You've reached a decision—that old, unattractive smile has to go. You're ready for a complete makeover—and the field of cosmetic dentistry has the materials, techniques and equipment to make it happen.
But it could be a major undertaking requiring a fair amount of time and money. And once all the procedures are complete, what if you're not happy with the results?
Fortunately, you don't have to wait with nervous apprehension until the end of the dental work to see what your smile will look like. We can give you a realistic preview of your new smile before we even begin—and not on a computer monitor. We can actually create a trial smile applied directly to your actual teeth so you can see your new look up close and personal, and in all three spatial dimensions.
That's not to put down enhanced computer presentations. State-of-the-art imaging software can display an accurate representation of your future smile transposed onto an image of your face. But it's still a two-dimensional image, like any other photograph. It can't present the full range, movement or feel of the real thing.
A trial smile can. We shape and sculpt composite resin to resemble the finished dental work and temporarily bond it to your teeth. Once applied, you'll then be able to see what your appearance will look like from different angles and movements. Although we'll have to remove the trial smile before you leave, we can photograph it so you can show it to family and friends for their reaction.
While it's an added expense, a trial smile has two great benefits. First, it helps both of us "test drive" your new look and see how it performs in different ways: as you speak, when you're relaxed and, of course, when you smile. This allows us, if necessary, to fine-tune your planned dental work. Perhaps the biggest benefit, though, is that it can reassure you you've made the right decision to remake your smile.
With a trail smile, there are no surprises—you'll know what the end result will look like before any work is done. And that can be a great motivator toward obtaining the smile you've dreamed of having.
If you would like more information on restoring 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 “Testing Your Smile Makeover: The Reassurance of a Trial Smile.”
Often as children grow older, their participation in sports or similar activities increases. While generally encouraged, this greater activity does increase injury risk, especially to the mouth.
In fact, the late childhood to early adulthood demographic is the most prone portion of the population to incur dental injuries. To complicate matters, their dental development is often incomplete, posing a number of treatment obstacles for an injured tooth.
For example, the primary means for preserving an injured adult tooth is a root canal treatment: damaged or diseased tissue within the pulp, the tooth’s innermost layer, is removed and the empty chamber and root canals filled and sealed to prevent infection. But while a fully matured tooth can function without the nerves and blood vessels of the pulp, a developing tooth needs these tissues for continued tooth formation. Otherwise, tooth development can stall and cause problems later on.
The most common solution for younger teeth is to remove any damaged tooth structure without disturbing the pulp if at all possible followed by a filling. That’s contingent, though, on whether we find the pulp unexposed or undamaged—if it is, we’ll try to remove only damaged or diseased pulp tissue and leave as much healthy tissue intact as possible. To aid with healing and tissue re-growth, we may also place medicinal stimulators between the pulp and the filling.
Jaw development may also pose a challenge if the injured tooth is too far gone and must be removed. Our best choice is to replace it with a dental implant; but if we install the implant while the jaw is still growing, it may eventually appear out of place with the rest of the teeth. It’s best to postpone an implant until full jaw maturity in early adulthood.
In the meantime we could provide a temporary solution like a removable partial denture or a modified bonded bridge that won’t permanently alter nearby teeth. These methods can adequately restore the function and appearance of missing teeth until the jaw is mature enough for an implant.
While injuries with young permanent teeth do pose extra challenges, we have effective ways to address them. With the right approach, the outcome can be just as successful as with a mature tooth.
If you would like more information on dental care in the formative years, 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 “Saving New Permanent Teeth after Injury.”
For best results in cleaning your teeth of disease-causing plaque you need both the power of brushing open teeth surfaces and flossing in between them. But you may be wondering: should you perform one task before the other?
In general terms, no—there’s no solid evidence that flossing is better before brushing, or vice-versa. But that being said we do recognize each way has its own advantages.
If you floss before brushing, it’s possible you could loosen plaque that can then be easily brushed away when you perform your second hygiene task. Flossing first can also reveal areas that need a bit more attention from brushing if you suddenly encounter heavy particle debris or you notice a little bit of blood on the floss. And, by flossing first you may be able to clear away plaque from your tooth enamel so that it can more readily absorb the fluoride in toothpaste.
One last thing about flossing first: if it’s your least favorite task of the two and you’re of the “Do the Unpleasant Thing First” philosophy, you may want to perform it before brushing. You’re less likely to skip it if you’ve already brushed.
On the other hand, flossing first could get you into the middle of a lot sticky plaque that can gum up your floss. Brushing first removes a good portion of plaque, which can then make flossing a little easier. With the bulk of the plaque gone by the time you floss, you’ll not only avoid a sticky mess on your floss you’ll also have less chance of simply moving the plaque around with the floss if there’s a large mass of it present.
It really comes down to which way you prefer. So, brush first, floss last or vice-versa—but do perform both tasks. The one-two punch of these important hygiene habits will greatly increase your chances for maintaining a healthy mouth.
If you followed the 2018 FIFA World Cup Soccer games, you probably know that one of this year’s biggest surprises was the debut of the team from Iceland—the smallest country ever to earn a chance at the sport’s top prize. But here’s something you may not have known: When he’s not on the field, the team’s coach, Heimir Hallgrímsson, is a practicing dentist! Those two skill sets might not seem like a natural fit… but they came together dramatically at a recent contest.
At a local women’s game last summer, when a player was hit and her tooth was knocked out, Dr. Hallgrímsson took immediate action. “I jumped on the pitch and put the tooth back in, took her to a dental office and fixed it,” he said.
Not everyone has the special training or ability to fix a tooth that has been damaged or knocked out—but there are some simple things that you can do to help an adult who has suffered this kind of injury. Here’s a quick run-down:
- After making sure the person is stable and not otherwise seriously injured, try to locate the tooth.
- Handle it carefully, without touching root surfaces, and clean it gently with water if possible.
- Try to open and gently rinse out the mouth, and find where the tooth came from.
- Carefully place the tooth back in its socket, making sure it is facing the right way, and hold it in place with a soft cloth.
- If the tooth can’t be re-implanted, place it in a bag with a special preservative solution, milk or saliva, or have the person hold it between the cheek and gum—but make sure it isn’t swallowed!
- Rush to the nearest dental office or urgent care facility.
When these steps are followed and the person receives professional treatment as quickly as possible (ideally within minutes), their tooth will have the best chance of being saved. But even if it isn’t possible to preserve the tooth, receiving prompt and appropriate care can make replacing the tooth much easier.
Having Dr. Hallgrímsson on the sidelines was a lucky break for the injured soccer player—and as a coach, just getting to the World Cup is a remarkable achievement. But you don’t need to be a coach (or a dentist) to give first aid in a dental emergency. Taking the right steps can help ensure the best possible outcome… and might even save a tooth!
If you would like more information about emergency dental treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor articles “Knocked Out Tooth” and “The Field-Side Guide to Dental Injuries.”
As your mother used to say, “A moist mouth is a healthy mouth.” Well, maybe she didn't — but it's still true. Without the constant flow of saliva, your teeth and gums would be less healthy.
That's because among its many functions, saliva helps keep the mouth from becoming too acidic. Just after eating, your mouth's neutral pH level tips to the acidic side of the scale. Acid is enamel's number one enemy, and it takes little time for it to begin dissolving mineral content. But in thirty minutes to an hour, saliva neutralizes the acid; it also helps restore some of the enamel's minerals.
Without adequate saliva flow, acid quickly gets the upper hand. In time, this can greatly increase your risk for dental disease. And for many people, inadequate saliva — dry mouth — is a chronic problem.
There are a number of reasons why. Salivary glands may not produce as much in our later years. In addition, as we age, we may begin taking more medications, some of which can cause dry mouth. Treatments for certain kinds of systemic diseases, particularly cancer, can also inhibit saliva or even damage salivary glands.
If you feel your mouth is continuously dry, make an appointment to find out the cause, which will determine the best course of action to alleviate it. If it's related to your medication, we'll see if there's an alternative. If not, you may need to drink more water when you take your medication and more throughout the day.
There are other things you can do as well. Reduce your intake of acidic foods or caffeinated beverages. Run a cool-air humidifier at night to keep your mouth and nose membranes moist. And you can also try saliva stimulants available by prescription or even over the counter. Chewing gum with xylitol (an alcohol-based sugar) has also been shown to stimulate saliva flow.
Above all, be diligent about daily brushing and flossing and regular dental cleanings and checkups. Keeping a watchful eye will help ensure dental disease doesn't take advantage of your dry mouth.
If you would like more information on managing dry mouth, 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 “Dry Mouth.”
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