Posts for: May, 2019
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.”
Even with modern prevention and treatment advances, losing teeth in later life is still a sad but common part of human experience. Just as generations have before, many today rely on dentures to regain their lost dental function and smile.
But although effective, dentures have their weaknesses. The most serious: they can't prevent jawbone deterioration, a common problem associated with tooth loss.
Bone health depends on chewing forces applied to the teeth to stimulate replacement growth for older bone cells. When teeth are gone, so is this stimulation. Dentures can't replicate the stimulus and may even accelerate bone loss because they can irritate the bone under the gums as they rest upon them for support.
But there's a recent advance in denture technology that may help slow or even stop potential bone loss. The advance incorporates implants with dentures to create two hybrid alternatives that may be more secure and healthier for the supporting bone.
The first is known as an overdenture, a removable appliance similar to a traditional denture. But instead of deriving its support from the gums alone, the overdenture attaches to three to four implants (or only two, if on the lower jaw) that have been permanently set into the jawbone. This not only increases stability, but the implants made of bone-friendly titanium attract and foster increased bone growth around them. This can help slow or even stop the cycle of bone loss with missing teeth.
The second type is a fixed denture. In this version, four to six implants are implanted around the jaw arch. The denture is then secured in place to these implants with screws. It's a little more secure than the overdenture, but it's also more expensive and requires good quality bone at the implant sites.
If you've already experienced significant bone loss you may first need bone grafting to build up the implant sites for these options, or choose traditional dentures instead. But if you're a good candidate for an implant-supported denture, you may find it provides better support and less risk of continuing bone loss than traditional dentures.
If you would like more information on implant-supported dental restorations, 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 “Overdentures & Fixed Dentures.”
Unlike our primitive ancestors, our teeth have it relatively easy. Human diets today are much more refined than their counterparts from thousands of years ago. Ancient teeth recovered from those bygone eras bear that out, showing much more wear on average than modern teeth.
Even so, our modern teeth still wear as we age—sometimes at an accelerated rate. But while you can't eliminate wearing entirely, you can take steps to minimize it and preserve your teeth in your later years. Here are 3 things you can do to slow your teeth's wearing process.
Prevent dental disease. Healthy teeth endure quite well even while being subjected to daily biting forces produced when we eat. But teeth weakened by tooth decay are more susceptible to wear. To avoid this, you should practice daily brushing and flossing to remove disease-causing dental plaque. And see your dentist at least twice a year for more thorough dental cleanings and checkups.
Straighten your bite. A poor bite, where the top and bottom teeth don't fit together properly, isn't just an appearance problem—it could also cause accelerated tooth wear. Having your bite orthodontically corrected not only gives you a new smile, it can also reduce abnormal biting forces that are contributing to wear. And don't let age stop you: except in cases of bone deterioration or other severe dental problems, older adults whose gums are healthy can undergo orthodontics and achieve healthy results.
Seek help for bruxism. The term bruxism refers to any involuntary habit of grinding teeth, which can produce abnormally high biting forces. Over time this can increase tooth wear or weaken teeth to the point of fracture or other severe damage. While bruxism is uncommon in adults, it's still a habit that needs to be addressed if it occurs. The usual culprit is high stress, which can be better managed through therapy or biofeedback. Your dentist can also fashion you a custom guard to wear that will prevent upper and lower teeth from wearing against each other.
If you would like more information on minimizing teeth wear, 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 “How and Why Teeth Wear.”