Wednesday, September 20, 2017

Magic mouthwash

Magic mouthwash or miracle mouthwash

Magic mouthwash is an umbrella term for a compounded mouthwash that doctors use to treat mouth sores.  The term miracle mouthwash is one we commonly use as well. Most often someone will use them during chemo treatment if they develop mouth sores or if they have a medical condition or disease that causes severe mouth sores. If sores are from an ill fitting denture please fix the denture.

What is in magic mouthwash?

There are many formulations for miracle mouthwash, and different will use slightly different formulations. The most common recipe is equal parts of Benadryl, Maalox, and lidocaine. However some versions also include tetracycline (to prevent secondary bacterial infection), a corticosteroid (to reduce inflammation), or nystatin (to treat or prevent fungal infection).

What is in a pediatric version of magic mouthwash?

Since patients do not swallow this the dose for pediatrics and adults is the same. Although, if the 5ml is too much for them to rinse with just lower the amount that they use each time.

How do you use miracle mouthwash?

Swish and spit 5 ml 3-4 times a day is the normal dose. Typically you will rinse for about 1 minute with the solution.

Interested in making homemade Magic Mouthwash or Magic mouthwash OTC?

All you need is equal parts of liquid benadryl and maalox.  If you are trying to make this without a prescription, use ibuprofen in place of lidocaine since you can only get lidocaine by prescription.

What are the alternatives to Magic or miracle mouthwash

We have found some of our patients actually prefer Rincinol over the magic/miracle mouthwash. Rincinol is basically aloe vera extract mouth rinse which comes in small liquid packages or bottles. We have patients use it 2-10 times a day, they will take half the package and swish for 1 minute and spit it out. It is not harmful if someone swallows some on accident. however the idea is to not swallow any.

Magic mouthwash alternative

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Orthodontic treatment and quality of life

Orthodontic Research

This is a collection of orthodontic research that we find interesting.

Does orthodontic treatment impact your quality of life?  YES!!

Well common sense might tell you that a more attractive smile will likely help you in similar ways that other things that make you attractive do.  Self-esteem and self-confidence, for better or worse, are closely tied to our perception of our appearance.  There are, however, people that study these quality of life type questions and they have found that indeed orthodontic treatment does have a minor positive impact on quality of life.   Gilchrist EBD 2015

 

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New Translucent Zirconia Crowns

New Translucent Zirconia Crowns

New translucent zirconia crowns are arguably the best material to come along since white dental composites. They are very strong and for back teeth are very natural looking.

Sean’s new translucent zirconia crown

Are you in need of a dental crown but afraid that it will not look natural? This can be a scare to some patients, however Dr. Bauer utilizes translucent zirconia crowns that allow the tooth to look perfectly in place.

Sean had come into the office in search of a cost effective fix for his rotted molar, without having to extract the entire tooth. As Dr. Bauer and Sean discussed options, they had concluded that a new zirconia crown would be the perfect solution. A natural looking, yet strong zirconia crown was placed on the tooth. Sean is ecstatic with the results and so are we!

New Translucent Zirconia Crowns

What do new translucent zirconia crowns cost?

the material is actually cheaper than other materials that we use to fabricate dental crowns so the cost is the same as other dental crowns and less than gold crowns. In our office the fee is around $1500 for a dental crown. The fee that you pay will depend on several factors, one being where you live. To find out the approximate cost in your zip code you can check out fair health consumer website and type in dental code D2940.

What are the steps for new translucent zirconia crowns?

The first step is to prepare the tooth for a dental crown and take an impression of the tooth. The tooth will have a temporary dental crown while the dental laboratory fabricates the zirconia crown. A few weeks later you return and we cement the zirconia crown on.

If you are in need of a crown that looks natural as well as strong, a new translucent zirconia crown could be the ideal option for you. Call Bauer Dentistry and Orthodontics to set up a consult and to see if this option will work best for you!

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Monday, September 18, 2017

Invisalign cost

What does Invisalign cost near me?

Invisalign cost estimate and Invisalign cost vs braces are the two most popular financial questions that we hear at Bauer Smiles.

What does Invisalign cost vs braces?

The cost of Invisalign is usually more than the cost of traditional braces. This is due to the fact that the Invisalign company has to make money in addition to your orthodontist.

Live in the western burbs? Call 630-665-5550 for a consult with Board certified orthodontist Dr. Danielle!

invisalign cost estimate

What determines the Invisalign cost?

First of all the cost is primarily a factor of how much improvement your smile needs. If you have a minor case then the cost is less. Another factor is where you live, with expensive cities costing more than rural areas. Also the experience of the doctor providing your care will influence the price, dentists with less experience charge less and an orthodontist will typically cost more. Since the doctor determines all of the treatment steps often you get what you pay for. As Ben Franklin says, “The bitterness of poor quality remains long after the sweetness of low price is forgotten”.

What are some factors that impact the cost of Invisalign?

Where you live, the amount of time it will take to treat you and the experience of the doctor are the main factors. More specifically there are some dental issues that are much harder to treat with Invisalign than others. Severe crowding and severe bite issues are very difficult if not impossible to treat well with Invisalign alone, therefore if we are capable of treating something like that with Invisalign the cost will be much higher.

What does Invisalign cost near me?

What does Invisalign cost near me? is a common question we see online. If you are in the Chicagoland area then your costs are likely similar to what they are in our Wheaton, IL office. We charge about $3,500 for a short treatment time and $6-7,000 for a full treatment in 2017. If you are searching the term Invisalign cost near me and are not in Chicagoland you can do to fair health consumer and type in dental code D8080 for a child or D8090 for an adult to get an idea of the cost of traditional braces. The Invisalign cost near you will be very close to the fee that you find there.

invisalign cost near me

 

Can I get an Invisalign cost estimate?

When you come in to see Dr. Danielle, we will be able to give you an Invisalign cost estimate. Your Invisalign cost estimate will include a down payment and a monthly payment. The Invisalign cost estimate is lower if you pay for the entire treatment in full.

How about Invisalign insurance cost estimate?

Have insurance and want an Invisalign insurance cost estimate? No problem, simply come in for your consult and we can get you a breakdown of costs with your insurance. Without even knowing anything about your insurance we can guess what your Invisalign cost insurance estimate will be, because most insurance plans that have an orthodontic plan will cover about $1-2,000.

How can you afford to pay for Invisalign?

We offer convenient payment plans that can meet most budgets. There are also financing plans available through our office that utilize the Lending Club. If a straighter smile is what you want then we want to help you make it happen! Give us a call today at 630-665-5550!

 

Dr. Danielle Bauer is a board certified orthodontist practicing in Wheaton, IL. She is a mother of 4 and lives in Wheaton.

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Friday, September 15, 2017

Tooth hurts after crown?

Tooth hurts after crown? Why does a tooth hurt after a dental crown?

Tooth hurts after crown is a common search term for someone that is in pain AFTER a dental crown. There can be several reasons for this and there can also be several solutions as well. Typically people have a concern because the tooth did not hurt before the crown.

Why does a tooth hurt after crown? It didn’t hurt before the crown!

The very short version is whatever the cause of you needing a crown, a crack, decay, or break, causes some trauma to the nerve and the dentist fixing the problem causes more. The combination of the two things cause inflammation in the nerve which you experience as pain.

The pain comes from the nerve in the center of the tooth and/or the tissue around the roots of the tooth. The crown procedure is traumatic and will cause some pulpal inflammation, the pulp is the tissue in the center of the tooth that contains the nerve for the tooth.

tooth hurts after crown

The preparation of a tooth for a dental crown is traumatic to the nerve of the tooth. The reason you are getting a crown causes trauma as well. For example, a crack in a tooth will cause some low grade inflammation in the nerve of the tooth. Breaking a tooth will do the same. Decay typically grows pretty slowly so if you have decay the nerve can adapt to some extent to that but it will also cause inflammation. Removing decay, old filling material, cracks and just preparing the tooth for a crown happens all at once and is traumatic. This in addition to whatever was the cause for you to need a crown can push a tooth that felt fine over the edge and cause the tooth to hurt after the dental crown.

tooth hurts after dental crown

You can see how much of a tooth we remove for a crown.

There are several reasons a tooth hurts after crown.

  1. The tooth needs some time to settle down.
  2. The tooth will need a root canal.
  3. The crown is slightly too high and your chewing on it is causing pain.

These are the main reasons that a tooth hurts after a crown. The reasoning for each can depend on your situation.

Tooth hurts after crown because the tooth needs time to settle down.

If the pain is not too severe, the tooth may just need some time to calm down. We would classify this as reversible pulpitis and the pain should be gone in a few days. Each day the pain should be less. Anti-inflammatory medication like Advil (ibuprofen) can be taken and will usually eliminate the pain for a few hours.

Tooth hurts after crown because the tooth needs a root canal.

This is more severe than the case above. The pain is either more intense and or lasts longer after a stimulation like cold or chewing. We classify this as irreversible pulpitis. The pain does not go away after a few days and may even get worse. The nerve of a tooth will only take so much trauma before it gives up and starts to die, thus needing a root canal. Although your dentist will do their best to tell you before cementing the crown on if you will need a root canal, the reality is when dealing with living tissue one can never truly predict when a nerve will decide to die on you. Much of this has to do with your bodies ability to heal itself and with your anatomy.

Tooth hurts after crown because the crown needs an adjustment.

This is an easy fix. Have the dentist recheck the bite while you are not numb. Typically if this is the case after the bite adjustment you will immediately feel like you are biting together better. If the bite adjustment was the only issue the pain will disappear within a few days after the dentist adjusts it.

Tooth hurts after crown

Typical situation of a tooth hurting after a dental crown. Tooth has large filling and large decay. Tooth feels fine at crown seat and then acts up days or weeks later.

 

What if my tooth hurts after a dental crown but I have already had a root canal?

That can happen for several reasons as well.

  1. If the root canal is recent then the area needs time to heal.
  2. The root canal could be failing or unsuccessful.
  3. One of your tooth roots could have a crack in it.
  4. The crown is slightly too high and your chewing on it is causing pain.

If the root canal is recent then the area needs time to heal.

It takes 2-3 days for the inflammation around the roots of a tooth that has had a root canal done to calm down. Advil (ibuprofen) will help this pain.

The root canal can fail or never be successful and thus a tooth with a new crown will hurt.

Messing with a tooth that has a root canal can stir things up and cause an infection to flare up. Root canals are only about 90-95% successful and the rate goes down the older the root canal is. If the tooth has a new infection after a root canal then you may lose the tooth. We can retreat a root canal or we can remove the infection through another procedure known as an apicoectomy. I personally feel if a root canals is failing one must consider a dental implant, but this is a case by case issue.

One of your tooth roots could have a crack in it.

If this is the case you will lose the tooth. These cracks are hard to detect and unfortunately often receive expensive dental work before we can determine they have the crack. The tooth in my cracked tooth syndrome post was a tooth that a root canal was done on knowing that a significant crack was there. However, we can not always know this, in fact usually we do not.

The crown is slightly too high and your chewing on it is causing pain.

This is an easy fix. Have the dentist recheck the bite while you are not numb. Typically if this is the case after the bite adjustment you will immediately feel like you are biting together better. If the bite adjustment was the only issue the pain will disappear within a few days.

 

Why wasn’t a root canal done before the crown was put on?

This is a reasonable question for a patient to ask. To be honest it always sounds foolish to your dentist though. It would be like asking a cardiologist why a heart transplant wasn’t done before congestive heart failure started. We can not determine when your nerve tissue is going to die. We certainly aren’t going to start telling everyone that is about to get a crown that they need a root canal as well because most people do not. To do so would be over treating you. If you end up needing a root canal after a new crown is put on it’s just bad luck, bad healing, or a combination.

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Friday, August 25, 2017

Trial Smile

Trial Smile

A trial smile is a temporary version of dental veneers or dental crowns before we actually do anything permanent to the teeth. It is a great way for people to see what they are getting themselves into before investing a lot of time, money, and before doing irreversible tooth modifications.

We typically do this for anyone making a major change to their smile. That could be adding length to their short teeth so that more show or changing the shape of crooked teeth. It can also address spacing issues and show what the dentist and lab tech are thinking in terms of design of the new smile. It does not help with envisioning changes in color.  In fact the color of the trial smile is usually a mixture of white and whatever you currently have.

Examples of trial smiles from our cosmetic dentist Dr. Bryan

trial smile close spaces veneers

Trial Smile showing what closing a gap in the front teeth will look like

trial smile dental veneers

trial smile dental crowns

dental veneers temporary trial smile

The cost of a trial smile is $60 per tooth.

We charge $60 per tooth to do a trial smile and that money is applied to any future work. If you decide not to do anything then you waste the money but it allows you to invest minimally and discover if what you are envisioning is something that is possible. Sometimes there are multiple plans and you have to pay two times.

dental veneers trial smile

 

Dr. Bryan Bauer is our cosmetic dentist and does all of our cosmetic dentistry that you see here and on our cosmetic dentistry page and the dental veneers page.  All work is his work and almost all the patients are still with us in the practice. Therefore if you see someone similar and would like to know more just ask! Call today and ask for a complimentary consult with Dr. Bauer and you can discuss any smile changes you want!

 

 

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Friday, August 18, 2017

All on 4 Vs Dentures

All on 4 Vs Dentures

All on 4 vs dentures is a question we here often. The all on 4 (AO4) is the trademark dentists give to dentures that attach permanently to your jaw by four implants. Dentists often use the same  acrylic, the same as traditional dentures. All on 4 consists of a denture that the dentist attaches to at least four dental implants, however there can be more than four implants. These hybrid dentures are permanent and only a dentist can remove it.

All on 4 Vs DenturesTraditional dentures typically rest on the gums and are not as secure, so there is a chance that eating and talking could cause your dentures to fall out of your mouth. It often takes quite a bit of time to get used to eating with traditional dentures. A traditional denture tends to cove a larger surface area of your mouth and may alter the taste of food.

Timing of All on 4 Vs Dentures

The process for traditional complete dentures can take anywhere from 3 to 6 months after tooth removal. We can place dentures in your mouth immediately, however those require adjustments after the swelling from teeth removal surgery. In most scenarios, we consider these immediate dentures a temporary solution until your full dentures are ready.

The All On 4 takes about 6-8 weeks of preparation before your surgery. The day of your surgery, we remove all your teeth and screw in temporary acrylic teeth. After that, the All on 4 will require around 6 months to ensure that the implants are healing properly and to make sure there are no signs of infection. At that point we begin the 2 month process of making your final AO4 denture.

Benefits of All on 4 Vs Dentures

You clean the all on 4 dental implants in a similar fashion to your natural teeth. Plus you don’t have to remove them before bed like traditional dentures. You do not have to worry when you are eating because you will have a more secure bite with the AO4. All on 4 does not require you to purchase cleaning solutions, adhesives, and other extras that are one uses with regular dentures.

AO4 implants promote better jaw bone health and can actually slow and/or stop the progression of jaw bone loss. Perhaps one of the best benefits or advantages of All on 4 is that the dentures do not rest on the gums like traditional dentures, which causes mouth sores and all-around discomfort.

Costs of All on 4 Vs Dentures

Traditional dentures cost less up front than an All on 4. Dentures cost around $2,000 or more per plate and $4,000 or more for a complete set. However, since dentures actually accelerate bone loss and get loose over time, you will need to replace or reline them.  They will often need to be remade after a number of years. You will also have to pay for routine upkeep like cleaning solutions and adhesives.

All on 4 costs around $20,000 per jawline and will preform much more natural. The AO4 will not cause the same discomfort traditional dentures cause on a day to day basis. Additionally, you can eat more of the foods you enjoy with confidence that the Ao4 will not fall out.

All on 4 with Bauer Smiles

For more information on what All on 4 can do for your dental health or if you have any questions about AO4, contact Bauer Smiles today at 630-665-5550.

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