My Blog

Posts for: April, 2018

By Brenna Hamrick-Stotts, DDS, Inc.
April 26, 2018
Category: Oral Health
Tags: dental visits  

How many dental visits do you have scheduled this year? Redlands, CA, dentist Dr. Brenna Hamrick-Stotts explains how frequently you dental visitsshould visit the dentist and discusses why regular visits are important.

Visiting every six months will help you protect your smile

Twice-yearly dental visits have been the standard for many years for a good reason. They're the key to both detecting and preventing cavities. Tooth decay can do a lot of damage to a tooth if it isn't caught early. The larger your cavity, the greater the change that a root canal or crown is in your future. When you visit our Redlands office every six months, we can detect cavities in their earliest stages. Treating cavities when they're small will keep your teeth stronger and help you avoid more complicated dental procedures.

Dental cleanings, an essential part of every dental checkup, also help you maintain a healthy smile. The cleanings remove plaque, the rough bacterial film that coats your teeth throughout the day. Plaque is dangerous because it combines with sugars in foods, creating strong acids that weaken your tooth enamel and cause cavities. Brushing gets rid of plaque, but you may still have some spots remaining on your teeth if they overlap or are crooked.

Our dental cleaning instruments remove plaque easily and also chip away tartar, the hard deposit that forms if plaque isn't removed. Tartar is very irritating to your sensitive gums and is a factor in gum disease. Fortunately, cleanings offer a simple way to get rid of plaque and tartar and reduce your cavity and gum disease risk.

Schedule a dental appointment if you notice any signs of trouble

Don't wait until your next dental checkup to report pain or other problems with your teeth. Call us to schedule an appointment if you notice any of these symptoms in between visits:

  • Pain in your tooth, gums, roots or jaw
  • A crack or large chip in your tooth
  • Bleeding or receding gums
  • A loose crown, bridge or veneer or poorly fitting dentures
  • A change in your bite or difficulty chewing
  • White or red patches or a lump in your gums or mouth
  • A discolored tooth
  • A loose or knocked out tooth after a blow to your mouth
  • Abscess symptoms, which may include severe pain, fever, swelling, pus around a tooth and swollen lymph nodes

Keep your pearly whites healthy and strong with regular dental visits. Call Redlands, CA, dentist Dr. Brenna Hamrick-Stotts at (909) 793-9711 to schedule your next appointment.


By Brenna Hamrick-Stotts, DDS, Inc.
April 25, 2018
Category: Dental Procedures
Tags: crown lengthening  
CrownLengtheningHelpsusTreatHardtoReachCavities

While we often associate tooth decay with cavities forming in a tooth’s visible or biting surfaces, the occurrence of this all too common disease isn’t limited to those areas. Cavities can develop in any part of a tooth exposed to bacteria.

Gum recession, the shrinking back of the gums from the teeth, can cause such exposure in areas normally covered by the gums. Because these areas are usually more vulnerable to infection when exposed, cavities can develop at or right below the gum line. Because of their location it can be difficult to fill them or perform other treatments.

One way to make it less difficult is to perform a crown lengthening procedure. While the term sounds like we’re increasing the size of the tooth, we’re actually surgically altering the gums to access more of the affected tooth surface for treatment. It’s typically performed in a dental office with local anesthesia by a general dentist or a periodontist, a specialist in the gums.

During the procedure, the dentist starts by making small incisions in the gums to create a tissue “flap” that can be lifted out of the way. This exposes the underlying bone, which they then reshape to support the gum tissue once it’s re-situated in its new position. The dentist then sutures the gums back in place. Once the gums heal, the decayed area is ready for treatment.

Crown lengthening is also useful for other situations besides treating cavities. If a tooth has broken off at the gum line, for example, there may not be enough remaining structure to support a crown. Crown lengthening can make more of the underlying tooth available for the crown to “grab” onto. It’s also useful in some cases of “gummy smiles,” in which too much of the gum tissue is visible in proportion to the tooth size.

Because crown lengthening often involves removing some of the bone and is thus irreversible, you should discuss this procedure with your dentist in depth beforehand. It could be, though, this minor procedure might make it easier to preserve your teeth and even make them look more attractive.

If you would like more information on crown lengthening, please contact us or schedule an appointment for a consultation.


By Brenna Hamrick-Stotts, DDS, Inc.
April 15, 2018
Category: Oral Health
Tags: sedation dentistry  
3ThingsYouNeedtoKnowaboutEasingAnxietyOverDentalVisits

Although dental visits are routine for most people, it’s a different experience for a few. About one in ten adults have high anxiety or fear of going to the dentist and may avoid it altogether—even when they have an acute situation.

If you’re one of those with dental visit anxiety there’s good news—we may be able to help you relax and have a more positive experience. Here are 3 things you need to know about reducing your anxiety at the dental office.

It starts with the dentist. While every patient deserves a compassionate, understanding dentist, it’s especially so if you suffer from dental visit anxiety. Having someone who will listen to your concerns in a non-judgmental way is the first step toward feeling more comfortable in the dentist’s chair. It also takes a sensitive practitioner to work with you on the best strategy for relaxation.

Relaxation often begins before your visit. There are various degrees of sedation (which isn’t the same as anesthesia—those methods block pain) depending on your level of anxiety. If you experience mild to moderate nervousness, an oral sedative an hour or so before your appointment could take the edge off and help you relax. Oral sedatives are also mild enough for use with other forms of sedation like nitrous oxide gas, and with local anesthesia.

High anxiety may require deeper sedation. If your level of anxiety is greater, however, we may recommend IV sedation to induce a much more relaxed state. The sedation drugs are delivered directly into your blood stream through a small needle inserted into a vein. Although you’re not unconscious as with general anesthesia, we can place you into a “semi-awake” state of reduced anxiety. The drugs used may also have an amnesiac effect so you won’t remember details about the procedure. This can help reinforce positive feelings about your visit and help reduce future anxiety.

If you’re anxious about dental visits, make an appointment with us to discuss your concerns. We’re sure we can work out a strategy to reduce your anxiety so you can receive the dental care you need.

If you would like more information on sedation therapy, 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 “IV Sedation in Dentistry.”