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Posts for category: Dental Procedures

By Aaron S. Berger, DMD
April 18, 2019
Category: Dental Procedures
5WaystoMakeYourSmileMoreConfidentandInviting

One of the most important aspects of social interaction is smiling, showing others we’re confident and outgoing.  Many people, though, are hesitant to use this important social skill because their teeth are unattractive.

But even the most unattractive teeth can be dramatically transformed through cosmetic dentistry. Here are 5 prominent ways we can restore beauty to your problem teeth.

Enamel shaping. Sometimes teeth can have an irregular shape that makes them stand out like a sore thumb. With this “sculpting” technique, we remove very small amounts of enamel, the outer protective layer of a tooth, which improves the tooth’s overall shape without harming it.

Bonding. Recent developments in acrylics now make it easier to repair chipped, broken or decayed teeth with minimal preparation. The acrylic material can be molded to resemble a natural tooth and colored to precisely match its shade and that of neighboring teeth. It’s then bonded to the tooth with a durability that can last through years of daily biting and chewing.

Veneers. These thin layers of dental porcelain are bonded to teeth to cover minor defects. Otherwise healthy teeth that are slightly chipped, stained or a bit out of alignment can get a more attractive “face” that’s durable and lasting.

Crowns and Bridgework. Sometimes teeth are too heavily decayed or lost altogether to use bonding or veneers. With porcelain dental restorations that have a strong inner core and an outer life-like appearance, we can completely cover an individual damaged tooth with a custom-made crown or replace one or more missing teeth with fixed bridgework.

Dental Implants. Introduced over thirty years ago, implants are a popular tooth replacement choice.  Its inner titanium post is surgically inserted into the jaw where bone cells grow and adhere to it to form a strong, lasting bond. Implants can be used for single teeth or as supports for fixed bridgework or removable dentures.

Regardless of your teeth’s appearance problems, cosmetic dentistry has a solution. The first step is a comprehensive examination — from there we can advise you on the best options for turning your embarrassing smile into a more beautiful and confident one.

If you would like more information on the various techniques for smile transformation, 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 “Beautiful Smiles by Design.”

By Aaron S. Berger, DMD
February 17, 2019
Category: Dental Procedures
CrazyLittleThingCalledHyperdontia

The movie Bohemian Rhapsody celebrates the iconic rock band Queen and its legendary lead vocalist, Freddie Mercury. But when we see pictures of the flamboyant singer, many fans both old and new may wonder—what made Freddie’s toothy smile look the way it did? Here’s the answer: The singer was born with four extra teeth at the back of his mouth, which caused his front teeth to be pushed forward, giving him a noticeable overbite.

The presence of extra teeth—more than 20 primary (baby) teeth or 32 adult teeth—is a relatively rare condition called hyperdontia. Sometimes this condition causes no trouble, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other situations, hyperdontia can create problems in the mouth such as crowding, malocclusion (bad bite) and periodontal disease. That’s when treatment may be recommended.

Exactly what kind of treatment is needed? There’s a different answer for each individual, but in many cases the problem can be successfully resolved with tooth extraction (removal) and orthodontic treatment (such as braces). Some people may be concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is routine and relatively painless.

Teeth aren’t set rigidly in the jawbone like posts in cement—they are actually held in place dynamically by a fibrous membrane called the periodontal ligament. With careful manipulation of the tooth, these fibers can be dislodged and the tooth can be easily extracted. Of course, you won’t feel this happening because extraction is done under anesthesia (often via a numbing shot). In addition, you may be given a sedative or anti-anxiety medication to help you relax during the procedure.

After extraction, some bone grafting material may be placed in the tooth socket and gauze may be applied to control bleeding; sutures (stitches) are sometimes used as well. You’ll receive instructions on medication and post-extraction care before you go home. While you will probably feel discomfort in the area right after the procedure, in a week or so the healing process will be well underway.

Sometimes, dental problems like hyperdontia need immediate treatment because they can negatively affect your overall health; at other times, the issue may be mainly cosmetic. Freddie Mercury declined treatment because he was afraid dental work might interfere with his vocal range. But the decision to change the way your smile looks is up to you; after an examination, we can help you determine what treatment options are appropriate for your own situation.

If you have questions about tooth extraction or orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Simple Tooth Extraction” and “The Magic of Orthodontics.”

By Aaron S. Berger, DMD
February 07, 2019
Category: Dental Procedures
Tags: dental implants  
ImplantscanSupportaTotalToothReplacementRestoration

You may be familiar with a dental implant used to replace a single tooth — but implant technology can do much more. Implants can also support other restorations including total teeth replacement on a jaw.

The reason they're so versatile is because implants replace the tooth root as well as the visible crown. We use a metal post, usually made of titanium, which we surgically implant in the jawbone as a root substitute. Because of a special affinity with titanium, bone around the implant grows and adheres to it and creates a durable bond.

With a single tooth replacement (the implant's original purpose when they were introduced in the 1980s) we attach a life-like porcelain crown to the individual titanium post. But with their continuing development we've adapted implants for other applications, like using a few strategically-placed implants as a stable platform for removable dentures or fixed bridges.

We're now able to use implants to support a full prosthetic (false) dental arch. Though similar in appearance to a removable denture, this particular prosthesis is permanently joined to the supporting implants with retaining screws.

Of course, the application requires careful pre-planning, which includes making sure you have enough healthy bone to support the implants. We'll also need to determine how many implants you'll need (usually four to six for this application) and create a surgical guide to place them in the best location for supporting the prosthesis. A dental technician will then create the prosthesis to match your jaw ridge contours and facial structure.

Using implants this way has a benefit other types of restorations can't provide: they may help stop future bone loss. The jawbone life cycle depends on stimulation from the attached tooth as you bite and chew — stimulation that ends when you lose the tooth. Traditional dentures and other restorations can't replicate that stimulation. Implants, on the other hand, directly encourage bone growth and can stop gradual bone loss.

If you need some form of total teeth replacement, consider one supported by implants. You may find they'll provide an excellent long-term solution to both function and appearance.

If you would like more information on the different applications for dental implants, please contact us or schedule an appointment for a consultation.

By Aaron S. Berger, DMD
December 19, 2018
Category: Dental Procedures
Tags: insurance  
KnowtheBenefits-andLimitations-ofYourDentalInsurancePlan

With the major changes in healthcare over the last few years, much of what we understand about insurance has been turned on its head. The term “Insurance” now often means something much different than how it’s traditionally understood.

Dental insurance is a prime example. Rather than a means to protect the insured from unforeseen costs, most dental policies work more like discount coupons. The vast majority are paid by employers as a salary benefit to reduce but rarely eliminate an employee’s treatment costs.

In fact, paying dental insurance premiums yourself may not be cost-effective. The average person spends $200 a year on basic care, while a typical policy costs $500 or more annually. Even if the plan fully paid for basic items like cleanings and checkups, the total cost with insurance can still be greater than paying out of pocket. Most plans also have deductibles — the fee portion the patient is responsible to pay — and annual maximum benefit limits of typically $1,200 or $1,500. With rising dental costs, these deductibles and limits may not be adequate.

There are also different types of plans, such as direct reimbursement or managed care. Under the former your employer is actually paying the claims from company funds — the insurance company acts as an administrator. The latter type packages services with select providers: the out-of-pocket costs are lower but your choices of provider are usually limited to those in their network — which on a new plan may not be the family dentist you’ve seen for years.

If you have a private plan, you should look carefully at your total costs, including premiums and out-of-pocket expenses, and compare those with projected costs without it. If you’re on an employer-paid plan, then be sure you understand it fully, especially any limits or restrictions. Also, speak with your dentist’s business staff to see how you can get the most out of the plan — dental offices work every day with insurance companies and know how to maximize your benefits.

Remember too that regular office visits for cleanings and checkups — as well as your own daily hygiene practices — are the best way to reduce long-term dental costs. Taking care of your teeth with preventive care will help ensure you’re not dipping into your own wallet — with or without insurance — more than you should.

If you would like more information on managing dental costs, please contact us today to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Insurance 101.”

By Aaron S. Berger, DMD
December 09, 2018
Category: Dental Procedures
Tags: cosmetic dentistry  
NewYearNewSmile

As December brings the old year to a close, it’s a great time to set goals for the year to come. This might include a major life change, such as a new job—or even a new romance! If one of these items is on your list for 2019, a smile makeover may be just the thing to help you get there.

Having a great smile can give your self-confidence a real boost. It can also affect how you are perceived by others. According to a survey by the American Academy of Cosmetic Dentistry, 99.7% of adults believe a smile is an important social asset and 96% believe an attractive smile makes a person more appealing to members of the opposite sex. At the same time, three quarters of adults feel that an unattractive smile can hurt a person’s chances for career success.

If you aren’t pleased with your smile and want a new look, we can help you figure out which cosmetic dental treatments could be right for you. The answer might be something simple—like an overall brightening of the smile with professional teeth whitening, or fixing a small crack or chip in a single tooth with cosmetic tooth bonding. If you’re unhappy with worn-down or crooked teeth, dental veneers or orthodontic treatment might be the way to go. In fact, many adults find that orthodontic treatment with clear aligners is a great way to get a beautiful, straight smile without drawing attention to the fact that a makeover is in progress.

Of course, it’s not only important for your smile to look good but also for your whole mouth to stay healthy. So if you are experiencing any tooth pain, unusual mouth sores or gum problems, it’s time for you to come in for an exam. And if it’s been a while since you’ve had a dental checkup and professional teeth cleaning, why not make an appointment for early in the year? Don’t start the new year with last year’s dental problems!

If you would like more information about cosmetic dental treatments or preventive dentistry, please contact us or schedule a consultation. You can also learn more by reading the Dear Doctor magazine articles “How Your Dentist Can Help You Look Younger” and “Dental Hygiene Visit.”