Posts for: February, 2016

By George Salem and Associates, PC
February 25, 2016
Category: Dental Procedures
Tags: orthodontics   braces   Invisalign  

For many people, getting braces is a right of passage endured and mercifully left behind in the early adolescent years, along with quasi-invisalignexistential angst and questionable hair and wardrobe experiments. Unfortunately, dental needs and realities can change, and the need for straight, adequately aligned teeth does not necessarily get resolved in the junior high years. Simply put, sometimes grownups need braces. Unfortunately, a mouth full of metal does not look nearly as adorable at a board meeting, or on a first date with a potential new love interest or possible life partner, as it does in an old yearbook picture.

Invisalign in Braintree

Thankfully for people who need to straighten their teeth, but do not want metallic braces, clear aligners offer the same results, without the practical and aesthetic issues that traditional braces can present for older teenagers and adults. The dentists at Braintree-based Dr. George Salem and Associates, PC help their patients get straighter teeth in a subtle, more natural looking way with Invisalign clear aligners.

How does Invisalign work?

Not only is Invisalign a more attractive and less invasive way to correct a smile, the process is incredibly easy and straight forward. A series of removable, clear aligner trays are custom designed for each patient. The trays, which are virtually invisible to the naked eye, are worn for up to 22 hours per day, and can be removed for up to two hours every day to brush and floss. Each tray is generally replaced for the next in the series after two weeks as the teeth begin to shift into the desired position. Invisalign makes it possible to discreetly straighten the teeth, without sacrificing regular oral hygiene practices, or a social life for 15 months!

Contact a Dentist in Braintree

To learn more about how Invisalign can help to repair your smile, and whether you are a candidate, contact a dentist at Dr. George Salem and Associates, PC at 781-843-0660 to schedule a consultation today.


DiabeticswithGumDiseaseBenefitfromCoordinatingTreatmentforBoth

If you have periodontal (gum) disease, you probably already know you’re in danger of eventual tooth and bone loss if the infection isn’t brought under control. But if you also have diabetes, the effects from gum disease could extend well beyond your mouth.

Gum disease is a bacterial infection caused by plaque, a film of food remnant that builds up on tooth surfaces mainly due to poor oral hygiene. As the infection grows, your body’s immune system responds by flooding your gum tissues with antibodies to fight it, resulting in inflammation. As the inflammation persists, though, it damages the gum and underlying bone tissue, which in turn leads to gum and bone loss from the teeth.

Diabetes also causes an inflammatory response within the body. The disease develops either as a result of the body’s decreased ability to produce insulin to balance the glucose (sugar) levels in the bloodstream (Type 1) or the body develops a resistance to insulin’s effects (Type 2). As a result diabetics experience abnormally high blood glucose levels, a condition called hyperglycemia. This triggers chronic inflammation that can lead to inhibited wound healing, increased risk of heart, kidney or eye disease, coma or death.

Gum disease can worsen diabetic inflammation, and vice versa. The effects of the oral infection add to the body’s already overloaded response to diabetes. In turn, the immune system is already compromised due to diabetes, which can then increase the severity of the gum disease.

Research and experience, though, have found that pursuing treatment and disease management for either condition has a positive effect on managing the other. Treating gum disease through plaque removal, antibiotic therapy, surgery (if needed) and renewed oral hygiene will diminish the oral infection and reduce the body’s immune response. Caring for diabetes through medication, diet, exercise and lifestyle changes like quitting smoking will in turn contribute to a quicker healing process for infected gum tissues.

Treating gum disease when you have diabetes calls for a coordinated approach on both fronts. By caring for both conditions you’ll have a more positive effect on your overall health.

If you would like more information on the relationship between diabetes and gum disease, please contact us to schedule an appointment for a consultation.


AmericasDentistsGotTalent-forFixingDamagedorMissingTeeth

A recent episode of “America’s Got Talent” featured an engaging 93-year-old strongman called The Mighty Atom Jr. The mature muscleman’s stunt: moving a full-sized car (laden with his octogenarian “kid brother,” his brother’s wife, plus Atom’s “lady friend”) using just his teeth. Grinning for host Howie Mandel, Atom proudly told the TV audience that his teeth were all his own; then he grasped a leather strap in his mouth, and successfully pulled the car from a standstill.

We’re pleased to see that the Atom has kept his natural teeth in good shape: He must have found time for brushing and flossing in between stunts. Needless to say, his “talent” isn’t one we’d recommend trying at home. But aside from pulling vehicles, teeth can also be chipped or fractured by more mundane (yet still risky) activities — playing sports, nibbling on pencils, or biting too hard on ice. What can you do if that happens to your teeth?

Fortunately, we have a number of ways to repair cracked or chipped teeth. One of the easiest and fastest is cosmetic bonding with tooth-colored resins. Bonding can be used to fill in small chips, cracks and discolorations in the teeth. The bonding material is a high-tech mixture of plastic and glass components that’s extremely lifelike, and can last for several years. Plus, it’s a procedure that can be done right in the office, with minimal preparation or discomfort. However, it may not be suitable for larger chips, and it isn’t the longest-lasting type of restoration.

When more of the tooth structure is missing, a crown (or cap) might be needed to restore the tooth’s appearance and function. This involves creating a replacement for the entire visible part of the tooth in a dental lab — or in some cases, right in the office. It typically involves making a model of the damaged tooth and its neighbors, then fabricating a replica, which will fit perfectly into the bite. Finally, the replacement crown is permanently cemented to the damaged tooth. A crown replacement can last for many years if the tooth’s roots are in good shape. But what if the roots have been dislodged?

In some cases it’s possible to re-implant a tooth that has been knocked out — especially if it has been carefully preserved, and receives immediate professional attention. But if a tooth can’t be saved (due to a deeply fractured root, for example) a dental implant offers today’s best option for tooth replacement. This procedure has a success rate of over 95 percent, and gives you a natural looking replacement tooth that can last for the rest of your life.

So what have we learned? If you take care of your teeth, like strongman Atom, they can last a long time — but if you need to move your car, go get the keys.

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




Contact Us

Dr. George Salem and Associates, P.C.

Braintree, MA Dentist
Dr. George Salem and Associates, PC
60 Adams Street
Braintree, MA 02184
(781) 843-0660
Braintree, MA Dentist Call For Financing Options