Posts for: December, 2014
“Break a leg” is a well-known theatrical expression for wishing good luck to an actor about to go on stage. Singers should have one of their own…“Chip a tooth”! Apparently collisions between microphones and pearly whites are an occupational hazard for crooners. Taylor Swift became one of the latest casualties during a concert in Pittsburgh while belting out her hit “I Knew You Were Trouble.” The consummate professional, she didn’t miss a beat and kept on singing despite seeing a tooth chip hit the floor.
After all, while chipping a tooth is an inconvenience, it’s not a permanent smile wrecker. Modern dentistry offers several options for restoring a damaged tooth to its original symmetry and luster, or even better!
Dental cosmetic bonding is the quickest and lowest-cost option to repair a chip. This involves application of a composite filling material that is colored and shaped to match the original tooth. Bonding material can be used to replace the lost portion of tooth or to seamlessly reattach the lost portion if it has been preserved and is otherwise undamaged. Little to no removal of existing tooth surface is needed.
A veneer can be used for slightly larger areas or discolored teeth. This is a thin, custom-made shell placed on the front of the tooth to give it a new “face.” Some removal of existing tooth surface may be necessary to fit a veneer so it is flush with the surfaces of surrounding intact teeth.
When a relatively large portion of the tooth is missing, a crown is often the better choice. It fully encases the visible portion of the remaining tooth above the gum line and is shaped and sized to match the original. It can be made of tooth-colored porcelain fused to metal crowns or all-ceramic (optimal for highly visible areas). A small amount of the existing tooth surface will be removed to allow the crown to fit over it.
If you would like more information about repairing a chipped tooth, 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 “Artistic Repair of Front Teeth With Composite Resin.”
As we continue to learn about the delicate balance between the body’s various organ systems, we’re discovering what affects one part of the body may affect other parts. This is particularly true for patients with periodontal (gum) disease and one or more other systemic diseases — researchers have identified a number of possible links between them.
Here’s a snapshot of three such diseases and how patients who suffer from them and gum disease may be affected.
Diabetes. Both diabetes (caused by the body’s inability to produce insulin that regulates blood sugar levels) and gum disease can trigger chronic tissue inflammation. Because of inflammation, diabetics are more prone to infectious diseases like gum disease. From the other perspective, uncontrolled gum disease and its resultant inflammation can worsen blood sugar levels. Some research has shown treatments that reduce oral tissue inflammation in diabetics with gum disease may also help bring their blood sugar levels into normal range.
Cardiovascular Disease. Diseases of the heart and blood vessels can eventually lead to heart attacks and strokes, the world’s leading causes of death. There’s evidence that some types of bacteria that cause gum disease may also contribute to higher risks for cardiovascular disease. Reducing the levels of these bacteria in the mouth through periodontal treatment can help lower the risk of cardiovascular disease.
Osteoporosis. Like gum disease, osteoporosis causes acute bone loss, although from a hormonal imbalance rather than as the result of bacterial infection. The major link between the two conditions, though, relates to their treatments. On the positive side, the antibiotic doxycycline has displayed positive effects on both conditions when administered in low doses. On the other hand, a class of drugs known as bisphosphonates used to treat osteoporosis may limit bone regeneration after tooth extraction and could have implications for using dental implants to replace extracted teeth.
There’s still more research needed on the relationship between gum disease and these and other systemic conditions. There’s widespread optimism, though, that such research could yield new treatment approaches and procedures that bring better healing to the mouth as well as the rest of the body.
If you would like more information on the connection between oral and general health, 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 “Good Oral Health Leads to Better Health Overall.”
As America's toughest trainer on the hit television program The Biggest Loser, Jillian Michaels helped people learn that they hold the power to change. And if anyone knows about the power of changing oneself, it is Jillian Michaels. In her recent interview with Dear Doctor magazine, Jillian discusses her childhood, the trauma of being overweight as a teenager (5' 2" and 175 pounds), and the day her life forever changed when she started martial arts training at a gym. “I started training when I was 17 and always loved it but never thought it would end up being my career,” she said.
Jillian also reveals that when she was a child, she broke her two front teeth and had them repaired with crowns. She added, “Now, I generally wear a mouthguard if I am doing anything where my teeth have any chance of being knocked out.”
When it comes to replacing teeth that are broken or damaged from trauma, or teeth that are damaged because of dental decay, grinding habits, or acid erosion, crowns may be your best option. And because the tooth enamel is damaged, a bit more of it must be removed before we can place a crown. Generally speaking, we must remove about 2 millimeters of tooth structure to place a crown. Once the crown is placed, the tooth will always require a crown, as this is an irreversible procedure. However, the good news is that a crown not only mimics the look and feel of a natural tooth, but it is also the optimal long-term solution. On average, a crown last between 5 and 15 years and requires no special maintenance. In fact, you should treat your crown as you do your natural teeth, with a daily cleaning regimen of brushing and flossing and routine dental examinations and cleanings.
To learn more about crowns or other cosmetic procedures, contact us today to schedule an appointment so that we can conduct a thorough examination, discuss any questions you have as well as what treatment options will be best for you. Or to learn more about crowns now, you can continue reading the Dear Doctor magazine article “Porcelain Crowns & Veneers.” And to read the entire interview with Jillian Michaels, please see the article “Jillian Michaels.”