My Blog

Posts for: August, 2014

By Brittney Craig, DMD
August 25, 2014
Category: Dental Procedures
DemiMooreDoesntMindtheGap

Once upon a time, a well-known Hollywood actress might have hired a private eye to keep unflattering pictures from appearing in the media. Today, that’s no longer the case. Take timeless beauty Demi Moore: In a widely circulated set of photos, her gap-toothed grin showed she was actually missing one of her front teeth!

It turns out the actress released the pictures herself, as she live-tweeted the tooth replacement procedure from her dentist’s office. Moore later explained that the tooth fell out suddenly as she was sitting at her desk.

Celebrities are just like regular folks… except they have more followers on twitter. So we’re happy when they show us that no matter how bad a dental problem may seem, there’s almost always a way to regain a gorgeous-looking smile. We’re not sure exactly how Demi’s dentist chose to restore the damaged tooth — but depending on the individual circumstances, modern dentistry offers a number of ways to close the gap.

A crown (or cap) is a replacement for the entire visible area of the tooth. It may be needed due to accident or trauma, or as a follow-up to root canal therapy. Placing a crown usually requires more than one office visit. First, the tooth is prepared by removing any decay and shaping it, and a precise model is made of the bite. Next, the permanent crown is custom-made in a dental laboratory; this is placed during a subsequent visit. Advances in technology, however, have made it possible in some instances to deliver the permanent crown in a single office visit. If the tooth still has a healthy root structure, a crown is usually a viable option — even when most of the visible part is gone.

What if the entire tooth, including the roots, are missing? Then your replacement options could include bridgework or a dental implant. A fixed bridge is a series of crowns joined together as one unit. The teeth on either side of the gap are prepared just as they would be for crowns, and the bridge (including a replacement for the missing tooth in the middle) is attached. Bridges have been used successfully for many years, but they have a drawback: They require enamel to be removed from the healthy teeth on either side of the gap, which could lead to a greater chance of decay, gum disease, or a root canal in the future.

The optimal solution, however, might be a dental implant. With this remarkable technology, the replacement tooth is solidly anchored into the jaw via a screw-shaped post made of titanium — a metal which actually becomes fused with the living bone tissue. A custom-made, lifelike crown is then securely attached to the metal implant. Dental implants are the most successful tooth-replacement procedure; they help preserve bone quality in the jaw — and with regular care, they can last a lifetime.

So if your smile is making you camera-shy, why not talk to us about your tooth-restoration options? If you would like additional information, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Crowns & Bridgework” and “Dental Implants.”


By Brittney Craig, DMD
August 15, 2014
Category: Oral Health
DoesYourToothbrushNeedACleaning

When you’re trying to maintain a good oral hygiene routine, your toothbrush is bound to see a lot of action. Day in and day out, it gets used about twice a day, every day — morning and night, whether you’re feeling great or under the weather, in a hurry or not. And it's stored in the bathroom: a moist environment with the potential for exposure to plenty of bacteria (and not just the ones that live in your mouth). So after all of that service, does your toothbrush itself need any particular care or cleaning — and do you need to worry about getting sick from brushing?

Let’s answer the last question first. It’s very unlikely that you can re-infect yourself with an illness (a cold, for example) from using your own toothbrush. That’s because once you’ve been infected, the antibodies that are built up in response to the invading germs will generally prevent you from getting the same disease for some time afterward. Using someone else’s toothbrush, however, is a never a good idea — especially if they are sick (whether they show any symptoms or not), and doubly so if the bristles are still wet. It’s very possible to transfer all kinds of bacteria — even the bacteria that cause tooth decay — from person to person this way.

Can bacteria really survive for any length of time on your toothbrush? The short answer is yes, as they can (and do) live almost everywhere. But for people in a normal state of health, there’s no real reason to worry: Through long exposure, your body is generally quite capable of defending itself from these microorganisms. The American Dental Association states, “[T]here is insufficient clinical evidence to support that bacterial growth on toothbrushes will lead to specific adverse oral or systemic health effects.”

However, if you or a family member have a compromised immune system (due to radiation treatment, chemotherapy or disease, for example), it might make sense to take some precautions. Using an antibacterial mouthrinse before you brush can reduce the amount of bacteria in your mouth — and on your toothbrush. Washing the brush afterward with an antimicrobial cleaner or sanitizer can also decrease the level of bacteria that remains on the toothbrush.

For everyone else, it’s best to follow a few common-sense steps for toothbrush care: Rinse your brush with tap water after you use it, to remove any remaining toothpaste and debris; store it upright, where it can air-dry before it’s used again (not in a closed container, where bacteria can thrive); and get a new brush every three months. Your toothbrush is a major weapon in the fight against tooth decay — keeping it in good shape will help you maintain a healthy mouth and a healthy body.

If you have questions about toothbrushing or oral hygiene care, please contact us or schedule an appointment for a consultation. You can read more in the Dear Doctor magazine article “Oral Hygiene Behavior.”


DentalImplantsHelpedRockerStevenTylerGetBackonStageinRecordTime

Rock star Steven Tyler fell and broke his two front teeth while on tour with his band Aerosmith not long ago. But Tyler was back on stage the very next day, thanks to modern dental implant technology.

Dental implants are the most optimal tooth replacement system in use today. The reason we say “system” is because replacing teeth with implants involves two, or sometimes three, components: the implant itself, which replaces the root-part of the tooth; the dental crown that sits on top of it to replace the part of the tooth that's visible in the mouth; and a connecting piece placed in between the implant and crown, known as an abutment.

The implant itself, made of titanium, is placed directly into the jawbone with a minor surgical procedure. Titanium has the unique ability to fuse to bone, creating a very strong connection. An implant provides virtually the same function as a natural tooth root, including stabilizing the bone underneath and preventing its loss — something that naturally occurs when a tooth is lost.

This fusion process takes a period of weeks, which is why the implant needs time to heal before a permanent crown is attached. One reason for early implant failure is “loading” them with biting forces too soon. But in experienced hands, implants are extremely successful. Documented research and clinical studies indicate success rates of over 95% — which is higher than any other tooth replacement option. Once integrated and functional, implants can last a lifetime. That's why, though they are a bit more expensive initially than other tooth-replacement options, they are more cost-effective in the long term.

Of course, another advantage of implants is that they look and feel completely natural. Just ask Steven Tyler!

If you would like more information about dental implants, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Dental Implants.” Dear Doctor also has more on “The Hidden Consequences of Losing Teeth.”