Posts for: February, 2015
Teeth crowding is a difficult bite problem (malocclusion) that often involves the entire jaw structure to be evaluated. Normally occurring when the jaw doesn’t have adequate space for normal tooth eruption, teeth coming in later put pressure on other teeth, causing them to develop improperly.
Crowding also makes it difficult to realign teeth with braces because there’s simply not enough room for sufficient movement to take place. The solution may then be to consider the removal of some of the teeth to create enough space for orthodontic treatment.
Not just any tooth can be removed, however — we must first conduct a careful analysis to determine which can be removed to facilitate optimum movement of the remaining teeth without disrupting normal mouth function or affecting appearance. The teeth most frequently removed for this purpose are the bicuspids, located between the cuspids or eyeteeth (which are positioned directly under the eyes) and the molars, the largest teeth in the back of the mouth. Sometimes one premolar tooth on each side of the jaw can be removed without sacrificing future form or function.
There are a few important considerations we must keep in mind when extracting teeth for orthodontic reasons; perhaps the most important is preserving bone at the extraction site. Because continuing bone growth depends on the forces generated by teeth when we bite or chew, bone near a missing tooth socket will tend to diminish over time. If there’s insufficient bone during orthodontic treatment, it may result in gum recession and root exposure — not only damaging to the teeth themselves but also to a person’s smile appearance. To avoid this, we sometimes will consider inserting a bone graft, which will stimulate bone growth, into the empty socket immediately after extraction. While this isn’t commonly done, it’s being considered if the patient’s bone is thin and a concern during healing.
We must also consider how to accommodate other, unrelated tooth loss to assure the final result is visually appealing. It may be necessary in these cases to maintain the space at the missing tooth site for a future restoration once the orthodontics is completed. This takes planning as well as the use of restorations like dental implants, bridges or partial dentures.
Regardless of your bite issues, the field of orthodontics has the appliances and techniques to overcome even the most complicated condition. When necessary, using procedures like tooth extraction can help turn an unappealing, dysfunctional bite problem into a beautiful smile.
If you would like more information on orthodontic teeth extractions, 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 Removal for Orthodontic Reasons.”
Getting dental crowns could offer the smile revamp you’ve been looking for.
It can often feel defeating when you are dealing with a discolored or seriously damaged tooth. While it might seem like you don’t have many options, your Englewood, NJ cosmetic dentist is happy to report that you can easily save your tooth from further damage by opting for porcelain crowns.
About Porcelain Crowns
Porcelain crowns are tooth-colored coverings that go over a damaged tooth to prevent further damage and to provide additional protection for the tooth. A porcelain crown is often recommended when a tooth is too damaged for a filling. A dental crown is used to cover cracks, chips, stains and teeth weakened by decay or infection. Crowns offer the durability that a damaged natural tooth needs to safeguard against more damage.
Porcelain Crowns Procedure
Before the crown is placed on the tooth we will need to do some preparation beforehand. If the tooth has an infection, we will want to go inside the tooth to treat the infection. If there is any decay we will also want to remove the decayed parts of the tooth before putting on the crown. Infected teeth are most often treated with root canal therapy.
Once the tooth preparation process is complete we will take impressions of your tooth to send to a lab to fabricate a customized porcelain crown. While your permanent crown is being made we will place a temporary crown on your tooth. However, a temporary crown isn’t as strong as a permanent one, so you will want to avoid chewing or putting too much pressure on that tooth while wearing your temporary crown.
Once your porcelain crown is ready, we will remove the temporary and cement the permanent one in place. This permanent crown will instantly hide serious dental imperfections like stains and cracks so you have a beautifully restored smile.
If you are dealing with severe discolorations or unsightly cracks in your tooth then your tooth may be prone to further damage. Isn’t it time you did something about your smile? Contact Dr. Mark H. Docktor, your Englewood, NJ cosmetic dentist today at Dental Arts of Englewood and safeguard your smile from further problems.
Singer Olivia Newton-John's daughter Chloe is now a lovely, grown woman, but Olivia recently recounted to Dear Doctor magazine a rather creative method she found to sooth Chloe's teething troubles many years ago.
“When Chloe was a baby and teething I remember using a frozen bagel for her sore gums,” Olivia said. “She loved it!”
Cold is often very soothing to a teething child's gums. In fact, the American Academy of Pediatric Dentistry (AAPD) recommends using a clean, chilled, rubber teething ring, or cold wet washcloth. Chilled pacifiers can also be helpful. Be sure not to freeze teething rings or pacifiers as ice can actually burn sensitive mouth tissues.
Older teethers can sometimes find relieve from cold foods such as popsicles (or bagels!) but make sure your child eats these sugar-containing foods only at mealtimes so as not to promote tooth decay.
If your baby has not yet begun the teething (or tooth-eruption) process, you can expect it to begin usually between six and nine months. It may, however, start as early as three months or as late as twelve months.
Teething symptoms vary among children, as does the length of time it takes for a tooth to make its appearance. But many parents notice the following signs:
- Biting and gnawing
- Gum swelling
- Chin (facial) rash
- Disrupted sleeping patterns
- Ear rubbing
- Decreased appetite
These symptoms are usually most bothersome during the week that the tooth is breaking (erupting) through the gums, starting about four days before and lasting about three days after the tooth appears.
Occasionally, teething discomfort can be considerable. If that is the case with your baby, you can give her or him acetaminophen or ibuprofen in the appropriate dose (check with your pharmacist if you're not sure what that is). The medicine should be swallowed — not massaged into the gums, as this can also burn. Numbing agents should not be used for children under 2, except under the advice and supervision of a healthcare professional.
If you would like to learn more about teething or any other child-related oral health issue, please contact us or schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Olivia Newton-John, please see “Olivia Newton-John.” Dear Doctor also has more on “Teething Troubles.”