Specialties

Dr. Jane A. Griffith, DMD

Specialties

			Endodontics
			Endo (within) dontics (teeth) is the treatment or removal of the soft tissue in the center of the tooth. The tooth has three layers: the outer enamel, the middle layer of dentin, and the central pulp tissue. The pulp, commonly referred to as the "nerve," is composed mostly of small blood vessels and fibers, the primary purpose of which is to form the tooth. Once the tooth is fully formed, the pulp is no longer necessary. A tooth requires endodontic treatment when its pulp becomes swollen (inflamed) or infected. Causes of inflammation or infection are decay, cracks, a sudden blow or trauma and the need for multiple fillings in a tooth. An abscess often forms at the end of the root because of the damaged pulp tissue. During root canal treatment, the dentist or endodontist carefully removes the inflamed or infected pulp tissue with specially designed instruments, cleanses the canals, and then fills them with a material called gutta percha and a medicinal sealer. This is analogous to cleaning out a wound and placing a bandage. The procedure may take one or two appointments, depending upon the condition of the tooth. After treatment, the general dentist will place a filling or crown to protect the tooth, if necessary. When the tooth has inadequate structure above the gum line to support a crown, the dentist may need to place a metal or composite post and a core build up.















			Gum Disease
			Gum disease (also called periodontal disease) is an infection of the tissues surrounding and supporting the teeth. It is a major cause of tooth loss in adults. In fact, after age 35, about three out of four adults are affected by some form of gum disease. Gum disease is caused by plaque, a sticky film of bacteria that constantly forms on the teeth. These bacteria create toxins that can damage the gums. In the early stage of gum disease, called gingivitis, the gums can become red, swollen and bleed easily. At this stage, the disease is still reversible and can usually be eliminated by daily brushing and flossing. Because gum disease is usually painless, however, you may not know you have it. In the more advanced stages of gum disease, called periodontitis, the gums and bone that support the teeth can become seriously damaged. The teeth can become loose, fall out or have to be removed by a dentist.

			Signs and Symptoms
			Signs of gum disease If you notice any of the following signs of gum disease, see your dentist immediately: Gums that bleed when you brush your teeth. Red, swollen, tender gums or gums that have pulled away from the teeth. Bad breath that doesn't go away. Pus between your teeth and gums. Loose teeth a change in the way your teeth fit when you bite. A change in the fit of partial dentures.

			Preventing Gum Disease
			The good news is that you can help prevent gum disease by taking good care of your teeth every day and having regular dental checkups. Here's how to keep your teeth and gums healthy: Brush your teeth well twice a day. This removes the film of bacteria from the teeth. Be sure to use a soft-bristled toothbrush that is in good condition. Toothpastes and mouth rinses containing fluoride strengthen the teeth and help prevent decay. Choose products that bear the American Dental Association Seal of Acceptance, a symbol of a product's safety and effectiveness. The ADA reviews all advertising claims for any product bearing the Seal. The Seal on a product is an assurance for consumers and dentists against misleading or untrue statements concerning a product and its use, safety and effectiveness. Clean between your teeth every day. Cleaning between your teeth with floss or interdental cleaners removes bacteria and food particles from between the teeth, where a toothbrush can't reach. Early gum disease can often be reversed by daily brushing and flossing. If you use interdental cleaners, ask your dentist how to use them properly, to avoid injuring your gums. Eat a balanced diet. Choose a variety of foods from the basic food groups, such as breads, cereals and other grain products; fruits; vegetables; meat, poultry and fish; and dairy products, such as milk, cheese and yogurt. Limit between-meal snacks. Visit your dentist regularly. It is important to have regular dental checkups, and professional cleaning is essential to prevent periodontal diseases.