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Posts for: May, 2019


For most dental procedures you’re usually back to your regular routine in no more than a day or two (or even hours) afterward. For the most part, the mouth heals rather quickly.

But there may still be a short period of discomfort after tooth extraction, gum surgery or similar invasive procedures. The good news is you will most likely have no need for strong narcotic painkillers — milder, over-the-counter pain relievers are usually sufficient to manage your discomfort.

The most common of these are known as non-steroidal anti-inflammatory drugs (NSAIDs). This group of pain relievers — which include aspirin and ibuprofen — block the release of substances in the body known as prostaglandins that stimulate inflammation that increases pain in damaged tissues. They’re much preferred for mild to moderate pain because they don’t have the side effects of steroids or narcotics like morphine or codeine. They also tend to be less costly than these other prescription drugs.

But while they’re reasonably safe, they can cause problems if you exceed the recommended dosage or use them for prolonged periods. Their blockage of certain chemicals reduces the clotting mechanism in blood leading to a blood-thinning effect. Not only will this increase bleeding, it can also damage the stomach lining and cause ulcers if used over a period of weeks. Improper dosage of NSAIDs has also been linked to miscarriages and repeat heart attacks, which is why they’re not recommended for use during pregnancy or with patients with a history of heart or intestinal problems.

But if taken as directed by your physician or dentist — usually no more than 2,400 milligrams a day and only for a few days — such side effects are quite rare. The benefit is much more common: about five hours of pain relief from a single dose for most people. With the help of ibuprofen or similar drugs, you’ll be on your feet after your dental work in no time. 

If you would like more information on managing pain after a procedure, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treating Pain with Ibuprofen.”


While dental implants have become the most popular restoration among both dentists and patients, it’s primarily a tooth replacement — either for a missing tooth or a tooth beyond repair that must be extracted. But what if your tooth is still viable beneath its unattractive exterior? From an oral health standpoint, it’s usually wise to preserve it.

Even so, you still have options for making a tooth that’s spoiling your smile more attractive. One of the most effective solutions happens to be one of the oldest in dentistry: a crown. In effect, a crown is a life-like replica made of metal or dental porcelain that’s bonded over a tooth. And with today’s advanced materials and methods a crown can not only enhance the appearance of the tooth it covers, it can also be made to blend with the color and symmetry of adjacent teeth.

Here are a few dental situations where a crown could provide both protection for a tooth and a more attractive appearance.

Chipped, Damaged or Abnormally Developed Teeth. Teeth often take the brunt of mouth injuries, resulting in chips or even fractures. Also, teeth sometimes don’t erupt fully or develop a normal shape. A crown can effectively cover these missing or abnormal parts of a tooth and restore a more natural appearance.

Following Root Canal Treatment. Trauma or deep decay can damage the interior of a tooth - the pulp and root canals - and endanger its survival. A root canal treatment cleans out and repairs these areas, filling them with a special filling to prevent further infection. A crown is usually necessary to both protect the tooth and restore its appearance.

Discoloration. There’s a difference between outward staining of the enamel, which can usually be brightened with whitening solutions, and staining deep within the tooth from various causes. While there are techniques to bleach “intrinsic” staining, a crown provides another option for covering a heavily discolored tooth for a more attractive appearance.

Excessive Wear. We all experience some teeth wearing as we age; but grinding or clenching habits can accelerate that wear and shorten teeth, resulting in a prematurely aged look. Crowns restore worn teeth to a more normal length that can take “years” off your smile.

If you would like more information on crown restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Crowns & Bridgework.”

By Design a Smile
May 08, 2019
Category: Oral Health
Tags: tooth wear  

Unlike our primitive ancestors, our teeth have it relatively easy. Human diets today are much more refined than their counterparts from thousands of years ago. Ancient teeth recovered from those bygone eras bear that out, showing much more wear on average than modern teeth.

Even so, our modern teeth still wear as we age—sometimes at an accelerated rate. But while you can't eliminate wearing entirely, you can take steps to minimize it and preserve your teeth in your later years. Here are 3 things you can do to slow your teeth's wearing process.

Prevent dental disease. Healthy teeth endure quite well even while being subjected to daily biting forces produced when we eat. But teeth weakened by tooth decay are more susceptible to wear. To avoid this, you should practice daily brushing and flossing to remove disease-causing dental plaque. And see your dentist at least twice a year for more thorough dental cleanings and checkups.

Straighten your bite. A poor bite, where the top and bottom teeth don't fit together properly, isn't just an appearance problem—it could also cause accelerated tooth wear. Having your bite orthodontically corrected not only gives you a new smile, it can also reduce abnormal biting forces that are contributing to wear. And don't let age stop you: except in cases of bone deterioration or other severe dental problems, older adults whose gums are healthy can undergo orthodontics and achieve healthy results.

Seek help for bruxism. The term bruxism refers to any involuntary habit of grinding teeth, which can produce abnormally high biting forces. Over time this can increase tooth wear or weaken teeth to the point of fracture or other severe damage. While bruxism is uncommon in adults, it's still a habit that needs to be addressed if it occurs. The usual culprit is high stress, which can be better managed through therapy or biofeedback. Your dentist can also fashion you a custom guard to wear that will prevent upper and lower teeth from wearing against each other.

If you would like more information on minimizing teeth wear, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “How and Why Teeth Wear.”

By Design a Smile
May 03, 2019
Category: Dental Procedures
Tags: Invisalign  

Interested in Invisalign? Offered by your Miami, FL, dentists, Drs. Richard Romay, Martha Barrera, and Isis Sosa at Design a Smile, this Invisaligninnovative orthodontic system offers a completely new approach to teeth straightening! Read on to find out if Invisalign is a good choice for you.


What is Invisalign?

Wires and brackets were the chief components of orthodontic treatment for years. Although braces that use wires and brackets are still effective, they're definitely noticeable. The Invisalign system, on the other hand, offers a different approach.

Instead of attaching metal or ceramic brackets to your teeth and threading wires through them, your Miami dentist gives you a series of aligner trays that you'll wear over your upper and lower teeth. These aligner trays are designed to correct your orthodontic issues and are custom-made for you by the Invisalign company. The Invisalign system offers several benefits, including:

  • Wire-Free Appearance: Invisalign aligner trays are made of clear plastic to ensure that no one but you has to know that you're improving your smile.
  • No Oral Discomfort: Stray brace wires can lead to the occasional mouth sore or cut. Luckily, that's a problem you don't have to worry about with Invisalign.
  • No Change to Your Usual Routine: You'll remove your trays when you eat, drink anything other than water, play sports, and brush/floss your teeth. With Invisalign, you won't need to follow strict food restrictions, purchase special sports guards, or spend 10 minutes in the bathroom when you brush your teeth. You can even take your trays out occasionally if a special event is on your calendar!


How does Invisalign straighten teeth?

If you have traditional braces, your dentist adjusts the tension of the wires periodically to gradually move your teeth. Although adjustments are a necessary part of the process, they can cause a little discomfort for a few days if you wear metal or ceramic braces.

Adjustments aren't required with Invisalign. this is because each aligner tray in the series that you receive has been custom-made to slightly change the position of your teeth. After two weeks, you'll swap out the set for a new set designed to accomplish a different straightening goal.

The number of trays you receive will depend on the severity of your orthodontic problem. In some cases, your orthodontic treatment may only take about a year, but if you have complicated orthodontic issues, you may wear the trays for up to two years or longer.


Give us a call!

Are you ready to straighten your teeth with Invisalign? Start your treatment by scheduling an appointment at one of our Miami offices: dial (305) 667-8887 for the SW 40th Street office or (305) 408-3388 for the Kendall office located at SW 88th Street.