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Posts for category: Dental Procedures

By Dominick P Agostin, DDS
August 20, 2020
Category: Dental Procedures
Tags: dental cleaning  
RemovingHardenedPlaqueReducesYourRiskofDisease

When you floss (you do floss, right?), you probably notice a sticky, yellowish substance called plaque stuck to the thread. This thin film of tiny food particles and bacteria is the reason you floss and brush in the first place: Because it's the main trigger for tooth decay and gum disease, removing it decreases your risk for disease.

But this isn't the only form of plaque you should be concerned about. That same sticky substance can also interact with your saliva and harden into what's commonly known as tartar. Dentists, however, have a different term: They refer to these calcified deposits as calculus. And it's just as much a source of disease as its softer counterpart.

You might have noticed that this form of plaque has the same name as an advanced type of mathematics. Although dental calculus has little in common with algebra's cousin, both terms trace their origins back to the same linguistic source. The word “calculus” in Latin means “small stone;” it became associated with math because stone pebbles were once used by merchants long ago to calculate sales and trades.

The term became associated with the substance on your teeth because the hardened plaque deposits resemble tiny stones or minerals—and they can be “as hard as a rock” to remove. In fact, because they adhere so firmly it's virtually impossible to remove calculus deposits with brushing or flossing alone. To effectively eliminate calculus from tooth surfaces (including under the gum line) requires the skills and special dental tools of dentists or dental hygienists.

That's why we recommend a minimum of two dental cleanings a year to remove any calculus buildup, as well as any pre-calcified plaque you might have missed with daily hygiene. Reducing both plaque and calculus on your teeth fully minimizes your risk of dental disease. What's more, removing the yellowish substance may also brighten your smile.

That's not to say daily brushing and flossing aren't important. By removing the bulk of plaque buildup, you reduce the amount that eventually becomes calculus. In other words, it takes both a daily oral hygiene practice and regular dental visits to keep your teeth healthy and beautiful.

If you would like more information on best oral hygiene practices, please contact us or schedule an appointment for a consultation.

EvenCelebritiesHaveAccidentsSeeWhatTheyDotoRestoreTheirChippedTeeth

Chipped a tooth? Don't beat yourself up—this type of dental injury is quite common. In fact, you probably have a favorite celebrity who has chipped one or more of their teeth. The list is fairly long.

Some chipped a tooth away from the limelight, such as Tom Cruise (a hockey puck to the face as a teen), Jim Carrey (roughhousing on the playground) and Paul McCartney (a sudden stop with a moped). Others, though, chipped a tooth while “on the job.” Taylor Swift, Hillary Duff and Jennifer Lopez have all chipped a tooth on stage with a microphone. And chipped teeth seem to be an occupational hazard among professional athletes like former NFL star, Jerry Rice.

Since smiles are an indispensable asset to high-profile celebrities, you can be sure these stars have had those chipped teeth restored. The good news is the same procedures they've undergone are readily available for anyone. The two most common restorations for chipped teeth are dental bonding and veneers.

The least invasive way to fix a chipped tooth is bonding with a material known as composite resin. With this technique, resin is first mixed to match the tooth color and then applied to the chipped area or applied in layers of color to get just the right look. After a bit of shaping, curing and adjustment, we're done—you can walk out with a restored tooth in one visit.

Bonding works well with slight to moderate chips, but it could be less durable when there is more extensive damage. For that, you may want to consider porcelain veneers. Veneers are thin wafers of dental porcelain that are bonded to the front of teeth to mask blemishes like stains, slight gaps or, yes, chips. Veneers can be so lifelike that you won't be able to tell the veneered tooth from your other teeth. They are fashioned to match the color and shape of an individual's teeth. Because of the time and design detail involved, veneers are more expensive than bonding, yet still within an affordable range for many.

Teeth require some alteration before applying traditional veneers because otherwise the teeth can appear bulky when the veneer is bonded to the existing tooth. To compensate, we remove a little of the tooth enamel. Because this loss is permanent, you'll need to wear veneers or have some other form of restoration for the tooth from then on. For many people, though, that's a small price to pay for a smile without chips.

Your first step to repairing a chipped tooth is to come in for an examination. From there, we'll recommend the best option for your situation. And regardless of which, bonding or veneers, we can change your smile for the better.

If you would like more information about restoring injured teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Whitening” and “Porcelain Veneers: Strength and Beauty as Never Before.”

SomeSimpleCosmeticTechniquesCouldHelpYourSmileAgeGracefully

We all want to look young and vibrant, or at least “age gracefully.” If you're seeking to reduce the visible effects of aging for a more youthful appearance, be sure you include one very important feature—your smile.

Like other aspects of body and health, our teeth and gums can be affected by aging. Even if you've managed for the most part to avoid the ravages of disease or injury, teeth will still naturally wear from a lifetime of biting and chewing food. The attractive shine of young teeth can also give way to yellowing and other discolorations later in life.

But there are ways to turn back the clock, so to speak, through cosmetic dentistry. And you won't necessarily break the bank to gain a more youthful smile: Many cosmetic procedures are quite affordable and minimally invasive.

If your teeth have become worn and edgy, for example, we may be able to soften those sharper edges with a dental drill. Known as enamel contouring (or reshaping), the single-visit procedure is relatively minor and inexpensive, usually without the need for anesthesia. For heavily worn teeth, you may need to step up to veneers, thin layers of tooth-colored porcelain, or crowns that cover the teeth and make them appear longer.

Mild enamel yellowing and staining often responds well to professional teeth whitening. Using a safe bleaching solution, we can temporarily restore brightness to your teeth that you may be able to maintain for a few years with proper care and occasional touchups. For a more permanent solution you can also turn to veneers, crowns or dental bonding for a brighter smile, especially for discolorations that don't respond well to teeth whitening.

While these techniques can restore a youthful appearance to your smile, don't discount the effect of daily care and regular dental visits. Brushing and flossing are fundamental to healthy teeth and gums—and health and beauty go hand in hand.

Age can take its toll on all of us, especially our smiles. But with proper care and perhaps a little cosmetic magic, you can have an attractive smile throughout your lifetime.

If you would like more information on improving your smile as you age, 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 “How Your Dentist Can Help You Look Younger.”

By Dominick P Agostin, DDS
July 11, 2020
Category: Dental Procedures
Tags: dental implant  
TheseDigitalToolsIncreasetheSuccessRateofDentalImplants

Nothing beats the form and function of a real tooth—but dental implants come pretty close. That's why they're tops among both dentists and patients for replacing missing teeth.

Much of an implant's functionality and durability can be credited to its material construction, from the titanium metal post imbedded in the jawbone to the lifelike porcelain crown attached at its other end. But an implant's “nuts and bolts” isn't the only reason why this premier dental restoration is so popular: A good portion of their success comes from the adjunct support provided by digital technology.

Without this varied array of computer-based applications used in planning, designing and installing them, implants couldn't produce the level of satisfactory outcomes they currently do. Here then are a few of the high-tech tools dentists use to make sure your implants result in a winning smile.

CBCT scanning. Implant placement requires a high degree of precision often complicated by various anatomical structures like nerves, blood vessels and sinuses within the gums and jaws. Cone Beam Computer Tomography (CBCT) scanners rotate around a patient's head, taking hundreds of digital x-ray images that are then assembled into a 3-D model image. Dentists can view this model from various angles to identify obstacles and better pinpoint the best implant locations.

Digital impressions. Dentists can also create a 3-D digital impression model of the inside of a patient's mouth that can give them views of their current teeth and gums from any angle. This aids in determining the size and type of implant so that it blends seamlessly with remaining teeth. A digital impression can also provide both the dentist and patient a preview appearance of their future smile after treatment.

3-D printed surgical guides. To accurately drill the implant site during surgery, dentists often create a custom-made device called a surgical guide that fits into the patient's mouth during the procedure. Using results from scanning and digital impressions, highly accurate guides can be created with a 3-D printer. This further ensures that the implant will be in the exact best location for the most attractive and functional outcome.

Implantology is as much art as it is science in achieving a beautiful smile. These and other digital tools help make that desirable end a reality.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation.

By Dominick P Agostin, DDS
June 21, 2020
Category: Dental Procedures
Tags: dental implant  
YourGumsandBoneNeedtoBeHealthyBeforeGettingImplants

If you've been dealing with a tooth that needs to be removed—or it's already missing—you may be looking to replace it with a dental implant. And it's a great choice: No other restoration can provide the appearance and function of a real tooth like an implant.

You and your smile are ready for it. The question is, though, are your gums and underlying bone ready? These dental structures play a critical role in an implant's stability and eventual appearance. A problem with them may make placing an implant difficult if not impossible.

An implant requires around 2.0 millimeters of bone thickness surrounding the implant surface for adequate support and to minimize the chances of gum recession. But tooth loss often leads to bone loss that can drop its thickness below this threshold. This can make placing an implant problematic.

Fortunately, though, we may be able to address the lack of sufficient bone through bone grafting. By placing grafting material within the empty socket, we create a scaffold for new bone cells to grow upon. Over time this subsequent growth may be enough to maintain an adequate thickness of bone for an implant to be placed.

The gums may also pose a problem if they've shrunk back or receded from their normal positions, as often happens because of gum disease (which may also have precipitated the tooth loss). Again, grafting procedures can help ensure there's adequate gum coverage for the implant. And healthier gums may also help protect the underlying bone from loss.

There are several techniques for placing gum tissue grafts, depending on how much recession has taken place. One procedure in particular is often used in conjunction with implant placement. A small layer of synthetic collagen material or gum tissue referred to as pa dermal apron is included with the implant when its placed. Settling into the bone socket, this apron helps thicken the gum tissues, as well as preserve the underlying bone.

During your preliminary exams, we'll assess your bone and gum health to determine if we should take any steps like these to improve them. It may add some time to the implant process, but the end result will be well worth it.

If you would like more information on dental 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 article “Immediate Dental Implants.”