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

Does an overbite get worse with age?

As a rule, it's difficult to know whether your particular bite will change over time because there are multiple factors involved in what drives the worsening (or not) of your bite. READ MORE
As a rule, it's difficult to know whether your particular bite will change over time because there are multiple factors involved in what drives the worsening (or not) of your bite. My guess is that you're talking about the horizontal mismatch between your upper and lower teeth (which is called overjet), not the vertical depth of your bite (which is called overbite). Either way, your bite may appear to worsen over time because crowding (misaligned teeth) tends to allow teeth to become more crowded/overlapped over time. This isn't your imagination, because malocclusions (mismatched bites) do tend to worsen over time, so correcting it sooner than later is always good if you're able to have it corrected orthodontically.
Hope this helps.

Why is my mouth dry even though I drink a lot of water?

Dry mouth is not always dependent on your hydration level - there are a multitude of causes for less saliva to be created - medication can affect it, as well as stress (certain READ MORE
Dry mouth is not always dependent on your hydration level - there are a multitude of causes for less saliva to be created - medication can affect it, as well as stress (certain hormones - like adrenaline, etc.). One very effective way to counteract dry mouth (which carries a higher risk of decay) is to use a product called Xylimelts - they are small lozenges that contain xylitol, which not only increases the moisture content of your mouth, but has a decay-reducing quality to it as well. They can be used at night, when your mouth is usually more dry normal, or during the day to counteract the feeling of dry mouth.

Is it ok to get a crown without a root canal?

Most of the crowns we do for people are done without a root canal if they are treated before there is nerve damage. If there is significant damage to the tooth and the nerve isn’t READ MORE
Most of the crowns we do for people are done without a root canal if they are treated before there is nerve damage. If there is significant damage to the tooth and the nerve isn’t healthy enough, then it could need root canal treatment, but that’s a minor percentage of cases in our experience.

Can I drink coffee after a teeth cleaning?

You can drink coffee after a cleaning, in fact, because your teeth are free from any tartar or plaque, you'll notice your teeth won't stain as much. The staining that some people READ MORE
You can drink coffee after a cleaning, in fact, because your teeth are free from any tartar or plaque, you'll notice your teeth won't stain as much. The staining that some people get from drinking tea or coffee happens because people have more plaque and tartar on their teeth before they drink those things. The cleaner your teeth are before you drink liquids that have staining potential, the less staining you'll get.

Are antibiotics necessary after a root canal?

It depends on the individual case - the treatment consists of doing the root canal; it may or may or require antibiotics depending on whether there is swelling or other indication READ MORE
It depends on the individual case - the treatment consists of doing the root canal; it may or may or require antibiotics depending on whether there is swelling or other indication for antibiotics.

What is the treatment for inflamed gums?

You should first be examined to see what the diagnosis is - you may have simple gingivitis or it could be more involved periodontal disease which involves bone as well as the gum READ MORE
You should first be examined to see what the diagnosis is - you may have simple gingivitis or it could be more involved periodontal disease which involves bone as well as the gum tissue. The treatment usually involves removal of the hardened deposits on your teeth and beefing up your home care to reduce bacterial plaque daily, but that depends on the diagnosis so
make sure you get examined, receive the proper treatment and stay in care so the condition doesn’t worsen.

Can gingivitis lead to long-term damage?

It depends on several factors, including how you manage your teeth and gums at home. If you improve your home care, to include thorough and frequent brushing, daily effective flossing READ MORE
It depends on several factors, including how you manage your teeth and gums at home. If you improve your home care, to include thorough and frequent brushing, daily effective flossing and remove the bacterial plaque more than once a day, then you may be able to not only reverse the gingivitis, but avoid the more damaging entity called periodontitis which starts with
gingivitis. Not all gingivitis progresses to periodontitis, but since it's not always clear who progresses and who doesn't, it's much safer to just make the necessary changes to managing your mouth than to take the chance you won't get periodontitis (that's bone loss in addition to inflamed gums). The other factor that is responsible is the genetic predisposition to progressive disease and that's not easily determined. If your parents had more progressive gum disease, you are at an increased risk of developing it. If they didn't, then your risk is lower. But be smart, keep your maintenance at the dental office where they diagnosed you and make the improvements in your home care to keep you out of trouble.

What could be the cause of my jaw pain?

You should see a dentist who's experienced in occlusal matters - jaw pain can come from a variety of sources, including infection, muscle pain from improper bite relationships, READ MORE
You should see a dentist who's experienced in occlusal matters - jaw pain can come from a variety of sources, including infection, muscle pain from improper bite relationships, etc., and it's impossible to advise you without a good examination being done.

What can I take for my tooth pain?

First of all, you need to have a dentist diagnose why you’re having pain so it can be treated. In the meantime, you can safely take the combination of 600mg ibuprofen, 500mg of READ MORE
First of all, you need to have a dentist diagnose why you’re having pain so it can be treated. In the meantime, you can safely take the combination of 600mg ibuprofen, 500mg of acetaminophen and 25mg of benedryl all at the same time to get the maximum amt of pain relief. This can be repeated every 6 hours but I stress that you must have it diagnosed because there may be a serious underlying problem that this regimen of medication will not fix by itself.

Can a root canal damage nearby teeth?

That’s a non-issue. The procedure is done completely inside the offending tooth so adjacent teeth are uninvolved.

How many times a day should I floss?

Since it takes 24 hours for plaque to form, you only need to floss once a day as long as it’s a thorough job when you do it. Doing it right before bed helps because having plaque READ MORE
Since it takes 24 hours for plaque to form, you only need to floss once a day as long as it’s a thorough job when you do it. Doing it right before bed helps because having plaque on your teeth when your mouth is drier (saliva is less present when you sleep) causes more damage. Brushing, on the other hand, should be done several times a day, particularly after eating.

What are the disadvantages of dental bridges?

Make sure you’ve discussed replacing the tooth with an implant-supported crown before you decide to do a bridge, because the fate of the replaced tooth in the bridge is dependent READ MORE
Make sure you’ve discussed replacing the tooth with an implant-supported crown before you decide to do a bridge, because the fate of the replaced tooth in the bridge is dependent on the other teeth that support it - if you develop a problem with one of the supporting teeth in the future, such as decay, it can threaten the entire bridge if it’s serious enough.

Is it possible to have a cavity without tooth pain?

Decay rarely becomes symptomatic until the decay starts to damage the pulp (nerve), so if you don’t have a current exam and X-rays, you risk having considerable damage occur before READ MORE
Decay rarely becomes symptomatic until the decay starts to damage the pulp (nerve), so if you don’t have a current exam and X-rays, you risk having considerable damage occur before you’re aware of it. Darkness inside the teeth can indicate significant decay but it needs to be examined to diagnose it properly. Not only does it cost a lot more to have that situation resolved, it can compromise your health by creating a nasty facial infection if the decay isn’t treated soon. Having regular visits to your dentist will prevent problems like this from becoming serious.

Is a dry socket an infection?

If you have a dry socket, the actual diagnosis is alveolitis, which is an inflamed socket that is a borderline infection - you may or may not need antibiotics, depending on whether READ MORE
If you have a dry socket, the actual diagnosis is alveolitis, which is an inflamed socket that is a borderline infection - you may or may not need antibiotics, depending on whether the risk of infection extends beyond the socket itself - you should be examined by the dentist who took the tooth out to determine if antibiotics are appropriate.

Do dental sealants need to be reapplied?

Dental sealants are an excellent way to protect the biting surfaces of teeth where there are multiple pits and grooves which are harder to keep clean. They can last for years, READ MORE
Dental sealants are an excellent way to protect the biting surfaces of teeth where there are multiple pits and grooves which are harder to keep clean. They can last for years, but unfortunately, some patients have a tendency to lose them due to stresses of clenching and grinding or chewing on destructive things like ice or other very hard substances. We see them last anywhere from a few years to sometimes a decade in some patients. I wish they had been available when I was a child! It is a worthwhile service in the majority of patients, and I would not hesitate to place them on my child (we put them on both of our children’s teeth - they are now young adults and most of them are still in service)

Why is my tooth discolored after treatment?

Your tooth didn't discolor because it had root canal treatment, it discolored because when the pulp (nerve chamber) dies and requires root canal therapy, the blood vessels in the READ MORE
Your tooth didn't discolor because it had root canal treatment, it discolored because when the pulp (nerve chamber) dies and requires root canal therapy, the blood vessels in the pulp die, too. When all this happens, the blood in those vessels leaks out like when you get a bruise on your skin from some trauma - this darkened blood seeps into the pores of the tooth and the color "bleeds" into the entire tooth. The good news is that you can frequently whiten the tooth and reduce the darkness, as long as it's done individually, instead of whitening all your teeth at once.

What are the natural ways to deal with tooth sensitivity?

If your sensitivity is not due to pathology (for example, a tooth that is becoming infected), you could try using toothpaste for sensitive teeth, which takes about three weeks READ MORE
If your sensitivity is not due to pathology (for example, a tooth that is becoming infected), you could try using toothpaste for sensitive teeth, which takes about three weeks to become noticeably effective. But otherwise, if it's possibly a tooth becoming diseased and needing a root canal, there are no natural remedies to this problem - it must be treated to go away. If you start using the TP for sensitive teeth, and the problem persists, you should see your dentist and avoid a terrible emergency when you're going through childbirth.

What are the most visible signs and symptoms of a gum disease?

Gum disease is a big umbrella of different manifestations, but the largest number of issues stem from what is called periodontal disease - that is the disease characterized by READ MORE
Gum disease is a big umbrella of different manifestations, but the largest number of issues stem from what is called periodontal disease - that is the disease characterized by gum inflammation and potential loss of supporting tissue and bone surrounding the teeth. It is unavoidable if someone is not getting regular professional care at a good dentist, because
there is a limit to what we can remove with toothbrushing and flossing. What happens is that the soft bacterial plaque that forms every day, starts to calcify and turn into tartar which is not removable at home. It must be done by the hygienist under the auspices of the dentist, usually 2-4 times a year, depending on the patient's condition.

It is possible to keep your teeth for your entire life if you combine good professional care on a regular basis with good home care (frequent brushing and daily, effective flossing). Without professional care, even good home care isn't enough to ward off problems over the long haul.

Can a tooth abscess be seen on an X-ray?

Diagnosing an abscess is almost always dependent on both clinical signs and symptoms in addition to X-ray findings - sometimes the X-ray doesn't show absolutely definitively that READ MORE
Diagnosing an abscess is almost always dependent on both clinical signs and symptoms in addition to X-ray findings - sometimes the X-ray doesn't show absolutely definitively that there's an abscess, but there may be substantive signs/symptoms that are clearly indicative of an abscessed tooth. It frequently takes all of our diagnostic tools to be 100% accurate with a diagnosis.

How can flossing help in maintaining the health of teeth and gums?

Yes, you've read the correct information on flossing, because brushing only reaches part of the bacterial film on the teeth known as plaque - flossing reaches the other parts that READ MORE
Yes, you've read the correct information on flossing, because brushing only reaches part of the bacterial film on the teeth known as plaque - flossing reaches the other parts that would go untouched by brushing alone. You need to have regular appts at the dentist for having a professional cleaning done, in order to remove the buildup that ISN'T removable with floss, usually every few months (3-6 typically, depending on the patient). Then, your flossing will be more effective because the surfaces aren't covered with the hardened form of plaque, or calculus, which people call tartar.