Posts for category: Dental Procedures
Have you started orthodontic treatment recently? Are you having a little trouble getting used to your braces? If so, you are not alone: Everybody goes through an adjustment period during which they momentarily wonder if they’ll really ever get used to this. Don’t worry — you will! And we’ve never heard anyone say, on the day their braces come off and their new smile is revealed, that they aren’t glad they went the distance. Just ask Houston Rockets all-star center Dwight Howard, who discussed his own orthodontic treatment in a recent interview.
“I’m sure I was no different than anyone else who has ever had braces,” he told Mediaplanet. “At first I hated them so much… That changed once I got used to them and I actually grew to love them.” What’s Howard’s advice? “Do exactly what your orthodontist says and know that the outcome is well worth it in the end.” We couldn’t agree more! Here are some tips for wearing braces comfortably:
- Hard & Chewy Foods: If you love fresh fruits and vegetables, that’s great; there’s no reason to give them up, just the really hard ones. You don’t want to bite into an apple or carrot or any other hard foods like bagels and pizza that have any “size” to them. Small pieces may be ok as long as they can’t bend your wires. Chewy, sticky candy should really be avoided completely. Same with soda, sports drinks and so-called energy drinks because they contain acids that promote tooth decay and can cause a lot of damage around the braces.
- Effective Oral Hygiene: Keeping your teeth clean is more important than ever, but also more challenging than ever. It’s easy for food to get stuck under wires and around brackets, but failing to remove it can cause tooth decay, gum irritation and soreness. Therefore, the cleaner your teeth and your braces are, the healthier you will be. Use interdental cleaning brushes and/or a floss-threader to get behind your wires. A mouthrinse can also help strengthen teeth and keep bacteria in check. If you have any questions about how to clean between your teeth, please ask for a demonstration at your next visit.
- Pain Relief: Some soreness at the beginning of orthodontic treatment is normal. To relieve it, you can use an over-the-counter pain reliever and/or a warm washcloth or heating pad placed on the outside of the jaw. If brackets or wires are rubbing against the inside of your cheeks or lips, try applying wax to these areas of your braces. If this does not offer enough relief, we may be able to trim the end of a poking wire. Call us if you need help with this.
Our goal is to make your orthodontic treatment as comfortable as possible on the way to achieving your all-star smile. If you have questions about adjusting to braces, contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”
On the day when braces come off, most people feel that their orthodontic treatment is over. When they are then asked to wear retainers, they may wonder what this additional requirement will accomplish. Wasn't the work of moving their teeth to desired positions already completed? To understand the answer to this question, you need to understand how orthodontics works.
How does orthodontic treatment remodel your smile?
Although they give the appearance of being stable and unmoving, teeth and their surrounding structures (gums, jawbones, and ligaments) are living tissues and are actually in a constant state of change.
Teeth are rooted in bone and are attached by a fibrous tissue called the periodontal ligament (from peri meaning around and odont meaning tooth). One side of the ligament attaches to the cementum (part of the tooth's root) and the other side is attached to the bone, with the tooth suspended in between.
These tissues are constantly remodeling themselves, but pressure from the lips and cheeks on one side and from the tongue on the other create a balance that keeps the teeth suspended in the same location. When mild forces are placed on the teeth, such as the forces from the wires used in orthodontic treatment, the tissues slowly adapt and rebuild, resulting in a new position for the teeth.
What are retainers?
Orthodontic retainers are devices usually made of a clear plastic section that is fitted to the roof of the mouth, with thin wires that fit over the teeth.
What is the purpose of retainers?
The remodeling process keeps going after the orthodontic treatment stops, so time is needed for the teeth to reach a new balanced state. The retainer stabilizes them in their new position so that bone and ligament can reform around the teeth and hold them there. This works well for adolescents, whose jaws are in a state of growth, but adults may need outside assistance to stabilize their teeth for a longer time. They may be asked to wear retainers indefinitely to make sure their teeth do not move from their new positions.
What happens if you don't wear your retainers?
If you don't wear your retainers, your teeth are likely to return to the positions they had prior to your orthodontic treatment. This can happen fairly rapidly, underscoring the importance of wearing retainers as instructed.
What are the different types of retainers?
Most retainers are removable devices as described above. For people who require long-term use of retainers, thin retainer wires can be bonded to the inside surfaces of their front teeth. Such wires are usually left in place for several years, relieving them of the need to remove and replace their retainers.
Contact us today to schedule an appointment to discuss your questions about orthodontics and retainers. You can also learn more by reading the Dear Doctor magazine article “Why Orthodontic Retainers?”
What if you had orthodontic treatments to enhance your smile — and nobody knew about it until it was all done?
That (almost) happened to British singer, cover girl and television personality Cheryl Cole. Since her big break in 2002, on the British reality show Popstars: The Rivals, Cole has had a successful music career, taken turns judging both the British and American versions of The X Factor, and graced the covers of fashion magazines like Elle and Harpers Bazaar.
And somewhere along the way, Cole wore an orthodontic appliance. It very nearly went undetected… until a colleague spilled the beans. That’s when Cole was forced to divulge her secret: For a period of time, she had been wearing clear aligners on her teeth. Until her frenemy’s revelation, only a few people knew — but when you compare the before-and-after pictures, the difference in her smile is clear.
So what exactly are clear aligners? Essentially, they consist of a series of thin plastic trays that are worn over the teeth for 22 hours each day. The trays are custom-made from a computerized model of an individual’s mouth. Each tray is designed to move the teeth a small amount, and each is worn for two weeks before moving on to the next in the series. When the whole series is complete, the teeth will have shifted into their new (and better aligned) positions.
Besides being virtually unnoticeable, aligners are easy to remove. This makes it easy to keep the teeth clean — and can come in handy for important occasions (like cover-photo shoots and acceptance speeches). But don’t remove them too frequently, or they won’t work as planned. If that’s a possibility (with teens, for example), aligners are available with “compliance indicators” to ensure they’re being worn as often as they should be. They can also be made with special tabs to hold a place for teeth that haven’t fully erupted (come in) yet — another feature that’s handy for teens.
So if you need orthodontic work but prefer to stay “under the radar,” ask us whether clear aligners could be right for you. Cheryl Cole did… and the results gave her something more to smile about.
If you would like more information on clear aligners, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Clear Orthodontic Aligners” and “Clear Aligners for Teenagers.”
Is there anything that radio and TV personality (and self-proclaimed “King of All Media”) Howard Stern doesn’t want to talk about in public? Maybe not — but it took a caller’s on-air question to get the infamous shock jock to open up about his own dental work.
When he was directly asked if his teeth were capped, Stern said no. “I redid ‘em [some time] ago… I had bonding and um… veneers… over my real teeth. But I don’t get that ‘Hollywood white’ though,” he said, before adding his uncensored opinion on the subject of proper tooth shades.
As we’re sure Stern would be the first to point out, everyone has a right to their own opinion. But we’re pleased that Howard brought up an important point about veneers: They are custom-made in a whole range of different shades, from a more ‘natural’ tooth color to a brilliant white shine. Which one you select depends on what look is right for you — and that’s your choice.
In case you aren’t familiar with veneers, they are fingernail-thin coverings made of porcelain, which are bonded onto the surfaces of the teeth. This enables them to hide a number of defects — like chips, discoloration, and even small irregularities in spacing. They can also be used to lengthen teeth that seem out of proportion to the gums, lips or other facial features.
Veneers are among the cosmetic dental treatments most favored by Hollywood stars… as well as regular folks who want a dramatic improvement in their smile. Unlike crowns (caps), which generally require extensive reshaping of the tooth, standard veneers require the removal of just fractions of a millimeter of tooth surface. That makes them a minimally invasive method of smile enhancement that can make a big difference in your appearance. In fact, veneers are often a major part of a complete “smile makeover.”
Dental veneers are custom made in a laboratory from a mold of your teeth. They are designed to fit your teeth perfectly — and to be just the shade you want. When you come in for a consultation, we will discuss what you like and don’t like about your smile, and how we might improve it. Will you opt to get the brilliant “red-carpet” smile you always wished for… or go for a subtle, more natural tooth color? Only you can decide.
Howard Stern’s veneers may be the most restrained thing about him… but we’re just glad that veneers helped him get the kind of smile he wanted. You can, too. If you would like more information on dental veneers, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Porcelain Veneers” and “Porcelain Crowns & Veneers.”
One day, while looking at old pictures of himself, 34-year-old American Idol finalist Elliott Yamin noticed something peculiar. “I [had] figured out how to kind of smile without displaying all my teeth,” he told an interviewer with People magazine. The reason: Yamin (like many other people) was unhappy with the way his teeth looked. And others noticed it too: “[They] wrote things in magazines, called me Snaggletooth and things like that,” he said.
Yamin's situation came to the attention of dentists from across the country, several of whom offered to fix his crossbite and other problems. One of them even provided the singer with computer-generated renderings of how he'd look after a total “smile makeover” — and that was enough to convince him. Finally, after receiving a set of porcelain veneers and other dental work — all provided free of charge by the concerned dentist — Yamin has the smile he always dreamed of.
You don't have to be an American Idol finalist to appreciate the benefit of having a super smile — and it's never too late to get started! As Yamin found out, a “smile analysis” is the first step, and it's a critical part of the process. This is the time when you and your dentist get to know each other, and begin talking about what kind of a look you want to achieve, and what you should realistically expect.
But it can be tough to express in words exactly what your idea of a perfect smile looks like. Are the teeth completely regular in alignment and “Hollywood white?” A little bit asymmetrical and more natural-looking — or something in between? And exactly how would that look on you? Fortunately, we have a variety of ways to help you make those decisions.
One is computer-generated images, like the ones that persuaded Yamin. Convenient and relatively easy to produce, they're a great way to preview possible changes before a single tooth is touched. However, some people may find it hard to picture their new smile from different angles and in different lights. If you'd like a better representation, it's possible to produce a 3-D model of the proposed work before it's done. This can let you truly visualize your new smile in a realistic way.
If you need even more evidence before deciding, there's still more that can be done. Your teeth can be built up to their new contours with composite resin, a tooth-colored restoration material that can change tooth shape and size with relative ease. A related procedure, the “provisional restoration,” gives you a complete preview of the final work. When you're satisfied, the “temporary” materials are replaced with more permanent ones, like long-lasting porcelain veneers. Whichever method you choose, you'll be on your way to a better looking smile.
If you would like more information about a smile makeover, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Great Expectations — Perceptions in Smile Design” and “Smile Design Enhanced with Porcelain Veneers.”