My Blog

Posts for: April, 2018

By DR. ROSANNE M. PALERMO
April 23, 2018
Category: Dental Procedures

Loss of tooth matter due to dental disease, erosion, or bruxism is quite common in patients—especially as they get older. Luckily, in many dental crownscases, the root of a damaged tooth is still strong and in good condition. A dental crown can give that tooth new life. Find out how dental crowns can strengthen your damaged teeth and restore your entire smile to good health. If you decide that you want a crown installed, make time to see Dr. Rosanne Palermo at her Erie, PA, family dentist office.

The Benefits of Strong Teeth
When you chew your food, you shouldn’t feel any pain or discomfort. You shouldn’t feel reluctant to bite down on your food with as much pressure as needed to thoroughly break it down. When your teeth are strong, you can eat all of your favorite foods, whether soft or tough in texture. When your teeth feel strong and look good, you may also be more motivated to keep them healthy with good dental hygiene procedures.

What Dental Crowns Do
Crowns have rescued the smiles of countless dental patients. When the outer enamel layer of your natural tooth is chipped and broken, a dental crown hides the damage. It provides you with a protective, stable outer shell that will last for about 10 years or longer. Dental crowns also improve the overall appearance and shape of your smile.

The Crown Installation Procedure
You won’t have to wait very long to get your new custom crown. The entire process takes about two to three weeks. First, your Erie family dentist must be sure that your tooth is stable enough for a crown installation. If so, the outer layer of the tooth will be removed so that a new dental impression can be taken. A dental technician will use the mold to determine the shape of your crown and create one out of porcelain material. At your next appointment, the installation procedure (bonding and shaping) will be completed.

Make a Crown Appointment
Don’t give up on your smile just because you have tooth damage—do whatever is necessary to keep all of your teeth strong and healthy for life. Call 814-833-3001 today to schedule time with Dr. Palermo at her Erie, PA, family dentist office and find out if crowns are right for you.


By Dr. Rosanne M. Palermo
April 21, 2018
Category: Dental Procedures
Tags: tooth loss  
WhyweNeedtoCareforaYoungerPatientsBoneafteraToothLoss

In an instant, an accident could leave you or a loved one with a missing tooth. Thankfully, we can restore it with a dental implant that looks and functions like a real tooth—and the sooner the better.

But if the patient is a teenager or younger, sooner may have to be later. Because their jaws are still developing, an implant placed now could eventually look as if it's sinking into the gums as the jaw continues to grow and the implant doesn't move. It's best to wait until full jaw maturity around early adulthood and in the meantime use a temporary replacement.

But that wait could pose a problem with bone health. As living tissue, bone cells have a life cycle where they form, function and then dissolve (resorption) with new cells taking their place. This cycle continues at a healthy rate thanks to stimulation from forces generated by the teeth during chewing that travel through the roots to the bone.

When a tooth goes missing, however, so does this stimulation. Without it the bone's growth cycle can slow to an unhealthy rate, ultimately reducing bone volume.  Because implants require a certain amount of bone for proper placement and support, this could make it difficult if not impossible to install one.

We can help prevent this by placing a bone graft immediately after the removal of a tooth within the tooth's "socket." The graft serves as a scaffold for new bone cells to form and grow upon. The graft will eventually resorb leaving the newly formed bone in its place.

We can also fine-tune and slow the graft's resorption rate. This may be preferable for a younger patient with years to go before their permanent restoration. In the meantime, you can still proceed with other dental treatments including orthodontics.

By carefully monitoring a young patient's bone health and other aspects of their dental care, we can keep on course for an eventual permanent restoration. With the advances in implantology, the final smile result will be worth the wait.

If you would like more information on dental care for trauma injuries, 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 “Dental Implants for Teenagers: Factors Influencing Treatment Planning in Adolescents.”


By Dr. Rosanne M. Palermo
April 11, 2018
Category: Oral Health
Tags: tooth decay  
WillieWonkasChocolateFactoryWasNotSoSweettoCastsTeeth

The classic movie Willie Wonka & the Chocolate Factory, starring Gene Wilder, still brings back sweet memories of childhood to people everywhere. Recently, the news broke that a remake of the beloved 1971 film is in now development in Hollywood. But at a reunion of the original cast members a few years ago, child star Denise Nickerson revealed that her role as gum-chewing Violet Beauregard caused a problem: she ended up with 13 cavities as a result of having to chew gum constantly during the filming!

It should come as no surprise that indulging in sugary treats can lead to cavities: The sugar in your diet feeds harmful bacteria that can cause tooth decay and other dental problems. Yet lots of kids (not to mention the child inside many adults) still crave the satisfaction that gum, candy and other sweets can bring. Is there any way to enjoy sweet treats and minimize the consequences to your oral health?

First, let’s point out that there are lots of healthy alternatives to sugary snacks. Fresh vegetables, fruits and cheeses are delicious options that are far healthier for you and your kids. Presenting a variety of appealing choices—like colorful cut-up carrots, bite-sized cheese bits and luscious-looking fruits and berries can make it easier (and more fun) to eat healthy foods. And getting kids off the sugar habit is a great way to help them avoid many health problems in the future.

For those who enjoy chewing gum, sugarless gum is a good option. In fact, chewing sugarless gum increases the flow of healthful saliva in the mouth, which can help neutralize the bacteria-produced acids that cause cavities. Gums that have the ADA (American Dental Association) Seal of Acceptance have passed clinical tests for safety and effectiveness.

But if you do allow sugary snacks, there are still a few ways to minimize the potential damage. Restrict the consumption of sweets to around mealtimes, so the mouth isn’t constantly inundated with sugar. Drink plenty of water to encourage saliva flow, and avoid sugary and acidic beverages like soda (even diet soda) and “sports” or “energy” drinks. Brush twice daily with fluoride toothpaste and floss once a day. And don’t forget to visit our office regularly for routine checkups and cleanings. It’s the best way to get a “golden ticket” to good oral health.

If you would like more information about sugar, cavities and oral health, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Nutrition & Oral Health” and “The Bitter Truth About Sugar.”