The “Hollywood Smile” — dazzlingly white — is associated in our society with youth, health and vitality. Achieving that smile through either professional or home whitening applications has become very popular.
Teeth become discolored or dull for a number of reasons. It can be something intrinsic with the teeth — changes in enamel or dental structure during development, inherited disorders, heavy exposure to fluoride or tetracycline, or changes in mineral structure or wear due to aging. It can also be extrinsic, resulting from environmental or lifestyle causes. Eating foods with tannins (red wine, coffee or tea) or carotene pigments found in plant foods like oranges or carrots, or using tobacco may all cause staining.
Most modern applications involve an oxidizing chemical (usually hydrogen peroxide) that bleaches the teeth. Professional applications in a dentist's office use high concentrations of hydrogen peroxide (usually 35 to 45%) applied directly to the teeth with control measures to protect the lips and gums. This type of application can lighten the color of teeth up to ten shades.
There are a number of home options too: whitening strips, “Paint on” or “Brush on” whitening, and even whitening gum. We can also provide you with a “Take home” kit that resembles the professional application but is generally less expensive. Although all these home applications are generally safe and effective, they typically take longer for results (several repeated days as opposed to about one hour for an office application), and not always to the same level of lightness as the professional.
Just about anyone can be a candidate for a whitening application. However, if you have thinner than normal dentin and more porous enamel, or suffer from gum recession or enamel loss, then whitening may increase tooth sensitivity. And, whitening is not a permanent solution: the brightness will fade over time, usually within a year. You can slow the fading by avoiding foods and habits that contribute to staining. It's also possible to touch up the initial whitening once or twice a year to extend the life of your new, bright smile.
If you would like more information on teeth whitening, 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 “Teeth Whitening.”
Many adults these days are opting for clear aligners to correct orthodontic problems that have long bothered them. Katherine Heigl is a perfect example. She had one tooth that was out of alignment, and wanted to have it fixed before her wedding day.
“I got them [clear aligners] because of this wonky tooth,” Heigl told In Style magazine not long ago. “It's awesome because every two weeks you switch to a new retainer. Pretty much the perfect way to describe Invisalign is Netflix for your teeth.”
That's actually a pretty good way to describe this highly user-friendly form of orthodontic treatment. Clear aligners are transparent, plastic oral appliances that are changed every two weeks so that your teeth can be moved a little bit at a time, according to a carefully staged sequence. Though they cover your teeth completely, clear aligners are barely noticeable.
In fact, when Heigl excused herself before taking out her aligners to eat, her In Style interviewer said, “Who knew you wore them? I guess that's the point of Invisalign.”
Being able to remove the aligners for eating and, more importantly, teeth-cleaning, is another major advantage of this method of straightening teeth. Successful orthodontic treatment for adults depends on good periodontal health (“peri” – around; “odont” – tooth), and the best way to keep your gums and the underlying bone that supports your teeth healthy is to keep up an effective daily oral hygiene routine.
Clear aligners have been improved in recent years to correct more complicated malocclusions (“mal” – bad; “occlusion” – bite) than previously; they can even work well for teenagers. But there are still some cases that call for traditional braces. We would be happy to explore all the different options for orthodontic treatment with you, whether you have crowded teeth, an overbite or underbite, or just one “wonky tooth.”
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.” Dear Doctor also has more on “Wedding Day Smiles.”
When you first received your removable dentures the fit was firm and comfortable. Lately, though, they’ve become loose, making it difficult to eat or speak without slippage.
The problem may not be with your denture, but with bone loss. Human bone goes through a natural cycle of dissolving (known as resorption) and new growth to take the lost bone’s place. The jawbone receives further stimulation to grow from the forces generated by natural teeth when we bite or chew.
When natural teeth are missing, however, the jawbone lacks this stimulation, which over time results in bone loss and gum tissue shrinkage. Traditional dentures can’t transmit this stimulating force to the jawbone either, so the bone and gum structure under a denture will also shrink. This results in a looser fit for the denture.
The simplest option to correct a loose-fitting denture (especially if it’s the first occurrence) is to reline the dentures with additional material to re-form the fit to the new conditions in the mouth. A permanent relining will require sending your dentures to a dental laboratory to apply the new material based on a mold of your current anatomy beneath the denture.
If, however, your dentures have already undergone a few relinings, or after examining your gums we determine a relining won’t provide the fit and stability needed, then it may be time for a new denture. Although this is more costly than a relining, a new appliance could provide a more accurate fit to the current contours in your mouth.
The latter option may also give you a chance to benefit from advancements in denture technology or materials since you received your current denture. One such advancement is a removable denture that’s supported by implants. It’s possible to achieve this new supporting foundation for the denture with as few as two strategically-placed implants in the lower jaw.
If you’ve begun to notice denture looseness, be sure to make an appointment for an examination. From there, we can advise you on what will work best in your particular case.
If you would like more information on your options regarding removable dentures, 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 “Loose Dentures.”
Plenty of parents use little tricks to persuade young ones to eat their vegetables, wash their hands, or get to bed on time. But when actress Jennie Garth wanted to help her kids develop healthy dental habits, she took it a step further, as she explained in a recent interview on Fox News.
“Oh my gosh, there's a froggy in your teeth!” the star of the '90s hit series Beverly Hills 90210 would tell her kids. “I've got to get him out!”
When her children — daughters Luca, Lola, and Fiona — spit out the toothpaste, Garth would surreptitiously slip a small toy frog into the sink and pretend it had come from one of their mouths. This amused the kids so much that they became engaged in the game, and let her brush their teeth for as long as necessary.
Garth's certainly got the right idea. Teaching children to develop good oral hygiene habits as early as possible helps set them up for a lifetime of superior dental health. Parents should establish a brushing routine with their kids starting around age 2, when the mouth is becoming filled with teeth. A soft, child's size toothbrush with a pea-sized dab of fluoride toothpaste and plenty of parental help is good for toddlers. By around age 6, when they've developed more manual dexterity, the kids can start taking over the job themselves.
Here's another tip: It's easy to find out how good a cleaning job your kids are doing on their own teeth. Over-the counter products are available that use a system of color coding to identify the presence of bacterial plaque. With these, you can periodically check whether children are brushing effectively. Another way of checking is less precise, but it works anywhere: Just teach them to run their tongue over their teeth. If the teeth fell nice and smooth, they're probably clean, too. If not... it's time to pull out the frog.
And don't forget about the importance of regular dental checkups — both for your kids and yourself. “Like anything, I think our kids mirror what we do,” says Garth. We couldn't agree more.
If you need more information about helping kids develop good oral hygiene — or if it's time for a checkup — don't hesitate to contact us and schedule an appointment. You can learn more in the Dear Doctor magazine article “How to Help Your Child Develop the Best Habits for Oral Health.”
As a parent, the task of guiding your children through their physical, mental and social development can sometimes seem overwhelming. That doesn’t have to be the case with their dental development — that’s because we’re one of your most reliable support partners for oral health. We’re available not only to treat problems as they arise, but to also offer expertise and resources that can help you help your children establish life-long oral health.
Here are just a few ways we can help guide you along the path to a brighter dental future for your children:
Age One Dental Visit. A healthy life is built on healthy habits — and there’s no better habit for great dental health than regular checkups. We recommend your child’s first visit with us around their first birthday. Beginning this early not only helps us identify any emerging dental problems, it can also help the child — and you — become more comfortable with visiting the dentist. As they grow older they’ll think nothing of their regular visits in the dentist’s chair.
Help! While your child’s first teeth coming in are exciting milestones, the teething process can be extremely frustrating. And, when those same primary teeth give way to their permanent versions, you’ll develop a new set of concerns about their development. By establishing a long-term trust relationship with us, we can offer a wealth of knowledge and tips (as well as needed reassurance) concerning the various stages of your child’s dental development.
“Do as I Do.” Dental visits are important — but the greatest contribution to long-term dental care is a daily habit of proper brushing and flossing, which should start as soon as your child’s first teeth begin to appear. “Modeling” is the best approach for instilling this habit in your child — performing hygiene tasks together and allowing them to learn how to do it from you. To be sure you’re passing on the proper technique, we’ll be glad to provide you with instruction on brushing and flossing — for your sake as well as theirs.
Although rewarding, raising a child is a tough job. When it comes to their oral health, though, we can help make that job a little easier.
If you would like more information on building the right foundation for your child's dental health, 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 “Dentistry & Oral Health for Children.”
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