Posts for category: Dental Procedures

By Angela Harney, DMD
April 27, 2013
Category: Dental Procedures
5ReasonstoConsiderClearOrthodonticAligners

You've probably heard of the relatively new method of straightening teeth with thin, plastic orthodontic appliances (“ortho” – to straighten; “odont” – teeth) known as clear aligners. Here are some reasons you might want to consider them for your orthodontic treatment:

  1. Appearance. Looks aren't everything, as the saying goes. But it may be that metal-covered teeth will not give you a look you want to sport for perhaps a year or more. Adults in particular find that metal braces don't always fit in with their self-image. Because clear aligners are virtually invisible, your teeth will look as they always do and it will not be obvious that you are undergoing orthodontic treatment.
  2. Control. When you have traditional braces, you cannot take them out of your mouth yourself. They must be professionally removed when your treatment is completed. With clear aligners, however, you can take them out to eat and also for important social occasions. Of course, that means you are also responsible for wearing them as often as needed — a minimum of 22 hours a day. It's a good bargain if you can live up to it, and most find that they can.
  3. Hygiene. One of the challenges of traditional braces is to learn to clean around them so that your teeth and gums stay healthy throughout treatment. It's not always so easy to do. With clear aligners, you can maintain your usual oral hygiene routine — and also clean the aligners themselves.
  4. Comfort. Sometimes the rigid brackets and wires of traditional braces can press into sensitive tissues of the mouth. It's something that you will eventually get used to, but it can be uncomfortable temporarily. The material of clear aligners is flexible, so this type of irritation is not an issue.
  5. Versatility. In recent years, the clear alignment system has been improved to handle more serious malocclusions (“mal” – bad; “occlusion” – bite). Enhancements have also been made to accommodate additional growth of molar teeth in the case of teenagers.

While there are some cases in which traditional braces are still the best option, clear aligners have more applications than ever before. They also have some clear advantages that are worth considering.

If you would like more information about clear aligners, please contact us or schedule an appointment for a consultation. You can also learn more about clear aligners in general by reading the Dear Doctor magazine article “Clear Aligners For Teenagers.”

By Angela Harney, DMD
April 05, 2013
Category: Dental Procedures
Tags: dental implants  
TheMarvelousMini-ImplantASmallWonder

If you are at all uncomfortable at the thought of getting a dental implant, you might be pleasantly surprised to learn the truth about these marvelous state-of-the-art tooth-replacement systems — and the special role of a relatively new device, the mini-implant. So, first, let's go over some basic facts.

What's a dental implant? Basically, it's just a replacement for the root part of the tooth, the part that lies beneath the gum line. It attaches to a crown, which is a replacement for the visible portion of the tooth. But instead of ceramics or metals, implants are made of titanium, which becomes fused to the surrounding bone. When complete, implants are much stronger and longer-lasting than other methods of tooth replacement, like bridgework and dentures.

Implants are presently regarded as the best way to replace missing teeth, with a success rate of over 95%. They also help prevent bone loss in the jaw, a major goal of modern dentistry. Having one put in is an office procedure that's generally accomplished with local anesthesia, and most patients experience only minor discomfort. Standard dental implants can be used to replace a single tooth, or multiple teeth. The mini-implant, which is just a miniature version of the same technology, is now playing an increasing role in many other phases of dentistry.

Why mini-implants? Because in several situations, this smaller and less expensive alternative offers a solution that's just as good — or better — than any other dental treatment. One area where mini-implants excel is in supporting lower jaw overdentures.

Many people find that lower dentures are far more troublesome than upper dentures. The movement of the tongue muscle, and the smaller area of surface contact (compared to the upper denture, which is supported by the palate) often results in a poor, loose fit, which leads to problems when eating or speaking. These problems can be solved by affixing a lower overdenture (an implant-retained denture) with just two mini-implants.

Not only do mini-implants help prevent bone loss, they also give the denture wearer increased stability, comfort, and confidence. And they do so at a price that's more economical than you might think. In some cases, the mini-implants can be placed in a single one-hour office visit, and your own denture can be modified to fit them — so you can go home and eat a steak that night!

Another area where mini-implants are finding increasing use is in orthodontics. Orthodontic appliances (commonly called braces) move teeth by exerting a light force on them, using a wire which is fixed to a solid anchor point. Traditionally, other teeth are used as anchors — but sometimes these teeth move as well! By using immovable mini-implants as the anchor points, the process is greatly simplified. Strategically placed mini-implants called TADS (temporary anchorage devices) can be used to correct both skeletal (jaw) position and dental (tooth) position problems.

Mini-implants may also be used in upper dentures and temporary bridgework.

If you would like more information about mini-implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Implant Overdentures for the Lower Jaw,” “The Great Mini-Implant,” and “What are TADS?”

By Angela Harney, DMD
February 03, 2013
Category: Dental Procedures
Tags: dental implants  
AreDentalImplantsAGoodChoiceforMyTeenager

Dental implants are in much demand when it comes to replacing missing teeth. And although they have long-term success rates of well over 95% when properly placed, the dental profession's current rule-of-thumb is to not use them as a treatment option for teenagers because jaw and facial growth are not complete.

As with most things in life, timing can be everything. However, having missing teeth as a teen can contribute to significant loss of self-esteem and psychological issues. All this means is that we must review each patient's needs on a case-by-case basis so that we can determine the optimal time to place implants while maintaining your teen's self-esteem. However, the good news is that there are some temporary tooth replacements available until the timing is right for implants.

Unlike natural teeth, which move and change position along with normal growth and jaw development, implants don't. Because implants replace tooth roots by fusing with the jawbone, their position is fixed. If placed before normal jaw growth and maturity are complete, they appear to sink as the jaws grow and leave them behind!

Given the above details, you can clearly see why it is critical for jaw and facial growth to be complete prior to placing a dental implant. To determine this timeline, we will work with our dental team, which include orthodontists (specialist in the study of the growth, development and moving teeth into the right positions). Working together, we will best be able to assess when the time is right to plan and place dental implants — usually around late teens.

To learn more on this subject, continue reading the Dear Doctor magazine article “Teenagers & Dental Implants.” You can also contact us today to schedule an appointment for your teenager or to discuss your questions about dental implants or other treatment options.

By Angela Harney, DMD
January 25, 2013
Category: Dental Procedures
Tags: oral health   root canal  
CanARootCanalSaveMyTooth

One of the most common treatments we are asked about is a root canal and the unfortunate bad reputation associated with it. The truth is that the procedure actually relieves the pain associated with the problem and not visa versa. And here's why.

A root canal or endodontic treatment (“endo” – inside; “dont” – tooth) is a necessary procedure in which diseased pulp tissue — and the nerve, which responds by causing the pain — is removed. This is followed by cleaning and sealing the root canals. This usually results from pulp inflammation and infection as a result of a severe decay or in a heavily filled tooth. Root canal treatment is typically performed by general dentists who have taken specialized training or by endodontists, dentists who specialize in the diagnosis and treatment of root canal problems. We perform them here in our practice to save a tooth, literally, from further damage and/or loss.

Here is a quick overview of the procedure. We will begin by making a small opening in the chewing surface of your tooth so that we can access the tooth's root canal. We use small instruments to remove the dead and dying tissues of the pulp. The root canals are cleaned and disinfected. The canals are then sealed with a biocompatible filling material. Lastly, we will seal the access hole with a filling material. You will then need to get a permanent restoration or crown to protect the tooth fully.

If you feel that you have the symptoms of a root canal problem and may need a root canal treatment, contact us to schedule an appointment. And to learn more about the signs, symptoms, and what to expect after root canal treatment, read the article “Common Concerns About Root Canal Treatment.”

By Angela Harney, DMD
January 15, 2013
Category: Dental Procedures
CountdownToAPerfectWeddingDaySmile

Invitations, dresses, the cake, the photographer: there's so much to think about when planning your wedding. And remember to plan for one more thing, your smile. Your wedding photographs will record the magic of your wedding day forever, so you'll want your smile to look radiant. Bonus: you'll be providing for a lifetime of good oral health.

Start planning as far ahead as possible. We can help you select from the variety of treatments, therapies and procedures that can enhance your smile on that special day. Together, we'll assess your starting point, decide what needs to be changed, and create a plan of action. Remember that the bigger the changes you want to make, the longer they are likely to take.

Plan the indicated amount of time before your wedding for the following:

  • Several months to three years: Orthodontics
    From minor movement using clear aligners to full braces to correct a bad bite, this treatment allows us to accurately and precisely move teeth for better appearance and function. The process can seem like magic.
  • Six months to a year: Dental Implants
    Implants are natural looking, functional stand-alone tooth replacement systems. They take planning and time. An implant consists of a root replacement that permanently joins to the bone and to which a crown is attached.
  • Two to four visits: Periodontal Plastic Surgery
    Consult with us to find out your needs. Today, surgical techniques can alter your gum tissues and their relationship to the teeth, improving the appearance of your smile.
  • Multiple visits over one to four months: Crowns and Bridges
    A crown or “cap” is generally required when a tooth has been ravaged by decay or trauma. A crown can also be used to improve tooth color and shape. Missing teeth can be replaced by bridges, which span the space created by a missing tooth. Bridges do require crowns on the adjacent teeth to which the bridge is attached.
  • At least three months: Veneers
    Porcelain veneers are bonded directly to the enamel to change the shape and color of darkened or unsightly teeth. Usually, a small amount of enamel must be removed to make room for the veneers and for them to work their magic.
  • At least two months ahead of your wedding day: Bonding
    You can replace anything from small chips on your front teeth to broken discolored old fillings with the latest tooth-colored bonding composite resin materials. These procedures, generally done in one visit, provide life-like restorations that become part of the teeth and look very natural.
  • Allow for one or two office appointments: Whitening
    A professional “in office” tooth bleaching procedure is quicker and more predictable than an “at-home” kit, which may brighten your smile by several shades, but requires months.
  • Schedule well ahead of your wedding date: Dental Cleanings
    Remove unwanted stains and freshen your breath, so you look and feel your best on the big day. You may need more than one cleaning, depending on how much stain and tartar there is and how long it has been since your last cleaning.

We can make sure that your wedding day smile makes you look and feel great, not just for those treasured photos, but for years to come. For many of these procedures, results can last a lifetime. Contact us today to schedule an appointment to prepare for your best wedding smile. For more information read the Dear Doctor magazine article “Wedding Day Smiles.”



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