We now have an amazing repertoire in dentistry to restore the look and function of damaged or missing teeth. From tooth-colored crowns to life-like dental implants, we can turn an embarrassing smile into one you’re confident to show the world.
But what if your teeth are visually unappealing but structurally sound? Perhaps they’re slightly irregular or discolored — do you still need the “heavy artillery” in our arsenal of restoration options?
Not at all — dental veneers that provide amazing aesthetic results with minimal tooth preparation may be an appropriate restoration choice for you. As the name implies, veneers are a thin layer of dental material (usually porcelain) that’s permanently bonded to the outside of a tooth. Veneers can be shaped to resemble natural teeth — especially effective for changing the appearance of small or slightly misshapen teeth — and can be customized to match an individual patient’s tooth color.
Veneered teeth require very little preparation compared to other restorations; still, most veneer applications do require some permanent enamel removal so that the applied veneers appear natural. In recent years, however, changes in veneer design and materials have made it possible for some patients to receive veneers without some tooth prep.
If taken care of properly, veneers can last anywhere from seven to twenty years (in some cases, more). While their material composition and the bonding process can withstand normal biting forces, wearers need to keep in mind porcelain is a form of glass — excessive twisting or pressures from excessive grinding habits could cause them to shatter.
And because veneers are made of an inert, non-living material, they can’t adapt to any changes that may occur biologically to your teeth and gums and may need to be updated at some point in the future. The good news is that a loosened veneer can often be repaired.
If you’d like to know if you’re a good candidate for this cost-effective, minimally invasive option, visit us for an examination. Balancing all the factors, porcelain veneers just may be your answer to achieving a better smile.
If you would like more information on porcelain 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.”
Chewing tobacco has a certain cachet among its users, especially young boys and men, who believe using it makes them appear macho or “cool.” They also believe this “smokeless” variety (as it's often marketed by tobacco companies) is safer than cigarettes or cigars.
Unfortunately, nothing could be further from the truth. In reality, chewing tobacco is harmful to your health — and especially your oral health. Regular use of these products can lead to severe dental and mouth conditions resulting in disease, disfigurement, or even death.
Like the smoked variety, chewing tobacco infuses its users with nicotine, a chemical stimulant naturally produced by the tobacco plant. The body responds to the stimulant's effect and begins to crave it, leading to addiction.
The problem, though, is the other ingredients in chewing tobacco: more than thirty other substances known to cause various kinds of cancer, including oral. Oral cancer alone is extremely dangerous: many patients suffer partial or complete loss of oral tissue and facial structures, including the tongue, lower jaw or even the face. Some even lose their lives — statistics show that only half of those with oral cancer survive more than five years after diagnosis.
Although cancer may be the most harmful effect of chewing tobacco, it isn't the only one. Researchers have found tobacco users have higher rates of tooth decay and gum disease than non-users. Tobacco also causes cosmetic and hygiene problems, including tooth staining and chronic bad breath.
If you're a tobacco user in any form, and especially chewing or spit tobacco, as your dentist we would advise you to consider quitting the habit. Giving up tobacco will not only improve your oral health and appearance, it may even save your life.
If you would like more information on the dangers of chewing tobacco, 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 “Chewing Tobacco.”
By the time you reach adulthood, roughly 100 trillion microscopic organisms will have taken up residence in and on your body, outnumbering your own cells 10 to 1. Most are bacteria, a domain of the animal kingdom considered synonymous with disease. But only a few of the thousands of bacterial species cause us harm; the rest are either benign or actually beneficial to our health, including in our mouths.
Dentistry pioneered much of our knowledge about bacteria, developing processes used to identify, classify and understand those species inhabiting our mouths. Science as a whole is catching up with the Human Microbiome Project (HMP) begun in 2007. Through HMP, researchers have catalogued and begun to study more than 10,000 bacterial species.
We’re finding that our bodies develop a symbiotic relationship with many of these creatures invisible to the naked eye. During our infancy the bacteria we ingest from birth and breast feeding begin to interact with our body’s immune system, “teaching” it to refrain from attacking friendly organisms that contribute to health and searching and destroying enemy species that cause disease.
We’re also learning that an imbalance with our individual population of bacteria has links with disease. Our digestive system is a prime example: bacteria related to obesity can overpopulate our digestive tract, while malnutrition can create an environment that produces too many bacteria that inhibit digestion of vitamins and other nutrients.
The same microbial imbalance can occur in the mouth. For example, our typical Western diet encourages the growth of bacteria most associated with tooth decay (Streptococcus mutans). We’re also finding that tobacco smoking creates a mouth environment more conducive to the bacteria that cause gum disease. Just by quitting smoking you can alter that environment to encourage growth of health-promoting bacteria and inhibit growth of malevolent species.
The desired outcome of this knowledge is to develop treatments that target disease-causing bacteria without harming those beneficial to us (as often occurs with traditional antibiotics). In dentistry, such possibilities could help stop the spread of tooth decay, gum disease or similar bacterial infections, while fostering a healthier oral environment that prevents disease and protects health.
Porcelain veneers are a proven way to achieve a new smile. Composed of thin layers of dental porcelain and other materials laminated together to form one life-like unit, veneers are applied to the outside of a prepared natural tooth to enhance its appearance. Given the right circumstances, they’re an excellent solution for correcting mild to moderate spaces between teeth, slight deviations in tooth position, and problems with the color and shape of a tooth.
Veneers are very strong and can resist most of the forces you generate when you chew your food. But dental porcelain is also a form of glass — strong but not indestructible. Following a few maintenance guidelines will help you avoid damaging a porcelain veneer and incurring additional dental care costs.
Practice daily oral hygiene. Although veneers aren’t subject to disease or decay, the tooth structure they cover and the surrounding gum tissues are. You should, therefore, brush and floss veneered teeth just as you would any other tooth. And, there’s no need for specially formulated toothpastes — any non-abrasive fluoride brand will work.
Avoid excessive biting or chewing. While it’s a good practice for natural teeth to avoid applying too much biting force to hard materials, it’s especially important for veneers. Attempting to open hard-shell nuts with your teeth or chewing on bones, pencils and other hard objects are just a few of the activities that could lead to a shattered veneer.
Use a bite guard for clenching habits. People who excessively grind or clench their teeth (a condition called bruxism) can also put undue stress on their veneers. We can help alleviate some of this stress by fashioning a bite guard you wear at night. The guard will help protect your veneers from teeth grinding while you sleep.
Limit foods and drinks that cause staining. Tea, coffee, wine and similar substances can leave teeth stained and dingy. Although your new veneers won’t typically stain, the natural teeth around them can — the brighter veneers would then stand out prominently from the dingier natural teeth.
Porcelain veneers are proven “smile changers.” Taking care of them with a few common sense precautions will ensure the change is long-lasting.
If you would like more information on porcelain 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 “Smile Design Enhanced With Porcelain Veneers.”
Does the word “vitamin” make you think of a capsule that comes from a bottle… one that you’re supposed to take every day to improve your health? If so, it shows the effectiveness of the marketing strategy used by the vitamin and dietary supplement industry — a business that’s valued at $25 billion annually. The other definition, of course, is a substance that your body requires (in small amounts) to control normal metabolic functions and sustain life. It’s often assumed that taking vitamins in pill form can help you be healthier. But is that assertion really backed up by evidence?
It’s true that if your body is severely lacking in any of the 13 vitamins, you could be at risk for developing a disease related to vitamin deficiency: scurvy or pellagra, for example. Moreover, several vitamins (notably vitamins C and E, and beta carotene, a precursor to vitamin A) are also antioxidants; these are molecules that can protect our cells (and our genetic material) from damage caused by toxins in the environment and metabolic processes within our bodies.
Fruits and vegetables are rich in vitamins A and C, and vitamin E is found in vegetable oils. That’s one of the reasons why nutritionists and health-care providers stress the importance of a well-balanced diet, including plenty of plant-based foods. Many studies have shown that people who eat lots of vegetables and fruits have lower incidences of heart disease, cancer, and other chronic health problems.
You can also buy substances marketed as antioxidants and nutritional supplements in pill form. But contrary to what you might expect, in that form they don’t seem to have the same protective effect on the body. Scientists still aren’t sure why this is so, but it may have to do with the presence of many other biologically active compounds in vegetables and fruits. In fact, there is solid evidence that taking too many vitamins or supplements can be dangerous to your health.
We’re certainly not saying it’s of no use to take vitamins or nutritional supplements — especially if a deficiency is known to exist. If an individual isn’t getting enough vitamin D because they avoid exposure to sunlight, for example, then it makes sense to take a supplemental dose. But we need to remember that a supplement in pill form isn’t a substitute for a balanced diet — and taking unneeded supplements, or excessive doses, can lead to problems. Like it or not, there are few shortcuts on the road to good health. For more information about vitamins and supplements, see the Dear Doctor magazine article “Vitamins & Dietary Supplements: What Every Consumer Should Know.”
This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.