Posts for: October, 2013
Athletic activity can boost your health, but many sports also carry some risk — especially to the teeth. This is something NFL wide receiver Jerry Rice well knows.
“Football can be brutal — injuries, including those to the face and mouth, are a common risk for any player,” Rice noted in an interview with Dear Doctor magazine. In fact, Rice himself chipped a couple of teeth, which were repaired with crowns. “There wasn't a lot of focus on protecting your teeth in high school,” Rice recalled.
You don't have to be a legend of the NFL to benefit from the type of high-quality mouthguard a dentist can make for you or your child. Consider that:
- An athlete is 60 times more likely to suffer harm to the teeth when not wearing a mouthguard.
- Mouthguards prevent an estimated 200,000 or more injuries each year.
- Sports-related dental injuries account for more than 600,000 emergency room visits annually.
- Each knocked-out tooth that is not properly preserved or replanted can cause lifetime dental costs of $10,000 to $20,000.
You and/or your child should wear a mouthguard if you participate in sports involving a ball, stick, puck, or physical contact with another player. Mouthguards should be used for practice as well as actual games.
It's also important to be aware that all mouthguards are not created equal. To get the highest level of protection and comfort, you'll want to have one custom-fitted and professionally made. This will involve a visit to our office so that we can make a precise model of your teeth that is used to create a custom guard. A properly fitted mouthguard is protective, comfortable, resilient, tear-resistant, odorless, tasteless and not bulky. It has excellent retention, fit, and sufficient thickness in critical areas.
If you are concerned about dental injuries or interested in learning more about mouthguards, please contact us today to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Jerry Rice, please see “Jerry Rice.” Dear Doctor also has more on “Athletic Mouthguards.” and “An Introduction to Sports Injuries & Dentistry.”
Dental implants are a great choice for many people who need to permanently replace a missing tooth. Reliable and long-lasting, they offer a highly successful outcome, and can even help reduce long-term bone loss and damage to adjacent teeth. One of the best features of implants is that the titanium metal of which they're made actually becomes fused with your natural, living bone tissue.
But sometimes, an examination may show that where you have missing teeth, you may not have enough bone remaining to properly place an implant. Does this mean you're out of luck? Not necessarily!
Employing the refined techniques of bone grafting, regenerating bone tissue has become a standard procedure in periodontal and oral surgery. In many cases, it's possible to build up just the right amount of bone using a variety of grafting materials, in combination with other special techniques. This can enable patients who wouldn't otherwise be good candidates to enjoy the benefits of dental implants.
How does it work? Basically, by helping your body repair itself.
You may already know that bone is a living tissue, which can respond to its environment positively (by growing) or negatively (by resorbing or shrinking). When you've lost bone tissue, the trick is to get your body to grow more exactly where you want it. Once we know where — and how much — replacement bone is needed, we can place the proper amount of bone grafting material in that location. Then, in most cases, the body will use that material as a scaffold to regenerate its own bone.
Bone grafting is often done at the time of tooth removal as a preventive procedure or prior to the placement of an implant, to give the body time to re-grow enough of its own tissue. The procedure is generally carried out under local anesthesia, or with the aid of conscious sedation. Sometimes, if there is enough natural bone to stabilize it, it's even possible to place an implant and perform a bone graft at the same time.
So if you're considering dental implants, let us advise you on what's best for your particular situation. We have the knowledge and experience to help you make the right choices, and achieve the most successful outcome.
If you would like more information about bone grafting, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine article “Can Dentists Rebuild Bone?”
Imagine this: your active, adventurous child — or adolescent — loves high-risk contact sports like hockey or football, and while playing breaks a front tooth. After an emergency trip to our office, we recommend bonding as a good choice for this repair.
“What is bonding?” you ask. Here's what you need to know. In a bonding procedure, a composite resin restoration material is attached (bonded) to the broken tooth, and it looks as good as new.
Composite resin restorations are tooth-colored filling materials composed of a special plastic-based matrix for strength, with glass filler for aesthetics and translucence. The combination looks just like a natural tooth. The composite resin material is physically bonded to the remaining healthy tooth structure. First the natural tooth enamel or dentin must be etched so that the composite resin can attach and actually join to the tooth. In the end it will function as one and look exactly like a tooth.
Composites can be placed directly on the teeth in our office, quite easily, and they are relatively inexpensive. They look natural and can be matched to your child's natural tooth. They require little to no tooth reduction. Bonded composite resin restorations are the best choice for children and teenagers because their teeth and jaws are still growing and developing. What's more, they are still active in their sports and could need further restorations.
Composite resin restorations may need to be replaced with more permanent restorations after your child is fully grown. The bonded resin restorations may wear over time, and may stain and dull somewhat with age. When your child has completed growth, more permanent restorations such as porcelain veneers or crowns may be necessary.
By the way, a custom-made mouthguard might have prevented injury in the first place and certainly should be considered in the future.
If your child has chipped or damaged a tooth, contact us today to schedule an appointment or to discuss your questions about bonding and a protective mouthguard. You can also learn more by reading the Dear Doctor magazine article “Repairing Chipped Teeth.”
It used to be that the only option for straightening a teenager's teeth involved lots of shiny hardware. Besides the esthetic downside, traditional orthodontic devices (braces) can interfere with the enjoyment of certain favorite foods, irritate the inside of the mouth, trap food particles (potentially another esthetic embarrassment and sustenance for cavity-causing bacteria), and complicate dental hygiene routines.
These aren't causes for concern with clear orthodontic aligners, however, which consist of a series of transparent plastic, removable trays that fit over the teeth and gradually move them into better positioning. About every two weeks, the teen proceeds to the next aligner in the progression (or set of aligners if treatment involves both the upper and lower teeth) until the improved alignment goal is reached. The trays are meant to be worn 22 hours a day, but they can be removed for eating, brushing and flossing, and, on a limited basis, special occasions.
Thanks to relatively recent developments in the design of clear aligner systems, teens who previously were not considered good candidates for this modality may now have this option available to them. This includes:
- Teens whose second molars (the last to come in except for wisdom teeth) haven't fully emerged. Aligners now come with “eruption tabs” that serve as place-holders for teeth that are still growing into position.
- Teens with severely rotated teeth requiring complicated movement. Tooth-colored attachments called “buttons” can be temporarily bonded onto teeth to provide additional leverage, and elastics (rubber bands) can also be used to promote movement.
Compliance is always a concern with any orthodontic treatment — whether it be gum chewing with traditional braces or wearing clear aligners for the requisite period of time each day. Aligners now come with built-in colored “compliance indicators” that fade with use over time. This makes it possible for orthodontists, dentists, parents and teens alike to monitor both compliance and treatment progress.
If you would like more information about clear orthodontic aligners 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 “Clear Aligners for Teens.”
According to NFL football legend Jerry Rice, “Football can be brutalÃ¢Â€Â”injuries, including those to the face and mouth, are a common risk for any player.” And if anyone should know, it would be Jerry.
During an interview with Dear Doctor magazine, the retired NFL pro discussed his good fortune to have had just a few minor dental injuries during his pro playing days. He credits this success to the trainers and protective equipment professional football teams have to keep the players off the injured list. However, this was not the case during his earlier years in football. “There wasn't a lot of focus on protecting your teeth in high school,” he said. “You had to buy your own mouthguard.” He continued, “Things changed, though, when I went to college.”
Unfortunately, not much has changed since Jerry's high school days for young athletes. This is why we feel it is so important that parents and caregivers understand the risks and take proactive steps towards protecting the teeth, gums, bone and soft tissues of their children with a mouthguard. This is especially true for anyone — adults included — participating in high-contact sports such as basketball, baseball, hockey (field and ice), football, soccer, wrestling, martial arts, boxing and activities such as skateboarding, in-line skating and skydiving.
But all mouthguards are not the same. The best mouthguard, based upon evidence-based research, is one that is custom-designed and made by a dental professional, with the athlete's individual needs taken into account.
We make our custom mouthguards from precise and exact molds of your teeth, and we use resilient and tear-resistant materials. Once completed, it should be comfortable yet fit snugly so that you are able to talk and breathe easily with it in place. It should also be odorless, tasteless, not bulky and have excellent retention, fit and sufficient thickness in critical areas.
And while mouthguards may seem indestructible, they do require proper care. You should clean it before and after each use with a toothbrush and toothpaste, transport and store the mouthguard in a sturdy container that has vents, make sure not to leave it in the sun or in hot water and rinse it with cold, soapy water or mouthwash after each use. And last but not least, you should periodically check it for wear and tear so that you will know when replacement is needed.
To learn more about mouthguards, continue reading the Dear Doctor magazine article “Athletic Mouthguards.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and make molds of your teeth for your custom mouthguard. And if you want to read the entire feature article on Jerry Rice continue reading “Jerry Rice — An Unbelievable Rise To NFL Stardom.”