Posts for: February, 2014

By Edward T Davis DDS
February 21, 2014
Category: Dental Procedures
Tags: dental implants  
PlanningandPreparationareCriticaltoDentalImplantSuccess

Dental implants are one of the best tooth replacement systems available. But while they can rejuvenate patients’ smiles and potentially provide a lifetime of service, they require thorough planning and preparation before the implant is inserted.

The process begins with the assembling of your treatment team. Implants require the training and expertise of a number of professionals who collaborate during the process: a dental specialist, like an oral surgeon, periodontist or a general dentist trained in implant dentistry, who surgically installs the implant; a dental technician who fashions the permanent life-like crown that will attach to your particular implant; and a restorative dentist who begins and ends the process with you — from initial consultation and planning to the permanent crown attachment. You, the patient, are also part of the team — your input and informed choices are essential to a successful outcome.

Your restorative dentist will take the first steps to develop your treatment plan. It begins with both a dental examination and a general health assessment to determine your fitness for any surgery. The dental examination serves to evaluate the site where the proposed implant or implants will be placed, along with x-rays for assessing the quantity and quality of bone at the site. Next, the dentist will create study models of your mouth to assess bite, and possibly take photographs to guide decisions on the implant crown’s color and appearance. The last step may be the development of surgical guides to ensure accurate placement of the implants by the surgeon.

One of the biggest questions to answer at this stage is whether or not you have sufficient bone mass to support the implant. You may have experienced significant bone loss due to disease or from resorption (the dissolving of bone) because of tooth loss. Insufficient bone mass can be remedied with a bone graft placed within the site that stimulates bone growth, which if successful will provide enough bone to support the implant.

While this preparatory phase before implant placement can be very involved, it’s absolutely necessary for ultimate success. The careful planning and prep work performed by your implant team — and your own participation in the process — will ensure that you’ll be happy with your new implants and your new smile.

If you would like more information on dental implant options, 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.”


By Edward T Davis DDS
February 05, 2014
Category: Dental Procedures
MatthewLewisAdultOrthodontics

If you haven't seen a recent picture of Matthew Lewis, the actor who played Neville Longbottom in all eight Harry Potter movies, you may be in for a surprise: It seems the plump, awkward teenager from Gryffindor has been magically transformed into a post-Hogwarts hunk. What kind of wizardry did it take to change his memorably snarled teeth into a leading man's sparkly smile? The kind skilled cosmetic dentists perform every day!

While special effects created some of the character's dental disarray, the actor's own teeth were far from perfect. And, as Lewis recently noted, the film studio urged him to postpone cosmetic dental work until the movies were all done. “It was something I'd always wanted to do, but it would have meant me wearing a brace for two years,” he told an interviewer with the Yorkshire Evening Post. “Warner Brothers said if I put it off until we'd finished filming they'd pay for it — and they did.”

There are plenty of people, like the twenty-something actor, who put off orthodontic treatment until after their teen years. If you're wondering whether there's still time to get orthodontic work done, then take heart — it's never too late to straighten your teeth!

Today, an estimated twenty percent of orthodontic patients are adults. Compliance with the orthodontic program (meaning thorough regular brushing and flossing, wearing elastics, etc.) is often less of an issue with adults than with teens. Plus, there are some options that can help ensure your orthodontic appliances will fit in with a more mature image.

One is colorless braces. In this system, the brackets (the parts that are bonded to the front teeth and hold the archwire) are made of a clear ceramic material that blends in with the tooth's natural color. This makes them hard to see unless you look closely. Inconspicuous yet effective, clear braces have been the first choice of many celebrities, such as Tom Cruise and Faith Hill... and lots of “regular” adults too.

Another option is lingual braces. These are truly invisible, because they attach behind the teeth (on the tongue side) instead of in front. They work just like the standard braces, and they're appropriate in many situations. However their cost is higher, and the space they occupy in the mouth may take the wearer a bit of time to get used to.

A third option is clear aligners. Unlike braces, which aren't normally removed until orthodontic treatment is nearly complete, clear aligners are easily removable. They consist of a series of transparent trays made of special plastic, which are worn over the teeth 22 hours per day. Each tray in the series is worn for a few weeks, and each moves the teeth a small amount; all together, they can accomplish a big change.

Aligners work well for correcting mild to moderate malocclusion (bite problems). Plus, you can temporarily remove them for important social occasions. But best of all, they're virtually undetectable — so whether or not you play the role of a wizard in the movies, you won't need a magic spell to make them invisible!

Which option is right for you? That's something we would be happy to discuss. If you would like more information about adult orthodontic treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Orthodontics for the Older Adult.”