Posts for: May, 2019
Dental veneers are a great way to transform a smile without the expense or effort often required of other restorations. These thin layers of dental material adhere to the front of teeth as a "mask" to cover chips, heavy staining or other blemishes.
Still, veneers require attention to detail for a successful outcome. Here's a step-by-step look at changing your dental appearance with veneers.
Step 1: Considering your options. While most veneers are made of dental porcelain, composite resin materials are increasingly popular. Although more prone to chipping or staining, composite veneers don't require a dental lab for fabrication. Another option, depending on your dental situation, are ultra-thin veneers that require little to no tooth preparation. Your dentist will help you decide which options are best for you.
Step 2: "Test driving" your new smile. We can help you "see" your future smile with special software that creates a computer image of your teeth with the planned veneers. We can also use composite material to fabricate a "trial smile" to temporarily place on your teeth that can give you the feel as well as the look of your future smile.
Step 3: Preparing your teeth. Unless you're getting no-prep veneers, we'll need to modify your teeth before attaching veneers. Although only 0.3 to 0.7 millimeters thick, veneers can still appear bulky on unprepared teeth. They'll look more natural if we first remove a small amount of enamel. A word of caution, though: although slight, this enamel removal permanently alters your teeth that will require them to have some form of restoration from then on.
Step 4: Attaching your new veneers. After the planning phase (which includes color matching to blend the veneers with the rest of your teeth), a dental lab creates your veneers if you've opted for porcelain. After they're delivered, we'll clean and etch the teeth with a mild acidic gel to increase the bonding effect. We'll then permanently attach the veneers to your teeth with a very thin but ultra-strong resin luting cement that creates a unified bond between the veneers and teeth.
Following these steps is the surest way to achieve a successful outcome. With due care you're sure to enjoy the effects for a long time to come.
If you would like more information on changing your smile with veneers, 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 “Porcelain Veneers: Your Smile—Better than Ever.”
Losing a tooth can be traumatic, but a dental implant can dramatically turn that experience around. Providing functionality, life-like appearance and durability, implants stand out as the premier restoration for lost teeth.
For adults, that is. An older child or teenager with a missing tooth may need to wait a few more years for an implant. The reason: jaw development. A person's jaws, particular the upper jaw, continue to grow with most growth completed by early adulthood. Natural teeth with their periodontal attachments develop right alongside the jaw.
But because an implant attaches directly to the jawbone, its position is fixed: it won't change as the jaw grows and may gradually appear to sink below the gum line. That's why we wait to place an implant until most of jaw maturity has occurred after full jaw maturity. For females, we try to wait until 20 years of age and for males, usually 21 years of age. These are guidelines as some people mature faster and some slower, so a discussion with your dentist or surgeon is necessary to make an educated decision.
While we wait, we can install a temporary replacement for a child's or teenager's lost tooth, usually a partial denture or fixed modified ("Maryland") bridge. The latter affixes a prosthetic (false) tooth in the missing tooth space by attaching it to the back of natural teeth on either side with bonded dental material. It differs from a traditional bridge in that these supporting teeth aren't permanently altered and crowned to support the bridge.
During the time before implants we should understand that the area where the implant will be placed will undergo some bone deterioration, a common consequence of missing teeth. Forces generated as we chew travel through the teeth to stimulate renewing bone growth all along the jawbone. But with a lost tooth the chewing stimulation ceases at that part of the bone, slowing the growth rate and leading to gradual bone loss.
Fortunately, the titanium posts of dental implants stimulate bone growth as bone cells naturally grow and adhere to their surfaces. Before then, though, if the bone volume is diminished, we may need to graft bone material to stimulate bone growth that will enlarge the jaw bone enough for an implant to be placed.
It usually isn't a question of "if" but "when" we can provide your child with an implant for their missing tooth. In the meantime, we can prepare for that day with a temporary restoration.
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 “Dental Implants for Teenagers.”
May is National Save Your Tooth Month, and tooth decay is a leading cause of lost teeth. It all begins with oral bacteria growing rapidly in built-up deposits of dental plaque, and in turn producing high levels of acid. At these levels, acid can erode the minerals in tooth enamel to create holes (“cavities”) that allow bacteria to enter the tooth and infect it.
If at all possible, we need to try to stop tooth decay early by disinfecting and filling these cavities. If not, decay can spread through the teeth to the underlying nerve (pulp) tissue, following passageways known as root canals. If this happens, the chances for saving the tooth are extremely low.
But if the decay does reach the tooth’s innermost layer—the pulp—filling the cavities won’t be enough. Decay this advanced requires a procedure known as root canal therapy, or a root canal for short.
If you winced a little, it’s understandable: Root canals have gained an unfair reputation as an unpleasant experience. In reality, a root canal performed by a skilled dentist or endodontist (a specialist in root canals) isn’t painful. In fact, if you come in with a painful tooth, you’re very likely to leave after the procedure without any pain.
Root canal procedures can vary depending on the type of tooth and the intricacy of its root canal network. Essentially, though, we remove the diseased pulp tissue, and then clean and fill the empty pulp chamber and root canals. This stops the infection and, along with sealing and crowning the tooth, helps prevent a future re-infection.
How do you know if you need a root canal? You may find out from us if we discover advanced decay during a checkup or cleaning appointment. But you may encounter signs yourself like a throbbing toothache, pain during and after eating and drinking, or gum tenderness around a tooth. These are all possible indications of tooth decay.
If you experience any of these signs, you should see us as soon as possible for an examination. And don’t cancel your appointment if the pain goes away—this could simply mean the nerves in the pulp have died and are no longer transmitting pain signals. The infection, though, could still be there and continuing its rampage beyond the tooth and into the surrounding bone tissue.
Root canal therapy may not seem glamorous, but it’s an excellent option for a diseased tooth that would otherwise have to be removed. A root canal could get rid of your pain and give your troubled tooth a new lease on life!
If you would like more information about treating advanced tooth decay, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Common Concerns About Root Canal Treatment” and “Root Canal Treatment: What You Need to Know.”