Posts for: September, 2021
Here's some good news: Teenagers are less likely than adults to lose teeth to dental disease. But there's also a flip side. Teens can still lose teeth, more likely from traumatic injury.
Fortunately, there are several options for replacing lost teeth like dentures or bridges. But the choice considered best by most dentists and patients is a dental implant. An implant tooth looks and functions like the real thing—and it's durable, capable of lasting for years, if not decades.
But there's a hitch with teens getting an implant: Even though they may have all their permanent teeth by adolescence, their jaws are still growing and developing. Natural teeth, with their attachment to the jaws by way of a periodontal ligament, can keep pace with this growth—but implants can't.
That's because an implant doesn't have this attachment to gum tissue like natural teeth, but to the jawbone alone. Hence, an implant tooth can't keep up with jaw development, and may eventually look like it's "sunk" into the gums in relation to the teeth around it.
It's best, then, to wait until a teen's jaws have fully developed before attempting an implant. In the meantime, though, they don't have to endure a smile marred by missing teeth, but can replace them with a temporary restoration. The two most common options are a partial denture or a modified bridge.
The partial denture is a lightweight version that's quite affordable. Although not as durable as other types of dentures, the appliance is only intended to last until the patient is old enough for a permanent implant.
The modified bridge is a prosthetic tooth with strips of dental material extending behind it that are bonded to the backs of the teeth on either side to hold it in place. It's likewise not as durable as a traditional bridge, but it can fill the bill until time to place an implant.
Although this adds an additional step in a teen's restorative journey after losing a tooth, it's necessary—waiting to place an implant after jaw maturity will help ensure a long-lasting result. In the meantime, a temporary tooth replacement will help them to enjoy a normal smile.
If you would like more information on dental restorations for teens, 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.”
In addition to the usual tooth and gum problems, dentists also see patients with soft tissue infections in and around the mouth. One of the more common of these is the irritation or "cracking" of the corners of the mouth.
Formally known as angular cheilitis (or perleche, a French word, meaning "to lick"), cracked mouth corners are localized irritations made worse by saliva accumulation or an accompanying yeast infection. They're prominent among children and young adults who drool during sleep or while wearing orthodontic braces.
Older adults can also develop cracked mouth corners because of deep wrinkle lines around the mouth ("marionette lines") or tissue irritation from wearing dentures. Teeth loss, especially in the back of the jaws, can weaken facial support leading to collapse of the bite, which can contribute to angular cheilitis.
The condition can cause anything from minor discomfort at the mouth corners to a yeast infection that spreads throughout the mouth and throat. Whatever the symptoms, treatment usually begins with antifungal medication in the form of a mouthrinse or a topical ointment. The dentist may also prescribe a steroid ointment like zinc oxide paste to control inflammation and serve as a barrier against infection.
If the infection has spread beyond the mouth corners, patients may also need to use an antibacterial mouthrinse (usually chlorhexidine) to clear up the infection and help prevent a relapse. Besides cleaning their appliances with chlorhexidine, denture wearers with angular cheilitis should also take their dentures out at night to reduce the chances of a reoccurrence.
Along the same vein, patients who contend with frequent cracked mouth corners and who have missing teeth should have those teeth replaced by some form of restoration. If that involves dentures, it's important to maintain a good fit with them to reduce the chances of tissue irritation. And patients with deep wrinkle lines around their mouth may be able to lessen them through dermatological treatment.
Even though cracked mouth corners rarely pose a major health problem, the discomfort they cause can be a drag on your daily life and activities. Remember that you don't have to suffer—a visit to your dentist could start you on your journey toward relief from this irritating problem.
If you would like more information on angular cheilitis and similar mouth conditions, 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 “Cracked Corners of the Mouth.”
Advanced cosmetic dental techniques are helping people around the world achieve their dream smiles. But long before many of these procedures existed, straightening teeth with braces could make a big difference in a person's appearance.
Improving a smile isn't the primary reason a person should undergo teeth straightening—a poor bite can lead to an unhealthy mouth. Misaligned teeth set up conditions in which you're more prone to diseases like tooth decay or gum disease. Correcting a bite should be first and foremost about protecting your dental health.
Even so, realigning your teeth can lead to a more attractive smile—and it's often necessary first before undergoing other cosmetic restorations. Think of it like renovating a house. You usually need to fix a faulty foundation before you start building an addition.
That's why it's always a good idea to get a complete dental exam before undertaking cosmetic work. There may be underlying problems that should be treated first. If that includes a poor bite, your next visit will most likely be with an orthodontist. Using advanced diagnostics, they'll determine what kind of bite problem you have and what it will take to correct it.
In years past, that meant braces. But now patients have another option: clear aligners, a series of clear plastic trays based on the individual patient's teeth. Each tray in the series is worn for about two weeks in succession, each new tray taking up where the other tray left off moving the teeth. Not only are they nearly invisible to observers, they can be removed for eating, cleaning or special occasions.
On the cosmetic front, straightening your teeth may be all you need to realize a more attractive smile. But orthodontics can also be part of an overall "smile makeover" that may include other cosmetic procedures, usually performed after realigning the teeth. In this case, it's often necessary to coordinate orthodontic treatment with these other procedures, especially if it's necessary to remove some teeth.
Whether it stands alone or is part of an overall makeover plan, straightening teeth can be a game changer when it comes to your appearance. Not only will it help you have healthier teeth and gums, it could give you the new smile you desire.
If you would like more information on orthodontic treatment, 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.”