Posts for: November, 2013
In his decades long career, pop-music chameleon David Bowie has gone through a dizzying series of transformations. And as he morphed from alien-inspired space oddity to fashion-forward international superstar, his smile benefited from some very dramatic ch-ch-ch-changes. While Bowie hasn't talked much about his dental treatments, a comparison of pictures from the mid 1970s to the mid '90s (not to mention a much-viewed youtube video on the subject) makes it clear: his tooth staining, misalignment and gum recession have been left behind like polyester bellbottoms.
But tooth makeovers aren't just for pop stars! Cosmetic dentistry can benefit anyone who's interested in improving their appearance, at any age. Often, treatment starts with a “smile analysis” — a review of the current aesthetics of your mouth, including the shape, spacing, color and alignment of the teeth, the appearance and general health of the gums, and the way the lips and gums frame the smile.
This analysis can help pinpoint some places where the overall look of your smile may need improvement, and it can also identify some specific treatments to make it better. It's even possible to see a simulation of what you'd look like after the treatments are complete, to help ensure that your goals are realistic and attainable. What are some of the most common cosmetic procedures?
For stained teeth, you can try in-office whitening with concentrated bleaching solutions, or professionally-supervised at-home treatments using plastic trays that are custom-made to fit your teeth. The major difference between the two is the amount of time you need — with in-office treatments, you'll see results right away, while at-home gels may require weeks.
Tooth bonding and restoration with composite resin is a relatively fast and easy way to fix minor to moderate chips, flaws and discoloration. Because the composite material bonds directly to the tooth itself, this method requires only minor tooth preparation, and is often completed in just one office visit.
If your teeth, like Bowie's, need more extensive restoration, dental veneers or crowns may be required. Veneers are super strong, wafer-thin coverings that fit over the front surface of your teeth. Besides giving you that “Hollywood white” smile, they can also lengthen teeth that are too small, correct misalignment and close gaps in your smile. To correct even more extensive problems, crowns (also called caps) can replace the entire visible portion of one or more teeth — or, if teeth are missing, a permanent, long-lasting dental implant can be placed.
Many adults are choosing orthodontics to correct problems of tooth position, alignment or spacing — in fact, some 20% of all orthodontic patients today are grown-ups! It's never too late to start treatment, and with less-noticeable appliances like clear aligners and tooth-colored braces, it's easier than ever to make those ch-ch-ch-changes.
If you would like more information about the options available in cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Orthodontics For The Older Adult” and “Cosmetic Dentistry.”
Dental implants are a great choice for many people who need to permanently replace a missing tooth. Reliable and long-lasting, they offer a highly successful outcome, and can even help reduce long-term bone loss and damage to adjacent teeth. One of the best features of implants is that the titanium metal of which they're made actually becomes fused with your natural, living bone tissue.
But sometimes, an examination may show that where you have missing teeth, you may not have enough bone remaining to properly place an implant. Does this mean you're out of luck? Not necessarily!
Employing the refined techniques of bone grafting, regenerating bone tissue has become a standard procedure in periodontal and oral surgery. In many cases, it's possible to build up just the right amount of bone using a variety of grafting materials, in combination with other special techniques. This can enable patients who wouldn't otherwise be good candidates to enjoy the benefits of dental implants.
How does it work? Basically, by helping your body repair itself.
You may already know that bone is a living tissue, which can respond to its environment positively (by growing) or negatively (by resorbing or shrinking). When you've lost bone tissue, the trick is to get your body to grow more exactly where you want it. Once we know where — and how much — replacement bone is needed, we can place the proper amount of bone grafting material in that location. Then, in most cases, the body will use that material as a scaffold to regenerate its own bone.
Bone grafting is often done at the time of tooth removal as a preventive procedure or prior to the placement of an implant, to give the body time to re-grow enough of its own tissue. The procedure is generally carried out under local anesthesia, or with the aid of conscious sedation. Sometimes, if there is enough natural bone to stabilize it, it's even possible to place an implant and perform a bone graft at the same time.
So if you're considering dental implants, let us advise you on what's best for your particular situation. We have the knowledge and experience to help you make the right choices, and achieve the most successful outcome.
If you would like more information about bone grafting, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine article “Can Dentists Rebuild Bone?”