New Port Richey and Trinity, FL Dentist
James C. Lewis, DMD
4101 Little Rd
New Port Richey, FL 34655
(727) 372-7887
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4101 Little Road
New Port Richey, FL 34655

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Posts for: February, 2018

By James C. Lewis, DMD
February 17, 2018
Category: Oral Health
Tags: medicine  
WhytheOintmentYoureUsingCouldbeMakingYourFacialRashWorse

The red, scaly rash suddenly appearing on your face doesn’t cause you much physical discomfort, but it’s still embarrassing. And to make matters worse treating it as you would other skin ailments seems to make it worse.

Your ailment might be a particular skin condition known as peri-oral dermatitis. Although its overall occurrence is fairly low (1% or less of the population worldwide) it seems to be more prevalent in industrialized countries like the United States, predominantly among women ages 20-45.

Peri-oral dermatitis can appear on the skin as a rash of small red bumps, pimples or blisters. You usually don’t feel anything but some patients can have occasional stinging, itching or burning sensations. It’s often misidentified as other types of skin rashes, which can be an issue when it comes to treatment.

Steroid-based ointments that work well with other skin ailments could have the opposite effect with peri-oral dermatitis. If you’re using that kind of cream out of your medicine cabinet, your rash may look better initially because the steroid constricts the tiny blood vessels in the skin. But the reduction in redness won’t last as the steroid tends to suppress the skin’s natural healing capacity with continued use.

The best treatment for peri-oral dermatitis is to first stop using any topical steroid ointments, including other-the-counter hydrocortisone, and any other medications, lotions or creams on it. Instead, wash your skin with a mild soap. Although the rash may flare up initially, it should begin to subside after a few days.

A physician can further treat it with antibiotic lotions typically containing Clindamycin or Metronidazole, or a non-prescription, anti-itch lotion for a less severe case. For many this clears up the condition long-term, but there’s always the possibility of relapse. A repeat of this treatment is usually effective.

Tell your dentist if you have recurring bouts of a rash that match these descriptions. More than likely you’ll be referred to a dermatologist for treatment. With the right attention—and avoiding the wrong treatment ointment—you’ll be able to say goodbye to this annoying and embarrassing rash.

If you would like more information on peri-oral dermatitis, please contact us or schedule an appointment for a consultation.


YoumayNeedOrthodonticWorkBeforeGettingaDentalImplant

For whatever reason, you’ve put off replacing a missing tooth for awhile. Now you want to fill that empty gap in your smile with a dental implant restoration.

But if your tooth’s been missing for a long time, there could be a problem with space. This is because the teeth on either side of the space may have gradually drifted into it, leaving no room for the implant. You could need orthodontic work first to return these teeth to their proper position.

We could use braces, metal orthodontic devices with wires threaded through brackets bonded to the teeth that are then anchored, usually to back teeth. The orthodontist uses elastics or springs as well as possibly incrementally tightening of the wire against the anchors. These techniques create pressure or tension on the teeth for the desired direction of movement. The teeth’s natural mechanism for movement does the rest.

But while effective, braces can be quite noticeable, an embarrassing thought for many adults having to wear them over several months of treatment. But there may be an alternative: clear aligners, a succession of slightly different plastic trays usually worn in two-week intervals. Sequentially wearing each tray gradually moves the teeth to their desired positions.

Though not appropriate for all bite situations, clear aligners have a number of benefits when they can be used. They’re nearly invisible to others and can be removed for hygiene tasks or rare special occasions. What’s more, the orthodontist may attach a temporary prosthetic (false) tooth to the trays to camouflage the missing space during treatment.

There’s one other issue you may have to deal with: if your tooth loss was related to periodontal (gum) disease, the gums and underlying bone may be in poor condition. In fact, substantial bone loss could rule out an implant altogether. But we may be able to remedy both gum and bone deficiencies through grafting or plastic surgery. It may be possible to regenerate enough bone to support the implant; and surgically repairing your gums will help ensure the implant appears natural.

If you have problems like these, don’t give up on your restoration goal just yet. With some orthodontic and dental work ahead of time, we may still be able to make implants a reality for you.

If you would like more information on restoring your smile after losing teeth, please contact us or schedule an appointment for a consultation.


By James C. Lewis, DMD
February 01, 2018
Category: Dental Procedures
Tags: Veneers   cosmetic dentistry  

Your smile is one of your most important features. Unfortunately, if your teeth are damaged, discolored or unattractive, you may not want toveneers share your smile with the world. Our Trinity and New Port Richey, FL, dentist, Dr. James Lewis, explains how veneers can change the appearance of your teeth.

Veneers offer smile-changing possibilities

Small flaws in your smile can be easily concealed with the addition of porcelain veneers. The thin, tooth-shaped shells are cemented on to the fronts of your teeth, providing excellent coverage for minor damage and imperfections. Veneers are an excellent cosmetic option if your teeth are healthy and in good condition.

How veneers can transform your smile

Veneers cover up the things you don't like about your smile. They make minor imperfections that are extremely noticeable disappear, such as cracks, chips, and uneven surfaces. Even gaps between teeth can be treated with veneers. Adding a few veneers to your teeth closes up slight spaces between teeth, improving your smile.

Veneers are very popular with people who have discolored teeth. Teeth tend to change color if you've experienced some sort of trauma, such as a blow to your mouth, or if you took the antibiotic tetracycline as a child. Some dental treatments, including root canals and large fillings, can also cause teeth to darken. Adding a veneer to a discolored tooth instantly lightens and brightens it.

When your teeth vary widely in shape or size, veneers can be a good solution. They increase uniformity and are an excellent solution if a few teeth have become shorter due to grinding. If you're a grinder, you'll want to start wearing a nightguard when you receive your veneers. The nightguard, which is constructed from an impression taken in our Trinity and New Port Richey area office, prevents damage to your veneers and teeth due to grinding or clenching.

If you're unhappy with the results of teeth whitening or don't want to whiten your teeth every few years, veneers may be a better option. Veneers are available in a vast array of shades of white, making it possible to choose the ideal shade for your smile. Using lighter or darker dental cement will also help you achieve the level of whiteness you prefer.

Revamp your smile with veneers! Call our Trinity and New Port Richey, FL, dentist, Dr. Lewis, at (727) 372-7887 to schedule your appointment.




Dentist New Port Richey FL James Lewis DMD

James Lewis, DMD

Dr. James Lewis prides himself on establishing personal relationships with his patients so he can help make their dreams of having a beautiful, healthy smile come true...

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