1735 Keller Springs Road, Suite 204
Carrollton, TX 75006

WHAT IS INVISALIGN?

Uneven teeth, crooked teeth are not only unaesthetic but also cause jaw pain and are more prone to cavities.  This sometimes may cause gum disease.  It is very easy to straighten teeth with Invisalign.

Invisalign or clear braces are to be worn once they are made by your dentist.  The dentist makes models of your teeth and scans them to make custom dental trays.  The Invisalign trays should be worn at least for 22 hours in a day.  The Invisalign aligners move the teeth very gradually to ideal positions. 

The clear aligners need to be replaced every 2 weeks.  Your general dentist or orthodontist will give you 3 sets of Invisalign aligners at a time.  When you are not wearing them it is very important to keep the clear aligners in the case provided so that they are not lost.

It is very easy to care for Invisalign dental aligners.  Patients are instructed to brush them with a soft toothbrush and non-abrasive toothpaste… it is recommended not to use baking soda to clean the clear aligners.  It is also very important to see your general dentist or orthodontist as recommended so that the teeth can be corrected quickly and efficiently. 

Invisalign is ideal for adults who have very busy schedules and social life.  Invisalign aligners do not interfere with daily activities.  A person can drink coffee, tea, and even chew gum with the clear aligners in place. 

It is easy to keep teeth clean with the Invisalign aligners as there are no metal brackets and wires attached to the teeth.  This makes the teeth less prone to have cavities.  With Invisalign you would not need to alter your diet as the food does not get caught on brackets as there are no brackets!!!!!

Dental insurance usually covers for a portion of Invisalign. If you do not have dental insurance, Dr. Sirisha Bhandaru of Carrollton Smiles offers a 15% discount on Invisalign braces as a part of the Carrollton Smiles Dental Advantage Program. This will help allow you to have the straight teeth that you always wanted.

Call Carrollton Smiles for a free consultation at 972-245-3455 or visit our website to book an online appointment at www.carrollton-smiles.com.

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What Happens After My Root Canal Treatment is Cmpleted?

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If the dental cavity is not large enough to cause the tooth to fail, a root canal treatment will be recommended.  Root canal treatment allows the patient to save the tooth.  The root canal treatment comprises of removal of the infected nerve tissue and filling the tooth with biologically inert material.  The root canal treatment will be performed by your general dentist, family dentist, or endodontist. 

Once the root canal treatment is completed by your dentist, they will recommend a dental crown to protect the tooth.  A dental crown is very important part of the success of your root canal treatment.  After the root canal treatment the tooth becomes brittle and more prone to fracture.  The complete coverage with a dental crown protects the integrity of the tooth structure and increases the longevity.  If the tooth that required the root canal treatment already has a crown present it may need to be replaced. 

To perform the root canal treatment all the decayed and infected tooth is removed and an access opening is made to the root canal chamber.  This results in a weakened, hollowed tooth structure; so your general dentist or family dentist will place a build-up prior to starting the crown preparation.  A tooth build-up material is a mercury free composite substance that takes place of the missing tooth structure and enables your dentist to create ideal dimensions of the remaining tooth.  This tooth build-up seals the root canal chambers from getting re-infected. 

If a crown or build-up is not placed within 30 days of the root canal treatment the procedure will need to re-done to ensure success and longevity of the tooth. 



Will my Root Canal Treatment Fail?

 

When the dental cavity compromises the tooth, a root canal treatment will be recommended.  Root canal treatment allows the patient to save the tooth.  The root canal treatment comprises of removal of the infected nerve tissue and filling the tooth with biologically inert material.  The root canal treatment will be performed by your general dentist, family dentist, or endodontist. 

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When your general dentist advises, or recommends a root canal treatment it is suggested to have it done as soon as possible.  Long standing dental infections are hard to treat as bacteria colonizes in the area decreasing the chances of root canal treatment success.  Presence of dental pus due to long standing infection reduces the chance of achieving perfect numbing of the tooth.  The dental pus interacts with the anesthetic material and renders it inactive. 

It is very essential to have a dental crown and a dental build-up placed as soon as possible for the success and longevity of the root canal treatment.  If the root canal chambers are not sealed then the chance of re-infection and fracture to the tooth increases.  Your general dentist or family dentist will recommend the right dental crown for your dental needs.  If within 30 days of have the root canal treatment performed the root canal procedure will need to be re-done. 

If your root canal treatment does fail then you are looking at re-treatment of your root canal or in worse cases a dental extraction.  Often patients are referred to a specialist which is an endodontist by their family dentist.  This is due to the special microscopes that will allow the endodontist to know if the tooth is fractured or cracked.  If the tooth is fractured or cracked then a dental extraction is required.  Should a dental extraction be required patients will have the choice of a dental implant or a dental bridge.

At Carrollton Smiles, Dr. Sirisha Bhandaru, understands that root canal treatment and dental crowns are costly which is why she offers our Dental Advantage Program which allows patients to get to notch care at an affordable rate.  As a part of the Dental Advantage Program all dental treatment is 15% off the regular office fees.

Call Carrollton Smiles at 972-245-3455 or visit our website to book an online appointment at www.carrollton-smiles.com.

Dental Veneers!! How do I know if I am a candidate?

What Are Dental Veneers?

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Smile makeovers are an amazing way to improve your smile.  This procedure has various components to it.  Orthodontics or dental braces, Invisalign, dental crowns, dental veneers, dental bridges, and teeth whitening are all essential components of a smile makeover. 

Dental veneers are made of porcelain and are placed on teeth for an aesthetic result.  The dental veneers can change the shape, color, and position of the teeth.  The preparation of dental veneers is very precise procedure require multiple appointments. 

Your general dentist makes the initial model at the dental consultation appointment and analyzes it and creates a working model of the ideal smile you desire to achieve.  The next appointment you will have a chance to go over the dental model with your family dentist and make changes as desired.  At that appointment your teeth are minimally prepared to receive the veneers.  Your will receive temporary dental veneers which enables the patient to look at them and make changes as needed.  At further appointments dental veneers are bonded in place and you have your perfect smile.

It is recommended to have a dental night guard after an aesthetic smile make over with dental veneers to protect them from de-bonding and breakage.  Dental veneers do need to be replaced if they break because they are very thin shells of porcelain.  There have been a lot of advances made in fabrication of dental porcelain veneers.  However, there are limitations as to who is eligible for a smile makeover with only dental veneers. 

Extensive dental procedures like smile makeovers can often cause dental anxiety.  At Carrollton Smiles, Dr. Sirisha Bhandaru, is sympathetic to anxious dental patients and offers oral conscious sedation and Nitrous Oxide also called laughing gas.  Dr. Bhandaru knows that smile makeovers can be a costly procedure. At Carrollton Smiles we offer the Dental Advantage Program that allows patients to achieve the smile of their dreams at a 15% discount. 

Call Carrollton Smiles at 972-245-3455 or visit our website to book an online appointment at www.carrollton-smiles.com.

What is a Root Canal Treatment?

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Why Do I Need Root Canal Treatment?

Our teeth have 3 layers.  The outer layer is enamel, which protects the tooth, the second layer is dentin, and this layer has some nerves.  The inner most layer is dental pulp, which has blood vessels and nerves. When dental cavities extend to the Pulp of a tooth, this causes dental abscess.

If the dental cavity is not extensive enough to warrant removal of a tooth also called dental extraction, a root canal treatment is recommended.  Root canal treatment enables the patient to save the tooth.  This procedure is usually performed by your general dentist, family dentist, or endodontist.  The patient is placed on antibiotics prior to the root canal treatment. 

How Is Root Canal Treatment Done?

The tooth is numbed using local anesthetic.  At Carrollton Smiles, Dr. Sirisha Bhandaru, offers dental sedation and laughing gas, also called Nitrous Oxide to reduce patient anxiety and increase comfort during the appointment.  Dr. Bhandaru uses rubber dam to isolate the tooth from the rest of the mouth to prevent contamination from saliva which increases the chance of success for root canal treatment. 

The infected nerve of the tooth is removed and the root canal treatment is completed using inert material called gutta percha.  It is very important to place a crown over a tooth with root canal treatment to prevent fracture of the tooth.  Failure to get a dental crown in a timely fashion will lead to failure of the root canal treatment. 

Root canal treatment can be an expensive procedure which can be avoided by keeping up with your prescribed dental cleaning visits and getting cavities taken care of as soon as they are diagnosed by your dental provider.  At Carrollton Smiles, Dr. Sirisha Bhandaru, is very enthused to offer Dental Advantage Program which enables our patients to have their dental needs taken care of at our office at a very affordable cost.  As a part of the Carrollton Smiles Dental Advantage Program we offer all the services 15% less than our office fees. 

Call Carrollton Smiles at 972-245-3455 or visit our website to book an online appointment at www.carrollton-smiles.com.

DENTAL BRACES

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What Are Dental Braces?

 

Dental braces are placed on teeth to correct crooked, uneven bite.  Your family dentist or orthodontist does an initial consult appointment where impressions of your teeth are made and x-rays taken so your dentist can study the growth of your jaw.  The brackets or braces are placed on the teeth and you are on your way to achieving the smile of your dreams.

It is very essential to keep up with your appointments so that the results can be achieved in a timely fashion.  Since it is not possible to accomplish some major tooth movements with Invisalign, traditional metal braces are the treatment of choice.  Traditional metal braces give more control to your general dentist or orthodontist to achieve ideal tooth movements. 

 

How To Take Care Of Metal Braces?

The biggest challenge with traditional metal braces is aesthetics and keeping them clean.  If you do not qualify for Invisalign and aesthetics are your main concern porcelain brackets are available.  The porcelain braces use white wires which have more visually appealing.  It is very important to keep the traditional dental braces clean.  At Carrollton Smiles we recommend using a Waterpik and electric toothbrush.  If you have not used Waterpik, check out the video on Carrollton Smiles, where I show you how to use it.

 

How Do Metal Braces Work?

Similar to Invisalign which requires a series of clear custom aligners, traditional metal braces require a series of wires which are changed at an interval chosen by your family dentist or orthodontist based on your needs.  These wires exert gentle force and move the teeth very gently. Dr. Sirisha Bhandaru is able to treat most cases without removing any teeth for fixing your bite using dental braces.  There may be a little discomfort initially as soon as the traditional dental braces are placed but most kids and adults tolerate the procedure well. 

Dr. Sirisha Bhandaru has completed orthodontic training for general dentists with the American Orthodontic Society and is a Certified Invisalign Provider.  At Carrollton Smiles we offer both traditional metal braces and Invisalign treatments.  Your family dentist or orthodontist can recommend the treatment that is right for you.

Call Carrollton Smiles for a free consultation at 972-245-3455 or visit our website to book an online appointment at www.carrollton-smiles.com.

Sleep Apnea and Dr.B !!

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If you have ever been to Carrollton Smiles to see me or Michelle, you know that helping patients with sleep apnea is very close to my heart and you may have heard the story behind it multiple times. This story is for those of you who don’t know me yet.

It was the day before my birthday in 2008, we received a call from my mother-in-law that was going to change our lives forever. She was hysterical and was saying that my father-in-law was in the hospital and the doctors gave him 24 hours to live.. This was unexpected since we had spoken to him few days ago and had no idea that he was that sick. Two months, multiple tests and treatments later he passed away. He had heart surgery that morning and he passed away that night due to complications.. This happened in one of the best hospitals in the country!! His death never made any sense to me, I always thought that something was amiss..

A little back story about the man that created my husband, my father-in-law was very active and religious person. He exercised every day, prayed every day, and had a very clean healthy vegetarian diet. He followed all the instructions of his doctors, took the medications as recommended. He was very fit sinewy man with not an ounce of unnecessary fat in is body.  But was uncontrolled diabetic, uncontrolled hypertensive with heart problems.

Looking back I now realize that he was a classic sleep apneic. He snored so loud that no one else could sleep, he was tired and sleepy during the day. He could never get the A1C levels or his hypertension under control. You may have heard the saying “hind sight is 20-20” I believe that sleep apnea may be a major contributing factor for his ailments and ultimately his demise. You will hear me say often “you don’t know what you don’t know.” My job is to educate you and point you in the right direction for a healthier life style. I want you to know your options and ask me how I can help you.

If you want to discuss as a dentist how I may be able to help you with your sleep apnea, call me at 972-245-3455 or click on the button below to schedule a free consultation.

(972) 245-3455