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Posts for: May, 2014

HughJackmansShockingTeeth

Australian heartthrob Hugh Jackman has won international recognition for his work on stage, screen and television, including his long-running portrayal of Wolverine in the X-Men film series, and his Academy-Award-nominated starring role in Les Miserables. Oh, and did we mention he was named the “sexiest man alive” by People magazine in 2008? So when Jackman once said “I have shocking teeth”… what did he mean?

“[My dentist] looked at my teeth and went, ‘Oh, my God, you've got gray teeth,’” the actor stated. The proposed cure: tooth whitening. But what if the action hero's teeth were brightened too much — would his look still convey his trademark rugged charm? To see how that issue was resolved, let's look a little closer at various methods of tooth whitening.

All Whitening Isn't the Same
Everyone has seen the kind of over-the-counter tooth whitening strips advertised in magazines and sold in drug stores. Most dentists agree that, given enough time, they can work in many cases. But there may be problems, too.

One is that unless you know what's actually causing the darkening, you can't be sure if there is an underlying issue that needs treatment — a root-canal problem, for example. Bleaching a diseased tooth is like painting over a rusty car: it camouflages the problem, but doesn't fix it. That's one reason why, before any whitening treatment is attempted, it's important to have a complete dental examination, with x-rays.

Another is that without professional supervision, it's more difficult to control the degree of whitening you will end up with. For safety reasons, over-the-counter whitening products have the least concentrated bleaching agent, and will probably require weeks of use to produce noticeable results. The next step up — a custom-designed, at-home bleaching kit from our office — will likely produce results twice as fast.

The Professional Advantage
At-home bleaching done under our supervision uses stronger whitening agents with a flexible plastic tray that's custom-made to fit your teeth. It's a cost-effective way to achieve several shades of whitening in a relatively short time. Plus, with the advantage of our experience and guidance, you can get excellent results safely and efficiently.

If you want the fastest and most controllable whitening, however, in-office whitening treatments are the best way to go. According to one study, using the most concentrated whiteners in a safe clinical setting produced a six-shade improvement in just three office visits! This would have required a week or more of at-home bleaching, or upwards of 16 daily applications of the over-the-counter whitening products!

In-office whitening also offers the greatest degree of control over the outcome. That's why it was the method Hugh Jackman chose for his treatments. By adjusting the concentration of the bleaching solution and the treatment time, Jackman's dentist made sure his teeth were pleasingly light — but still looked completely natural. And in our office, we can do the same for you.

So whether you're looking for a dazzlingly bright smile or a more subtle enhancement, the best way to start is to call our office for a consultation. For more information, see the Dear Doctor magazine articles “Important Teeth Whitening Questions Answered” and “Teeth Whitening.”


PeriodontalFlapSurgeryAccessesHiddenInfectioninGumTissues

Periodontal gum disease is a relentless enemy to dental health that destroys gum tissue and the teeth’s attachment to the jaw. As it ravages these tissues it often creates periodontal pockets, hidden spaces between the teeth and bone that fill with infectious bacteria capable of accelerating damage to teeth and gums.

The primary treatment goal for gum disease is to create an environment that is cleansable below the gum tissues, in order to remove as much bacterial plaque from the tooth, gum and root surfaces as possible. Periodontal pockets pose a challenge to this goal as they are extremely difficult to access using standard cleaning and root planing techniques the deeper they become. Cleaning and treating these deep pockets, however, is made easier with a procedure known as periodontal flap surgery.

This procedure is not a cure, but rather a way to access the interior of a periodontal pocket to remove infection and diseased tissue. In effect, we create an opening — like the hinged flap of a letter envelope — to gain entry into the affected pocket. Not only does this opening enable us to clean out infection within the pocket, but it can also facilitate cleaning the tooth’s root surfaces.

It also provides an opening for us to insert grafting materials to regenerate lost bone and tissue. It’s nearly impossible for this tissue regeneration to occur if bacterial infection and inflammation persist in the affected area. Periodontal flap surgery provides us the critical access we need to effectively remove these contaminants that stymie healthy growth.

This procedure is normally performed with local anesthesia and usually results in little bleeding and minimal post-operative effects. Once we have finished any procedures to clean the pocket and other affected tissues, or installed grafts for future bone and tissue growth, we would then seal the flap back against the tooth using sutures and gentle pressure to promote blood clotting around the edges. We might also install a moldable dressing that re-secures the edges of the flap to their proper position and prevents food debris from interfering with healing.

Periodontal flap surgery is the result of years of research to find the best techniques for treating gum disease. It’s one of many weapons in our arsenal for winning the war against decay and gum disease, and helping you realize a healthier dental future.

If you would like more information on periodontal flap surgery, 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 “Periodontal Flap Surgery.”


AvoidingtheJimCarreyChipped-ToothLook

Fans of the classic bumbling-buddies comic film “Dumb and Dumber” will surely remember the chipped front tooth that Jim Carrey sported as simpleminded former limo driver Lloyd Christmas. Carrey reportedly came up with the idea for this look when considering ways to make his character appear more “deranged.” He didn't need help from the make-up department, however… He simply had his dentist remove the dental bonding material on his left front tooth to reveal the chip he sustained in grade school!

Creating a Bond
A dental cosmetic bonding involves application of a composite filling material that our office can color and shape to match the original tooth. Bonding material can be used to replace the lost portion of tooth or to seamlessly reattach the lost portion if it has been preserved and is otherwise undamaged. Little to no removal of existing tooth surface is needed. This is the quickest and lowest-cost option to repair a chip.

Alternatives
When a relatively large portion of the tooth is missing, a crown is often the better choice. It fully encases the visible portion of the remaining tooth above the gum line and is shaped and sized to match the original. It can be made of tooth-colored porcelain fused to metal crowns or all-ceramic (optimal for highly visible areas). A small amount of the existing tooth surface will be removed to allow the crown to fit over it.

A veneer can be used to hide smaller areas of missing tooth. This is a thin, custom-made shell placed on the front of the tooth to give it a new “face.” Some removal of existing tooth surface also may be necessary to fit a veneer.

A chipped tooth makes an impression, but generally not a flattering one. Nearly 20 years after “Dumb and Dumber” hit the theaters, the only thing Jim Carrey had to do recently to hint at a sequel for his nitwitted character was tweet a photo of that goofy grin!

If you would like more information about repairing a chipped tooth, 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.”