Posts for category: Dental Procedures
The third molars, called “wisdom teeth” because they usually become visible when a person is 17 to 25 — supposedly the time we achieve wisdom, may have adverse effects on adjacent teeth. Most adults have four wisdom teeth, although some people have more; and some, none at all. The wisest thing to do about wisdom teeth may be to have them removed if they are poorly positioned.
What is an impacted wisdom tooth?
If a wisdom tooth is pushing against gums, other soft tissues, or adjacent teeth at an awkward angle, it is referred to as “impacted.” Usually this occurs when there is not have enough room in the jaws for these last molars to fit next to their adjacent teeth. They can disrupt the gum tissue attachment of their neighboring teeth and the surrounding bone leading to periodontal disease and, ultimately, their loss.
In many cases, impacted teeth are painless, and those who have them have no warning of the problem. Thus it is important to have routine dental exams during the time when the third molars are coming in.
When should wisdom teeth be removed?
It is better to remove wisdom teeth early rather than waiting until periodontal (gum) disease has set in. As individuals age, keeping their wisdom teeth may lead to more serious problems. Periodontal defects tend to get worse in the presence of retained third molars. Furthermore, there is a higher incidence of postoperative symptoms in people over 25.
What are the pros and cons?
Removing impacted third molars can have a negative influence on the periodontal tissues of adjacent second molars. A number of techniques, such as scaling, root planing, and bacterial plaque control, can be used to minimize periodontal problems and promote healthy healing.
Surgical removal of wisdom teeth will involve some mild to moderate post-operative discomfort. Use of aspirin or ibuprofen for a few days after surgery will provide pain relief and control most swelling and symptoms. Antibiotics may be prescribed to ensure infection-free healing. It is important to keep the socket area clean by washing and rinsing with saline or antibacterial rinses. Careful surgery will promote good healing with minimal periodontal consequences to adjacent second molar teeth.
To decide whether your wisdom teeth should be removed, you will need an evaluation to assess the clinical health of the wisdom teeth, the neighboring teeth, and other vital structures. X-ray and digital imaging techniques play an important role in determining the exact position of the wisdom teeth in the jaw. A full assessment and consultation will include all the risks, benefits, likely consequences, and alternative treatment options. This will provide you with the wisdom you need to determine what is best for your wisdom teeth.
To learn more about wisdom teeth, read “To Be or Not to Be: What are the consequences of an impacted wisdom tooth?” Or contact us today to discuss your questions or to schedule an appointment.
Designing a better smile sometimes requires a change in the size, shape, or color of your teeth. Porcelain laminate veneers (thin layers of dental ceramic material) enhance your appearance by replacing the natural enamel on the outside of your teeth. A veneer is physically bonded to the surface of a tooth, in essence, becoming part of it.
Traditionally, a small amount of the natural tooth enamel is drilled away to allow room for the veneer. But today, in some circumstances, it is possible to use an approach where enamel reduction or preparation is not necessary because the veneers can be bonded directly onto the tooth's natural surface. These are called “Prepless” or “No-prep” veneers, and are used to create aesthetically pleasing and natural looking restorations. An advantage of the prepless procedure is that the process is reversible so that you can give your new smile a “test drive.”
You may be a good subject for Prepless veneers if:
- Your smile is narrow because the teeth in the sides of your smile are positioned inward and do not show from a frontal view.
- There is spacing between your teeth, and the teeth appear too small.
- You have a fairly common genetic condition in which one or both of the teeth directly next to the two upper front teeth are very small and peg-shaped.
- There is an imbalance between the size of your lips and teeth (large lips and small teeth), which are not in proportion to show off your best smile.
Prepless veneers are probably not for you if:
- Your teeth are not aligned properly in your bite.
- Your teeth are very crowded, resulting in poor facial profile.
- Your teeth are already relatively large or positioned forward.
In these cases you may need to have some form of orthodontic treatment to move your teeth into better position. Sometimes veneers can be used to create an illusion of proper tooth alignment, but some amount of tooth reduction may be required.
We can assess whether prepless veneers are right for you. There is no substitute for an expert dentist's talent and expertise with the various cosmetic techniques available today. These skills combined with a thorough diagnostic evaluation, and a clear understanding of your goals, are the keys to providing you with a successful and beautiful smile.
Contact us today to schedule an appointment or to discuss your questions about cosmetic dentistry. You can also learn more about prepless veneers by reading the Dear Doctor magazine article “Porcelain Veneers Without the Drill.”
The goal of restorative dentistry is to return the teeth to full form (shape) and function. For years, a key tool for achieving this goal has been through the use of metal amalgams (silver looking dental fillings). However, this technique does have some disadvantages. One is the fact that they can involve removal of healthy tooth structure to retain them. Too much “undercutting” can undermine and weaken a tooth resulting in less resistance to biting forces possibly leading to fatigue fractures and cracked tooth syndrome. Another approach is call “biomimetic” which literally means mimicking life. This approach to dentistry is made possible through the structured use of tooth-like materials such as composite resins. Scientific studies and clinical experience have validated their use as both safe and predictable.
By mimicking life, we rely upon our delicate balance of artistry, experience and expertise to provide you with properly restored teeth that function and wear normally, while appearing indistinguishable from natural teeth. Dental composite are now the most commonly used materials for tooth-colored adhesive restorations and have properties similar to a natural tooth's enamel and dentin. They consist of resin which are plastic and fillers made of silica (a form of glass). The fillers give the composites wear resistance and translucency (see through properties). However, most of the properties of enamel are also mimicked quite well by dental porcelains. Porcelains are a form of ceramic, that are formed by the action of heat. Dental porcelains come in all colors and shades so we can easily and perfectly match the color of virtually any natural tooth. As for longevity, porcelain is typically your best option because it is the closest option in mimicking a natural tooth.
To learn more on this subject, you can continue reading the Dear Doctor magazine article “The Natural Beauty of Tooth Colored Fillings.” Or contact us today to schedule an appointment to discuss your specific questions.
When it comes to restoring both the beauty and functionality of a smile, two of the most commonly used techniques are porcelain crowns and veneers. Why? They consistently deliver beautiful, natural-looking results that are permanent and require very little maintenance. And while they have many things in common, they also have just as many differences.
Here are some facts that apply to both porcelain veneers and crowns:
- Both enable changes to a tooth's color and shape.
- Dental laboratory technicians use precise molds made by our office to hand-craft porcelain veneers and crowns.
- Both are made using high-quality dental porcelain.
- Neither respond to tooth whitening products — the color of the veneer or crown remains the same color as the day it was placed.
- Neither procedure is reversible once completed.
Here are some of their differences:
- Crowns are used to replace a larger amount of tooth structure while veneers are thin shells that are placed over the front surface of teeth.
- Veneers require much less tooth preparation (reduction by drilling) than crowns.
- Crowns allow for greater change of tooth shape, while veneers allow for more minor changes.
- Crowns are generally used to restore teeth that have lost tooth structure from decay or trauma.
- Veneers are generally used where teeth are structurally healthy and intact, but color and shape change are required.
- Veneers are used mostly for teeth that are visible when smiling, while crowns can be used to restore virtually any tooth.
Want To Learn More?
We are often asked about restorative and cosmetic dentistry procedures and the role they play in a smile makeover. We are also faced with people wondering whether or not they can benefit from treatment. For this reason, we developed the following self-assessment to help you determine whether or not cosmetic dentistry is right for you.
- Do you avoid smiling in public or for photos?
- Are you self-conscious about spaces and gaps between your teeth?
- Do your teeth make you look older than you feel?
- Have you ever held back or restrained a smile?
- Do you feel that your teeth are stained or yellow?
- Do you hold your hand in front of your mouth when talking, laughing or smiling?
- Do your teeth look old and worn down, making you look and feel older?
- Do your teeth appear short because of a “gummy” smile?
- Are your teeth crooked, chipped or crowded?
- Do you wish you had someone else's smile?
If you answered, “yes” to one or more of the above questions, then you could benefit from a smile makeover. However, that is the easiest part of the process. The next step is the one that probably matters the most — scheduling a consultation with us. During this appointment you can discuss the specifics that bother you about your smile using your responses from our self-assessment test. You can also learn about the many treatment options available for providing you with the smile of your dreams.