Posts for category: Dental Procedures
It might seem that supermodels have a fairly easy life — except for the fact that they are expected to look perfect whenever they’re in front of a camera. Sometimes that’s easy — but other times, it can be pretty difficult. Just ask Chrissy Teigen: Recently, she was in Bangkok, Thailand, filming a restaurant scene for the TV travel series The Getaway, when some temporary restorations (bonding) on her teeth ended up in her food.
As she recounted in an interview, “I was… like, ‘Oh my god, is my tooth going to fall out on camera?’ This is going to be horrible.” Yet despite the mishap, Teigen managed to finish the scene — and to keep looking flawless. What caused her dental dilemma? “I had chipped my front tooth so I had temporaries in,” she explained. “I’m a grinder. I grind like crazy at night time. I had temporary teeth in that I actually ground off on the flight to Thailand.”
Like stress, teeth grinding is a problem that can affect anyone, supermodel or not. In fact, the two conditions are often related. Sometimes, the habit of bruxism (teeth clenching and grinding) occurs during the day, when you’re trying to cope with a stressful situation. Other times, it can occur at night — even while you’re asleep, so you retain no memory of it in the morning. Either way, it’s a behavior that can seriously damage your teeth.
When teeth are constantly subjected to the extreme forces produced by clenching and grinding, their hard outer covering (enamel) can quickly start to wear away. In time, teeth can become chipped, worn down — even loose! Any dental work on those teeth, such as fillings, bonded areas and crowns, may also be damaged, start to crumble or fall out. Your teeth may become extremely sensitive to hot and cold because of the lack of sufficient enamel. Bruxism can also result in headaches and jaw pain, due in part to the stress placed on muscles of the jaw and face.
You may not be aware of your own teeth-grinding behavior — but if you notice these symptoms, you might have a grinding problem. Likewise, after your routine dental exam, we may alert you to the possibility that you’re a “bruxer.” So what can you do about teeth clenching and grinding?
We can suggest a number of treatments, ranging from lifestyle changes to dental appliances or procedures. Becoming aware of the behavior is a good first step; in some cases, that may be all that’s needed to start controlling the habit. Finding healthy ways to relieve stress — meditation, relaxation, a warm bath and a soothing environment — may also help. If nighttime grinding keeps occurring, an “occlusal guard” (nightguard) may be recommended. This comfortable device is worn in the mouth at night, to protect teeth from damage. If a minor bite problem exists, it can sometimes be remedied with a simple procedure; in more complex situations, orthodontic work might be recommended.
Teeth grinding at night can damage your smile — but you don’t have to take it lying down! If you have questions about bruxism, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Stress & Tooth Habits” and “When Children Grind Their Teeth.”
You might think David Copperfield leads a charmed life:Â He can escape from ropes, chains, and prison cells, make a Learjet or a railroad car disappear, and even appear to fly above the stage. But the illustrious illusionist will be the first to admit that making all that magic takes a lot of hard work. And he recently told Dear Doctor magazine that his brilliant smile has benefitted from plenty of behind-the-scenes dental work as well.
“When I was a kid, I had every kind of [treatment]. I had braces, I had headgear, I had rubber bands, and a retainer afterward,” Copperfield said. And then, just when his orthodontic treatment was finally complete, disaster struck. “I was at a mall, running down this concrete alleyway, and there was a little ledge… and I went BOOM!”
Copperfield’s two front teeth were badly injured by the impact. “My front teeth became nice little points,” he said. Yet, although they had lost a great deal of their structure, his dentist was able to restore those damaged teeth in a very natural-looking way. What kind of “magic” did the dentist use?
In Copperfield’s case, the teeth were repaired using crown restorations. Crowns (also called caps) are suitable when a tooth has lost part of its visible structure, but still has healthy roots beneath the gum line. To perform a crown restoration, the first step is to make a precise model of your teeth, often called an impression. This allows a replacement for the visible part of the tooth to be fabricated, and ensures it will fit precisely into your smile. In its exact shape and shade, a well-made crown matches your natural teeth so well that it’s virtually impossible to tell them apart. Subsequently, the crown restoration is permanently attached to the damaged tooth.
There’s a blend of technology and art in making high quality crowns — just as there is in some stage-crafted illusions. But the difference is that the replacement tooth is not just an illusion: It looks, functions and “feels” like your natural teeth… and with proper care it can last for many years to come.Â Besides crowns, there are several other types of tooth restorations that are suitable in different situations. We can recommend the right kind of “magic” for you.
If you would like more information about crowns, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Crowns & Bridgework” and “Porcelain Crowns & Veneers.”
Let’s say you’re traveling to Italy to surprise your girlfriend, who is competing in an alpine ski race… and when you lower the scarf that’s covering your face, you reveal to the assembled paparazzi that one of your front teeth is missing. What will you do about this dental dilemma?
Sound far-fetched? It recently happened to one of the most recognized figures in sports — Tiger Woods. There’s still some uncertainty about exactly how this tooth was taken out: Was it a collision with a cameraman, as Woods’ agent reported… or did Woods already have some problems with the tooth, as others have speculated? We still don’t know for sure, but the big question is: What happens next?
Fortunately, contemporary dentistry offers several good solutions for the problem of missing teeth. Which one is best? It depends on each individual’s particular situation.
Let’s say that the visible part of the tooth (the crown) has been damaged by a dental trauma (such as a collision or a blow to the face), but the tooth still has healthy roots. In this case, it’s often possible to keep the roots and replace the tooth above the gum line with a crown restoration (also called a cap). Crowns are generally made to order in a dental lab, and are placed on a prepared tooth in a procedure that requires two office visits: one to prepare the tooth for restoration and to make a model of the mouth and the second to place the custom-manufactured crown and complete the restoration. However, in some cases, crowns can be made on special machinery right in the dental office, and placed during the same visit.
But what happens if the root isn’t viable — for example, if the tooth is deeply fractured, or completely knocked out and unable to be successfully re-implanted?
In that case, a dental implant is probably the best option for tooth replacement. An implant consists of a screw-like post of titanium metal that is inserted into the jawbone during a minor surgical procedure. Titanium has a unique property: It can fuse with living bone tissue, allowing it to act as a secure anchor for the replacement tooth system. The crown of the implant is similar to the one mentioned above, except that it’s made to attach to the titanium implant instead of the natural tooth.
Dental implants look, function and “feel” just like natural teeth — and with proper care, they can last a lifetime. Although they may be initially expensive, their quality and longevity makes them a good value over the long term. A less-costly alternative is traditional bridgework — but this method requires some dental work on the adjacent, healthy teeth; plus, it isn’t expected to last as long as an implant, and it may make the teeth more prone to problems down the road.
What will the acclaimed golfer do? No doubt Tiger’s dentist will help him make the right tooth-replacement decision.
If you have a gap in your grin — whatever the cause — contact us or schedule an appointment for a consultation, and find out which tooth-replacement system is right for you. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Crowns & Bridgework.”
Do you miss your old smile? Dental implants offer the ideal way to replace lost teeth. Dr. Kern Agader, your Kapolei, HI dentist, serving the Kapolei, Makakilo, and Ewa Beach areas, shares some information about this popular tooth replacement option.
How do dental implants work with your Kapolei, HI dentist?
Although you can't see them, the roots of your teeth play an important role in your oral health. They firmly anchor your teeth in your jaw and exert constant pressure on the jawbone, which keeps it strong. In the past, if you lost a tooth, the root was gone forever. Thanks to innovative dental technology, it's now possible to replace the roots of your teeth with dental implants.
Implants are made of titanium, a strong metal that bonds to bones. The implants, which look like small screws, are placed in openings made in your jawbone. In about three to six months, they'll fuse to the bone. If your jawbone isn't deep enough to support implants, you may need a bone graft before you can receive your implants.
Once the bonding process is complete, your dentist will connect a crown to the top of it to replace the visible part of your tooth. Crowns are made of materials that closely resemble natural tooth enamel, including porcelain, ceramic, resin and porcelain-fused to metal.
What are the benefits of implants?
Dental implants offer several advantages that bridges and dentures don't, such as:
- Versatility: Implants can replace one of your teeth or all of them. Implant-supported dentures are attached to a minimum of four implants per arch and support an entire upper or lower denture.
- Excellent Comfort: Because dental implants become part of your jawbone, they don't slip or move when you bite into a raw carrot or other hard food. Your biting power decreases after you receive full dentures because the forces involved in biting can no longer be absorbed by your tooth roots. If you choose implant-supported dentures, you'll not only experience improved comfort, but you'll also find biting easier.
- Lower Costs: If you take a look at the cost of implants, you might not think that they're the best choice for your wallet, but it's important to consider lifetime costs. Bridges and dentures often have to be replaced more than once during your life, while dental implants can last a lifetime.
Are you interested in learning if dental implants are the right choice for you? Call Dr. Agader, your Kapolei, HI dentist, serving the Kapolei, Makakilo, and Ewa Beach areas, at (808) 674-8895 to schedule an appointment.
Whitening can transform the dullest teeth into a dazzling smile fit for a Hollywood star. But before you undergo a whitening procedure, you might have a few questions about it. Here are the answers to a few of the most common.
How white can I go? In an office application we can adjust the solution and application time to control the level of shade (dark or light) from subtle to dazzlingly bright. The real question, though, is how much color change will look best for you? A good rule of thumb is to match the shade in the whites of your eyes.
Whitening will improve poor dental conditions…right? Not necessarily. Besides foods, beverages or poor hygiene, decay, abscesses or problems from root canal treatments can also cause discoloration. In some dental situations, whitening could make your smile less attractive. If, for example, you have exposed roots due to gum recession, those areas won't bleach like the enamel and could make their exposure stand out more. Better to try and repair these problems before whitening.
What effect will teeth whitening have on my dental work? None â??composite or ceramic materials won't lighten. The real concern is with creating a situation where whitened natural teeth don't match the color of dental work. Depending on the location of your veneers, crowns or other bridgework you could have a color mismatch that will look unattractive. We would therefore need to take your dental work into consideration and adjust the shading accordingly.
Will teeth whitening work on any stained teeth? That depends on the cause of the staining. If it's on the enamel, then external bleaching techniques should work. If, however, the discoloration comes from inside the tooth, then only a dental procedure that applies a bleaching agent inside the tooth can alleviate that kind of discoloration.
So after whitening, I'm good to go? Well, not permanently. Eventually the brightness will diminish or fade, usually in six months to two years. You can, of course, prolong the fade rate by not using tobacco, cutting back on staining beverages like red wine, tea and coffee, practicing daily oral hygiene and visiting us for regular office cleanings and other dental work. We can also touch up your existing whitening during your visits.
If you would like more information on teeth whitening, 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 “Important Teeth Whitening Questions…Answered!”