If Kristi Yamaguchi's kids inherit her figure skating ability, they might just be headed for the Olympics — after all, their mom won the gold medal for figure skating in the 1992 games. When it comes to teeth, however, she wouldn't mind if they inherited her spouse's instead. “My husband [fellow Olympian turned pro hockey player Bret Hedican] never had braces,” she recently told an interviewer. “I'm hoping they get his teeth.”
When you look at the elegant skating star's pearly smile, you'd never suspect she had dental problems. In fact, Kristi had four permanent teeth extracted to relieve the crowding in her mouth. She also wore braces to correct irregularities in both upper and lower teeth. Could orthodontics work the same “magic” for your kids — or yourself?
It just might. The first step toward finding out is having an orthodontic evaluation. For kids, the right time for an initial evaluation is no later than age 7. By then, the first molars are usually present and your child's bite pattern is establishing. Even though treatment may not begin for several more years, it's helpful to know what problems may arise in your child's individual situation — and to start treating them at just the right time.
Orthodontics has progressed a great deal in the two decades since Yamaguchi's braces came off. Today, small devices called palatal expanders are often used to create more space in the mouth, as an alternative to tooth extraction. There are also many new options for orthodontic appliances, in addition to standard metal braces. These include unobtrusive tooth-colored braces and lingual braces, which are applied to the tongue side of the teeth and can't be seen. In some cases, clear plastic aligners can be used instead of braces, for a look that's almost invisible.
Adolescence is often the preferred time to do orthodontic treatment. By then, the permanent teeth have mostly come in, but there's still some growing left to do. But age isn't a factor that should stop you from getting the smile you've always wanted. About one in five orthodontic patients today is an adult — and those less-visible appliances can fit in well with the more “professional” image of an older person.
Orthodontics can't help make someone an Olympic athlete — only lots of talent and practice can do that. But it can make a big difference in a person's appearance. “Once my braces came off, it was like — Wow! That looks so much nicer,” Yamaguchi recollected. And today, the mother of two, author, and philanthropist sports the same appealing smile she had on the podium at the Albertville Olympic Games.
If you would like more information on how orthodontics could help you get the smile you've dreamed about, 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 “Early Orthodontic Evaluation” and “The Magic of Orthodontics.”
Modern restorations for severely damaged or missing teeth are truly remarkable. Although the type of restoration may differ — dental implant, bridge, or veneer — the end result is a life-like facsimile that matches the shape and color of your natural teeth.
To achieve this result, though, the new crown or veneer requires fabrication in a dental laboratory, a meticulous process that may take a few weeks. In the interim, we often install temporary crowns. These help in a number of ways: because we’ve prepared the teeth for final restoration by removing some of the tooth structure, the temporary crown protects and stabilizes the teeth, reduces sensitivity and helps maintain gum health. Temporary crowns also enable the patient to present a more natural smile while waiting for the permanent restoration.
Temporary crowns are typically manufactured to fit a wide range of patients, similar to an “off-the-rack” suit from a clothing store. In recent years, though, customized “tailored” temporary crowns designed specifically for an individual patient have grown in popularity among dental professionals as well as patients.
In creating a customized temporary crown, we first perform a smile analysis similar to one used for a permanent restoration. After a careful assessment of your mouth, we would then make recommendations about the elements to include in the temporary crown, including shape and color. We would also factor in your desires and concerns into the final design. Working together with the dental laboratory, we would then have the temporary crowns produced and ready to apply as soon as we complete the preparatory work.
Customized temporary crowns also serve another important purpose as a kind of “dress rehearsal” for the permanent restoration. This gives you an opportunity to “try out” the smile you’ll have with the permanent restoration in your daily life. We can then use your experience to make adjustments to the permanent crowns before final production.
While customized temporary crowns involve more effort and expense than the traditional, the benefits are worth the added cost, especially if you’re involved with an extensive “smile makeover” procedure. Not only will you look better while your permanent restoration is under construction, your temporary look will give you added confidence that your future smile is right for you.
If you would like more information on temporary and permanent dental restorations, 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 “Concepts of Temporary Restorations.”
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.”
Dental implants are considered the premier option for tooth replacement. While all implant procedures follow the same general concept — a titanium post surgically inserted into the jawbone with an attached life-like crown — the installation process can vary.
From their earliest history, implants have usually been installed through a two-stage process. In the first stage, the surgeon inserts the titanium post in the bone and leaves it “submerged” below the gum level to protect it from oral bacteria and the effects of chewing and biting. About three months later after the bone attaches to the titanium (a process called osseointegration), the surgeon then performs the second stage by re-exposing the implant and attaching a temporary abutment and crown for the patient to wear while the permanent abutment and crown are fabricated and later attached in 2-6 weeks.
In recent years, advancements in materials and design have made possible a one-stage process that allows the implant to protrude above the gum line during osseointegration and shortens the process. After the initial three-month healing period, the implant is ready for “loading” with the permanent crown.
The choice between which of these two procedures should be used for your implants will first depend on the type of tooth being replaced. A front tooth benefits from the one-stage procedure for cosmetic reasons because the surgeon can install a temporary crown to the exposed abutment during osseointegration (as long as the temporary tooth isn’t in functional contact with other teeth). An implant for a back tooth, on the other hand, doesn't have a large cosmetic demand so those one stage procedures usually end up with an exposed healing abutment but no temporary crown.
The strength of the bone is also a factor. Some bone tends to be softer, particularly in the back of the mouth. There’s a chance the implant could move in this softer bone, adversely affecting the outcome. For this reason, the two-stage procedure can be the preferred approach for posterior teeth as it offers more protection from movement.
You can be sure we’ll consider all these and other factors during your initial examination, and then advise you on the best approach. Above all, we want to make sure — whether a one-stage or a two-stage implant process — the result is a smile you can be proud of.
If you would like more information on dental implants, 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 “Staging Surgery in Implant Dentistry.”
Florence Henderson, star of one of television's most beloved situation comedies, is still actively engaged in a variety of projects at 75-plus years of age. Her bright smile was part of her character as Carol Brady in The Brady Bunch, a popular sitcom that played for five seasons from 1969 to 1974. Though the show was discontinued, syndicated episodes continue to play in the U.S. and 122 other countries.
“I played Carol as the mother I always wished I had,” she told Dear Doctor magazine. Her portrayal of mother and wife in a blended family with six children won her the Smithsonian Institution's TV Land Pop Culture Icon Award, which is on display in the National Museum of American History in Washington, DC.
After her successes on Broadway and in television, she was selected for numerous product endorsements, and The Wall Street Journal ranked her #5 in their top ten television endorsers based on viewer satisfaction. One of the products she endorsed was Polident, a brand of denture cleaners and adhesives. However, Henderson has revealed that she has her own natural teeth and does not wear dentures. Her advice to others who want to keep their natural teeth is to pay attention to prevention. “I think the most important thing one can do as with any health issue is prevention,” she said. “Flossing, brushing, and regular dental checkups are vitally important if you want to keep your natural teeth.”
When she was 22, she says, she had four impacted wisdom teeth removed at the same time. This experience made her aware of the importance of dental care, and since then she has had a checkup every six months. Wherever she travels, she says that she always has mouthwash, dental floss, toothpaste, and a toothbrush on the set.
Contact us today to schedule an appointment to discuss your questions about tooth care. You can learn more about Florence Henderson by reading the Dear Doctor magazine interview “Florence Henderson, America's Favorite TV Mom Has Many Reasons to Smile.”
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