Decayed Teeth

Teeth & Foods

sweet tooth logo
Sugary soft drinks coat your entire mouth with sugary residue, which means bacteria have plenty of new places to breed. Even sugar-free varieties typically contain artificial sweeteners and colors, which can stain your teeth and provide raw material for bacteria to grow and reproduce, contributing to tooth erosion and dental decay over time.

Red Wine
It stains your lips and tablecloths, so it makes sense that it’ll also stain your pearly whites if you drink it frequently. Even white wine can stain teeth if you’re drinking it every day. Plus, alcoholic drinks tend to dry out your mouth, which creates an ideal environment for bacteria to reproduce.

Coffee and Tea
One recent study found that coffee stains can be even harder to remove than tobacco stains – so watch out if you’re having more than one cup per day. If you want to see how dark tea stains – even from green tea – can get, try leaving a tea bag in a white cup for a few hours. That’s what’s happening inside your mouth if you drink and don’t brush afterwards. And if you’re drinking coffee or tea with sugar, that can also attract bacteria.

Sports Drinks
This one might surprise you, but recent studies have found that the sweeteners in sports drinks are just as attractive to bacteria as those in soda. These drinks also contain artificial colors, which may stain your teeth. When it comes to rehydrating after a workout, there’s nothing as safe or as healthy as a nice fresh bottle of water.

(Some) Citrus Juices
Citrus fruit contains acid which can damage tooth enamel – so avoid drinking too much grapefruit and lemon juice, because recent studies have found that these two juices can cause damage to teeth. On the other hand, orange juice is typically less acidic, and it’s often fortified with calcium and vitamin D, which are both very important for keeping your teeth strong. It also contains lots of vitamin C, which helps your body’s immune system fight off infection.

The Worst Drinks For Your Teeth
What you drink – or choose not to drink – can have a major impact on the health of your teeth and gums. When you visit a dentist like me, Dr. Paul Caputo, or any dentist in Palm Harbor, FL, we’ll probably tell you to avoid sugary drinks as much as possible, for the sake of your dental health. But there’s another side to this story, too – some drinks can actually strengthen your teeth, and can even help prevent some dental problems. So next time you reach for a snack or a sip, make sure you know the facts first.

Some drinks can actually help strengthen your teeth, though. Milk provides tooth-strengthening calcium and doesn’t contain anything that’ll stain teeth. And fresh water will help wash away bacteria without introducing any artificial colors or sweeteners into your mouth. Both these drinks are easy on sensitive teeth. Even orange juice, as mentioned above, can help maintain healthy teeth. So take it from me, Dr. Paul Caputo – if you want to avoid an unplanned visit to a Palm Harbor, FL dentist, be careful what you drink.

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Full Mouth Extractions, extreme pictures

Immediate Full Lower Denture

Full Mouth Tooth Extractions and Immediate Full Dentures:

Immediate Full Upper Denture

Extreme Pictures: In one of these extreme pictures teeth #’s 1-10 have  been extracted.  In another picture, all remaining upper and lower teeth have been extracted.  Immediate full upper and lower dentures are being delivered in the other two pictures.

Full Dentures may be thought of as a type of old fashioned dentistry.  I live and work in the Tampa Bay region of Florida.  I can say very honestly that full dentures are still a significant part of my Palm Harbor dental practice.  Full dentures may the the only choice a patient has when all things are considered.  Is this ideal dentistry?  It may very well be the ideal choice for some people.  Some Americans are Republicans, some us are Democrats, some are Independents and some don’t care.


Toothless Upper Jaw

Posted in Comprehensive Dentistry, Decayed Teeth, Surgical Dentistry, Tooth #'s | 1 Comment

Before extraction broken tooth #8

Broken #8 w/o Flipper

Broken tooth #8

This series of blog pictures will take the reader through the typical series of procedures we employ in my Palm Harbor, Tampa Bay Fl area dentist office, focusing on dental implants.

The previous picture showed the patient with the flipper in.  This picture shows the clinical presentation of tooth #8 broken off BELOW the gum line.  A large post has broken, more than half of the post is bonded in this broken tooth/root.

Other treatment options would include using this highly compromised root, non removable tooth supported fixed bridgework, or removable bridge work.  The correct choice of treatment is not the same for all patients or all dental offices.  All are acceptable treatment options.

Posted in Crown & Bridge, Decayed Teeth, Dental Implants, Flipper, Tooth #'s | 1 Comment

Missing tooth #7 & 8

This young man lost a front tooth while in Middle School.  The initial fix was a tooth supported front bridge.  The fixed bridge leaked, causing the abutment teeth to decay and abscess.  Tooth #6 was treatable with root canal therapy, but now this young man is missing teeth #’s 7 and 8.  More adjacent teeth can be filed down for crowns or dental implants can be considered.   

Posted in Decayed Teeth, Dental Implants | 1 Comment

3 Rotten Upper Right Teeth

This may be a little confusing to look at initially.  We are looking a picture of a mirror.  This is a mirror reflection of a mans upper jaw or maxillae.  The big arrow is pointing to tooth #4, the little arrow to tooth #6.  The rotten teeth shown in this picture are rotten to various levels and degrees.  Tooth #4 is mostly subgingival (under the gum).  This tooth, although the most highly diseased of the three is the least visible and not the one causing the most pain and swelling, although it is highly infected.  The little arrow is pointing to tooth #6, an upper right cupid or canine – some call it an eye tooth (many years ago, before the use of antibiotics “one could loose an eye” due to a severely infected upper cuspid.)  The infection from this tooth #6 brought this gentleman to my Palm Harbor, Tampa FL area dentist office.  Unfortunately, after a round of antibiotics, this man has not returned for treatment for one year.  The infection will return and will require extractions and/or root canal therapy.

Posted in Decayed Teeth, Tooth #'s, Tooth Extractions, Toothache | 1 Comment

Rotten Teeth and Gums

This picture illustrates a high level of intra- oral (and systemic?) disease.  Rotten teeth and teeth broken below the gum line are evident.  Periodontal, gum, disease is present.  As a result of this level of disease; red, inflamed, puffy and ugly looking gum tissue is seen at the tip of the arrow.  How can this level of disease in the mouth not have some systemic consequences?

Comprehensive treatment here involved the removal of all these rotten teeth, healing, placement of dental implants.  The final result, in my opinion, should have been an overdenture.  The patient expressed dissatisfaction with the overdenture, and I therefore made cemented acrylic teeth.  The patient was very happy with the remade final outcome.

Information about the current cost of dental implants at my Palm Harbor, Tampa FL area dentist office click:

Information about the current cost of non-surgical periodontal / gum treatment at my Palm Harbor, Tampa FL area dentist office click:


Posted in Comprehensive Dentistry, Decayed Teeth, Gum Disease, Tooth Extractions | 1 Comment

Rotten Teeth extreme picture

I am amazed at the number of internet searches for “rotten teeth pictures.”  Tooth decay is noted and visible in each of these three rotten teeth that I extracted this morning in my Palm Harbor, Tampa area dentist office.  From the left these are teeth #’s 3, 14 & 4.

This patient was not sedated and tolerated the procedure well under local anesthesia.

The next patient I will see will be to extract two more rotten molar teeth, #’s 14 and 15.  She presented as an emergency walk-in, was seen quickly and definitively treated.  She will return for a complete exam and treatment plan.

Posted in Comprehensive Dentistry, Decayed Teeth, Sedation, Surgical Dentistry, Tooth #'s | 1 Comment

Immediate Denture Picture

Immediate: Upper Partial, Lower Denture

Posted in Comprehensive Dentistry, Decayed Teeth, Dental Implants, Dentures, Gum Disease, Immediate Dentures, Removeable Partial Denture, Sedation, Tooth Extractions | 1 Comment

Picture of freshly extracted teeth

20 Freshly Extracted Teeth

This picture may be too graphic for some people, others want to see what extracted teeth look like.  I am a dentist.  I treat the human mouth, I do not practice dentistry like a tooth mechanic.  Not all teeth can or should be saved.  Highly diseased and infected teeth can and do affect a persons overall physical health.  Some considerations in making a tooth treatment decision are: overall physical health, long term intra-oral health, function, esthetics and finances.  In this particular situation the correct choice for this patient was to extract all the diseased teeth, make fixed/removable upper replacement teeth, place lower dental implants and a lower dental implant supported overdenture.  This is a complicated overall treatment plan, and requires every bit of the experience I have accumulated since graduation from Columbia University School of Dental and Oral Surgery in 1985.  In subsequent blogs I will show various phases of this treatment.  These teeth were extracted on 20June2011.  Current pricing information on the cost of dental implants can be found at:

Posted in Decayed Teeth, Tooth Extractions | 1 Comment

How to Fix badly decayed Teeth #’s 18,19

Teeth 18, 19 cleaned & prepared for Crowns

The first step in restoring these teeth is to clean out the active tooth decay.  The pulp or tooth nerve was not exposed, therefore the chance of the need for root canal therapy is small.  Once I have accomplished this, a glass ionomer build-up material is placed  to fill the voids left behind.  Seen in this picture is the final shape, ready for impressioning for crowns.

Posted in Crown & Bridge, Decayed Teeth | 1 Comment