Posts for: May, 2011
Our office can design a customized smile for you. We will want to know what you really want changed and we will listen to your ideas, look at pictures of the kind of smile you had when you were younger, and even create computerized pictures of what you think you'd like to look like. And then, with all the modern techniques at our disposal, we'll put together a blueprint, a plan to give you the smile you want.
We will start with a smile analysis to determine your facial balance, which indicates how all of the elements of your smile currently relate to each other. These elements include much more than just the teeth, such as the shape of your face, skin color, eye color, lip form, and smile dimensions to name a few.
A detailed periodontal evaluation, which includes bone and gum tissues — the supporting structures of the teeth — will determine whether the foundations of your teeth and bite are healthy. Similar to the way you would ensure that the foundation of a house is intact before you renovate, we will make sure that your periodontal tissues are healthy and sound before we begin a smile makeover.
Modern restorative dental techniques include teeth whitening, enamel reshaping, gum contouring, porcelain veneers and crowns, or a combination of several of these procedures. In some cases, orthodontic treatment (braces) or clear aligners may be necessary to ensure that the teeth are in the best position for both the aesthetics and function of your new smile.
We will inform you of all the possible paths that can lead to the final desired outcome, and will discuss all the benefits, alternatives, and risks together with the time it will take and the finances involved. Bottom line — we'll find a way to get you what you want and need, a new smile, with improved function as well as appearance. We'll also provide instruction on all that you need to know and do to keep your new smile healthy and to maintain your investment for years into the future.
So, if you have been unhappy with your smile and would like to revamp it, call our office to learn about how a smile redesign could help boost your self-image. To find out more about the details involved in a smile makeover and to view some before and after photos, read the Dear Doctor magazine article “Beautiful Smiles By Design.”
Since the dawn of man, periodontal (gum) disease has impacted humans. And while dental health has dramatically improved over the generations, the facts are still clear Ã¢Â€Â” millions of Americans are suffering from gum disease and probably do not even know that they have a problem. This is because periodontal disease most often starts without any symptoms or ones that most people tend to discount or ignore.
Stage 1: Gingivitis. The first stage of gum disease is inflammation of the gingiva (gums) without bone loss. While nearly all people will develop gingivitis in the absence of good oral hygiene, only 10 to 15% of them will go on to develop more advanced stages of the disease.
Stage 2: Early periodontitis. With this stage, gingivitis progresses into the deeper periodontal structures — the tissues that attach the teeth to the bone resulting in early or beginning bone loss. About 10% of the population develops full-blown periodontitis with progressive bone loss.
Stage 3: Moderate periodontitis. The third stage of gum disease results in moderate bone loss (20 to 50%) of root surfaces of the teeth due to continued destruction of the surrounding tissues and bone. Periodontal disease is “cyclical” — it goes in cycles with bursts of activity, followed by a period in which the body tries to recover. This is called chronic inflammation, or frustrated healing.
Stage 4: Advanced periodontitis. With the final stage of gum disease, there is severe bone loss (50 to 85%) from the tooth's root. This stage includes looseness of teeth, moving teeth, abscess formation with red, swollen and painful gums. The end results — eating and even smiling is difficult and uncomfortable, and you could lose all your teeth.
You can learn more about gum disease in the Dear Doctor article, “Understanding Gum Disease.”
Have We Described Your Mouth?
If any of the above stages sounds like we are talking about your mouth, contact us today to schedule a consultation, discuss your questions and receive a thorough exam. If addressed promptly and with commitment to following your treatment plan, your mouth can return to good oral health.
Quiz: What Is Smile Design?
All cultures worldwide recognize a smile as positive nonverbal communication. Yet many people are insecure about the way their smile looks. Modern cosmetic dentistry can completely change your smile through a comprehensive technique called Smile Design.
Take the following quiz to find out how much you know about your smile and smile design.
- What is the basic reason we consider straight, healthy teeth to be attractive?
- An article in a beauty magazine.
- An instinctive understanding of health and survival.
- Our first grade teacher said so.
- A talk show on television.
- What must we take into account in designing an attractive, balanced smile?
- The shape of your face.
- Your skin color and complexion.
- The form of your lips.
- All of the above.
- As your dentist, we consider each of the following in evaluating your current smile except:
- Your marital status.
- The health of your bone and gum tissues.
- How your jaw joints function.
- The stability of your bite.
- What do we use to evaluate your smile?
- X-rays and photographs.
- Models of your teeth and gums.
- Photographs and computer graphics.
- All of the above.
- Bonding is one method that may be used to test or enhance your smile. It is used as:
- A way of making friends with your dentist.
- A way of training secret agents.
- A method of repairing chipped, broken or decayed teeth and testing changes before they are made permanent.
- None of the above.
- b. What we consider an attractive smile is rooted in instinctive understanding of health and survival. We value straight, white, healthy teeth — only a few centuries ago, a person with few or no teeth was likely to starve.
- d. All of these factors must be taken into consideration in order to design a smile that is in balance with your face.
- a. While satisfaction with your life partner may make you smile, our priority in smile design is to make sure that the basic structures of your teeth are healthy and function properly.
- d. All of the above are used in evaluating your current condition to design a new smile.
- c. In bonding, a composite resin tooth colored material is shaped and physically bonded to a tooth or teeth that are chipped, broken, or decayed to restore both aesthetics and function.
After careful analysis and planning, a variety of techniques can be used to redesign an attractive and healthy new smile, so you can feel confident about smiling and sharing it with the world. To learn more about Smile Design, read “Beautiful Smiles by Design.” Or contact us to discuss your questions or to schedule an appointment.
Before determining if a bridge or an implant will work best for you, here is some useful background information. There are two main parts to a tooth; the crown or part that you see above the gum line and the root portion that is below the gum line and encased in bone — the part that is replaced by a dental implant.
A dental implant is inserted into the jawbone during a surgical procedure. The implant is actually a titanium screw-like device that is placed in contact with the bone. During a 3 to 6 month healing period, it subsequently fuses to the bone. A crown made from dental porcelain, gold or a combination of both is then attached to the implant to mimic a healthy, normal tooth.
There are two critical reasons why implants are the preferred method for permanently replacing an adult tooth. The first is that they are less susceptible to gum disease and they are not subject to tooth decay. The second is that because they attach to the jawbone and not to the adjacent teeth. And while an implant may cost a little more initially, when compared to the longevity and replacement cost of bridgework over a lifetime, they may cost less.
By contrast, a fixed bridge is also a non-removable restoration or prosthesis (replacement part) that is held in place by attaching it to your natural adjacent teeth. The treatment gets its name from the French word for bridge, “pont,” as the tooth being replaced is called a pontic. Before placing a bridge, the teeth on either side of the missing tooth must be prepared by removing layers of tooth enamel. Three new teeth are then crafted as a single unit from dental porcelain and/or precious metals with crowns on either side of the pontic. The pontic is held in place when the crowns are placed. Bridgework is at risk for gum disease and tooth decay and requires careful maintenance.
As with most dental procedures you have options and choices. Luckily, when it comes to determining whether a bridge or an implant will work best for you, you can rely upon our expertise. However, by having a clear understanding of these two options you are now better prepared for working with us should you require this treatment option. To learn more read the article, “Implants Vs. Bridgework.” Or, contact us to discuss your questions or to schedule an appointment.
Expectant mothers expect to deal with tooth-related milestones in their child's early years, such as teething and even the eventual shedding of those baby teeth to the Tooth Fairy. But there are many facets of children's oral health that may not be as well known. For example, did you know that using sugary fluids in your baby's bottle too frequently could promote constant acid production in your child's mouth leading to early childhood decay? Did you know that parents and caregivers who have decay transmit the bacteria that cause decay to their children?
Baby or primary teeth serve as guides for permanent teeth and, therefore, their health sets the stage for the health and proper function of their permanent successors. A comprehensive examination during a child's first visit can help uncover any underlying conditions that might be indicative of future problems, like tooth decay that can start as early as the age of six months when their first teeth appear. So the “Age One Visit” is the right time for a first dental visit.
What else do you know or want to know? Take our short quiz to help your child. The answers are listed at the bottom of this article.
- Mounting evidence suggests that a child's oral health is most closely tied to which relative?
- Parents should bring their children to see a pediatric dentist:
- Once they turn two?
- Before they start kindergarten?
- Preferably before their first birthday?
- When they start to lose their baby teeth?
- Tooth decay that occurs in infants and young children is referred to as what?
- Primary tooth decay
- Early Childhood Caries
- Diapers to Decay Disease
- Pediatric Dental Caries Syndrome
- To help diminish the likelihood that your baby/infant will develop a cavity, you should:
- Restrict the amount of sugary fluids your child drinks to mealtimes
- Maintain proper oral hygiene to reduce harmful bacteria
- Use fluoride to make the teeth more resistant to acid attack
- All of the above
- Infants are most susceptible to tooth decay when:
- Breast feeding
- Drinking milk from a bottle during meal times
- Sucking on a pacifier that has been dipped in jam
- Sleeping on their sides
1) a = mother 2) c = before their first birthday 3) b = early childhood caries 4) d = all of the above 5) c = sucking on a pacifier that has been dipped in jam
Your baby's first visit to the dentist will cover a lot of ground, including diagnosis, prevention, education, and treatment as we help start him or her on the path to long-lasting oral and dental health. Call our office to schedule an appointment now. You can also learn more about pediatric tooth decay by reading the Dear Doctor magazine article “Age One Dental Visit — Why It's Important For Your Baby.”