Posts for: September, 2017
Some people are lucky — they never seem to have a mishap, dental or otherwise. But for the rest of us, accidents just happen sometimes. Take actor Jamie Foxx, for example. A few years ago, he actually had a dentist intentionally chip one of his teeth so he could portray a homeless man more realistically. But recently, he got a chipped tooth in the more conventional way… well, conventional in Hollywood, anyway. It happened while he was shooting the movie Sleepless with co-star Michelle Monaghan.
“Yeah, we were doing a scene and somehow the action cue got thrown off or I wasn't looking,” he told an interviewer. “But boom! She comes down the pike. And I could tell because all this right here [my teeth] are fake. So as soon as that hit, I could taste the little chalkiness, but we kept rolling.” Ouch! So what's the best way to repair a chipped tooth? The answer it: it all depends…
For natural teeth that have only a small chip or minor crack, cosmetic bonding is a quick and relatively easy solution. In this procedure, a tooth-colored composite resin, made of a plastic matrix with inorganic glass fillers, is applied directly to the tooth's surface and then hardened or “cured” by a special light. Bonding offers a good color match, but isn't recommended if a large portion of the tooth structure is missing. It's also less permanent than other types of restoration, but may last up to 10 years.
When more of the tooth is missing, a crown or dental veneer may be a better answer. Veneers are super strong, wafer-thin coverings that are placed over the entire front surface of the tooth. They are made in a lab from a model of your teeth, and applied in a separate procedure that may involve removal of some natural tooth material. They can cover moderate chips or cracks, and even correct problems with tooth color or spacing.
A crown is the next step up: It's a replacement for the entire visible portion of the tooth, and may be needed when there's extensive damage. Like veneers, crowns (or caps) are made from models of your bite, and require more than one office visit to place; sometimes a root canal may also be needed to save the natural tooth. However, crowns are strong, natural looking, and can last many years.
But what about teeth like Jamie's, which have already been restored? That's a little more complicated than repairing a natural tooth. If the chip is small, it may be possible to smooth it off with standard dental tools. Sometimes, bonding material can be applied, but it may not bond as well with a restoration as it will with a natural tooth; plus, the repaired restoration may not last as long as it should. That's why, in many cases, we will advise that the entire restoration be replaced — it's often the most predictable and long-lasting solution.
Oh, and one more piece of advice: Get a custom-made mouthguard — and use it! This relatively inexpensive device, made in our office from a model of your own teeth, can save you from a serious mishap… whether you're doing Hollywood action scenes, playing sports or just riding a bike. It's the best way to protect your smile from whatever's coming at it!
If you have questions about repairing chipped teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”
There are two basic facts about tooth decay: 1) next to the common cold, it’s the world’s most prevalent infectious disease; and 2) with modern dentistry, it’s preventable.
Getting from Fact 1 to Fact 2 requires the daily hygiene habits of brushing and flossing. You probably learned these tasks when you could barely peer over the bathroom sink; but the real question is: are you getting the most benefit from your efforts? It’s not merely doing them, but doing them the right way.
For example, bearing down on your teeth and brushing vigorously isn’t just unhelpful, it’s damaging. Instead, you should hold your brush with perhaps just two fingers at a 45-degree angle relative to your gum line and “gently” scrub with short circular or “wiggly” strokes. Continue this action around each arch brushing all tooth surfaces, which should take about two minutes.
Your toothbrush itself is also important: most people (unless otherwise directed by their dentist) should use a multi-tufted brush with soft bristles. If you brush with the proper pressure it should last 4 to 6 months before replacing it. You should also replace it if the bristles become worn or splayed.
Flossing once a day is important for removing the plaque between teeth your toothbrush bristles can’t reach. The best technique is to form a “C” with the floss that wraps around each tooth and move it up and down gently three or four times until you hear a squeaky clean sound on both sides of the tooth.
The ultimate test of your efforts comes during your regular dental checkups. You can get a check now, though, on how you’re doing by using your tongue to feel your teeth at the gum line. If they feel smooth and slick, you’re probably doing a good job of plaque removal; but if they feel a bit rough and gritty, you’re missing some of the plaque and need to be more thorough when brushing. You can also use floss by running it up and down the tooth surface — if it squeaks, they’re clean!
Your particular dental condition may require specific treatment or the use of other dental products like antibacterial mouthrinses. But learning and practicing proper brushing and flossing is key to keeping teeth and gums healthy and disease-free.
There’s a lot to like about replacing a missing tooth with a dental implant. This state-of-the-art restoration is by far the most durable and life-like option available. And unlike other replacement options implants stimulate bone growth, a major concern after tooth loss.
For that reason we encourage getting an implant as soon as possible — for adults, that is. We don’t recommend implants for younger patients because even a teenager’s jaws haven’t yet reached full maturity. Because it attaches to the jaw differently, an implant can’t move with the growing jaw as real teeth do. It would eventually look as if it were sinking into the jaw below the gum line or being left behind as the rest of the jaw grows.
It’s best, then, to postpone placing an implant until the jaw fully matures, usually in a patient’s early twenties. In the meantime, there are some things we can do to prepare for a future implant while also restoring the tooth with a temporary replacement.
As previously mentioned, our biggest concern is bone health. Like other living tissue, bone has a growth cycle of older cells dissolving and newer ones forming in their place. The teeth transmit the pressure produced when we chew to the bone to stimulate this growth. With the absence of a tooth, the adjacent bone no longer receives this stimulation — the growth cycle slows and may eventually lead to bone loss.
We can help this situation by placing a bone graft in the missing tooth socket at the time of extraction. The graft serves as a scaffold that’s eventually taken over and replaced by new bone growth. We can also try to control how fast the graft is replaced by using grafting material that’s slowly removed and lasts longer — often a preferable situation if an implant is years away.
As for appearance, we can create a custom partial denture or even a type of bridge that bonds a prosthetic tooth to neighboring teeth without significantly altering them. If the patient undergoes orthodontic treatment it’s also possible to add prosthetic teeth to an orthodontic appliance.
Eventually, we’ll be able to provide the permanent solution of a dental implant. With careful planning and measures to preserve bone health, there’s a good chance the outcome will be worth the wait.
If you would like more information on treatments for lost teeth in children and teenagers, 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 “Dental Implants for Teenagers.”
Most of us wouldn't think of buying a new car without a “test drive.” It's a serious investment, so you want to make sure you're comfortable with your new ride.
Like an auto purchase, the plan you and your dentist agree on to cosmetically enhance your teeth and gums — a “smile makeover” — is a significant investment. Wouldn't it be nice to “test drive” your future smile before you undergo any procedures?
Actually, you can — two ways, in fact. For one, your dentist could use computer imaging software that alters a photo of your face to show how your smile will appear after dental work. These computer enhancements are a great planning tool for making decisions on the look you want to achieve.
But even the best computer images only provide a static, two-dimensional representation of your new smile. It can't capture all the angles and movement dynamics of any proposed changes. That's where the other way, a trial smile, is a true test drive — you can see your future smile in action.
With a trial smile, your dentist temporarily places tooth-colored material called composite resin on your teeth to simulate the proposed changes. The resin can be shaped and sculpted to create a life-like replica that you'll be able to view in all three spatial dimensions. What's more it will give you a chance not only to see what your new smile will look like, but to actually experience how it feels in your mouth.
Creating a trial smile is an added expense and it's only available during your consultation visit — the dentist will need to remove the resin before you leave. But you'll still be able to get a good impression of what your final smile will be like. You'll also be able to take photos you can show to family and friends to get their impressions of your proposed new look.
A trial smile allows you to know beforehand what your dental work investment will provide you, and even fine-tune your makeover plan before work begins. With this particular kind of “test drive” you'll have greater assurance that you'll be happy and satisfied with the end results.
If you would like more information on trial smiles, 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 “Testing Your Smile Makeover.”
Straight, healthy teeth have always been important. As one of the first things that people notice when they first meet you, damaged teeth can send the wrong message and impact everything from your social to professional life and prospects. In the age of Instagram and social media, straight teeth and an attractive smile are even more important than ever. But making the decision to fix crooked and misaligned teeth can present a Catch 22 for teenagers and adults who do not want to get traditional braces. The solution to this problems is Invisalign clear aligner trays. The dentists at Elliff Dental Family and Cosmetic Dentistry in Batavia, IL, recommend Invisalign for teenagers and adults looking for a discreet, minimally invasive and affordable way to get straighter teeth.
Straighter Teeth (No Braces Required) in Batavia, IL
The Invisalign system consists of a set of custom aligner trays made of high-grade clear plastic that gently and discreetly shifts your teeth into the correct alignment over time (the typical treatment period for Invisalign is approximately 15 months). The trays must be worn for 22 hours every day but can be removed for up to two hours to eat and brush and floss your teeth and each tray is worn for approximately two weeks.
In addition to being discreet and minimally invasive, Invisalign trays do not require significant changes to your diet or oral hygiene routine, which allows you to keep up with your oral health needs as your teeth get progressively straighter. With Invisalign, teenagers and adults who wish to skip traditional metallic braces no longer have to give up on the prospect of a better smile.
Find a Dentist in Batavia, IL
It is never too late to invest in your smile and oral health. For more information about Invisalign clear aligners, and to find out if they are the right option for you, contact our office by calling (630) 482-7200 to schedule an appointment today.