Posts for: October, 2018
Porcelain veneers are excellent for restoring otherwise sound teeth that are stained, chipped or slightly misaligned. But the question for many is, are they long-lasting?
Just as the term is used in building construction, a dental veneer is a thin covering of material that’s bonded to the outside of a tooth to conceal blemishes. Very thin layers of dental porcelain (a form of hardened glass colored to match a patient’s natural teeth) are created by a dental lab technician to achieve the preferred shape and size of the patient’s tooth. Unlike crowns or other restorations, veneers require very little tooth preparation to accommodate them.
As to their longevity: if cared for properly, a veneer could last for twenty years or more. While the veneer itself isn’t subject to the effects of dental disease, the tooth and the gums that support it are. Shrinking gum tissues as a result of periodontal (gum) disease, for example, could have a negative effect on the veneered tooth and subsequently the veneer. It’s important, then, that you properly practice daily brushing and flossing, along with keeping up regular office cleanings and checkups.
There’s one other important consideration: while porcelain veneers can withstand normal biting forces, if they’re subjected beyond their tolerance they could shatter. You should be careful not to subject your veneered teeth to an abnormal biting force, such as biting down on an extremely hard object. If you tend to grind your teeth at night, wearing a night guard can minimize the force created from the grinding.
It’s possible to repair and re-bond a loose or slightly chipped veneer. In some cases, though, severe damage may require a replacement. Still, by using common sense about what you bite down on and taking proper care of your teeth and gums, you can minimize the chances of damage and enjoy many years of a more attractive smile.
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: How Long will Your Porcelain Veneers Last?.”
A tooth with deep decay is in real peril. If the disease isn’t stopped, it can eventually infect the bone and greatly increase the risk of losing the tooth. But tooth decay removal and a root canal treatment can stop advancing decay and resulting infection in its tracks.
During this common procedure we first drill into the tooth to access the inner pulp. After removing the infected pulp tissue, we disinfect and fill the empty chamber and root canals with gutta percha. We then seal the tooth and crown it to protect against re-infection.
But while most root canals are successful and long-lasting, sometimes the tooth becomes re-infected. Here are 3 factors that could affect the long-term success of a root canal treatment.
Early treatment. Like many health problems, the sooner we detect decay and treat it, the better the outcome. A tooth in which the infection has already advanced beyond the pulp is at greater risk for re-infection than one in which the infection is localized in the pulp. Keeping up your regular dental visits as well as seeing the dentist at the first sign of abnormality—spots on the teeth or pain—can increase your chances of early diagnosis.
Tooth complications. Front teeth with their single roots and canals are much easier to access and treat than a back molar with an intricate root canal network. Root canals can also be extremely narrow making them easy to miss during treatment. In cases like this the expertise and advanced equipment of an endodontist (a specialist in root canal treatment) could help increase the odds of success in complex situations.
The aging process. Teeth do wear over time and become more brittle, making them increasingly susceptible to fracture. A previous root canal treatment on an aging tooth might also increase the fracture risk. To avoid this, it’s important for the tooth to receive a crown after the procedure to protect the tooth not only from re-infection but undue stress during chewing. In some situations, we may also need to place a post with a bonded composite buildup within the tooth to give it extra support.
Even if a tooth has these or similar complications, a root canal treatment may still be advisable. The benefits for preserving a decayed tooth often far outweigh the risks of re-infection.
If you would like more information on root canal treatments, 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 “Root Canal Treatment.”
October is national Dental Hygiene month—and it’s a great time to renew your commitment to good oral health. Everyone knows that to enjoy clean teeth and fresh breath, we need to brush and floss every day. But when it comes to the finer points of tooth brushing, there’s a lot of misunderstanding. So here are five tips to help you get the most bang from your brush.
A soft brush is much better for your mouth than a medium or hard one. That’s because stiffer bristles can actually damage soft gum tissue, and over-vigorous brushing can result in gum recession; this may lead to tooth sensitivity and an increased chance of decay. So always choose a soft-bristled tooth brush—and change your brush every three or four months, when its bristles begin to stiffen with use.
It Isn’t (Just) the Brush…
It’s the hand that holds it. Don’t brush too forcefully, or too long. If you consistently brush too hard, try using just three fingers to grip your brush so you apply less force. And if you have questions or need a refresher, just ask us to demonstrate proper brushing and flossing techniques next time you’re here.
Think Fluoride First
With many different flavors, whiteners and other ingredients in toothpastes, which one should you choose? It’s up to you, as long as your toothpaste contains one vital ingredient—fluoride. This natural mineral has been proven to strengthen tooth enamel and fight cavities. Look for the seal of the American Dental Association (ADA) on the toothpaste tube: this certifies that it’s been tested for safety and effectiveness.
2x2 = Terrific Teeth
According to the ADA, brushing gently for two full minutes, two times a day, is the best way to get rid of plaque and prevent cavities. That’s why it should be an essential part of your oral hygiene routine. And while you’re at it, don’t forget to use dental floss (or another method) to clean the spaces in between your teeth. If you don’t remove plaque from these areas, your cleaning isn’t complete.
Preserve Your Enamel
There are some times when you should avoid brushing—like after you’ve consumed soda, or been sick to your stomach. That’s because the acids in soda and stomach juices actually soften tooth enamel, and brushing can quickly wear it away. In these situations, rinse your mouth out with water and wait at least an hour before you brush.
Practicing good oral hygiene is the best thing you can do for your teeth at home. But don’t forget to come in to the office for regular checkups and professional cleanings! Because no matter how thorough you are, you can’t clean hardened deposits (calculus, or tartar) from your teeth at home: It takes special tools and the skilled hand of your hygienist or dentist to do that.
If you would like more information about tooth brushing and oral hygiene, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Sizing Up Toothbrushes” and “10 Tips for Daily Oral Care at Home.”