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

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).

How do I calm down before going to the dentist?

It sounds like you need to explore whatever fears you have about going to the dentist with someone who can help sort out what triggers anxiety the most. It may be finding a sympathetic READ MORE
It sounds like you need to explore whatever fears you have about going to the dentist with someone who can help sort out what triggers anxiety the most. It may be finding a sympathetic dentist who can talk to you about this at length (they do exist) or maybe a counselor who can help with it also. We had many patients who had significant anxiety about going to the dentist, but they managed to overcome it by having assurance that we would explain everything in detail beforehand and being understanding when they had trouble with anything. Identifying what has created this anxiety about dentistry is the first step.
Best wishes in your quest.

What is the difference between root planing and scaling?

Those two terms usually go together - scaling removes the hardened calculus (tartar) and root planing smooths the root to allow for better healing.

Do fillings make your teeth stronger?

Fillings do not make your teeth stronger. On the contrary, every cavity you get that requires a filling to be placed makes your tooth weaker. It's like putting another hole in READ MORE
Fillings do not make your teeth stronger. On the contrary, every cavity you get that requires a filling to be placed makes your tooth weaker. It's like putting another hole in a joist in your house and filling it with something strong - the material filling that hole can be monumentally strong, but the joist is still weaker and prone to cracking/breaking from stress - just like your teeth.

Can bonding help sensitive teeth?

Yes, bonding can help reduce sensitivity in teeth, but it depends on whether you have generalized (most or all of your teeth) sensitivity or if it's localized to a few teeth, where READ MORE
Yes, bonding can help reduce sensitivity in teeth, but it depends on whether you have generalized (most or all of your teeth) sensitivity or if it's localized to a few teeth, where bonding would be most effective. If you have worn enamel where the sensitivity is located that would also be a good indication for bonding to be done.

How long does it take to get used to veneers?

That’s too broad a question to answer without knowing what it is that you’re concerned about. Some people “get used” to them right away because they are just thin layers of either READ MORE
That’s too broad a question to answer without knowing what it is that you’re concerned about. Some people “get used” to them right away because they are just thin layers of either porcelain or composite resin, but everyone adapts differently to changes, especially in the mouth if you’re a sensitive person.

Can you get gum disease with dentures?

Classical gum disease, or periodontal disease, isn't possible when teeth aren't present. The only soft tissue diseases that can be present with dentures would be non-periodontal READ MORE
Classical gum disease, or periodontal disease, isn't possible when teeth aren't present. The only soft tissue diseases that can be present with dentures would be non-periodontal in nature, like a fungal infection or other, non-periodontal disease.

Does wisdom teeth pain come and go?

Yes, it does. Wisdom teeth start to erupt a bit, then stop and become silent for a while. It's always wise to make sure your dentist has viewed your wisdom teeth, both clinically READ MORE
Yes, it does. Wisdom teeth start to erupt a bit, then stop and become silent for a while. It's always wise to make sure your dentist has viewed your wisdom teeth, both clinically and via X-rays to make sure they're not more problematic (they can cause other problems that aren't always evident until later).

How should I sleep with tooth pain from braces?

Although it will slow down the movement of your teeth if you take it frequently, NSAID medications like Ibuprofen and Naproxen help significantly with discomfort from orthodontic READ MORE
Although it will slow down the movement of your teeth if you take it frequently, NSAID medications like Ibuprofen and Naproxen help significantly with discomfort from orthodontic appliances and you shouldn't have to keep taking them since discomfort abates quickly after your teeth begin to respond to the braces. Just take it for a day or two and you should find that you don't need to keep taking it. That way, the braces can work more effectively since the NSAID medication actually slows down the orthodontic movement.

How do you relieve pain after tooth extraction?

Hopefully, your practitioner would give you appropriate instructions, but if they don't, you should ask them - all practitioners have their own preferences because some use NSAID's READ MORE
Hopefully, your practitioner would give you appropriate instructions, but if they don't, you should ask them - all practitioners have their own preferences because some use NSAID's (Ibuprofen, Naproxen [Aleve]) for their anti-inflammatory effects and pain relief, and some still hold onto older, less desirable tendencies to prescribe narcotic pain relievers, which led to the opioid crisis. We always recommended naproxen (Aleve) or ibuprofen (Motrin) to patients as long as they weren't allergic to NSAID's (or they were contra-indicated by their physician due to other conditions such as history of gastric ulcers, bleeding disorders, etc.

How can I straighten my teeth?

Find a reputable dentist and have Invisalign done - there are a million do-it-yourself techniques out there, but we've seen a lot of people who try that and THEN showed up in our READ MORE
Find a reputable dentist and have Invisalign done - there are a million do-it-yourself techniques out there, but we've seen a lot of people who try that and THEN showed up in our office to have it fixed (and they wish they had started with us instead of trying to do it inexpensively).

Are you put to sleep for dental implant surgery?

Although it's possible to be under general anesthesia for a dental implant, it would require double or triple the cost and it is almost never required. Most patients say the process READ MORE
Although it's possible to be under general anesthesia for a dental implant, it would require double or triple the cost and it is almost never required. Most patients say the process is as easy as having a minor dental procedure with a local anesthetic. I, personally, have had an implant placed along with a sinus lift procedure for a bone graft and it was painless. You should certainly discuss this with your practitioner in order to relieve any concerns.

What should you not drink after a tooth extraction?

If you haven't had the extraction yet, make sure you ask your dentist about this because every case has some differences depending on the complexity of the extraction. If you've READ MORE
If you haven't had the extraction yet, make sure you ask your dentist about this because every case has some differences depending on the complexity of the extraction. If you've already had the extraction, hopefully, you got a sheet of instructions about eating and drinking afterward - if you didn't, you should call the dentist and inquire about this. What you drink isn't
nearly as important as how you drink it - the use of a straw is absolutely forbidden after extraction due to the problems associated with damaging the clotting that needs to take place at the extraction site.

How often do you need a teeth cleaning while doing Invisalign?

A lot depends on your overall gum/bone health, but generally, Invisalign doesn't alter the frequency with which you should be seeing the hygienist for a dental cleaning - especially READ MORE
A lot depends on your overall gum/bone health, but generally, Invisalign doesn't alter the frequency with which you should be seeing the hygienist for a dental cleaning - especially if you stay committed to brushing multiple times a day and flossing once a day.

Can you be more prone to cavities?

There are many factors involved with whether someone has more incidence of decay, including diet, cleaning habits, salivary flow, etc. There is no such thing as being more prone READ MORE
There are many factors involved with whether someone has more incidence of decay, including diet, cleaning habits, salivary flow, etc. There is no such thing as being more prone to decay just because of your dental makeup - if people say "I have soft teeth" because they get a lot of decay, it's likely that they eat a diet with more sugar content, they don't clean their
teeth properly (brush frequently and floss every day) or they have poor salivary flow (affected by age, medication, medical conditions).

So, make sure you clean your teeth frequently and your diet doesn't include a lot of simple carbohydrates (high decay-causing) and see your dentist regularly - your teeth can last a lifetime if you pay attention.

Is it better to whiten teeth at dentist or home?

You can do it either way, one costs more, the other requires more discipline (home). Both will work effectively and the only reason to have it done at the office would be to have READ MORE
You can do it either way, one costs more, the other requires more discipline (home). Both will work effectively and the only reason to have it done at the office would be to have it done quickly, as when you're getting married in 2 weeks or similar. If you do elect to do it at home, just choose a whitening agent that's neutral pH (so that it doesn't cause damage to your teeth). There are several brands out there that are very good and safe, such as Crest Whitestrips, Rembrandt, etc.

What happens if you leave teeth whitening gel on too long?

First of all, most gels lose their effectiveness after about an hour of contact so it's not worth using it longer. Second, the chemicals that make up the whitening agent break READ MORE
First of all, most gels lose their effectiveness after about an hour of contact so it's not worth using it longer. Second, the chemicals that make up the whitening agent break down and they're not good for you, so it's best to use it for no longer than an hour. We used to tell our patients it was okay to put in at night and sleep with the material in their trays, but we now
know that's not only not beneficial, but it's not good for you to have those materials in there after the whitening is no longer effective.

How long after tooth bonding can I eat?

There’s no need to wait to eat after bonding unless you’ve had local anesthetic that could spell trouble if you bite your lips or tongue. The bonding is as strong as it’s ever READ MORE
There’s no need to wait to eat after bonding unless you’ve had local anesthetic that could spell trouble if you bite your lips or tongue. The bonding is as strong as it’s ever going to be after the procedure so go ahead and eat if your mouth isn’t numb - just don’t chew things like ice cubes because that can damage bonding.