Posts for: October, 2011
It is always good to be prepared before you have any dental or medical procedure. Make sure that you are informed and know what to expect to make you as comfortable as possible. We recommend that you have a list of questions with you to ask us during your consultation. If we inform you that you need a crown, consider asking any or all of the following questions:
- Am I a good candidate for a crown?
- Can you do a computer-generated mock-up of my new smile with crowns? (This question is only applicable if the crown is for a front or visible tooth.)
- Is there a way that I can “test-drive” my new smile and crown(s) before making them permanent?
- How long will the entire process take from my first appointment through completion?
- What are the risks, benefits and alternatives associated with the type of crown(s) you are recommending?
- Is there any discomfort associated with crown procedures?
- Will I need or receive any type of sedation when you prepare (drill) the tooth or teeth for a crown?
- Is what you are recommending commonly done?
- Can you show me some before and after photos of cases that you have done?
- How much will my crown(s) cost?
- Will my insurance cover all or a portion of the cost?
- How long can I expect my crown(s) to last?
- Will there be any maintenance required with my crown(s)?
Cavities used to be nothing to smile about, but thanks to advances in technology, tooth-colored fillings have made repair of decayed teeth so natural, they're invisible. Now you no longer need to feel self-conscious about that unsightly flash of silver when you talk or laugh. While silver amalgam fillings were once the preferred option for tooth restoration filling materials, tooth-colored “composite resins” have gained popularity as a safe and effective alternative to treat new cavities or to replace old silver fillings.
A Better Alternative: Consumer demand for tooth-colored (metal free) restorations as well as the dental profession's desire to preserve as much natural tooth structure as possible has led to the development of special “adhesive” tooth-colored materials. Besides the aesthetic advantages over amalgam fillings, tooth-colored fillings require the removal of less tooth structure. While traditional silver fillings often crack or leak over time, composite resin fillings bond directly to tooth structure and actually reinforce and strengthen it while creating a natural looking smile.
The Choice is Yours: You can choose to replace unsightly silver fillings with tooth-colored ones to enhance their cosmetic appearance. Although concern has been expressed over the mercury content in older silver fillings, years of research cited by the American Dental Association has found that traditional amalgam fillings are safe. Unless you have cracks or damage to your current amalgam fillings or have other concerns regarding your dental health, replacing silver fillings is a matter of personal preference.
Cost: Although composite resin fillings may cost slightly more than silver fillings, they are very durable and may be more cost-effective in the long run.
Contact us today to schedule an appointment to discuss any questions you may have regarding tooth colored fillings. Read more about this topic in the Dear Doctor magazine article “The Natural Beauty of Tooth Colored Fillings.”
When it comes to restoring both the beauty and functionality of a smile, two of the most commonly used techniques are porcelain crowns and veneers. Why? They consistently deliver beautiful, natural-looking results that are permanent and require very little maintenance. And while they have many things in common, they also have just as many differences.
Here are some facts that apply to both porcelain veneers and crowns:
- Both enable changes to a tooth's color and shape.
- Dental laboratory technicians use precise molds made by our office to hand-craft porcelain veneers and crowns.
- Both are made using high-quality dental porcelain.
- Neither respond to tooth whitening products — the color of the veneer or crown remains the same color as the day it was placed.
- Neither procedure is reversible once completed.
Here are some of their differences:
- Crowns are used to replace a larger amount of tooth structure while veneers are thin shells that are placed over the front surface of teeth.
- Veneers require much less tooth preparation (reduction by drilling) than crowns.
- Crowns allow for greater change of tooth shape, while veneers allow for more minor changes.
- Crowns are generally used to restore teeth that have lost tooth structure from decay or trauma.
- Veneers are generally used where teeth are structurally healthy and intact, but color and shape change are required.
- Veneers are used mostly for teeth that are visible when smiling, while crowns can be used to restore virtually any tooth.
Want To Learn More?
Lost teeth can cause a host of problems, including a loss of your jaw bone and a collapsing appearance of your face, along with difficulty chewing and speaking.
Clearly, it is important to replace missing teeth as soon as possible. Options for replacement include the more traditional methods and the newest technique — dental implants. We believe that implants are your best choice for the following reasons.
Implants prevent bone loss.
Dental implants are substitute tooth roots. Like the roots of your original teeth, they stabilize the bone into which they extend — but in a different way.
The part of the bone that encases the teeth is called alveolar bone, from the word root meaning “sac.” This bone has a special relationship with the teeth it surrounds. It develops as they first erupt into the mouth. If they are lost, the alveolar bone goes, too. It resorbs, or melts away, giving an impression that the bone, gums, and sometimes the lips are collapsing.
Implants are made of titanium, which has the ability to join biochemically to bone. It takes the place of the original tooth root and prevents resorption.
Implants support adjacent teeth.
Your teeth work in harmony, an all for one, one for all relationship with each other. If one is missing, the remaining teeth will slowly move and shift causing them to receive forces that may not be well received. Losing any tooth increases the pressure on the remaining teeth. Losing a back (posterior) tooth can put pressure on the front teeth and they can be forced out of position. All these movements can change a person's appearance as well as in their ability to speak, bite and chew.
They are easier to clean than “traditional” options.
Fixed bridges are non-removable tooth replacements that attach to adjacent natural teeth. These teeth that are adjacent to the missing tooth have to be cut into small peg shapes on which the bridge is attached. The removal of their enamel may make them more prone to tooth decay and gum disease.
Older replacement methods include removable options such as plastic “flippers” and partial dentures. These replacements rest on the teeth and gums, making the teeth they attach to receive greater pressure causing more mobility. In addition, they exert pressure on the gums, causing additional bone loss and increasing the potential for bone loss on the neighboring teeth.
Full dentures, in cases where all teeth are missing, are kept in place by pressing on the gum tissues. This causes even more pressure on the bone, leading to bone loss and changing facial structures.
They are longer lasting.
Studies have shown that removable partial dentures are replaced about every five years; bridges are only 67% successful at 15 years; and implants are over 95% successful for 20 or more years.
- They are cost effective in the long term.
Because implants last longer than other alternative tooth replacements, they may seem more expensive at first; but they will be cost effective over the long term.
Contact us today to schedule an appointment to discuss your questions about dental implants. You can also learn more by reading the Dear Doctor magazine article “Dental Implants. Evaluating Your Options.”
Did you know that recent research has shown diabetes is a risk factor for increased severity of periodontal (gum) disease and that periodontitis is a risk factor for worsening blood glucose (sugar) control in people with diabetes? Periodontitis can even increase the risk of diabetic complications for people diagnosed with diabetes. When you combine these facts with the following, you will clearly see how important it is to understand and manage these two diseases.
- Over 23 million people in the United States currently have diabetes and over 170 million worldwide.
- 14+ million Americans have a condition called pre-diabetes.
- Another estimated 6 million people in the US have diabetes but are unaware and thus not diagnosed.
- Periodontal disease is the second most common disease known to man, only surpassed by tooth decay.
- Diabetic individuals with periodontal disease have a greater risk for cardiovascular and kidney complications than those diabetics not having periodontal disease.
What You Can Do
One of the most important steps you can take if you have either of these conditions or suspect that you might have one or both is to make an appointment with your physician or with our office for a thorough examination. You should schedule an appointment with your physician for an exam and blood work so that your general health and well-being are monitored. Be certain to share your medical information and any family history of diabetes with our office, as it tends to occur in families.
Learn the risks and how to take care of types 1 and 2 diabetes, as well as the stages of periodontal disease (with detailed full-color illustrations) when you read the Dear Doctor article, “Diabetes & Periodontal Disease.” Or if you want to schedule an appointment to discuss your questions, contact us today.