Erie's Dental Talk
TeensMayNeedaTemporaryRestorationforMissingTeeth

While not as prevalent as adults, teenagers can have missing teeth, usually from injury or from never having been formed. Fortunately, life-like dental implants can replace missing teeth. But unfortunately for teens, implants aren't usually a good option—yet.

That's because a teenager's jaws are still growing, and will continue until early adulthood. Dental implants don't adjust to this growth like natural teeth and will eventually look out of place. It's best, then, to consider a temporary restoration for a teenager. And, there are two excellent options: one removable and one fixed.

The first is a removable partial denture (RPD). Like a full denture, an RPD has an acrylic base that resembles gum tissue, to which prosthetic (false) teeth are attached to match the positions of the missing teeth. It's usually held in place with metal or nylon clips that slide under part of the natural teeth at the gum line.

RPDs are versatile and durable. But they're not designed to be worn indefinitely, so they can be damaged if subjected to excessive biting forces like biting into something hard. And, peer-pressured teens may also feel self-consciousness about wearing a “denture.”

The other option is a bonded bridge. It's similar to a traditional bridge, except how it's supported in the mouth. A traditional bridge gains its support from the crowns on each end attached to natural teeth, which must be permanently altered for them. By contrast, a bonded bridge has strips of dental material extending from both sides of its back that are bonded to the back of the adjacent natural teeth.

With the bonding material behind the bridge, it can't be seen—and the natural teeth won't require permanent alteration. But a bonded bridge is usually more costly than an RPD and less secure than a traditional bridge. And not every teen is a viable candidate for one: issues like how the teeth fit together and if the teen has a tooth grinding habit could be strikes against this fixed option.

Your dentist can help you sort out the best of these options for your teen. If cared for and maintained properly, either restoration can buy you time until your teen is ready for dental implants.

If you would like more information on restoring a teenager's smile, 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 “Temporary Tooth Replacement for Teens: What Are the Options?

HowShawnMendesandMileyCyrusGotTheirStellarSmiles

The 2019 Grammy Awards was a star-studded night packed with memorable performances. One standout came from the young Canadian singer Shawn Mendes, who sang a powerful duet of his hit song "In My Blood" with pop diva Miley Cyrus. But that duo's stellar smiles weren't always quite as camera-ready as they looked that night.

"I had braces for four and a half years," Mendes told an interviewer not long ago. "There's lots and lots and lots of photo evidence, I'm sure you can pull up a few." (In fact, finding one is as easy as searching "Sean Mendes braces.")

Wearing braces puts Mendes in good company: It's estimated that over 4 million people in the U.S. alone wear braces in a typical year—and about a quarter of them are adults! (And by the way: When she was a teenager, Miley Cyrus had braces, too!)

Today, there are a number of alternatives to traditional metal braces, such as tooth-colored braces, clear plastic aligners, and invisible lingual braces (the kind Cyrus wore). However, regular metal braces remain the most common choice for orthodontic treatment. They are often the most economical option, and can be used to treat a wide variety of bite problems (which dentists call malocclusions).

Having straighter teeth can boost your self-confidence—along with helping you bite, breathe, chew, and even speak more effectively. Plus, teeth that are in good alignment and have adequate space in between are easier to clean; this can help you keep your mouth free of gum disease and tooth decay for years to come.

Many people think getting braces is something that happens in adolescence—but as long as your mouth is otherwise healthy, there's no upper age limit for orthodontic treatment. In fact, many celebrities—like Lauren Hutton, Tom Cruise and Faith Hill—got braces as adults. But if traditional braces aren't a good fit with your self-image, it's possible that one of the less noticeable options, such as lingual braces or clear aligners, could work for you.

What's the first step to getting straighter teeth? Come in to the office for an evaluation! We will give you a complete oral examination to find out if there are any problems (like gum disease or tooth decay) that could interfere with orthodontic treatment. Then we will determine exactly how your teeth should be re-positioned to achieve a better smile, and recommend one or more options to get you there.

If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Lingual Braces: A Truly Invisible Way to Straighten Teeth.”

By Modern Dental Group
October 26, 2019
Category: Oral Health
Tags: vitamins  
VitaminsCanHelpKeepYourOralHealthinTopShape

Vitamins play a key role in your body’s health, including your teeth and gums. A vitamin-deficient diet is an invitation to all sorts of disease.

But what are vitamins? Although they differ individually in what effect they have on the body, they’re all organic compounds found in foods, especially fruits and vegetables. Each in a different way helps with bodily processes.

Vitamin C, for example, helps the body repair tissue. Without it, tissue breaks down easier, as British sailors discovered centuries ago on long sea voyages. Deprived of vitamin C in their diets they soon encountered health issues like bleeding gums. Eating limes — chock full of vitamin C—helped to clear up such problems (and also why they were called “limeys”).

Scientists have discovered thirteen vitamins, four of which—A, D, E and K—are soluble (dissolvable) in fat; the body stores these in the liver and fat tissue where they issue out into the body slowly. The rest—C and eight types of B vitamin—are soluble in water. Unlike the fat-soluble vitamins, these are used quickly and any remaining are excreted from the body.

When it comes to teeth, gums and the mouth, a rich assortment of vitamins helps maintain good oral health. For the teeth especially, vitamin D plays a critical role—it helps the body absorb the mineral calcium necessary for strong bones and teeth. You’ll find this vitamin plentiful in dairy products, but also fatty fish like salmon and tuna.

While vitamins occur naturally in foods, they can be manufactured in the form of dietary supplements. Unfortunately, the world of dietary supplements is a murky one, ungoverned by the restrictions and clinical trials that drugs undergo before they go to market. And, it’s big business: vitamin supplements are promoted as “insurance” for good health.

But while some people have conditions that may require a vitamin supplement, research has shown that most of us can effectively get our vitamins through a diet rich in fresh fruits and vegetables. So, do your teeth and gums (as well as the rest of your body) a favor—eat your fruits and veggies. Along with daily brushing and flossing, getting enough vitamins can go a long way toward keeping your mouth healthy and disease-free.

If you would like more information on nutrition and 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 “Vitamins & Dietary Supplements: What Every Consumer Should Know.”

By Modern Dental Group
October 16, 2019
Category: Oral Health
Tags: oral hygiene  
ImprovingHygieneSkillsMaximizesRemovalofDisease-CausingPlaque

Your mouth is teeming with bacteria—millions of them. But don't be alarmed: Most are benign or even beneficial. There are, however, some bacteria that cause tooth decay or periodontal (gum) disease, which can damage your oral health.

These disease-causing bacteria feed and multiply within a thin biofilm of leftover food particles on tooth surfaces called dental plaque. To reduce these bacterial populations—and thus your disease risk—you'll need to keep plaque from building up through daily brushing and flossing.

Now, there's brushing and flossing—and then there's effective brushing and flossing. While both tasks are fairly simple to perform, there are some things you can do to maximize plaque removal.

Regarding the first task, you should brush once or twice a day unless your dentist advises otherwise. And "Easy does it" is the rule: Hard, aggressive scrubbing can damage your gums. A gentle, circular motion using a good quality toothbrush will get the job done. Just be sure to brush all tooth surfaces, including the nooks and crannies along the biting surfaces. On average, a complete brushing session should take about two minutes.

You should also floss at least once a day. To begin with, take about 18" of thread and wrap each end around an index or middle finger. Pulling taut and using your thumbs to help maneuver the thread, ease the floss between teeth. You then wrap it around each tooth side to form a "C" shape and gently slide the floss up and down. Continue on around until you've flossed between each tooth on both jaws.

You can get a rough idea how well you did after each hygiene session by rubbing your tongue against your teeth—they should feel slick and smooth. If you feel any grittiness, some plaque still remains. Your dentist can give you a more precise evaluation of your cleaning effectiveness at your regular dental visits. This is also when they'll clean your teeth of any missed plaque and tartar.

While professional dental cleanings are important, what you do every day to remove plaque is the real game changer for optimum oral health. Becoming a brushing and flossing "ninja" is the best way to keep your healthy smile.

If you would like more information on daily oral 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 “Daily Oral Hygiene: Easy Habits for Maintaining Oral Health.”

ImplantFailureIsRarebutPossibleHereAreaFewWaystoAvoidIt

Dental implants are all the rage—and for good reason: They’re incredibly “tooth-like,” both in appearance and function. They also have a stunningly high success rate: More than 95% of implants still function after ten years. This means out of thousands of implants installed each year, only a handful fail.

But although that’s an amazingly low number, they’re still failures for real people who’ve suffered a loss. If you’re considering dental implants the chances of that being your experience are quite low. But it could still happen.

Here’s a few things you can do to make sure your implants don’t fail.

Stop smoking. Of the small percentage of implant failures, an inordinate number are smokers. A smoker’s chances of implant failure are roughly double those of non-smokers. Smoking, and to some degree any tobacco use, can make your mouth an unhealthier place: Not only can it increase your dental disease risk, but it can interfere with the healing process after implant placement and increase the chances of early failure.

Manage your health. Diabetes and similar systemic conditions can interfere with the healing process too, which could impact your implant attachment to bone. Diabetics thus run a slight risk of implant failure—but actual failures mostly involve patients who don’t have good control of their symptoms. If you’re a diabetic, properly managing your condition will lower your risk of implant failure to nearly identical that of someone without diabetes.

Treat gum disease. Implants in themselves are immune to disease—but the underlying bone that supports them isn’t. A gum disease infection could eventually weaken and diminish the implant-bone attachment. If this happens around an implant, its stability can be severely compromised. The best strategy is to prevent gum disease through daily, thorough brushing and flossing to remove disease-causing dental plaque. And if you see any symptoms like gum swelling, redness or bleeding, see your dentist as soon as possible.

Your implants could serve you well for decades. Just be sure you’re doing the right things to ensure their longevity.

If you would like more information on dental implants, 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 “Dental Implants: A Tooth-Replacement Method That Rarely Fails.”





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