Posts for: August, 2014
A crown is an effective way to save a tooth and restore its form and function. These life-like “caps” that fit over and are permanently attached to teeth have been used for decades with good results.
For this type of restoration to be effective, though, there must be enough of the natural tooth remaining above the gum line for the crown to “grab on to.” This poses a problem if the tooth has broken or decayed too close to the gum tissue.
Fortunately, there is a way to expose more of the remaining tooth for applying a crown. Known as crown lengthening, this surgical procedure is also used for “gummy” smiles, where normal tooth length is obscured by excess gum tissue that makes the teeth appear shorter.
We begin the procedure by first numbing the tooth and gum area with a local anesthetic. We then make tiny incisions inside the gum line on both the tongue and cheek side of the tooth to create a small flap. With this area below the gum line now open to view, we then determine whether we need to remove excess gum tissue or a small amount of bone around the tooth to expose more of the tooth itself. We then position the opened gum tissue against the bone and tooth at the appropriate height to create an aesthetic result.
You shouldn’t experience any discomfort during the procedure, which usually takes about sixty minutes for a single tooth area (which needs to involve at least three teeth for proper blending of the tissues). The pressures and vibrations from equipment, as well as any post-procedure discomfort, are similar to what you would encounter with a tooth filling. After the gum tissue has healed (about six to eight weeks), we are then able to fit and attach a crown onto the extended area.
Crown lengthening a small area may result in an uneven appearance if you’re dealing within the aesthetic zone. One option in this case is to consider undergoing orthodontic treatment first to correct the potential discrepancy that may result from surgery. After orthodontics, we can perform crown lengthening on just the affected tooth and still achieve an even smile.
Crown lengthening is just one of many tools we have to achieve tooth restorations for difficult situations. Using this technique, we can increase your chances of achieving both renewed tooth function and a more beautiful smile.
If you would like more information on crown lengthening, 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 Broken Teeth.”
Here’s a quick quiz: What recent activity did domestic guru Martha Stewart share via social media for the first time? Need a hint? Was she following the lead of other celebrities like rapper 50 Cent (AKA Curtis James Jackson III), actress Demi Moore and country music star LeAnn Rimes?
Give up? The answer is… she live-tweeted her visit to the dentist! Not only that, she also posted pictures of her mouth as she was undergoing an in-office whitening procedure.
Now, we understand that some might feel they don’t need to see close-ups of Stewart’s teeth under treatment. But we have to admire her for not trying to hide the fact that she’s had the same procedure that has benefited so many people, whether famous or not. Plus, her pictures actually provide a good illustration of how the treatment works.
In-office whitening treatments are the fastest way to brighten up your smile. In a single one-hour visit, your teeth can be lightened by three to eight shades — and that's a big difference! How can we achieve such dramatic results? When you’re under our direct supervision in an office setting, we can use the most concentrated bleach solutions safely and effectively. You can get similar results with custom-made trays and take-home lightening solutions we can prepare for you, but then the process will take longer.
If you look closely at her photos, you’ll see that Stewart’s lips, gums, and face are covered up to prevent any contact with the bleaching solution. She’s also wearing protective eyewear, which not only keeps chemicals away, but also guards her eyes against strong lights, which are sometimes used in conjunction with bleach. When we perform in-office whitening procedures, we use safeguards like these for all of our patients — not just celebrities!
We also perform a complete oral examination before starting any whitening procedure, to be sure you don’t have any underlying conditions that need to be treated before teeth whitening begins. That’s something you just can’t get from an over-the counter whitening product.
Teeth whitening is an effective and affordable way to give your smile a quick boost. But whether you decide to live-tweet your procedure — or keep your fans guessing about why your smile looks so good all of a sudden — that’s up to you.
If you would like more information about the teeth whitening, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Teeth Whitening” and “Important Teeth Whitening Questions Answered.”
At first glance, you might think at-home denture repair belongs in the same category as Do-It-Yourself brain surgery and cloning your pet in the kitchen sink. But the fact is, you can actually buy a variety of DIY denture repair kits on line, send for them through the mail, even pick them up at some drug stores;you can even watch a youtube video on how to do your own denture repair. So if you’re feeling like Mr. (or Ms.) Fix-it, should you give it a whirl?
Absolutely not! (Do we even have to say this?) Repairing dentures is strictly a job for professionals — and here’s why:
First off, dentures are custom-fabricated products that have to fit perfectly in order to work the way they should. They are subject to extreme biting forces, yet balance evenly on the alveolar ridges — the bony parts of the upper and lower jaw that formerly held the natural teeth. In order to ensure their quality, fit and durability, dentures are made by experienced technicians in a carefully controlled laboratory setting, and fitted by dentists who specialize in this field. So just ask yourself: What are the chances you’re going to get it right on your first try?
What’s more, the potential problems aren’t just that DIY-repaired dentures won’t feel as comfortable or work as well. Sharp edges or protruding parts could damage your gums, make them sore or sensitive, or even lacerate the soft tissues. And even if these problems don’t become apparent immediately, they may lead to worse troubles over time. Dentures that don’t fit properly can cause you to become more susceptible to oral infections, such as cheilitis and stomatitis. They may also lead to nutritional problems, since you’re likely to have difficulty eating anything but soft, processed foods.
Finally, the kits themselves just don’t offer the same quality products you’d find in a professional lab. That means whatever repairs you’re able to make aren’t likely to last very long. Plus, they contain all sorts of substances that not only smell nasty, but can quickly bond your fingers to the kitchen counter — or to the broken dentures. (Imagine trying to explain that at the emergency room…)
So do yourself a favor: If your dentures need repair, don’t try and do it yourself. Bring them in to our office — it’s the best thing for your dentures… and your health.
If you would like more information about dentures or denture repair, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine article “Loose Dentures” and “Removable Full Dentures.”