Posts for category: Dental Procedures
Just like adults, teenagers experience chipped, stained or disfigured teeth. And during a life stage where issues with appearance can be acutely painful, these defects call out for a solution.
And, there is one: porcelain veneers. These thin wafers of custom-made porcelain are bonded to the front of teeth to cover dental flaws. They’re one of the least invasive—and most affordable—methods for smile enhancement.
There is one caveat, though: The affected teeth will most likely need alteration. Veneers can look bulky when bonded directly to teeth, so we compensate for this by removing some of the surface enamel. This changes the tooth permanently, to the point that it will always require a veneer or some other form of restoration.
But although this may be a minor issue for an adult, it could pose a problem for a teenager. That’s because the pulp, the innermost layer of a tooth containing nerves and blood vessels, is larger in a younger adolescent tooth than in an older adult tooth. Because of its size, it’s closer to the tooth’s surface. During enamel reduction for veneers on a young tooth, this could lead to inadvertent nerve damage. If that happens, the tooth may need a root canal treatment to preserve it.
If the adolescent tooth needing a “facelift” has already been root canaled or sustained significant structural damage, then altering it for veneers may not be too concerning. Likewise, if the teeth are smaller than normal, the bulkiness of a veneer may actually improve appearance and not require alteration. We’ll need to examine a young patient first before making any recommendations.
There are also alternatives to veneers for improving smile appearance. Enamel staining could be enhanced temporarily with teeth whitening. Small chips can be repaired with bonded dental material, or in skilled hands be used to “build” a veneer one layer at a time with no enamel reduction. Although not as durable as regular veneers, these bonding techniques could buy time until the tooth is more mature for veneers.
Whichever path we take, there are effective ways to transform a teenager’s flawed tooth. And that can make for an even better smile.
If you would like more information on dental restorations 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.”
Once upon a time, celebrities tried hard to maintain the appearance of red-carpet glamour at all times. That meant keeping the more mundane aspects of their lives out of the spotlight: things like shopping, walking the dog and having oral surgery, for example.
That was then. Today, you can find plenty of celebs posting pictures from the dentist on social media. Take Julianne Hough, for example: In 2011 and 2013, she tweeted from the dental office. Then, not long ago, she shared a video taken after her wisdom teeth were removed in December 2016. In it, the 28-year-old actress and dancer cracked jokes and sang a loopy rendition of a Christmas carol, her mouth filled with gauze. Clearly, she was feeling relaxed and comfortable!
Lots of us enjoy seeing the human side of celebrities. But as dentists, we’re also glad when posts such as these help demystify a procedure that could be scary for some people.
Like having a root canal, the thought of extracting wisdom teeth (also called third molars) makes some folks shudder. Yet this routine procedure is performed more often than any other type of oral surgery. Why? Because wisdom teeth, which usually begin to erupt (emerge from beneath the gums) around age 17-25, have the potential to cause serious problems in the mouth. When these molars lack enough space to fully erupt in their normal positions, they are said to be “impacted.”
One potential problem with impacted wisdom teeth is crowding. Many people don’t have enough space in the jaw to accommodate another set of molars; when their wisdom teeth come in, other teeth can be damaged. Impacted wisdom teeth may also have an increased potential to cause periodontal disease, bacterial infection, and other issues.
Not all wisdom teeth need to be removed; after a complete examination, including x-rays and/or other diagnostic imaging, a recommendation will be made based on each individual’s situation. It may involve continued monitoring of the situation, orthodontics or extraction.
Wisdom tooth extraction is usually done right in the office, often with a type of anesthesia called “conscious sedation.”Â Here, the patient is able to breathe normally and respond to stimuli (such as verbal directions), but remains free from pain. For people who are especially apprehensive about dental procedures, anti-anxiety mediation may also be given. After the procedure, prescription or over-the-counter pain medication may be used for a few days. If you feel like singing a few bars, as Julianne did, it’s up to you.
If you would like more information about wisdom tooth extraction, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”
Before you consider cosmetic changes to your smile, ask yourself one question: how's your bite? How your teeth are positioned and aligned doesn't just affect their function — it also affects your appearance. A proper bite is foundational to a beautiful smile — and it deserves your attention first.
Here are 3 important steps for addressing your bite problem on your way to a more attractive smile.
Get an orthodontic evaluation. Only a dentist or orthodontist can determine if your teeth are properly aligned and working well with each other — and if not, why. With their knowledge and expertise they'll be able to tell you what specific bite problem (malocclusion) you have and the best treatment to correct it to support any future cosmetic enhancement.
Consider your tooth-movement options carefully. If you have a malocclusion, your dentist or orthodontist may recommend correction before undertaking other cosmetic work. In most cases, you'll have two choices. The first is traditional metal braces, which uses wires held in place and anchored by brackets cemented to the teeth. They're effective, but must be fixed in place and aren't considered attractive. The other choice is clear aligners, which use custom removable plastic trays worn in sequence to gradually move teeth. They're easier for oral hygiene and are hardly noticeable to others, but may not work in every bite situation.
Don't slack on the retainer phase of treatment. The day will come when the braces or aligners come out of your mouth for good. But your realignment project isn't over — you'll need to wear a retainer appliance for a while. Re-aligned teeth can relapse to their former positions, so it's essential you wear a retainer to keep them where they've been moved. Without a retainer, all the time and effort invested in your bite will have been to no avail.
In a nutshell: get the big picture about your bite, choose the treatment best for you and follow through on every phase. The end result will be a solid platform for the smile you've always dreamed about.
If you would like more information on orthodontic treatments, 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 “The Magic of Orthodontics: The Original Smile Makeover.”
Despite everyone’s best efforts, one of your child’s primary (“baby”) teeth has become decayed to the point it might be lost prematurely. Saving it would require extensive treatment like capping it with a crown or performing a pulpotomy, similar to a root canal treatment.
You may be thinking: since it’s going to come out eventually, why go to the expense of trying to preserve it longer? Actually, there are good reasons to save a baby tooth depending on your child’s age — for now and for the future. Here are 4 of them.
They’re important for nutrition. Baby teeth are quite similar to permanent teeth — not only do they look like them, they perform like them too, enabling a growing child to chew and digest food needed to boost their development. Even the loss of one tooth for an extended period makes effective chewing harder.
They’re important for speech development. With their first words, children develop speech patterns rather quickly. Their baby teeth play an important role in this: just like permanent teeth, they provide the tongue with points of contact for making a variety of sounds. A missing tooth for a prolonged period could interfere with making certain sounds and could have a stunting effect on their speech development.
They’re important for permanent teeth eruption. Baby teeth also serve as placeholders for their successors, the permanent teeth that are in development just under the gums. A baby tooth normally remains until the permanent tooth is ready to erupt within the path set by the primary. If they’re lost prematurely, the permanent tooth may not erupt as it should; and adjacent permanent teeth can drift toward the empty space and out of alignment.
They’re part of their smile. Baby teeth help children fit in socially with adults and other children — they help them look normal. A missing tooth stands out when they smile — and not in a good way. This could impact the way they interact socially with others, extending even into adulthood.
If you would like more information on dental care for your child, 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.”
The term “root canal” is a part of our social lexicon, and not always with a positive meaning. But contrary to its negative reputation, a root canal treatment can make all the difference in your dental health.
Here are 3 things you may not know about this important procedure.
A root canal treatment is a “tooth” saver. Decay deep inside the tooth pulp puts the entire tooth at risk. The infection not only destroys nerves and tissue in the pulp, it has a direct path to the root through tiny passageways known as root canals. By cleaning out this infected tissue, then filling the empty pulp chamber and the root canals with a special filling, the procedure stops the disease from further harm and seals the tooth from future infection. Without it, it’s highly likely the tooth will be lost and other teeth threatened by the infection.
A root canal doesn’t cause pain — it relieves it. The biggest misconception about root canal treatments is their supposed painfulness. That’s just not true, thanks to anesthetic techniques that numb the teeth and gums — and any discomfort afterward is quite manageable with mild anti-inflammatory drugs like ibuprofen. The procedure actually stops the real pain, caused by the infection damaging and finally killing the tooth’s nerves, when it stops the infection.
Root canal treatments are even more effective thanks to recent advancements. Not all infected tooth situations are the same: some teeth have smaller offset passageways called accessory canals that grow off a larger root canal that can be quite difficult to detect and access. Missing them can leave the door open for re-infection. In recent years, though, endodontists, specialists in root canal disorders, have improved the way we address these complications using advanced technologies like specialized microscopic equipment and new filling techniques. The result: a lower risk of re-infection and a higher chance of long-term success.
Hopefully, you’ll continue to enjoy good dental health and won’t need a root canal treatment. But if you do, rest assured it won’t be the unpleasant experience you might have thought — and will be a welcomed solution to pain and threatening tooth loss.
If you would like more information on root canal treatments, 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 “A Step-By-Step Guide to Root Canal Treatment.”