Posts for category: Dental Procedures
If you're currently undergoing orthodontic treatment, you're no doubt looking forward to the day your braces come off. But that won't end your treatment just yet — you'll need to wear a retainer.
Teeth are held secure in the bone of the jaw by an elastic tissue known as the periodontal ligament. As the braces “pull” the teeth to their new position, the ligament stretches and the bone remodels around the teeth. But the ligament also has a tendency to rebound as the tension eases when the braces are removed. The teeth could then return to their original position, especially during the first few months.
To prevent this patients wear an orthodontic appliance known as a retainer. It maintains some of the tension once supplied by the braces to help keep or “retain” the teeth in their new position. Depending on your age and other factors, you'll have to wear one for at least eighteen months; some patients, especially adults, may have to wear one indefinitely.
You may be familiar with a removable retainer, one you can take in and out of your mouth. But there's another type called a bonded retainer that's fixed to the teeth and can only be removed by a dentist. With this retainer a dentist bonds a thin piece of wire to the back of the teeth where it can't be seen. You can feel it, though, with the tongue: an unusual sensation at first, but one easily grown accustomed to.
Unlike their removable counterparts, bonded retainers aren't noticeable, either to others or the wearer. They're especially appropriate for patients who may not be as diligent in wearing a removable retainer.
It does, though, have some disadvantages. The position of the wire running horizontally across several teeth can make flossing difficult. And as with any retainer, removing it could increase the risk of the teeth moving out of alignment.
There are a number of factors to discuss with your orthodontist about which type of retainer is best for your situation. If you do choose a bonded retainer, be sure you work with the dental hygienist on how best to floss the affected teeth. And if you do have it removed, have a removable retainer prepared so you can preserve that smile you've invested so much into obtaining.
It always seems that illnesses and injuries happen at the most inconvenient times, and problems with your teeth are no exception. Although Dental Perfections has convenient hours to serve the Ewa Beach and Kapolei area, accidents can happen after our office is closed. Below are two common dental issues that require emergency care, and how to manage them.
Avulsion (knocked-out tooth)
A car accident, a sports injury, a fall - any of these can result in a dental avulsion, which means that a tooth has detached from the ligaments surrounding the socket that hold it in in place. Avulsed teeth can be put back in place by your dentist, but emergency dental care is needed immediately to increase the chances of success. One of the best ways you can care for a knocked-out tooth is by having a tooth storage solution on hand in your home. This solution, which can be purchased over-the-counter at most pharmacies, contains the proper pH levels needed to keep the tooth viable. The tooth should be gently placed in this solution - do not scrub or otherwise attempt to remove debris - and brought with you.
Dental abscesses are caused by an infection inside a tooth that the body is trying to purge; they are pockets of white blood cells, bacteria and tissue debris that cause pain, tooth sensitivity and swelling. The abscess may develop at the tip of a tooth's root (a periapical abscess) or on the gums near an infected tooth (a periodontal abscess). Both should be treated as a dental emergency.
You can count on Dental Perfections in Kapolei, Hawaii and serving the Ewa Beach area for all your dental care. Contact our office today to schedule an appointment with Dr. Kern Agader!
When planning for your new smile, we look at more than the condition of individual teeth. We also step back for the bigger “bite” picture: how do the teeth look and interact with each other?
If we have a normal bite, our teeth are aligned symmetrically with each other. This not only looks aesthetically pleasing with the rest of the face, it also contributes to good function when we chew food. A bad bite (malocclusion) disrupts this mouth-to-face symmetry, impairs chewing and makes hygiene and disease prevention much more difficult.
That's where orthodontics, the dental specialty for moving teeth, can work wonders. With today's advanced techniques, we can correct even the most complex malocclusions — and at any age. Even if your teen years are well behind you, repairing a bad bite can improve both your smile and your dental health.
The most common approach, of course, is braces. They consist of metal or plastic brackets bonded to the outside face of the teeth with a thin metal wire laced through them. The wire attaches to an anchorage point, the back teeth or one created with other appliances, and placed under tension or pressure. The gradual increasing of tension or pressure on the teeth will move them over time.
Â Braces are versatile and quite effective, but they can be restrictive and highly noticeable. Many people, especially older adults, feel embarrassed to wear them. There is an alternative: clear aligners. These are a series of clear, plastic trays that you wear in sequence, a couple of weeks for each tray. When you change to the next tray in the series, it will be slightly different than its predecessor. As the trays change shape guided by computer-enhanced modeling, the teeth gradually move.
If you're interested in having a poor bite corrected, the first step is a comprehensive orthodontic examination. This looks closely at not only teeth position, but also jaw function and overall oral and general health.
With that we can help you decide if orthodontics is right for you. If so, we'll formulate a treatment plan that can transform your smile and boost your dental health.
If you would like more information on the cosmetic and health benefits of orthodontics, 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 Magic of Orthodontics.”
Everyone has to face the music at some time — even John Lydon, former lead singer of The Sex Pistols, arguably England’s best known punk rock band. The 59-year old musician was once better known by his stage name, Johnny Rotten — a brash reference to the visibly degraded state of his teeth. But in the decades since his band broke up, Lydon’s lifelong deficiency in dental hygiene had begun to cause him serious problems.
In recent years, Lydon has had several dental surgeries — including one to resolve two serious abscesses in his mouth, which left him with stitches in his gums and a temporary speech impediment. Photos show that he also had missing teeth, which, sources say, he opted to replace with dental implants.
For Lydon (and many others in the same situation) that’s likely to be an excellent choice. Dental implants are the gold standard for tooth replacement today, for some very good reasons. The most natural-looking of all tooth replacements, implants also have a higher success rate than any other method: over 95 percent. They can be used to replace one tooth, several teeth, or an entire arch (top or bottom row) of teeth. And with only routine care, they can last for the rest of your life.
Like natural teeth, dental implants get support from the bone in your jaw. The implant itself — a screw-like titanium post — is inserted into the jaw in a minor surgical operation. The lifelike, visible part of the tooth — the crown — is attached to the implant by a sturdy connector called an abutment. In time, the titanium metal of the implant actually becomes fused with the living bone tissue. This not only provides a solid anchorage for the prosthetic, but it also prevents bone loss at the site of the missing tooth — which is something neither bridgework nor dentures can do.
It’s true that implants may have a higher initial cost than other tooth replacement methods; in the long run, however, they may prove more economical. Over time, the cost of repeated dental treatments and periodic replacement of shorter-lived tooth restorations (not to mention lost time and discomfort) can easily exceed the expense of implants.
That’s a lesson John Lydon has learned. “A lot of ill health came from neglecting my teeth,” he told a newspaper reporter. “I felt sick all the time, and I decided to do something about it… I’ve had all kinds of abscesses, jaw surgery. It costs money and is very painful. So Johnny says: ‘Get your brush!’”
We couldn’t agree more. But if brushing isn’t enough, it may be time to consider dental implants. If you would like more information about dental implants, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implants” and “Save a Tooth or Get an Implant?”
No one wants extensive dental work, or worse yet, to lose a tooth to decay, infection, or trauma. To avoid complex restorations or extraction, your dentist in the Ewa Beach and Kapolei area may advise placement of a dental crown. Lifelike and durable, these tooth-shaped caps from Dr. Kern Agader at Dental Perfections truly can perfect your smile. They support damaged teeth from their very top to the gum line, remaking form, function, and health.
Reasons for dental crowns
At Dental Perfections serving the Ewa Beach and Kapolei area, your dentist sometimes advises placement of a porcelain crown when a tooth is:
- Small and/or misshapen (a peg-shaped incisor, for example)
- Abscessed (and needs root canal therapy to remove the pulp)
- Extensively decayed and/or restored (so many fillings there's not much enamel left)
Dr. Agader may use two or more crowns to affix artificial teeth to neighboring natural teeth. Called fixed bridgework, this type of dental prosthetic spans smile gaps, restoring oral functionality and beautiful aesthetics. Dr. Agader covers dental implants and teeth saved by root canal therapy with porcelain crowns.
Do you need a crown?
Only your dentist can tell you for sure what restoration would work for your particular situation. Dr. Agader will inspect the tooth in question and its surrounding gums. X-rays show him the roots and bone structure. Oral impressions, either digital or with putty and trays, give the dental lab the minute details needed to fabricate the cap perfect for your smile and bite.
Most patients require some local anesthetic to be comfortable while Dr. Agader removes any old filling material and existing decay. This reshaping allows for proper crown fit over the tooth and against the gum tissue. Also, the dentist places a temporary cap on the shaped tooth to protect it as you wait for your permanent crown.
When your crown is ready, Dr. Agader removes the temporary one and bonds the new one in place. He uses a special cement which he hardens with a curing light. The bond is exceptionally strong, and most porcelain crowns stay in place and function well for many years when patients eat a tooth-friendly diet, floss daily and brush twice a day. Semi-annual exams and cleanings help keep crowns clean.
If you have a tooth that's ailing or failing, see Dr. Agader at Dental Perfections in Kapolei, Hawaii for a consultation on this wonderful restoration. Dr. Agader has specialized training from the well-respected Dawson Academy; so you can trust his up-to-date expertise and skill to help you make the best decision for your oral health. Call the office today for your appointment, won't you? (808) 674-8895.