Dr. Justin Ruffner is a Dentist practicing in South Wellfleet, MA. Dr. Ruffner 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.
Education and Training
University of Maryland DDS 2004
Dr. Justin Warren Ruffner D.D.S.'s Expert Contributions
The most reliable way is radiographs. Calcified plaque adhering to the root surfaces will be evident on radiographs. Justin W. Ruffner, DDS READ MORE
Sometimes, but not always you can replace an old filling with a new filling. A lot depends on why it’s being replaced. If it’s just a cosmetic thing, swapping out for a new filling can be done pretty simply. Justin W. Ruffner, DDS READ MORE
Ideally, never. Gum recession is not a part of the aging process. There are numerous reasons why it can happen, but ideally, none of those things happen. Justin W. Ruffner, DDS READ MORE
Scaling refers to removing calcified debris from the crown or top of the tooth. Root planing is when the same debris are removed below the level of the gum tissue. Justin W. Ruffner, DDS READ MORE
The short answer is no, not in the sense you are thinking anyway. You can, however, get a variety of fungal infections, benign soft tissue growths and more serious soft tissue growths. We recommend our complete denture patients be seen every 6 months to have the fit of their dentures checked. We also look at all the tissue at that time. Justin W. Ruffner, DDS READ MORE
While I can't make a diagnosis without seeing the tooth and having a radiograph, based on the symptoms you are describing, I would say it is highly likely you will need root canal therapy to save the tooth. Once a cavity is deep enough to give you spontaneous pain or severe pain to chewing and/or temperatures it is too late for just a filling. I would recommend you seek treatment at a dental office you can trust sooner than later. Good luck! Justin W Ruffner, DDS READ MORE
Yes. Surgery just about anywhere else on the body can be done with relative sterility. The mouth is full of bacteria, we can’t change that, but we can decrease the likelihood of a post-op infection with antibiotics. I typically give a 3-4 day course when I place implants. Justin W. Ruffner, DDS READ MORE
The movement is toward non-narcotic post op pain medications. For my patients, I recommend alternating Ibuprofen with acetaminophen(Tylenol) every 4 hours. Most of the time, the decision to prescribe a narcotic analgesic is made based on the clinical judgment of the provider extracting the tooth. If you have concerns voice them prior to starting so, your provider can explain how they usually handle post-op discomfort. Hopefully the tooth comes out nice and easy and your recovery is uneventful. Justin W. Ruffner, DDS READ MORE
No. Most general dentists are comfortable doing simple bridge work. If you are concerned, just ask the dentist. I’m sure he or she will tell you if it’s something that is beyond the scope of their training. Justin W. Ruffner, DDS READ MORE
It’s very difficult to say without seeing the tooth and having a radiograph of the tooth. That said, it sounds like the cement used to bond the crown to the tooth has de-bonded. The crown itself is likely okay. The research indicates the average lifespan of a crown is 8 years, but as with anything else in the mouth this varies greatly depending on how well the patient cares for it, the material used and the condition of the tooth prior to the crown going on. If possible, go back to the dentist that placed the crown and let them take a look. Hope this was helpful! Justin W. Ruffner, DDS READ MORE
It is very difficult to say without more information. If you haven’t seen a dentist in a while (3+ years), they would be breaking because they are undermined by decay. It could also be due to clenching or grinding. I would recommend finding a dentist you trust and let them take a look. Justin W. Ruffner, DDS READ MORE
Most likely you have a small cavity somewhere. Find a dentist you can trust and have an exam and possibly some radiographs to find out what’s up. READ MORE
Dry socket, by definition is not an infection. It is premature loss of the blood clot that forms in the extraction socket. In some cases it is prudent to cover the patient with an antibiotic not to treat, but to prevent an infection. Hope this is helpful. Justin W. Ruffner, DDS READ MORE
Swallowing an OTC gel for aphthous ulcers will not be harmful. Justin W. Ruffner, DDS READ MORE
I am unaware of any studies to substantiate the effectiveness of swishing with oil. That said, many popular OTC mouthwashes contain essential oils which have been proven to be effective at reducing the numbers of oral bacteria. As far as detoxifying the body, in a healthy adult, the liver and kidneys do that for us. READ MORE
It depends. Some brown spots could be tartar or stain and certainly could be removed with a normal cleaning. Other brown spots are from an enamel defect during the formation of the tooth. If this is the case, no cleaning or whitening will remove it. There are ways to remove the stain, but a cleaning will not do it. READ MORE
Every child is different, however, 3 seems a little young to fly solo. The time you put in now to ensure she gets her teeth clean daily is going to save you thousands in dental bills down the road. Let her brush and you go in after and make sure she did a great job. I do it with my own kids, it takes 30 seconds to check them. READ MORE
A chronic gum infection does not directly pass to the throat, lungs, etc. What can happen is that your immune system gets so distracted trying to fight the gum infection that it makes a person more susceptible to other infections. Also it has been shown that the chronic inflammatory mediators are found in other parts of the body and COULD contribute to heart disease. It is important to have good gingival health so your immune system can remain strong and fight off all other opportunistic infections. Justin W. Ruffner, DDS READ MORE
No the risk of needing a root canal does not increase with age. A person could need a root canal for a variety of reasons, including a deep cavity that affects the nerve of the tooth. Sometimes trauma to the face or mouth causes nerve damage in one or more teeth. Simply put, just getting older doesn’t cause a need for root canal therapy. READ MORE
Yes. Many patients request local anesthesia particularly for deep cleanings when accumulations have occurred under the gums. Just as an aside, Novocaine hasn’t been used for many years. Today’s local anesthetics of choice are lidocaine or articaine. READ MORE
Infections cause bone loss around the root of a tooth. A certain percentage of he bone needs to be missing before it can be seen on a dental radiograph. Typically it is a combination of the clinical exam, getting an oral history of the symptoms and a radiograph that allows us to arrive at a conclusion that there is infection. READ MORE
I tried it once when I had a small cavity filled. I won’t try it again. People do it all the time but it’s not for me. READ MORE
The short answer is no. The baby will not be harmed by your dental radiographs. The beam of radiation is aimed at your head. There is the potential for a minimal amount of scatter, however the lead vest generally is sufficient to block that. It is not enough to cause an any negative effects on the baby. There is nothing you need to do going forward, other than continue to take care of yourself. Best wishes! Justin W. Ruffner, DDS Outer Cape Dental Group Office (508)349-6300 Cell (508)742-8659 READ MORE
Go back to the orthodontist who did the treatment. Contrary to popular belief, retainers don't last forever. They need to be replaced every couple years. Maybe ask about other types of retainers, the same retainer isn't right for every person. Justin W. Ruffner, DDS Outer Cape Dental Group Office (508)349-6300 Cell (508)742-8659 READ MORE
There are many reasons why this can happen. One is if it has been a long time in between your normal cleanings. Tartar could have accumulated in the extended time. Another reason can be if you were at a new office and the old office wasnt actually going below the gum line to get the tartar. Another possible reason can be hormones. Women tend to bleed and have more inflammation if their teeth are cleaned during their menstrual cycle or when they are pregnant. Could also be an allergic reaction to the prophy paste or floss that was used. Lastly, the hygienist might have just been a little rough with you. It's really hard to tell without looking, but these are some of the possibilities. Hope this helps. Justin W. Ruffner, DDS Outer Cape Dental Group Office (508)349-6300 Cell (508)742-8659 READ MORE
You need to go to a dentist. Sounds like the start of gum disease. Justin W. Ruffner, DDS Outer Cape Dental Group Office (508)349-6300 Cell (508)742-8659 READ MORE
- Omicron Kappa Upsilon 2004 University of Maryland
- American Dental Association
- Massachusetts Dental Society
- Cape Cod District Dental Society
Dr. Justin Warren Ruffner D.D.S.'s Practice location
South Wellfleet, MA 02663Get Direction
North Dartmouth, MA 02747Get Direction
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Dr. Justin Warren Ruffner D.D.S.'s reviewsWrite Review
- Are Dentures the Solution to Your Dental Problems?
What are dentures?A denture is a device prepared by laboratory technicians in order to replace missing teeth. Dentures are a good option for patients without any teeth, or for patients with some missing teeth who want to have a beautiful smile again. Dentures are not only meant for cosmetic...
- Is It Safe to Go to the Dentist While Pregnant?
Pregnancy is the most precious time for any woman, as well as for her partner. However, being pregnant makes the future mother worry about her health and the subsequent health of her child. Therefore, when a need arises to go to a dentist, many pregnant women are not sure what to do. However, many...
- The Link Between Rheumatoid Arthritis and Gum Disease
Many diseases interact with rheumatoid arthritis, causing concern for patients and their families. Common diseases that have high comorbidity rates with rheumatoid arthritis are other autoimmune disorders. Lupus is an example of a disorder that might be correlated. Other diseases frequently...
- Is There a Link Between Gum Disease and Breast Cancer?
Being on top of oral health is important. This is not new information. From childhood, people are taught that brushing at least twice a day and flossing every day is essential.It is also well known now that smoking is a risk factor for cancer. However, what may not be common knowledge is the...
- Everything You Need to Know About Dental Bridges
We often do not realize this, but our bodies are perfectly designed machines. Our jaws, for example, and the alignment of our teeth are designed perfectly for biting and chewing. Any change in the natural order could result in unfavorable consequences. Losing teeth is one such change that has less...
- Dental Sealants May Present BPA in Saliva
Dental fillings for children were worrisome because of the presence of mercury in the amalgam. The latest addition to this fear is the chemical Bisphenol-A (BPA) in dental sealants and white fillings. BPA is a resin used in plastics, including water bottles and metal food can liners. Many studies...
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