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By Periodontal Associates
August 25, 2021
Category: Dental Procedures
Tags: braces  
LingualBracesAThirdChoiceforMovingTeeth

First, there were braces; then came removable clear aligners—both great ways to straighten teeth. But braces with their metal brackets and wires aren't the most attractive look. And, although nearly invisible aligners improve appearance, they don't work in every bite situation (although their range has improved of late).

But now a third choice has emerged: lingual braces. Like their traditional counterparts, lingual braces are fixed in place—but on the back side of the teeth rather than the front. Instead of "pushing" teeth toward new positions, they "pull" them, arriving at the same "destination" by another path.

This new method came about simultaneously by two different orthodontists a world apart and for different reasons. A Beverly Hills dentist was looking for an invisible form of treatment similar to clear aligners for his appearance-conscious patients. A Japanese dentist wanted an alternative that would reduce the risk of damage or injury posed by traditional braces to his martial arts patients.

Lingual braces (referring to their proximity to the tongue) address both of these concerns. All of the brackets and wiring are positioned out of sight. And because they're shielded by the teeth, they're not as likely to be damaged or cause injury following hard contact to the face—a great benefit for athletes, law enforcement officers and, yes, martial artists.

Even so, lingual braces won't replace the other two methods any time soon. You'll need to consider other factors, such as that lingual braces can cost up to a third more than traditional braces. And although their availability is steadily growing, not all orthodontists have been trained to offer lingual braces, so you may have to widen your search radius for a provider near you.

You may also find it takes a bit of time to get used to the feel of lingual braces. Upper braces can affect speech ability, at least initially, and the lower ones can interfere with tongue comfort. Most people, though, do adjust to them within a week or so.

But by and large, lingual braces do offer a fixed option that's out of sight, out of mind. With this newer orthodontic choice, you now have three good options for achieving a healthier mouth and a more attractive smile.

If you would like more information on methods for straightening teeth, 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 “Lingual Braces.”

4WaysYourChildsDentalHealthCanGetOfftoaGoodStartThisNewSchoolYear

If your kids are getting ready to start back with in-person school this year, you've no doubt began stocking up on new clothes and classroom supplies. Right before school begins is also a good time to make sure their teeth and gums are in good shape.

Life gets busier for families once the school year begins. It's wise, then, to take advantage of the waning summer break's slower pace to catch up on other concerns, including teeth and gum health. In that regard, here are 4 aspects of dental care deserving attention before the school bell rings in a new year.

Cleanings. Hopefully, your kids are brushing and flossing every day, a habit they've practiced from an early age. But while these hygiene tasks effectively rid the teeth of most of the accumulated dental plaque (the thin bacterial film most responsible for tooth decay), some of it can slip by. A thorough dental cleaning every six months can clear away elusive plaque and tartar (hardened plaque)—and right before the school year begins is a great time.

Checkups. Regular dental visits also make it easier to stay ahead of any developing tooth decay or other dental disease. We have advanced equipment and methods for detecting even the tiniest occurrence of disease—and the earlier we find and treat it, the less damage it can cause. We can also perform preventive procedures like sealants or topical fluoride that reduce the risk of tooth decay.

Bite evaluation. It's also a good idea for a child just starting school (around age 6) to undergo a bite evaluation with an orthodontist. These dental specialists are trained and experienced in detecting jaw and tooth development that's not proceeding on a normal track. It's possible that finding and treating a bite problem early on could help you avoid orthodontic treatment in the future.

Sports protection. In addition to school, many older kids are also preparing for a new sports season, particularly football and basketball. But kids in these and other hard contact sports are also at risk for injury, particularly to the mouth from a hard impact. You can lessen that risk by obtaining an athletic mouthguard for them that cushions any blows to the face and jaw. The best option is a custom mouthguard we create for your child based on their individual dental dimensions.

It takes a lot of time and effort to ensure your child's school year gets off to a good start. Be sure that includes looking after their dental health.

If you would like more information about children's dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Athletic Mouthguards.”

By Periodontal Associates
August 05, 2021
Category: Dental Procedures
Tags: celebrity smiles   veneers  
HowMLBStarAaronJudgeChangedHisSmileandHowYouCanToo

Between the final game of the World Series in late October and spring training in February, major league baseball players work on their skills preparing for the new season. Reporters on a Zoom call to the New York Yankees' training camp wanted to know what star outfielder Aaron Judge had been doing along those lines. But when he smiled, their interest turned elsewhere: What had Aaron Judge done to his teeth?

Already with 120 homers after only five seasons, Judge is a top player with the Yankees. His smile, however, has been less than spectacular. Besides a noticeable gap between his top front teeth (which were also more prominent than the rest of his teeth), Judge also had a chipped tooth injury on a batting helmet in 2017 during a home plate celebration for a fellow player's walk-off home run.

But now Judge's teeth look even, with no chip and no gap. So, what did the Yankee slugger have done?

He hasn't quite said, but it looks as though he received a “smile makeover” with porcelain veneers, one of the best ways to turn dental “ugly ducklings” into “beautiful swans.” And what's even better is that veneers aren't limited to superstar athletes or performers—if you have teeth with a few moderate dental flaws, veneers could also change your smile.

As the name implies, veneers are thin shells of porcelain bonded to the front of teeth to mask chips, cracks, discolorations or slight gaps between teeth. They may even help even out disproportionately sized teeth. Veneers are custom-made by dental technicians based on a patient's particular tooth dimensions and color.

Like other cosmetic techniques, veneers are a blend of technology and artistry. They're made of a durable form of dental porcelain that can withstand biting forces (within reason, though—you'd want to avoid biting down on ice or a hard piece of food with veneered teeth). They're also carefully colored so that they blend seamlessly with your other teeth. With the right artistic touch, we can make them look as natural as possible.

Although porcelain veneers can accommodate a wide range of dental defects, they may not be suitable for more severe flaws. After examining your teeth, we'll let you know if you're a good candidate for veneers or if you should consider another restoration. Chances are, though, veneers could be your way to achieve what Aaron Judge did—a home run smile.

If you would like more information about porcelain veneers, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Porcelain Veneers: Strength & Beauty As Never Before.”

By Periodontal Associates
July 26, 2021
Category: Oral Health
Tags: oral health   oral hygiene  
TakeCareofYourTeethandGumsEvenWhileCamping

July is Park and Recreation Month, a great time to pack up the tent, bed roll and camp stove and head for your nearest state or national park. Just don't take the concept of "getting away from it all" too literally. It's not a good idea to leave all of civilization behind, particularly your daily oral hygiene and dental care habits.

You might think, What's the harm going a few days without brushing and flossing? Actually, there's plenty of harm—even a brief period of neglected oral hygiene is sufficient to give oral bacteria a chance to trigger a case of tooth decay or gum disease.

It's true that you're limited on what you can take with you into the great outdoors (that's kind of the point). But with a little forethought and wise packing, you can take care of your dental care needs and still tread lightly into the woods. Here then, are a few tips for taking care of your teeth and gums while camping.

Bring your toothbrush. There are some things in your personal toiletry you may not need in the wild (looking at you, razor). But you do need your toothbrush, toothpaste and a bit of dental floss or floss picks. We're really not talking about a lot of room, particularly if you go with travel sizes. Just be sure everyone has their own brush packed separately from each other to discourage bacterial spread.

Dry and seal hygiene items. Bacteria love moist environments—so be sure you thoroughly dry your toothbrush after use before you pack it away. You should also stow toothpaste in sealable bags so that its scent won't attract critters (bears seem partial to mint). And, be sure to clean up any toothpaste waste or used floss and dispose of items properly.

Be sure you have clean water. Brushing and flossing with clean water is something you might take for granted at home—but not in camp. Even the clearest stream water may not be as clean as it may look, so be sure you have a way to disinfect it. Alternatively, bottled water is a handy option for use while brushing and flossing your teeth.

Easy on the trail mix. Although seeds and nuts make up most popular snacking mixes for hiking or camping, they may also contain items like raisins or candy bits with high sugar content. Since sugar feeds the bacteria that cause dental disease, keep your snacking on these kinds of trail mixes to a minimum or opt for snacks without these sweetened items.

Camping can be a great adventure. Just be sure you're not setting yourself up for a different kind of adventure in dental treatment by taking care of your teeth and gums on your next big outing.

If you would like more information about taking care of your teeth no matter the season, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”

By Periodontal Associates
July 16, 2021
Category: Oral Health
Tags: oral health  
DontIgnoreChronicMouthBreathing-ItCouldDisruptJawDevelopment

Although the air we breathe has one destination—the lungs—it can arrive there via two possible routes: through the nose or the mouth. In terms of survival, it matters little through which path air travels—just so it travels one of them!

In terms of health, though, breathing through the nose is more beneficial than through the mouth, and is our default breathing pattern. The nasal passages filter minute noxious particles and allergens. Air passing through these passages also produces nitric oxide, a gaseous substance that relaxes blood vessels and improves blood flow.

On the other hand, chronic mouth breathing during childhood can impact oral health. While breathing through the nose, the tongue rests against the roof of the mouth and thus becomes a mold around which the upper jaw and teeth develop. But mouth breathing places the tongue on the lower teeth, which deprives the upper jaw of support and can lead to an abnormal bite.

So why would people breathe through their mouth more than their nose? Simply put, it's more comfortable to do so. Because breathing is so critical for life, the body takes the path of least resistance to get air to the lungs. If obstructions caused by allergic reactions or swollen tonsils or adenoids are blocking the nasal pathway, the action moves to the mouth.

But chronic mouth breathing can often be treated, especially if addressed in early childhood. This may require the services of an ear, nose and throat specialist (ENT) and possible surgical intervention to correct anatomical obstructions. It's also prudent to have an orthodontist evaluate the bite and institute corrective interventions if it appears a child's jaw development is off-track.

Even after correcting obstructions, though, it may still be difficult for a child to overcome mouth breathing because the body has become habituated to breathing that way. They may need orofacial myofunctional therapy (OMT), which retrains the muscles in the face and mouth to breathe through the nose.

Chronic mouth breathing isn't something to be ignored. Early intervention could prevent future oral and dental problems and help the person regain the overall health benefits for nose breathing.

If you would like more information on overcoming chronic mouth breathing, 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 “The Trouble With Mouth Breathing.”





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