Dr. Siegel is on the Craniofacial team at Peyton Manning Children’s Hospital. She also has hospital privileges at St. Vincent and IU Health hospitals.
In addition to her work with patients with cleft and craniofacial needs, Dr. Siegel has extensive experience in providing dental services to children with autism, down syndrome and other developmental, physical or cognitive conditions.
A bad fall on the playground. An accidental collision on the baseball field. Dental emergencies happen when you least expect. Special Smiles is prepared to handle dental emergencies and trauma.
If a dental emergency occurs after normal business hours, please call our office for further instructions.
As children’s oral care needs evolve, issues may arise such as an overbite, crowded teeth or cavities that require specialized procedures. Dr. Siegel is trained to do root canals, teeth extractions and create kiddie dentures.
Annual check-ups are vital to your child’s overall dental health. These visits can start as early as when your child is an infant. During this visit, the patient will receive a routine cleaning, fluoride and an exam by Dr. Siegel. Sealants, habit appliance or other procedures may be recommended at this visit.
Dental sealants are clear coatings applied to the surfaces of a child’s molars to prevent the development of tooth decay. They work by preventing food and plaque from resting in the grooves and crevices of molars – an area especially susceptible to cavities. According to the National Institute of Dental and Craniofacial Research, nearly 1 in 3 U.S. children ages 6 to 12 currently have sealants on their teeth.
Did you know…
that sealants can last as long as 5 to 10 years pediatric dental patients? Depending on a child’s oral development and risk factors for tooth decay, sealants may be applied to the teeth as young as age 6. It is at this time that the first molars typically appear. Additional molars erupt at approximately age 12. If possible, sealants should be applied to a child’s teeth immediately after any molar has appeared to reduce the risk of early decay.
Sealants bond directly to the teeth, where they harden to a clear or tooth-colored coat. This makes them virtually undetectable to others. Though it is normal to feel new sealants with the tongue, most children quickly adapt to their presence.
The process of getting sealants is fast and painless. The tooth is cleaned before the dentist paints the sealant onto the enamel. The sealant will immediately harden, acting as a barrier between bacteria and the chewing surface of the teeth. In most cases, sealants will last several years before needing to be reapplied. However, regular visits to the dentist will be necessary to monitor the condition of the sealants and examine their effectiveness.
While sealants are extremely effective for preventing tooth decay in children, they do not replace other forms of preventative oral health care. Children should still brush and floss each day using a fluoridated toothpaste. Regular dental exams and a balanced diet low in sugar are also essential for good long-term oral health.
Provisional restorations are often used during complex restorative dental procedures to serve as temporary prosthetic replacements while patients wait for a permanent restoration. Provisional restorations offer patients to try-out the look and feel of the final prosthetic and make any necessary changes before the final fabrication and fitting. Unlike temporary prosthetics of the past, modern provisional restorations are highly functional and aesthetically pleasing. Today’s temporaries are composed of a quality acrylic resin that mimics the look and feel of permanent metal or ceramic restorations.
Did you know…
Provisional restorations are a primary component of smile reconstructions. In addition to serving cosmetic purposes for patients with missing or damaged teeth, dental temporaries provide the following functions:
- Reserving’ space for the permanent restoration by preventing surrounding tooth movement
- Protecting reduced natural teeth that are prepped for restorations
- Preserving the health and natural contours of the gums surrounding the restoration
- Protecting exposed dentin from bacteria and plaque
- Preventing tooth sensitivite
- Facilitating normal eating and speaking
You may need a provisional restoration if you are preparing to get a new crown, bridge, veneers, dental implants or some other permanent restoration. Temporaries may be put in place to ensure you are pleased with the aesthetics and fit of your new prosthetic. You may also be fit for a provisional restoration while you wait for a dental lab to finalize your permanent ones.
Temporaries are constructed in a dental laboratory using impressions and digital images of your teeth. The lab will produce a ‘wax-up’ that you will approve before the temporaries are fabricated. Your dentist will prepare your teeth for the provisional restorations and temporarily attach them to your teeth, where they will remain until you are ready for your permanent restorations.
You may need to wear your temporaries for just a few days or for several months depending on the type of dental reconstruction you are undergoing. Temporaries formed in place of crowns or veneers may only need to be worn for a few days to a few weeks, whereas dental implant and full-mouth reconstruction patients will need to wear provisional restorations for several months while the gums heal and the implants fuse with surrounding bone. Keep in mind that provisional restorations are less durable than permanent ones and are placed using provisional cement. Because it is possible for them to shift or become damaged, you should be careful to follow your dentist’s guidelines for caring for your temporaries – including using good oral hygiene, abiding by dietary restrictions, and using protective mouth gear during sports or high impact activity.
Tooth extractions are routine dental procedures used to remove decayed, damaged or otherwise problematic teeth. Dentists usually make every effort to preserve natural teeth, although sometimes an extraction is necessary. Although the procedure is performed in a dentist’s or oral surgeon’s office, it is considered surgery. Depending on which teeth are removed, they may be replaced with a dental implant or another oral prosthetic.
There are several reasons why you could need a tooth extraction.
The most common cause of tooth extractions is severe tooth decay and cavities. However, many patients also undergo extractions for impacted teeth – particularly wisdom teeth. Other causes for extraction include advanced periodontal disease, cracked teeth, and teeth that are severely malformed. Although many circumstances that require extraction are unavoidable, some could be prevented with regular visits to the dentist for exams and cleanings.
Only your dentist can tell you if you need a tooth extraction. However, you may be a candidate for the procedure if one or more of your teeth are decayed so severely that a filling or others restoration is not a possibility for treatment.
If you and your dentist decide to extract one or more teeth, you will be scheduled to return for oral surgery at a later date. You will be given a local anesthetic to prevent pain during the procedure, and you may be prescribed medications to help manage pain in the hours following your extraction. Depending on the nature of your extraction and other factors, such as whether your teeth are impacted, you may also be sedated or given general anesthesia during your procedure.
Post-operative care following a tooth extraction is essential for healing and preventing complications. You will be instructed to avoid certain foods and also keep the surgical site clean at all times. If you are prescribed an antibiotic, it is important that you complete the course of treatment to prevent infection. Finally, you may be advised to avoid smoking or drinking through a straw, as doing so may delay the healing process and cause a condition known as ‘dry socket.’
Preventative care is a foundation of dentistry. The American Dental Association recommends visiting your dentist regularly – usually about twice yearly – for full cleanings, examinations, and consultations for potential treatment. Professional dental cleanings help remove built-up plaque that is not removable using conventional brushing and flossing. Often, dentists are also capable of identifying potential problems that patients are not yet able to see or feel. When you maintain regular preventative dental appointments, you can stave off decay and gum disease, as well as identify the beginnings of oral health problems before they become severe.
Did you know…
that Americans are less and less likely to visit the dentist as they age? Data from the Centers for Disease Control reports that only 57 percent of Americans over age 65 visited the dentist in 2010. That compares to about 61 percent adults under age 65 and about 79 percent of children ages 2 to 17. Nonetheless, it is important to visit the dentist for cleanings and exams regardless of how long has passed since your most recent dental appointment.
Yes. Even if you brush and floss after every meal and before bed, bacteria-harboring plaque can accumulate in the tiniest crevices, grooves and pits. Overtime, the teeth will begin to decay in those areas, which may result in pain and partial or total tooth loss.
Your cleaning and consultation will consist of a visible examination of the teeth and gums. If you haven’t been to the dentist in a while, you may also require x-rays for a more comprehensive view of your teeth. You’ll also consult with your dentist about any oral health problems you may have been having or questions that you may have. The cleaning will follow, during which a dental hygienist will use special instruments to remove hardened plaque from your teeth. Finally, your teeth will be polished before your dentist discusses any treatment recommendations he or she may have for you.
In between dental cleanings and consultations, be sure to maintain good oral habits at home. This includes daily flossing and brushing after meals. It’s also important to drink fluoridated water and use a fluoridated toothpaste.
Your smile is the first impression that others have of you, so it makes sense that you would want it to be bright, white and healthy. According to the American Academy of Cosmetic Dentistry, more than 99 percent of all American adults believe that a smile is an important asset for social situations. Perhaps that is why so many patients are electing cosmetic dental procedures to improve their smiles and boost self-confidence.
Did you know…
that cosmetic dentistry is more than just teeth whitening? Your cosmetic dentist is also capable of transforming your smile’s shape, color, alignment, as well as filling in gaps and discreetly restoring decayed or damaged teeth with tooth-colored fillings. In fact, modern advancements in cosmetic dentistry have made it possible for patients to achieve nearly perfect teeth with cosmetic enhancements and restorations that are virtually undetectable to friends, family and peers.
You may be a candidate for cosmetic dentistry if your healthy teeth have imperfections that you would prefer to be changed to enhance the appearance of your smile. It is important to recognize that esthetic dental treatments are not meant to alter your overall appearance, but rather to provide a positive change that compliments the health and natural appearance of your teeth. If you think cosmetic dentistry is right for you, contact your cosmetic dentist today to schedule a consultation.
Due to great strides in dentistry, cosmetic, restorative and general dentistry can overlap in a single visit. You can expect your cosmetic dentist to discuss health implications, as well as esthetics at your appointment.
There are many types of cosmetic treatments available, from in-office teeth whitening to total smile make-overs. The types of treatments available to you will depend on your overall goals, but may include professional whitening, tooth-colored fillings, bonding, crowns, veneers, or dental implants.
You will receive special care instructions following your treatment. For example, if you have your teeth whitened you should avoid highly pigmented beverages and foods for several days to prevent staining. On the other hand, a dental implant make-over may require a significant amount of down time, as well as a temporary, but limited diet.
General dentistry encompasses a broad range of diseases and disorders of the oral and maxillofacial region. Everyone should see a general dentist for routine oral health examinations, twice-yearly cleanings, and treatment of routine oral health complications, such as minor tooth decay. General dentistry is as much about prevention as it is about treatment. Patients who visit a general dentist can expect professional oral health care, as well as education and advisement about self-care between office visits.
Did you know…
that the American Dental Association recommends that every American visit a general dentist a minimum of one time every six months? Doing so can aid in the detection of decay, oral disease and other dental health problems before the progress and become severe. If you are at risk for certain complications or have a history or periodontal disease and advanced decay, you may need to visit your general dentist on a more frequent basis. Patients who visit their dentist regularly and as recommended are more likely to retain their natural teeth and enjoy a lifetime of good oral health.
Yes. Even if you are not currently experiencing any symptoms of tooth decay or gum disease, it is important to visit your dentist for a thorough examination and cleaning. Despite daily brushing and flossing, your teeth can still accumulate tartar that can harbor bacteria. These bacteria can lead to gum disease and tooth decay if not professionally removed at your dentist’s office.
Your visit will begin with a general inspection of the condition of your teeth. If you have not been to the dentist in a while, your dentist may order x-rays. An oral hygienist will then use special metal instruments to gently scrape away tartar along your gum line. Later, your dentist will review your x-rays and discuss any symptoms you may have been experiencing. He or she will then make a recommendation for treatment (if applicable) and answer any questions you may have.
Based on the results of your dental check-up, your general dentist may recommend that you return for treatment or follow a special at-home oral care plan. You may also be referred to a dental specialist for treatment of advanced oral health conditions.