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Posts for: December, 2013

By Eric Romano DDS
December 24, 2013
Category: Oral Health
Tags: dental implants   tooth loss  
ItCouldbeMoreThanaToothYoureLosing

There’s more to tooth loss than you might think. Because teeth are part of a larger system that facilitates speaking, eating and digestion, a lost tooth could eventually affect your overall health.

Tooth loss is actually about bone loss. As living tissue, bone continually reforms in response to stimuli it receives from the body. The alveolar bone (which surrounds and supports the teeth) receives such stimuli as the teeth chew and bite, as well as when they contact each other. All these stresses — hundreds a day — transmit through the periodontal ligament to the bone, stimulating it to grow and remodel.

A lost tooth reduces this stimulation and causes the alveolar bone to resorb (dissolve) — as much as 25% of its width the first year alone. Unless the process is stopped, the underlying basal bone and the periodontal (gum) tissue will begin to resorb too. Without this structural support the facial height shrinks and the front teeth begin to push forward, making chewing and speaking more difficult. These teeth begin performing functions outside their normal range, leading to damage and possible loss.

The primary goal of oral hygiene and dental care is to prevent tooth loss. When tooth loss does occur, however, it’s then important to restore the lost tooth with an artificial replacement if at all possible — not only to regain form and function, but to also stop further bone loss.

While the fixed partial denture (FPD), also known as a fixed bridge, has been the restoration of choice for many decades, dental implants may be the better long-term option. Although more expensive initially, implants can achieve a life-like restoration without involving or altering adjacent teeth as with FPDs. Plaque retention and tartar accumulations are much less likely with an implant, and the bone-loving quality of titanium, the metal used for implants, actually encourages bone growth. As a result, implants have a much higher longevity rate than FPDs.

Taking care of your teeth through effective hygiene practices and regular checkups may help you avoid tooth loss altogether. But if it can’t be avoided, restoring lost teeth is the single most important thing you can do to prevent even greater problems down the road.

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 “The Hidden Consequences of Losing Teeth.”


By Eric Romano DDS
December 10, 2013
Category: Dental Procedures
AvoidingtheJimCarreyChipped-ToothLook

Fans of the classic bumbling-buddies comic film “Dumb and Dumber” will surely remember the chipped front tooth that Jim Carrey sported as simpleminded former limo driver Lloyd Christmas. Carrey reportedly came up with the idea for this look when considering ways to make his character appear more “deranged.” He didn't need help from the make-up department, however… He simply had his dentist remove the dental bonding material on his left front tooth to reveal the chip he sustained in grade school!

Creating a Bond
A dental cosmetic bonding involves application of a composite filling material that our office can color and shape to match the original tooth. Bonding material can be used to replace the lost portion of tooth or to seamlessly reattach the lost portion if it has been preserved and is otherwise undamaged. Little to no removal of existing tooth surface is needed. This is the quickest and lowest-cost option to repair a chip.

Alternatives
When a relatively large portion of the tooth is missing, a crown is often the better choice. It fully encases the visible portion of the remaining tooth above the gum line and is shaped and sized to match the original. It can be made of tooth-colored porcelain fused to metal crowns or all-ceramic (optimal for highly visible areas). A small amount of the existing tooth surface will be removed to allow the crown to fit over it.

A veneer can be used to hide smaller areas of missing tooth. This is a thin, custom-made shell placed on the front of the tooth to give it a new “face.” Some removal of existing tooth surface also may be necessary to fit a veneer.

A chipped tooth makes an impression, but generally not a flattering one. Nearly 20 years after “Dumb and Dumber” hit the theaters, the only thing Jim Carrey had to do recently to hint at a sequel for his nitwitted character was tweet a photo of that goofy grin!

If you would like more information about repairing a chipped tooth, 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 “Artistic Repair of Front Teeth With Composite Resin.”