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Steven Eli Chamish, DDS
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Steven Eli Chamish, DDS
- New Castle, DE
- Accepting new patients
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Are you awake during oral pinhole surgery?
Dear Reader,
The Pinhole Technique is a periodontal (gum) procedure, and as in all dental procedures, is usually done while awake. It is performed under local anesthesia ("Novocaine"). READ MORE
Dear Reader,
The Pinhole Technique is a periodontal (gum) procedure, and as in all dental procedures, is usually done while awake. It is performed under local anesthesia ("Novocaine"). However, if your dentist is trained in sedation techniques, then the procedure could be done while you are comfortably sedated. You'll be awakened and the procedure will be completed and you won't have any memory of having it done. If your periodontist or family dentist, isn't trained, they may be able to offer you nitrous oxide alone or some medication (e.g. Valium) to help "take the edge off". You would still be awake but comfortable. I would recommend you speak to your doctor and discuss your options for care.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
The Pinhole Technique is a periodontal (gum) procedure, and as in all dental procedures, is usually done while awake. It is performed under local anesthesia ("Novocaine"). However, if your dentist is trained in sedation techniques, then the procedure could be done while you are comfortably sedated. You'll be awakened and the procedure will be completed and you won't have any memory of having it done. If your periodontist or family dentist, isn't trained, they may be able to offer you nitrous oxide alone or some medication (e.g. Valium) to help "take the edge off". You would still be awake but comfortable. I would recommend you speak to your doctor and discuss your options for care.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
What should I avoid with porcelain veneers?
Dear Reader,
For those with porcelain veneers, you should avoid biting very hard foods, like bones (e.g. ribs), shelling nuts or chewing ice. I would avoid habits like nail READ MORE
Dear Reader,
For those with porcelain veneers, you should avoid biting very hard foods, like bones (e.g. ribs), shelling nuts or chewing ice. I would avoid habits like nail biting, pen biting, using your teeth like a tool to bite off string or open bottles (I once had a patient fracture a beautiful veneer trying to open a jar of salsa). I suggest you just use your new veneers to eat most anything and use common sense. If something is hard enough that something is going to pop or break, assume it will be your veneer. If you are mindful, you'll be fine.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
For those with porcelain veneers, you should avoid biting very hard foods, like bones (e.g. ribs), shelling nuts or chewing ice. I would avoid habits like nail biting, pen biting, using your teeth like a tool to bite off string or open bottles (I once had a patient fracture a beautiful veneer trying to open a jar of salsa). I suggest you just use your new veneers to eat most anything and use common sense. If something is hard enough that something is going to pop or break, assume it will be your veneer. If you are mindful, you'll be fine.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
Can you chew gum with porcelain veneers?
Dear Reader,
I would expect that you can chew gum with porcelain veneers. Most veneers are on anterior teeth and bicuspid teeth. It's the molars that are usually involved in READ MORE
Dear Reader,
I would expect that you can chew gum with porcelain veneers. Most veneers are on anterior teeth and bicuspid teeth. It's the molars that are usually involved in chewing, including gum, so it shouldn't be an issue. I would speak to a dentist who has examined your teeth and bite to make the final determination.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
I would expect that you can chew gum with porcelain veneers. Most veneers are on anterior teeth and bicuspid teeth. It's the molars that are usually involved in chewing, including gum, so it shouldn't be an issue. I would speak to a dentist who has examined your teeth and bite to make the final determination.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
Can you get dental anesthesia for a filling?
Dear Reader,
You can absolutely have dental anesthesia when getting your tooth filled. I'm talking about local anesthesia, commonly referred to as getting "Novocaine" (although READ MORE
Dear Reader,
You can absolutely have dental anesthesia when getting your tooth filled. I'm talking about local anesthesia, commonly referred to as getting "Novocaine" (although we use other brands and formulations now). In addition, some people elect to have nitrous oxide ("gas") in addition to the local anesthetic. Finally, there are those dentists who can provide you with oral and/or i.v. sedation where you moderately sedated and "wake up" having the procedure/filling completed. Dentistry has come so far and while not fun, can be comfortable. If you need your tooth filled, I would contact your dentist, or find one, and have a consultation with them to find out how they can best treat you.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
You can absolutely have dental anesthesia when getting your tooth filled. I'm talking about local anesthesia, commonly referred to as getting "Novocaine" (although we use other brands and formulations now). In addition, some people elect to have nitrous oxide ("gas") in addition to the local anesthetic. Finally, there are those dentists who can provide you with oral and/or i.v. sedation where you moderately sedated and "wake up" having the procedure/filling completed. Dentistry has come so far and while not fun, can be comfortable. If you need your tooth filled, I would contact your dentist, or find one, and have a consultation with them to find out how they can best treat you.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
Should your tooth hurt after a filling?
Dear Reader,
Generally, teeth don't hurt after having been filled. However, some do experience pain. Usually, it could be from a deep cavity near the pulp ("nerve") or the filling READ MORE
Dear Reader,
Generally, teeth don't hurt after having been filled. However, some do experience pain. Usually, it could be from a deep cavity near the pulp ("nerve") or the filling could be too high and is sore from biting on it. Depending upon the filling material used, some patients (like me) have tooth sensitivity to tooth colored filling material. It's not unusual for a tooth to be sensitive for 2 to 3 days after being filled. If it's painful, not just sensitive, and more than a couple of days, talk to your dentist so they can get you comfortable and pain free.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
Generally, teeth don't hurt after having been filled. However, some do experience pain. Usually, it could be from a deep cavity near the pulp ("nerve") or the filling could be too high and is sore from biting on it. Depending upon the filling material used, some patients (like me) have tooth sensitivity to tooth colored filling material. It's not unusual for a tooth to be sensitive for 2 to 3 days after being filled. If it's painful, not just sensitive, and more than a couple of days, talk to your dentist so they can get you comfortable and pain free.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
Is it necessary to remove an impacted wisdom tooth?
Dear Reader,
The short answer is, NO. You don't necessarily have to remove an impacted wisdom tooth. However, that doesn't mean that YOU shouldn't have your wisdom tooth removed. It READ MORE
Dear Reader,
The short answer is, NO. You don't necessarily have to remove an impacted wisdom tooth. However, that doesn't mean that YOU shouldn't have your wisdom tooth removed. It all depends. Is it affecting adjacent teeth? Is it causing a gum problem? A number of them can result in a cyst which would mean much more aggressive surgery. Not seeing an X-ray, I can't say wether you should have them removed. I suggest you see a dentist or an oral surgeon to determine if your wisdom teeth need removal or can be left alone.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
The short answer is, NO. You don't necessarily have to remove an impacted wisdom tooth. However, that doesn't mean that YOU shouldn't have your wisdom tooth removed. It all depends. Is it affecting adjacent teeth? Is it causing a gum problem? A number of them can result in a cyst which would mean much more aggressive surgery. Not seeing an X-ray, I can't say wether you should have them removed. I suggest you see a dentist or an oral surgeon to determine if your wisdom teeth need removal or can be left alone.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
What helps jaw pain after a filling?
Dear Reader,
I'm not sure what you mean by "jaw pain after a filling." If your jaw is sore from the injection of the anesthetic or having your mouth open a long time, then Ibuprofen READ MORE
Dear Reader,
I'm not sure what you mean by "jaw pain after a filling." If your jaw is sore from the injection of the anesthetic or having your mouth open a long time, then Ibuprofen or another NSAID is best. If it's from a tooth, then you need to have it examined and treated accordingly. Either way, I would contact your dentist and let him or her know about your jaw. Hopefully, they will be able to help you get the pain under control.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
I'm not sure what you mean by "jaw pain after a filling." If your jaw is sore from the injection of the anesthetic or having your mouth open a long time, then Ibuprofen or another NSAID is best. If it's from a tooth, then you need to have it examined and treated accordingly. Either way, I would contact your dentist and let him or her know about your jaw. Hopefully, they will be able to help you get the pain under control.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
What does an abscess tooth look like?
Dear Reader,
If you have no symptoms, you won't notice an abscessed tooth as it only shows up on X-ray. If you notice a draining "pus pocket" or your face is swollen, these READ MORE
Dear Reader,
If you have no symptoms, you won't notice an abscessed tooth as it only shows up on X-ray. If you notice a draining "pus pocket" or your face is swollen, these are signs of an abscessed tooth. If you think you have one, please check with your dentist.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
If you have no symptoms, you won't notice an abscessed tooth as it only shows up on X-ray. If you notice a draining "pus pocket" or your face is swollen, these are signs of an abscessed tooth. If you think you have one, please check with your dentist.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
Implant crowns?
Dear Reader,
It sounds like you have porcelain fused to metal crowns and the porcelain keeps popping off. Zirconia crowns have the advantages of being one material and much READ MORE
Dear Reader,
It sounds like you have porcelain fused to metal crowns and the porcelain keeps popping off. Zirconia crowns have the advantages of being one material and much stronger. Without an examination, I don't know why your porcelain keeps debonding from your crowns. I don't know what you mean when you say you have full implants. I also don't know if you have implant abutments and separate crowns cemented to them, or screw-retained crowns attached directly to the implants. Overall, your dentist may be correct in recommending zirconia crowns. I have never had one break in the last 10 years, so I hope it works out for you,.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
It sounds like you have porcelain fused to metal crowns and the porcelain keeps popping off. Zirconia crowns have the advantages of being one material and much stronger. Without an examination, I don't know why your porcelain keeps debonding from your crowns. I don't know what you mean when you say you have full implants. I also don't know if you have implant abutments and separate crowns cemented to them, or screw-retained crowns attached directly to the implants. Overall, your dentist may be correct in recommending zirconia crowns. I have never had one break in the last 10 years, so I hope it works out for you,.
Hope this helps,
Steven Chamish, DDS, FAGD, FIOCI
What does salt water do for an abscess tooth?
Dear Reader, Salt water doesn't do much of anything for an abscess. If your gums are swollen, it may cause them to shrink a little. An abscess in an infection. Only two options: READ MORE
Dear Reader,
Salt water doesn't do much of anything for an abscess. If your gums are swollen, it may cause them to shrink a little. An abscess in an infection. Only two options: root canal and restoration to save the tooth, or remove it and hopefully replace it. Please talk to your dentist or a dentist if you don't have one. I literally saved the life of three patients with abscesses who were hours away from dying. Fortunately these were three cases out of a thousand. Forget about salt water and get treatment.
Hope this helps.Steven Chamish, DDS, FAGD,FIOCI
Salt water doesn't do much of anything for an abscess. If your gums are swollen, it may cause them to shrink a little. An abscess in an infection. Only two options: root canal and restoration to save the tooth, or remove it and hopefully replace it. Please talk to your dentist or a dentist if you don't have one. I literally saved the life of three patients with abscesses who were hours away from dying. Fortunately these were three cases out of a thousand. Forget about salt water and get treatment.
Hope this helps.Steven Chamish, DDS, FAGD,FIOCI
Can I use Listerine after a tooth extraction?
Dear Reader,
Listerine is 40% alcohol. Imagine putting rubbing alcohol on a cut. It really burns. Same with rinsing with it on a surgical (extraction) site. I would use warm READ MORE
Dear Reader,
Listerine is 40% alcohol. Imagine putting rubbing alcohol on a cut. It really burns. Same with rinsing with it on a surgical (extraction) site. I would use warm salt water for the first day or two, then go back to using it. If you have to use it because you like the taste, then dilute it with water to cut the alcohol content.
Hope this helps,
Steven Chamish, DDS
Listerine is 40% alcohol. Imagine putting rubbing alcohol on a cut. It really burns. Same with rinsing with it on a surgical (extraction) site. I would use warm salt water for the first day or two, then go back to using it. If you have to use it because you like the taste, then dilute it with water to cut the alcohol content.
Hope this helps,
Steven Chamish, DDS
Can I swallow my saliva after tooth extraction?
Dear Reader,
It's okay to swallow your saliva after tooth extraction. However, no rinsing, spitting or sucking through a straw for the first 24 hours.
Hope this helps,
Steven READ MORE
Dear Reader,
It's okay to swallow your saliva after tooth extraction. However, no rinsing, spitting or sucking through a straw for the first 24 hours.
Hope this helps,
Steven Chamish, DDS
It's okay to swallow your saliva after tooth extraction. However, no rinsing, spitting or sucking through a straw for the first 24 hours.
Hope this helps,
Steven Chamish, DDS
Do all cavities need to be filled?
Dear Reader,
When most people hear the word "cavity," they think of a hole in a tooth. In actuality, a cavity is the result of a bacterial infection called caries, that breakdown READ MORE
Dear Reader,
When most people hear the word "cavity," they think of a hole in a tooth. In actuality, a cavity is the result of a bacterial infection called caries, that breakdown and damage the tooth. Unfortunately, like all infections, if left untreated, the condition will worsen as more healthy tooth structure is infected and damaged. Unlike other infections, they can't be treated with antibiotics. Instead, the treatment of choice is surgical intervention: a filling, where the caries are removed and a restoration (silver amalgam, tooth colored composite resin, ceramic or gold) is placed. So, yes, you should get a cavity filled. Of course, you should check with a/your dentist to determine the extent of the cavity and the most conservative way to restore (fix) the tooth.
Hope this help,
Steven Chamish, DDS
When most people hear the word "cavity," they think of a hole in a tooth. In actuality, a cavity is the result of a bacterial infection called caries, that breakdown and damage the tooth. Unfortunately, like all infections, if left untreated, the condition will worsen as more healthy tooth structure is infected and damaged. Unlike other infections, they can't be treated with antibiotics. Instead, the treatment of choice is surgical intervention: a filling, where the caries are removed and a restoration (silver amalgam, tooth colored composite resin, ceramic or gold) is placed. So, yes, you should get a cavity filled. Of course, you should check with a/your dentist to determine the extent of the cavity and the most conservative way to restore (fix) the tooth.
Hope this help,
Steven Chamish, DDS
Do you need dental anesthesia to remove a cavity?
Dear Reader,
Thanks for asking about dental anesthesia to have a cavity removed and tooth restored. I have and had patients who refuse dental anesthesia. If you feel it's not READ MORE
Dear Reader,
Thanks for asking about dental anesthesia to have a cavity removed and tooth restored. I have and had patients who refuse dental anesthesia. If you feel it's not necessary, that's fine. Please remember, a tooth is filled with nerves and when you remove a cavity, you are also irritating the nerves. The deeper the cavity, the closer you get to the main nerve trunk. I would ask your dentist if he or she feels you would benefit from anesthesia. If you decide to try without it, and it starts getting sensitive, tell your dentist and you can then get numb and not feel anything. That's what I do (and I always end up getting numb).
Hope this helps,
Steven Chamish, DDS
Thanks for asking about dental anesthesia to have a cavity removed and tooth restored. I have and had patients who refuse dental anesthesia. If you feel it's not necessary, that's fine. Please remember, a tooth is filled with nerves and when you remove a cavity, you are also irritating the nerves. The deeper the cavity, the closer you get to the main nerve trunk. I would ask your dentist if he or she feels you would benefit from anesthesia. If you decide to try without it, and it starts getting sensitive, tell your dentist and you can then get numb and not feel anything. That's what I do (and I always end up getting numb).
Hope this helps,
Steven Chamish, DDS
How often should you get a deep cleaning?
Dear Reader,
Good question. The answer is, it depends. If the deep cleaning means a "gross debridement",where your gums are swollen and there is no bone loss, then it may be READ MORE
Dear Reader,
Good question. The answer is, it depends. If the deep cleaning means a "gross debridement",where your gums are swollen and there is no bone loss, then it may be a one time event. Then you return for regular 6 month conventional preventive care. If you have bone loss, deposits of tarter (calculus in medical terms) above and below the gum line, and inflammation, you may need "scaling and root planing" (again, the medical term). If this is the case, then once the procedure is performed, you should return periodically, about every 3-4 months for periodontal maintenance. This is more involved than the 6 month preventive care visit. I would suggest you have a conversation with your dentist or hygienist, if you didn't already, as to why the deep cleaning is being recommended. Considering the relationship of gum disease to stroke, heart attack, diabetes, Alzheimer's, erectile dysfunction, cancer and other diseases, I'd seriously suggest you get the deep cleaning. Again check with your dental professional.
Hope this helps,
Steven Chamish, DDS
Good question. The answer is, it depends. If the deep cleaning means a "gross debridement",where your gums are swollen and there is no bone loss, then it may be a one time event. Then you return for regular 6 month conventional preventive care. If you have bone loss, deposits of tarter (calculus in medical terms) above and below the gum line, and inflammation, you may need "scaling and root planing" (again, the medical term). If this is the case, then once the procedure is performed, you should return periodically, about every 3-4 months for periodontal maintenance. This is more involved than the 6 month preventive care visit. I would suggest you have a conversation with your dentist or hygienist, if you didn't already, as to why the deep cleaning is being recommended. Considering the relationship of gum disease to stroke, heart attack, diabetes, Alzheimer's, erectile dysfunction, cancer and other diseases, I'd seriously suggest you get the deep cleaning. Again check with your dental professional.
Hope this helps,
Steven Chamish, DDS
How long does it take to see results from teeth whitening trays?
Dear Reader,
Teeth generally come in four shades: red-yellow, yellow, gray and red-yellow-grey. How quickly your teeth turn lighter depends upon the original shade and how intense READ MORE
Dear Reader,
Teeth generally come in four shades: red-yellow, yellow, gray and red-yellow-grey. How quickly your teeth turn lighter depends upon the original shade and how intense the shade is. Most noticeable changes occur in two weeks. The grey shade, the most difficult to lighten, takes about three weeks before you notice changes. You also have to consider the whitening material. Most come in different concentrations of the active whitening ingredient. Their viscosity and tooth penetration properties may be different. Also, the fit of the tray is important. Poor fit means whitening material is being diluted by saliva or being leaked out. There are a lot of factors, so I would check with your dentist.
Hope this helps,
Steven Chamish, DDS
Teeth generally come in four shades: red-yellow, yellow, gray and red-yellow-grey. How quickly your teeth turn lighter depends upon the original shade and how intense the shade is. Most noticeable changes occur in two weeks. The grey shade, the most difficult to lighten, takes about three weeks before you notice changes. You also have to consider the whitening material. Most come in different concentrations of the active whitening ingredient. Their viscosity and tooth penetration properties may be different. Also, the fit of the tray is important. Poor fit means whitening material is being diluted by saliva or being leaked out. There are a lot of factors, so I would check with your dentist.
Hope this helps,
Steven Chamish, DDS
How do dentists professionally whiten teeth?
Dear Reader,
When I had my teeth whitened, I used a custom home and take-home whitening material. Whitening systems in stores don't have the concentration of professional systems. I READ MORE
Dear Reader,
When I had my teeth whitened, I used a custom home and take-home whitening material. Whitening systems in stores don't have the concentration of professional systems. I also didn't want to sit around for 45 minutes to an hour for "power bleaching." With take-home whitening, it was time efficient and I could control the degree of whitening. Check with your dentist to discuss the best option for you.
Hope this helps,
Steven Chamish, DDS
When I had my teeth whitened, I used a custom home and take-home whitening material. Whitening systems in stores don't have the concentration of professional systems. I also didn't want to sit around for 45 minutes to an hour for "power bleaching." With take-home whitening, it was time efficient and I could control the degree of whitening. Check with your dentist to discuss the best option for you.
Hope this helps,
Steven Chamish, DDS
Do bonded teeth stain easily?
Dear Reader,
Great question. Most bonding is color stable and will not easily stain. On average, and I'm talking composite bonding, not porcelain veneers, will last about 7-10 READ MORE
Dear Reader,
Great question. Most bonding is color stable and will not easily stain. On average, and I'm talking composite bonding, not porcelain veneers, will last about 7-10 years. However, if you use a hard tooth brush, abrasive toothpastes and drink red wine, blueberries, etc., their lifespan will be shortened and they will stain earlier. I suggest you brush with a soft (flexible) brush, use a mild toothpaste and go easy on the red wine, tomato sauce, etc.
Hope this helps,
Steven Chamish, DDS
Great question. Most bonding is color stable and will not easily stain. On average, and I'm talking composite bonding, not porcelain veneers, will last about 7-10 years. However, if you use a hard tooth brush, abrasive toothpastes and drink red wine, blueberries, etc., their lifespan will be shortened and they will stain earlier. I suggest you brush with a soft (flexible) brush, use a mild toothpaste and go easy on the red wine, tomato sauce, etc.
Hope this helps,
Steven Chamish, DDS
What to do if part of your tooth breaks off?
Dear Reader,
Teeth can break from a number of reasons, but ultimately, it comes down to: trauma or decay. Either way, you need to see a dentist to diagnose the cause, determine READ MORE
Dear Reader,
Teeth can break from a number of reasons, but ultimately, it comes down to: trauma or decay. Either way, you need to see a dentist to diagnose the cause, determine the prognosis (can it be repaired or not) and treat the tooth. If you are having no pain, that's great because at least it's probably not an emergency (unless you have fever and/or swelling). Be aware no pain doesn't mean no problem, there could be some serious infection present. If it is sensitive/painful, you really should have it checked right away. If it's sharp, go to a pharmacy and get some orthodontic wax, or temporary filling material in the dental/oral section. Place it on the tooth to cover the sharp part. If there's a cavity, place it in the "hole." Teeth are the strongest tissues in the body, so if a tooth breaks, it's serious and should be treated right away.
Hope this helps,
Steven Chamish
Teeth can break from a number of reasons, but ultimately, it comes down to: trauma or decay. Either way, you need to see a dentist to diagnose the cause, determine the prognosis (can it be repaired or not) and treat the tooth. If you are having no pain, that's great because at least it's probably not an emergency (unless you have fever and/or swelling). Be aware no pain doesn't mean no problem, there could be some serious infection present. If it is sensitive/painful, you really should have it checked right away. If it's sharp, go to a pharmacy and get some orthodontic wax, or temporary filling material in the dental/oral section. Place it on the tooth to cover the sharp part. If there's a cavity, place it in the "hole." Teeth are the strongest tissues in the body, so if a tooth breaks, it's serious and should be treated right away.
Hope this helps,
Steven Chamish
How do you know when a crown needs to be replaced?
Great question. There is no expiration date on crowns. There are several reasons for replacement: If it's an old metal crown or porcelain fused to metal, you could wear through READ MORE
Great question. There is no expiration date on crowns. There are several reasons for replacement: If it's an old metal crown or porcelain fused to metal, you could wear through the biting surface and cause a hole. If the margin, or edge of the crown is open (meaning a gap between the crown and tooth) it needs to be replaced as bacteria can easily leak in. If there is new decay or a cavity around the margin it may need to be replaced. If the ceramic or porcelain chipped off or if the tooth needs a root canal and the access hole is too big to fill, these are reasons for replacement. Sometimes, the crown is clinically fine but, the color no longer matches your other teeth and the esthetics are poor. Please talk to your dentist if he or she is recommending to replace a crown. Ask for the reason. If you think you need a new crown, I hope this post helps. Talk to your, or any dentist about it.
Hope this helps,
Steven Chamish, DDS
Hope this helps,
Steven Chamish, DDS