Posts for category: Dental Procedures
Ashley Graham has a beautiful and valuable smile—an important asset to her bustling career as a plus-size model and television host. But she recently revealed on Instagram a “confrontation” between one of her teeth and a frozen oatmeal cookie. The cookie won.
Holding her hand over her mouth during the video until the last moment, Graham explained how she sneaked a cookie from her mom's freezer and took a bite of the frozen treat. Taking her hand from her mouth, she revealed her broken tooth.
Okay, maybe it wasn't an actual tooth that was broken: the denticle in question appeared to have been previously altered to accommodate a porcelain veneer or crown. But whatever was once there wasn't there anymore.
Although her smile was restored without too much fuss, Graham's experience is still a cautionary tale for anyone with dental work (and kudos to her for being a good sport and sharing it). Although dental work in general is quite durable, it is not immune to damage. Biting down on something hard, even as delicious as one of mom's frozen oatmeal cookies, could run you the risk of popping off a veneer or loosening a crown.
To paraphrase an old saying: Take care of your dental work, and it will take care of you. Don't use your teeth in ways that put your dental work at risk, tempting as it may be given your mouth's mechanical capabilities.
Even so, it's unwise—both for dental work and for natural teeth—to use your teeth and jaws for tasks like cracking nuts or prying open containers. You should also avoid biting into foods or substances with hard textures like ice or a rock-hard cookie from the freezer, especially if you have veneers or other cosmetic improvements.
It's equally important to clean your mouth daily, and undergo professional cleanings at least twice a year. That might not seem so important at first since disease-causing organisms won't infect your dental work's nonliving materials. But infection can wreak havoc on natural tissues like gums, remaining teeth or underlying bone that together often support dental enhancements. Losing that support could lead to losing your dental work.
And it's always a good idea to have dental work, particularly dentures, checked regularly. Conditions in the mouth can change, sometimes without you noticing them, so periodic examinations by a trained dental provider could prevent or treat a problem before it adversely affects your dental work.
We're glad Ashley Graham's trademark smile wasn't permanently harmed by that frozen cookie, and yours probably wouldn't be either in a similar situation. But don't take any chances, and follow these common sense tips for protecting your dental work.
If you would like more information on care and maintenance of cosmetic dental work, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers: Strength & Beauty as Never Before” and “Dental Implant Maintenance.”
One day, you lose one… followed by another…and then another. And then, after years of dental disease, you finally lose all your remaining teeth.
But between the first tooth lost and the last, years or even decades could pass. Individuals in the past caught in this downward spiral often decided the cost of continually upgrading their restorations with each lost tooth was simply too much. Instead, they opted at some point to have their remaining teeth extracted, even relatively healthy ones, to make way for full dentures.
That's still an option you might one day want to consider. Today, though, you have another alternative: With the help of dental implants, you can easily update your restorations with gradual tooth loss and keep more of your natural teeth longer. And keeping them longer is often the best scenario for maintaining optimum oral health.
Most people are familiar with dental implants as single replacements for individual teeth. It's a straightforward application. A dentist imbeds a titanium metal post into the jawbone at the missing tooth site, to which they later attach a life-like crown. Over time, the titanium post attracts new bone growth, resulting in enhanced durability for the implant, while also helping to reduce the bone loss that typically occurs after losing teeth.
But implants can also be used to support more traditional restorations like bridges or partial dentures. When used in that manner you only need a small number to support a restoration for multiple teeth, a much more affordable method than an individual implant for each tooth. And with planning and forethought, earlier installed implants could be incorporated into the next phase of restoration.
This helps make the process of updating restorations more manageable and affordable, while also prolonging the life of your remaining teeth. And should the time come when you lose all your teeth, implants can support a full fixed bridge or a removable denture. Including dental implants in your ongoing treatment strategy can pay dividends toward maintaining your best oral health.
If you would like more information on the many applications for dental implants, 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 “Replacing All Teeth But Not All at Once.”
People love dental veneers—those thin, porcelain shells bonded to teeth to mask stains and blemishes. For a relatively modest price, they can vastly improve a smile.
But what if it's your teenager who needs a smile upgrade? Teens also experience dental flaws like adults—which, at their age especially, disrupt their self-image and social confidence.
So, can veneers work for teens? Technically, yes, but there's a possible snag, depending on the maturity level of their teeth.
The potential problem relates to the tooth preparation that precedes the bonding of the veneers. One option is no-prep veneers and they are a nice solution depending on the size and shape of the existing teeth. If the teeth are slight in size, no preparation is necessary. If the teeth are large, even though veneers are thin, they can still look unnaturally bulky when bonded to unprepared teeth. A dentist may need to remove some of the tooth's surface enamel before applying the veneers.
Although this alteration has little effect on an adult tooth (other than requiring a veneer or restoration from that time on), it could damage a less mature tooth and stunt its development. A younger tooth can have a larger pulp—the central tooth chamber containing blood vessels and nerves—that's closer to the enamel surface than an adult tooth.
Because of the pulp's proximity to the surface of an immature tooth, there's a risk of damaging it during the tooth preparation phase for veneers. If that happens, the tooth may need additional treatment to save it.
We don't depend on a teen's calendar age to determine whether or not it's safe to install veneers. Instead, we examine the teeth and measure how close the pulp may be to the surface, as well as the thickness of the middle layer of dentin. Veneers could be acceptable if it appears the teeth have reached a healthy level of maturity.
If not, though, we may need to consider less invasive ways to improve a teen's smile. For stains or other outer discolorations, whitening with a bleaching solution significantly brightens teeth. We can repair chips by bonding and sculpting color-matching dental material to the teeth. And, these or similar cosmetic measures won't endanger an immature tooth like a veneer application.
Once a young patient's teeth have matured, we can revisit the subject of veneers. That may take time, but the more attractive smile that results will be worth the wait.
If you would like more information on dental care for adolescents, 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 “Veneers for Teenagers.”
For nearly two decades, singer-songwriter Taylor Swift has dominated the pop and country charts. In December she launched her ninth studio album, called evermore, and in January she delighted fans by releasing two bonus tracks. And although her immense fame earns her plenty of celebrity gossip coverage, she's managed to avoid scandals that plague other superstars. She did, however, run into a bit of trouble a few years ago—and there's video to prove it. It seems Taylor once had a bad habit of losing her orthodontic retainer on the road.
She's not alone! Anyone who's had to wear a retainer knows how easy it is to misplace one. No, you won't need rehab—although you might get a mild scolding from your dentist like Taylor did in her tongue-in-cheek YouTube video. You do, though, face a bigger problem if you don't replace it: Not wearing a retainer could undo all the time and effort it took to acquire that straight, beautiful smile. That's because the same natural mechanism that makes moving teeth orthodontically possible can also work in reverse once the braces or clear aligners are removed and no longer exerting pressure on the teeth. Without that pressure, the ligaments that hold your teeth in place can “remember” where the teeth were originally and gradually move them back.
A retainer prevents this by applying just enough pressure to keep or “retain” the teeth in their new position. And it's really not the end of the world if you lose or break your retainer. You can have it replaced with a new one, but that's an unwelcome, added expense.
You do have another option other than the removable (and easily misplaced) kind: a bonded retainer, a thin wire bonded to the back of the teeth. You can't lose it because it's always with you—fixed in place until the orthodontist removes it. And because it's hidden behind the teeth, no one but you and your orthodontist need to know you're wearing it—something you can't always say about a removable one.
Bonded retainers do have a few disadvantages. The wire can feel odd to your tongue and may take a little time to get used to it. It can make flossing difficult, which can increase the risk of dental disease. However, interdental floss picks can help here. And although you can't lose it, a bonded retainer can break if it encounters too much biting force—although that's rare.
Your choice of bonded or removable retainer depends mainly on your individual situation and what your orthodontist recommends. But, if losing a retainer is a concern, a bonded retainer may be the way to go. And take if from Taylor: It's better to keep your retainer than to lose it.
If you would like more information about protecting your smile after orthodontics, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “The Importance of Orthodontic Retainers.”
Even with dedicated daily home care and regular dental cleanings, some children still have problems with cavities. And, that could morph into an even more serious problem in the future: Primary teeth lost prematurely to the disease could cause incoming permanent teeth to erupt out of position and form a poor bite.
To avoid this, parents often need a little extra help protecting their children's teeth from cavities. One way is with a dental sealant applied to larger teeth by their dentist.
A dental sealant is a protective coating of plastic or glass-like material that partially fills in the pits and crevices of the biting surfaces of larger teeth like molars. Even with diligent brushing it can be difficult to clean these surfaces of plaque, thus allowing bacteria to hide out in deep crevices. By "smoothing" out these areas with a sealant, they're easier to rid the teeth of decay-causing plaque.
Your child can undergo a quick and painless sealant application during a routine visit. After applying the liquid form of the sealant to the teeth with a brush, the dentist uses a curing light to harden the coating into a durable defense against decay.
Dentists have been applying sealants for several years now, which begs the question—do they work? At least two major studies say yes.
These independent studies both surveyed thousands of pediatric patients over several years. And, they both concluded that children with sealants experienced significantly fewer cavities than those without sealants. Furthermore, the protection appeared to last at least four years after the application.
A sealant application does involve a modest cost per tooth. But compared to what you'll spend to treat cavities, or even expensive orthodontic treatment later, sealants are well worth the cost.
If your child continues to develop cavities regardless of home and dental care, then talk with your dentist about sealants and other ways to minimize cavities. Taking these extra steps could help prevent a problem now, and a bigger problem in the future.
If you would like more information on dental care for children, 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 “Sealants for Children.”