Posts for: December, 2014
Christie Brinkley's world-famous smile has graced the covers of countless magazines for over 30 years. In fact, in her own words from an interview with Dear Doctor magazine, the supermodel said, “I think my smile was really my passport to success in the modeling industry.” And while most of her smile's appeal comes naturally, Christie does give it a boost with good oral hygiene, regular dental checkups and tooth whitening. As Christie says, “When it comes to teeth, keep it as natural as possible. Do not go overboard on whitening. You want your teeth to compliment your faceÃ¢Â€Â¦your friends should not be required to wear sunglasses when you smile!”
Aside from some potential minor side effects such as tooth sensitivity, whitening teeth through bleaching is a relatively inexpensive way to brighten your smile conservatively and successfully. There are three common methods, as described below:
- An external or vital approach where “vital” (living) teeth are bleached through direct contact to the tooth's surface.
- An internal or non-vital approach where the tooth is whitened from the inside during a root canal treatment.
- A combination approach in which both internal and external bleaching techniques are used.
But what causes teeth to become discolored?
Tooth discoloration can be caused by a traumatic blow to your teeth resulting in nerve tissue (pulp) death. However, there can be many other causes: consuming or using products that stain the teeth such as coffee, tea, cola, tobacco products and red wine, to name just a few. Aging is another factor, as it results in changes in the mineral structure of the tooth as the enamel, the outermost layer, loses its beautiful and youthful translucency. Other causes include exposure to high levels of fluoride; tetracycline, an antibiotic, administered during childhood; inherited developmental disorders and jaundice in childhood; and tooth decay.
The good news is that we routinely brighten smiles through tooth whitening. To learn more about brightening your smile, continue reading the Dear Doctor magazine article “Teeth Whitening.” Or if you are ready to have your teeth professionally whitened, contact us today to schedule an appointment so that we can conduct a thorough examination and discuss your whitening treatment options. And if you want to read the entire feature article on Christie Brinkley, continue reading “The Secret Behind Christie Brinkley's Supermodel Smile.”
You have a beautiful smile, but with one noticeable flaw — there's a small gap between your two front teeth. It's a common occurrence that can be corrected with orthodontics.
There are a number of causes for this wider spacing, including an excessive overlap bite of the upper teeth over the lower, habits such as tongue-thrusting or finger-sucking, or extra (or even missing) teeth. But one of the most common is the presence of an overly large muscle attachment called a frenum or, as it's sometimes referred to, frenulum. If that's the case, you may need a minor surgical procedure in addition to orthodontic treatment to ensure the space remains closed.
The frenum is the fold of tissue that contains some muscle tissue that connects the gum to the lip. In certain people, a larger than normal frenum may extend further to the front of the roof of their mouth, just behind the teeth, and may also extend lower between the teeth and contribute to the gap. Unless some of this tissue is removed, it can force the teeth apart again after the gap has been closed through orthodontics.
This simple procedure is called a frenectomy. After numbing the area with a local anesthetic, we remove the excess tissue from the frenum extended into the space between the teeth, using either a small scalpel or a special laser. The resulting wound is generally very small and may require only a few stitches, if any. Healing usually takes no more than a week and any discomfort is easily managed by anti-inflammatory medication like aspirin or ibuprofen.
As a general rule, a frenectomy is best performed after the orthodontic treatment so that scar tissue resulting from the procedure won't interfere with the gap closure. With proper dental follow-up, the gap should stay closed — and your new enhanced smile won't fade away.
If you would like more information on treating spaces between teeth, 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 “Space Between Front Teeth.”
We're always tickled to see dentists represented in popular culture, especially when portrayed by an actor as handsome as John Stamos. On the hit television show Glee, Stamos played a dentist who made sure the glee club members cleaned up their act when it came to oral hygiene — though perhaps he used a bit too much anesthesia to achieve this admirable goal. While under his care — and lots of sedation — several Glee characters had music-infused hallucinations in which they danced and sang with pop star Britney Spears.
Far-fetched? No doubt. Still, it's worth mentioning that sedation has its place in dentistry. In fact, if you are someone who tends to get anxious or even fearful about dental treatment, you should know that sedation can help you relax both mind and body so you can feel peaceful rather than anxious in the dentist's chair. And that's the whole point: Fear of pain should not stand in the way of your getting the care that will keep you healthy and allow you to keep your teeth for as long as possible.
You may not know this, but when you are afraid, your threshold for pain is actually lower. You become hypersensitive to every sensation and sound, and you tense your muscles. Fear and anxiety trigger the release of certain chemicals that put you in “fight or flight” mode. In this heightened state of alert you experience more pain during and even after treatment.
The good news is that this response can virtually be eliminated with various oral sedatives and/or with nitrous oxide, which is inhaled. Both treatments will allow you to let your guard down and relax. Your apprehension and hypersensitivity to pain will disappear, even though you are still conscious. And when you are relaxed, we are better able to focus on the task at hand, knowing that you are comfortable.
The sedatives used in dentistry have been subjected to rigorous testing and have a strong safety record backed by decades of use. Several even have “amnesic” properties, meaning that you will remember little to nothing of your treatment — unless, of course, you end up singing and dancing with Britney Spears!
If you would like more information about sedation in dentistry, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Oral Sedation Dentistry.” Dear Doctor also has more on “Overcoming Dental Fear & Anxiety.”