Nashua, NH Dentist
Nashua Smile Makers
76 Allds Street
Nashua, NH 03060
(603) 882-3727
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Posts for: June, 2017

ProfessionalWhiteningOffersanEffectiveWaytoRestoreYourSmilesLuster

Your teeth were meant to shine! Tooth enamel’s polished translucence, framed by the dentin layer beneath it, has a way of vibrantly catching the light when you smile. But tooth wear and structural changes as you age can dim that shine. Add to that staining caused by foods and beverages or disease and your smile could further lose its luster.

On your supermarket or pharmacy oral hygiene aisle you’ll find dozens of products promising to restore that lost luster, including toothpastes, whitening kits or even chewing gum. While such products work to some degree, our dental office may have the right solution for you: a safe and effective treatment for whitening teeth.

Why see us for teeth whitening? For one, professional whitening solutions contain a higher concentration of bleaching agent (usually 35-45% hydrogen peroxide) than home kits. We usually apply it in a gel form directly to the teeth while using barrier devices like dams to protect the lips and other soft tissue from irritation. We may then apply heat or light to the applied gel to enhance the release of peroxide into your enamel.

This professional procedure can often give you a brighter smile in fewer sessions than a home whitening kit — and it may last longer. What’s more, we can control the level of brightness to produce only a subtle change or a dazzling “Hollywood” smile — whatever your preference.

Like a home kit, this procedure bleaches staining on the outer surface of enamel, known as extrinsic staining. But you can also have discoloration deep within a tooth, known as intrinsic staining, caused by a variety of reasons like tetracycline use early in life or complications from a root canal treatment. Home kits or even the professional treatment described above can’t whiten intrinsic staining.

For intrinsic staining you’ll need a special procedure that places a bleaching agent inside the tooth. Depending on the extent of staining the procedure could require more than one session.

To find out what kind of discoloration you have, visit us for a full examination. We’ll then be able to give you your options for putting the shine back in your smile.

If you would like more information on teeth whitening, 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 “Teeth Whitening.”


By Nashua Smile Makers
June 14, 2017
Category: Oral Health
Tags: oral cancer  

If you are at risk for oral cancer, find out what signs and symptoms to look for.oral cancer

While most people think about ways to protect themselves against decay and gum disease, not a lot of people think about the possibility of developing oral cancer. While there are certainly risk factors that could increase your chances of oral cancer, the truth is, is that it can happen to anyone. Our Nashua, NH, dentists, Dr. Salvatore Guerriero and Dr. Salvatore Colletta, are here to provide you with a little insight into the common symptoms that you may experience if you have oral cancer.

Some of the common signs of oral cancer include:

  • Mouth ulcers or sores that still persist after a couple of weeks
  • A lump or growth found in the soft tissue of your mouth that doesn’t go away
  • Swollen lymph nodes in the neck that remain swollen for over two weeks
  • Hoarseness or other vocal changes
  • Pain or problems chewing, speaking or moving your jaw
  • A loose tooth that isn’t the result of infection, trauma or decay
  • Numbness anywhere in the mouth, including the tongue

Keep in mind that if you are experiencing any of these symptoms that there are other conditions that could be causing these problems that aren’t life threatening. Of course, our Nashua general dentist likes to play it safe, so it’s always a good idea to come in for an evaluation if any of the symptoms above apply to you.

It is important to recognize that most people won’t have symptoms during the early stages of oral cancer. While this can be disconcerting, one of the best things you can do to ensure that if there is a problem that we catch it is to come in for your regular dental checkups without fail.

Coming in for these routine visits is particularly important if you are a smoker or a heavy drinker, as these habits can greatly increase your chances of oral cancer. For those without risk factors, coming in at least once a year for a check-up is a good idea for maintaining a healthy mouth.

Don’t let problems fester. If you start to notice any changes that are concerning to you, feel free to call our Nashua, NH, family dentist anytime to get the care you need whenever you need it. Dental problems can happen at anytime; Nashua Smile Makers is here to help.


By Nashua Smile Makers
June 06, 2017
Category: Oral Health
JamieFoxxChipsaTooth-ThisTimebyAccident

Some people are lucky — they never seem to have a mishap, dental or otherwise. But for the rest of us, accidents just happen sometimes. Take actor Jamie Foxx, for example. A few years ago, he actually had a dentist intentionally chip one of his teeth so he could portray a homeless man more realistically. But recently, he got a chipped tooth in the more conventional way… well, conventional in Hollywood, anyway. It happened while he was shooting the movie Sleepless with co-star Michelle Monaghan.

“Yeah, we were doing a scene and somehow the action cue got thrown off or I wasn't looking,” he told an interviewer. “But boom! She comes down the pike. And I could tell because all this right here [my teeth] are fake. So as soon as that hit, I could taste the little chalkiness, but we kept rolling.” Ouch! So what's the best way to repair a chipped tooth? The answer it: it all depends…

For natural teeth that have only a small chip or minor crack, cosmetic bonding is a quick and relatively easy solution. In this procedure, a tooth-colored composite resin, made of a plastic matrix with inorganic glass fillers, is applied directly to the tooth's surface and then hardened or “cured” by a special light. Bonding offers a good color match, but isn't recommended if a large portion of the tooth structure is missing. It's also less permanent than other types of restoration, but may last up to 10 years.

When more of the tooth is missing, a crown or dental veneer may be a better answer. Veneers are super strong, wafer-thin coverings that are placed over the entire front surface of the tooth. They are made in a lab from a model of your teeth, and applied in a separate procedure that may involve removal of some natural tooth material. They can cover moderate chips or cracks, and even correct problems with tooth color or spacing.

A crown is the next step up: It's a replacement for the entire visible portion of the tooth, and may be needed when there's extensive damage. Like veneers, crowns (or caps) are made from models of your bite, and require more than one office visit to place; sometimes a root canal may also be needed to save the natural tooth. However, crowns are strong, natural looking, and can last many years.

But what about teeth like Jamie's, which have already been restored? That's a little more complicated than repairing a natural tooth. If the chip is small, it may be possible to smooth it off with standard dental tools. Sometimes, bonding material can be applied, but it may not bond as well with a restoration as it will with a natural tooth; plus, the repaired restoration may not last as long as it should. That's why, in many cases, we will advise that the entire restoration be replaced — it's often the most predictable and long-lasting solution.

Oh, and one more piece of advice: Get a custom-made mouthguard — and use it! This relatively inexpensive device, made in our office from a model of your own teeth, can save you from a serious mishap… whether you're doing Hollywood action scenes, playing sports or just riding a bike. It's the best way to protect your smile from whatever's coming at it!

If you have questions about repairing chipped teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”