DR. H. ROBERT STENDER

(PASADENA CA DENTIST)

Dr. Stender’s goal is simple: to provide the best dentistry care he would provide to his own family. He is passionate about dentistry and making sure his clients have a COMFORTABLE and RELAXING dental experience in his state-of-the-art treatment suites.

Dr. Stender will look at the entire foundation of your mouth before performing comprehensive restorative and reconstructive dentistry using the most up-to-date dental technologies for your health, comfort and safety.

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Customer Reviews

Kirk W.
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Thank you very much! Dr. Stender and his employees are efficient. I have been a customer since I was a child. He had a accomplished dental work that has taken others hours within 45mins to 1 hour. He will have my business for many years!
Ryan M.
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I couldn't leave a more positive review. They are simply the best at what they do, on all sides of the business. Every single interaction with Dr. Stender's office is exceptional.
Wolfgang B.
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I've been going to Dr. Stender for over five years. He's friendly and professional and always up-to-date with the most current procedures. His office is comfortable and the staff is always friendly and very helpful.
Ann M.
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I have being coming to Dr. Stender for a couple of years now and he is the only dentist I trust. He is very patient and understanding. I have had bad experiences with dentist before and he always puts my fears at ease . I highly recommend him.
Bernice R.
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Everyone was super, super nice!! Dr. Stender was walking by and he stopped to say hello. We even got a tour of the facility, they have state of the art technology. I would recommend my friends and family to come here. Excellent customer service!!!
Aaron H.
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Dr. Foon and the staff were terrific. She diagnosed an issue my son was having which was previously not identified. Thanks for going the extra mile! Angel did an awesome job with my cleaning. The front desk was friendly and efficient. We were in and out with little to no wait. Thanks, everyone!
Sergio F. T.
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Its always a pleasure to see the staff greet me with a professional and friendly welcome. I am a new customer but they make me feel ive been coming there forever. Dr. Steetner youve done a terrific job picking your staff they all work together as a team. So thank you again and will see you all today !!!
Ariel C.
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I have been going to Dr. Stender for a few years now. His services are always outstanding. Wait time is very minimal and sometimes finishes earlier than expected. Will always refer people to go see Dr. Stender when they are new to the area.
Monique N.
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Thank you Dr. Stender for trying to work with my 4 year old and his 3 little cavities. He went above and beyond to not make it a traumatic experience and eventually my little guy got it all done. Getting teeth cleaning has never been a problem but the cavities were tricky. We're definitely trying to stay on top of flossing. Thank you to Dr Stender and his team trying to help my son get thru this hurdle. Extra star if I could!!
Diana B.
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Might just be the best dentist in the city. I e been to a few. East side. West side. Etc. The most thorough, studied doctor I have. Always has the latest solid research and technology. And all in his office are top-notch and caring. Prices are not over the top and they work with you to get the best coverage. Also expert at TMJ. I still travel 40 minutes each way for my dental visits with Dr Stender. It's worth it. Do yourself a favor and go here!
Barryold B.
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Dr Stender has been my dentist for several years. He and his staff are courteous and friendly. They don't push extra dental procedures.
Ezzy E.
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Vilma was very professional and explained everything about my teeth so that I learned how to better clean them and care for them. I actually enjoy going to the dentist because everyone at this office makes the experience enjoyable.
Darcy T.
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They do everything in one place and have all the new Technology. They start off by giving you a tour and then get introduced to Dr Stender who then sits with you to find out your issues and proceed from there.
Bel P.
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I have been going to Dr. Stender's office for many years now. Vilma has been my hygienist. She is professional, has a super personality and makes you feel comfortable during cleanings. Everyone in the office is nice and helpful if you have questions. They will follow-up with your insurance to make sure a procedure is covered. Give their office a try.
Dale C.
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I found this dentist from the reviews of yelp I'm very happy that I went there and they really know what they are doing . I definitely recommend them .
Diana R.
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The entire office staff are all wonderful and I have been really impressed at how well they all work together. I'm a new patient and they have just been awesome.
Tracy G.
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Very patient and kind. I experienced little to no discomfort or pain during the cleaning. He is very polite and well mannered. The staff members are friendly, well trained and helpful. I would recommend Dr Stender's office to anyone looking for a great dentist.
Pete M.
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My family and I have been going to Dr. Stender's office for over 15 years and I wouldn't go anywhere else. He has all the latest equipment and all he is very knowledgeable. All his staff are helpful and caring. I recommend him to all my friends and family.
SteveyRacer R.
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Dr Stender - and especially his staff and technicians are great with my 4 year old. We have been coming here since she was 2 and they are incredible at working with kids!
Michael G.
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I did a yelp search and decided to try Dr. Stender because they had the highest rating and the most reviews. Everyone at the office was very nice. They took me on a tour of the facility and place has state of the art equipment and everything you would need. The doctor was also very nice, helpful, and answered my many questions. Great place.
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Our Services

We, at H. Robert Stender DDS, Inc., take time to fully educate our patients on our approach to optimal dental health. We would rather prevent problems than correct them.

Our Patient Comfort Guarantee

We believe in treating the full mouth and creating a healthy foundation of bone and gums. To help you understand how we can best treat your dental needs, we’ve included descriptions of some of our leading services on this page. We do it once. We do it right. We do it for life.

Initial Oral Examination

Your initial comprehensive examination includes a thorough review of dental and medical history, a visual examination, periodontal probing, diagnosis and treatment recommendations. We will also take X-Rays, which include the Galileos Comfort 3D panoramic X-Ray for proper diagnosis of the anterior (front) and posterior (back) teeth as well as the digital bite-wing X-Ray series for proper diagnosis of proximal decay of posterior teeth.

Our Doctors

Dr. Robert Stender - Best Dentist in Pasadena

Dr. H. Robert Stender

Dr. H. Robert Stender has offered comprehensive family-oriented dentistry in Pasadena since 1970.

His extensive repertoire of treatments includes pedodontics (children’s dentistry), orthodontics (Invisalign), periodontics (gum disease), endodontics (root canal therapy), prosthedontics (fitting with prosthetic devices such as dentures), oral surgery, cosmetic dentistry, and restorative/reconstructive dentistry, and pain management. Dr. Stender earned his Doctor of Dental Surgery from the University of Southern California in 1970. Since that time, he has completed thousands of hours of continuing education to keep current on developments in his field and is a self-described “continuing education junkie.” Following graduation, Dr. Stender began his dental career by opening up a private practice and has been a private practitioner ever since.

Dr. Joyce Stein - Dentist in Pasadena California

Dr. Joyce Stein

Dr. Joyce Stein grew up in La Crescenta. She knew at young age that she wanted to become a dentist through her experience volunteering as a Spanish translator at a nearby nonprofit dental clinic in San Fernando, MEND. Dr. Stein became a first generation college graduate in her family in 2008, when she graduated Summa Cum Laude with a bachelor's degree in biology from the University of La Verne.

She earned her Doctor of Dental Surgery from Loma Linda University School of Dentistry in 2013 and continued her dental education by completing a general practice residency at Danbury Hospital in Danbury, CT in 2014. A record-breaking cold winter in New England that year made Dr. Stein's family decide to move back to sunny Southern California.

Our Staff

pearlPearl Maciel, RDA, Office Manager

Pearl graduated from Citrus College Dental Assisting Program in 1984, receiving her Registered Dental Assistant license. She joined our team that same year. Pearl is an active member of the American Dental Assistants Association and has certification for the Diode Soft Tissue Dental Laser, Cerec 3D advanced training and Digital Radiography training. Her vast knowledge and respect of the dental field including her expertise in dental insurance is a great asset not only to our office but to our patients as well.

MaricelaMaricela Ibarra, RDA, Patient Coordinator

Maricela graduated from Concorde Career College in 2008, recieving her Registered Dental Assistant license. She joined our team that same year, working as a chair-side assistant for 2 years and is currently our front desk Patient Coordinator. Maricela is certified in California Dental Radiation Safety and Techniques and has received Certificates of Completion in Ultrasonic Scaling and Coronal Polishing. She enjoys taking continued education courses to advance her dental knowledge. With her warm personality, we are very happy to have Maricela as part of our dental team.

Connie Connie Garcia, RDA, Lead Registered Dental Assistant

Connie graduated from North-West College Dental Assisting Program in 2005 and received her registered dental assistant license that same year. She joined our team in April 2013. She is certified in California Dental Radiation Safety and Techniques, Coronal Polishing and Sealant Placement. Her dental experience includes Cosmetic Dentistry and front office administration. Connie stays current with the latest dental technology by taking many continuing education courses throughout the year. We feel fortunate to have her as part of our team. With her dedication to our office and our patients, we are honored to have Connie as part of our team.

ILeea GutierrezILeea Gutierrez, RDA, Registered Dental Assistant

ILeea graduated in 2000 from Bryman College with honors and was intern of the month in her graduating class. She received her Registered Dental Assistant license within months of her 2000 graduation. She served on the board of the San Gabriel Dental Assistant Society for many years and served as Vice President for a term. lLeea has certification in California Dental Radiation Safety, techniques, coronal polishing and ultrasonic scaling. ILeea joined our team in 2017. She strives to constantly further her knowledge and education in the dental field and loves to help people comfortable and at ease. With her easy smile and outgoing personality, we are delighted to have ILeea as part of our team.

Angie Gonzalez

Alma Rivera, RDA, Registered Dental Assistant

Alma graduated from East Los Angeles Occupational Center Dental Program in 1992 and received her Registered Dental Assistant license in 1993. She has certification in California Dental Radiation Safety, techniques, coronal polishing and sealants. Alma joined our team in 2018. She finds working in our office a new learning experience every day. Alma enjoys taking continuing education courses to advance her dental knowledge. With her warm smile and capable hands, we are so pleased to have Alma as part of our team.

Alma Rivera

Angie Gonzalez, Dental Assistant

Angie graduated from United Education Institute Dental Assisting Program in 2016. She has certification in California Dental Radiation Safety, techniques and coronal polishing. Angie joined our team in 2019. Angie furthers her knowledge in dentistry and new technologies through education courses. With her sweet smile and personality, we feel very fortunate to have Angie as part of our team.

Vilma DeLeon

Vilma DeLeon, CDA, RDA, RDH, Registered Dental Hygienist

Vilma graduated from Pasadena City College Dental Assisting program in 2000, receiving her Registered and Certified Dental Assistant licenses. She continued her education at Pasadena City College in the Dental Hygiene program and graduated with her Associate in Science degree in Dental Hygiene in 2002. Vilma joined our team in 2003. She is an active member of the American Dental Hygiene Association and the San Gabriel Valley Dental Hygienist Society. Vilma has certification for the Diode Soft Tissue Dental Laser and the Biolase Laser, Cerec 3D advanced training and Digital Radiography training.

noraNora Atchabahian, RDH, Registered Dental Hygienist

Nora graduated from Pasadena City College Dental Hygiene Program receiving her Associate of Science degree in Dental Hygiene in 2005. She joined our team that same year. Additionally, Nora is the recipient of the 2005 Professionalism Award from Proctor and Gamble. She is an active member of the American Dental Hygiene Association and the San Gabriel Valley Dental Hygienist Society. Nora has certification for the Diode Soft Tissue Dental Laser and the Biolase Laser, Cerec 3D advanced training and Digital Radiography training.

angelAngel Jauequi, RDA, RDH, RDHAP, Registered Dental Hygienist

Angel graduated from Pasadena City College Dental Assisting Program in 2008, receiving his registered and certified dental assistant licenses. He continued his education at Pasadena City College in the Dental Hygiene Program and graduated with an Associate in Science degree in Dental Hygiene and an Alternative Practice certificate in 2010. Angel joined our team in 2011. He is an active member of the American Dental Hygiene Association and the San Gabriel Valley Dental Hygienist Society. Angel has certification for Diode Soft Tissue Laser and has had Biolase Laser and Digital Radiography training. We are pleased to have Angel as part of our team – he is a favorite hygienist for many of our patients.

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Bonding

Bonding is a process in which an enamel-like material is applied to a tooth`s surface, sculpted to an ideal shape, hardened, and then polished for an ideal smile. This procedure usually can be accomplished in a single visit.

Bonding is often performed in order to fill in gaps or change the color of your teeth. It typically only entails one office visit, and the results last for several years.

Bonding is more susceptible to staining or chipping than other forms of restoration such as veneers. When teeth are chipped or slightly decayed, bonded composite resins may be the material of choice. Bonding also is used as a tooth-colored filling for small cavities and broken or chipped surfaces.
In addition, bonding can be used to close spaces between teeth or cover the entire outside surface of a tooth to change its color and shape. Crowns, also known as caps, are used in cases where other procedures will not be effective. Crowns have the longest life expectancy of all cosmetic restorations, but are the most time consuming.

Cosmetic Contouring

Teeth can become crooked, chipped, cracked, and even overlap as a result of many factors, including traumatic injury, bruxism (grinding) or even heredity.

Cosmetic contouring and reshaping procedures can remedy, and in many cases, greatly improve these conditions.

For example, an uneven or crooked tooth can be gently reshaped by removing a small amount of enamel, to correct the alignment.

Crowns and Bridges

Crowns are ceramic dental restorations that are placed on the top of teeth.

Crowns are used to restore a tooth’s function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth. Crowns are also used to attach bridges, cover implants, prevent a cracked tooth from becoming worse, or an existing filling in jeopardy of becoming loose or dislocated. Crowns also serve an aesthetic use and are applied when a discolored or stained tooth needs to be restored to its natural appearance.

In our office, using Cerec 3D, a restorative crown is done in a single appointment, start to finish. Additionally, the metal-free ceramic material used with Cerec 3D closely match the composition of your natural tooth structure. Dr. Stender will administer an anesthetic and prepare your tooth for the restoration, removing decayed and weakened tooth tissue. Dr. Stender will then coat your tooth with a non-toxic tasteless powder and take a digital picture of your tooth. This is called an Optical impression and only takes a minute or two. There is no “goop” impression tray to deal with. The Cerec 3D software takes the digital picture and converts it into a 3-dimensional virtual model on the computer screen. Dr. Stender then uses his dental expertise to design your restoration using the Cerec 3D computer program. About 10 – 20 minutes later, your all ceramic, tooth-colored restoration is finished and ready to bond in place. Once the restoration is checked for proper fit and bite, Dr. Stender will polish and bond the crown to your prepared tooth. Your tooth is restored with no “temporary” or return trip to the office. We believe that with Cerec 3D, we provide our patients with the highest quality of restorative care.

Bridges

Bridges are natural-looking dental appliances that can replace a section of missing teeth. Because they are custom-made, bridges are barely noticeable and can restore the natural contour of teeth as well as the proper bite relationship between upper and lower teeth.
Bridges are sometimes referred to as fixed partial dentures, because they are semi-permanent and are bonded to existing teeth or implants. Some bridges are removable and can be cleaned by the wearer; others need to be removed by a dentist.

Porcelain, gold alloys or combinations of materials are usually used to make bridge appliances.

Appliances called implant bridges are attached to an area below the gum tissue, or the bone.

Cosmetic Fillings

Fillings are a direct restoration using synthetic materials to fill cavities and restore teeth damaged by decay.

There are different types of materials used to fill cavities. Dr. Stender uses only light-cured composite resins, which are colored to match natural tooth enamel. Composite fillings are a mixture of resins and fine particles designed to mimic the color of natural teeth. These fillings provide a pleasing alternative to silver and gold alloys.

Treating Head Pain, Headaches, and TMJ Disorders with Disclusion Time Reduction (DTR)

Your temporomandibular joint connects your lower jaw to the temporal bone of the skull, allowing for all of the movements of your jaw. The joint is surrounded by a complex network of muscles, ligaments and nerves, including the trigeminal nerve which is responsible for most of the sensation throughout your face and head, and also controls the muscles.

When alignment and function of the temporomandibular joint get skewed, the issues are known alternately as TMJ and TMD, temporomandibular joint disorder. Causes for the disorder include trauma, tooth grinding, and malocclusion (improper bite).

No matter the cause, the symptoms of TMJ disorders can include:

  • Clicking, popping, grinding noises in the jaw.
  • Inability to open the jaw fully, or complete lockjaw.
  • Pain and/or swelling around the jaw joint.
  • Chronic headaches.

Why Choose THE SCIENCE OF SMILES® for TMJ Pain and Headaches

THE SCIENCE OF SMILES® offers several types of treatments for TMJ pain, headaches, and other types of head pain including an exclusive form of therapy called Disclusion Time Reduction (DTR). DTR is proven to be much faster and more permanent than other traditional pain therapies, such as mouthguards and appliances.

The Method for Disclusion Time Reduction

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Using computer-guided technology, called a T-Scan system, we can compile data on a TMJ/TMD patient’s timed and force bites inside the mouth. As back teeth touch each other while a patient chews, eats, or grinds their teeth, opposing teeth push each other in and out of their sockets. These socket compressions go on unknown to the patient and happen thousands of times throughout the day, all the while, excessively firing the jaw muscles of the patient into a state of severe pain.

By using the T-Scan data collected, I can easily correct the time and force of occlusal problems. In most patients, many of the TMJ pain, headaches, and other head pain symptoms go away within the first week after treatment has begun!

Accepting New Patients

Dr. Stender of THE SCIENCE OF SMILES® is one of only a handful of dentists in the country that offers this exclusive head pain treatment. New pain patients from California and across the country are being accepted right now!

If you suffer from head pain, please take a moment to learn more about DTR by watching this video of Dr. Robert Kerstein, the developer of the Disclusion Time Reduction TMJ pain therapy.

Excessive or Uneven Gums

Many people inherit the problem of excessive or uneven gums.

A cosmetic surgical procedure called a gum lift can be used to correct this problem.

Some abnormalities, as well as advanced gum disease that cannot be treated periodically or non-surgically, may require the application of soft tissue grafts. Such procedures can be used to cover an exposed root or correct uneven gum lines.

Implants

Before the development of dental implants, dentures were the only alternative to replacing a missing tooth or teeth.

Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures.

Not everyone is a candidate for a dental implant, however. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. In all cases, dental implants require strict oral hygiene.

Implants are so well designed that they mimic the look and feel of natural teeth. Implants are usually made of a synthetic yet biocompatible material like metal or ceramic.

Surgery is necessary to prepare the area for an implant and place the implant in the mouth. Following the procedure, a period of time is required for the implant to take hold and for bone tissue to build up and anchor the device. In some cases, metal posts are inserted into the implant during a follow-up procedure to connect the tooth.

Because implants require surgery, patients are administered anesthesia and, if necessary, antibiotics to stave off infection following the procedure.

Like any restoration, implants require diligent oral hygiene and proper care to ensure they last a long time.

Pain Management Dentistry

Orofacial pain includes a number of clinical problems involving the chewing muscles or temporomandibular joint. Problems involving facial pain can include temporomandibular joint (TMJ) discomfort, muscle spasms in the head, neck and jaw, cluster or frequent headaches, or pain with the teeth, face or jaw. If you have an unstable bite, missing teeth or poorly aligned teeth you can experience pain and discomfort because your muscles are working harder to bring your teeth together than normal, which causes strain. Pain can even be a symptom of grinding or clenching your teeth (bruxism), trauma to the head and neck, or poor genetics.

Utilizing pain management dentistry we provides an array of treatments to help alleviate your orofacial pain, including the use of an oral device called an orthotic, or splint, that is worn over the teeth until your bite can be stabilized. While this treatment may be temporary, your dentist may also recommend permanent correction through reshaping of your teeth, building crowns, orthodontics or a permanent appliance for your mouth. Physical therapy, counseling, relaxation training or massage therapy may also be an option for your oral health improvement.

Your pain management dentist is specially trained to maintain and correct your bite to ensure optimal oral health. With a thorough medical and dental history, your dentist can determine if any trauma has occurred in the facial area, as well as perform a physical examination to examine your temporomandibular join, head and neck.

If you are suffering from headaches or jaw pain, visit your dentist today for further diagnosis and treatment of your pain with pain management dentistry.

Porcelain Veneers and Lumineers® by Cerinate®

These popular restorative-dentistry options are made of thin, durable and stain resistant porcelain. They can perfect your smile by masking deep stains, hiding cracks and chips, correcting worn down or misaligned teeth and creating uniformity.

Traditional porcelain veneers are custom-shaped wafer thin laminates permanently bonded to teeth to correct your smile. These veneers can also be used to close unsightly gaps and straighten and lengthen teeth to improve bite position. Unlike a crown, which covers the entire tooth, a porcelain veneer covers only the visible portion of the tooth. Much of the natural tooth structure remains in place since only a thin layer of tooth is buffed to allow for the thickness of the veneer.

At our office, using Cerec 3-D, you can have your porcelain veneer in a 1 – 1 1/2 hour appointment per tooth. This means that Dr. Stender can create a new smile for you in a single morning or afternoon. There is no need for the traditional impressions, lab work or a 7 to 10 day waiting period while wearing temporaries.

Lumineers ® are made of patented Cerinate ® porcelain that is contact-lens thin. They are a noninvasive and comfortable process to transform and correct teeth. Their advantage is that they are placed directly over existing teeth with no removal of tooth structure. Unlike traditional porcelain veneers, Lumineers ® can be removed if desired.

Both options provide natural and long lasting results. However, choosing the option best suited to your needs depends on your dental history, overall health and desired results. Dr. Stender will help formulate the most aesthetic and functional treatment for you. These popular restorative-dentistry options are made of thin, durable and stain resistant porcelain. They can perfect your smile by masking deep stains, hiding cracks and chips, correcting worn down or misaligned teeth and creating uniformity.

Teeth Whitening

Your smile is very important; it is one of the first things people notice when they first meet you. It is no surprise that everyone wants whiter, brighter teeth today. Not only will whiter, brighter teeth enhance your smile, it will make you look years younger.

At our office, we use a whitening treatment called the Opalescence Teeth Whitening System. We believe it is the most effective method to bleach teeth to their maximum potential with the least amount of sensitivity. With Opalescence Teeth Whitening, there are no limits to a dazzling smile. It is possible to brighten your smile several shades lighter or more in just an hour!

How Teeth Whitening Treatment Works

Patients have the option of receiving an in-office Opalescence Boost treatment, and/or a professional Opalescence take home kit. During the in-office session, we will apply Opalescence Boost — a chemically-activated teeth whitening formula to your teeth. The formula will penetrate the tooth enamel and deep within the dentin, erasing years of stains without a hot annoying light. Results will be noticed as soon as you leave our office!

Patients who choose the take home kit, will receive the Opalescence take-home whitening gel — which offers professional teeth whitening in the comfort of your own home. Available in different flavors, the Opalescence take-home kit is administered via custom-made trays — and it’s only available through a licensed dental professional.

Get a Beautiful, White Smile

If you have stained and discolored teeth and want your smile to be the whitest, brightest it can be, contact our office to see if the Opalescence Teeth Whitening System is right for you. We know you will be thrilled with the results.

Sealants

The pits and grooves of your teeth are prime areas for opportunistic decay. Even regular brushing sometimes misses some of these intricate structures on the chewing surfaces of your teeth.

Enter sealants, which are thin coatings applied to the chewing surfaces designed to prevent the intrusion of bacteria and other debris into the deep crevices on the tops of your teeth.

Sealants actually were developed about 50 years ago but didn’t become commonly used until the 1970s. Today, sealants are becoming widely popular and effective; young children are great candidates for preventative measures like sealants because in many cases, decay has not set in. Even on teeth where decay is present, sealants have been shown to fight additional damage.

Sealants are applied by first cleaning the tooth surface. The procedure is followed by “etching” the tooth with an abrasive substance, which allows the sealant to better adhere. After the sealant is applied, a warm light source is directed to the site to promote faster drying. Sealants usually need re-application every five to 10 years.

Root Canal Therapy

Root canals are tiny passageways that branch off from beneath the top of the tooth, coursing their way vertically downward, until they reach the tip of the root.

All teeth have between one and four root canals.

Many tooth problems involve infections that spread to the pulp, which is the inner chamber of the tooth containing blood vessels, nerves and other tissues. When the infection becomes worse, it can begin affecting the roots. A traumatic injury to a tooth can also compromise the pulp, leading to similar problems.

A diseased inner tooth brings a host of problems; pain and sensitivity are some of the first indications of a problem; but inside, a spreading infection can cause small pockets of pus to develop, leading to an abscess.

Root canal therapy is a remarkable treatment with a very high rate of success, and involves removing the diseased tissue, halting the spread of infection and restoring the healthy portion of the tooth. In fact, root canal therapy is designed to save a problem tooth; before the procedure was developed and gained acceptance, the only alternative for treating a diseased tooth was extraction.

Procedure

Root canal therapy usually entails one to three visits. During the first visit, a small hole is drilled through the top of the tooth and into the inner chamber. Diseased tissue is removed, the inner chamber cleansed and disinfected, and the tiny canals reshaped. The cleansed chamber and canals are filled with an elastic material and medication designed to prevent infection. If necessary, the drilled hole is temporarily filled until a permanent seal is made with a crown.

Most patients who have root canal experience little or no discomfort or pain, and enjoy a restored tooth that can last almost as long as its healthy original.

Extractions

General Procedure

When restoration procedures such as root canal therapy, crowns, or fillings are not enough to save a tooth, it may need to be pulled, or extracted.

Tooth extraction procedures today are far less painful than ever before, thanks to powerful anesthetics and sedatives. In many cases, a patient who has tooth pulled experiences little or no discomfort, and only minor bleeding.

Before a tooth is extracted, the area surrounding the tooth is numbed with a topical/and or injectable anesthetic such as Novocaine.
Patients with extracted teeth sometimes need to take an antibiotic, and at the very least, take precautions following the procedure to ensure that infection doesn’t occur.

Smoking, vigorous brushing and rinsing, and drinking liquids through straws are discouraged during the post-operative period because they hinder healing and may cause the wound to open. Cold compresses applied to the outside cheek near the extraction area can help reduce any swelling and promote faster healing.

Wisdom Teeth

Wisdom teeth are the third and final set of molars that erupt in the back corners of the upper and lower normal adult mouth. Unfortunately, most people experience problems from wisdom teeth; in most cases, this is because the teeth erupt too close to existing permanent teeth, causing crowding, improper bites, and other problems.

If wisdom teeth are causing a problem and are not pulled, they can sometimes become impacted. Impacted wisdom teeth can be extremely painful, as well as harmful to your oral health. Symptoms are easy to spot: severe discomfort, inflammation, and some kinds of infections.

Many people need to have their wisdom teeth extracted to avoid future serious problems. In general, the lack of the four wisdom teeth does not hamper one’s ability to properly bite down, speak or eat.

If you experience any of the following symptoms, you may have an impacted wisdom tooth:

  • Facial swelling
  • Infection
  • Pain
  • Gum swelling

Scaling and Root Planing

Advanced gum disease sometime requires the dentist to clean below the gum line to remove stubborn, crusty deposits called tartar or calculus, and to remove damage near the tooth root. This is done to prevent further damage and restore and stabilize the tooth.

For some patients, a local anesthetic is administered to the affected area. Then, a small scaling instrument and/or ultrasonic cleaning device are used to remove the deposits.

After cleaning, the root may need to be smoothed, or planed, to restore it as much as possible to its original shape. Planing also allows your gum tissue to better attach itself and heal properly.

Dentures

A denture is a removable replacement for missing teeth and adjacent tissues. It is made of acrylic resin, sometimes in combination with various metals.

Types of dentures

Complete dentures replace all the teeth, while a partial denture fills in the spaces created by missing teeth and prevents other teeth from changing position.

Candidates for complete dentures have lost most or all of their teeth. A partial denture is suitable for those who have some natural teeth remaining. A denture improves chewing ability and speech, and provides support for facial muscles. It will greatly enhance the facial appearance and smile.

Complete or full dentures are made when all of your natural teeth are missing. You can have a full denture on your upper or lower jaw, or both.
Complete dentures are called “conventional” or “immediate” according to when they are made and when they are inserted into the mouth. Immediate dentures are inserted immediately after the removal of the remaining teeth. To make this possible, the dentist takes measurements and makes the models of the patient`s jaws during a preliminary visit.

An advantage of immediate dentures is that the wearer does not have to be without teeth during the healing period. However, bones and gums can shrink over time, especially during the period of healing in the first six months after the removal of teeth. When gums shrink, immediate dentures may require rebasing or relining to fit properly. A conventional denture can then be made once the tissues have healed. Healing may take at least 6-8 weeks.

An overdenture is a removable denture that fits over a small number of remaining natural teeth or implants. The natural teeth must be prepared to provide stability and support for the denture.

Partial dentures are often a solution when several teeth are missing.
Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework. Removable partial dentures attach to your natural teeth with metal clasps or devices called precision attachments. Precision attachments are generally more esthetic than metal clasps and are nearly invisible. Crowns on your natural teeth may improve the fit of a removable partial denture and they are usually required with attachments. Dentures with precision attachments generally cost more than those with metal clasps.

How are dentures made?

The denture process takes about one month and five appointments: the initial diagnosis is made; an impression and a wax bite are made to determine vertical dimensions and proper jaw position; a “try-in” is placed to assure proper color, shape and fit; and the patient`s final denture is placed, following any minor adjustments.

First, an impression of your jaw is made using special materials. In addition, measurements are made to show how your jaws relate to one another and how much space is between them (bite relationship). The color or shade of your natural teeth will also be determined. The impression, bite and shade are given to the dental laboratory so a denture can be custom-made for your mouth.

The dental laboratory makes a mold or model of your jaw, places the teeth in a wax base, and carves the wax to the exact form wanted in the finished denture. Usually a “wax try-in” of the denture will be done at the dentist`s office so any adjustments can be done before the denture is completed.
The denture is completed at the dental laboratory using the “lost wax” technique. A mold of the wax-up denture is made, the wax is removed and the remaining space is filled with pink plastic in dough form. The mold is then heated to harden the plastic. The denture is then polished and ready for wear.

Getting used to your dentures

For the first few weeks, a new denture may feel awkward or bulky. However, your mouth will eventually become accustomed to wearing it. Inserting and removing the denture will require some practice. Your denture should easily fit into place. Never force the partial denture into position by biting down. This could bend or break the clasps.
At first, you may be asked to wear your denture all the time. Although this may be temporarily uncomfortable, it is the quickest way to identify those denture parts that may need adjustment. If the denture puts too much pressure on a particular area, that spot will become sore. Your denture can be adjusted to fit more comfortably. After making adjustments, you may need to take the denture out of your mouth before going to bed and replace it in the morning.

Start out by eating soft foods that are cut into small pieces. Chew on both sides of the mouth to keep even pressure on the denture. Avoid sticky or hard foods, including gum. You may want to avoid chewing gum while you adjust to the denture.

Caring for your dentures

It’s best to stand over a folded towel or a sink of water when handling your denture, just in case you accidentally drop it. Brush the denture (preferably with a denture brush) daily to remove food deposits and plaque, and keep it from becoming permanently stained. Avoid using a brush with hard bristles, which can damage the denture. Look for denture cleansers with the American Dental Association (ADA) Seal of Acceptance. Pay special attention to cleaning teeth that fit under the denture`s metal clasps. Plaque that becomes trapped under the clasps will increase the risk of tooth decay.
Hand soap or mild dishwashing liquid to clean dentures is also acceptable. Other types of household cleaners and many toothpastes are too abrasive and should not be used for cleaning dentures. A denture could lose its proper shape if it is not kept moist. At night, the denture should be placed in soaking solution or water. However, if the appliance has metal attachments, they could be tarnished if placed in soaking solution.
Even with full dentures, you still need to take good care of your mouth. Every morning, brush your gums, tongue and palate with a soft-bristled brush before you put in your dentures. This removes plaque and stimulates circulation in the mouth. Selecting a balanced diet for proper nutrition is also important for maintaining a healthy mouth.

Adjustments

Over time, adjusting the denture may be necessary. As you age, your mouth naturally changes, which can affect the fit of the denture. Your bone and gum ridges can recede or shrink, resulting in a loose-fitting denture. Loose dentures can cause various problems, including sores or infections. Dentures that do not fit properly can be adjusted. Avoid using a do-it-yourself kit to adjust your dentures, as this can damage the appliance beyond repair. Glues sold over-the-counter often contain harmful chemicals and should not be used on a denture.

If your denture no longer fits properly, if it breaks, cracks or chips, or if one of the teeth becomes loose, see your dentist immediately. In many cases, dentists can make necessary adjustments or repairs, often on the same day. Complicated repairs may require that the denture be sent to a special dental laboratory.

Over time, dentures will need to be relined, re-based, or re-made due to normal wear. To reline or re-base a denture, the dentist uses the existing denture teeth and refits the denture base or makes a new denture base. Dentures may need to be replaced if they become loose and the teeth show signs of significant wear.

Common concerns

Eating will take a little practice. Start with soft foods cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the dentures from tipping. As you become accustomed to chewing, add other foods until you return to your normal diet.

Continue to chew food using both sides of the mouth at the same time. Be cautious with hot or hard foods and sharp-edged bones or shells.
Some people worry about how dentures will affect their speech. Consider how your speech is affected when you have a number of your natural teeth missing.

Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will help. If your dentures “click” while you`re talking, speak more slowly. You may find that your dentures occasionally slip when you laugh, cough or smile. Reposition the dentures by gently biting down and swallowing. If a speaking problem persists, consult your dentist.

Denture adhesives

Denture adhesives can provide additional retention for well-fitting dentures. Denture adhesives are not the solution for old, ill-fitting dentures. A poorly fitting denture, which causes constant irritation over a long period, may contribute to the development of sores. These dentures may need a reline or need to be replaced. If your dentures begin to feel loose, or cause pronounced discomfort, consult with your dentist immediately.

Jaw /TMJ

One of the most common jaw disorders is related to a problem with the temporomandibular joint. This joint is actually the hinge that connects the jaw to the head. The relationship of the jaw to the head is dictated by three things: the jaw joint, the muscles that open and close the jaw and support the head, and the teeth themselves. All three have to work in harmony or TMJ dysfunction may exist.
Terms such as TMD (temporamandibular disorder) and CMCD (cranio-mandibular cervical disorder) are the appropriate terms for the problems patients may have. TMD and CMCD along with related cervical spine posture abnormalities can cause migraine type headaches, ear and eye problems, sinus pain, dizziness, swallowing difficulties, clicking jaw joints, clenching and grinding of your teeth, facial pain, toothaches, nausea and fatigue.

Occlusion, much like the fit of a shoe, is how your teeth fit together. When your teeth do not fit together right, your muscles go into spasm, producing too much lactic acid causing cramps and pain. Occlusion misalignment stimulates muscular hyperactivity that results in TMD and/or Craniofacial pain.

In our office, Dr. Stender uses the most advanced diagnostic tools available to narrow down the cause of your TMD or Craniofacial pain and determine the best treatment to eliminate the problem.

A detailed medical and dental history will be documented, including all past medical and/or dental problems and treatments, any history of trauma (especially to head or neck region), specific questions about your symptoms, and the nature and duration of pain and jaw problems. A Range of Motiontest will be done to check to movement of the jaw and whether there is a deviation or deflection of the jaw upon opening. Muscle palpation will also be done. This checks for possible muscle contractions and trigger points that could indicate a problem with the chewing muscles.

Evaluation of hard tissues is accomplished using our Galileos 3-D X-ray.

Evaluation of soft tissue is accomplished by the following:

BioEMG II® Muscle Testing

BioEMG II ® Muscle Testing measures and records how the muscles connected to your jaw function when your jaw moves and relaxes. Dr. Stender or his Assistant will affix 9 patches to your forehead, face, and neck. The wires from the EMG unit are then attached to the patches. Then, you will be asked to do things like rest your jaw, clench your teeth together and swallow. The EMG records the electrical activity of the muscles, quantifies the data and displays it on a computer screen. In other words, the EMG tells Dr. Stender whether or not your muscles are doing what they are supposed to be doing. It is fast, informative and pain free.

The BioJVA ®

The BioJVA ®, otherwise known as Joint Vibration Analysis, records audible and sub-audible pops and clicks from your jaw joints as you open and close your mouth. Normal joints produce little or no vibration, but a number of abnormal conditions produce distinct vibrations that can be identified by Dr. Stender with the use of the JVA. A headset is placed in front of your ears directly over each joint. Then, you will be asked to “open wide and close” numerous times. Any vibrations recorded will be analyzed and displayed on the computer screen. From this procedure, Dr. Stender will be able to see if your joints are functioning normally or not.
Evaluation of jaw movements are documented by:

JT-3D® Computerized Jaw Tracking

The JT-3D ® Computerized Jaw Tracking measures and records how your jaw moves during normal activities. Dr. Stender or an assistant will affix a small magnet on your lower teeth and place a headset over your head like a hat. Then you will be asked to do things like open and close your mouth several times quickly and several other jaw movements to measure exactly how your jaw moves and functions. The magnet and headgear work like a tracking system allowing Dr. Stender to see the movement pattern on the computer screen and then analyze it. The JT-3D ® can be used to objectively assess the quality of your chewing, speech and envelope of function.

T-Scan III

Understanding the force, timing and balance of your bite is essential to evaluating the health of your teeth. Too much force on a single tooth or set of teeth can cause pain, tooth movement or fracture. When replacing damaged teeth with restorations, we want to make sure that we are alleviating any environmental stressors like improper force, timing or balance of occlusion (the way you bite). T-Scan III allows Dr. Stender to objectively asses your bite and aids in adjustments to it. You will be asked to bite on a thin plastic wafer that is placed between your teeth. The fast and pain free procedure will provide Dr. Stender with valuable information about your bite.

Dr. Stender treats TMD and/or Craniofacial pain with a number of different methods. One method is with the NTI-tss Dental Device. This device is a pre-fabricated matrix that that Dr. Stender retro-fits and customizes to your front teeth. The most distinguishing characteristic of the NTI device is that it creates exclusive contact between the incisors (front teeth) only. Preventing any molar or canine contact is a key element to preventing jaw clenching and teeth grinding that can cause intense pain. Dr. Stender dictates the design of the NTI device based on your unique bite presentation. Additionally, Dr. Stender ensures that the device design does not overly “open” your mouth which would result in another negative sensory input. The NTI device fits comfortably on either the upper or lower front teeth. For most patients, it is worn during sleep.

An additional method of treatment is with a Maxillary B-Splint. This is a very thin retainer with an anterior stop so the back teeth are excluded. It is worn at night only or for 24 hours a day depending on the severity of the case.
Full mouth occlusal equilibration with the T-Scan III is yet another method of treatment. With this, your bite is balanced so you bite down evenly throughout your mouth.

Orthodontics can be very beneficial in treating TMD for some patients as well. And, in the most severe cases, complete reconstruction is recommended.

Since each patient’s case is unique, Dr. Stender will recommend the treatment or combination of treatments most appropriate for you.

Cosmetic Dentistry

People choose cosmetic dentistry procedures/surgery for various reasons-to repair a defect such as a malformed bite or crooked teeth, treat an injury, or just improve their overall appearance. Whatever the reason, the ultimate goal is to restore a beautiful smile.

For these and many other reasons, cosmetic dentistry has become a vital and important part of the dental profession.
Common cosmetic dentistry procedures can be performed to correct misshaped, discolored, chipped or missing teeth. They also can be used to change the overall shape of teeth-from teeth that are too long or short, have gaps, or simply need to be reshaped.

Some of the more common procedures involve:

  • Bonding – A procedure in which tooth-colored material is used to close gaps or change tooth color.
  • Contouring and reshaping – A procedure that straightens crooked, chipped, cracked or overlapping teeth.
  • Veneers – A procedure in which ultra-thin coatings are placed over the front teeth. Veneers can change the color or shape of your teeth. For example, veneers have been used to correct unevenly spaced, crooked, chipped, oddly shaped or discolored teeth.
  • Whitening and bleaching – As the term implies, whitening and bleaching, a rapidly increasing procedure, are used to make teeth whiter.

Which techniques should be used to improve your smile? A dental exam will take many factors into consideration, including your overall oral health.

For more information on Cosmetic Dentistry in the Pasadena, CA area call H. Robert Stender DDS, Inc. at (626) 795-0221 today!

Inlays and Onlays

Inlays and Onlays are considered indirect restorations as they are fillings made outside the mouth. They are less invasive and save more tooth structure than a crown.

Dr. Stender makes Inlays and Onlays in just one visit using Cerec 3D. A Cerec tooth restoration is not only convenient, it is also healthy. With Cerec 3D, Dr. Stender can use strong tooth colored ceramic materials to restore your tooth to its natural strength, beauty and function. These materials closely match the composition of natural tooth structure. Additionally, the ceramic materials are bonded to your tooth, so Dr. Stender can save as much healthy tooth tissue as possible while providing you with a dental restoration that strengthens your tooth.

Gum Disease(Gingivitis)

Gum disease is responsible for about 70% of adult tooth loss.

Diagnosis of gum disease requires a comprehensive periodontal examination. Dr. Stender or the hygienist will look at the texture, shape and position of your gum tissue. They will also assess bacterial plaque, bleeding, unpleasant mouth odor and loose or sensitive teeth. All of these factors give important clues to recognizing gum disease and recommending proper treatment.

Periodontal probe readings are a very important tool used to look for indicators of gum disease. The hygienist uses an instrument with markings on it to take several measurements around each tooth. This instrument measures pockets between the tooth and gum line. Readings deeper than 3 mm indicate areas of gum inflammation and/or loss of bone, which is needed to anchor your teeth. This bone loss may also be evident on X-rays.

The same tool used to measure pocket depths is also used to record gum recession, another disease indicator. Recession is measured from the gum line to the area where the root and crown of the tooth meet. Several causes of recession are age (years of normal wear and brushing), over zealous brushing and hard bristled brushes. It may also occur following gum disease treatment because the treated tissues become less inflamed and puffy and as they shrink, the gum line moves down the tooth.

Generally, healthy gums are firm, pink and do not bleed when gently probed.

Early diagnosis and treatment of infection is very important to an individual’s overall health. Heart attack, stroke, respiratory ailments and low-birth weight babies are among the health risks linked with diseases of the mouth.

Early detection of gum disease improves the treatment success rate and greatly increases the likelihood of keeping your teeth well into your senior years.

Invisalign

Invisalign’s® invisible, removable, and comfortable aligners will give you the beautiful straight teeth you’ve always wanted. And best of all, no one can tell you’re wearing them. Invisalign® is great for adults and teenagers.

What is Invisalign®?

  • Invisalign® is the invisible way to straighten your teeth without braces.
  • Invisalign® uses a series of clear removable aligners to straighten your teeth without metal wires or brackets
  • Invisalign® has been proven effective in clinical research and in orthodontic practices nationwide.

How Does Invisalign® Work?

  • You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss.
  • As you replace each aligner with the next in the series, your teeth will move little by little, week by week – until they have straightened to the their final position
  • You’ll visit us about once every 6 weeks to ensure that your treatment is progressing as planned.
  • Total treatment time averages 9 – 15 months and the average number of aligners during treatment is between 18 – 30, but both will vary from case to case.

How Are Aligners Made? You’d Be Amazed…

  • The aligners are made through a combination of our expertise and 3-D computer imaging technology.

Mouth Guards

Anyone who participates in a sport that carries a significant risk of injury should wear a mouth protector. Sports like basketball, baseball, gymnastics, and volleyball all pose risks to your gum tissues, as well as your teeth. We usually think of football and hockey as the most dangerous to the teeth, but nearly half of sports-related mouth injuries occur in basketball and baseball.

A mouth guard can prevent serious injuries such as concussions, cerebral hemorrhages, incidents of unconsciousness, jaw fractures and neck injuries by helping to avoid situations where the lower jaw gets jammed into the upper jaw. Mouth guards are effective in moving soft issue in the oral cavity away from the teeth, preventing laceration and bruising of the lips and cheeks, especially for those who wear orthodontic appliances.

Mouth protectors, which typically cover the upper teeth, can cushion a blow to the face, minimizing the risk of broken teeth and injuries to the soft tissues of the mouth. If you wear braces or another fixed dental appliance on your lower jaw, a mouth protector is available for these teeth as well.

A properly fitted mouth protector may be especially important for people who wear braces or have fixed bridge work. A blow to the face could damage the brackets or other fixed orthodontic appliances. A mouth protector also provides a barrier between the braces and your cheek or lips, limiting the risk of soft tissue injuries. Although mouth protectors typically only cover the upper teeth, your dentist or orthodontist may suggest that you use a mouth protector on the lower teeth if you have braces on these teeth too. If you have a retainer or other removable appliance, do not wear it during any contact sports.

Types of mouth guards

  • There are three types of mouth protectors: Stock – Inexpensive and come pre-formed, ready to wear. Unfortunately, they often don’t fit very well. They can be bulky and can make breathing and talking difficult.
  • Boil and bite – Can be bought at many sporting goods stores and may offer a better fit than stock mouth protectors. They should be softened in water, then inserted and allowed to adapt to the shape of your mouth. If you don’t follow the directions carefully you can wind up with a poor-fitting mouth protector.
  • Custom-fitted – Made by your dentist for you personally. They are more expensive than the other versions, but because they are customized, they can offer a better fit than anything you can buy off the shelf.

Pediatric Dentistry

Infants

Infants should be seen by our office after the first six months of age, and at least by the child’s first birthday. By this time, the baby’s first teeth, or primary teeth, are beginning to erupt and it is a critical time to spot any problems before they become big concerns.

Conditions like gum irritation and thumb-sucking could create problems later on. Babies who suck their thumbs may be setting the stage for malformed teeth and bite relationships.
Another problem that can be spotted early is a condition called “baby bottle tooth decay,” which is caused by sugary substances in breast milk and some juices, which combine with saliva to form pools inside the baby’s mouth.
If left untreated, this can lead to premature decay of your baby’s future primary teeth, which can later hamper the proper formation of permanent teeth.

One of the best ways to avoid baby bottle tooth decay is to not allow your baby to nurse on a bottle while going to sleep. Avoid dipping pacifiers in sweet substances such as honey, because this only encourages early decay in the baby’s mouth. Encouraging your young child to drink from a cup as early as possible will also help stave off the problems associated with baby bottle tooth decay.

Teething, Pacifiers, and Thumb-Sucking

Teething is a sign that your child’s gums are sore. This is perfectly normal. You can help relieve this by allowing the baby to suck on a teething ring, or gently rubbing your baby’s gums with the back of a small spoon, a piece of wet gauze, or even your finger.

For babies under the age of 4, teething rings and pacifiers can be safely used to facilitate the child’s oral needs for relieving gum pain and for suckling. After the age of 4, pacifiers are generally discouraged because they may interfere with the development of your child’s teeth.

Moreover, thumb-sucking should be strongly discouraged because it can lead to malformed teeth that become crooked and crowded.

Primary and Permanent Teeth

Every child grows 20 primary teeth, usually by the age of 3. These teeth are gradually replaced by the age of 12 or so with a full set of 28 permanent teeth, and later on, four molars called “wisdom teeth.”

It is essential that a child’s primary teeth are healthy, because their development sets the stage for permanent teeth. If primary teeth become diseased or do not grow in properly, chances are greater that their permanent replacements will suffer the same fate. For example, poorly formed primary teeth that don’t erupt properly could crowd out spaces reserved for other teeth. Space maintainers can sometimes be used to correct this condition, if it is spotted early enough.

Brushing

Babies’ gums and teeth can be gently cleaned with special infant toothbrushes that fit over your finger. Water is suitable in lieu of toothpaste (because the baby may swallow the toothpaste). Parents are advised to avoid fluoride toothpastes on children under the age of 2.

Primary teeth can be cleansed with child-sized, soft-bristled toothbrushes. Remember to use small portions of toothpaste (a pea-sized portion is suitable), and teach your child to spit out, not swallow, the toothpaste when finished.

Fluoride

Fluoride is generally present in most public drinking water systems. If you are unsure about your community’s water and its fluoride content, or learn that it has an unacceptable level of fluoride in it, there are fluoride supplements your dentist can prescribe. Your child may not be getting enough fluoride just by using fluoride toothpaste.

Toothaches

Toothaches can be common in young children. Sometimes, toothaches are caused by erupting teeth, but they also could indicate a serious problem.

You can safely relieve a small child’s toothache without the aid of medication by rinsing the mouth with a solution of warm water and table salt. If the pain doesn’t subside, acetaminophen may be used. If such medications don’t help, contact your dentist immediately.

Injuries

You can help your child prevent oral injuries by closely supervising him during play and not allowing the child to put foreign objects in the mouth.

For younger children involved in physical activities and sports, mouth guards are strongly encouraged, and can prevent a whole host of injuries to the teeth, gums, lips and other oral structures.

Mouth guards are generally small plastic appliances that safely fit around your child’s teeth. Many mouth guards are soft and pliable when opened, and mold to the child’s teeth when first inserted.

If the tooth has been knocked out, try to place the tooth back in its socket while waiting to see our office. Remember to hold the dislocated tooth by the crown-not the root. If you cannot relocate the tooth, place it in a container of cold milk, saline or the victim’s own saliva. Place the tooth in the solution.
First, rinse the mouth of any blood or other debris and place a cold cloth or compress on the cheek near the injury. This will keep down swelling.

For a fractured tooth, it is best to rinse with warm water and again, apply a cold pack or compress. Ibuprofen may be used to help keep down swelling.

If the tooth fracture is minor, the tooth can be sanded or if necessary, restored by the dentist if the pulp is not severely damaged.

If a child’s primary tooth has been loosened by an injury or an emerging permanent tooth, try getting the child to gently bite down on an apple or piece of caramel; in some cases, the tooth will easily separate from the gum.

Irritation caused by retainers or braces can sometimes be relieved by placing a tiny piece of cotton or gauze on the tip of the wire or other protruding object. If an injury occurs from a piece of the retainer or braces lodging into a soft tissue, contact our office immediately and avoid dislodging it yourself.

Sealants

Sealants fill in the little ridges on the chewing part of your teeth to protect and seal the tooth from food and plaque. The application is easy to apply and typically last for several years.

Women’s Teeth

Women have special needs when it comes to their oral health. That’s because the physical changes they undergo through life-things like menstruation, pregnancy and childbirth, breast-feeding and menopause-cause many changes in the body, some harmful to teeth and gums.

Lesions and ulcers, dry sockets, as well as swollen gums, can sometimes occur during surges in a woman’s hormone levels. These periods would be a prime time to visit the dentist. Birth control pills have been shown to increase the risk of gingivitis, and hormone replacement therapy has been shown to cause bleeding and swollen gums. Gum disease can also present a higher risk for premature births.

Some research has shown that women may be more likely to develop dry mouth, eating disorders, jaw problems such as tempromandibular joint disorders, and facial pain-all of which can be difficult from a physical and emotional standpoint.
Taking care of your oral health is essential, and can go a long way to helping you face the physical changes in your body over the years.