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Posts for category: Dental Procedures

November 27, 2017
Category: Dental Procedures
Tags: Root Canal  

Find out when root canal therapy is necessary and why it’s so beneficial.root canal

Are you dealing with a painful toothache that suddenly came out of nowhere? Dental pain can be a sign you that you need root canal therapy. Our Houston general dentist Dr. M. Roman Kotlarek is here to tell you some of the warning signs that you may need a root canal and how this procedure could just end up preserving your beautiful smile.

If you are dealing with these symptoms it’s important that you seek dental care right away:

  • A toothache
  • Tooth sensitivity (particularly to hot or cold temperatures)
  • Tender, swollen gums around the problem tooth
  • A pimple-like growth on the gums (known as an abscess)

Of course, many people hear the words “root canal” and it immediately conjures up negative images in their head. Ignoring the problem can mean needing to get the tooth removed in the future. This can be prevented if you get the care you need from our Houston dentist as soon as possible.

The pain associated with a toothache is the result of a damaged dental pulp, a soft tissue structure within the tooth. When the dental pulp becomes infected or inflamed it needs to be removed in order to preserve the natural tooth. The good news is that the pain you are experiencing will go away once a root canal is performed. While most people assume that a root canal causes pain, the opposite is actually true. Root canal therapy takes away the source of the pain.

Not only that, but getting a root canal will actually help preserve as much of the natural tooth structure as possible so that you can keep your tooth rather than extracting the tooth and then needing a tooth replacement.

And if you still need reassurance about your upcoming root canal treatment, we pride ourselves on providing gentle dental care right here in Houston.

Don’t ignore dental symptoms. Nip this problem in the bud before it gets worse. Call Roman Dental in Houston, TX right away and let us know what symptoms you are experiencing. We will get you in for treatment as soon as possible.

September 15, 2017
Category: Dental Procedures

Renowned cosmetic dentist, Roman Kotlarek, DDS practicing in Houston, wants Texans to understand and benefit from innovative crown, dental crowns, dental bridges, restorative dentistryveneer, implant and cosmetic dental treatments.
Do you feel like your smile is holding back your social or professional life? Have you broken a tooth and fear chipping others? Are you missing visible teeth? Do you want to save your smile? If so, consider the benefits of veneers, crowns and dental implants! Modern materials and techniques can make your smile look fantastic. Dr. M. Roman Kotlarek at Roman Dental in Houston, Texas wants to help you discover what cosmetic dental crowns and bridges can do for you and your smile.

If you have badly damaged, broken or missing teeth, dental crowns are a solution. If you have large metal fillings, you probably already know how they crumble and break. Dental crowns are different. They cover your teeth with hard, protective shells, shielding your teeth from strong biting forces. They resist breakage and restore full chewing function to your teeth.

Today dental veneers and crowns, free of greyish metal, are beautiful and strong. All Porcelain crowns enhance your smile.  With thoughtful planning, dental veneers and crowns can correct the stains chips and other defects that detract from personal appearance. New dental ceramics are used by Dr. Kotlarek to achieve aesthetic dental results.  Working with a talented team of dental assistants, and master laboratory technicians: beautiful smiles are created.

Eliminating the unsightly grey edges, that distract from personal appearance, around old crowns can be simply and predictably achieved.  When you are laughing, smiling and having a good time with others, do your teeth distract or dazzle?

Dr. Roman Kotlarek and his “Roman Dental Team” were placed on earth to help you achieve a dazzling smile. 

To view amazing before-and-after photos of Dr. Kotlarek’s patients, please visit the Smile Gallery page on the website at

Fine dental care utilizing veneers, crowns and implants affects your smile, your joy… your life. You deserve to look great and feel great; in the mirror, start every morning with a wonderful smile.

Call Dr. Mark Roman Kotlarek at Roman Dental in Houston, Texas.  His team stands ready to help.


What's an actor's most important feature? According to Vivica A. Fox, whose most recent big-screen role was in Independence Day: Resurgence, it's what you see right up front.

"On screen, your smile and your eyes are the most inviting things that bring the audience in" she said. "Especially if you play the hot chick."

But like lots of people, Vivica reached a point where she felt her smile needed a little help in order to look its best. That's when she turned to a popular cosmetic dental treatment.

"I got veneers years ago," Ms. Fox told Dear Doctor magazine in a recent interview, "just because I had some gapping that probably only I noticed."

What exactly are dental veneers? Essentially, they are thin shells of lustrous porcelain that are permanently attached to the front surfaces of the teeth. Tough, lifelike and stain-resistant, they can cover up a number of defects in your smile — including stains, chips, cracks, and even minor spacing irregularities like the ones Vivica had.

Veneers have become the treatment of choice for Hollywood celebs — and lots of regular folks too — for many reasons. Unlike some treatments that can take many months, it takes just a few appointments to have veneers placed on your teeth. Because they are custom made just for you, they allow you to decide how bright you want your smile to be: anywhere from a natural pearly hue to a brilliant "Hollywood white." Best of all, they are easy to maintain, and can last for many years with only routine care.

To place traditional veneers, it's necessary to prepare the tooth by removing a small amount (a millimeter or two) of its enamel surface. This keeps it from feeling too big — but it also means the treatment can't be reversed, so once you get veneers, you'll always have them. In certain situations, "no-prep" or minimal-prep veneers, which require little or no removal of tooth enamel, may be an option for some people.

Veneers aren't the only way to create a better smile: Teeth whitening, crowns or orthodontic work may also be an alternative. But for many, veneers are the preferred option. What does Vivica think of hers?

"I love my veneers!" she declared, noting that they have held up well for over a decade.

For more information about veneers, please contact us or schedule an appointment for a consultation.


In real life he was a hard-charging basketball player through high school and college. In TV and the movies, he has gone head-to-head with serial killers, assorted bad guys… even mysterious paranormal forces. So would you believe that David Duchovny, who played Agent Fox Mulder in The X-Files and starred in countless other large and small-screen productions, lost his front teeth… in an elevator accident?

“I was running for the elevator at my high school when the door shut on my arm,” he explained. “The next thing I knew, I was waking up in the hospital. I had fainted, fallen on my face, and knocked out my two front teeth.” Looking at Duchovny now, you’d never know his front teeth weren’t natural. But that’s not “movie magic” — it’s the art and science of modern dentistry.

How do dentists go about replacing lost teeth with natural-looking prosthetics? Today, there are two widely used tooth replacement procedures: dental implants and bridgework. When a natural tooth can’t be saved — due to advanced decay, periodontal disease, or an accident like Duchovny’s — these methods offer good looking, fully functional replacements. So what’s the difference between the two? Essentially, it’s a matter of how the replacement teeth are supported.

With state-of-the-art dental implants, support for the replacement tooth (or teeth) comes from small titanium inserts, which are implanted directly into the bone of the jaw. In time these become fused with the bone itself, providing a solid anchorage. What’s more, they actually help prevent the bone loss that naturally occurs after tooth loss. The crowns — lifelike replacements for the visible part of the tooth — are securely attached to the implants via special connectors called abutments.

In traditional bridgework, the existing natural teeth on either side of a gap are used to support the replacement crowns that “bridge” the gap. Here’s how it works: A one-piece unit is custom-fabricated, consisting of prosthetic crowns to replace missing teeth, plus caps to cover the adjacent (abutment) teeth on each side. Those abutment teeth must be shaped so the caps can fit over them; this is done by carefully removing some of the outer tooth material. Then the whole bridge unit is securely cemented in place.

While both systems have been used successfully for decades, bridgework is now being gradually supplanted by implants. That’s because dental implants don’t have any negative impact on nearby healthy teeth, while bridgework requires that abutment teeth be shaped for crowns, and puts additional stresses on them. Dental implants also generally last far longer than bridges — the rest of your life, if given proper care. However, they are initially more expensive (though they may prove more economical in the long run), and not everyone is a candidate for the minor surgery they require.

Which method is best for you? Don’t try using paranormal powers to find out: Come in and talk to us. If you would like more information about tooth replacement, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Crowns & Bridgework,” and “Dental Implants.”


Although usually an orderly process, some permanent teeth don't come in as they should. In fact, they may not come in at all and remain hidden in the gum — a situation called impaction. This creates multiple problems for function, health and, in the case of front canines, appearance.

Canines are the longer and more pointed teeth on each side of the front-most incisors. They help tear and cut food during chewing, a function impaction eliminates. Besides a higher risk for developing abscesses (isolated areas of infection) and cysts, they can also put pressure on neighboring teeth and damage their roots or cause them to erupt abnormally.

Dentists often remove impacted wisdom and other back teeth to lessen these potential problems. Removing canines, though, has additional considerations: besides compromising ideal chewing function, missing canines often create an unattractive smile.

But before considering removal, there's another technique we might be able to use to save the canines and actually draw them down through the gums to their correct position. It's usually part of an overall orthodontic plan to correct a poor bite (malocclusion).

After pinpointing their exact position with x-rays or CT scanning, a surgeon surgically exposes the impacted canines' crowns through the gums. They then bond small brackets to the crowns and attach a small gold chain to each bracket. They fasten the other end of the chains to orthodontic hardware that exerts downward pressure on the impacted teeth. Over several months this pressure can help move the teeth into their normal positions.

Unfortunately, this technique isn't always advisable: one or more of the impacted teeth may be in a difficult position to attempt it. It's usually best in these situations to remove the teeth, usually sooner rather than later for the sake of neighboring teeth.

Fortunately, with today's advanced restorative techniques, we can eventually replace the canines with dental implants, although that's best undertaken after the patient enters adulthood. In the meantime, we can utilize orthodontic means to preserve the open space and provide a temporary restorative solution.

Whatever route taken, these teeth don't have to become a source of problems, especially for your appearance. Whether through orthodontics or restorative dentistry, impacted canines don't have to ruin your smile.

If you would like more information on various orthodontic procedures, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Exposing Impacted Canines.”