Posts for category: Dental Procedures
Ed Helms is best known for his role as the self-absorbed, Ivy League sales rep, Andy Bernard, on television's The Office. But to millions of fans he's also Stu, a member of a bachelor trip to Las Vegas in the 2009 movie The Hangover. In it, Stu and his friends wake up from a wild night on the Strip to find some things missing: the groom-to-be, their memories and, for Stu, a front tooth.
In reality, the missing tooth gag wasn't a Hollywood makeup or CGI (computer-generated imagery) trick—it was Ed Helm's actual missing tooth. According to Helms, the front tooth in question never developed and he had obtained a dental implant to replace it. He had the implant crown removed for the Hangover movie and then replaced after filming.
Helms' dental situation isn't that unusual. Although most of the 170 million-plus teeth missing from Americans' mouths are due to disease or trauma, a few happened because the teeth never formed. While most of these congenitally missing teeth are in the back of the mouth, a few, as in Helms' case, involve front teeth in the “smile zone,” which can profoundly affect appearance.
Fortunately, people missing undeveloped teeth have several good options to restore their smiles and dental function. The kind of tooth missing could help determine which option to use. For example, a bridge supported by the teeth on either side of the gap might work well if the teeth on either side are in need of crowns.
If the missing tooth happens to be one or both of the lateral incisors (on either side of the centermost teeth), it could be possible to move the canine teeth (the pointy ones, also called eye teeth) to fill the gap. This technique, known as canine substitution, may also require further modification—either by softening the canines' pointed tips, crowning them or applying veneers—to help the repositioned teeth look more natural.
The optimal solution, though, is to replace a missing tooth with a dental implant which then has a lifelike crown attached to it, as Ed Helms did to get his winning smile. Implant-supported replacement teeth are closest to natural teeth in terms of both appearance and function. Implants, though, shouldn't be placed until the jaw has fully developed, usually in early adulthood. A younger person may need a temporary restoration like a bonded bridge or a partial denture until they're ready for an implant.
Whatever the method, there's an effective way to restore missing teeth. Seeing us for an initial exam is the first step toward your own winning smile.
As tough as teeth are, life can take its toll on them and sometimes lead to parts of them chipping off. Although it might not affect a tooth's overall health, it can certainly downgrade its appearance.
But we can restore a chipped tooth like new, and it may not require extensive dental work. Thanks to a versatile dental material called composite resin, we can often bring back a tooth's natural appearance in just one visit.
Tooth-colored resins have been around for decades, but their application has been limited due to issues with durability. Recently developed bonding techniques, though, have made them a workable option for restoring mild to moderate tooth defects.
We do this by applying and bonding the composite resin to a tooth to “fill in” the missing portion. While it's often a short process, it does require a thorough understanding of tooth anatomy, function and aesthetics.
We begin with a comprehensive exam to assess the true condition of a chipped tooth. Some dental defects might be better served with a porcelain restoration like a veneer or crown for best results. Still, there are a wide range of defects for which composite resins is a solid repair choice.
Once we've determined bonding is appropriate, we prepare the tooth by first roughening its outer surface and then etching it with an acid solution to increase bonding strength. We then apply a luting agent, a kind of dental cement, also to aid with bonding.
We then begin applying the composite resin in liquid form, one layer at a time. This layering process helps simulate the color depth and shape of the tooth, and to further incorporate strength into the restoration. We're also careful at this point to match the variations of color with those of the surrounding teeth so that it looks as natural as possible.
As we finish each layer, we apply a curing light to harden the resin. We can then polish the finished product and make adjustments for the bite. The end result is a tooth that not only looks whole, but natural and blended with the rest of your teeth. Bonding could truly change your smile in just one visit.
If you would like more information on cosmetic dental 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 “Artistic Repair of Front Teeth With Composite Resin.”
Getting a new smile doesn’t have to be an elaborate affair. If your teeth have minor to moderate chips, stains or tooth gaps, dental veneers could be the answer. These thin wafers of dental porcelain mask tooth imperfections and completely change your smile’s dynamic—and without a huge impact to your wallet.
To achieve that effect, though, your personal set of veneers will require the expertise of both your dentist and a dental lab technician to design and create your veneers. And while there are numerous considerations in achieving a truly life-like appearance with veneers, one of the most important is their color.
We always associate the color white with teeth. And while it is the dominant hue, actual tooth color is more complex. An individual tooth is comprised of multiple shades and tints, that range in variation from its biting edge to the gums. Likewise, tooth color in general can differ from person to person.
Your dentist must take these individual color variations into account while designing your new veneers, especially if you’ll be getting them for some but not for all your teeth. In that case, it’s important for the veneer color to blend seamlessly with the color of your natural teeth without veneers.
Your new smile expectations and desires are also important and should be considered when designing veneer coloring. For instance, do you want a more natural look—or would you prefer a smile with more “dazzle”? This could have an impact on color.
Your dentist takes all of this information (including your input) and communicates it clearly to the dental lab technician creating the veneers. That process is a combination of both science and artistry, using a variety of techniques to achieve an accurate, life-like texture and color result. For example, a technician may paint the edges of the veneers with a ceramic paste that when cured produces a life-like translucency.
This meticulous attention to color detail is necessary to create beautiful veneers that look natural. If the color is right, you’re sure to enjoy the change your veneers bring to your smile for many years to come.
If you would like more information on transforming your smile with dental 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: Your Smile—Better Than Ever.”
Dental amalgam—also known as “silver fillings”—has been used for nearly a hundred years to treat cavities. There are several reasons why this mixture of metals has been the go-to material among dentists: Malleable when first applied, dental amalgam sets up into a durable dental filling that can take years of biting forces. What’s more, it’s stable and compatible with living tissue.
But there’s been growing concern in recent years about the safety of dental amalgam, with even some wondering if they should have existing fillings replaced. The reason: liquid mercury.
Mercury makes up a good portion of dental amalgam’s base mixture, to which other metals like silver, tin or copper are added to it in powder form. This forms a putty that can be easily worked into a prepared cavity. And despite the heightened awareness of the metal’s toxicity to humans, it’s still used in dental amalgam.
The reason why is that there are various forms of mercury and not all are toxic. The form making headlines is known as methylmercury, a compound created when mercury from the environment fuses with organic molecules. The compound builds up in the living tissues of animals, particularly large ocean fish, which have accumulated high concentrations passed up through their food chain.
That’s not what’s used in dental amalgam. Dentists instead use a non-toxic, elemental form of mercury that when set up becomes locked within the amalgam and cannot leach out. Based on various studies, treating cavities with it poses no health risks to humans.
This also means there’s no medical reason for having an existing silver fillings removed. Doing so, though, could cause more harm than good because it could further weaken the remaining tooth structure.
The most viable reason for not getting a dental amalgam filling is cosmetic: The metallic appearance of amalgam could detract from your smile. There are newer, more life-like filling options available. Your dentist, though, may still recommend dental amalgam for its strength and compatibility, especially for back teeth. It’s entirely safe to accept this recommendation.
Dental implants are today's premier tooth replacements. If you have lost one or more teeth due to decay, infection, accident, or gum disease, see The Dentists South Shore in Milwaukee. Their expertise will recreate a stable, natural-looking smile for you and dramatically improve your oral health.
What is a dental implant, and what does it do?
A dental implant is titanium device that replaces a natural tooth root. Your dentist surgically inserts the dental implant device at The Dentists South Shore in Milwaukee, and after appropriate healing, the implant is finished with a metal post and custom-made porcelain crown. Dental implants can anchor dentures and bridges, too, providing patients lacking some or all of their teeth superior appearance, bone health and oral function.
Can anyone get dental implants?
Healthy adults and young people whose jaws have finished growing usually can receive dental implants. Good oral and systemic health and sufficient bone in the jaw optimize favorable outcomes. Your dentist may advise bone grafting as needed.
Is the treatment process lengthy?
Consultation to the final restoration of a single-tooth implants takes several months. Healing cannot be rushed. That being said, the vast majority of implant procedures succeed, says the Institute for Dental Implant Awareness.
Will my body accept my implants?
Likely it will. Implants are crafted from biocompatible titanium. So rejection or allergy is extremely rare. In fact, implants are so strong and stable because human bone adheres to titanium exceptionally well. Scientists call the bonding process between bone and implant osseointegration.
How complex is the implant procedure?
It's an in-office surgery performed by one of our expert implant dentists. Time varies on the complexity of the case, but in general, patients receive their implants in one appointment and return to their normal activities the next day. Local anesthetic, or sometimes oral sedation, is needed during the procedure.
Are they difficult to care for?
Dental implants are no more difficult to care for than natural teeth. Brush twice daily, and floss every day to stay ahead of plaque and tartar. Additionally, people who wear implant-supported bridges or dentures need no adhesives or special soaks. Finally, if you are a smoker, you can increase the longevity of your dental implants by pursuing a tobacco cessation program with your primary care physician.
How long do dental implants last?
The American Academy of Implant Dentistry says implants stay in place last for decades. Truly, dental implants are "one and it's done" restorations.
Come see us, and we'll answer them. Phone The Dentists South Shore at either of our two locations in Milwaukee, WI. For the S. Howell Avenue office, call (414) 877-0840, and for the E. Layton Avenue location, phone (414) 483-1600.