Posts for category: Dental Procedures
Picture yourself with a beautiful smile…what do you see? Besides straight and uniform teeth framed by the gums, you should also see one other thing indicative of a great smile—your teeth an attractive shade of translucent white.
But as you age your teeth can begin to dull as the enamel loses its translucency and the underlying dentin thickens and yellows. You no longer have the bright smile you once had in younger days.
But if the discoloration is mainly on the outer enamel, teeth whitening could be your answer for regaining your youthful smile. This is a procedure in which we apply a solution containing a bleaching agent (usually hydrogen peroxide) to your teeth. Aided by heat or light to activate it, the solution can temporarily whiten the enamel.
Teeth whitening isn't an exclusive treatment provided by a dentist—there are a number of retail products that enable you to bleach your teeth at home. But there are distinct advantages to having your teeth professionally whitened.
For one, we can control the level of brightness by adjusting the strength of the bleaching solution. This allows you to achieve the kind of look you want—from a more natural and subtler shade to a more dazzling color often called “Hollywood White.”
Any external teeth whitening application will fade with time, regardless of whether they're professional or DIY. But a dental office whitening may last longer due to our stronger solutions and curing techniques. And, by caring for your whitening (by avoiding tobacco and food items that stain teeth) and obtaining occasional touch-ups in our office, the shine could last for a few years.
Again, this particular whitening technique only works with outer staining and yellowing. If your discoloration originates from inside the teeth, you'll need a more invasive method. And your teeth should be reasonably healthy before undergoing whitening.
All in all, though, teeth whitening is an easy and affordable way to brighten your smile. It could help you take years off your appearance.
If you would like more information on teeth whitening, 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 “Teeth Whitening: Brighter, Lighter, Whiter….”
Cowboys wear Stetsons; ballerinas wear tutus; and teenagers wear…braces.
At least that's the popular conception. In actuality, one in five orthodontic patients is an adult, a number that continues to grow. Even adults over fifty are straightening their teeth and improving their smiles.
But it's still a big step and many adults are wary to take it because they think it's too late. Not necessarily: If you're an older adult toying with the idea of straightening your teeth, toy no more. Here's the lowdown on late in life orthodontics.
It's not just about the smile. While wanting a more attractive smile may have started you thinking about orthodontics, it's not the primary reason for considering it. Straightening your teeth can improve your health. Because misaligned teeth are more difficult to keep clean of disease-causing plaque, realigning them properly can improve your hygiene and lower your risk of dental disease. You'll also gain new chewing efficiency and comfort, which can improve your overall health and nutrition.
Health, not age, is the determining factor. Even if you're well advanced in years you can have your teeth straightened—as long as you're healthy. If your teeth, gums and supporting bone aren't in the best of shape, the stresses associated with tooth movement might be further damaging. Some systemic conditions may also interfere, so a full assessment of your overall health will be needed before treatment.
Only you and your dentist need to know. A lot of adults are embarrassed by the prospect of wearing braces. But you might be a candidate for an alternative to braces called clear aligners. These clear plastic trays are worn in a series to gradually move the teeth to their desired positions. You can remove the trays for eating or hygiene, as well as for rare special occasions. But best of all, they're nearly invisible to others.
If you're serious about straightening your teeth, take the next step by undergoing a complete dental exam. If the results of the exam show you're a good candidate for orthodontics, we can discuss your options for transforming your crooked teeth into a more attractive smile, regardless of your age.
If you would like more information on adult orthodontics, 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 “Orthodontics for the Older Adult.”
Kathy Bates has been a familiar face to filmgoers since her Oscar-winning performance as Annie Wilkes in Misery. She's best known for playing true-to-life characters like Wilkes or Barbara Jewell in last year's Richard Jewell (for which she earned her fourth Oscar nomination). To keep it real, she typically eschews cosmetic enhancements—with one possible exception: her smile.
Although happy with her teeth in general, Bates noticed they seemed to be “moving around” as she got older. This kind of misalignment is a common consequence of the aging process, a result of the stresses placed on teeth from a lifetime of chewing and biting.
Fortunately, there was an orthodontic solution for Bates, and one compatible with her film career. Instead of traditional braces, Bates chose clear aligners, a newer method for moving teeth first introduced in the late 1990s.
Clear aligners are clear, plastic trays patients wear over their teeth. A custom sequence of these trays is developed for each patient based on their individual bite dimensions and treatment goals. Each tray in the sequence, worn in succession for about two weeks, places pressure on the teeth to move in the prescribed direction.
While clear aligners work according to the same teeth-moving principle as braces, there are differences that make them more appealing to many people. Unlike traditional braces, which are highly noticeable, clear aligners are nearly invisible to others apart from close scrutiny. Patients can also take them out, which is helpful with eating, brushing and flossing (a challenge for wearers of braces) and rare social occasions.
That latter advantage, though, could pose a problem for immature patients. Clear aligner patients must have a suitable level of self-responsibility to avoid the temptation of taking the trays out too often. Families of those who haven't reached this level of maturity may find braces a better option.
Clear aligners also don't address quite the range of bite problems that braces can correct. Some complex bite issues are thus better served by the traditional approach. But that gap is narrowing: Recent advances in clear aligner technology have considerably increased their treatability range.
With that said, clear aligners can be an ideal choice for adults who have a treatable bite problem and who want to avoid the appearance created by braces. And though they tend to be a little more expensive than braces, many busy adults find the benefits of clear aligners to be worth it.
The best way to find out if clear aligners could be a viable option for you is to visit us for an exam and consultation. Like film star Kathy Bates, you may find that this way of straightening your smile is right for you.
If you would like more information about tooth straightening, please contact us or schedule a consultation.
Tooth decay can be a big problem for children's primary (baby) teeth. It doesn't take long for a tooth to become infected and the infection spread to their neighbors.
But since it will eventually give way to a permanent tooth, why not just pull a diseased primary tooth? Although that sounds sensible, there are important reasons for helping a troubled primary tooth survive to its natural end.
Current usefulness. They may not be around for long, but primary teeth serve children well while they have them. They enable a child to eat solid foods to further their physical development. They also figure prominently in speech development, which could be stunted by lost teeth.
The smile factor. Young children are also honing their social skills, and smiling is an important part of learning to fit in with family and friends. A tooth that's missing for some time, especially in the “smile zone,” could affect their smile and have an adverse effect on their social development.
Future teeth health. A primary tooth reserves the space intended for the future permanent tooth, helping to ensure the incoming tooth erupts in the right position. If it's not there, however, other teeth can drift into the space, crowding the incoming tooth out of its proper alignment.
That last reason could have the most long-term effect, causing the development of a poor bite that could require extensive orthodontic treatment. To avoid this and any other physical or social consequences accompanying its premature loss, it's worth the effort to try to protect and save a primary tooth.
Preventively, we can apply sealants on biting surfaces more prone to plaque buildup (the main cause of decay) and topical fluoride to strengthen enamel. When decay does occur, we may be able to remove it and fill the tooth, cap a tooth with a steel crown, or even use a modified root canal procedure in the case of advanced tooth decay.
The best way, however, to protect your child's primary teeth is to brush and floss them every day. Removing harmful plaque vastly reduces the risk of tooth decay. Coupled with professional dental care, your child can avoid tooth decay and get the most out of their primary teeth.
If you would like more information on children's dental care, 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 “Importance of Baby Teeth.”
Dental patients have amazing options for tooth replacement. Dental implants, for example, can replace the entire tooth, root and crown, giving patients a new tooth nearly as good as the old one.
Nearly—but not exact. Even implants can't match the full benefits of a natural tooth, including one in less than perfect shape. Our first goal as dentists, then, is to save a diseased tooth if at all practical before considering replacing it.
That often involves a root canal treatment to address decay threatening a tooth's interior. The procedure requires drilling into the tooth to access its innermost pulp, cleaning out the pulp and root canals, and then filling the empty spaces. Since all dentists are trained in basic root canal treatment, your general dentist may be able to perform it.
But some dental situations call for more advanced endodontics, the dental specialty for treating disease and other problems inside a tooth. So, in what situations would you see an endodontist?
When your dentist refers you. Your dentist wants you to receive the level of treatment necessary to save your tooth. After examination, they may determine your situation would be better served by the advanced training, equipment and techniques (including surgery) of an endodontist.
When your tooth has complications. Patients often need an endodontist when existing factors complicate treatment of advanced tooth decay. A patient may have dental pain that's difficult to pinpoint, requiring the diagnostic resources of an endodontist. It's also common for a tooth's root canal network to be highly intricate, and which respond better to treatment with specialized endodontic tools and techniques.
When root canal treatment fails. Most root canal treatments are successful in protecting the tooth from further infection. That said, it's still possible for a root-canaled tooth to become re-infected or develop more problems. Again, an endodontist and their “tool chest“ re-treating a root-canaled tooth may be the best option for saving it.
You also don't have to wait for a referral—you can see an endodontist if you believe they would be best to treat your decayed tooth. You can find one near you by visiting an online endodontist directory at www.aae.org/find. An endodontist may be the lifesaver your diseased tooth needs.