During his former career as a professional footballer (that's a soccer star to U.S. sports fans) David Beckham was known for his skill at “bending” a soccer ball. His ability to make the ball curve in mid-flight — to avoid a defender or score a goal — led scores of kids to try to “bend it like Beckham.” But just recently, while enjoying a vacation in Canada with his family, “Becks” tried snowboarding for the first time — and in the process, broke one of his front teeth.
Some fans worried that the missing tooth could be a “red card” for Beckham's current modeling career… but fortunately, he headed straight to the dental office as soon as he arrived back in England. Exactly what kind of treatment is needed for a broken tooth? It all depends where the break is and how badly the tooth is damaged.
For a minor crack or chip, cosmetic bonding may offer a quick and effective solution. In this procedure, a composite resin, in a color custom-made to match the tooth, is applied in liquid form and cured (hardened) with a special light. Several layers of bonding material can be applied to re-construct a larger area of missing tooth, and chips that have been saved can sometimes be reattached as well.
When more tooth structure is missing, dental veneers may be the preferred restorative option. Veneers are wafer-thin shells that are bonded to the front surface of the teeth. They can not only correct small chips or cracks, but can also improve the color, spacing, and shape of your teeth.
But if the damage exposes the soft inner pulp of the tooth, root canal treatment will be needed to save the tooth. In this procedure, the inflamed or infected pulp tissue is removed and the tooth sealed against re-infection; if a root canal is not done when needed, the tooth will have an increased risk for extraction in the future. Following a root canal, a tooth is often restored with a crown (cap), which can look good and function well for many years.
Sometimes, a tooth may be knocked completely out of its socket; or, a severely damaged tooth may need to be extracted (removed). In either situation, the best option for restoration is a dental implant. Here, a tiny screw-like device made of titanium metal is inserted into the jaw bone in a minor surgical procedure. Over time, it fuses with the living bone to form a solid anchorage. A lifelike crown is attached, which provides aesthetic appeal and full function for the replacement tooth.
So how's Beckham holding up? According to sources, “David is a trooper and didn't make a fuss. He took it all in his stride." Maybe next time he hits the slopes, he'll heed the advice of dental experts and wear a custom-made mouthguard…
If you have questions about restoring damaged teeth, please contact our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Trauma and Nerve Damage to Teeth” and “Children's Dental Concerns and Injuries.”
If you were asked to identify the number one mouth problem affecting dental health, what would you name? Toothaches? Poor hygiene? Jaw joint issues?
Believe it or not, the top issue among 15,000 respondents in a recent American Dental Association (ADA) survey was dry mouth. A full one-third of the respondents had experienced chronic lack of normal saliva flow; difficulty biting and tooth pain, took second and third place, respectively.
We’ve all experienced the discomfort of temporary dry mouth when we first wake up in the morning or after eating certain foods. But chronic dry mouth is much more serious with long-term effects on a person’s teeth and gum health. This is because among its other important properties, saliva helps neutralize enamel-softening mouth acid and restores minerals to enamel after acid contact. Without sufficient saliva flow you’re much more susceptible to dental disease.
While there are several causes for dry mouth, perhaps the most common is as a side effect to at least five hundred known medications. Because older people tend to take more medications than other age groups, dry mouth is an acute problem among people over 60 (a major factor for why dry mouth took the survey’s top health problem spot).
You can help ease dry mouth from medications by first asking your doctor about switching to alternative medications that don’t affect saliva production. If not, be sure to drink more water during the day and especially when you take your oral medication (a few sips before and after).
You can help your dry mouth symptoms from any cause by drinking more water, limiting your consumption of alcohol or caffeine, and avoiding tobacco products. You can also use substances that stimulate saliva flow—a common one is xylitol, an alcohol-based sugar that’s used as a sweetener in certain gums and candies. Not only does xylitol boost saliva flow it also inhibits the growth of bacteria and thus decreases your risk of disease.
And speaking of reducing bacteria and their effects, don’t neglect daily brushing and flossing. These habits, along with regular dental cleanings and checkups, will benefit you just as much as your efforts to reduce dry mouth in avoiding dental disease.
It’s something you think about often—especially when you look in a mirror or at a photo of yourself. You wish something could have been done about it a long time ago. But now you think you’re too old to correct your misaligned teeth—your “crooked” smile.
Actually, you can transform your smile through orthodontics, whatever your age. Millions of your peers have done just that—currently, an estimated one in five orthodontic patients is an adult.
If orthodontics isn’t right for you it won’t be because of age, but most likely the condition of your gums and underlying bone or your overall health. That first factor is extremely important: if you’ve lost a significant amount of bone due to periodontal (gum) disease, there may not be enough to support the force of moving the teeth during orthodontics.
Health conditions like severe heart-valve disease, uncontrolled diabetes or drugs to treat arthritis or osteoporosis can also make tooth movement difficult. And, if you have restricted saliva flow (dry mouth), wearing orthodontic devices could be uncomfortable and increase your risk of tooth decay.
If, however, your mouth and body are reasonably healthy (and you don’t have a difficult bite problem to correct), there’s no reason why you can’t undergo orthodontic treatment. The only other thing that might hold you back is concern over your appearance during treatment. Many adults balk at the possible embarrassment of wearing metal braces “at their age.”
If this is a concern, you may have an alternative: clear aligners. These are a series of computer-generated clear plastic trays that conform to the individual contours of your teeth. Each tray is slightly different—you wear one for a short period of time (usually two weeks) before moving on to the next tray to successively and gradually move your teeth. They’re nearly invisible to others and, unlike fixed metal braces, you can take them out for a rare special occasion.
The only way you’ll know whether correcting your misaligned teeth is a viable option is to undergo a full orthodontic evaluation. From there we can help you decide if and how you want to gain a straighter, more attractive smile.
If you would like more information on adult orthodontics, 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 “Orthodontics for the Older Adult.”
Are you tired of those stained, chipped, slightly crooked or—in a word—unattractive teeth? We have an effective solution for you: cover them with life-like porcelain veneers.
As the name implies, a veneer is a thin layer of dental porcelain custom-made to match your tooth’s shape and color and permanently bonded to the outside enamel. With its translucent, light-reflective quality similar to tooth enamel, dental porcelain looks completely natural. Veneers are well suited for minor to moderate imperfections, and can even be used to correct slight gaps between teeth.
We begin the process by performing a comprehensive dental exam to begin planning the exact shape and color of your new veneers. We can now do much of this planning with computer imaging, which may also give you the chance to see how your veneers will look on you after treatment.
We often will also need to prepare the teeth to accommodate the veneers when we bond them. Although the alterations shouldn’t be anywhere near as extensive as with a porcelain crown, we will still often need to remove some of the enamel layer so the veneer won’t look bulky. Even though we’ll remove as little as possible, if needed it will still permanently alter your teeth—so they’ll require some form of restoration from then on.
Once we’ve prepared the teeth, it’s then time to create the veneers. This is typically done by a dental laboratory technician through a manual process that may take several weeks. Increasingly, though, equipped dental offices are now able to generate their veneers in-house with computer-aided design/computer-aided manufacture (CAD/CAM) milling technology.
Once the veneers are ready, they’re bonded securely to the teeth with a detailed process that helps ensure they’ll endure biting and chewing forces for a long time. Still, you’ll need to avoid biting into hard objects or using your teeth for such things as cracking nuts. If you have a clenching or grinding habit, we may also recommend you wear a night guard to prevent excessive forces against not just your veneers but your teeth as well.
By taking good care of them, your new veneers can give you many years of service. Most of all, they can transform your embarrassing appearance into a smile you’re proud to show.
If you would like more information on porcelain veneers, 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 “Porcelain Veneers.”
Is having good oral hygiene important to kissing? Who's better to answer that question than Vivica A. Fox? Among her other achievements, the versatile actress won the “Best Kiss” honor at the MTV Movie Awards, for a memorable scene with Will Smith in the 1996 blockbuster Independence Day. When Dear Doctor magazine asked her, Ms. Fox said that proper oral hygiene was indeed essential. Actually, she said:
"Ooooh, yes, yes, yes, Honey, 'cause Baby, if you kiss somebody with a dragon mouth, my God, it's the worst experience ever as an actor to try to act like you enjoy it!"
And even if you're not on stage, it's no fun to kiss someone whose oral hygiene isn't what it should be. So what's the best way to step up your game? Here's how Vivica does it:
“I visit my dentist every three months and get my teeth cleaned, I floss, I brush, I just spent two hundred bucks on an electronic toothbrush — I'm into dental hygiene for sure.”
Well, we might add that you don't need to spend tons of money on a toothbrush — after all, it's not the brush that keeps your mouth healthy, but the hand that holds it. And not everyone needs to come in as often every three months. But her tips are generally right on.
For proper at-home oral care, nothing beats brushing twice a day for two minutes each time, and flossing once a day. Brushing removes the sticky, bacteria-laden plaque that clings to your teeth and causes tooth decay and gum disease — not to mention malodorous breath. Don't forget to brush your tongue as well — it can also harbor those bad-breath bacteria.
While brushing is effective, it can't reach the tiny spaces in between teeth and under gums where plaque bacteria can hide. But floss can: That's what makes it so important to getting your mouth really clean.
Finally, regular professional checkups and cleanings are an essential part of good oral hygiene. Why? Because even the most dutiful brushing and flossing can't remove the hardened coating called tartar that eventually forms on tooth surfaces. Only a trained health care provider with the right dental tools can! And when you come in for a routine office visit, you'll also get a thorough checkup that can detect tooth decay, gum disease, and other threats to your oral health.
Bad breath isn't just a turn-off for kissing — It can indicate a possible problem in your mouth. So listen to what award-winning kisser Vivica Fox says: Paying attention to your oral hygiene can really pay off! For more information, contact us or schedule an appointment for a consultation. You can read the entire interview with Vivica A. Fox in Dear Doctor's latest issue.
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