There are a lot of ways to improve the appearance of your teeth. Some methods can be quite involved like crowns or bridgework, which require extensive alteration of teeth to accommodate them.
Other methods, though, can achieve stunning results with less tooth reduction or alteration to your teeth. Porcelain veneers are one such alternative that literally puts a new face on your teeth. A dental veneer is a thin layer of restorative material (usually porcelain) that is bonded to the outside of a tooth to cover blemishes. They’re an excellent choice for dealing with otherwise healthy teeth with mild to moderate chipping, wearing, staining or slight misalignment.
Veneers can be fashioned to match the shape and texture of the prepared tooth, as well as coloring that blends with neighboring teeth. They’re created by skilled dental lab technicians who use porcelain powder mixed with water to create layers of pliable porcelain laminated together to achieve the appropriate thickness and shape. The veneer is then oven-fired to produce a strong, durable product.
Their use in various dental situations does require some tooth preparation, though normally not as much as other restorative measures — usually no more than 0.5 mm of surface enamel. Removing this small amount will ensure the veneer doesn’t look too thick and bulky once bonded to the tooth.
There are some situations, though, where veneers aren’t the best choice: because they’re mainly a cosmetic solution, they can’t remedy problems like poor tooth position and bite or large discrepancies in root position. And teeth that are heavily decayed may require more extensive dental work to repair and preserve them.
In the right situation, though, veneers can make a huge difference to your smile and last for years, as long as you practice effective oral hygiene and don’t subject them to abnormal biting force (no cracking hard shell nuts with them — they can shatter). In skilled hands, veneers can transform your teeth from embarrassing to dazzling.
If you would like more information on porcelain veneers, 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 “Smile Design Enhanced with Porcelain Veneers.”
In aggressive cases of gum disease, a surgical procedure is often needed to reverse the progression of bone loss. But it’s not always necessary to have invasive periodontal surgery to cure gum disease if you have it treated in the earliest stages. You may be a candidate for the non-surgical treatments available at Apple Valley Dental serving Lucerne Valley, CA.
Gum Disease Signs and Symptoms
While tooth decay generally threatens a tooth from the inside, gum disease threatens it from the outside. The supporting gum structure that holds the tooth in its socket becomes compromised by bad bacteria, causing the tooth to lose its stability over a period of time. Here are a few of the signs and symptoms of gum disease:
- The gums look red and irritated.
- Blood frequently shows up after brushing or flossing.
- The gums start to separate from the teeth, creating deep pockets.
- The mouth has an unusually unpleasant taste and odor.
In serious cases of gum disease, periodontal surgery may not be avoidable. But in the earlier stages, your Apple Valley and Lucerne Valley dentist will likely try one or more of these non-surgical treatments:
- Scaling and root planing (a deep cleaning that removes hardened calculus).
- Laser therapy (laser targets bad tissue while leaving good tissue unharmed).
- Antibiotic therapy (medication that controls the bacteria that causes bone loss).
- Gum grafting (adding natural or artificial gum tissue to make the gumline stronger).
Preventing Gum Disease
If you have a family or personal history of gum disease, there are steps you can take to prevent gum disease in the future. Observe these tips:
- Floss as often as you brush to stop plaque in its tracks, and do a very thorough job each time.
- Eat foods that promote good bone and gum health, including calcium, potassium, and vitamin A, C, and D.
- Join a smoking cessation program so that you can eliminate tobacco products from your routine.
Explore Your Options
Find out more about the non-surgical solutions available for patients who have been diagnosed with gum disease. Call (760) 247-6007 today to schedule an appointment with Dr. Samuel Kim at Apple Valley Dental serving Lucerne Valley, CA.
In February, the American Dental Association sponsors Children’s Dental Health Month to raise awareness about the importance of good oral health for kids of all ages. It’s a great time to focus on concerns unique to children—teething, for example. This stage of development can be stressful for children and parents alike. Just ask tennis legend (and new mom) Serena Williams. When her baby daughter recently began teething, the Olympic gold medalist and multi-Grand-Slam champion asked her instagram followers for help:
“Teething… is so hard. Poor Alexis Olympia has been so uncomfortable. She cried so much… I almost need my mom to come and hold me to sleep cause I’m so stressed. Help? Anyone?”
We certainly sympathize with Serena’s plight. The process of teething—where a child’s primary teeth start to emerge (erupt) from below the gum line—can make both baby and parents irritable in the daytime and sleepless at night. While a few infants are born with tiny teeth already showing, most kids’ teeth begin emerging at age 4-7 months.
Teething is an important milestone in baby’s growth…but it’s one that’s not always cause for celebration. It can lead to pain, drooling, gnawing, and biting; ear rubbing and gum swelling; decreased appetite and disrupted sleeping patterns. And did we mention that irritability and stress are common as well? But if you notice fever, diarrhea, or widespread rash, it may be wise to consult your dentist or pediatrician.
What can you do to ease the discomfort of teething? The American Dental Association (ADA) has a few recommendations: Try soothing the gums by rubbing them gently with a clean finger or a cool, moist towel or washcloth; or let your baby chew on a cold (but not frozen) teething ring or pacifier.
If your pediatrician recommends it, over-the-counter medications like acetaminophen or ibuprofen can be used for persistent teething pain—but make sure to use the correct dosage and wait the proper amount of time between doses.
There are also a few things you should NEVER do. Don’t give alcohol to a baby in any form, and don’t rub any medications on baby’s gums. Don’t give a baby anything to chew on that’s unsafe (bones, breakable items, etc). And don’t use teething gels containing benzociane, lidocaine or certain homeopathic ingredients: According to a recent FDA warning, they may pose a danger to infants, including risks of rare but serious medical conditions. Feel free to check with us if you are not sure whether a particular remedy is safe for your baby.
There’s no doubt that teething can be stressful. But it’s a sign of normal development—and in time it will pass…like babyhood itself. If you’re concerned about your child’s teething or would like more information, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine article “Teething Troubles.”
The reason for extracting a tooth may be all too obvious — the tooth is too decayed or damaged to attempt saving. The reason for extracting a wisdom tooth, on the other hand, may not be so apparent: from the perspective of pain or reduced function, you may not notice a thing. Our recommendation to remove a wisdom tooth is based primarily on what may be occurring out of view below the gum line and its potential threat to adjacent teeth.
Teeth grow and develop below the gum line in the jaw, and then push their way through the gums as they appear in the mouth (eruption). After a normal eruption, the enamel-covered crown is visible above the gum line; the remaining tooth root (about two-thirds of the tooth’s length) resides below the gum line. Because wisdom teeth, or third molars, erupt rather late between ages 17 and 25, they may lack the room to erupt properly due to crowding from other teeth that have already erupted. This can cause the wisdom tooth not to erupt fully through the gums, leaving the crown trapped below the gum line, a condition known as impaction. For the tooth, impaction increases the chances of infection, cyst formation and gum disease around it.
An impacted wisdom tooth can also cause problems for the adjacent teeth as well. The impacted tooth may begin to press against the roots of other teeth; the resulting pressure can damage the other roots, increasing the risk for disease or future tooth loss. A person may not even know they have this problem since there’s often little to no noticeable pain or symptoms.
It may seem counterintuitive, but the best time to remove a wisdom tooth is when it’s not causing immediate problems. There will be, however, signs found during examination (particularly x-rays or CT scan) that future problems are in the making. By extracting an impacted wisdom tooth at the appropriate time, we can avoid more serious problems in the future and improve oral health.
If you would like more information on wisdom teeth and your oral 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 “Removing Wisdom Teeth.”
If you're one of the more than 26 million people in the U.S. with diabetes, you know first hand how the disease impacts your life. That includes your dental health — and whether or not implants are a good tooth replacement option for you.
Diabetes is actually the name for a group of diseases affecting how your body processes glucose, a simple sugar that provides energy for the body's cells. The level of glucose in the blood is regulated by insulin, a hormone produced in the pancreas. Diabetes causes the pancreas to either stop producing insulin (Type 1) or not produce enough (Type 2). Also in Type 2, the body can become unresponsive to the insulin produced.
The implications for either type are serious and can be life-threatening. If glucose levels are chronically too low or high the patient could eventually go blind, suffer nerve damage, or develop kidney disease. Diabetes also interferes with wound healing and creates a greater susceptibility for gangrene: diabetics thus have a higher risk for losing fingers, toes and limbs, and can even succumb to coma or death.
Type 2 is the most common form of diabetes. Fortunately, most people with this type can effectively manage it through diet, exercise and regular glucose monitoring; if need be, prescription medication can help regulate their levels. Even so, diabetics with their disease under control must still be alert to slower wound healing and a higher risk of infection.
Because implant placement is a minor surgical procedure, the aspects of diabetes related to healing, infection and inflammation could have an adverse impact on the ultimate success of the placement. Implant surgery creates a wound in the surrounding gum tissues and bone that will need to heal; the body's immune response in a diabetic can interfere with that process. And if infection sets in, the risks of implant failure increase.
But research has shown that diabetics with good glucose management have as high a success rate (over 95% after ten years) as non-diabetic patients. That means the implant option is a viable one for you as a diabetic — but only if you have your disease under control.
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