Posts for category: Dental Procedures
Tooth replacement at any age is a challenge, but especially for teenagers. Dental implants in particular may not be possible yet for teens or young adults whose jaws are still developing. Because it’s imbedded directly into bone, the implant will not move with the jaw as jaw growth occurs, making it look potentially unattractive.
The best solution could be a temporary replacement until their jaw reaches maturity. One such option is a removable partial denture (RPD), an artificial tooth set in an acrylic base that resembles gum tissue. Although we associate dentures with older adults, an RPD works well for teens as a temporary measure. Perhaps the best version for a younger person utilizes metal clips that fit over adjacent teeth and hold the RPD in place. Although quite resilient, the wearer needs to be careful when biting into something hard (like an apple or similar firm fruit) or the artificial tooth may break off.
Another option, a bonded bridge, is a fixed solution similar to a traditional bridge. Whereas a traditional bridge is supported by crowns affixed to the teeth on either side of the empty socket (and requiring extensive alteration of the teeth to accommodate them), a bonded bridge attaches to the supporting teeth with wing-like projections of dental material that attaches to the backs of the adjacent teeth, hidden from view. Although not as secure as a traditional bridge, they can conceivably endure until the teen’s jaw structure is ready for an implant or other permanent solution.
Choosing between an RPD and a bonded bridge will depend on a number of factors, including the teen’s individual bite, clenching or biting habits and the health and strength of supporting bone and gums. Regardless of the type of solution chosen, it’s important to maintain good oral hygiene, especially around a bridge. If bacterial plaque is allowed to build up on tooth surfaces, it could result in an infection that can damage both gums and bone, and reduce the chances of a successful implant in the future.
All these and other considerations should be discussed after a thorough examination. From there, we can advise you on the best course of action to restore both appearance and function until it’s time for a permanent restoration.
Transforming your smile with veneers, crowns or other restorations could be a life-changing decision. To help make that change a successful one, it’s possible to fit you with a kind of temporary restoration that allows you to “try out” your new look and even make modifications before you receive the permanent one.
Referred to as a prototype or provisional restoration, it’s different from other temporary, “one-size-fits-all” restorations that serve mainly a functional purpose until the permanent restoration is ready. By contrast, a provisional restoration is a customized “blueprint” of the final restoration so you can better communicate with your dentist to get what you want.
Provisional restorations are test runs — they help both patient and dentist evaluate three key areas critical to ultimate success:
Your Smile — with provisional restorations you can get input from others (and from what you see in the mirror) regarding tooth coloring and how it blends with other teeth, the attractiveness of the crown shapes, and whether the teeth appear proportional and balanced with the gums.
Your Facial Appearance — changing the look of teeth may also alter overall facial appearance. Do the new teeth fit well with the lips and other facial features? Do they change the smile line, and does it appear harmonious with the rest of the face?
Your Mouth Function — There’s more to teeth, of course, than how they look. Teeth are essential for biting, chewing and speaking. So, can you perform these tasks comfortably with the provisional restoration?
While you’re wearing the provisional restoration, we’ll discuss these and other areas, what might look or work better, or if you feel we’ve hit the mark just right. We can then modify or verify our specifications with the dental lab creating the final restoration.
Of course, a provisional restoration will allow you to function normally like other temporary options. But their custom detail serves a higher purpose — to help us improve your future smile.
If you would like more information on customized temporary restorations, 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 “Concepts in Temporary Restorations.”
What your dentist in Briarcliff Manor wants you to know
When you smile, do you show a lot of large, old, metal fillings to the world? Does your smile contain damaged, broken teeth? Are you missing teeth entirely? If you answered yes to these questions, it’s time for you to investigate dental crowns and bridges. Dr. Michael Teitelbaum at Briarcliff Center for Esthetic Dentistry in Briarcliff Manor, NY, wants to share the facts about crowns and bridges and what they can do for your smile.
A dental crown is a strong restorative treatment that covers the entire visible part of your tooth. It encases your tooth completely, holding your tooth together. A dental crown can actually strengthen your tooth. When you bite down, the strong biting and chewing forces are spread evenly across the surface of your tooth, protecting your tooth from damage.
You can choose from several durable materials for your new crown, each with its own benefits. For example:
- If you want the most aesthetically pleasing, natural-looking crown, full porcelain is the perfect choice. That’s because porcelain reflects light just like your natural teeth.
- If you want the strength of metal, but still want a natural look, a porcelain-fused-to-metal crown is a great choice. It’s not quite as natural-looking because of the metal foundation, but it still blends into your smile.
- If you want a conventional, less expensive choice, full gold is perfect. It’s well suited to teeth that don’t show when you smile, and offers a strong restorative option.
If you want to replace missing teeth, dental bridges can work perfectly. A bridge utilizes the teeth on both sides of the space to support the bridge. These teeth, called abutments, are prepared and crowned to hold the bridge. The bridge holds prosthetic teeth, called pontics, which take the place of your missing teeth. After the bridge is cemented, your smile is complete, and your full chewing function is restored.
Crowns and bridges can make a difference in your smile by restoring strength and beauty. They can give you a smile you can be proud of. For more information about dental crowns and bridgework, call Dr. Teitelbaum at Briarcliff Center for Esthetic Dentistry in Briarcliff Manor, NY. Call today!
The month of May has been designated “Better Speech & Hearing Month” by the American Speech-Language-Hearing Association. Why would this be of interest to dental professionals? Because teeth are vital for good speech, and missing teeth can make it very hard to speak properly.
Speech is all about sounds, and forming sounds correctly requires proper positioning of oral structures such as the lips, tongue and teeth. For example, there are some words that are almost impossible to pronounce correctly without touching your tongue to your teeth. In fact, one of the hardest words to say without teeth…is teeth!
Missing teeth can affect speech indirectly as well, by reducing self-confidence. People who are missing front teeth often develop the habit of talking behind their hand or mumbling to avoid revealing the gap in their smile. Not being able to speak clearly and confidently can affect not only your appearance, but also your job prospects and social life. So what can you do about missing teeth?
Dental implants are today’s preferred tooth-replacement method. Implants are small titanium posts that are inserted in the jaw bone beneath your gums. They serve as “roots” to hold realistic-looking prosthetic (artificial) teeth in place. Implants can be used to replace one tooth, a group of teeth, or an entire row of teeth (upper or lower). Sometimes a dental implant can be placed the same day a failing tooth is removed so that you won’t need a second surgical procedure.
The healthy natural teeth on either side of the gap can also be used to support one or more replacement teeth. This method, called bridgework, can be used to replace a single tooth or several teeth in a row. Another option is removable dentures, which do not stay in the mouth all the time.
Each of these options has its benefits and risks. We’d be happy to discuss all of them in detail and help you decide which would be best in your own situation. To learn more about tooth replacement, please contact us or schedule a consultation. You can also read the Dear Doctor magazine articles “Dental Implant Surgery” and “New Teeth in One Day.”
The primary goal of dental care is to preserve teeth. But there are circumstances in which removing a tooth, even a relatively healthy one, could prove best in the long run.
A malocclusion (poor bite) related to crowding might fit such a circumstance. Crowding occurs when the size of the jaw is too small for the teeth coming in. With not enough space, some teeth could erupt out of their proper positions. Removing certain teeth frees up space to eventually allow braces or other orthodontic devices to re-align the teeth.
The teeth most frequently removed are the first bicuspids, located between the cuspid (the "eyeteeth" directly under the eyes) and the back teeth, and the second premolar. Removing these won't normally affect appearance or functionality once orthodontic or cosmetic treatments are complete.
Because of the mechanics of jaw development it might be necessary to perform these extractions several years before orthodontic treatment. This could create another potential problem: the time lag could adversely affect bone health.
This is because bone, as living tissue, has a life cycle with cells forming, functioning and then dissolving, and new cells taking their place. When teeth are chewing or in contact with each other they generate force that travels through the tooth roots to the bone and stimulates cell growth at a healthy replacement rate.
But when a tooth is missing, so is this stimulation. This slows the replacement rate and eventually leads to decreased bone volume. Too much bone loss could create obstacles for orthodontic treatment or a future dental implant.
To avoid this, the dentist will often place a bone graft with processed bone mineral within the empty tooth socket right after extraction. The graft serves as a scaffold for bone cells to grow upon. The graft (plus any other added growth boosters) can help maintain a healthy level of bone volume to facilitate future orthodontic or restorative treatments.
Since targeted extraction for orthodontics is time-sensitive, you should have your child's bite evaluated by an orthodontist by age 7 to see if any action is necessary. The earlier a malocclusion is detected, the more likely a more attractive and healthy smile will be the ultimate outcome.
If you would like more information on correcting poor bites, 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 Removal for Orthodontic Reasons.”