November 18th, 2020

Anyone who has had a compromised tooth knows that the amount of discomfort it causes can be extremely unpleasant. Although no one looks forward to a root canal, this procedure is actually the best way to both eliminate pain and save your tooth. If the pulp inside your tooth is infected or damaged, a root canal is probably necessary.
The process is relatively straightforward and can take place over one or two visits to our East Lyme, CT office. The area around the tooth is numbed, the pulp is removed from the inside of the tooth, the area is thoroughly cleaned, and a temporary filling or crown is placed on the tooth to prevent bacteria and food from entering the site. A permanent crown will be fabricated and affixed to the tooth at a later visit.
Once your root canal is finished, recovery is usually only a matter of days. What can you to keep yourself as comfortable as possible during that time?
- The area around the affected tooth might be somewhat sore or sensitive for a few days. Let us know, and we can talk about medication to reduce pain and inflammation. If you are prescribed antibiotics, be sure to take the entire course of medication as directed.
- Taking an ibuprofen (if this is a pain reliever that is safe for you) before the anesthetic wears off will reduce the soreness in the hours immediately after the procedure.
- Wait until the numbness is gone before eating to avoid biting down on a temporary filling (or your tongue). Hot drinks are also best avoided.
- Avoid chewing on the side of the affected tooth until the restoration is complete. A soft diet is recommended for the first several days—chewy, sticky, and crunchy foods should wait.
- Continue with regular brushing and flossing.
- Call Dr. James Robson immediately if you experience severe pain or visible swelling, if you have an allergic response to medication, if your bite feels uneven, or if you lose the temporary filling.
Follow the instructions we’ll give you carefully, and feel free to call us with any concerns. We want to ensure that your root canal is as pain-free and worry-free as possible.
November 11th, 2020

Baby teeth come with a built-in expiration date. That charming first smile is meant to make way for a healthy, beautiful adult smile. Unfortunately, before they are ready to make way for permanent teeth, primary teeth can be affected by decay, trauma, or infection—problems which can lead to damage to the pulp within the tooth. If your dentist tells you that your child’s tooth needs specialized endodontic treatment, is treatment really that much better for your child than losing a baby tooth prematurely?
Quite often, the answer is yes!
Baby teeth do much more than serve as temporary stand-ins for adult teeth. They are essential for:
- Biting and chewing—a full set of baby teeth helps your child develop proper chewing, which leads to healthy digestion. And chewing also helps build face and jaw muscles.
- Speech development—primary teeth help guide speech production and pronunciation.
- Spacing—a baby tooth serves as a place holder for the adult tooth waiting to arrive. If a primary tooth is lost too early, the remaining baby teeth may drift from their proper location. This, in turn, can cause overcrowding or misalignment of the permanent teeth when they do erupt.
Baby teeth, like adult teeth, contain living pulp tissue. The pulp chamber inside the crown (the visible part of the tooth) and the root canals (inside each root) hold nerves, blood vessels, and connective tissue. When the pulp is damaged by trauma or infected, a baby tooth can still be saved with endodontic treatment. Endodontic treatment in baby teeth can take two forms.
- “Vital” pulp is pulp that can be saved. Vital pulp therapy uses procedures to deal with damaged pulp inside the crown, or visible part, of the tooth. Pulp therapy can be used on teeth when only the top of the pulp has been affected by decay, limited exposure, infection, or trauma, but the root pulp remains healthy. Specific treatment will depend on the nature of the pulp injury, and a crown will usually be placed over the tooth after treatment to protect it.
- With non-vital pulp, your dentist will probably recommend a traditional root canal procedure. All of the pulp tissue will be removed from inside the crown and the roots, and the pulp chamber and root canals will then be cleaned, disinfected, shaped, and filled. Finally, because the treated tooth will be more fragile, a crown will be used to protect the tooth from further damage.
There can be good reasons for extracting a seriously damaged baby tooth, and there are situations where preserving the tooth is the best and healthiest option for your child. Discuss your options with Dr. James Robson when you visit our East Lyme, CT office for the safest, most effective way to treat your child’s compromised tooth.
October 28th, 2020

Dental veneers are a popular treatment to improve the appearance of your smile. Dr. James Robson and our team want to help you understand whether this dental option is right for you.
Veneers, also known as laminates, are custom-made shells that cover the front of your teeth. They can change the color, size, or length of each individual tooth. The process can require between one and three trips to our East Lyme, CT office to complete.
This treatment is usually done for people who want to change the appearance of their smile: they can get rid of stains, gaps, or chips. Here at Robson Dentistry, we know how getting veneers can dramatically change your smile and help improve your confidence.
Your initial appointment entails preparing the teeth and creating an impression. The impression will help us design each veneer to the exact shape and color you desire. You’ll come back in a week or two to have the veneers placed. Your veneers should last about ten years, as long as you practice proper care and hygiene.
There are plenty of benefits to getting veneers, but you should be aware of the potential downsides of this procedure. This process is irreversible and the veneers cannot usually be fixed. If they chip or crack, they’ll need to be replaced.
It is also possible for veneers to fall off due to excessive pressure from nail biting or chewing on ice. If you grind your teeth a lot, you’re more likely to expose your veneers to damage, which can be costly to repair.
In order to know whether veneers are right for you, schedule an appointment at our East Lyme, CT office for a consultation. We can decide what you’re looking to do with your smile and if this is the best option for you.
October 21st, 2020

Some lucky babies wake one morning displaying a brand new tooth to the complete surprise of their unsuspecting parents! But your happy baby is irritable and drooling. Or your hearty eater doesn’t feel like finishing her food. Perhaps she finds it hard to go to sleep when she’s usually nodded off before you finish the first lullaby. A small number of children suffer little or no discomfort teething, but for the majority of babies who do, here are some helpful ways to ease their teething pain.
- Massage--Rubbing your baby’s gums with a clean finger or piece of gauze—gentle pressure is all you need. And do be careful of your fingers once those teeth start coming in!
- Chewing—there are many colorful and easy to grasp teething toys available, including BPA-free models.
- Cool Relief—Cool a solid teether in the refrigerator to help ease discomfort. Placing a teething ring in the freezer is not recommended, as extreme cold can be damaging to little mouths and gums.
- Comfort Food—If your baby is eating solid foods, try cold applesauce or other purees.
- Skin Care—Drooling is often part of the teething process, but try to keep your child’s face free from rash and chaffing by wiping with a clean cloth when necessary.
And while you are trying to keep your baby comfortable, also be sure to keep her safe!
- Know what your baby is putting into her mouth. All teething items should be non-toxic and free of harmful chemicals. Teethers filled with fluids may break or leak, so a solid toy is best.
- Make teething items size-appropriate. Avoid anything small or breakable that might present a choking hazard.
- Over-the-counter gels and liquids containing benzocaine, meant to reduce pain in the gums and mouth, may on rare occasion lead to serious health conditions in small children. Always check with Dr. James Robson or your pediatrician before buying an over-the-counter teething medication for your baby.
For many babies, teething can be a long and sometimes difficult process. If there is anything we can do to help you and your baby in this journey, please give our East Lyme, CT office a call.