Posts for: May, 2014
He once lived in Australia, wore his hair in a mullet, and played guitar in a band called The Ranch. Today, country music star Keith Urban looks different than he did when he started out — and it’s not just the mullet that’s changed. As before-and-after pictures show, he’s had a smile makeover. His teeth, which were dull yellow in color, and used to have a large gap in front, are now white and shiny. The gap is still there — though it has been reduced to a more modest size. How did he manage to upgrade his image, yet keep part of his signature “look” intact?
Cosmetic dentistry has a number of ways to improve the appearance of a smile like Keith’s. One is tooth whitening. It’s a simple procedure that can be done in our office or at your home; either way, it’s an effective treatment that offers great value. In-office whitening, using the most concentrated solutions under our direct supervision, will give you the fastest results. We can also prepare a take-home kit, with custom-made trays and safe bleaching gels you can use at home. You’ll get similar results, but it will take a bit longer.
Of course, whitening isn’t permanent (though it can be repeated when necessary); not all teeth can be lightened as much as you might like; and it doesn’t correct gaps or unevenness. There’s another treatment that does, however: dental veneers. These are wafer-thin coverings made of porcelain, which are bonded to the prepared surfaces of your teeth. They are available in a number of shades — from natural to “Hollywood white” — and can even hide minor chips or spacing problems. That’s why veneers are often the treatment of choice when you’re looking for a “red carpet” smile.
Perhaps the best thing about veneers is that they give you plenty of choices when it comes to designing your smile. You can choose how white you’d like your smile to be, and even fix some “flaws” — or not! So how much you choose to close that gap in your teeth is up to you… but if you’re asking our opinion, the mullet has to go.
If you would like more information on dental veneers, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Beautiful Smiles by Design” and “Porcelain Veneers.”
For years the main approach to treating tooth decay (or caries) could best be described as “drill and fill” — remove the decayed tooth material and fill the resulting cavity. But a new approach has come to prominence that addresses not only the results of decay, but seeks to identify and treat the underlying conditions that caused the decay in the first place, and may continue to infect other teeth.
This approach is known as Caries Management By Risk Assessment or CAMBRA. Rather than a “One Size Fits All” approach, CAMBRA individualizes treatment and prevention options by first assessing your own individual risk for tooth decay.
We base this assessment on what might be called the Caries Balance. On one side are factors that increase your risk of tooth decay, easily remembered by the acronym BAD: Bad bacteria that produces acid; Absence of healthy, functional saliva that neutralizes the effects of acid; and Dietary habits that are heavy with sugars, acids and between meal snacking. On the other side are protective factors that reduce your risk, known as SAFE — Saliva and sealants that protect the surfaces of teeth; Antimicrobials that help rid the mouth of bad bacteria; Fluoride, which strengthens teeth against de-mineralization caused by acid; and an Effective diet.
The assessment first involves a survey of questions about your hygiene habits, dental history and lifestyle: Do you brush twice and floss once daily? Do you live in a fluoridated area or use fluoride mouth rinse? Do you smoke? Have you had frequent cavities in the past? These and other questions, along with a complete dental exam and acid level testing, can give us a more accurate understanding of your risk and how best to incorporate treatment that reduces it even further.
Using CAMBRA, you and our dental team develop a true partnership that actually transforms your dental health from simply treating existing caries, to preventing future occurrences.
If you would like more information on the CAMBRA approach to caries prevention, 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 Decay: How to assess your risk.”
When it comes to dental health, you might say celebrity interior designer and television host Nate Berkus is lucky: Unlike many TV personalities, he didn't need cosmetic dental work to achieve — or maintain — his superstar smile. How did he manage that? Nate credits the preventive dental treatments he received as a youngster.
“I'm grateful for having been given fluoride treatments and sealants as a child. Healthy habits should start at a young age,” he told an interviewer from Dear Doctor magazine. We couldn't have said it better — but let's take a moment and examine exactly what these treatments do.
Fluoride treatment — that is, the topical (surface) application of a concentrated fluoride gel to a child's teeth — is a procedure that's often recommended by pediatric dentists. Although tooth enamel is among the hardest substances in nature, fluoride has been shown to make it more resistant to tooth decay. And that means fewer cavities! Studies show that even if you brush regularly and live in an area with fluoridated water, your child could still benefit from the powerful protection of fluoride treatments given at the dental office.
Another potent defense against cavities is dental sealants. Despite your child's best efforts with the toothbrush, it's still possible for decay bacteria to remain in the “pits and fissures” of the teeth — those areas of the molars, for example, which have tiny serrated ridges and valleys where it's easy for bacteria to grow. Dental sealants fill in and protect vulnerable areas from bacterial attack, greatly decreasing the risk that future dental treatment will be required.
Why not take a tip from our favorite celebrity interior designer, and ask about cavity-preventing treatments for your children's teeth? If you would like more information about fluoride treatments or dental sealants, please contact us for a consultation. You can learn more in the Dear Doctor magazine articles “Topical Fluoride” and “Sealants for Children.”