By Roger W. England, D.D.S.
September 27, 2016
Category: Oral Health

What your dentist in Nashua wants you to know about dental cleanings

You try your best to brush after every meal and floss at least once a day. You are sure you are doing everything necessary to ensure dental cleaningshealthy gums and teeth. The truth is you also need to visit your dentist regularly for professional dental cleanings. They are the final step to a healthy mouth; a step that should not be overlooked. Dr. Roger England in Nashua, New Hampshire wants to share with you why professional dental cleanings are really necessary.

Brushing and flossing only remove soft deposits, commonly called plaque, from the surfaces of your teeth. Brushing and flossing are important steps to maintaining your oral health because plaque contains millions of harmful bacteria that can destroy your teeth, gums, and bone if you don’t remove the plaque regularly. That’s why you need to brush and floss.

Professional cleanings remove hard deposits, commonly called calculus or tartar from your teeth. These hard deposits create the perfect environment for plaque to thrive and destroy your smile.

The skills of your dentist and hygienist in Nashua, combined with state-of-the-art techniques and tools, can remove all hard and soft deposits and polish your teeth, giving you a sparkling, white smile. During your professional cleaning appointment, your dentist in Nashua will also examine and evaluate the health of your gums and the bone supporting your teeth.

Professional dental cleanings can help prevent gum and periodontal disease. It’s helpful for you to know the signs and symptoms of gum and periodontal disease too, which can include:

  • Swollen, red, bleeding or painful gums
  • Receding gums or loss of soft tissue
  • Pain or discomfort when you bite or chew
  • Bone loss or tooth sensitivity
  • Loose teeth

Professional dental cleanings are necessary if you want to maintain the health of your teeth and gums. Your smile is a big part of who you are and you want to present a healthy smile to the world. Seek out the help of an expert by calling Dr. Roger England in Nashua, New Hampshire. Call today and get started on your healthy smile!

By Roger W. England, D.D.S.
July 20, 2016
Category: Oral Health
Tags: Oral Surgery  

Although no one likes to hear the word "surgery," sometimes oral surgery offers the best way to treat an oral health problem. Roger W. England, D.D.S., your Nashua, NH, dentist, is here to explain several circumstances in which oral surgery may be needed.

Painful or impacted wisdom teethWisdom Teeth

Your wisdom teeth develop in your late teens, to early 20s, and can cause significant problems when they attempt to break through your gums. Pain, jaw stiffness and other symptoms occur because many people don't have enough room in their mouths for an extra set of molars. The teeth can be easily removed during an oral surgical procedure.

Bite issues

Bite problems occur when your upper and lower teeth don't fit together perfectly. Your Nashua, NH dentist can correct the problem by performing orthognathic surgery to straighten and realign your jaw. Orthognathic surgery may be needed if you have bite issues caused by birth defects, an injury, or a receding or protruding jaw. It is also used to correct jaw problems caused by temporomandibular joint dysfunction (TMJ).


Oral surgery can help repair damaged tissues and teeth. Surgery is used to treat knocked out teeth, deep cuts to your face and mouth and fractured facial or jaw bones.

Tooth root infections

In some cases, a tooth remains infected even after a root canal. Your Nashua, NH dentist can relieve the infection with an apicoectomy, a minor surgical procedure that allows him to access the tooth through the root. During the procedure, he removes the tip of the root and inflamed tissue surrounding it.

Dental implants

Dental implants replace the root of a lost tooth. An implant looks like a tiny screw and is placed in your mouth during a brief surgical procedure. Over the course of the next three to six months, the implant bonds to the bone in your jaw and eventually becomes as strong as your natural tooth roots. Once bonding is complete, your dentist connects a crown that replaces your tooth above the gum line.

Bone grafts

If your jawbone isn't thick enough or deep enough to support an implant, you may need a bone graft before you can receive an implant. During the procedure, small pieces of bone are placed in your jaw to thicken it.

If you're concerned about a dental issue, call Roger W. England, D.D.S., your Nashua, NH, dentist, at (603) 882-3885 and schedule an appointment. Oral surgery offers an excellent option to treat a variety of dental problems and injuries.

By Advanced Family Dentistry
May 25, 2016
Category: Oral Health
Tags: root canal  

What is the first thing that comes to mind when you hear about root canals? If your answer has something to do with extreme pain, or justroot canal leaves you with a feeling of dread, you're reading the right blog post! Dr. Roger England, your dentist at Advanced Family Dentistry in Nashua, New Hampshire, wants to dispel the rumors that continue to surround root canals. You may be surprised at what you learn.

Is a root canal painful?

Your Nashua dentist, Dr. England, has a short answer for this question: No! Root canals exist to relieve pain, not cause it. The only pain associated with root canals happens prior to the procedure, when patients visit their Nashua dentist with uncomfortable, even debilitating toothaches due to a spread of infection inside the affected tooth. While analgesics and home remedies fail to bring relief, root canals end the pain instantly by deep-cleaning the inner sections of the tooth.

How is a root canal performed?

The vast majority of people who fear root canals have never actually experienced one. Once they have, however, they're likely to compare it to a cavity filling. Your Nashua dentist starts the process by using a handheld mechanical to access the inside of the tooth. From there, the infection that has reached the tooth's nerves and is responsible for the pain is cleaned out. Since the remaining tooth is now essentially a shell, Dr. England refills the empty space with a strong rubber-based material. Eventually, the tooth will have a crown placed on top to strengthen it further.

If you are in pain and think you might need a root canal - or any other dental procedure - your Nashua dentist is here to help. To schedule a consultation, please contact Advanced Family Dentistry in Nashua, New Hampshire today!

By Advanced Family Dentistry
March 23, 2016
Category: Oral Health
Tags: extractions  

Find out the warning signs that you may need a tooth removed.

There are some dental procedures that can seem rather scary if you don’t know much about them. That’s why it’s always good to find extractionout more about what to expect when you see your Nashua, NH dentist, Dr. Roger England, for a tooth extraction. After all, the more you know and are prepared the smoother and faster your procedure will go.

So, why exactly might you need a dental extraction in Nashua?

There are many reasons why it might be a good idea to have a tooth removed. In fact, the American Dental Association recommends removing a tooth due to crowding, trauma or disease. If a tooth is so damaged it cannot be repaired, the best option may be to remove it altogether.

Also, if gum disease has reduced the amount of bone supporting your teeth, certain teeth may become loose or need to be extracted. The same rule also applies to teeth that haven’t responded successfully to root canal treatment and are still dealing with infection.

It’s also not surprising for your family dentist in Nashua to recommend having an extraction prior to orthodontic treatment to allow the braces to shift teeth into their proper position. Lastly, wisdom teeth (the third and last set of molars) are almost always removed because they don’t always grow in normally or they only grow in partially (impacted teeth).

What kind of extraction will I need?

When a tooth has completely erupted through the gums, your extraction will be simple--we can easily remove it with forceps. But there are many cases in which surgery is required in order to remove a tooth that has only partially erupted from the gums. This is often the case with wisdom teeth.

While both a simple and surgical extraction is performed under local anesthesia (so you won’t feel a thing!), sometimes conscious sedation is also administered to help ease any anxieties. During surgery we will break the wisdom tooth into pieces to make it easier to remove one by one.

Don’t let an extraction worry you. If you have any questions about your upcoming procedure don’t hesitate to contact our office. Dr. England and his team are here to ensure that you always have a healthy smile.

By Advanced Family Dentistry
February 03, 2016
Category: Oral Health
Tags: Bone Grafting  

In Nashua, NH, oral surgeon Dr. Robert England of Advanced Family Dentistry wants you to know the facts about bone grafting.

What is Bone Grafting?

Bone grafting for dental implants is a procedure to rebuild bone in your jaw where bone may been lost.

How Does Jaw Bone Loss Happen?

Jaw bone loss can occur over time with the use of dentures. Whenever a tooth is lost, the jaw bone underneath begins to deteriorate, resulting in insufficient bone available to place dental implants. The bone may have become too thin or soft for the implant to be secure.

What Type of Material is used for the Bone Graft?

Bone graft material can come from a piece of bone taken from a part of your body, or it can be donor bone from someone else. It can also be a synthetic material made in a lab.

How is Bone Grafting Done?

What type of bone graft you get will be determined on your specific needs. Here are examples of three different types of procedures that can be done by your Nashua oral surgeon:

  • Sinus Augmentation (or Lift) Procedure - This involves placing the implant on the sinus floor, putting the implant in the back part of the upper jaw.

  • Ridge-Augmentation with Onlay Grafting - This is done in severe cases when the ridge height or width needs to be increased.

  • Nerve-Repositioning - Sometimes a nerve may need to be moved to make room for the dental implants in the lower jaw.

Is the Procedure Painful?

You will be given adequate anesthesia for the procedure, which sometimes may be a general anesthesia. There is an incision made, so you may have some pain afterward. The pain can be managed with pain relievers and ice packs.

How long with it Take to Heal after the Procedure?

You will feel back to your normal self in a day or two after the procedure. However, the bone grafting process has only just begun. Rebuilding the bone in your jaw will take several months.

When are the Dental Implants done?

Depending on the type of procedure you needed, the dental implants may actually be done at the time of the bone graft. Otherwise, you will get your dental implants several months after the bone graft. It takes time for the bone to rebuild and become strong enough to hold the dental implants.

How Successful are Bone Grafts?

Bone grafts are very successful and most patients do not have any problems at all. However, there is a small chance that the bone graft will fail. If this happens, the Nashua oral surgeon will remove the implanted material and allow time for healing to take place before attempting another bone graft.

If you are ready to take the next step and be proud of your smile again, then it's time to contact Dr. Robert England of Advanced Family Dentistry in Nashua, NH. Call us today for an appointment!


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Contact Us

Advanced Family Dentistry

(603) 882-3885
613 Amherst Street Nashua, NH 03063-1017