You’ve had crooked teeth since you could remember. Perhaps you and your parents talked about braces when you were a teenager, but it never happened. Now you’re well into your adult years and you’re comfortable with how you look — so why go through the expense and time now to have them straightened?
There’s a good reason to consider orthodontics at any age — improved health. While we mainly associate teeth straightness with an improved smile, the more serious impact of misaligned teeth is on function — how we bite, chew and speak. As with many other areas of life, good form usually makes for good function. When we have crooked teeth, we may not be able to chew our food properly or speak as well as we could if our teeth were aligned properly.
Misaligned bites (malocclusions) can also have an impact on individual tooth health. Because they don’t interact efficiently with their opposing counterparts during chewing or biting, teeth can become loose or migrate further out of alignment.
While improvement in oral health is the primary reason for considering treatment for a malocclusion, don’t discount the benefit of orthodontics to your appearance. Your smile impacts many aspects of your life, including career and social relationships. A straighter, more attractive smile could also boost your self-confidence: even if you think you’ve grown accustomed to your smile, straightening your teeth could vastly change how you view yourself and how you believe others view you.
And if you’re dreading the look and feel of metal braces, orthodontic treatments have made giant strides in the last few decades. Clear aligners, for example, are much less noticeable than traditional fixed braces (and can be removed for special occasions), but still effective for moving teeth. There’s never been a better time to consider straightening your teeth — and change the course of your health and your life.
If you would like more information on orthodontics for adults, 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 “Why Straighten Teeth.”
There’s more to teeth than meets the eye. Hidden beneath the visible crown are the tooth’s roots set within the jawbone, secured and protected by the gums from bacteria and infection. But if the gums shrink back (recede), the roots become exposed and susceptible to disease, especially at the points where multiple roots branch from each other, areas called furcations.
It all begins with periodontal (gum) disease caused by built-up bacterial plaque from insufficient brushing and flossing. The infection triggers inflammation that over time weakens gum tissues. They begin to detach from the teeth, which can eventually lead to gum recession and root exposure.
This also causes bone loss, especially at the furcations. We can detect any loss (known as a furcation invasion) and how far along it may be with x-ray imaging or by manually probing with an instrument called a periodontal probe.
There are three general classes measuring furcation invasions. In the earliest, Class I, we can feel the invasion as a slight groove; in Class II, it increases to two or more millimeters across. In Class III the bone loss extends from one side of the root all the way to the other (a “through and through”).
At this stage a patient is in danger of losing the tooth, so we’ll have to act promptly. This means first removing accumulated dental plaque and calculus (tartar) to stop the infection and allow the gums to heal. With severe damage, we may need to assist healing with bone and gum tissue grafting, in which we place donor grafts to serve as scaffolding for the appropriate tissue to grow upon.
You can help prevent this situation by practicing effective daily hygiene and visiting your dentist for thorough cleanings at least twice a year (or more if recommended). And at the first signs of a gum infection—swollen, reddened or bleeding gums—make an appointment as soon as possible to have it checked. The sooner we can detect and treat gum disease, the less likely a furcation invasion or worse will be in your future.
Spring means different things to different people—but to baseball fans, it means just one thing: the start of another thrilling season. All 30 Major League Baseball teams begin play this month, delighting fans from Toronto to Texas and everywhere in between.
The boys of spring carry on an age-old tradition—yet baseball is also changing with the times. Cigarette smoking has been banned at most ballparks for years; smokeless tobacco is next. About half of the MLB venues now prohibit tobacco of any kind, including “snuff” and “dip.” What’s more, a recent contract agreement bars new Major League players from using smokeless tobacco anywhere.
Why all the fuss? Because tobacco isn’t safe to use in any form. People who use smokeless tobacco get just as much highly addictive nicotine as cigarette smokers. Plus, they get a mouthful of chemicals that are known to cause cancer. This puts them at higher risk for oral cancer, cancer of the esophagus, pancreatic cancer and other diseases.
A number of renowned ballplayers like Babe Ruth, Curt Flood and Bill Tuttle died of oral cancer. The death of Hall of Famer Tony Gwinn in 2014 focused attention on tobacco use in baseball, and helped lead to the ban. Gwynn was convinced that his addiction to smokeless tobacco led to his getting oral cancer.
Yet tobacco isn’t the only cause of oral cancer. In fact, the disease is becoming more common in young people who do not smoke. That’s one more reason why it’s so important for people of all ages to keep to a regular schedule of routine dental exams. These visits offer a great opportunity to detect oral cancer in its earliest, most treatable stages.
So as you watch your favorite team, take a tip from the professional athletes’ playbook. If you don’t use tobacco, don’t start. If you do, now is a good time to quit. For help and support, call an expert at 1-800-QUIT-NOW or visit smokefree.gov.
If you have any questions about oral cancer, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Diet and Prevention of Oral Cancer.”
Team USA figure skater Adam Rippon became one of the breakout stars of the 2018 Winter Olympic Games in South Korea last month. But it wasn’t just his acrobatics on the ice that dazzled—it was also his bright smile. As it turns out, the 28-year-old skater had prepared for his big moment on the world stage not only by practicing his jumps…but also by whitening his teeth.
Teeth whitening is a great way to prepare for a special day: a wedding, graduation or any time you want to look your best. Compared to many other cosmetic dental treatments, teeth whitening is less expensive and takes fewer office visits to achieve noticeable results. It all starts with a dental exam, where we will make sure your tooth discoloration is not the result of an underlying dental issue that needs treatment. We can also give you a better idea of what kind of results you can expect from various bleaching methods.
Professional in-office whitening treatments offer the fastest and most dramatic results. Using concentrated bleaching solutions, it’s often possible to lighten teeth up to 10 shades in a single hour! Yet we always take care to protect the sensitive soft tissues of your mouth (gums, lips, etc.) from the powerful bleaching solutions.
We can also prepare a take-home kit that will allow you to achieve similar results at home, though the process will take longer (usually a few weeks). We will provide you with bleaching trays that are custom-made from a model of your mouth for a precise fit, along with bleaching gel to use at home. What’s great about the trays is that you can give yourself a touchup treatment months (or even years) later by getting another tube of bleach from the dental office.
If you have questions about teeth whitening, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Important Teeth Whitening Questions Answered.”
Dental implants are by far the best way to replace missing teeth. But they do more than improve your smile: they can restore your ability to eat, chew and talk properly, especially if the teeth replaced are in the back of your mouth. What’s more, they can improve the entire look of your face by restoring facial height and cheek support lost because of the missing teeth.
There is, however, one obstacle to overcome before receiving dental implants — a lack of sufficient bone at the implant site. Bone loss usually occurs when teeth have been missing for some time. This is because when we chew the forces generated by the teeth stimulate continual bone growth to make up for older bone that has dissolved (resorbed). This stimulation doesn’t occur after teeth are lost, which slows the rate of bone growth. Over time the amount of healthy bone diminishes.
Without enough bone for support, implants can’t be placed properly. Fortunately, some of the bone can be regenerated through techniques that place bone grafting material at the site to stimulate and serve as a scaffold for new bone.Â The new bone will eventually replace the graft.
For missing upper back teeth with bone loss, we can take advantage of facial anatomy to grow the bone needed for implants. This area of the face is where the maxillary sinuses, air spaces lined with a tissue membrane, are located on either side just above the upper jaw. After determining their exact size and location through detailed x-ray imaging, we can surgically access the area inside the mouth just above the missing teeth.
The sinus cavity is an area where bone growth can occur by placing a bone graft between the floor of the sinus and the sinus membrane. Sometimes bone growth enhancers are used to stimulate and speed up regeneration. The procedure can usually be performed with local anesthesia (much like a routine tooth filling), with only mild discomfort afterward for a few days managed by an anti-inflammatory drug like ibuprofen and a decongestant for sinus swelling.
After six to seven months, we re-evaluate the area to see if sufficient bone has returned for implant surgery. If so, you will be well on your way to achieving a new look and better function through dental implants.
If you would like more information on building new bone through sinus surgery, 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 “Sinus Surgery.”
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