Porcelain veneers are positive proof that unattractive teeth don't always require an intensive restoration to regain their beauty. These thin layers of translucent porcelain — custom-designed and color-matched to blend with your other teeth — are permanently bonded to the visible side of your front teeth.
Although they can't remedy every tooth defect, they're well suited for mild to moderate disfigurements like chipping, staining or gaps. There are now two types of porcelain veneers: the traditional veneer and the “no-prep” veneer.
The standard veneers require some tooth structure removal, referred to as “tooth preparation.” This is because although they're a millimeter or less in thickness, they can still appear bulky if bonded to an unprepared tooth. To accommodate their width, it's necessary to remove some of the tooth enamel. This permanently alters the tooth so that it will need some form of restoration from that time on.
In recent years, however, other veneer options have emerged that reduces — or even eliminates — this tooth alteration. No-prep veneers are so thin they can be applied to a tooth with virtually no preparation. A more common option, minimal-prep, requires only a minor reshaping with an abrasive tool to ensure the fitted veneer looks as natural as possible. Because of their thinness, these veneers also don't have to fit under the gum line like standard veneers.
To obtain no- or minimal-prep veneers, your tooth enamel needs to be in good, healthy shape. They're also best suited for people with small or worn teeth, narrow smiles (the side teeth can't be seen from the front), or slightly stained or misshapen teeth.
Because there's little invasiveness, these low preparation veneers won't typically create tooth sensitivity and they can often be applied without any form of anesthesia. And because tooth structure isn't removed, they can be “uninstalled” to return to your natural look. Of course, that's not always an easy process since the bonding between veneer and the enamel is quite strong, although today's lasers can be used to detach the veneer quite easily.
If you'd like to consider these minimally invasive veneers, talk with your dentist. If you're a good candidate, you may be able to gain a new smile without much change to your natural teeth.
If you would like more information on how veneers can change 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 “No-Prep Porcelain Veneers.”
The holidays have officially begun! Between Thanksgiving and New Year’s Eve, it’s fairly certain you’re going to be spending time with lots of folks. From family gatherings to neighborhood open houses to the office holiday party, you’ll find yourself rubbing elbows with all the in-laws and out-laws in your social orbit. And because it’s the season of cheer, you’ll probably smile—a lot.
So, before the festivities go full tilt, take a little time to freshen up that wonderful smile of yours. Here are a few suggestions for having a smile this holiday season that you’re confident to put on display.
Dental cleanings. While professional dental cleanings primarily remove any lingering disease-causing plaque and tartar, they can have the secondary benefit of improving your smile’s appearance. So, if it’s close to time for your regular dental visit or you would simply like to give your teeth a quick polish, schedule a cleaning appointment for a little extra holiday sparkle.
Teeth whitening. You can gain a noticeable increase in smile brightness with a professional whitening application. With our advanced bleaching solutions and techniques, we can precisely control the level of brightness you desire, from a more subdued natural white to a dazzling “Hollywood” shine. And with care, the effect could last for several months or even years with an occasional touch-up.
Bonding. A chipped tooth can stand out from your smile like a smudge on a masterpiece painting. In many cases, though, we can repair minor chips and other defects by bonding composite resin to the tooth in a single visit. The process is simple: We color-match the resin to the tooth, then apply, shape and cure it. Your tooth will look good as new.
Porcelain veneers. For a more durable and comprehensive solution, consider veneers for dental flaws you do not wish to live with. These thin wafers of porcelain are permanently bonded to the front of teeth to mask chips, heavy staining or slight misalignments. And they are quite affordable compared to more extensive cosmetic restorations.
All of these cosmetic options can fit into most people’s budgets and don’t take a lot of time in the dentist’s chair. Veneers are the one slight exception: These require more than one visit to the dental office because they are custom-made for you in a dental lab. Also note that veneers often require the permanent removal of tooth enamel, so the tooth will require a veneer or other restorative covering from then on.
All in all, though, it doesn’t take much to put some much-needed zing back into your smile. In most cases, it only takes one visit—just in time to brighten up your holiday season.
Your gums can take a lot — they’re resilient and they endure a variety of abrasive foods over a lifetime. But resilience isn’t the same as invulnerability: your gums can be weakened by periodontal (gum) disease or by over-aggressive brushing that causes them to shrink away (recede) from the teeth they protect.
Unfortunately, it’s not a rare problem — millions suffer from some degree of gum recession, caused mainly by gum disease. This aggressive infection arises from bacteria in dental plaque, a thin film that builds up on tooth surfaces due to inadequate oral hygiene. Fortunately, gum disease can be effectively treated in its early stages by removing plaque above and below the gum line. Diseased gums will quickly rebound to their normal health.
Unfortunately, though, heavily recessed gums from advanced stages of gum disease (as well as those who’ve inherited thinner gum tissues and are more susceptible to recession) may not come back fully without help. This can affect the health and survival of affected teeth, as well as your appearance.
Plastic periodontal surgery can help restore these lost tissues. There are a number of procedures that can be used depending on the exact nature of the recession, and most involve some form of tissue grafting. A specimen of donated gum tissue (either from another portion of the patient’s gums or a thoroughly cleansed and properly processed donation from another person) is surgically attached to the gums at the recession site.
The graft can be completely freed from the harvest area or in some cases a part of it remains attached to receive blood supply while the rest is grafted to the site. These procedures, especially the latter, require meticulous skill and sophisticated microsurgical techniques to make an effective attachment. If the tooth root is involved, it must be thoroughly prepared beforehand through polishing and decontamination to ensure the new graft will take. The graft is sutured in place and sometimes covered with a moldable dressing for protection.
As the area heals, the tissues begin to grow around the graft, restoring better coverage for the tooth. Coupled with comprehensive gum disease treatment, this form of plastic surgery can restore new health to teeth and a transformed smile.
If you would like more information on treating gum recession with plastic surgery, 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 “Periodontal Plastic Surgery.”
There's a “file” on you at your dentist's office: Every visit you've made—from regular cleanings to major dental work—has been recorded, noted and preserved for posterity.
If that gives you the shivers, it's actually not as “Big Brother” as it sounds—in fact, it's critical to your continuing care. A busy dental office depends on accurate records to ensure their individual patients' treatment strategies are up to date. They also contain key information about a patient's overall health, which might overlap into their dental care.
Your records are also important if you change providers, something that ultimately happens to most of us. Your dentist may retire or relocate (or you will); or, unfortunately, you may grow dissatisfied with your care and seek out a new dentist.
Whatever your reason for changing providers, your care will be ahead of the game if your new dentist has access to your past dental records and history. Otherwise, they're starting from square one learning about your individual condition and needs, which could have an impact on your care. For example, if your new dentist detects gum disease, having your past records can inform him or her about whether to be conservative or aggressive in the treatment approach to your case.
It's a good idea then to have your records transferred to your new provider. By federal law you have a right to view them and receive a copy of them, although you may have to pay the dentist a fee to defray the costs of printing supplies and postage. And, you can't be denied access to your records even if you have an outstanding payment balance.
Rather than retrieve a copy yourself, you can ask your former provider to transfer your records to your new one. Since many records are now in digital form, it may be possible to do this electronically. And, if you're feeling awkward about asking yourself, you can sign a release with your new provider and let them handle getting your records for you.
Making sure there's a seamless transfer of your care from one provider to another will save time and treatment costs in the long-run. It will also ensure your continuing dental care doesn't miss a beat.
If you would like more information on managing your 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 Your Dental Records Should Follow You.”
Thanksgiving is an appropriate time to spotlight an often unsung group: individuals providing primary care for another family member. During November, National Family Caregivers Month recognizes those caring for children with special needs or senior adults with life challenges—and part of that ongoing care includes watching out for their loved one's oral health.
Keeping teeth and gums healthy requires a concerted personal effort to prevent dental disease. While most of us can handle this on our own, some need assistance. If you're caring for someone like this, be sure you focus on two main areas: daily hygiene and regular dental visits. These are the two foundation stones for preventing tooth decay and gum disease.
The relatively simple tasks of brushing and flossing are crucial for disease prevention—but they can pose a challenge for someone with diminished physical, mental or behavioral capacity. In some cases, you as a caregiver may have to perform the task for them.
But even someone with severe limitations may be able to do these tasks for themselves with some adaptations. For one, choose a place for brushing and flossing that's most comfortable for the person (not necessarily the bathroom) and keep to a routine schedule. Above all, approach the task in a positive and playful way, especially for children.
Choose a toothbrush and flosser that your loved one can easily handle. Flossers are also available with toothbrush-sized grips for those with less manual dexterity. An older person with arthritis may need an extra-large grip or a toothbrush modified with a bicycle handle. As an alternative, both children and older adults may benefit from using an electric toothbrush. Some special needs children can have a gag response to toothpaste, so you may wish to use less or substitute it with a diluted fluoride mouthwash on the brush.
Dry mouth is a concern among many older adults, often due to the medications they take. In fact, hundreds of medications can have dry mouth as a side effect. Saliva serves the important oral health function of washing away food debris and neutralizing acid in the mouth, but when saliva production is low, it is not only uncomfortable—it greatly increases the risk of tooth decay. To help with dry mouth, encourage your loved one to drink more water during the day and ask us to recommend a product that will boost their saliva production. You can also ask their physicians about drug alternatives without dry mouth side effects.
To make dental visits easier, be sure we know about any needs or conditions that might affect their care. If possible, accompany your older family member during their visit: Because health problems often increase with age, even routine visits may be more involved.
We understand that caring for family members who need assistance can be demanding, with needs often being prioritized. We urge you to keep dental care on the high-priority list—it could make a difference with the rest of their health and overall quality of life.
If you would like more information about oral care for a family member with special needs, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Aging and Dental Health.”
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.