Archive:

Posts for category: Dental Procedures

By Pediatric Dentistry of Kendall
April 25, 2015
Category: Dental Procedures
EdenSherandtheLostRetainer

Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!

If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.

If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?

As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.

And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!

If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?

By Pediatric Dentistry of Kendall
February 24, 2015
Category: Dental Procedures
ActorEdHelmsTooth-YankingTrickItWasaDentalImplant

The lengths that some comedians will go to for a laugh! Actor Ed Helms, as dentist Stu Price, pulled out his own tooth in the movie The Hangover. Or did he? Turns out Helms really is missing a tooth, which never grew in. When he was in his late teens, he received a dental implant to make his smile look completely natural.

Helms told People magazine he wasn't exactly eager to remove the implant crown that had served him so well for almost 20 years, but there was no better way to do the famous tooth-pulling scene.

“We started to do different tests with prosthetics and blacking it out and nothing worked,” Helms told the magazine. Helms' dentist said it would be okay to take the implant crown out. “My dentist was really into it,” Helms said. The rest is movie history!

Congenitally missing (“con” – together with; “genital” – relating to birth) teeth are inherited and actually quite common. More than 20% of people lack one or more wisdom teeth, for example. These would not usually be replaced if missing (in fact, wisdom teeth are often removed) but it's a more serious issue when the missing tooth is in the front of the mouth — and not just for aesthetic reasons.

When a particular type of tooth is missing, it disrupts the pattern and function of the teeth. If left alone, sometimes the existing teeth will shift to close the gap. It's like removing a brick from an arch — the rest of the bricks would fall together in a different formation (or collapse entirely). And when upper and lower teeth don't come together properly, they can't function well.

The best treatment for this type of situation is the one Ed Helms had: a dental implant. They look and function like real teeth and do not attach to or damage adjacent teeth as other tooth-replacement options might.

It is important that a child with a congenitally missing tooth wait until jaw growth is complete — different for every person but usually in the late teens — before getting an implant. Otherwise, the artificial tooth might eventually appear too short when the person has stopped growing. In the meantime, there are temporary tooth replacements that can be made.

If you would like more information about options for congenitally missing teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “When Permanent Teeth Don't Grow.” Dear Doctor also has more on “Teenagers & Dental Implants.”

By Pediatric Dentistry of Kendall
December 31, 2014
Category: Dental Procedures
HowDentalImplantsSavedTaylorHicksSmile

If (heaven forbid) you were to lose your two front teeth in an accident, and you needed to choose a tooth replacement method, which one would you pick? Once upon a time, that question faced Taylor Hicks, the former American Idol winner who now plays a regular gig in Las Vegas. Back then, when he was a high-school basketball star, Hicks happened to receive a blow to the mouth at a playoff game. As fate would have it, he also happened to be the son of… wait for it… a dentist. So what did he do?

The down-to-earth song stylist recently told Dear Doctor magazine how, immediately after the accident, his father administered first aid, getting him back into the game before it ended. Then, a short while afterward, Hicks had the gaps in his smile fixed with dental implants.

We think he made a good choice. While there are other tooth replacement systems, none offer the benefits provided by dental implants. In case you need a reminder, here are some facts about dental implants:

  • They have the highest success rate of any tooth replacement procedure — above 95%
  • They are the most durable type of replacement tooth — with proper care, they can last for the rest of your life
  • They look and “feel” completely natural, and require no special maintenance
  • They are the only tooth replacement system that essentially stops bone loss in the jaw (a natural consequence of tooth loss), helping to maintain good oral health
  • Over the long term, they can offer the best value for your investment in dental care

What makes dental implants work so well? Unlike bridgework or other methods, lifelike implant crowns are supported by a screw-like titanium metal insert, which actually becomes fused with the bone of the jaw. This not only provides the prosthetic teeth with a rock-solid anchorage, but it also helps provide the physical stimulation that bone needs to keep itself healthy. Lacking this stimulation, the jaw bone begins to atrophy and erode (melt away) — and if left untreated long enough, it can result in the appearance of premature aging and other oral health problems.

So if you have missing teeth — whether from an accident, disease, or another cause — contact us or schedule an appointment for a consultation, and find out whether dental implants might be right for you. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Dental Implants.”

By Pediatric Dentistry of Kendall
December 01, 2014
Category: Dental Procedures
HilaryDuffsChippedFrontTeethRepairedwithVeneers

Many Hollywood luminaries use porcelain veneers to enhance their smiles. Take actress and singer Hilary Duff, who, according to People magazine, had veneers placed on her two front teeth after chipping them on a microphone during what must have been an extremely energetic performance.

Well, you don't have to be a Hollywood star to benefit from a smile enhanced with porcelain veneers. If you have small chips, cracks, slight tooth rotations or minor spacing problems, veneers may be able to give you back your smile — or an even better one.

The word “veneer” refers to a super-thin covering, and in dentistry a veneer is a thin layer of porcelain that replaces your natural tooth enamel. Porcelain is the material of choice because of its strength, translucency, and ability to resist erosion.

In the right hands, dental porcelain can mimic tooth enamel perfectly. To make veneers, a skilled dental technician will mix porcelain powder (in a shade specified by the dentist) with water and then fire the material in an oven like pottery; the porcelain is built up in layers for a truly lifelike effect.

Before a veneer is bonded to a tooth, often we need to remove a tiny bit of the tooth's existing enamel so that the final effect will not be too bulky. The procedure is virtually painless and can be completed in as little as two visits. Because enamel is removed, this particular cosmetic treatment is not reversible. Sometimes veneers can be added directly onto the tooth surface without any tooth reduction and therefore are reversible if used in this way.

Once you have veneers, please keep in mind that while extremely strong, porcelain veneers are not indestructible; you won't want to do things like crunch ice or break nuts open with your teeth. And if you are a teeth-grinder, you should wear a nightguard to protect your beautiful new smile. With proper care, your veneers will last 20 years or more.

If you would like more information about porcelain veneers, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Smile Design Enhanced With Porcelain Veneers.” Dear Doctor also has more on “Cosmetic Dentistry: A Time For Change.”

By Pediatric Dentistry of Kendall
October 29, 2014
Category: Dental Procedures
HowardSternOpensUp-AboutHisTeeth

Is there anything that radio and TV personality (and self-proclaimed “King of All Media”) Howard Stern doesn’t want to talk about in public? Maybe not — but it took a caller’s on-air question to get the infamous shock jock to open up about his own dental work.

When he was directly asked if his teeth were capped, Stern said no. “I redid ‘em [some time] ago… I had bonding and um… veneers… over my real teeth. But I don’t get that ‘Hollywood white’ though,” he said, before adding his uncensored opinion on the subject of proper tooth shades.

As we’re sure Stern would be the first to point out, everyone has a right to their own opinion. But we’re pleased that Howard brought up an important point about veneers: They are custom-made in a whole range of different shades, from a more ‘natural’ tooth color to a brilliant white shine. Which one you select depends on what look is right for you — and that’s your choice.

In case you aren’t familiar with veneers, they are fingernail-thin coverings made of porcelain, which are bonded onto the surfaces of the teeth. This enables them to hide a number of defects — like chips, discoloration, and even small irregularities in spacing. They can also be used to lengthen teeth that seem out of proportion to the gums, lips or other facial features.

Veneers are among the cosmetic dental treatments most favored by Hollywood stars… as well as regular folks who want a dramatic improvement in their smile. Unlike crowns (caps), which generally require extensive reshaping of the tooth, standard veneers require the removal of just fractions of a millimeter of tooth surface. That makes them a minimally invasive method of smile enhancement that can make a big difference in your appearance. In fact, veneers are often a major part of a complete “smile makeover.”

Dental veneers are custom made in a laboratory from a mold of your teeth. They are designed to fit your teeth perfectly — and to be just the shade you want. When you come in for a consultation, we will discuss what you like and don’t like about your smile, and how we might improve it. Will you opt to get the brilliant “red-carpet” smile you always wished for… or go for a subtle, more natural tooth color? Only you can decide.

Howard Stern’s veneers may be the most restrained thing about him… but we’re just glad that veneers helped him get the kind of smile he wanted. You can, too. If you would like more information on dental veneers, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Porcelain Veneers” and “Porcelain Crowns & Veneers.”