance trays are given to patient and Dr. Ganeshappa explains how to use your take home maintenance kit What Do I Need to Do After My ZOOM Whitening Procedure? For the next 48 hours, dark staining substances need to be avoided, such as Coffee and tea Tobacco products Mustard and ketchup Colas and sodas Red wine Soy sauce Any berry pies Any red sauces Prior to going to sleep, load your custom whitening trays with the ZOOM relief gel, and place on teeth. Wear trays for at least two hours. Additional Ways to Maintain Your ZOOM Smile: Avoid staining related habits Seek regular dental hygiene care to maintain oral health Use your touch up kit as needed Continue to practice good oral hygiene including thorough brushing and flossing It is important to seek advice from Dr. Ganeshappa prior to the beginning of a bleaching regime. Women who are pregnant or lactating should not seek bleaching treatment. https://www.jggdental.com/dental-implants daily 0.75 2021-01-19 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1611076604229-G25C5U49XN44SHR3PVAA/unnamed-55.jpg Dental Implants - Dental Implants Of all the ways modern dentistry has to replace missing teeth, dental implants are by far the best. There is no tooth-replacement option that will give you a longer-lasting result. Implants also help preserve tooth-supporting bone that naturally deteriorates when a tooth is lost. Loss of bone is one of the major hidden consequences of losing teeth. A dental implant most often takes the form of a small, screw-shaped titanium post that replaces the root-part of a missing tooth. The surgical procedure used to place an implant is actually quite minor and routine, requiring only local anesthesia in most cases. After a healing period, the implant is topped with a lifelike crown custom-made to match your existing natural teeth. Implants have a documented success rate of over 95%, which is significantly higher than any other tooth-replacement option. How Implants Work During a minor surgical procedure, your dental implant is inserted directly into the jawbone in the space vacated by the missing tooth. It will then be left to heal for a period of months before the final crown is attached. During this healing period, the implant actually fuses to the bone surrounding it. Tooth Replacement Options Using Dental Implants Implants can replace missing teeth in a variety of ways. They can be used to: Replace One Tooth — When you have one tooth missing, a single implant is inserted into the bone to replace the root part of that tooth; a crown then goes on top to simulate an actual tooth. This treatment choice has the highest success rate, making it the best long-term investment for replacing a single missing tooth. Even if the initial cost is slightly higher than other options, it is the most cost-effective solution over time. An implant will never decay or need root canal treatment, and feels just like the tooth that was there. Replace Multiple Teeth — When you have more than one tooth missing, implants provide an ideal replacement mechanism. You don't even need one implant for every missing tooth. Instead, implant teeth can act as supports for fixed bridgework. For example, if you are missing three teeth in a row, we can place two implants, one on either side of the gap, and a crown in between that has no implant underneath. That way, you won't need to use any of your remaining natural teeth as bridge supports, which could weaken them and make them more susceptible to decay. Replace All Teeth Permanently — Implants can support an entire arch of upper or lower replacement teeth that are fixed into the mouth and are never removed. Sometimes the new teeth can be supported by as few as 4 implants. It's comparable to the structure of a table, which only needs 4 legs to hold it up. In cases where jawbone density and volume have deteriorated, 5 or 6 implants might be needed to support a row of 10 to 12 teeth. Dental implant replacement teeth protect your jawbone, won't slip, and should last a lifetime. Support Removable Dentures — Implants can even make removable dentures more comfortable, effective and healthier to wear. Traditional dentures rest on the gums and put pressure on the underlying bone. This accelerates bone loss so that the jaw shrinks and the dentures slip, particularly on the bottom. But today dentists can attach a removable denture onto implants, transferring that pressure into the bone structure rather than the bone surface. This prevents the dentures from slipping while you eat and speak, and preserves the bone directly beneath them. Implant Care and Maintenance There are only two ways an implant can lose attachment to the bone and fail once it has successfully fused: poor oral hygiene or excessive biting forces. Poor oral hygiene and/or a lack of regular cleanings can lead to a destructive bacterial infection called peri-implantitis. Flossing and brushing your teeth on a daily basis, along with regular professional cleanings, can prevent this. Excessive biting forces can come from either a habit of clenching or grinding your teeth, or an insufficient number of implants to handle the forces generated by your bite. You should receive the correct number of implants so this does not happen. And if you have a habit of grinding or clenching your teeth, a nightguard will be recommended to protect your implants. After all, implants are a long-term investment in your smile, your health and your well-being, so it's best to protect your investment. https://www.jggdental.com/our-approach daily 0.75 2021-01-12 https://www.jggdental.com/bonding-and-white-fillings daily 0.75 2021-04-26 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619409928721-KDS70DTEUNZNWCRSBRA4/front-tooth-fillings-C-before-after.jpg Bonding and White Fillings - Bonding and White Fillings Bonding is a popular method to enhance the aesthetics of your smile. Bonding can be used to correct cracks or gaps in teeth, as a filling after a cavity has been removed, or to cover up stains or discolored teeth. A composite resin is used on the affected tooth or teeth. It is molded and sculpted over an adhesive gel that is placed on the tooth. After the resin has been applied an ultraviolet light is used to harden the resin, which is then polished to give you a fresh, new smile. Bonding is an obvious improvement over unsightly silver amalgam fillings. With the advancements in dental technology, bonding usually lasts for over 10 years. It is a safe, affordable, and attractive solution for many dental problems. Post-Op Instructions It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery. After the anesthesia wears off your teeth will likely be sensitive. You should avoid hot and cold food or drink for the next few days. After that initial period, your treated teeth will feel as good as new. Continue your normal hygiene plan to ensure that your fillings last for a long time. https://www.jggdental.com/root-canal-therapy-endodontics daily 0.75 2021-01-19 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1611076679981-H79R59HWLJID11VQTOAR/unnamed-55.jpg Root Canal Therapy (Endodontics) - Root Canal Therapy (Endodontics) Endodontics is the dental specialty that deals with the nerves of the teeth. Root canals are probably the most notorious procedure in dentistry and the most common procedure relating to endodontics. When a tooth becomes infected it is usually related to the nerves in the root of the tooth. The infected nerves need to be removed. If left untreated an infection can turn into an abscess, which is a much more serious problem that includes bone loss in the jaw. The area around the tooth is numbed with a local anesthetic to start the procedure. The dentist will then drill down into the tooth to create an opening into the canal. They will then be able to remove infected tissue and clean the canal. After the infection has been removed, the space if filled with a sealant called gutta percha. It is highly recommended that a tooth that has undergone a root canal is fitted with a crown. This will improve the appearance of the tooth, and will also make it much more likely that the root canal is successful. "Root canal" has become a scary term for dental patients to hear, but the benefits of the procedure and advances in dental technology have made it much less "scary". Local anesthetics and proper pain medication allow the procedure to be performed with little to no pain in most cases. There may be some soreness following the procedure, but that is normal for most dental procedures. Over the counter painkillers are usually enough to relieve any pain afterwards, but your dentist may prescribe medication. The procedure will also relieve you from pain caused by the infection allowing you to enjoy all the foods you love without any pain from heat, cold, or biting too hard. If you are experiencing pain consult your dentist today. Post-Op Instructions It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery. You can expect soreness after a root canal procedure for a few days. You should avoid chewing on the side of your mouth where the procedure was performed so you do not irritate the area and also to ensure that the temporary restorative material properly sets. You will also need to take an antibiotic to treat any remaining infection in your tooth. If you notice an increasing amount of pain or tenderness, a reaction to the medication, or the loss of the temporary restoration (filling) call your dentist immediately. https://www.jggdental.com/porcelain-veneers daily 0.75 2021-04-26 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619409249538-AVVC9DVIKOBE75QYABT5/veneers.jpg Porcelain Veneers - Porcelain Veneers Veneers are very thin pieces of durable, tooth shaped porcelain that are custom made by a professional laboratory. Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions. As with most dental restorations, veneers are not permanent and may someday have to be replaced. However, they are very durable and will last many years. Veneers can give you a beautiful and long lasting smile. Reasons for Placing Porcelain Veneers Worn or Chipped Teeth Unwanted or Uneven Spaces Teeth that are too large or too small Post-Op Instructions It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery. Before you receive your permanent veneer you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in. There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away. When the veneer is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. When brushing and flossing you should pay close attention to the area between the veneer and the tooth at the gum line. https://www.jggdental.com/intraoral-camera daily 0.75 2021-01-13 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847896255-71GDMB4JOGTFXFRK00TD/image-asset.jpeg Intraoral Camera - Intraoral Camera In our dental office, patient education is simplified with an intraoral camera as we can help you see what we see. Our intraoral camera offers instantaneous and detailed inside view of your mouth, helping us serve you better by being able to diagnose thoroughly. For example, fractures that our naked eye would never have seen are captured by the camera, allowing us to offer you proactive and timely treatment for your best results and health. https://www.jggdental.com/stem-cell-banking daily 0.75 2021-01-13 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847895626-I0RS2T6LQGM9IRYBEERM/image-asset.jpeg Stem Cell Banking - Stem Cell Banking Did you know Stem Cell can be extracted and preserved from wisdom and baby teeth? Over 2000 current scientific studies have used stem cells for therapeutic and regenerative medical applications in diseases such as Type 1 diabetes, cardiovascular disease, cancers (Leukemia, Lymphoma), neural injuries, Parkinson’s, muscular dystrophy, Alzheimer’s, Stroke, multiple sclerosis, and bone loss. We are now offering a new service for our patients having teeth extracted, called Tooth Bank. You can have yours or your child’s dental stem cells stored to allow you to prepare for the future. https://www.jggdental.com/crowns-and-bridges daily 0.75 2021-04-14 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1618435549548-XAK9Y5I19SZX45O16WD8/bridge+3.jpg Crowns and Bridges - Dental Bridges Dental bridges (or crowns) are fixed, non-removable appliances that can be an excellent way to replace missing teeth. In our office, we use porcelain bridges that closely resemble your natural teeth. The bridge consists of two crowns that go over two anchoring teeth and are attached to artificial teeth, which fill the gap created by the missing teeth. Dental bridges are highly durable and with proper care, will last many years. They may at some point need to be replaced due to normal wear or recurrent decay if not properly maintained. Reasons for a Fixed Bridge Upgrade from a removable partial denture to a permanent dental appliance Maintain facial shape Prevent remaining teeth from drifting out of position Restore chewing and speaking ability Restore your smile Fill space of missing teeth What Does a Dental Bridge Involve? Getting a bridge will require two or more visits. During your first visit, the anchoring teeth are prepared by removing a portion of the enamel to allow for a crown while the teeth are numb. An impression is then taken and sent to a dental laboratory where the bridge will be fabricated. A temporary bridge will be made for you to wear for the next couple of weeks while your bridge is being made. During your second visit, the temporary bridge will be removed, and your teeth will be cleaned and prepared for your permanent bridge. The permanent bridge will be carefully checked, adjusted, and cemented to achieve the proper fit. Care instructions will be given to you in order to ensure that you enjoy your permanent bridge for years to come. Proper brushing, flossing, and regular dental visits will aid in the life of your new permanent bridge. Post-Op Instructions It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery. Before you receive your permanent crown/bridge you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in. There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away. When the permanent crown or bridge is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. Caring for your bridge or crown is just like caring for your own teeth. You should brush and floss regularly. https://www.jggdental.com/cosmetic-fillings daily 0.75 2021-05-18 https://www.jggdental.com/invisalign daily 0.75 2021-04-26 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619408973593-LRJYGQ2XBO2NFFO8V1SR/invisalign-results-2.jpg Invisalign - Invisalign If you are interested in a straighter, more attractive smile, we encourage you to ask Dr. Ganeshappa about Invisalign. Invisalign is an orthodontic system that uses a series of clear, smooth plastic aligners to straighten your teeth. Invisalign is a great choice for our patients who are searching for a more discreet orthodontic treatment option. Rather than using metal brackets and wires like traditional braces, the Invisalign system uses a series of custom-made, computer-generated plastic aligners to straighten your smile. Each set of aligners is designed to make small changes to the alignment of the teeth. As you switch sets of aligners about every two weeks, your teeth will be gradually, gently guided to their proper positions. You will also visit our office on a regular basis during treatment to make certain that your smile is progressing as planned. In general, Invisalign can be used to treat the same orthodontic issues that are normally treated with braces. Our orthodontist may recommend Invisalign to correct: Crowded teeth Crooked teeth Gapped and spaced teeth Certain problems with the bite, such as an overbite, open bite, underbite, or crossbite During your initial visit, we will determine whether you are a good candidate for Invisalign. This treatment is often a good choice for adult patients and others who are interested in a virtually invisible orthodontic treatment. In addition to being discreet, Invisalign aligners are also very comfortable because they are custom made from smooth, thin plastic. The aligners are removable as well, which allows you to easily remove them as needed in order to eat, brush, and floss. We welcome you to call or visit us today to learn more about Invisalign. https://www.jggdental.com/extractions daily 0.75 2021-04-26 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619408436236-0MWMCXTOPFGMTS1740PT/Office+9.jpg Extractions - Extractions The main goal of dentistry is to preserve your natural teeth and keep them healthy for as long as possible. There are times, however, when it is in your best interest (or your child's) to have a tooth extracted (removed). This could be the case for a variety of reasons. Perhaps you have a tooth that has been severely damaged by trauma or decay; or an impacted wisdom tooth that may cause trouble for you later on. Maybe your teenager will soon undergo orthodontic treatment and has insignificant space for his adult teeth, referred to as crowding. Or your younger child has a baby tooth that's stubbornly adhering, even though it's past time for it to go. Whatever the reason, tooth extraction is more often than not a very routine procedure. How straightforward this minor surgery is will depend on where the tooth to be extracted is located in the mouth, and what its roots are like. For example, a front tooth with a single straight root is easier to remove than a molar with multiple roots. This is especially true when that molar is a wisdom tooth that is impacted, meaning it is below the surface surrounded by gum tissue and bone. Often, a wisdom tooth is blocked from fully erupting (growing in) by other teeth in its path. Still, tooth extraction is nothing to be feared when done by an experienced hand. Keep in mind that a tooth is not rigidly fixed in its surrounding bone, though that's how some may picture it. In fact, it is attached to the bone via a network of fibers that form what's known as the periodontal ligament. By carefully manipulating the tooth, these fibers can be detached and the tooth freed without much trouble. Reasons for Extracting a Tooth As mentioned above, there can be a variety of reasons for extracting a tooth. Be sure to ask questions about the pros and cons of any dental treatment, including extraction. Trauma or Disease — In both of these situations, there are several ways to try and save the tooth. The damaged tooth might need a full-coverage crown, a root canal treatment, or both. But sometimes even these methods are not enough to keep the tooth functioning well and looking good; it might be better to remove the tooth and replace it with a strong and lifelike dental implant. Orthodontic Treatment — Teeth are sometimes extracted when there are too many of them for the size of the dental arches (jaws), a situation known as crowding. After an adequate amount of space is opened up through the extraction of one or more teeth, the remaining teeth can be aligned properly. The teeth most frequently removed for orthodontic reasons are the first premolars, which are right next to the eyeteeth (canines). Impacted Wisdom Teeth — Early removal of impacted wisdom teeth can prevent damage to neighboring healthy teeth, bone, gum tissue, even nerves and blood vessels. If an impacted wisdom tooth is in a bad position, it's best to remove it before its roots are fully formed. Baby Teeth — If a baby tooth is out of position or not lost in the right sequence, the permanent tooth underneath it might not erupt normally. In this case, removing the baby tooth could prevent a need for orthodontic treatment later on. Non-Restorable Tooth — If too much decay is present, then too much tooth structure will have to be removed, which compromises the integrity of the tooth. At this point, a decision will be made to extract the tooth. The Process of Extracting a Tooth The first step in any extraction is a radiographic (x-ray) examination to assess the position of the tooth roots and the condition of the surrounding bone. This will allow any possible complications to be anticipated. A thorough medical and drug history is taken, to ensure that you are healthy enough to undergo the procedure, and your options for anesthesia will be discussed. Tooth extraction is usually carried out with local anesthesia, which will numb the teeth to be removed, and the surrounding bone and gum tissues. Additional sedatives might also be used, including oral sedatives (taken in pill form), nitrous oxide (which is inhaled) and/or conscious sedation, which is given intravenously (into a vein). The latter is usually required for more complicated (or multiple) tooth extractions. By the time the sedation medication has worn off, you won't even be aware that the surgery was done. As your tooth is being removed, steps are taken to ensure the bone that surrounds it isn't damaged. Sometimes, in the process of removing a tooth, a small amount of lab-processed bone-grafting material is placed into the socket to help preserve the bone volume there. This is particularly important when the extraction is going to be followed at some point by the placement of a dental implant, which needs to fuse to existing bone, or orthodontics, which gently moves teeth through bone. What to Expect After Tooth Extraction Immediately after your tooth is extracted, the socket will be covered with sterile gauze; gentle pressure will be applied for 10-20 minutes to control any bleeding. Small sutures (stitches) might also be used for this purpose. It's normal to experience some mild to moderate post-operative discomfort and/or swelling. Taking non-steroidal, anti-inflammatory drugs such as ibuprofen and/or aspirin the day of surgery should control most symptoms. Antibiotics may also be prescribed to ensure infection-free healing. Using ice packs on the outside of your jaw, and eating softer foods until you feel more comfortable can also be helpful. Within a few days, all should be back to normal. Post-Op Instructions It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery. After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site. You will be limited to soft foods for a few days after your surgery. Some recommended foods are: Gelatin Pudding Yogurt Mashed Potatoes Ice Cream Thin Soups Other foods you can eat without chewing When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly call your dentist for a follow up. https://www.jggdental.com/dentures daily 0.75 2021-01-13 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847896255-71GDMB4JOGTFXFRK00TD/image-asset.jpeg Dentures - Dentures Dentures are a replacement for missing teeth that can be removed and put back into your mouth as you please. Depending on each individual patient case, they may receive full or partial dentures. Full dentures are used when all of the natural teeth are removed from the mouth and replaced with a full set of dentures. There are two types of full dentures. Conventional Full Dentures - This is when all the teeth are removed and the tissue is given time to heal before the dentures are placed. It could take a few months for the gum tissue to heal completely, and during this time you will be without teeth. Immediate Full Dentures - Prior to having your teeth removed, your dentist takes measurements and has dentures fitted for your mouth. After removing the teeth, the dentures are immediately placed in your mouth. The benefit is that you do not have to spend any time without teeth. You will, however, need to have a follow up visit to refit your dentures because the jaw bone will slightly change shape as your mouth heels. The dentures will need to be tightened after the jaw bone has healed. Partial dentures are another option when not all of your teeth need to be removed. This is similar to a bridge, but it is not a permanent fixture in your mouth. Your dentures may take some time to get used to. The flesh colored base of the dentures is placed over your gums. Some people say that it feels bulky or that they don't have enough room for their tongue. Other times the dentures might feel loose. These feelings will affect the way you eat and talk for a little while. Over time, your mouth becomes trained to eat and speak with your dentures and they begin to feel more and more like your natural teeth. They may never feel perfectly comfortable, but it is much better than the alternative of not having teeth. Even though dentures are not real teeth, you should care for them like they are. You should brush them to remove plaque and food particles before removing your dentures. After they have been removed you should place them directly into room temperature water or a denture cleaning solution. Never use hot water because it could warp the dentures. Your dentures are delicate, so make sure you are careful when handling them so you don't drop them. Also, never try to adjust your dentures yourself. You could ruin them, so you should always seek assistance from your dentist if they feel uncomfortable or loose. https://www.jggdental.com/porcelain-crowns daily 0.75 2021-04-14 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1618436109584-R90V5NVPWO41U6QU982Z/crown2.jpg Porcelain Crowns - Porcelain Crowns A crown is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings used in other types of restorations. Reasons for Placing Crowns Broken or Fractured Teeth Cosmetic Enhancement Decayed Teeth Fractured Fillings Large Fillings Tooth that has had a Root Canal What Does a Crown Procedure Involve? A crown procedure requires two appointments. Your first appointment will include taking a highly accurate impression that will be used to create your new custom crown. A custom shade will be chosen for your custom crown. A temporary crown will be made to stay on your tooth for approximately two weeks while your custom crown is being made. During your first appointment, Dr. Ganeshappa will prepare the tooth by removing any existing decay and failing fillings while the tooth is numb. She will properly shape the tooth for your custom crown and will place a temporary crown. During your second appointment, your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure that you have proper spacing and that your bite is accurate. https://www.jggdental.com/scaling-and-root-planing daily 0.75 2021-04-14 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1618254828093-99XIMJ1O3XVIS3F95N31/gum+disease.jpg Scaling and Root Planing - Periodontal Disease If proper care is not taken, gingivitis can result and advance into periodontitis, which can pull away the inner gum tissue and bone from the teeth, therefore, weakening the tooth’s stability. This may result in tooth loss. Signs of Periodontal Disease Swollen, bright red or purple gums tender gums that easily bleed pus between teeth and receding gums constant bad breath loose teeth, or new spaces between them Deep Cleaning (Scaling and Root Planing) The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling or root planing. The objective of these non-surgical procedures is to remove etiologic agents such as dental plaque and tartar, or calculus, which cause gingival inflammation and disease. Scaling and root planing can be used as a stand-alone treatment, or a preventative measure. They are commonly preformed on cases of gingivitis and moderate to severe periodontal disease. What Do The Procedures Entail? Dr. Ganeshappa will only perform scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Dr. Ganeshappa may recommend scaling and root planing. In some cases, a local anesthesia may be used during the procedure. Scaling — When scaling is performed, calculus and plaque that attaches to the tooth surfaces is removed. The process especially targets the area below the gum line, along the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool. The scaling tool usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria. Root Planing — Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future. Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. When deep pockets between teeth and gums are present, it is difficult for Dr. Ganeshappa to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health. Benefits of Treatment If treatment is successful, scaling and planing may have many periodontal benefits. One is that it can help prevent disease. Research has proven that bacteria from periodontal infections can travel through the blood stream and affect other areas of the body, sometimes causing heart and respiratory diseases. Scaling and root planing remove bacteria that cause these conditions. Another benefit of treatment is protecting teeth against tooth loss. When gum pockets exceed 3mm in depth, the risk for periodontal disease increases. As pockets deepen, more bacteria are able to colonize, eventually causing a chronic inflammatory response by the body to destroy gingival and bone tissue. This leads to tooth loss. Finally, scaling and root planing may make the mouth more aesthetically pleasing, and should reduce bad breath caused from food particles and bacteria in the oral cavity. Superficial stains on the teeth will be removed during scaling and planing, adding an extra bonus to the procedures. Post-Op Instructions It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery. After this procedure your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (1 tsp salt/8 oz water) 2-3 times a day. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for 2-3 days after the surgery to ensure the area heals correctly. If you continue to experience pain or swelling after a few days contact your dentist. https://www.jggdental.com/mouth-guard daily 0.75 2021-05-13 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1618434669890-3KKZ5J33JOB24D18LR0Q/bailen+sport+pic.PNG Mouth Guard - How Athletic Mouthguards Help To Protect Athletes Mouthguards are designed to absorb and distribute the forces of impact received while participating in athletic activities. Laceration: Properly fitting mouthguards help to protect the soft tissue of the lip, cheeks, gums and tongue by covering the sharp surfaces of the teeth. TMJ (Jaw Joint) Trauma: Properly fitting mouthguards reduce the potential for jaw joint fracture and displacement by cushioning against the impact. Jaw Fracture: Properly fitting mouthguards reduce the force upon impact, helping to protect the jaw from fracture. https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1618434755432-YYGFX8STSCL5ZC9I3Y5V/Blue+Mouthguards.jpg Mouth Guard Mouth Impact: Causes possible damage to the soft tissues of the lips, cheeks, tongue and gums, as well as, the teeth and upper jaw. Direct Jaw Impact: causes possible damage to the teeth, TMJ and jaws. Under Chin Impact: Causes possible damage to the TMJ and Jaws. https://www.jggdental.com/services-2 daily 0.75 2021-04-22 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847896255-71GDMB4JOGTFXFRK00TD/image-asset.jpeg Services 2 - Dream it. It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847895626-I0RS2T6LQGM9IRYBEERM/image-asset.jpeg Services 2 - Build it. It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference. https://www.jggdental.com/crown-lengthening daily 0.75 2021-05-13 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619637079465-1HBOJB44KKD35OU1ZIPK/gummy+smile.jpg Crown Lengthening - Are you affected by a gummy smile? Extra gum tissue can make teeth look unnaturally short, and also increase susceptibility to periodontal infections. Removing excess gum tissue can restore a balanced, healthy look and thus improve the apperance of a smile. https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619636689442-UQ2TV1DPZPUYYVLBNHFH/Copertina-allungamento-corona-sett-ant.jpeg Crown Lengthening - Reasons for crown lengthening Crown lengthening is when gum tissue is removed to either: expose damaged tooth structure to allow the tooth to be restored Actual crowns: Some patients may not have enough “tooth” on top of the gum to allow for proper fitting of a crown. If a crown is placed in these conditions, it can damage the gums or cause chronic inflammation and discomfort. Crown lengthening will ensure that the new crown will fit the tooth completely and comfortably. Gummy Smile https://www.jggdental.com/nightguard daily 0.75 2021-05-13 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619634615772-RHCV8FPAMPFFUOEGGT01/bruxism-reason+for+night+guard.jpg Nightguard - Do you wake up with sore teeth, jaw pain, or with headaches? You may be grinding your teeth and clenching your jaw while you sleep. Grinding and clenching your teeth can cause headaches and toothaches. Excessive grinding and clenching of your teeth can cause muscle fatigue, jaw aches, earaches, and neck pain. But, having a custom night guard can help to prevent these issues. https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619634743612-JMBRFW1EHHDHFC1BQ215/Purple+%282%29.jpg Nightguard - Benefits of wearing a night guard Prevents tooth damage Reduces Jaw Tension and Pain Prevents Headaches Provides healthy sleep patterns Protecting your dental work (crowns, veneers, implants) from damage Preventing the damage before it happens is the best way to save yourself pain and unecessary expenses. If you believe that you might be suffering from teeth grinding or jaw clenching, then don’t hesitate to contact us today to talk to us about your questions and concerns. https://www.jggdental.com/composite-fillings daily 0.75 2021-05-19 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1619408436236-0MWMCXTOPFGMTS1740PT/Office+9.jpg Composite Fillings - Composite Fillings A composite filling, which is tooth colored, is used to repair a tooth that is affected by decay, cracks, fractures, etc. The decayed or affected portion of the tooth will be removed and then filled with a composite filling. Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or more visible areas of the mouth. Reasons for Placing Composite Fillings Worn teeth Decayed teeth Chipped teeth Closing gaps between teeth Cracked or broken teeth How Are Composite Fillings Placed Composite fillings can be place in one appointment. While your tooth is numb, the decay is removed. The tooth will be thoroughly cleaned and prepared for the filling. The composite filling with then be placed, shaped, adjusted to the patient''s bite, and polished. As with most dental restorations, composite fillings are not permanent and may someday have to be replaced. However, they are very durable and will last many years, while giving you a long lasting beautiful smile. https://www.jggdental.com/before-and-after daily 0.75 2021-09-10 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1631130547778-96Q1UL70Y127EAT39RRA/Screen+Shot+2021-09-08+at+2.47.37+PM.png Before and After - Your best face forward. Find the confidence to put your best face forward with cosmetic dentistry. From in office whitening to tooth bonding, tooth colored crowns and veneers, Dr. Ganeshappa’s treatment approach will leave you with the confidence to put your best face forward. https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1631289642504-FRXUX70NTSAQD5OQ87C3/Screen+Shot+2021-09-10+at+11.00.34+AM.png Before and After - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.jggdental.com/before-after daily 0.75 2021-09-10 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/2d2e806d-9d7e-4b5e-abac-76e7bdeca1ff/BD5166B9-9931-4428-8022-C3AC4FD38E82.jpg Before and After Veneers and Zoom Whitening https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/56929c3a-7755-4ad4-b175-6c3c7940c6ba/Screen+Shot+2021-09-08+at+2.47.37+PM.png Before and After In-office whitening https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/de7321d4-44d6-4fe0-aed6-c05bf2b489ab/Screen+Shot+2021-09-08+at+2.47.49+PM.png Before and After In-office whitening https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/6bf5f8dd-e2e4-42de-ac06-b3a852c5a7fd/5649F7B7-945F-4638-8C7D-B6197717C62B.JPG Before and After Tooth bonding https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1bae6e77-2ef4-4d1a-8553-3f8e4292baad/5655E063-6E76-4EFD-8FF2-40A62B766380.JPG Before and After Tooth bonding https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/8a5b3554-6eca-4c29-9af3-5d7756f0ad82/Screen+Shot+2021-09-10+at+11.14.09+AM.png Before and After Tooth bonding https://www.jggdental.com/loyalty-program daily 0.75 2026-04-02 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1638399262839-22DJ189HFQYQU6YXA4V6/Ready.png In Office Specials https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1638399475530-PFYJXUCVHCJNELP0GDLT/follow+%40jggdental+tag+a+friend.png In Office Specials https://www.jggdental.com/get-started daily 0.75 2022-07-24 https://www.jggdental.com/jgg-dental daily 0.75 2022-07-24 https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658651986260-D22TI8TP0B4JMLL0KL33/White+Background.jpg https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658654048146-MMVD0W4G4IZL56E5YRZ2/White+Background.jpg https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658664714993-6BO0TAOI59XR71J562CF/Working.jpeg https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658664482969-OZR2P903XFB7CDXQLWEB/Window.jpeg https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658663945254-JG2RCOPZ3GWUHYGTAA4X/Mom+.jpeg https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658665169115-QJK79G2JFE8I3IZPTUZM/Facebook+Reviews+1+.png https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658665584978-Y1PHGB90RX9ZJ43Z1UUD/FB+RV+2.png https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658665532403-PKXUOCRDXMR9DALHY71Q/FB+RV+2.0.png https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658665842177-CLGOGO81J0ANUHDCE5GV/OT+1.0.png https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658665898083-HA9XBY2B5V2YEXPV7824/T.O.+3.0.png https://images.squarespace-cdn.com/content/v1/5ff32d390400f408900c673e/1658665979594-LNVQLW86I6TS7UOD20CZ/OT+2.0.png