What is sedation dentistry ?

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sedation dentistry

What is sedation dentistry

If you’re afraid of the dentist, you’re not alone. But did you know there’s a way of conquering the fears that may have kept you from visiting your dentist for necessary treatment? Using the techniques of sedation dentistry,  your favorite Lafayette Louisiana dentist, Dr. Chauvin can ease your apprehension, and even make the entire experience pain-free. How? By administering a combination of anxiety-relieving and pain-blocking drugs.  

With sleep dentistry the patient can be put in either a conscious sedative sleep state or an unconscious sedative sleep state. With sedation dentistry you can visit your dentist with peace of mind of knowing that it will be a relaxed, pain-free, and anxiety-free visit. If you have long been someone that either fears the pain of dental work or you don’t like having personal space invade then it might be time for you to consider a sleep dentist. 

How does sedation dentistry work?

During your initial consultation, Dr. Chauvin can help you determine which type of sedation medication would work best for you based on your medical background, dental procedure, and current health. Dr. Chauvin offers two types of sedation dentistry in his office – Nitrous Oxide and Oral Sedation. 

 Nitrous Oxide 

  • Nitrous oxide, or laughing gas,  is inhaled by the patient right before and during the procedure. The patient wears a mask that delivers a combination of nitrogen and oxygen, creating a relaxed state of mind.
  • One reason nitrous oxide is a popular form of sedation is because the effects last only as long as the patient is wearing the mask. Within a few minutes of removing the mask, the patient will feel “back to normal.”

Oral Sedation 

  • With oral conscious sedation, the patient takes a medication in pill form in the hours leading up to the appointment, and possibly again immediately before the procedure begins. The medication makes the patient feel very relaxed but does not put the patient completely to sleep. He or she will be able to communicate with the dentist and will remain alert, but will experience relief from anxiousness and nervousness.
  • Unlike nitrous oxide, which fades very quickly, the effects of oral conscious sedation can last several hours after the appointment. Therefore, patients will need a ride home from their appointments if they have undergone oral sedation.

Who should have sedation at the dentist?

Sedation is best for people with a real fear or anxiety that is preventing them from going to the dentist.

Sedation dentistry can apply for people with:

  • have a low pain threshold
  • can’t sit still in the dentist’s chair
  • have very sensitive teeth
  • have a bad gag reflex
  • need a large amount of dental work completed

 

 

Sleep Dentistry is a still relatively new procedure and something that most people do not take advantage of. For most people seeing the dentist is just another part of everyday life but for others sedation dentistry has made a world of difference. These people are no longer forced to visit their dentist in extreme fear or completely avoid getting the oral care they need. 

People of all ages can experience dental anxiety, which is why Dr. Chauvins strives to make your visits with us as comfortable and worry-free as possible. Please share your feelings and concerns with us so we can help you receive the dental treatment you need at a pace that makes you feel comfortable. Every member of our team has a gentle touch, and our treatment rooms are equipped with TVs and massaging dental chairs to keep you comfortable and entertained throughout your visit. Life can be stressful, but going to the dentist doesn’t have to be!

So, contact us today to set up an appointment! Wether its a routine teeth cleaning or a root canal, everyone deserves a beautiful healthy smile.

Best New Years Resolutions for you and your teeth

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“New year, new you!”

You may be considering saving some extra money, getting a better job or losing weight. Many people set new goals about having a healthier lifestyle in the new year.  Why not try adding some New Year resolutions for your teeth into the mix? Setting a goal to improve dental health is easy and it can benefit your overall health too.

Simple New Years Resolutions for you and your teeth

  • Schedule out your two dentist appointments – We all know that professional cleanings should happen twice a year, but most people have a hard time making it into the office for just one of the two appointments. We all have packed and growing schedules. So, make it a point to actually see the dentist twice in 2015, even if that means scheduling the appointments right now. You will be glad you did once you’re walking out with a healthy smile!
  • Diet Change (2 birds 1 stone) – Eating well is important for your dental health. Poor nutrition can affect the entire immune system making you more susceptible to a long list of mouth problems (including gum disease). Luckily, eating crisp fruits and raw vegetables like apples, carrots and celery help clean plaque from teeth and freshen breath.  Antioxidants and other nutrients found in fruits, vegetables, legumes and nuts improve your body’s ability to fight bacteria and inflammation, helping to protect your teeth and gums.
  • Quit smoking – Smokers experience twice the tooth loss of non-smokers, due to plaque and tartar buildup that encourages dental decay.  Your ability to fight infection throughout the body decreases significantly, including in the mouth and gums.  Lastly smoking causes bad breath (and it’s much more pleasant to kiss a non-smoker!)
  • Finally (possibly the hardest resolution) Pick up that FLOSS! – It’s been in the drawer for months just hoping to get it’s big break – why not make 2015 the year? Flossing is the only way to get between the teeth and all the way down in the gum line. The seemingly never ending list of benefits  might just be the kick you need.

So we’ve got you on the right path and hopefully you will think about your teeth while you plan out your New Year’s resolutions, and you will have a healthier, better-looking smile by the time the next year rolls around!

The first and easiest step is picking up the phone to make your appointments – Dr. Chauvin is waiting for your call!

Happy New Year!

3 Signs You Need Dental Implants

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dental implantsA dental implant is an attractive option for people who have lost or broken one or more teeth. Dental implants are typically preferred by dentists, provided the patient is in good overall health and can heal well from the surgery. Implants have a few advantages over other options like bridges or dentures: they’re the closest thing to your real teeth, they’re easy to take care of, and they last longer.

Dental implants are made out of titanium and are surgically implanted into your jaw in order to hold the replacement tooth. The implant is most commonly placed in the jawbone but can also be put on the jawbone if necessary. The bones of the jaw actually heal around the titanium and integrate it into the mouth structure, which is a great benefit of implants.

How do you know if you need dental implants?

Here are three common reasons to visit your dentist to see if you’re a candidate for dental implants.

  1. You have one or more missing or broken teeth due to injury or disease. People lose teeth for many different reasons, and it’s nothing to feel embarrassed about, as you’ve got plenty of options with modern dentistry. The best time to get implants is as close to the tooth loss as possible.  
  2. You currently have bridges or dentures in your mouth and are unhappy with them. Dentures and bridges may be time-consuming to take care of and need to be replaced every so often. They also don’t offer the security that dental implants do, and you may find that you aren’t able to enjoy your favorite foods or your self-confidence is affected in some way.
  3. Your self-confidence or happiness is suffering in some way because of your teeth. Many people may feel uncomfortable eating in social situations with their dentures or bridges or may not feel as confident as they used to. The team at Chauvin Dental wants our patients to be proud of their smiles, and we can work with you to figure out a plan to achieve that together.

 

If you do get dental implants, you’ll take care of them the same way you do your natural teeth: brush twice a day with a soft-bristled toothbrush, floss once a day, and visit your dentist every six months for regular scheduled cleanings. If you want to see if you’re a potential candidate for dental implants, schedule an appointment with Chauvin Dental today.

Dangers of Wearing Dentures at Night

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Dangers of Wearing Dentures at Night dr. chauvin lafayette la dentistMany people, both young and old, wear either partial or full dentures to counteract the negative effects of tooth loss. Dentures can help restore a person’s self-confidence and give back the ability to enjoy favorite foods or speak in public with no fear of judgment. Many denture wearers may feel so comfortable with their dentures that they don’t see a problem sleeping with them at night; however, there are many alarming side effects to wearing dentures at night or while sleeping.

 

Complications of Constantly Wearing Dentures 

It’s essential to remove your dentures while sleeping, or for another 7-8 hour stretch during the day, to give your tissues and gums a break. If you sleep with dentures, the moist environment of your mouth can create the perfect environment for bacteria to grow between the bottom of the dentures and your gum-line. This bacteria can then easily be breathed into your lungs and cause systemic infections. A study in the Journal of Dental Research showed that within denture wearers in a nursing home, the ones who slept with dentures were more than twice as likely to experience complications, and even death, related to pneumonia.

 

Other common complications that can be caused by not removing dentures at night include:

  • Denture-related stomatitis, which is an inflammation in the top of the mouth caused by a yeast infection. This can be accompanied by cracking and dryness in the corners of the mouth.
  • Bone loss and long-term changes in appearance in the face, caused by constant pressure on the gums from the dentures. Taking dentures out at night gives your gums a break from the pressure and lessens the risk of bone loss.
  • Foul smells or bad breath
  • Inflammation or sores in the mouth

 

Proper Denture Care

Your dentures are an investment that you want to last. Here are some tips to make sure they stay in top condition:

  • Remove and clean your dentures after meals; if you don’t have time to clean them each time, make sure to at least rinse them with water. This will help wash off any bacteria.
  • At least once a day, gently brush your dentures with a soft toothbrush or denture brush. Use hand soap, dish liquid, or a denture cleanser. Regular toothpaste is usually a bit too abrasive for dentures.
  • When your dentures are not in your mouth, clean your gums and tongue once a day. You can use a damp, soft washcloth to wipe and massage them.
  • While the dentures are out of your mouth, store them in water or a solution designed for dentures. Dentures are made to be kept moist, so leaving them out in the air could lead to breakdowns in the structure of the dentures.

 

Remember that even if you have dentures, you still need to visit your dentist at least every six months to make sure that your dental health is in order. If you’re experiencing pain, discomfort, or any other issues with your dentures, come in for a visit as soon as possible to make sure there is no evidence of gum disease or other issues. With proper care and maintenance, your dentures will last and be a positive part of your overall dental health.

 

How Coffee Affects Oral Health

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coffee affects on oral health chauvin dental lafayette laThe majority of Americans depend on some amount of coffee each day to wake up and go about their days. Sound familiar? If you’re in a steady relationship with your daily cup (or two, or three…) of joe, have you ever considered the ways in which your coffee habit affects your dental health? Don’t worry – we have some good news for you!

 

 

The Good

There are multiple research studies that show very promising results for coffee drinkers. These studies show that drinking coffee may actually reduce harmful bacteria in your mouth, which positively impacts dental health. Evidence also shows that antioxidants in coffee may help prevent cavities and dental disease. Keep in mind these study results apply to black coffee and not sweetened coffee.

The Bad

If you take your coffee with cream or sugar, or both, remember that sugar consumption allows harmful bacteria to grow within your mouth. If you can’t live without your additives or hate the taste of black coffee, make sure to practice proper dental hygiene to prevent future cavities or dental issues. You can also try consuming your coffee during a specified time of the day, so your teeth aren’t exposed to sugar for extended periods of time.

There is some concern that drinking a lot of coffee can cause erosion of the enamel of your teeth, although it’s not as acidic as beverages like fruit juice. In addition, if you suffer from bruxism, evaluate the effects of your caffeine consumption and reduce it accordingly if it seems to be causing you to grind or clench your teeth.

The Ugly

Coffee can stain your teeth over time, especially if you drink it frequently. The enamel in your teeth is porous and it can absorb what it’s exposed to, which means it can become yellow or brown if you drink a lot of coffee and don’t counteract the staining effects. Drinking through a straw when possible can limit the potential of staining your teeth. Consider drinking or swishing with water after you drink coffee to remove it from the surface of your teeth. You can also use a whitening toothpaste at home and schedule a visit with your dentist to see if you’re a candidate for a whitening treatment.

As always, moderation is key. Enjoy your coffee but think about ways you can protect your teeth while doing so. Come see us at Chauvin Dental for your regular dental checkups and if you have any questions about how to counteract any of the effects coffee drinking has on your teeth.

Oral Health Issues and Diabetes

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dental health and diabetes chauvin dental lafayette laWhether you have Type I or Type II Diabetes, it is a disease that requires constant monitoring of the entire body, including the eyes, nerves, and even your teeth. When you have diabetes, you’re at an increased risk for periodontal disease, commonly called gum disease, which can lead to tooth decay or even tooth loss in more advanced stages. In the beginning stages of gum disease, symptoms for diabetic patients could be as simple as sore, tender gums or bad breath. It’s essential to let your dentist know if you are diabetic and what medications you are taking. It’s also important to see your dentist if you’re experiencing any problems since these could be the first sign of undiagnosed diabetes.

It’s thought that diabetic patients are at a higher risk for gum disease because if blood glucose is not well controlled, that means there’s a lot of glucose in the saliva. You may notice that here on the blog for Chauvin Dental, we talk a lot about why you should restrict sugar intake, and that’s for good reason: sugar is the main enemy in the war against dental decay! When your blood glucose level is not kept in check, that gives harmful bacteria in your mouth the perfect environment in which to flourish.

At the same time your blood glucose level affects your oral health, there is the simple fact that having gum disease or oral infections can cause your blood sugar to rise, which is not desirable for diabetics. Thus, controlling blood sugar and keeping watch over your oral health are important because the consequences flow both ways.

Infections in diabetic patients can be more severe because the immune system is weakened.

Other potential oral issues experienced by diabetic individuals include:

  • Fungal infections in the mouth, or thrush, characterized by sore patches in the mouth
  • Dry mouth
  • Ulcers
  • Infections
  • Cavities
  • Burning sensation

The best way to prevent any oral health issues is to control your blood glucose levels. Work with your primary care physician to determine your blood sugar target and a plan to achieve it. If you are a smoker, consider quitting to lessen your risk of health complications. Maintain proper oral hygiene, including brushing twice a day with a soft-bristled toothbrush and flossing once a day. Ask your dentist how often you should be coming in for checkups and come in sooner if you’re experiencing pain or having a dental emergency.

3 Things Young Teeth Need in Moderation

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young teeth dr chauvin lafayette la dentistIt can be said that with most things in life – diet, exercise, guilty pleasures – moderation is the key, and this too applies as we talk about your baby’s or children’s teeth.

What do we mean by that?

Specifically, when we look at sugar intake, teeth brushing practices, and toothpaste, we want to be sure we’re making the correct and moderate choices, since these will ensure healthy adult teeth for your children. Damage to baby teeth can cause children to have dental problems later on in their adult lives, so it’s important to start good dental practices early on.

3 Things Young Teeth Need in Moderation

  • Sugar Intake

Eating sugary foods can cause tooth breakdown and decay over time and gives bacteria ample opportunity to multiply within your child’s mouth. Sugar is the main reason that almost half of children under the age of 11 experience tooth decay, and it’s easy to see why: sugar can creep in through not only obvious food items like soft drinks and ice cream, but also through milk, juice, and dried fruit.

It can be tempting to give in to your child’s demands for sugary snacks and candy, especially with Halloween right around the corner, but try to have healthy alternatives for drinks and snacks on hand. Keep an eye out especially for sticky foods.

 

  • Teeth Brushing

Before your baby’s teeth come in, you can gently wipe gums after feedings with a damp, clean washcloth to remove bacteria. Once the first teeth come in, you can still use a washcloth to remove plaque or you can use a soft-bristled baby toothbrush to brush the tooth with a small smear of baby toothpaste.

Be very gentle so you don’t irritate gums and remember that teething is an uncomfortable time, so be careful with your baby’s sensitive gums and mouth. Once your child gets older, you can introduce them to their toothbrush and let them hold it, but stress the importance of thoroughly and patiently brushing their teeth.

 

  • Toothpaste

There are varying recommendations as to what age is appropriate to start using fluoridated toothpaste, so check with your dentist on this. Remember to use just a small smear of toothpaste for babies and a pea-sized amount for children as they get older. Too much fluoride is not good for children, so monitor them while brushing to be sure they’re not accidentally swallowing or ingesting fluoridated toothpaste.

Remember to start getting your children used to coming to the dentist’s office at an early age. It’s best your dentist establish a relationship with your child so he or she can track progress, give recommendations, and note any important changes. Your child will also benefit by beginning to view the dentist’s office as a safe and welcoming space instead of something to fear. At Chauvin Dental, we hope to see you and your family soon for your regular check up!

3 Most Common Dental Emergencies

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Dental EmergenciesWhenever your teeth are uncomfortable, it can feel like an emergency, but there are a few commonly experienced situations that do warrant pretty immediate attention from your dentist. The three most common dental emergencies are tooth trauma (chipped, broken, or knocked-out tooth), toothaches or tooth pain, and a lost filling or crown.

 

Tooth Trauma

Have you chipped, broken, or even lost a tooth? If you’ve chipped or broken a tooth, make an appointment to see your dentist and then rinse with warm water. If you’ve got swelling, you can try applying a cold compress to your face to help. Depending on the damage, the treatment will be different: for a small chip, many times your dentist can round out the edges of your tooth or bond a small amount of resin to your tooth to recreate its natural look. Bigger chips may require placement of a crown, veneers, or a root canal procedure. If you knocked your tooth out, save it in a cup of milk (to prevent the tooth drying out) and bring it to your appointment – and hurry! The chances of saving your tooth are best within an hour of your trauma. Don’t scrub your tooth and don’t touch the root. You can also try to put the tooth back in its place and see if it will hold. If you’ve got time before your appointment, you can also rinse with warm water and apply pressure with a piece of gauze to stop any bleeding.

 

Toothache or Tooth Pain

Toothaches and teeth sensitivity are conditions most people have experienced. Many times, these are symptoms that the tooth’s nerve is inflamed and may indicate you have a cavity or some decay that needs treatment. See your dentist to be sure of what’s going on. Remember the best way to prevent dental problems is to practice proper oral hygiene, including brushing at least twice a day and flossing at least once a day. You may be able to temporarily relieve symptoms by rinsing with warm water, using sensitive teeth toothpaste, taking over-the-counter pain relievers, or using a cold compress to help with pain or swelling. Your dentist can recommend specific treatment based on the underlying condition causing your toothache or pain.

 

Lost Filling or Crown

A filling is what’s used to fill in the space after a cavity is removed, while a crown is what’s placed over your tooth to protect it from further damage or after a procedure like a root canal. It’s possible for these to come loose, for example, if you’ve applied a lot of pressure to a tooth or if there’s decay that needs treatment. If this happens to you, make an appointment with your dentist and, if possible, bring the filling or crown with you. Rinse with warm water immediately after you notice the filling or crown is lost. This is not as urgent as a tooth trauma or toothache, but you should still schedule an appointment ASAP to avoid your tooth becoming further compromised. Your exposed tooth will not be as strong as it was with the filling or crown in place.

 

Always remember the best thing to do if you ever have any questions or uncertainty regarding your teeth is to make an appointment with your dentist’s office. Although these common dental emergencies require prompt attention, they can typically be successfully and quickly resolved with the help of your dentist.

What is pulp therapy?

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Pulp-TherapyPulp therapy (pulpotomy or pulpectomy) is needed when the nerve of a primay (“baby”) tooth is affected by decay or infection; it is the same concept of root canal therapy for permanent teeth.

In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.

Having pulp therapy done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed.  Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth may ultimately be more costly and cause significant problems with space maintenance for permanent teeth.

Pulp treatment is highly successful and usually lasts the lifetime of the baby tooth, although on occasion, a tooth will have to be extracted due to new or recurrent infections.

Signs and symptoms for possible pulp therapy:

Inflamed or injured pulp is exceptionally painful.  Even if the source of the pain isn’t visible, it will quickly become obvious that the child needs to see the pediatric dentist.

Here are some of the other signs to look for:

  • Sensitivity to hot and cold.
  • Severe toothache pain.
  • Sometimes no symptoms are present.
  • Swelling and/or tenderness.

Reasons for pulp therapy:

  • Decay has reached the tooth pulp (the living tissue inside the tooth).
  • Infection or abscess have developed inside the tooth or at the root tip.
  • Injury or trauma to the tooth.

When should a child undergo pulp therapy?

Every situation is unique.  The pediatric dentist assesses the age of the child, the positioning of the tooth, and the general health of the child before making a recommendation to extract the tooth or to save it via pulp therapy.

Some of the undesirable consequences of prematurely extracted/missing teeth are listed below:

  • Arch length may shorten.
  • In the case of primary tooth loss, permanent teeth may lack sufficient space to emerge.
  • Opposing teeth may grow in a protruding or undesirable way.
  • Premolars may become painfully impacted.
  • Remaining teeth may “move” to fill the gap.
  • The tongue may posture abnormally.

What does pulp therapy involve?

A pulpotomy or pulpectomy procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist).

While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva.  An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria for a pulpectomy or just the pulp tissue from the crown (the part of the tooth visible when looking in the mirror) region for a pulpotomy.  Tooth decay will also be removed with special dental instruments.

Once the tooth is thoroughly cleaned and medicated, the best way to restore or “fix” the missing tooth structure and provide the best seal from bacteria is to place a stainless steel crown. This will protect the tooth and prevent it from breaking, and will restore it to its full function.

After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed.

You will be given care instructions after each appointment.  Good oral hygiene practices and regular dental visits will aid in the life of your child’s pulp treatment.

If you live in or around Lafayette, Louisiana and you suspect your child is in need of pulp therapy, contact Dr.  Chauvin’s office to schedule an appointment for a consultation today.

How to Fix a “Gummy Smile”

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What is a Gummy smile? You may not have heard the phrase, but you’ve probably noticed the condition. A “gummy smile” occurs when too much gum tissue (in technical terms, over 4 millimeters, or about one-eighth of an inch) is visible in the smile. A gummy smile by itself is not considered to be unhealthy or abnormal. It has been long considered by dentists to be a normal variation of a persons body. but if you feel it detracts from your appearance, there are several ways dentists can treat a gummy smile.   

A gummy smile can give the teeth a short and unhealthy look. The gingival tissue should be at or just above the neck of the tooth, called the cementoenamel junction. In some cases of a gummy smile, the tissue may cover 50% or more of the teeth. The gummy smile can be caused by a variety of things. These can include:

• Abnormal eruption of the teeth can cause an excessive display of gingival in your upper jaw. As a result, your teeth may appear short due to the excessive gums, although they might actually be the proper length.

• The way your upper jaw bone develops over the years can also cause gummy smiles. For example, if there is an excessive bulging protrusion in your upper jaw within the gums, you will experience an obvious gingival issue.

• The muscle that takes control of the movement of your upper lip can be hyperactive and it can cause your upper lip to rise higher than usual. 

The presence of excess gum tissue makes maintenance of oral hygiene very difficult or at least more difficult than for patients without a gummy smile. This can lead to unhealthy tissue that can bleed easily as well as increased risk for tooth decay. The excessive tissue will allow food and bacteria to get lodged underneath, causing red, swollen gums and bleeding. This early situation is called gingivitis. Gingivitis is the earliest form of periodontal disease. If this goes untreated the gingivitis leads to  periodontal disease with progression toward tooth loss. 

Treatment for a gummy smile

If you think you have a gummy smile, visit your favorite Lafayette Louisiana dentist, Dr. Chauvin for confirmation and treatment options. Dr. Chauvin will examine your mouth, teeth and gums to determine the extent of the excessive gingival display and any possible causes. This examination may involve conventional and/or digital impressions of your teeth and gums. You may also need X-ray imaging so that the tooth roots and jaw bone can be carefully examined.

If you suffer from a severe gummy smile, your dentist may refer you to a specialist, like a periodontist, orthodontist or an oral surgeon. Depending on the nature of your specific clinical condition, treatment for your gummy smile could include:

1) Gingivectomy 

This is simply the removal of excess gum tissue. By removing the excess tissue and reshaping the gums, you end up with a very cosmetic result. During this procedure a very small amount of gum tissue needs to be removed.  The procedure is generally quite painless, but local anesthetic is necessary. The treatment requires no sutures and typically the gingival tissue heals within 1-2 weeks. A gingivectomy is usually the prescribed procedure when only a few teeth are affected by the gummy smile. Sometimes, the bone must also be remodeled to correct the problem.

2) Crown Lengthening 

During this procedure, excess gum and bone tissue is removed and reshaped to expose more of the natural tooth. This can be done to one or more teeth to expose a natural, even, wide smile. This procedure is a bit more advanced but still relatively easy to perform by a trained dentist or specialist. The gum tissue is removed in the same way as in a gingivectomy, the bone removal requires rotary instrumentation.

There is a very low risk of complications for both procedures. Any discomfort following the procedures can usually be handled by over the counter medications. Patients will see results immediately. But over the next few weeks following the procedure it will look even better. This is because the gingival and bone tissues need time to fully heal. Once fully healed they will see the full effect of a beautiful and healthy smile and can say goodbye to their old gummy smile!

If you would like more information on treatments for “gummy” smiles, please contact us or schedule an appointment for a consultation.