Posts for category: Dental Procedures
Although costly in the beginning, dental implants often turn out to be the least expensive tooth replacement option. That's because their enviable record for longevity often outpaces dentures or bridges. Over the long-term you might spend less for implants than these other restorations.
But even with the high success rate of dental implants (greater than 95% survive the ten-year mark), we can't guarantee they won't fail. And if you're a tobacco smoker, the risk of failure might be even higher. One study, for example, found early implant failures were twice the rate for smokers over non-smokers. Although implant failures overall are low, smoking seems to be a factor in those that do.
There are a number of reasons to account for this. For one thing, inhaled smoke can damage salivary glands, reducing the flow of this important fluid. Saliva helps control bacterial growth and neutralize mouth acid, so without it you're more susceptible to tooth decay or periodontal (gum) disease. Either infection could ultimately weaken implant-supporting bone.
The nicotine in tobacco can also restrict oral blood vessels and lower their ability to supply antibodies and nutrients to the teeth and gums. This slows healing, which could have one particular effect on implant durability.
During the intervening weeks between implant placement and crown attachment, the implant's titanium post attracts bone cells that grow and adhere to its surface. The effects of nicotine on healing, especially right after implant surgery, can interfere with this integration process so that the implant doesn't anchor in the bone as well as it should.
If you're a smoker, you can increase your chances of implant success—and have a healthier mouth overall—by quitting smoking beforehand with the help of a cessation program. Or at the least, consider stopping smoking for one week before implant surgery and for two weeks afterward.
And be sure to brush and floss your teeth daily and visit your dentist regularly to keep your teeth and gums as healthy as possible. Stopping smoking and practicing effective oral hygiene could make a big difference in the success or failure of your implant.
If you would like more information on smoking and your dental health, 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 “Dental Implants & Smoking.”
People improve their smiles for a lot of reasons: to better their career prospects, to put some juice in their social lives or just to do something special for themselves. But you may have an even stronger reason: a once-in-a-lifetime event—maybe your wedding day—is coming up soon.
You have several options for transforming your smile for the big day—and some are even quite economical. Here are 4 affordable ways to make your smile beautiful for that forever moment.
Cleanings. While dental cleanings should already be part of your regular dental care, scheduling one right before a big event can do wonders for your smile. Not only can your hygienist remove any lingering dull and dingy plaque and tartar, but they can polish your teeth for a brighter shine. Remember, though: dental cleanings support your own hygiene efforts, they don't replace them. Your own daily practice of brushing and flossing will also help you maintain a beautiful smile.
Teeth Whitening. You can also get an extra boost of brightness with a tooth whitening procedure. Using a professional bleaching solution and other techniques, your dentist can lighten your smile to your tastes, from a more natural hue to dazzling white. The whitening effect, though, is temporary, so plan to see your dentist no more than a few weeks before your big day.
Bonding. Perhaps a tiny chip is all that stands between you and a knockout smile. Your dentist may be able to repair that and other minor defects by bonding tooth-colored materials to the chip site. These composite resin materials have the shine of enamel and can be color-blended to match your tooth's natural shade. Composite resins are also fairly rugged, although you should avoid biting down on hard foods or objects.
Veneers. Although more expensive than the previous options mentioned, veneers are still affordable compared to crowns or bridgework. Usually made of thin layers of dental porcelain, dentists bond veneers to the front of teeth to mask mild to moderate problems like heavy staining, disfiguration and minor gaps. But because veneers are custom-fabricated by a dental lab, you'll need to plan them with your dentist at least six months before your event. The resulting change to your smile, though, may well be worth the wait.
If you would like more information on transforming your smile for a special event, 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 “Planning Your Wedding Day Smile.”
A baby’s teeth begin coming in just a few months after birth—first one or two in the front, and then gradually the rest of them over the next couple of years. We often refer to these primary teeth as deciduous—just like trees of the same description that shed their leaves, a child’s primary teeth will all be gone by around puberty.
It’s easy to think of them as “minor league,” while permanent teeth are the real superstars. But although they don’t last long, primary teeth play a big role in a person’s dental health well into their adult years.
Primary teeth serve two needs for a child: enabling them to eat, speak and smile in the present; but more importantly, helping to guide the developing permanent teeth to erupt properly in the future. Without them, permanent teeth can come in misaligned, affecting dental function and appearance and increasing future treatment costs.
That’s why we consider protecting primary teeth from decay a necessity for the sake of future dental health. Decay poses a real threat for children, especially an aggressive form known as early childhood caries (ECC). ECC can quickly decimate primary teeth because of their thinner enamel.
There are ways you can help reduce the chances of ECC in your child’s teeth. Don’t allow them to drink throughout the day or to go to sleep at night with a bottle or “Sippy” cup filled with milk, formula, or even juice. These liquids can contain sugars and acids that erode enamel and accelerate decay. You should also avoid sharing eating utensils with a baby or even kissing them on the mouth to avoid the transfer of disease-causing bacteria.
And even before teeth appear, start cleaning their gums with a clean, wet cloth right after feeding. After teeth appear, begin brushing and flossing to reduce plaque, the main trigger for tooth decay. And you should also begin regular dental visits no later than their first birthday. Besides teeth cleanings and checkups for decay, your dentist has a number of measures like sealants or topical fluoride to protect at-risk teeth from disease.
Helping primary teeth survive to their full lifespan is an important goal in pediatric dentistry. It’s the best strategy for having healthy permanent teeth and a bright dental health future.
If you would like more information on tooth decay in 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 “Do Babies Get Tooth Decay?”
Teenagers and adults alike can improve their smile appearance with dental solutions like teeth whitening or orthodontics. But there are a few cosmetic solutions like porcelain veneers that are better suited for more mature teeth.
Veneers are composed of thin layers of dental porcelain that are bonded to the outside of teeth. They're kind of a tooth "mask" that hides blemishes like chips, discoloration or mild bite problems. They're often less involved and expensive than other types of dental restoration.
Even so, we usually need to remove some of the natural tooth's enamel before applying them. Veneers placed directly on unprepared teeth can appear bulky, so we remove some of the enamel to create a more natural look. And although usually only a slight amount, the alteration is permanent and will require the tooth to have some form of restoration from then on.
This usually doesn't pose a major issue for adults, but it could for a teenager's younger teeth. The nerve-filled dentin in a teenager's still developing tooth is thinner and closer to the pulp (nerve tissue) than in more mature teeth.
There's at least one situation, though, where veneers might be applied safely to a teenager's teeth without this concern. If the teen has abnormally small teeth and are receiving veneers to improve their appearance, they might not need alteration. Because the teeth are already thinner than normal, the "no-prep" veneers may not look bulky when directly bonded to them without preparation.
With most cases, though, it might be best to pursue other options that at the very least can make a cosmetic difference until their teeth are mature enough for veneers. For example, we might be able to repair chipped areas with composite resin material that we form and bond to the tooth to achieve a life-like appearance.
We can discuss these and other options for safely improving your teenager's smile. The important thing is to achieve a more confident appearance without endangering their future health.
If you would like more information on cosmetic treatments for teenagers, 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.”
You’ve been embarrassed for a while now by your yellowed, dull teeth. You’re ready for a change.
There’s a simple and cost-effective way to make that change: you can temporarily brighten your smile with teeth whitening, possibly at home. But before you try it, you should first have a dental examination to find out if whitening is the right choice for you.
First off, healthy teeth with outer enamel staining are the best candidates for whitening. Teeth and gums with tooth decay or periodontal (gum) disease should be treated first before undergoing whitening. A dental exam will uncover any health issues you may have with your mouth.
In the same vein, you’ll want to consider whitening carefully if you have dental work like veneers, crowns or implants. Unlike natural teeth, these non-biological materials won’t be affected by the bleaching agent. We can discuss any potential for color mismatch between your whitened natural teeth and your dental work during your examination.
A dental exam can also uncover one other crucial fact — what kind of tooth staining you have. There are two basic types: extrinsic, staining on the outside enamel as we’ve mentioned earlier; and intrinsic, staining that originates from inside a tooth. The whitening kits you purchase from a store and even some of the whitening techniques we use in the office only diminish extrinsic, not intrinsic staining. To address an intrinsically-stained tooth requires a much more involved, invasive clinical technique only performed by dental professionals.
Finally, a dental examination is a good discussion forum for helping you decide between a home kit and a clinical procedure. While DIY kits are effective for the most part, you won’t be able to precisely control the degree of brightness like we can. This could be important if you want a specific shade of whiteness, from a more subtle and natural shade to dazzling “Hollywood” bright. Shade control could also help minimize color mismatch with dental work.
In the end, we want to help you make the best choice for teeth whitening. Even if you decide to pursue whitening at home, we can offer you valuable advice on what to look for when you buy a kit and how to use it. That alone could help ensure you get the new, bright smile you desire!
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 “Important Teeth Whitening Questions…Answered!”