Posts for: July, 2017
You might think David Copperfield leads a charmed life:Â He can escape from ropes, chains, and prison cells, make a Learjet or a railroad car disappear, and even appear to fly above the stage. But the illustrious illusionist will be the first to admit that making all that magic takes a lot of hard work. And he recently told Dear Doctor magazine that his brilliant smile has benefitted from plenty of behind-the-scenes dental work as well.
“When I was a kid, I had every kind of [treatment]. I had braces, I had headgear, I had rubber bands, and a retainer afterward,” Copperfield said. And then, just when his orthodontic treatment was finally complete, disaster struck. “I was at a mall, running down this concrete alleyway, and there was a little ledge… and I went BOOM!”
Copperfield’s two front teeth were badly injured by the impact. “My front teeth became nice little points,” he said. Yet, although they had lost a great deal of their structure, his dentist was able to restore those damaged teeth in a very natural-looking way. What kind of “magic” did the dentist use?
In Copperfield’s case, the teeth were repaired using crown restorations. Crowns (also called caps) are suitable when a tooth has lost part of its visible structure, but still has healthy roots beneath the gum line. To perform a crown restoration, the first step is to make a precise model of your teeth, often called an impression. This allows a replacement for the visible part of the tooth to be fabricated, and ensures it will fit precisely into your smile. In its exact shape and shade, a well-made crown matches your natural teeth so well that it’s virtually impossible to tell them apart. Subsequently, the crown restoration is permanently attached to the damaged tooth.
There’s a blend of technology and art in making high quality crowns — just as there is in some stage-crafted illusions. But the difference is that the replacement tooth is not just an illusion: It looks, functions and “feels” like your natural teeth… and with proper care it can last for many years to come.Â Besides crowns, there are several other types of tooth restorations that are suitable in different situations. We can recommend the right kind of “magic” for you.
If you would like more information about crowns, 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 “Crowns & Bridgework” and “Porcelain Crowns & Veneers.”
As in other parts of medicine, lasers are beginning to change the way we provide dental care. More and more dentists are using lasers to make earlier diagnoses of dental disease or provide surgical treatment. One area prime for change is the treatment of teeth with deep decay and in danger of being lost.
For decades now, the best way to save teeth in this condition is with root canal treatment. In this common procedure we access the pulp, remove the infected tissue with specialized hand instruments, and then fill and seal the pulp chamber and root canals with a special filling.
We can now potentially improve the efficiency and increase the success rate of this treatment with laser technology. With their focused light, lasers emit a concentrated burst of energy that's extremely precise. In many instances laser energy can remove the target diseased tissue without damaging nearby healthy tissue.
In this form of root canal treatment, we use lasers to remove tissue and organic debris within the pulp and then shape the root canal walls to better receive the filling. We can also utilize the heat from laser energy to soften and mold the filling, so that it better conforms within the walls of the root canals.
Using lasers in root canal treatments may require less local anesthesia than the traditional approach and also eliminates disturbing or discomforting sounds and vibrations. Dentists who've used the new technology also report less bleeding during the procedure and less pain and occurrences of infection afterwards.
But there are a couple of disadvantages for using lasers in root canal treatment. For one, light travels in a straight line — and many root canal networks are anything but straight. More complex root canal networks may still require the traditional approach. Laser energy could also increase the tooth's inner temperature, which could potentially damage tissues even on the tooth's outer surfaces.
Used in the right circumstances, though, lasers can be an effective means to treat diseased teeth. Â As laser technology continues to advance and becomes a mainstay in dental care, you may soon find it part of your next dental procedure.
Dentures can be an effective and affordable solution for people who've lost all their teeth. With them a person can once again eat nutritiously, speak clearly and smile confidently — and with regular care they can last for years.
As part of that ongoing care, be sure you consider one important thing with your dentures: you may want to take them out at night while you sleep. If you do you'll lessen your chances of developing these 4 health problems.
Accelerated bone loss. Traditional dentures are fitted to rest securely on the gums. This, however, creates pressure on the gums and the bony ridges beneath them that can contribute to bone loss. Wearing dentures around the clock usually accelerates this process, which could eventually lead to among other problems looser denture fit and discomfort.
Bacterial and fungal growth. Microorganisms that cause oral diseases find conducive breeding spots on the underside of dentures while they're worn in the mouth. Studies have found that people who continuously wear their dentures are more likely to have bacterial plaque and oral yeast than those that don't.
Potentially dangerous infections. Bacterial and fungal growth increases your risk of oral infections that could affect more than your mouth. A recent study of elderly nursing home residents found those who wore their dentures during sleep were over twice as likely to develop serious cases of pneumonia requiring hospitalization. It's believed bacteria harbored on the dentures can pass from the mouth to the lungs as a person breathes over them while they sleep.
Blocked salivary flow. During the night our salivary flow naturally ebbs; wearing dentures while we sleep could cause denture stomatitis, in which the tissues covered by a denture (particularly along the roof of the mouth) become inflamed and infected with yeast. It's often accompanied by angular cheilitis or cracking at the corners of the mouth that becomes infected by the same yeast.
Wearing your dentures while you sleep contributes to conditions ranging from irritating to life-threatening. To prevent such problems clean your dentures as well as the rest of your mouth regularly — and talk to your dentist whether you should leave them out when you go to bed.
If you would like more information on denture care, 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 “Sleeping in Dentures.”
What your dentist in Roseville wants you to know
Choosing the right denture can be confusing, but it doesn’t have to be. Now you can have a denture that restores full chewing function and makes you look better. The right denture can help correct what wearing the wrong denture has done to your facial contours. Dr. Tamara Simons at Roseville Dentistry in Roseville, MN wants to introduce you to the many types of dentures available today.
A badly fitting denture can be uncomfortable and irritating to wear. It can also put pressure on your jaw which can cause the bone to diminish over time. Less bone means diminished facial contours and a sagging jawline.
To help restore bone and facial contours, nothing beats an overdenture. An overdenture is supported by four to six dental implants which are placed during a simple in-office procedure. The overdenture is snapped in place over the implants. For more information about fixed dentures please visit the fixed dentures page on the website at http://www.simonsteeth.com/dentures.html
Removable dentures are also available and replace an entire arch of missing teeth. You can choose from:
- Immediate dentures, which you receive immediately after your teeth are extracted so you never have to live without teeth; a permanent denture can be made later on.
- Conventional dentures, which you receive after a healing period of usually 6 to 8 weeks; with conventional dentures, you don’t have to wear two different dentures.
If you are missing just a few teeth, partial dentures are the perfect choice. You can choose from:
- Transitional partial dentures which function to maintain the space from extracted teeth; you wear them while you are waiting for implants to be placed.
- Removable partial dentures which have acrylic teeth and gums on a metal framework; they are designed to permanently replace missing teeth.
For more information about removable dentures and partials please visit the removable denture page on the website at http://www.simonsteeth.com/library/7741/RemovableDentures.html
A well-fitting, beautiful denture can make all the difference in how you look and feel. For more information about denture options and treatment, call Dr. Simons at Roseville Dentistry in Roseville, MN. Call today and find out more about what the right denture can do for you!
Braces utilize the mouth’s existing teeth-moving mechanism by applying pressure in the direction of the desired movement. This is done with a wire laced through metal brackets affixed to the outside of the teeth that’s then usually anchored to brackets on the back teeth to maintain constant tension.
This anchorage set-up alone, however, may not work effectively with all bite situations, which might require other points of anchorage. That’s where these other tools in the orthodontist’s toolkit can come in handy.
Headgear. These appliances not only aid with moving teeth but they also help influence the proper growth of facial structures (as when one of the jaws is too far forward or too far back). Because of this influence on jaw growth you’ll only find them used with pre-teens. The most typical application is a strap running around the back of the head or neck (or sometimes over the chin or forehead) that attaches in the front to brackets usually bonded to the molars. In this case the back of the patient’s skull serves as the anchor point.
Temporary anchorage devices (TADs). Orthodontists sometimes wish to isolate the teeth to be moved from nearby teeth that shouldn’t be. For example, they may want to move front teeth back to close a space without the back teeth moving forward. In this case, it may be necessary to create a separate anchorage point in the jaw. This can be done with TADs, which are made of either biotolerant (stainless steel, chromiumâ??cobalt alloy), bioinert (titanium, carbon), or bioactive (hydroxyapatite, ceramic oxidized aluminum) materials and shaped like mini-screws. Orthodontists insert them into the bone and then attach them to the braces using elastics (rubber bands). After completing orthodontic treatment they’re easily removed.
Elastics. We’ve already mentioned them, but elastics deserve their own category because they can be used in various kinds of anchorage. They play an important role, for example, in cross-arch anchorage that maintains tension between the upper and lower jaws. They can also be used to help move one or more groups of teeth — or isolate certain teeth from moving. They truly are flexible (no pun intended) in their uses for fine-tuned tooth movement.
All these devices can be used in various combinations to match and correct whatever bite situation a patient may have. The end result is straighter and better-functioning teeth — and a more attractive smile.
If you would like more information on orthodontic treatment, 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 “Orthodontic Headgear & Other Anchorage Appliances.”