Showing posts with label composite. Show all posts
Showing posts with label composite. Show all posts

Tuesday, December 6, 2011

Are Clear Plastic Braces for You?

Everyone calls these types of braces Invisalign.

However, another product is out on the market that
does the exact same thing except less expensive.
This product is called Clear Correct.
The trays are still clear.
Your teeth still move.
You can still take them out.
If you have orthodontic insurance you are still covered.

So are there any differences?
Yes

You pay less.



Monday, November 28, 2011

What is a retainer and what kinds are there?

Lots of people ask me about retainers.

Most retainers are given to folks from their orthodontists.
The type of retainer you have really depends on the personal preference of the Orthodontist.
Some orthodontists like the retainers that you can take in and out every night.
These come in two forms. The ones that use wire to retain the teeth position
and the ones that are made simply of clear plastic.
Other orthodontists like the small metal wires that are actually
glued to the teeth and can not be removed.

So which one is better?

That depends on what irritates you most.
Would it irritate you more to have something glued into your
mouth that you could never take out?
Or would it irritate you more to always have to remember to put your retainer
in every night and take it with you on every trip vacation and overnighter you go on?
Both will do a fine job.
My Mother has a retainer that she puts in every night and has done so for over 30 years.
My wife has a bonded metal wire that she has had in place for over 20 years.
Both seem to like what they have and wouldn't change.
If you have a particular type of retainer and you would like
to try another kind that is no problem.

We can switch you to another kind, let you try it for a while, and then
switch you back if you don't like it.


Tuesday, November 22, 2011

Did you just sneeze on me!!??

We have all had it happen to us.
A co-worker lets out a sneeze without covering their mouths.
You try, without the sneezer noticing, to politely turn away as to not ingest their germs.

Does that work?

Well, only if you are really really fast about it.
A sneeze comes out of your mouth at hundreds of miles an hour.
That's right.
HUNDREDS!!
Estimates are a little scattered as to just how fast but it ranges anywhere from
100 mph to 800 mph. But regardless of which of these numbers is closer
to the real number is kind of irrelevant. The point is that unless you can turn your head
very very quickly you are out of luck. The sneezer's germs are now your germs.

Best thing to do is to tell the sneezer to cover his/her mouth!


Monday, November 21, 2011

What is an underbite


Typically your upper teeth protrude out over your lower teeth.
This makes it so that when you close your teeth you see mainly see your upper teeth.

In some cases the lower teeth will cover the upper teeth when you close.
This is known as an under bite.

Under bites can come in two forms.
#1 is a problem with the tilt of the teeth.
If the lower teeth are flared out or the top teeth are pushed in then an under bite may occur.
This problem can usually be corrected very easily with orthodontics.

#2 is a skeletal problem.
This means that the lower jaw grew to far out or the upper jaw didn't grow
out far enough or both.
This kind of under bite can also be corrected with orthodontics, but
in severe cases may require surgery to fix.
Best thing to do is to get your child to an orthodontist if you suspect that trouble.


Thursday, November 17, 2011

Your teeth have something to say.



Your teeth will speak volumes before you ever have a chance to say a word.
Your teeth say a lot about you whether you like it or not.
Look at the following pictures and say the first thoughts that come to your mind.

#1
#2

#3




#4
Ok. So what were your thoughts?
Were they positive thoughts about these people or negative.?
Bear in mind that you do not know these people.
You do not know their personalities.
You do not know their contributions to society.
You simply can see their teeth.

Now take a look at the following picture.
What are the first thoughts you have about this person?
Are your thoughts about this person different then the others?
Why?
Teeth make a huge difference.
Getting a job, impressing a potential boss, making friends, etc.
It may not be fair but its true.

Don't let your teeth say the wrong things about you.
No matter the situation there are things that can be done.


Monday, November 14, 2011

Are those supposed to feel like separate teeth?!



Your teeth are all meant to have some space in between them.
Some teeth have only a tiny space and may be very hard to floss.
Some teeth have more space and may be very easy to floss.
But all teeth are supposed to have space between them.

Take your tongue and run it along the back side of your bottom front teeth.
Does it feel like a wall of teeth or does it feel like individual teeth?

If it feels like a wall of teeth with very little space in between then you need a cleaning.

Below is a picture of some front lower teeth before and after they were cleaned.
The yellow stuff in between the teeth is build up that is too hard to
be cleaned off by your tooth brush alone.

The only way to get this stuff off is by a trained dental hygienist or dentist.
It doesn't look very good but that is not the worst part.
The worst part is the bacteria that can be harbored in your mouth

and thus pose health risks, some severe, throughout your entire body.

Before the cleaning.
After the cleaning.

Thursday, November 10, 2011

Why are my new fillings so sensitive?


New fillings that are placed by your dentist should not be sensitive.
If they are they should not remain that way for long.
Some very large fillings may take longer then others, but
eventually every filling should calm down.


So what exactly is going on when a fillings sensitive?
It has to do with expansion and contraction.

As with most things, when a tooth is exposed to hot or cold
temperatures it will expand or contract accordingly.

If a tooth has never had a filling it will all contract and expand at the same time.

If a tooth HAS had a filling however this is where we may get an issue.
If the tooth and the filling have a different point at which they want
to expand or contract then there can be some discomfort.
Over time this discomfort should go away as the tooth gets used to the filling.
If the discomfort does not go away then the filling needs to be re-done.
If it still hurts then there are some different types of filling materials that can be used.
If it still hurts then other treatments may be needed.

Filling sensitivity is a funny thing.
Someone can get 4 fillings in the same day.
Same doctor.
Same filling material.
Same everything.
But only 1 will end up hurting.
It is a real tooth by tooth thing and can drive patients, and dentists, crazy!


Thursday, October 27, 2011

Most fun part of my job.


Doing these kinds of cases is a really fun part of my job.
The patient went through an initial cosmetic bonding process in the 70's.
Since then the bonding has discolored and chipped.
He decided it was time for a change.

Before
Half way there.
After!!
Helping people feel great about their teeth is something that I love to do.

This is all bonding.
No Shots.
No pain.
Same cost as fillings.


Tuesday, October 18, 2011

Meth Mouth

There is a drug out there known as Meth.
Its not good for a whole boat load of reasons.
But seeing as how I am a dentist I will focus on the dental problems.

The first problem is that Meth causes your salivary glands to stop producing spit.
This may not seem like a big thing, but it is.
Just imagine if your tear ducts stopped producing tears.
Your eyes would dry out in a big hurry.
Dry eyes would be painful and damage would begin to occur.
Same thing with teeth.
Dry teeth will end up being painful and damaged teeth.

(Early meth use)
The next problem is that Meth will make a person grind their teeth.
Scientists really aren't sure why but they have seen it enough to know that it happens.
Grinding of brittle dry teeth will cause fractures to begin happening.

(Moderate Meth use)
Finally Meth will cause people to just not care anymore.
And when you really don't care about your teeth you really don't
take care of them and you really don't care eat of drink anymore either.

The black spots on the gums are what's left of the teeth.
They have either rotted, been broken down to, the gums.

(Severe Meth use)



Monday, October 17, 2011

Its called pericoronitis

That's right. You may have a Pericoronits.
It simple terms it is a little flap of skin that is hanging over the top of your last tooth.
Or it may be that the tooth isn't all the way in yet and its half covered by tissue.

Whichever it is, this tissue will tend to get inflamed from time to time.
When it does get inflamed chewing can become very painful.
The problem can be helped by swishing with a mouthwash and ridding the area of debris.

But this is only a short term solution.

What is the long term solution?

# 1 You can get the tooth that is partially erupted taken out.
That works well if the tooth happens to be a wisdom tooth.
But not so well if it happens to be a normal molar.
#2 You can get the tissue trimmed off.
This works very well for normal molars but not so well if the problem is a wisdom tooth.

Whatever the problem happens to be just know that you are not alone
in having this problem and that there are several simple solutions.

Thursday, October 13, 2011

How long will it last?


"How long will it last doc?" is a question I get asked all the time.
Usually I get asked this question after I tell someone they have a cracked tooth.

The Answer I give people is, "it depends".
And although it sounds like a cop-out it is absolutely the correct answer.


If we can see a crack in a tooth that means that the tooth is giving way.
Whether it is giving way like the beach to erosion.
Or whether it is giving way like a pony with a sumo wrestler in its back
is the question.

It all really depends on your diet.
If you eat nothing but yogurt the rest of your life then the tooth will make it a long time.
If you crush ice and corn nuts with your teeth then the tooth may break by tonight.

So the dentist really doesn't have any idea.
Its all up to you.

Best thing to do is to get it taken care of right away so that you don't test the
limits of your tooth's toughness.
If it does break the consequences could be dire.


Wednesday, October 12, 2011

Before and After Cosmetic



Here is a patient of ours who just wanted to smile again.
She had very weak teeth and was suffering from multiple deep cavities.
Here is her before picture.
The whole procedure took about 2 hours but the patient thought it was worth it.
We used filling material due to the expensive nature of getting every tooth crowned.

Wednesday, September 28, 2011

Cosmetic Bonding



This was one of the more challenging cosmetic bonding cases that I have done.
Some teeth that we bond are slightly tilted.
Some are slightly rotated.
Some are too long or too short.

This tooth is rotated 90 degrees.
Meaning the tooth is turned completely sideways.
The bonding was tough because the proportions are off due to the rotation.
However, The patient was very happy with the result.
She was told that expensive braces was her only option.
Turns out 30 minutes in the chair.....
no shots
no drilling
and the cost of a filling later she looked like this.
This is simply filling material and it can be done in lots and lots of cases.


Monday, September 26, 2011

What is a cleft lip and palate?

The word "cleft" simply means a crack or divide. A cleft lip is simply the body incorrectly or incompletely closing the facial structures during development. This incomplete closing leaves a cleft, or divide, in the lip and/or palate of the new born. Below is an ultrasound showing a cleft lip
Clefts can be simply the lip (cleft lip).
Or they can be more severe and include the palate (cleft lip and palate).
In the cleft lip and palate the teeth are often involved.
Missing, misaligned, and or misplaced teeth can be common.
Clefts, no matter the severity, are normally very repairable
and the scare can be almost unrecognizable.


Monday, September 19, 2011

17 yr old bonding case



This is a 17 year old patient at our office.
He just recently got his braces removed.
Two of his front four teeth were too small.
The orthodontist put them in the proper position and then allowed us to fill the gaps.
The before picture.
The after picture.
This procedure took 30 minutes.
Was completed on both sides of the mouth.
No shots.
No drills.
No original tooth structure was removed.
Costs the same as a filling.



Wednesday, September 14, 2011

Stop sipping the Mtn Dew!!

We see it all the time.
People coming into the office with with their teeth hurting.
I tell them that they have a ton of cavities and they tell me that that is impossible.
Since nothing is impossible I ask them why they think that.
They tell me its because they only drink 1 can of soda pop a day.
I tell them that that's not so bad and that lots of people have a soda at some point during the day.
I then ask them how long it takes them to drink it.
They tell me that they sip on it throughout the day and that it takes them about 4 hours to finish off a can.
Here in lies our problem.
Cavities caused by soda happen due to the time that the teeth are exposed to the sugar and not the amount of sugar ingested.
If I drank an entire 2 liter of Mountain Dew for breakfast and my patient only had 1 can on Mountain Dew but it took him 4 hours to drink his can, who do you think would be worse off?
If you said the guy drinking the can then you are starting to catch on.
Although my sugar content is higher and I may experience more symptoms throughout my body my teeth are much better off. I get the sugar in my mouth and then get it out and I am done. The person who sips on that one can for hours at a time has sugar covering their teeth all the whole time they are sipping. So less sugar but more tooth exposure.

Moral of the story is DO NOT SIP!


Monday, September 12, 2011

Implant case

Wrapped up this case on Friday of last week.
Patient broke off half of her tooth.
The break was severe and extended down under the gums.
Patient did not want a bridge so an implant was chosen.
(Digital picture of tooth)
(X-Ray of tooth)

After the extraction both root sockets were examined and it was
determined that the socket farthest back would work best for the implant.

The implant was placed.
Bone grafting material was placed in the front most socket.
The spot was then stitched shut.
The implant is at bone level and the outcome for this case is extremely favorable.
The patient will now wait for about 6 weeks to make sure
that the implant site heals completely.

After that a tooth will be attached to the implant
and she will be back to her old self.

There are certain situations in which they don't work
but for the most part implants are wonderful.



Friday, September 9, 2011

Does your jaw pop or click?

TMJ is the abbreviation for Temporal Mandibular Joint. It is the joint directly in front of your ear that is used by your body to open and close your mouth. It is, like most other joints in your body, made up of cartilage, fluid, bones, and muscles.. And just like any other joint in the body any piece to this puzzle can deteriorate, get misplaced, damaged, or have any other number of problems.
If any sort of damage does occur then pain, clicking, popping may result.
If you have had any of the above symptoms the best thing to do
is to see your dentist right away.
He/she needs to determine what is the cause of your TMJ discomfort and
what, if anything, can be done to solve the problem.