expert type icon EXPERT

Dr. Paul R. Brand, DDS

Dentist

Dr. Paul Brand is a Dentist practicing in Plymouth, NH. Dr. Brand specializes in preventing, diagnosing, and treating diseases and conditions associated with the mouth and overall dental health. Dentists are trained to carry out such treatment as professional cleaning, restorative, prosthodontic, and endodontic procedures, and performing examinations, among many others.
Dr. Paul R. Brand, DDS
  • Plymouth, NH
  • Accepting new patients

How do I stop my gums from bleeding when I brush?

Your gums aren’t bleeding because of anything you’re doing with your brushing, they’re bleeding because you have gum disease that needs treatment as soon as possible. You need READ MORE
Your gums aren’t bleeding because of anything you’re doing with your brushing, they’re bleeding because you have gum disease that needs treatment as soon as possible. You need to see a dentist ASAP to have your gum condition diagnosed so treatment can be delivered properly. You also likely have deposits under your gum line that need removal by a dentist/good hygienist after your diagnosis.

What is the fastest way to heal a broken jaw?

Assuming your friend is in the care of an oral surgeon, there is no way to get a jaw fracture to heal faster other than avoid smoking, eat a good, protein-plentiful diet, and get READ MORE
Assuming your friend is in the care of an oral surgeon, there is no way to get a jaw fracture to heal faster other than avoid smoking, eat a good, protein-plentiful diet, and get adequate rest/sleep. Bones take while to heal.

Why do I have so much saliva after tonsillectomy?

Having more saliva present after tonsillectomy does not present a problem unless you're having trouble swallowing it or you find yourself choking excessively because of it. It READ MORE
Having more saliva present after tonsillectomy does not present a problem unless you're having trouble swallowing it or you find yourself choking excessively because of it. It is much worse to have dry mouth (increased dental decay, swallowing problems, etc.), so having more saliva isn't necessarily a bad thing. I would go to the doctor if you find it problematic for yourself, but otherwise, it would not be a problem by itself.

How long does replacing a filling take?

It completely depends on the size and complexity of the existing restoration (filling). If it's a simple, relatively small in size, it could take less than 20-30 min. However, READ MORE
It completely depends on the size and complexity of the existing restoration (filling). If it's a simple, relatively small in size, it could take less than 20-30 min. However, if this tooth has had multiple previous fillings, or the existing filling is quite large, it could take an hour or more to complete.

How do you rebuild enamel?

The typical way when there’s enamel loss is to replace it with composite

What X-rays are needed for braces?

It depends largely on your individual case - sometimes you only need a panoramic X-ray to show all your teeth/jaws/etc, other times there may need to be additional films taken READ MORE
It depends largely on your individual case - sometimes you only need a panoramic X-ray to show all your teeth/jaws/etc, other times there may need to be additional films taken to rule out potential problems. There really shouldn't be a blanket "one size fits all" policy regarding X-rays, especially if they want to take more extensive series such as a CT scan, etc. (which would be in certain cases, not all or most of the time).

Can sealants be placed over fillings?

There wouldn't be any need to place a sealant over a filling because sealants are intended to seal the pits and grooves of an unfilled tooth. If the filling happened to be composite READ MORE
There wouldn't be any need to place a sealant over a filling because sealants are intended to seal the pits and grooves of an unfilled tooth. If the filling happened to be composite and it was in a less-than-ideal condition, a sealant could be utilized to seal the margins (edges) of that filling, but it would be a temporary "fix."

How do you keep a gap in your teeth from getting bigger?

You can have a clear, aligner-type retainer made to keep the space as it is, or you could always have Invisalign-type treatment done to close the space. Just make sure you have READ MORE
You can have a clear, aligner-type retainer made to keep the space as it is, or you could always have Invisalign-type treatment done to close the space. Just make sure you have proper supervision of the treatment by a competent Invisalign dentist. Home treatments of clear aligners is not always an ideal outcome and can cause other problems.

How is dental bone loss treated?

I have to assume you’re taking about dental bone loss due to periodontal disease (gum disease). When there is substantial bone loss, it is imperative that the periodontal disease READ MORE
I have to assume you’re taking about dental bone loss due to periodontal disease (gum disease). When there is substantial bone loss, it is imperative that the periodontal disease is treated by a periodontist (a dental specialist) in order to stop the progression of the disease. It is almost impossible to replace the bone loss successfully, even though local bone grafts work to support a dental implant, larger areas of bone loss usually do not allow for replacement.

Is it normal to have jaw pain after oral surgery?

Not sure what the specifics of “having oral surgery” you’re referring to, but ANY surgery is bound to cause discomfort just from the procedure itself - does it hurt next day after READ MORE
Not sure what the specifics of “having oral surgery” you’re referring to, but ANY surgery is bound to cause discomfort just from the procedure itself - does it hurt next day after you accidentally cut yourself? Of course!

Can a dental bridge be done in one day?

It can if a dentist uses an in-office porcelain milling unit, but we always opted for stronger materials when doing a bridge that could be under greater stress (back teeth for READ MORE
It can if a dentist uses an in-office porcelain milling unit, but we always opted for stronger materials when doing a bridge that could be under greater stress (back teeth for instance), which requires placing a temporary bridge to allow fabrication of the bridge in the lab. A one-day bridge would be acceptable if the area was under less stress, like the front of the mouth, but some patients place inordinate amounts of stress on all their teeth, which would lead to premature failure of this kind of bridge.

Does sugar cause gum inflammation?

Sugar causes inflammation in your entire body when you consume it, so reducing sugar in your diet will reduce the overall inflammation level in your whole system. The major cause READ MORE
Sugar causes inflammation in your entire body when you consume it, so reducing sugar in your diet will reduce the overall inflammation level in your whole system. The major cause of gum inflammation, though, is the reaction your immune system has to bacteria sitting on your teeth at and below the gum line (hence the need to brush more frequently and FLOSS correctly every day).

What is the difference between a cleaning and a deep cleaning at the dentist?

A "deep cleaning" is usually the lay term used for describing periodontal scaling and root planing, which is needed by those patients who have deeper than normal gum pockets. If READ MORE
A "deep cleaning" is usually the lay term used for describing periodontal scaling and root planing, which is needed by those patients who have deeper than normal gum pockets. If you have normal (2-4mm) gum sulci (the gum pockets), then you do not need "deep cleaning" - it's when patients develop deeper (4-6mm and beyond) pockets that scaling and root planing is
needed; unless you haven't been to the dentist in a long time, where significant calculus (tartar) has formed.

Can a salt water rinse heal a tooth infection?

If it’s truly an infection in your tooth, a saltwater rents won’t do anything at all because it can’t get to the infection. Even antibiotics won’t cure it - you either need to READ MORE
If it’s truly an infection in your tooth, a saltwater rents won’t do anything at all because it can’t get to the infection. Even antibiotics won’t cure it - you either need to have the infection treated by a dentist or, unfortunately, have the tooth removed, which then creates other problems.

How do you tell if a tooth crown is not fitted properly?

There are several ways to tell if a crown doesn’t fit properly. If your floss catches on it when you go down below the gum line that’s not a good sign, or if you get food stuck READ MORE
There are several ways to tell if a crown doesn’t fit properly. If your floss catches on it when you go down below the gum line that’s not a good sign, or if you get food stuck between your teeth because the contact isn’t tight with the next tooth; lastly, you ask a good dentist to examine it and that is the most reliable way in which to tell if the crown fits properly.

How long does a crown last on a front tooth?

A crown on any tooth can last for years and years if it’s kept very clean - the factor that sometimes brings people to replace a front crown is the shade - teeth darken over time READ MORE
A crown on any tooth can last for years and years if it’s kept very clean - the factor that sometimes brings people to replace a front crown is the shade - teeth darken over time and the crown doesn’t. This can be dealt with by whitening your teeth if the crown begins to look lighter than your other teeth.

Do you wear Invisalign to sleep?

Yes, absolutely - if you don't wear the aligners to bed, most of the movement that would have occurred during the day would be lost and the treatment would either be ruined entirely READ MORE
Yes, absolutely - if you don't wear the aligners to bed, most of the movement that would have occurred during the day would be lost and the treatment would either be ruined entirely or require multiple corrections with new scans/impressions and redoing the aligner sequences. The closer to wearing them 100% of the time the better, except for eating and brushing/flossing. 22 hours a day is ideal.

Can screws come loose after jaw surgery?

You didn’t say if you’d had the surgery or are just anticipating possible complications, but in 35 years, we never saw the loosening of screws since ultimately they incorporate READ MORE
You didn’t say if you’d had the surgery or are just anticipating possible complications, but in 35 years, we never saw the loosening of screws since ultimately they incorporate into surrounding bone. Implant screws loosening, yes, but screws in jaw bone? Nope.

At what age do gums start receding?

There is no particular age at which an individual’s gums recede even though gums do tend to recede over time. There are other factors that influence gum recession besides age, READ MORE
There is no particular age at which an individual’s gums recede even though gums do tend to recede over time. There are other factors that influence gum recession besides age, such as the way in which your teeth fit together, if you grind your teeth, and the type of tissue that you were born with (some gum tissue is more fragile than others).