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Posts for category: Dental Procedures

By Barbara Preussner, DMD
March 11, 2020
Category: Dental Procedures
Tags: teeth whitening  
4ReasonsyoumaywantYourDentisttoWhitenYourTeeth

With the advent of home whitening kits, you no longer have to go to the dentist to have your teeth whitened. DIY kits are relatively safe and effective, if you follow the directions carefully.

So, you might be thinking: why have a dentist whiten my teeth? Actually, there are good reasons why you might. Here are 4 of them.

We'll make sure your teeth are healthy first. Your teeth may need some attention first, such as treatment for dental disease, before we undertake whitening. We'll also determine why your teeth are stained, which could impact how they're whitened (more about that in a moment).

Our application could take less time and last longer. Bleaching agents in home kits make up less than 10% of volume, much weaker than the applications we use. While it often takes several applications at home to achieve the desired brightness, you may only need one or two sessions with us. Our stronger solution may also extend the “fade time” — when the whitening begins to diminish — than what you may encounter with home whitening.

We can be more precise achieving the right shade. There are different shades of teeth whiteness — what looks good for someone else might not look good for you. We have the training and expertise to achieve a color that's right for you. What's more, we also have techniques and equipment like UV lighting that enables us to color match more precisely than you can with a home kit.

Your DIY kit can't alter some forms of staining. Home kits bleach only the outermost layers of tooth enamel. That won't help, though, if your discoloration originates inside the tooth. This intrinsic staining requires procedures only a dentist can perform to bleach the tooth from the inside out.

Even if you'd still like to use a home kit we'll be happy to advise you on purchasing and application. It's also a good idea to have us check the staining first to see if a home kit will work at all. In the end, we share the same desire as you do: that your teeth are as healthy as they can be and bright as you want them to be.

If you would like more information on tooth whitening options, 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 “Tooth Whitening Safety Tips.”

HughJackmanIsAllSmilesforHisNewBroadway-InspiredShow

To anyone immersed in the “X-Men Universe” Hugh Jackman will always be Wolverine, a role he played in seven movies. But there’s more to this Australian actor than mutant bone claws and mutton chops that would make Elvis envious. Jackman has also starred in over 20 non-superhero films, including Les Misérables, for which he won a Golden Globe. He is also a Tony award-winning Broadway performer—with a winning smile.

With his famed character Logan/Wolverine fading in the rearview mirror, Jackman has returned to his musical roots. He will play Harold Hill in the Broadway revival of The Music Man, set to open in Fall 2020. And since May 2019 he’s been on world tour with Hugh Jackman: The Man. The Music. The Show., featuring Jackman and a supporting cast performing songs from favorite shows and films, including Les Misérables and the 2017 hit The Greatest Showman.

The Show, with 90 planned stops throughout Europe, North America and Oceania, is a decidedly different “universe” from the X-Men. As Wolverine, Jackman could get away with a scruffier look. But performing as Jean Valjean or the bigger-than-life P.T. Barnum, he has to bring a vastly different look to the role, which brings us to Jackman’s teeth…

Once upon a time, Jackman’s teeth were an unflattering gray—definitely not a good look for stage or film. So with the help of his dentist, Jackman set about upgrading his smile with teeth whitening. Teeth whitening is a great way to take a dull, stained smile and turn up the volume on its brightness—and attractiveness—a notch or two. A dentist applies a bleaching solution that stays in contact with the teeth for a few minutes. The process is often aided by special lighting.

A professional application is especially desirable if, like Jackman, you want “Goldilocks” brightness: not too little, not too much, but just right for you. Dentists can precisely control the tint level to get a brighter but more naturally looking white. Of course, you can also get a dazzling “Hollywood” smile if you so desire.

And although the effect of teeth whitening isn’t permanent, a dental application can last a while, depending on how well you manage foods and beverages that stain teeth. With a touchup now and then, you may be able to keep your brighter smile for years before undergoing the full procedure again.

One important note, though: This technique only works with outer enamel staining. If the discoloration originates from within the tooth, the bleaching agent will have to be placed internally, requiring access to the inside of the tooth. An alternative would be porcelain veneers to mask the discoloration, an option that also works when there is ultra-heavy enamel staining.

If you’re tired of your dull smile, talk with us about putting some pizzazz back into it. Teeth whitening could be your way to get a smile worthy of Broadway.

If you would like more information about teeth whitening, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Whitening” and “Whitening Traumatized Teeth.”

By Barbara Preussner, DMD
January 31, 2020
Category: Dental Procedures
ThinkYoureTooOldforOrthodonticsReadThis

You’ve lived most of your life with crooked teeth and an imperfect smile. You feel you should have done something about it years ago, but now you’re approaching your golden years — what would be the point?

Here’s the point: there’s a growing trend of older adults undergoing orthodontic treatment. People are discovering the life-changing benefits of straightening their teeth — even if they’re no longer teenagers.

So, what’s really holding you back?

I’m too old to have my teeth straightened. Not true — teeth can be straightened at any age, not just during childhood or adolescence. If anything would prevent orthodontic treatment it would be the state of your oral and general health, not your age. Your teeth’s supporting bone must be reasonably sound and healthy; likewise, systemic problems like bleeding disorders, leukemia and uncontrolled diabetes can make orthodontics difficult. But if you and your mouth are reasonably healthy, you can have your teeth straightened.

It’s too much to spend just to look better. Yes, orthodontic treatment can transform your smile — but it can also improve your oral health. Misaligned teeth are harder to keep clean, increasing the risks for tooth decay and periodontal (gum) disease; they also don’t work well together so chewing is more difficult. By correcting your bite, you can reduce your chances of dental disease and improve overall mouth function.

I’d look silly at my age in braces. Self-consciousness about wearing these traditional appliances is common at any age. It’s understandable — the glint of metal is the first thing people see when you smile. But there’s a good chance you may be able to wear an alternative appliance that’s barely noticeable: clear aligners. These are a series of removable, clear plastic trays that you wear in sequence to gradually move your teeth. Not only are they less noticeable than braces, you can take them out for special occasions.

Don’t let these or other excuses keep you from a more attractive smile and healthy mouth. Visit your dentist for an examination to see if orthodontics can work for you.

If you would like more information on transforming your smile through orthodontics, 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 “Orthodontics for the Older Adult.”

By Barbara Preussner, DMD
January 21, 2020
Category: Dental Procedures
CrazyLittleThingCalledHyperdontia

The movie Bohemian Rhapsody celebrates the iconic rock band Queen and its legendary lead vocalist, Freddie Mercury. But when we see pictures of the flamboyant singer, many fans both old and new may wonder—what made Freddie’s toothy smile look the way it did? Here’s the answer: The singer was born with four extra teeth at the back of his mouth, which caused his front teeth to be pushed forward, giving him a noticeable overbite.

The presence of extra teeth—more than 20 primary (baby) teeth or 32 adult teeth—is a relatively rare condition called hyperdontia. Sometimes this condition causes no trouble, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other situations, hyperdontia can create problems in the mouth such as crowding, malocclusion (bad bite) and periodontal disease. That’s when treatment may be recommended.

Exactly what kind of treatment is needed? There’s a different answer for each individual, but in many cases the problem can be successfully resolved with tooth extraction (removal) and orthodontic treatment (such as braces). Some people may be concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is routine and relatively painless.

Teeth aren’t set rigidly in the jawbone like posts in cement—they are actually held in place dynamically by a fibrous membrane called the periodontal ligament. With careful manipulation of the tooth, these fibers can be dislodged and the tooth can be easily extracted. Of course, you won’t feel this happening because extraction is done under anesthesia (often via a numbing shot). In addition, you may be given a sedative or anti-anxiety medication to help you relax during the procedure.

After extraction, some bone grafting material may be placed in the tooth socket and gauze may be applied to control bleeding; sutures (stitches) are sometimes used as well. You’ll receive instructions on medication and post-extraction care before you go home. While you will probably feel discomfort in the area right after the procedure, in a week or so the healing process will be well underway.

Sometimes, dental problems like hyperdontia need immediate treatment because they can negatively affect your overall health; at other times, the issue may be mainly cosmetic. Freddie Mercury declined treatment because he was afraid dental work might interfere with his vocal range. But the decision to change the way your smile looks is up to you; after an examination, we can help you determine what treatment options are appropriate for your own situation.

If you have questions about tooth extraction or orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Simple Tooth Extraction” and “The Magic of Orthodontics.”

By Barbara Preussner, DMD
January 01, 2020
Category: Dental Procedures
Tags: gum recession  
4CommonCausesforGumRecession

Your gums play an important role in dental function and health. Not only do they help anchor teeth in the jaw, the gums also protect tooth roots from disease.

But you can lose that protective covering if your gums recede or shrink back from the teeth. An exposed tooth is more susceptible to decay, and more sensitive to temperature and pressure.

Here are 4 causes for gum recession and what you can do about them.

Gum disease. The most common cause for gum recession is a bacterial infection called periodontal (gum) disease that most often arises from plaque, a thin film of bacteria and food particles accumulating on teeth. Gum disease in turn weakens the gums causes them to recede. You can reduce your risk for a gum infection through daily brushing and flossing to remove disease-causing plaque.

Genetics. The thickness of your gum tissues is a genetic trait you inherit from your parents. People born with thinner gums tend to be more susceptible to recession through toothbrush abrasion, wear or injury. If you have thinner tissues, you’ll need to be diligent about oral hygiene and dental visits, and pay close attention to your gum health.

Tooth eruption. Teeth normally erupt from the center of a bony housing that protects the root. If a tooth erupts or moves outside of this housing, it can expose the root and cause little to no gum tissue around the tooth. Moving the tooth orthodontically to its proper position could help thicken gum tissue and make them more resistant to recession.

Aggressive hygiene. While hard scrubbing may work with other cleaning activities, it’s the wrong approach for cleaning teeth. Too much force applied while brushing can eventually result in gum damage that leads to recession and tooth wear. So, “Easy does it”: Let the gentle, mechanical action of the toothbrush bristles and toothpaste abrasives do the work of plaque removal.

While we can often repair gum recession through gum disease treatment or grafting surgery, it’s much better to prevent it from happening. So, be sure you practice daily brushing and flossing with the proper technique to remove disease-causing plaque. And see your dentist regularly for cleanings and checkups to make sure your gums stay healthy.

If you would like more information on proper gum 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 “Gum Recession.”