Posts for category: Dental Procedures
While not as prevalent as adults, teenagers can have missing teeth, usually from injury or from never having been formed. Fortunately, life-like dental implants can replace missing teeth. But unfortunately for teens, implants aren't usually a good option—yet.
That's because a teenager's jaws are still growing, and will continue until early adulthood. Dental implants don't adjust to this growth like natural teeth and will eventually look out of place. It's best, then, to consider a temporary restoration for a teenager. And, there are two excellent options: one removable and one fixed.
The first is a removable partial denture (RPD). Like a full denture, an RPD has an acrylic base that resembles gum tissue, to which prosthetic (false) teeth are attached to match the positions of the missing teeth. It's usually held in place with metal or nylon clips that slide under part of the natural teeth at the gum line.
RPDs are versatile and durable. But they're not designed to be worn indefinitely, so they can be damaged if subjected to excessive biting forces like biting into something hard. And, peer-pressured teens may also feel self-consciousness about wearing a “denture.”
The other option is a bonded bridge. It's similar to a traditional bridge, except how it's supported in the mouth. A traditional bridge gains its support from the crowns on each end attached to natural teeth, which must be permanently altered for them. By contrast, a bonded bridge has strips of dental material extending from both sides of its back that are bonded to the back of the adjacent natural teeth.
With the bonding material behind the bridge, it can't be seen—and the natural teeth won't require permanent alteration. But a bonded bridge is usually more costly than an RPD and less secure than a traditional bridge. And not every teen is a viable candidate for one: issues like how the teeth fit together and if the teen has a tooth grinding habit could be strikes against this fixed option.
Your dentist can help you sort out the best of these options for your teen. If cared for and maintained properly, either restoration can buy you time until your teen is ready for dental implants.
If you would like more information on restoring a teenager's smile, 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 “Temporary Tooth Replacement for Teens: What Are the Options?”
You depend on your family dentist for most of your oral care. There are some situations, though, that are best handled by a specialist. If you or a family member has a deeply decayed tooth, for example, it might be in your long-term interest to see an endodontist.
From the Greek words, endo ("within") and odont ("tooth"), endodontics focuses on dental care involving a tooth's interior layers, including the pulp, root canals and roots. While general dentists can treat many endodontic problems, an endodontist has the advanced equipment and techniques to handle more complex cases.
The majority of an endodontist's work involves teeth inwardly affected by tooth decay. The infection has moved beyond the initial cavity created in the enamel and dentin layers and advanced into the pulp and root canals. The roots and underlying bone are in danger of infection, which can endanger the tooth's survival.
The most common treatment is root canal therapy, in which all of the infected tissue is removed from the pulp and root canals. Afterward, the empty spaces are filled and the tooth is sealed and crowned to prevent future infection. General dentists can perform this treatment, primarily with teeth having a single root and less intricate root canal networks. But teeth with multiple roots are a more challenging root canal procedure.
Teeth with multiple roots may have several root canals needing treatment, many of which can be quite small. An endodontist uses a surgical microscope and other specialized equipment, as well as advanced techniques, to ensure all of these inner passageways are disinfected and filled. Additionally, an endodontist is often preferred for previously root-canaled teeth that have been re-infected or conditions that can't be addressed by a traditional root canal procedure.
While your dentist may refer you to an endodontist for a problem tooth, you don't have to wait. You can make an appointment if you think your condition warrants it. Check out the American Association of Endodontists webpage www.aae.org/find for a list of endodontists in your area.
Advanced tooth decay can put your dental health at risk. But an endodontist might be the best choice to overcome that threat and save your tooth.
If you would like more information on endodontic dentistry, 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 “Why See an Endodontist?”
Cosmetic dentists routinely perform smile transformations once thought impossible. Using the latest materials and techniques, today's practitioners can "make over" the most problematic smiles.
But to achieve these results, it's necessary for both dentist and patient to step back and absorb the "bigger picture." If you're considering a smile makeover, your first step on this transformative journey will be this big picture moment called a smile analysis.
A smile analysis is a comprehensive examination in which your dentist looks at every aspect of your current smile. And not just your teeth and gums—he or she will also carefully evaluate the health of the supporting bone of the jaw. Healthy bone is necessary in particular for dental implants, which require adequate bone for optimum placement. Extensive bone loss could rule out implants, or at least postpone their installation until the bone can be rejuvenated through bone grafting.
The analysis doesn't stop with mouth structures, either: an attractive smile must achieve an aesthetic balance with the shape and complexion of the face, especially the color and position of the eyes and the form and posture of the lips. Your dentist will measure and assess all of these facial features and factor them into your individual smile makeover plan. This increases the likelihood your planned restorations will blend seamlessly with your overall appearance.
Your smile analysis will also include what's going on beneath the surface of your current smile. Many appearance problems are actually the consequences of disease, trauma or inherited conditions. These underlying issues will often need to be addressed first: as with renovating a house, it does little good to paint and hang wall paper if the foundation is faulty. Any treatment for disease or trauma may postpone cosmetic work, but it's absolutely necessary to achieve lasting success for your smile makeover.
Although time-consuming, a smile analysis sets the stage for a successful smile transformation. Your new beautiful smile will be well worth this detailed examination.
If you would like more information on undergoing a smile makeover, 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 “Beautiful Smiles by Design.”
While the imagination is one of our most powerful mental abilities, many people still find it difficult to “see” in their minds a future dramatically different from the present. That could be the case with a “smile makeover”—it’s not easy to imagine how proposed changes to your teeth and gums can affect your entire look.
Computer imaging software has helped in this regard. Starting with a photo of your current smile, we can manipulate it with imaging software to show you what any proposed dental work might look like after completion. But imaging technology has its limits: you’re viewing a static, two-dimensional image that can’t really show you how your new smile looks as your mouth and face move in a three-dimensional space.
There is another way, and although it may add to your treatment costs it can give you an even more realistic view of your future appearance. Known simply as a “trial smile,” it’s a procedure in which we temporarily place life-like bonding material called composite resin on your current teeth. We shape, cure and sculpt the resin to produce a three-dimensional model of what your future smile will look like.
A trial smile gives you a chance to experience in real time how this future smile looks and feels as you smile or talk. And although we’ll have to remove it before you leave, we can photograph your new look for you to show to family and friends later for their reaction.
There are a couple of important reasons to have a trial smile. First, it gives us both a chance to review how the proposed changes may enhance your appearance, and whether we need to alter those plans in any way. It’s a kind of dress rehearsal where we can improve the “script” before the actual performance.
Just as important, a trial smile can help reassure you about what to expect from the outcome. You’ll have a fairly accurate idea of how you’ll look, which will help reduce any apprehensions you might have.
If you’d like to include a trial smile in your treatment plan, please feel free to discuss it with us. It can be money well spent to ensure you’ll be satisfied and delighted with your new smile.
If you would like more information on ways to restore your smile, 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 “Testing Your Smile Makeover.”
Digital computer technology has made a big impact on cosmetic dentistry. We can now simulate on a monitor display of your face how your new smile will appear after dental work, thanks to a graphics program specifically designed for cosmetic dentistry.
While that's an amazing development, we can also take it a step further by creating the look of a new smile on your actual teeth during an office visit. We call it a “trial smile.”
To create a trial smile, we begin with composite resin, a tooth-colored bonding material, and fashion it into temporary veneers or crowns that we then temporarily place over your teeth. This gives us the chance to see what your new smile will look like in all three spatial dimensions (rather than the two-dimensional view on a computer monitor) and while your face is in motion as you talk and smile. This can give us a great deal more detail to help better evaluate your proposed look.
A trial smile also helps us in planning your new look. Like you, we want the best result possible: a trial smile allows us to see how your jaw movement interacts with your updated look and if everything works together as it should. It will also give us a better idea how much tooth structure we'll need to remove to accommodate your permanent veneers or crowns — the less, of course, the better.
Although you won't be able to take your trial smile with you when you leave, we can take a photograph you can review later, as well as show friends and family for their opinion. Trial smiles do add some cost to treatment, but the proportion of expense to the benefit of actually viewing your smile in this fashion is well worth it. It's one more way we can ensure your final new smile meets your expectations.
If you would like more information on “trial smiles,” 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 “Testing Your Smile Makeover.”