When considering “smile makeover” options, it’s easy to focus on whitening, veneers or implants — techniques and materials focused mainly on the teeth and gums. But if you don’t also consider the bigger picture of how your upper and lower teeth come together to form your bite, these efforts may be a lot like picking out paint colors for a house with foundation problems.
That’s why orthodontics, the dental specialty concerned with the bite, could be a consideration in your smile makeover plan. Moving teeth into better positions not only improves your teeth’s function and health it could also help facilitate any cosmetic changes that follow.
The first step, of course, is to visit an orthodontist, a dentist with advanced training and experience in tooth alignment and function, for a comprehensive evaluation. Orthodontists are also knowledgeable in the growth and development of the bite, and so can develop a treatment approach that reflects the patient’s needs, whether a child or adult.
Treatments vary, depending on your particular needs. Fixed appliances like metal or clear braces that can’t be removed by the patient are the standard treatment for most malocclusions (bad bites). Clear aligners, removable trays that fit over the teeth with programmed incremental movements of the teeth, find the greatest application with adults. Orthodontists may also use specialized appliances, like temporary anchorage devices (TADs), which work to isolate teeth that need to be moved from those that don’t.
In comprehensive makeovers, orthodontists will work with a team of other dentists and specialists, including periodontists (specializing in the gums, bone and other supporting structures of the teeth) and oral surgeons. In these cases, orthodontic treatment may occur before or after other treatments with the overall goal of producing a beautiful, transformed smile.
If you would like more information on how orthodontics can transform your smile, 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.”
We all need a good night's sleep, both in quantity and quality. That's why the Better Sleep Council promotes Better Sleep Month every May with helpful tips on making sure you're not only getting enough sleep, but that it's also restful and therapeutic. The latter is crucial, especially if you have one problem that can diminish sleep quality: nocturnal teeth grinding.
Teeth grinding is the involuntary movement of the jaws outside of normal functioning like eating or speaking. You unconsciously grind teeth against teeth, increasing the pressure of biting forces beyond their normal range. It can occur while awake, but it is more common during sleep.
The habit is fairly widespread in children, thought to result from an immature chewing mechanism. Children normally outgrow the habit, and most healthcare providers don't consider it a major concern.
But teeth grinding can also carry over or arise in adulthood, fueled in large part by stress. It then becomes concerning: Chronic teeth grinding can accelerate normal age-related tooth wear and weaken or damage teeth or dental work. It may also contribute to jaw joint pain and dysfunction related to temporomandibular disorders (TMD).
If you notice frequent jaw tenderness or pain, or a family member says they've heard you grind your teeth at night, you should see us for a full examination. If you are diagnosed with teeth grinding, we can consider different means to bring it under control, depending on your case's severity and underlying causes.
Here are some things you can do:
Alter lifestyle habits. Alcohol and tobacco use have been associated with teeth grinding. To reduce episodes of nighttime teeth grinding, consider modifying (or, as with tobacco, stopping) your use of these and related substances. Altering your lifestyle in this way will likely also improve your overall health.
Manage stress. Teeth grinding can be a way the body “lets off steam” from the accumulated stress of difficult life situations. You may be able to reduce it through better stress management. Learn and practice stress reduction techniques like meditation or other forms of relaxation. You may also find counseling, biofeedback or group therapy beneficial.
Seek dental solutions. In severe cases, there are possible dental solutions to reducing the biting forces generated by teeth grinding. One way is to adjust the bite by removing some of the structure from teeth that may be more prominent than others. We may also be able to create a bite guard to wear at night that prevents teeth from making solid contact with each other.
These and other techniques can be used individually or together to create a customized treatment plan just for you. Minimizing teeth grinding will help ensure you're getting the most out of your sleep time, while protecting your dental health too.
What makes a beautiful smile? Beautiful teeth, for sure. But there's also another component that can make or break your smile, regardless of your teeth's condition: your gums. Although their primary function is to protect and stabilize the teeth, your gums also enhance them aesthetically by providing an attractive frame.
But just as a painting displayed in an oversized frame can lose some of its appeal, so can your smile if the size of your gums appears out of proportion with your teeth. Normally, a smile that displays more than four millimeters of gum tissue is considered “gummy.”
There are some things we can do to improve your gum to teeth ratios. What we do will depend on which of the following is the actual cause for your gummy smile.
Excess gum tissue. We'll start with the obvious: you have excess gum tissue that obscures some of the visible tooth crown. We can often correct this with a surgical procedure called “crown lengthening,” which removes some of the excess tissue and then reshapes the gums and bone to expose more teeth length.
Teeth that appear too short. The problem may not be your gums — it could be your teeth appear too short. This can happen if the teeth didn't erupt fully, or if they've worn down due to aging or a grinding habit. One option here is to “lengthen” the tooth cosmetically with veneers, crowns or other bonding techniques.
Higher lip movement. Rather than your teeth and gums being out of size proportion, your upper lip may be rising too high when you smile, a condition known as hypermobility. One temporary fix is through Botox injections that paralyze the lip muscles and prevent their movement from overextending. We could also use periodontal surgery to perform a lip stabilization procedure that permanently corrects the upper lip movement.
Overextended jaw. Your gums may seem more prominent if your upper jaw extends too far down and forward. In this case, orthognathic (jaw straightening) surgery might be used to reposition the jaw relative to its connection with the skull. Setting the jaw up and back in this way would reduce the prominence of the gums when you smile.
As you can see, treatments range from cosmetic techniques to moderate surgical procedures. A full dental exam will help determine which if any of these measures could reduce gumminess and improve your smile.
If you would like more information on correcting gummy smiles, 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 “Gummy Smiles.”
Your baby is turning one year old—and it's time for their first dental visit! Both the American Dental Association (ADA) and the American Academy of Pediatrics recommend your child first see the dentist around this milestone birthday.
You'll also have a decision to make: do you see your family dentist or a pediatric dentist? While your family dentist can certainly provide quality care for your child, there are also good reasons to see a dentist who specializes in children and teenagers.
The "fear factor." Children are more likely than adults to be anxious about dental visits. But pediatric dentists are highly trained and experienced in relating to children one on one and in clinical techniques that reduce anxiety. Their offices also tend to be "kid-friendly" with bright colors and motifs that appeal to children. Such an atmosphere can be more appealing to children than the more adult environment of a general dentist's office.
The "development factor." Childhood and adolescence are times of rapid physical growth and development, especially for the teeth, gums and jaw structure. A pediatric dentist has extensive knowledge and expertise in this developmental process. They're especially adept at spotting subtle departures from normal growth, such as the early development of a poor bite. If caught early, intervention for emerging bite problems and similar issues could lessen their impact and treatment cost in the future.
Special needs. The same soothing office environment of a pediatric clinic that appeals to children in general could be especially helpful if your child has special needs like autism or ADHD. Some children may also be at risk for an aggressive and destructive form of tooth decay known as early childhood caries (ECC). Pediatric dentists deal with this more commonly than general dentists and are highly trained to prevent and treat this aggressive form of tooth decay.
Seeing a pediatric dentist isn't a "forever" relationship: Once your child enters early adulthood, their care will continue on with a general dentist. But during those early years of rapid development, a pediatric dentist could give your child the insightful care they need to enjoy optimum dental health the rest of their lives.
If you would like more information on pediatric dental care, 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 “Why See a Pediatric Dentist?”
Gum recession is a serious oral condition in which the gums shrink back or “recede” from their normal position around the teeth. Because they're the primary protection for teeth below the enamel, this can expose the teeth to infection or cause painful sensitivity. And receded gums most certainly can diminish your smile.
But there are preventive measures you can adopt that might help you avoid this unpleasant condition. Here are 4 things you can do to minimize your risk for gum recession.
Practice daily oral hygiene. The main cause for recession is gum disease, a bacterial infection that weakens gum attachment to teeth. Gum disease usually arises from dental plaque, a thin bacterial film that builds up on teeth. Removing it every day with brushing and flossing minimizes the risk of gum disease and gum recession.
But don't overdo it. Although brushing is key to keeping your mouth healthy, too hard and too often can damage your gums and lead to recession. A little “elbow grease” may be appropriate for other cleaning tasks, but not your teeth—use gentle strokes and let the mild abrasives in your toothpaste do the main removal work. And avoid brushing more than twice a day.
See your dentist regularly. Your personal care efforts are a major part of preventing gum recession, but you can greatly increase the effect with professional dental care. That's because with even the best hygiene practice infections and other gum problems can still arise. You may also have inherited thinner gum tissues from your parents that increase your disease risk and bear closer monitoring.
Act quickly at the first signs of disease. Gum disease is a progressive disease, and it doesn't take long for it to become intrenched. The sooner it can be treated, the less likely you'll experience recession. So, make a dental appointment as soon as possible if you notice your gums are swollen, red or painful, or if they bleed easily after brushing.
There are ways to reverse gum recession. But many treatments like grafting surgery to regenerate new gum tissues can be quite involved and expensive. Following these tips can help you avoid gum recession altogether or stop it before it goes that far.
If you would like more information on how to avoid gum recession, 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 “Gum Recession: Getting Long in the Tooth.”
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