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Posts for: April, 2014

ChangesDavidBowiesDentalTransformation

In his decades long career, pop-music chameleon David Bowie has gone through a dizzying series of transformations. And as he morphed from alien-inspired space oddity to fashion-forward international superstar, his smile benefited from some very dramatic ch-ch-ch-changes. While Bowie hasn't talked much about his dental treatments, a comparison of pictures from the mid 1970s to the mid '90s (not to mention a much-viewed youtube video on the subject) makes it clear: his tooth staining, misalignment and gum recession have been left behind like polyester bellbottoms.

But tooth makeovers aren't just for pop stars! Cosmetic dentistry can benefit anyone who's interested in improving their appearance, at any age. Often, treatment starts with a “smile analysis” — a review of the current aesthetics of your mouth, including the shape, spacing, color and alignment of the teeth, the appearance and general health of the gums, and the way the lips and gums frame the smile.

This analysis can help pinpoint some places where the overall look of your smile may need improvement, and it can also identify some specific treatments to make it better. It's even possible to see a simulation of what you'd look like after the treatments are complete, to help ensure that your goals are realistic and attainable. What are some of the most common cosmetic procedures?

For stained teeth, you can try in-office whitening with concentrated bleaching solutions, or professionally-supervised at-home treatments using plastic trays that are custom-made to fit your teeth. The major difference between the two is the amount of time you need — with in-office treatments, you'll see results right away, while at-home gels may require weeks.

Tooth bonding and restoration with composite resin is a relatively fast and easy way to fix minor to moderate chips, flaws and discoloration. Because the composite material bonds directly to the tooth itself, this method requires only minor tooth preparation, and is often completed in just one office visit.

If your teeth, like Bowie's, need more extensive restoration, dental veneers or crowns may be required. Veneers are super strong, wafer-thin coverings that fit over the front surface of your teeth. Besides giving you that “Hollywood white” smile, they can also lengthen teeth that are too small, correct misalignment and close gaps in your smile. To correct even more extensive problems, crowns (also called caps) can replace the entire visible portion of one or more teeth — or, if teeth are missing, a permanent, long-lasting dental implant can be placed.

Many adults are choosing orthodontics to correct problems of tooth position, alignment or spacing — in fact, some 20% of all orthodontic patients today are grown-ups! It's never too late to start treatment, and with less-noticeable appliances like clear aligners and tooth-colored braces, it's easier than ever to make those ch-ch-ch-changes.

If you would like more information about the options available in cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Orthodontics For The Older Adult” and “Cosmetic Dentistry.”


By Eric Romano DDS
April 02, 2014
Category: Oral Health
Tags: tooth decay  
WinningtheBattleOverToothDecay

Tooth decay (also known as caries by professionals and as cavities by consumers) is an infectious disease process that damages tooth structure. Cavities, hollowed-out holes in the teeth, are the most common result of untreated caries. It affects millions of Americans, young and old alike.

How does this destructive process happen? It begins when acid-producing bacteria multiply beyond normal levels in the mouth. Dental plaque, a film of remnant food particles and bacteria, cover the teeth due to poor oral hygiene. The bacteria break down sugars and carbohydrates present in the mouth, which in turn produces acid. Too many “bad bacteria” can raise the acidic level in the mouth.

The normal pH level of the mouth is neutral — 7 on the pH scale. But when the acidic level increases, dropping the pH to 5.5, the calcium and phosphate minerals in the hard, protective layer of tooth enamel begin to dissolve in a process known as de-mineralization. A healthy flow of saliva, however, acts as a buffering agent to return the pH level of the mouth back to neutral. Saliva also contains calcium and phosphate that can replace those lost from the enamel and is referred to as re-mineralization.

So, a constant battle rages within the mouth. On one side acid-producing bacteria, the possible absence of saliva, and poor diet and hygiene habits create the conditions where teeth enamel loses its mineral strength, allowing decay to eventually invade the fragile inner dentin of the tooth; on the other side is an adequate flow of saliva, a good diet and hygiene, boosted by treatment options like sealant application, antimicrobials and the topical application of fluoride.

The key, of course, is prevention. We add protection to the teeth by strengthening them; applying fluoride topically is the best approach, along with sealants that can be applied in our office. We reduce the level of acid-producing bacteria, usually with an anti-bacterial mouth rinse. You can also adopt a healthier diet that limits sugars and carbohydrates and reduces snacking between meals.

These preventive measures, along with early treatment of known tooth decay, can help you avoid the full impact of this destructive disease.

If you would like more information on tooth decay and how to prevent it, 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 “Tooth Decay.”