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Dental X-rays: The Inside Story

January 15th, 2025

If you’re feeling a bit nervous before you visit our office for a surgical procedure, we want to make your visit as worry-free as possible. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, WiFi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is called radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs. 

There are many medical and dental conditions which can be treated by oral surgeons. When the problem is primarily a dental one, we have several different X-ray options which can be used as necessary, including:

  • Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
  • Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
  • Cone Beam Computed Tomography, which uses an external machine to produce digital images creating a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But since they are not, we use X-rays to discover such conditions as infection in a tooth’s root or bone, a decrease in bone density, and fractures or other injuries. And to properly plan treatment, we often require 3-D images, which show the spatial relationship of teeth, roots, bone, nerves, and sinuses.

Many dental procedures benefit from X-ray imaging for diagnosis and treatment planning, among them:

  • Extraction of a seriously decayed or damaged tooth
  • Wisdom tooth extraction
  • Dental implant surgery
  • Treatment of traumatic injuries
  • Root surgeries such as apicoectomies and root amputations, which can save a tooth when infection recurs after a root canal
  • Replacement of an avulsed, or knocked out, tooth

How Do Oral Surgeons Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a typical panoramic X-ray provides roughly the same amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Dr. Theodotou and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

  • You have X-rays from another doctor. We’ll let you know if your earlier X-rays might be useful, and how to transfer them. (With digital X-ray technology, this transfer can be accomplished electronically!)
  • You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play a vital part in helping us diagnose and treat our patients. If you have any concerns, contact our Pooler office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

Oral Health Tips: Travel Edition

January 8th, 2025

When you leave on a trip, you probably double-check that evrything’s ready: your clothes are packed, your ticket is handy, and your passport waits patiently on top of your bag or in a special pocket.

The same level of preparedness should apply with regard to caring for your oral health when you’re about to leave home for a while. Whether you’re jumping in the car for a weekend camping trip or flying halfway across the globe for a longer stint, the tips below will help you keep your teeth healthy whil you’re away.

Prepare Ahead of Time

The key to maintaining good oral hygiene during travel is preparation. Schedule a regular dental appointment so your teeth are freshly cleaned and ready before you leave. This can identify potential issues that might cause problems while you’re away.

If you have any items on a dental “to-do” list, such as wisdom tooth removal, replacement of a filling, or orthodontic adjustment, it’s a good idea to get those procedures completed before your trip.

En Route

If you’re stuck on a long flight or trekking far into the woods, you might find yourself where there’s no sink or even a toothbrush at hand. We speak for everyone when we say that nothing is worse than a mouth that feels, shall we say, less than fresh.

A lemon wedge or Granny Smith apple slice can help freshen up your breath when you’re in need of a quick fix. Rinsing your mouth thoroughly with water can help to wash away bacteria that causes cavities and reduce that gritty sensation. If you’ve got toothpaste, put a dot on your finger or a damp washcloth to serve as a makeshift toothbrush.

Nowadays, travel-sized dental products are available at most grocery stores and pharmacies. You can find travel toothbrushes, mini mouthwashes, and pocket-sized floss to slip into your travel bag.

Colgate makes disposable mini-toothbrushes called Wisps that can help you freshen up when you may not have access to a regular toothbrush. Packing a few extra dental supplies may also be a good idea in case one gets damaged or lost.

At Your Destination

Traveling abroad can expose you to unfamiliar conditions. Some countries have compromised water sources that will make you extremely ill if ingested, even from the tiny amount of water with which you wet your toothbrush.

Minimize that risk and keep bottles of water on hand instead for rinsing your mouth and toothbrush. If your toothbrush comes in contact with contaminated water, swapping it out for a new one is the safest option.

Storing your toothbrush properly is necessary to prevent bacteria from growing on it. Place your brush in a Ziploc bag when you’re on the go and allow it to breathe once you get to a temporary destination.

Traveling near or far should be an enjoyable experience. Dental issues shouldn’t be a source of worry on your vacation. As long as you’re prepared and take precautions, your teeth can stay healthy even when they’re out of the country!

Of course, if you have any questions, don’t hesitate to contact our Pooler office.

Blog Suggestions? Let’s Hear Them!

January 1st, 2025

Your opinions matter to Dr. Theodotou and our team! Our blog is meant to be an educational channel, but we always want to know what things you’re interested in learning more about. After all, our blog is here for you to enjoy!

We’d like to encourage you to send us any ideas about what you want to see more of. No idea is too small! Whether it involves a specific treatment or advice on what kind of toothpaste you should use, we’d love to hear from you about it.

To share your thoughts with us, simply leave your comments below or on our Facebook page! You can also fill out a comment card the next time you visit our Pooler office!

What Does an Oral Surgeon Do?

December 25th, 2024

Your visit your medical doctor and dentist for your regular health care needs, you see your orthodontist to treat problems with your bite and alignment, and your periodontist looks after your gum health. If one of your medical or dental professionals recommends that you receive treatment from an oral surgeon, you probably have some questions. First of all, why recommend an oral surgeon?

Oral and maxillofacial surgeons are specialists. They have a minimum of four years of surgical education and training in a hospital-based residency program. They train with medical residents, and focus on studies in general surgery, anesthesiology, internal medicine, plastic surgery, otolaryngology (the study of the ear, nose, and throat), among other fields of specialty.

Because oral and maxillofacial education is centered on the face, mouth, and jaw, these surgeons are experts in diagnosing complex medical conditions in these structures and treating them. Your doctor or dentist might recommend an oral surgeon if you require medical or dental care in any of the following fields:

  • Anesthesia

Oral surgeons are trained in the administration of local anesthesia, sedation, and general anesthesia.

  • Craniofacial Surgery

Oral surgeons work, often as part of a team of specialists, to treat congenital conditions such as cleft lips, cleft palates, and cranial anomalies.

  • Facial Cosmetic Surgery

Training in the surgical treatment of the muscles, skin, and bones of the face makes oral surgeons especially qualified to perform cosmetic procedures which enhance aesthetic appearance and improve function.  Ask your oral surgeon about procedures such as chin surgery, cheekbone implants, ear surgery, skin treatments, and other cosmetic surgery options.

  • Facial Injuries and Traumas

Oral surgeons are skilled in repairing complex fractures of the upper and lower jaws as well as treating other facial injuries.

  • Jaw and Temporomandibular Joint (TMJ) Surgery

If you have difficulty biting or swallowing, TMJ pain, sleep apnea, a protruding or receding jaw, or other jaw complications, corrective surgery can restore better, healthier function to your jaw or temporomandibular joint.

  • Oral Cancer Diagnosis and Treatment

Early diagnosis and treatment are critical for recovery, so see your oral surgeon immediately if you or your dentist detect any of the warning signs of oral cancer.

  • Oral Surgeries

Oral surgeons also perform extractions; dental implant surgery; procedures to save a damaged tooth such as apicoectomies, hemisections, and root resections; procedures to treat soft tissue, including frenectomies, soft tissue grafts, and crown lengthening; and surgeries which treat sleep apnea.

Oral surgeons like Dr. Theodotou are experts in preserving and restoring the health, the function, and the appearance of your face, mouth, and jaw. If your doctor or dentist recommends that you visit our Pooler office, rest assured that you will be treated by a specialist who is exceptionally qualified to diagnose and treat you.