Partial Dentures

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

A partial denture is an option for replacing a missing tooth or group of teeth. A partial contains artificial teeth made of dental porcelain. You take it out to clean it like full dentures. For some patients a partial is the best choice, but some patients may be happier with a fixed bridge or dental implants, because partials have some drawbacks. Your cosmetic dentist can help you decide which type of tooth replacement is best for you.

Partial vs. Fixed Bridge

A fixed bridge is similar to a partial, but it is permanent fixed in place. A partial must be removed and cleaned like dentures. It can slip and rub, causing discomfort, and you may not be able to eat all of your favorite foods. You will need to be refitted for your partial and have it replaced every few years.

A fixed bridge stays in place, and you clean and care for it like your natural teeth. It will not slip and rub, and you will not have to replace it on a regular basis. There is no risk of losing a fixed bridge, and it is more convenient than a partial.

A fixed bridge can be anchored to the adjacent teeth with crowns, or it can be anchored with dental implants.

Dental Implants

Dental implants are really the preferred choice for most patients. You can have a single implant to replace a single missing tooth, or you can have a fixed bridge anchored by dental implants to replace a group of teeth.

The implant itself helps prevent the bone loss that is so common with dentures and partials, because it replaces the tooth root. Anchoring with dental implants rather than crowns prevents stress on the adjacent teeth.

Professional Vs. Over the Counter Teeth Whitening at Home

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

If you are considering teeth whitening at home, you may be wondering if there is really a difference between the take home kits you can get from your dentist and the ones you can buy off the shelf. There is a big difference. Even the over-the-counter (OTC) whitening products that involve using trays and gels, that seem so similar to the kit you get from the dentist, does not deliver the same powerful and consistent results.

Take Home Whitening Kits from Your Dentist

When you get a take home kit from your dentist the whitening gel is a professional grade product with more whitening power than OTC gels.

The trays that come with OTC kits are not custom made for your teeth, and may not provide even coverage and even whitening, and the fit may be so poor that it hurts your gums.

Trays provided by a cosmetic dentist are custom made to fit your teeth so that each tooth gets full and even coverage, with no gaps in the whitening.

Sensitivity

A professional kit comes with desensitizing gel. OTC products can be very uncomfortable or intolerable for people with sensitive teeth.

Support

When you buy an OTC whitening kit, you are on your own. When you use a professional take-home kit provided by the highly trained dentists at The Center for Contemporary Dentistry in the Lakes Region of New Hampshire you have support of dentists Jay and Manisha Patel. You can call with any questions and concerns, and know that you are getting answers that are relevant to you and your mouth, not just generic information that a rep reads off the screen.

And, should you have a problem that you think needs attention, you can always come into the office to have it checked out.

The Dangers of Sleep Apnea

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

Obstructive sleep apnea is a condition in which you stop breathing in your sleep, repeatedly throughout the night. When people find out that they have sleep apnea, and that it is a dangerous health condition, they often worry that they will just stop breathing in their sleep and never start breathing again. That is not the real danger. Your brain responds to the lack of oxygen and wakes you up enough to get you breathing again, but untreated sleep apnea can cause heart disease and can cause you to have a heart attack and die in your sleep, and it can cause other serious health problems over time.

Here in the Lakes Region of New Hampshire, Dr. Manisha Patel has had extensive training in sleep apnea treatment including the latest techniques.  She can help you address your sleep apnea and avoid the health problems and other dangers of sleep apnea.

Health Problems Linked to Sleep Apnea

Many health problems are associated with sleep apnea. Sleep apnea is known to cause or worsen certain health conditions. In other cases it is not clear whether sleep apnea is the cause of the problem, is caused by the problem, or shares a root cause. However, it is often found that treating sleep apnea improves the associated conditions.

  • High blood pressure
  • Heart disease
  • Adult asthma
  • Obesity
  • Acid reflux
  • Type 2 diabetes
  • Loss of libido
  • Short term memory loss

Car Accidents Caused by Sleep Apnea

When you have sleep apnea, you are constantly waking up even though you are not aware of it. Depending on the severity, you may wake up anywhere from five to over a hundred times an hour. You never get good sleep.

Sleep apnea causes daytime sleepiness, slower reaction times, poor judgment, and other problems related to fatigue and sleep deprivation which impair your ability to drive safely. People with sleep apnea are more likely to be involved in a car crash than people with normal sleep.

Should You Choose Sedation Dentistry

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

Anyone can benefit from sedation dentistry. It makes dental work a more comfortable and pleasant experience. For some of our patients, sedation dentistry is what makes dental procedures possible. Certain physical conditions make sitting through dental work difficult or impossible, and sedation dentistry can be the solution. It can also be the way to tolerate the dentist’s chair if you are fearful of dental settings and dental work.

Those Who Can Benefit Most from Sedation Dentistry

If any of the following describe you, sedation dentistry may be the solution:

  • Avoid or put off seeing the dentist due to fear or anxiety
  • Extremely fearful of dental work
  • Have had a traumatic experience at the dentist’s office in the past
  • Have a phobia of the sounds, smells, or tastes associated with dental work
  • Afraid of needles
  • Strong gag reflex
  • Resistant to numbing
  • Difficulty swallowing
  • Sensitive teeth
  • It is painful or impossible to keep your mouth open for extended periods of time
  • Have temporomandibular joint disorder (TMJ/TMD)
  • Have a physical condition which affects your ability to control your movements, such as Parkinson’s disease or cerebral palsy
  • Have back problems, neck problems, or other physical limitations which make it very uncomfortable to lie in the chair for procedures
  • Need complex or extensive procedures
  • Want to have multiple procedures in one office visit

If you find yourself outing off dental work, or if just thinking about it gives you anxiety, sedation dentistry can be your pathway to good oral health.  Talk to Dr. Patel about your sedation dentistry options.  You deserve to have a better dental experience and to get the best possible results. You do not need to suffer for healthy, beautiful teeth and gums. Dr. Patel uses sedation dentistry techniques in our New Hampshire office to help patients move past phobias and build positive memories so that they are motivated to maintain their dental health in the years to come.

How You Can Benefit from Sedation Dentistry

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

Sedation dentistry makes dental work possible for people who have a phobia of dental procedures and for those who are resistant to numbing. We have many patients who have been surprised by how easy their dental appointment was when they took advantage of our sedation dentistry expertise.  But, even if you are not afraid of the dentist’s chair, you can still enjoy the many benefits that sedation dentistry holds. Not only does it make your entire experience more pleasant, it can mean less physical trauma during the procedure and reduce soreness after extensive dental work.

Benefits of Sedation Dentistry

Fear of the dentist’s chair is one of the main reasons that people put off the dental work they need. When you have a good experience and do not have the pain and soreness after a dental procedure, the dread melts away. Some of the benefits of sedation dentistry include:

  • A more comfortable procedure. You won’t experience the tension and pain that often accompanies dental work because your body and mind will be relaxed.
  • The efficacy of local anesthesia is enhanced, which is especially helpful for patients who are resistant to numbing.
  • You will have little or no memory of the procedure, and the sounds and smells associated with dental work.
  • Anxiety and worry the night before your appointment is eliminated.
  • Your procedure will go more quickly.
  • You can have multiple procedures during a single visit.
  • Pain and soreness caused by muscle tension and strain during dental work are eliminated.

Most important, you will have a more positive outlook on dental work, so you will be more likely to take care of your teeth in a timely fashion in the future.

What is Sedation Dentistry

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

Have you ever wondered – What is sedation dentistry?

Sedation dentistry helps you relax during dental procedures, and many patients have no memory of the procedure at all, but it is not at all like general anesthesia. During sedation dentistry you are conscious and breathing on your own. You may be so relaxed that you sleep through your procedure. People who normally cannot tolerate dental procedures due to anxiety or resistance to numbing find that sedation dentistry makes dental work possible and anxiety-free.

How it Works

You will be asked not to eat or drink anything for several hours before your procedure. Your dentist will give you exact instructions on timing. Typically you will need to stop eating about six hours before your appointment.

You will be given a mild sedative to take the night before your procedure so that you are well rested on the day of your appointment, and do not spend the night dreading and worrying about your procedure.

Then, when you arrive at our dental office, you will take an oral sedative. There are no IV’s or extra needles involved. You will still receive the local anesthesia to numb the area where the work is performed. During your procedure you will be relaxed and you may even sleep through the procedure.

After your procedure you will need someone to drive you home, and you should plan to spend the rest of the day relaxing. You will have little or no memory of the procedure itself.

The day following your procedure you will be back to normal. Most sedation patients do not experience the nausea and other side effects people often have with general anesthesia.

Which Toothbrush Is Better? Electric or Manual?

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

Are electric toothbrushes better than manual ones? That’s the question debated among many dentists, and the answer to that question: It all depends on what kind of “brusher” you are.

If you have too much plaque buildup and brush too hard

You might want to switch to an electric toothbrush. There are times when patients want to do a perfect job of brushing their teeth, which causes them to brush too hard on the gums. As a result, it can cause gum recession and abrasion.

The electric toothbrush is less dependent on correct brushing technique, which will do all the work for you without harming your gums and teeth.

If your brushing technique is flawless

Your manual toothbrush will do just fine. If you are following a good oral hygiene and see your hygienist regularly, there is no need to switch to an electric toothbrush. A manual toothbrush can effectively get rid of the plaque in your smile as long you maintain a proper brushing technique.

When you are brushing, aim the toothbrush bristles at the gum line and move the brush in a circular, gentle motion. This will sweep the plaque away from your gums, promoting supreme oral health.

Oral hygiene tips

Whether you choose the electric or manual toothbrush, you should always bear in mind these tips to look after your teeth:

  • Stay away from the hard and medium bristle toothbrush. Always choose the soft bristles for a gentle brushing.
  • Clean your teeth in the morning and at night.
  • Replace your toothbrush every three months.
  • Floss every day.
  • Clean your tongue to remove any extra plaque hidden in your mouth.

You have the power to keep plaque at bay, and obtain a beautiful smile by visiting top dentist in Belmont, Dr. Patel for professional cleanings. Please give us a call today if you are in need of a dental check-up!

How Veneers Can Change Your Smile

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

What are veneers?

Veneers are thin, custom-made moldings that cover the fronts of unsightly teeth. They are crafted from high-tech, non-staining materials to portray a natural, bright smile.

Dr. Manisha Patel is a graduate and instructor at the world renowned Las Vegas Institute for Advanced Dental Studies, and is highly skilled and trained in the application of veneers to create a beautiful smile. She teaches other dentists from around the country how to use and apply veneers.

Veneers provide an alternative to traditional crowns. They cover unattractive gaps, and can mask stained, mis-shapen or crooked teeth.

Benefits of veneers:

A minimal amount of tooth must be altered to fit the veneer.

Veneers can be matched to make even the darkest teeth appear to be bright white.

Minor overlaps and small gaps can be quickly corrected through the use of veneers.

How are veneers applied?

The tooth is reshaped initially to allow for the added thickness of the veneer. A molded image is taken from the tooth and sent to our dental laboratory where the veneer is custom fitted to your mouth. The veneer is applied with adhesive material which bonds to the original tooth structure.

Please visit our website www.contemporarydentistry.info  to see smile makeovers by Dr. Manisha Patel and call our office now to set up a consultation to get the smile you have always wanted! It’s that Easy!

The difference between a regular cleaning and periodontal maintenance

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

If you have been diagnosed with periodontal disease your regular scheduled cleanings will now be periodontal maintenance cleanings.

Periodontal Disease is an inflammatory and infectious disease affecting the gums and supporting tissues of the teeth. If left untreated it can worsen in time, which may lead to bone loss and premature tooth loss. In the early stages of periodontal disease, your gums become red or swollen, and may even bleed. In time, your gums separate from your teeth and deep spaces called pockets form. Bacteria then collect in these pockets, and their toxins cause inflammation of the gums which destroys the bone that anchors your teeth.

Periodontal disease develops when a sticky film of bacteria, called plaque, is allowed to build up on the teeth. In most cases, periodontal disease can be prevented with good daily oral hygiene and regular professional care. Plaque that is not removed regularly can harden into a rough porous deposit called tarter or calculus. Tarter and calculus only can be removed when your teeth are professionally cleaned in the dental office.

It is possible to have periodontal disease and have no warning signs. However, if you notice any of the following signs you may have periodontal disease and should call our office immediately.

  • Gums that bleed easily
  • Red, swollen, or tender gums
  • Gums that have pulled away from the teeth
  • Persistent bad breath or bad taste
  • Loose or separating permanent teeth
  • Any change in the way your teeth fit together when you bite
  • Any change in the fit of partial dentures

During periodontal maintenance we use state of the art technologies to treat this damaging condition. Small scaling devices are placed carefully into the pockets to remove the bacterial debris. Antimicrobial rinse is irrigated into the periodontal pockets to clear away any remaining debris and lasers are used to decontaminate and disinfect the periodontal gum pockets. In addition you will be instructed on how to improve your oral hygiene procedures and diet.

If you suspect that you may be suffering from periodontal disease don’t wait! Contact our office now to schedule a consultation! 

Understanding Your Dental Insurance

SERVING LACONIA, CONCORD AND THE LAKES REGION OF NEW HAMPSHIRE

Dental insurance is actually a money benefit typically provided by an employer to help their employees pay for routine dental treatment. The employer usually buys a plan based on the amount of benefit and how much the premium costs per month. Most benefit plans are designed to cover a portion of the cost.

Why is there an annual maximum on my benefits?

Maximums limit what a carrier has to cover each year.

How does my insurance carrier come up with its allowed payments?

Carriers refer to their allowed payments as UCR, which stands for usual, customary and reasonable. UCR is actually a listing of payments for all covered procedures negotiated by your employer with the insurance company. Your employer selects an allowed payment that corresponds to the premium cost they desire.

Your plan contract specifies how many of certain types of procedures it will cover during a year period. It limits the number of x-rayscleanings and gum treatments it will cover. Your plan allows for certain percentages of basic and major coverage. Remember that even routine care comes out of the maximum amount covered by your insurance carrier each year.

Benefit plan booklets are often difficult to understand. If any part of your plan is not clear to you, contact your Employee Benefits Coordinator or the Human Resource department where you work.

It is important to know that each contract will specify what types of procedures are considered for benefits. Even if a procedure is medically and dentally necessary, it may be excluded from your contract. This does not mean that you do not need the procedure. It simply means that your plan will not consider the procedure for payment.

Barbara and Stephanie will work with you to maximize your insurance benefits. However, it is ultimately your responsibility to know what you insurance carrier covers. Your insurance coverage is between you, your employer, and the insurance carrier.