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Karls Family Dentistry

Posts for: July, 2018

By Karls Family Dentistry
July 24, 2018
Category: Oral Health

Dental VisitFluoride, sealants and in-office and at-home oral hygiene--the American Dental Association says these are critical to maintaining a bright and healthy smile. But, how often should you see your dentist? At Karls Family Dentistry in Waunakee, WI, Dr. Stanley Karls and Dr. Matthew Karls tell most of their patients to come in twice a year and more frequently depending on susceptibility to decay and periodontal disease. Learn here why preventive care is so important.

Pay me now, or pay me later

You've probably seen the commercial which talks about getting your engine oil changed frequently. The idea is that if you do quality care maintenance regularly, you'll avoid costly and nerve-wracking repairs.

The same philosophy (perhaps more gently expressed) applies to preventive dentistry. Routine visits with your dentist at his Waunakee office can reduce your dental bills significantly as well as sparing your teeth and gums from complex restorative procedures and your systemic health from serious complications.

What harms oral health?

Bacteria causes both tooth decay and gum disease. Streptococcus mutans lives in the soft, sticky plaque and hard tartar which collect on teeth, in interdental spaces, and under the gums. Left undetected and untreated, cavities and periodontitis set the stage for tooth loss.

Regrettably, gum disease and systemic illnesses are intertwined, says the American Academy of Periodontology. Sick gums contribute to heart disease, diabetes. arthritis, dementia, and more.

In addition, undue physical stresses harm oral health--things such as:

  • Injury to the mouth
  • Uneven dental bite
  • Excessive and habitual teeth grinding and clenching (bruxism)
  • Jaw joint dysfunction, or TMJ
  • Deterioration of dental restorations such as fillings and crowns
  • Poorly fitting and dysfunctional tooth replacements (loose dentures, for example)

What you can do

The American Dental Association recommends that individuals across the age spectrum brush their teeth twice a day, floss once a day and consume a diet low in carbs and high in whole grains, phosphorous, Vitamin C, protein, calcium and water. Due diligence at home helps Dr. Karls maintain your smile.

For his part, your dentist advises twice yearly oral examinations and cleanings for most patients. Some should come to Karl Family Dentistry more frequently if they are prone to decay and gum disease, smoke, have a weak immune system or are pregnant. These special circumstances require extra vigilance.

Also, Dr. Stanley Karls and Dr. Matthew Karls want their patients to call right away in the event of a dental emergency, such as a knocked out tooth or lost filling, so they receive proper instruction in how to deal with their pressing concerns.

You'll like seeing your dentist

You'll enjoy more predictable oral health, function, and appearance, and you'll value the friendly, comfortable atmosphere at Karls Family Dentistry. If you need to schedule a cleaning and check-up, please call us at (608) 849-4100. Our office hours start early in the day for your convenience.

By Karls Family Dentistry
July 21, 2018
Category: Dental Procedures
Tags: dental implants  

Unlike other tooth replacement options, dental implants require a surgical procedure. But don't let your imagination run wild — the procedure is relatively minor and easy for most people to undergo.

Implants are unique among restorations because they replace a tooth's root. A metal titanium post, substituting for the root, must be surgically placed into the jawbone. While the procedure itself is simple and no more involved than a tooth extraction, it does require careful attention to detail before, during and afterward.

Our first step is to examine the target site with x-rays (often CT scanning) to pinpoint the best location for placement. This is critical because where we place the implant will have a huge bearing on how attractive and natural the implant finally appears. From this evaluation we frequently create a surgical guide.

Surgery begins with a local anesthesia to completely numb the site. You will feel no pain during the procedure and only minimal discomfort for a few days afterward. We then make small incisions in the gums to access the bone and create a small channel or hole.

Using the surgical guide, we then initiate a drilling sequence that gradually increases the size of the channel until it's the size and shape of the implant post. One thing we must do at this point is take our time: we use gentle pressure and water-cooling to avoid overheating and damaging the bone.

Once we're finished with drilling we remove the implant from its sterile packaging and imbed it directly into the prepared channel. It's then a matter of verifying the location with x-rays and then closing the gum tissue with self-absorbing sutures if necessary.

Most patients only need mild pain medication like aspirin or ibuprofen to manage discomfort afterwards. You won't even notice it in a week or less. After several weeks in which the bone grows and adheres to the implant (a process called osseointegration), you'll be ready for the final step, attaching the life-like porcelain crown to the implant.

Although the process can take several weeks to months, your discomfort should be minimal at any stage. In the end, your patience will be rewarded with a new, more attractive smile.

If you would like more information on the process of obtaining dental implants, 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 Implant Surgery.”


While the sport of golf may not look too dangerous from the sidelines, players know it can sometimes lead to mishaps. There are accidents involving golf carts and clubs, painful muscle and back injuries, and even the threat of lightning strikes on the greens. Yet it wasn’t any of these things that caused professional golfer Danielle Kang’s broken tooth on the opening day of the LPGA Singapore tournament.

“I was eating and it broke,” explained Kang. “My dentist told me, I've chipped another one before, and he said, you don't break it at that moment. It's been broken and it just chips off.” Fortunately, the winner of the 2017 Women’s PGA championship got immediate dental treatment, and went right back on the course to play a solid round, shooting 68.

Kang’s unlucky “chip shot” is far from a rare occurrence. In fact, chipped, fractured and broken teeth are among the most common dental injuries. The cause can be crunching too hard on a piece of ice or hard candy, a sudden accident or a blow to the face, or a tooth that’s weakened by decay or repetitive stress from a habit like nail biting. Feeling a broken tooth in your mouth can cause surprise and worry—but luckily, dentists have many ways of restoring the tooth’s appearance and function.

Exactly how a broken tooth is treated depends on how much of its structure is missing, and whether the soft tissue deep inside of it has been compromised. When a fracture exposes the tooth’s soft pulp it can easily become infected, which may lead to serious problems. In this situation, a root canal or extraction will likely be needed. This involves carefully removing the infected pulp tissue and disinfecting and sealing the “canals” (hollow spaces inside the tooth) to prevent further infection. The tooth can then be restored, often with a crown (cap) to replace the entire visible part. A timely root canal procedure can often save a tooth that would otherwise need to be extracted (removed).

For less serious chips, dental veneers may be an option. Made of durable and lifelike porcelain, veneers are translucent shells that go over the front surfaces of teeth. They can cover minor to moderate chips and cracks, and even correct size and spacing irregularities and discoloration. Veneers can be custom-made in a dental laboratory from a model of your teeth, and are cemented to teeth for a long-lasting and natural-looking restoration.

Minor chips can often be remedied via dental bonding. Here, layers of tooth-colored resin are applied to the surfaces being restored. The resin is shaped to fill in the missing structure and hardened by a special light. While not as long-lasting as other restoration methods, bonding is a relatively simple and inexpensive technique that can often be completed in just one office visit.

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

By Karls Family Dentistry
July 01, 2018
Category: Dental Procedures

Most children's permanent teeth erupt on a fairly predictable schedule. Sometimes, though, one or more teeth might not develop as they should — or at all.

These absent teeth pose functional problems for chewing and hygiene, which can affect long-term dental health. But they can also have a disruptive effect on an otherwise attractive smile if the missing teeth are the upper lateral incisors in the most visible part of the smile.

You normally find this pair of teeth on either side of the upper central incisors (the two front-most teeth). On the other side of the lateral incisors are the canine or eye teeth, known for their pointed appearance. Without the lateral incisors, the canines tend to drift into the space next to the central incisors. This can produce an odd appearance even a layperson will notice: only four teeth where there should be six!

It's possible to correct this abnormality, but it will take time and expense. The first step is usually to move the teeth in the upper jaw with braces to their correct position. This puts teeth where they should be and also opens space between the canines and central incisors so we can eventually replace the missing teeth with dental implants.

But the key to all this is timing. It's usually appropriate to undertake tooth movement with braces during late childhood or adolescence. But implants shouldn't be installed until the person's jaw fully matures, usually in early adulthood. An implant placed before then could eventually become misaligned.

To accommodate the time between bite correction and implant placement, the patient can wear a retainer appliance that will keep the newly created space open. We can also attach artificial teeth to the retainer to camouflage the empty space.

It usually takes a team of a family dentist, an orthodontist and a surgeon to see this kind of “smile makeover” project through, possibly over several years. But the gains in better aesthetics and health are well worth the time and expense.

If you would like more information on replacing non-developing teeth, 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 “When Permanent Teeth Don't Grow.”