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TV Anchor Nancy O’Dell Discusses Pregnancy and Oral Health

December 29, 2014

Filed under: Oral Health — Tags: , , — drarakelian @ 9:30 pm

We’ve all heard of morning sickness, but did you know that it’s also not unusual for pregnant women to experience oral discomfort? This is what Entertainment Tonight co-host Nancy O’Dell discovered when she was expecting her daughter, Ashby. In an exclusive interview with Dear Doctor magazine, Nancy described how her gums became extra-sensitive during pregnancy, leading her dentist to diagnose her with “pregnancy gingivitis” (“gingival” – gum tissue; “itis” – inflammation).

“While my dental health has always been relatively normal, pregnancy did cause me some concern about my teeth and gums,” Nancy said. “With my dentist’s advice and treatment, the few problems I had were minimized,” she said.

It’s especially important to maintain good oral hygiene during pregnancy with routine brushing and flossing, and regular professional cleanings. This will reduce the accumulation of the dental bacterial plaque that leads to gum disease. Both mother and child are particularly vulnerable to these bacteria during this sensitive time. Scientific studies have established a link between preterm delivery and the presence of periodontal (gum) disease in pregnant women. Also, the elevated hormone levels of pregnancy cause the tiny blood vessels of the gum tissues to become dilated (widened) and therefore more susceptible to the effects of plaque bacteria and their toxins. Gingivitis is especially common during the second to eighth months of pregnancy.

Excess bacterial plaque can occasionally lead to another pregnancy-related condition in the second trimester: an overgrowth of gum tissue called a “pregnancy tumor.” In this case, “tumor” means nothing more than a swelling or growth. Pregnancy tumors, usually found between the teeth, are completely benign but they do bleed easily and are characterized by a red, raw-looking mulberry-like surface. They can be surgically removed if they do not resolve themselves after the baby is born.

If you are experiencing any pregnancy-related oral health issues, please contact us today to schedule an appointment for a consultation. If you would like to read Dear Doctor’s entire interview with Nancy O’Dell, please see “Nancy O’Dell.” Dear Doctor also has more on “Pregnancy and Oral Health: Everything You Always Wanted To Know But Never Knew To Ask.”

What Made American Idol Finalist Elliott Yamin Smile?

December 4, 2014

Filed under: Dental Procedures — Tags: , — drarakelian @ 9:34 pm

One day, while looking at old pictures of himself, 34-year-old American Idol finalist Elliott Yamin noticed something peculiar. “I [had] figured out how to kind of smile without displaying all my teeth,” he told an interviewer with People magazine. The reason: Yamin (like many other people) was unhappy with the way his teeth looked. And others noticed it too: “[They] wrote things in magazines, called me Snaggletooth and things like that,” he said.

Yamin’s situation came to the attention of dentists from across the country, several of whom offered to fix his crossbite and other problems. One of them even provided the singer with computer-generated renderings of how he’d look after a total “smile makeover” — and that was enough to convince him. Finally, after receiving a set of porcelain veneers and other dental work — all provided free of charge by the concerned dentist — Yamin has the smile he always dreamed of.

You don’t have to be an American Idol finalist to appreciate the benefit of having a super smile — and it’s never too late to get started! As Yamin found out, a “smile analysis” is the first step, and it’s a critical part of the process. This is the time when you and your dentist get to know each other, and begin talking about what kind of a look you want to achieve, and what you should realistically expect.

But it can be tough to express in words exactly what your idea of a perfect smile looks like. Are the teeth completely regular in alignment and “Hollywood white?” A little bit asymmetrical and more natural-looking — or something in between? And exactly how would that look on you? Fortunately, we have a variety of ways to help you make those decisions.

One is computer-generated images, like the ones that persuaded Yamin. Convenient and relatively easy to produce, they’re a great way to preview possible changes before a single tooth is touched. However, some people may find it hard to picture their new smile from different angles and in different lights. If you’d like a better representation, it’s possible to produce a 3-D model of the proposed work before it’s done. This can let you truly visualize your new smile in a realistic way.

If you need even more evidence before deciding, there’s still more that can be done. Your teeth can be built up to their new contours with composite resin, a tooth-colored restoration material that can change tooth shape and size with relative ease. A related procedure, the “provisional restoration,” gives you a complete preview of the final work. When you’re satisfied, the “temporary” materials are replaced with more permanent ones, like long-lasting porcelain veneers. Whichever method you choose, you’ll be on your way to a better looking smile.

If you would like more information about a smile makeover, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Great Expectations — Perceptions in Smile Design” and “Smile Design Enhanced with Porcelain Veneers.”

Martha Stewart Shows Off Renovation Work – In Her Mouth!

October 9, 2014

Filed under: Dental Procedures — Tags: , , — drarakelian @ 9:40 pm

Martha Stewart has built a flourishing career by showcasing the things she’s designed and made — like floral arrangements, crafts, and even home renovations. Just recently, she was showing off her latest restoration project: a new dental bridge. In fact, she live-tweeted the procedure from her dentist’s office… and she even included pictures of the bridgework before it was placed on her teeth!

OK, it’s a departure from paper crafts and home-made pillows… but why not? We can’t help feeling that there’s just as much craftsmanship — even artistry — in dental bridgework as there is in many other custom-made items. If you learn a little more about what goes into making and placing bridgework, perhaps you’ll understand why we feel that way.

Bridgework is one good solution to the problem of missing teeth (another is dental implants). A fixed bridge is anchored to existing teeth on either side of the gap left by missing teeth, and it uses those healthy teeth to support one or more lifelike replacement teeth. How does it work?

Fabricated as a single unit, the bridge consists of one or more crowns (caps) on either end that will be bonded or cemented to the existing teeth, plus a number of prosthetic teeth in the middle. The solid attachment of the crowns to the healthy teeth keeps the bridge in place; they support the artificial teeth in between, and let them function properly in the bite.

Here’s where some of the artistry comes in: Every piece of bridgework is custom-made for each individual patient. It matches not only their dental anatomy, but also the shape and shade of their natural teeth. Most bridges are made in dental laboratories from models of an individual’s teeth — but some dental offices have their own mini-labs, capable of fabricating quality bridgework quickly and accurately. No matter where they are made, lifelike and perfect-fitting bridges reflect the craftsmanship of skilled lab technicians using high-tech equipment.

Once it is made, bridgework must be properly placed on your teeth. That’s another job that requires a combination of art and science — and it’s one we’re experts at. From creating accurate models of your mouth to making sure the new bridge works well with your bite, we take pride in the work we do… and it shows in your smile.

If you would like more information about dental bridges, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Fixed vs. Removable Bridges” and “Dental Implants vs. Bridgework.”

Iron Chef Cat Cora Shares a Secret of Her Bright Smile: Tooth Whitening

September 9, 2014

Filed under: Dental Procedures — Tags: , , — drarakelian @ 9:44 pm

When asked about her dazzling white smile, Cat Cora, the first female iron chef on the hit television series Iron Chef America, freely admits to maintaining the brightness of her smile with professional whitening sessions.

“With what I do, whitening your teeth is like getting your hair done, your nails done and everything else you have to do to be on television,” Cat recently told Dear Doctor magazine. However, she does have her limits. “I want my teeth to be white and healthy looking — but not stark white or looking like they could glow in the dark,” she said with a laugh.

Cat’s perceptions and experiences with tooth whitening may accurately describe Hollywood, but through the power of media, celebrities and their respective fan bases, having attractive white teeth has become a goal for most people. This is because white teeth are subconsciously associated with youth and virility.

Here in the dental office, we can use professional-strength “power bleaching” to whiten teeth several shades in a single visit. To prevent irritation to the area surrounding the teeth being treated, we isolate the gums and skin of the mouth with a protective gel or a rubber barrier known as a dental dam. After the whitening solution is placed on the teeth, the process may be supplemented by heat or a light source to activate or enhance peroxide release.

For bleaching teeth at home, our office can make custom-fitted bleaching trays that you fill with a gel form of carbamide peroxide. Sometimes this whitening gel can cause a temporary tooth sensitivity to hot and cold, but this normally lasts for no more than four days after you stop bleaching your teeth.

To learn more about tooth whitening, you can continue reading the Dear Doctor magazine article “Teeth Whitening.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss what treatment options will be best for you. And to read the entire interview with Cat Cora, please see the article “Cat Cora.”

What Won’t Florence Henderson Leave Home Without?

July 15, 2014

Filed under: Oral Health — Tags: , — drarakelian @ 9:56 pm

She’s an international star who’s recognized everywhere she goes. As Carol Brady, she was an ambassador for the “blended family” before most of us even knew what to call her bunch. And her TV Land Pop Culture Icon Award is on permanent display in the National Museum of American History. So what item that fits inside a purse can’t Florence Henderson do without?

“I will never leave home without dental floss!” she recently told an interviewer with Dear Doctor magazine. “Because I have such a wide smile, I have found spinach or black pepper between my teeth after smiling very broadly and confidently.”

Henderson clearly understands the importance of good oral hygiene — and she’s still got her own teeth to back it up! In fact, flossing is the best method for removing plaque from between the teeth, especially in the areas where a brush won’t reach. Yet, while most people brush their teeth regularly, far fewer take the time to floss. Is there any way to make flossing easier? Here are a couple of tips:

Many people have a tendency to tighten their cheeks when they’re holding the floss, which makes it more difficult to get their fingers into their mouths and working effectively. If you can relax your facial muscles while you’re flossing, you’ll have an easier time.

To help manipulate the floss more comfortably, try the “ring of floss” method: Securely tie the floss in a circle big enough to easily accommodate the fingers of one hand. To clean the upper teeth, place fingers inside the loop, and let the thumb and index finger guide the floss around each tooth. For the lower teeth, use two index fingers. Keep moving the floss in your hand so you always have a clean edge… and remember, the goal is to get the tooth clean, but it shouldn’t hurt — so don’t use too much pressure or go too fast.

So take a tip from Mrs. Brady: Don’t forget the floss! If you would like more information about flossing and other oral hygiene techniques, please contact us for a consultation. You can learn more in the Dear Doctor magazine article “Flossing: A Different Approach.”

TV Wellness Guru Jillian Michaels Discusses Breaking Her Two Front Teeth

May 27, 2014

Filed under: Oral Health — Tags: , , — drarakelian @ 9:59 pm

As America’s toughest trainer on the hit television program The Biggest Loser, Jillian Michaels helped people learn that they hold the power to change. And if anyone knows about the power of changing oneself, it is Jillian Michaels. In her recent interview with Dear Doctor magazine, Jillian discusses her childhood, the trauma of being overweight as a teenager (5′ 2″ and 175 pounds), and the day her life forever changed when she started martial arts training at a gym. “I started training when I was 17 and always loved it but never thought it would end up being my career,” she said.

Jillian also reveals that when she was a child, she broke her two front teeth and had them repaired with crowns. She added, “Now, I generally wear a mouthguard if I am doing anything where my teeth have any chance of being knocked out.”

When it comes to replacing teeth that are broken or damaged from trauma, or teeth that are damaged because of dental decay, grinding habits, or acid erosion, crowns may be your best option. And because the tooth enamel is damaged, a bit more of it must be removed before we can place a crown. Generally speaking, we must remove about 2 millimeters of tooth structure to place a crown. Once the crown is placed, the tooth will always require a crown, as this is an irreversible procedure. However, the good news is that a crown not only mimics the look and feel of a natural tooth, but it is also the optimal long-term solution. On average, a crown last between 5 and 15 years and requires no special maintenance. In fact, you should treat your crown as you do your natural teeth, with a daily cleaning regimen of brushing and flossing and routine dental examinations and cleanings.

To learn more about crowns or other cosmetic procedures, contact us today to schedule an appointment so that we can conduct a thorough examination, discuss any questions you have as well as what treatment options will be best for you. Or to learn more about crowns now, you can continue reading the Dear Doctor magazine article “Porcelain Crowns & Veneers.” And to read the entire interview with Jillian Michaels, please see the article “Jillian Michaels.”

Jamie Foxx Gets Into Character With Help From His Dentist

May 2, 2014

Filed under: Dental Procedures — Tags: , , — drarakelian @ 7:40 pm

If you were a well-known actor, how far would you go to get inside the character you’re playing in a movie? Plenty of stars have gained or lost weight to fit the role; some have tried to relate to their character by giving up creature comforts, going through boot camp, even trying out another occupation for a time. But when Jamie Foxx played a homeless musician in the 2009 film The Soloist, he went even further: He had part of his front tooth chipped out!

“My teeth are just so big and white — a homeless person would never have them,” he told an interviewer. “I just wanted to come up with something to make the part unique. I had one [tooth] chipped out with a chisel.”

Now, even if you’re trying to be a successful actor, we’re not suggesting you have your teeth chipped intentionally. However, if you have a tooth that has been chipped accidentally, we want you to know that we can repair it beautifully. One way to do that is with cosmetic bonding.

Bonding uses tooth-colored materials called “composite resins” (because they contain a mixture of plastic and glass) to replace missing tooth structure. The composite actually bonds, or becomes one, with the rest of the tooth.

Composite resins come in a variety of lifelike tooth shades, making it virtually impossible to distinguish the bonded tooth from its neighbors. Though bonding will not last as long as a dental veneer, it also does not require the involvement of a dental laboratory and, most often, can be done with minor reshaping of the tooth.

Cosmetic Bonding for Chipped Teeth
A chipped tooth can usually be bonded in a single visit to the dental office. First, the surface of the tooth may be beveled slightly with a drill, and then it is cleaned. Next, it is “etched” with an acidic gel that opens up tiny pores. After the etching gel is rinsed off, the liquid composite resin in a well-matched shade is painted on in a thin layer, filling these tiny pores to create a strong bond. A special curing light is used to harden this bonding material. Once the first layer is cured, another layer is painted on and cured. Layers can continue to be built up until the restoration has the necessary thickness. The bonding material is then shaped and polished. The whole procedure takes only about 30 minutes!

If you have questions about cosmetic bonding, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Artistic Repair of Chipped Teeth With Composite Resin.”

Cosmetic Dentistry and the Urban Legend

April 2, 2014

Filed under: Dental Procedures — Tags: , — drarakelian @ 7:43 pm

He once lived in Australia, wore his hair in a mullet, and played guitar in a band called The Ranch. Today, country music star Keith Urban looks different than he did when he started out — and it’s not just the mullet that’s changed. As before-and-after pictures show, he’s had a smile makeover. His teeth, which were dull yellow in color, and used to have a large gap in front, are now white and shiny. The gap is still there — though it has been reduced to a more modest size. How did he manage to upgrade his image, yet keep part of his signature “look” intact?

Cosmetic dentistry has a number of ways to improve the appearance of a smile like Keith’s. One is tooth whitening. It’s a simple procedure that can be done in our office or at your home; either way, it’s an effective treatment that offers great value. In-office whitening, using the most concentrated solutions under our direct supervision, will give you the fastest results. We can also prepare a take-home kit, with custom-made trays and safe bleaching gels you can use at home. You’ll get similar results, but it will take a bit longer.

Of course, whitening isn’t permanent (though it can be repeated when necessary); not all teeth can be lightened as much as you might like; and it doesn’t correct gaps or unevenness. There’s another treatment that does, however: dental veneers. These are wafer-thin coverings made of porcelain, which are bonded to the prepared surfaces of your teeth. They are available in a number of shades — from natural to “Hollywood white” — and can even hide minor chips or spacing problems. That’s why veneers are often the treatment of choice when you’re looking for a “red carpet” smile.

Perhaps the best thing about veneers is that they give you plenty of choices when it comes to designing your smile. You can choose how white you’d like your smile to be, and even fix some “flaws” — or not! So how much you choose to close that gap in your teeth is up to you… but if you’re asking our opinion, the mullet has to go.

If you would like more information on dental veneers, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Beautiful Smiles by Design” and “Porcelain Veneers.”

Fitness Expert Jillian Michaels Helps Kick Sleep Apnea

January 23, 2014

Filed under: Oral Health — Tags: , — drarakelian @ 7:48 pm

Jillian Michaels, personal trainer and star of television’s The Biggest Loser isn’t afraid of a tough situation — like a heart-pumping exercise routine that mixes kickboxing with a general cardio workout. But inside, she told an interviewer from Dear Doctor magazine, she’s really a softie, with “a drive to be one of the good guys.” In her hit TV shows, she tries to help overweight people get back to a healthy body mass. And in doing so, she comes face-to-face with the difficult issue of sleep apnea.

“When I encounter sleep apnea it is obviously weight related. It’s incredibly common and affects millions of people,” she says. Would it surprise you to know that it’s a problem dentists encounter as well?

Sleep apnea is a type of sleep-related breathing disorder (SRBD) that’s associated with being overweight, among other things. Chronic loud snoring is one symptom of this condition. A person with sleep apnea may wake 50 or more times per hour and have no memory of it. These awakenings last just long enough to allow an individual to breathe — but don’t allow a deep and restful sleep. They may also lead to other serious problems, and even complications such as brain damage from lack of oxygen.

What’s the dental connection? Sleep apnea can sometimes be effectively treated with an oral appliance that’s available here at the dental office. The appliance, worn at night, repositions the jaw to reduce the possibility of the tongue obstructing the throat and closing the airway. If you are suffering from sleep apnea, an oral appliance may be recommended — it’s a conservative treatment that’s backed by substantial scientific evidence.

As Michaels says, “I tell people that [sleep apnea] is not a life sentence… It will get better with hard work and a clean diet.” So listen to the trainer! If you would like more information about sleep-related breathing disorders, please contact us for a consultation. You can learn more in the Dear Doctor magazine article “Sleep Disorders and Dentistry.”