Dr Sadlon's Dental Blog
Posts for: November, 2011
When you begin a smile makeover in our office, you are embarking on an exciting partnership with my laboratory technician and me. You should be full of excitement and anticipation — if you have been dissatisfied with your current smile, and you have great expectations for the results of this project. You will really like what you see in your mirror.
Being completely satisfied with your new look depends upon successful communication — between you and me and also between my dental lab technician and me. As you might expect, your perceptions of how your teeth appear are different from a dentist's perceptions. My education leads me to think of factors that untrained individuals probably won't consider, such as crown (tooth) length, midlines (how the teeth line up with other facial features) and the distance from gum to lip.
It is helpful to be able to describe what you like and don't like about your current smile, and what changes you would like to see. Using visual aids is a good idea. Bring photos and magazine illustrations to show what you have in mind. (Remember that we cannot make you look exactly like a celebrity or anyone else. The pictures are guidelines.)
Things to think about:
- The color, size, shape, alignment and spacing of your teeth.
- How much of your teeth and gum tissues show when your lips are relaxed and when you smile.
- Tooth color: bright “Hollywood” white or more natural looking off-white.
Your makeover is more likely to meet your expectations if you get an advanced view of the results. Computer imaging is one way to do this. Another is for us to make a mock-up of the proposed dental work in tooth-colored wax on models of your mouth.
Finally, a “Provisional Restoration” can be used as a test to make sure that what I envision is also what you, the patient, want to see. A provisional restoration, made from temporary materials, gives you a chance to test out the changes and make sure they work for you — that they not only look good, but they are also functional in terms of biting, chewing, speech, and gum health.
If the provisional restoration works, it is used as a blueprint to make durable and long lasting porcelains in the same design. We will take impressions of the provisional restoration and communicate the relevant information to a dental laboratory technician, who will make the final porcelain tooth replicas for your new smile.
Competent communication and a provisional restoration will put you on track to meet your expectations and obtain the most aesthetic and functional result in your Smile Makeover.
Contact us today to schedule an appointment to discuss your questions about Smile Makeovers. You can also learn more by reading the Dear Doctor magazine article “Great Expectations — Perceptions in Smile Design.”
Given the fact that baby-boomers are now reaching the age of retirement, understanding senior healthcare is becoming a top priority to many people. Discover your level of expertise in the area of oral health by taking the following true/false test.
True or False Self Assessment
- All people eventually lose their teeth as they age.
- Yellow teeth are a sign of gum disease.
- If you have dentures, you no longer need regular dental check-ups.
- Periodontal (gum) disease is a big problem that affects 3 out of 4 adults.
- Electric toothbrushes can be a great option for seniors with arthritis or other debilitating conditions.
- False: Your teeth are meant to last your lifetime.
- False: Yellow teeth typically denote stained teeth from diet, medication, smoking, or growing older. And while they may not appear attractive, older, yellow teeth can in fact be healthy and free of gum disease. However, if your yellow teeth bother you, ask us if teeth whitening could be right for freshening up your smile while making you appear younger.
- False: For those individuals who wear complete upper and lower dentures, you will always need routine dental exams, typically once a year so that you can be screened for cancer, as well as other oral conditions (i.e. candadiasis), to ensure the you obtain and maintain optimal oral health.
- True: 75% of all adults over the age of 35 will experience some form of periodontal disease, a condition in which the gums become inflamed and infected. If left untreated, gum disease causes the bone that supports the teeth to deteriorate until the teeth are loosened and/or eventually lost (either they fall out on their own or must be removed). On a positive note, you can prevent gum disease by having good oral hygiene that includes flossing daily and brushing at least twice a day with a proper technique and fluoride toothpaste.
- True: Under normal conditions, what matters most is not so much the type of toothbrush used (manual, electric or battery powered toothbrush), but rather how you use it. However, if you are unable to use a manual toothbrush effectively for proper brushing, then a power toothbrush may be able to facilitate proper cleaning more easily.
Want To Learn More?
Dental caries (tooth decay) is similar to the pesky bumblebee that invades your lovely summer barbecue. You can find temporary solace from this intruder by eliminating that very first bee that you see, but if you are situated in an area that is close to the bee's nest, it won't be long before the next bee buzzes along. This is similar to tooth decay. Having one cavity-laden tooth drilled and filled is really just a temporary fix. The underlying conditions that led to tooth decay in the first place need to be addressed in order for your risk of future infection to decrease.
Researcher Dr. John Featherstone created the concept of the Caries Balance in 2002, in which he explained that tooth decay and overall dental health are dependent upon a proper balance of disease-causing and health-promoting factors. Discovering what the fundamental problem really is (and getting as far away from that hornet's nest as possible) can help both determine and curb your risk for future tooth decay.
Here's the issue in a nutshell: Susceptible teeth, in the presence of acid producing bacteria when fed by sugar from your diet, basically, will create all the conditions necessary to cause tooth decay.
To determine your risk for tooth decay, see how many times you answer “Yes” to the following questions:
- Do you brush your teeth twice a day to reduce bacterial plaque sticking to the teeth?
- Do you use fluoride toothpaste to strengthen the teeth against acid attack?
- Do you use a fluoride mouthrinse?
- Do you floss daily?
Every affirmative answer decreases your risk of getting cavities, but even doing all of this may not be enough!
Now, how many times can you answer “Yes” to these questions?:
- Do you smoke? Smoking causes mouth dryness, and creates a host of other health problems.
- Do you snack frequently between meals? One sugary snack and your mouth is acidic for the next hour. One snack per hour and your mouth is acidic all day.
- Do you frequently have acid reflux or heartburn? Reflux creates extreme acidity in the mouth and directly erodes tooth enamel.
- Do you drink soda, sports drinks, or acidic beverages frequently? These beverages are very acidic.
- Is your mouth frequently dry? Do you take any medications that cause mouth dryness? Saliva is nature's own defense against acidity and helps neutralize acid in the mouth.
- Have you had frequent cavities in the past and/or have you had any crowns or fillings in the past three months? The best indicator of future disease is past disease!
Every affirmative answer increases your risk of getting cavities!
Now that you are a little more knowledgeable about your personal risk for tooth decay, make an appointment with us to discuss the preventative measures that can give you some control over the future condition of your teeth. Ignoring the risks and then ending up with a mouth full of rotting teeth when you knew better could really sting a little!
To learn even more about the delicate balance between the disease causing and protective factors related to tooth decay, read the Dear Doctor magazine article “Tooth Decay: How To Assess Your Risk.”
Protecting your children is one of your most important roles as a parent or caregiver. Dental sealants are one way you can protect your children's teeth from the ravages of tooth decay, drilling and fillings — and they can be applied simply, comfortably and quickly right here in our office.
What is a dental sealant?
A dental sealant is a thin, plastic film that is painted onto the tiny grooves on the chewing surfaces of the back teeth (usually the premolars and molars) to prevent caries (cavities) and tooth decay. And by allowing us to use sealants to seal these little nooks and crannies where your child's toothbrush can't reach, you will dramatically reduce their chances for developing tooth decay. This one, simple and quick office visit could save you both money and time with fewer dental visits and healthier, cavity-free teeth.
So will sealants guarantee no (or no more) cavities?
No, just like life, there are few guarantees. Your child's oral hygiene, regular dental visits, fluoride, sugar consumption and genetics are the other important factors that will determine to what degree your child experiences tooth decay. However, research shows that pit and fissure (chewing surface) decay accounts for approximately 43% of all decayed surfaces in children aged 6 to 7, even though the chewing surfaces (of the back or posterior teeth) constitute only 14% of the tooth surfaces at risk. This demonstrates the vulnerability of the chewing surfaces of the posterior teeth to decay. By placing a protective seal over the areas of teeth at risk, you can effectively and proactively protect your children's teeth.
How long do sealants last?
Research has shown that some sealants can last up to 10 years. However, if you opt for sealants for your children's teeth, we will closely monitor them with each office visit to ensure that they are still doing their job. As needed, we can apply more sealant.