Posts for: September, 2020
Do-It-Yourself (DIY) is a deeply held American trait for building, renovating or repairing things without the services of a professional. The Internet has only made this tradition easier: There are scores of videos showing people how to do things on their own like build a deck, fix a dryer or bake an award-winning soufflé.
But some things are best left to the experts, which if you tried to do using too little knowledge or a lot less training could turn out disastrous. A prime example is becoming your own orthodontist and using dubious home methods to straighten your teeth. If that sounds preposterous, the American Association of Orthodontists recently reported it does happen, with one in ten of their members saying they have treated patients who attempted their own smile-straightening projects.
Often found on social media, these methods usually involve household items like rubber bands or dental floss to straighten teeth. Like other forms of DIY, the object is to save money. In the end, though, these self-orthodontic methods could result in dental damage that could cost much more to repair (if indeed it's repairable) than what might have been spent with professional orthodontics in the first place.
Utilizing extensive training, experience and artistry, orthodontists work with the mouth's natural ability to move teeth in a precise manner for a planned outcome. They carefully consider each individual patient's jaw and facial structures, along with the severity and complexity of their bite problem, as they design and implement a treatment plan involving braces, clear aligners or other orthodontic appliances.
A rigged homemade device to move teeth can't adequately take these factors into account. As a result, you may be risking permanent gum and bone damage—and you may even lose teeth in the process. Even if repairable, such damage could require oral surgery, cosmetic dentistry or more extensive orthodontic procedures.
In the end, you're highly unlikely to be successful at DIY orthodontics—and you won't save any money. A healthy and beautiful smile is well worth the cost of professional, high-quality orthodontics.
You probably wouldn't be surprised to hear that someone playing hockey, racing motocross or duking it out in an ultimate fighter match had a tooth knocked out. But acting in a movie? That's exactly what happened to Howie Mandel, well-known comedian and host of TV's America's Got Talent and Deal or No Deal. And not just any tooth, but one of his upper front teeth—with the other one heavily damaged in the process.
The accident occurred during the 1987 filming of Walk Like a Man in which Mandel played a young man raised by wolves. In one scene, a co-star was supposed to yank a bone from Howie's mouth. The actor, however, pulled the bone a second too early while Howie still had it clamped between his teeth. Mandel says you can see the tooth fly out of his mouth in the movie.
But trooper that he is, Mandel immediately had two crowns placed to restore the damaged teeth and went back to filming. The restoration was a good one, and all was well with his smile for the next few decades.
Until, that is, he began to notice a peculiar discoloration pattern. Years of coffee drinking had stained his other natural teeth, but not the two prosthetic (“false”) crowns in the middle of his smile. The two crowns, bright as ever, stuck out prominently from the rest of his teeth, giving him a distinctive look: “I looked like Bugs Bunny,” Mandel told Dear Doctor—Dentistry & Oral Health magazine.
His dentist, though, had a solution: dental veneers. These thin wafers of porcelain are bonded to the front of teeth to mask slight imperfections like chipping, gaps or discoloration. Veneers are popular way to get an updated and more attractive smile. Each veneer is custom-shaped and color-matched to the individual tooth so that it blends seamlessly with the rest of the teeth.
One caveat, though: most veneers can look bulky if placed directly on the teeth. To accommodate this, traditional veneers require that some of the enamel be removed from your tooth so that the veneer does not add bulk when it is placed over the front-facing side of your tooth. This permanently alters the tooth and requires it have a restoration from then on.
In many instances, however, a “minimal prep” or “no-prep” veneer may be possible, where, as the names suggest, very little or even none of the tooth's surface needs to be reduced before the veneer is placed. The type of veneer that is recommended for you will depend on the condition of your enamel and the particular flaw you wish to correct.
Many dental patients opt for veneers because they can be used in a variety of cosmetic situations, including upgrades to previous dental work as Howie Mandel experienced. So if slight imperfections are putting a damper on your smile, veneers could be the answer.
If you would like more information about veneers and other cosmetic dental enhancements, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers” and “Porcelain Dental Crowns.”
It's September—and that means football season is underway. Whether you're playing, spectating or managing a fantasy team, the action is about to ramp up. Unfortunately, increased “action” also includes injury risk, especially for a player's teeth, mouth and jaws.
Injury prevention is a top priority for all players, whether the pros or the little guys in Pee Wee league. For oral injuries, the single best way to avoid them is by wearing an athletic mouthguard. This soft but durable plastic appliance helps cushion the force of a direct blow to the face or mouth. Wearing one can help prevent tooth and gum damage, as well as lessen the risk for jaw or facial bone fractures.
Mouthguard use is fairly straightforward—a player should wear one anytime there's player-to-player contact. That's not only during game time, but also during practice and informal play. But what's not always straightforward is which type of mouthguard to purchase. That's right: You'll have to decide from among a variety of mouthguards on the market.
Actually, though, most fall into one of two categories: the “Boil and Bite” found in most retail stores with a sports gear department; or the custom mouthguard fashioned by a dentist.
The first are called Boil and Bite because the mouthguard must first be softened with hot water and then placed in the intended wearer's mouth to bite down on in its softened state. When the mouthguard cools and re-hardens, it will retain the bite impression to give it somewhat of an individual fit. These retail guards are relatively inexpensive and reasonably effective in cushioning hard contact, but they can also be on the bulky side and uncomfortable to wear.
In contrast, custom mouthguards are formed from an accurate impression of the wearer's bite taken in the dental office. Because of the individualized fit, we can create a guard with less bulk, greater comfort and, due to their precision, better effectiveness in preventing injury.
A custom guard is more expensive than a retail mouthguard, and younger players may need a new upgrade after a few seasons to accommodate fit changes due to jaw development. But even so, with its higher level of protection and comfort (making it more likely to be worn during play), a custom mouthguard is a worthwhile investment that costs far less than a devastating dental injury.
So, if you or a family member will be hitting the gridiron this fall (or, for that matter, the basketball court or baseball diamond later in the year), be sure you invest in a mouthguard. It's a wise way to ensure this football season will be a happy one.