Our Blog

It is not uncommon to be concerned about your safety when you have dental X-rays performed. Putting on a heavy lead vest may make you apprehensive. The benefits of dental X-rays far outweigh the risks when safety procedures are followed and the number of X-rays is limited to the required number.

About Dental X-rays

Intraoral X-rays are the most common, and include bitewing X-rays. These allow John Pappas and our team at Masterpiece Dentistry at Copley to detect caries (cavities) and check the health of your bone and root structure. Extraoral X-rays provide the information we need to monitor your jaw and temporomandibular joint (TMJ), as well as look for impacted teeth and tooth development.

X-ray Safety

A set of four bitewing X-rays exposes you to about 0.005 mSv (millisievert) of radiation, which is equal to the amount of radiation you receive in an average day from natural sources. A panoramic X-ray exposes you to about twice the amount of a bitewing. In both cases the risk is negligible and worth the diagnostic benefits.

Guidelines from the American Dental Association are offered for individuals who are not at high risk for cavities. Children in this group should have X-rays every one or two years. Teenagers should have X-rays every one-and-a-half to three years. Adults can go two to three years between X-rays. If you are at higher risk, yearly X-rays are not harmful and can save your teeth.

No matter what type of X-ray you are having, it is extremely important to tell John Pappas or one of our technicians if you are pregnant or may be pregnant. If you are concerned about the number of X-rays you are having done, or about any radiation you are exposed to, please give us a call at our convenient Boston, Massachusetts office and talk to us about your concerns.

When you’re busy at work or school, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

John Pappas and our team recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at work with no time to head home before your date, or a garlic-heavy lunch, or a morning filled with coffee and pastries to help you meet a deadline, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

• Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
• Toothpaste
• Mini-bottle of mouthwash
• Small mirror—to check for any lunch leftovers
• Dental floss—to remove any lunch leftovers
• Dental picks
• Sugarless gum—to freshen your breath and encourage saliva production, which helps clean away bacteria and food particles

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

• A travel version of your manual or electric toothbrush and travel case
• Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
• Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
• Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
• Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
• Our Boston, Massachusetts office’s phone number. In case of emergency, John Pappas can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

• Dental mirror
• Cotton rolls
• Over-the-counter pain relief—including a tube of oral pain relief gel
• Ice pack
• Dental wax—to cover the sharp edges of a broken tooth
• Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
• Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

Parents are usually expert at taking care of their children’s injuries. You know how to disinfect a cut, soothe a bump on the head, and apply a bandage faster than you can blink.

But what happens if your child suffers a dental injury? Teeth can get broken, knocked out, or displaced from a forceful impact, and parents ought to know what to do in those situations, too. Luckily, John Pappas and our team are here to be a resource for such incidents!

Chipped front teeth are a common injury for young children. First, check to see if the teeth have been broken to the nerve. You can tell this is the case if you see layers and a pinkish center.

Then, wiggle each tooth to make sure it is not loose. If the teeth still feel firmly in place, that’s a good sign. Don’t worry if they are a little loose, because they will tighten again with time.

If your child develops a high temperature or bite sensitivity, treatment is necessary and could include a root canal.

A knocked-out tooth is an injury that requires more attention than just observation. Locate the tooth as soon as you can, and touch only the crown, not the root. Rinse any debris gently with milk or water and place the tooth back in its socket as soon as possible.

According to the American Association of Endodontists, a tooth has a high chance of survival and retention for life if it is returned to the socket within five minutes, and possibly up to 60 minutes, if soaked in milk or saline solution in the meantime.

Say your child is elbowed in the mouth and a tooth gets severely displaced but does not get knocked out. Attempt to shift it back into place by applying light pressure, but be careful not to use too much force. Give your child a cold pack for the swelling and contact our office as soon as possible.

Dental emergencies can be frightening for the child as well as the parent. The best advice we can offer is to stay calm and be assured that we are always here to help! Contact us at our Boston, Massachusetts office as soon as you can, if your child encounters a dental emergency.

Just like that, it’s Spring, and the world looks brighter! The skies are sunnier. Daylight in Boston, Massachusetts lasts longer. And your smile can be brighter, too—with a little bit of spring cleaning.

After all, sometimes dental habits become so automatic that we don’t pay them as much attention as we should. Without careful daily brushing and flossing, you could start to see surface staining on your enamel. Or red and swollen gums. Or tartar deposits along the gumline or behind your teeth. 

The start of the season is a good time to spring ahead with a plan for better oral health, and we have some simple ideas to help you clean and protect your smile all through the year.

Assemble the right tools.

• Use a soft-bristled toothbrush, because anything firmer can be hard on your tooth enamel and gums. If you’re having trouble removing food particles and plaque, an electric toothbrush might be a game changer.
• Find the right floss. If you’ve been neglecting flossing because it’s difficult, or if you have mobility issues, there are lots of options available to improve efficiency and comfort. Whether it’s floss picks, interproximal brushes, or water flossers, John Pappas can recommend the best products for your individual needs.
• Choose fluoride toothpaste. Fluoride not only helps prevent cavities by creating an unfavorable environment for cavity-causing bacteria, it also actually strengthens tooth enamel as well. Win/win!

Use those tools!

• Brush all the surfaces of your teeth carefully and thoroughly (no need to scrub) and brush along the gumline at a 45˚ angle. This will help prevent plaque from accumulating above and below the gumline, where it can harden into tartar.
• Brush often enough and long enough. The team at Masterpiece Dentistry at Copley generally recommends brushing twice a day, for two minutes each time. 
• If you wear aligners, a retainer, a mouthguard, a nightguard, or other appliances, brush your teeth before wearing them. You don’t want to trap food particles or bacteria in your appliance!
• Floss at least once a day, or more often as recommended. Proper flossing can be difficult sometimes, so ask John Pappas for the best techniques.

Make sure your dental products are in top shape.

• Replace your toothbrush as often as necessary. After three months or so, bristles start to fray. They don’t clean as effectively, and they could be abrasive to gum tissue. Change out your brush every three to four months, including the head on your electric brush. A good way to remember is to change your brush with the change of seasons. 
• Check the date(s)! Many toothpastes, mouthwashes, and other oral supplies come with a “best used by” date, ensuring that your products remain safe and effective.
• Choose the right toothbrush holder. Your brush should air-dry upright, because germs thrive in closed, damp environments. And your holder shouldn’t allow your brush to touch other people’s brushes to avoid transfer of bacteria and viruses. Clean your brush holder regularly to remove toothpaste residue and germs.
• Clean your aligners, retainer, mouthguard, night guard, and/or cases for your appliances as recommended. Bits of food, bacteria, viruses, and other germs collect there as well.

Work with the experts for your brightest smile.

• See John Pappas regularly. You’ll discover any problems which might be dimming your smile, and you’ll discover them early.
• Schedule cleanings with your exams. The team at Masterpiece Dentistry at Copley uses tools such as ultrasonic or hand scalers and polishers to remove stubborn plaque, tartar deposits, and surface stains that brushing can’t.
• If you want brighter, whiter teeth, consider professional whitening. While whitening kits are available in almost any drug store or supermarket, office treatments or kits provided by John Pappas use stronger ingredients and are more effective.

Easy steps, yes? Step up your cleaning routine, and you’ll have a springtime filled with not just brighter smiles, but healthier smiles, too!