Kenosha, WI 53144
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- February (4)
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- Treating Teeth Grinding Now Could Help Prevent Excessive Tooth Wear Later
- Keep a Lookout for These Soft Tissue Conditions in the Mouth
- Dental Implants and Sedation Options
- Jimmy Fallon Can’t Catch a Break - Except in His Tooth
- Choosing a Screw or Cement to Attach an Implant Crown
- Dental Implants and Smoking - Cause for Concern?
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- Four Tips for Preventing Premature Loss of Baby Teeth From Tooth Decay
- New Understanding of Bacteria Promises Better Approaches to Oral Care
- Dr. Travis Stork: Don't Ignore Bleeding Gums
- Where - and How - Does it Hurt? Getting to the Source of Tooth Pain
- The Parts Of A Dental Implant
- Reduce Sugar Consumption - for a Healthier Mouth and Body
- October (4)
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- RPDs Offer Another Tooth Replacement Option for those on a Tight Budget
- America's (Dentists) Got Talent - for Fixing Damaged or Missing Teeth!
- Help Your Child Develop Good Oral Habits and Avoid Bad Ones
- Reducing Tooth Sensitivity will Depend on the Cause
- What is a Single-Visit Root Canal?
- Keep Your Saliva Flowing - Your Oral Health Depends on it
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- Ariana Grande Breaks Free - of Her Wisdom Teeth
- Prudent Use of X-Rays in Children Provides the most Benefit at the Lowest Risk
- The Details About Your Tooth Sensitivity Pain can tell you a Lot About the Cause
- Do Your Dentures and Mouth a Favor: Take Them Out at Night
- Beyonce Makes Flossing a Family Affair
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- 5 Ways to Make Your Smile More Confident and Inviting
- To Prevent Tooth Decay, Practice Effective Brushing and Flossing
- Revitalize Your Whole Smile
- Oral Irrigation can be an Effective Alternative to Traditional Flossing
- Even Celebrities Like Jennifer Lawrence Aren't Immune From Bad Breath!
- Staining Within a Tooth Requires a Clinical Whitening Approach
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- Life-like Dental Porcelain Helps Restore Smiles Marred by Unattractive Teeth
- Get the Facts About Popular Artificial Sweeteners
- Protect Your Smile With Dental Implants
- Oral Sedation Helps Reduce Anxiety During Dental Treatment
- Game, Set, Match: Milos Raonic Says A Mouthguard Helps Him Win
- The Type of Mouthrinse you use Could be Doing More Than Freshen Breath
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- What Are Some Procedures to Enhance My Smile?
- An Oral Appliance for Sleep Apnea may be the Right Option for You
- Beyond Their Marketing Claims, Most Toothpastes are Surprisingly Similar
- Master Illusionist Benefits from the Magic of Orthodontics
- Clear Aligners Provide a Less Embarrassing Orthodontic Choice for Teens
- December (6)
- Paying Attention to Certain Factors Helps Ensure Successful Implant Outcomes
- 5 Questions to Ask Yourself About Your Risk for Tooth Decay
- Actor David Ramsey Says: Don't Forget to Floss!
- Bitewing X-Rays Provide Early Detection of Tooth Decay in Back Teeth
- Word Quiz on Oral Hygiene
- What are CEREC Crowns?
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- Teens May Need a Temporary Replacement for Missing Teeth
- Why do my teeth become stained if I brush everyday?
- What Is A Baby Tooth Worth?
- How Dental Sealants Work
- Should I Consider Sedation Dentistry?
- Kristin Cavallari's "Spaghetti Catcher" - First Step To A Winning Smile
- Are Dental Implants Right for Me?
- Teeth Make a Picture-Perfect Smile
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- Acute Tooth Pain may be Signaling Your Need for Root Canal Treatment
- Determining the Cause of Tooth Looseness Key to Effective Treatment
- Fixing that Gap in your Teeth
- Anchorage Devices can add Stability During Orthodontic Treatment
- Why Should You "Like" Your Dentist on Facebook?
- The Sweet and Lowdown on Sugar Substitutes
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- Plan Your Sports Nutrition and Hydration to Reduce Tooth Decay Risk
- Frequently Asked Questions About Porcelain Veneers
- Martha Stewart Shares Tooth Touch-Up Secrets
- Implant-Supported Teeth: a New Option for Patients With Total Tooth Loss
- Planning and Prevention Help Keep Treatment Costs Within Your Budget
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There are good reasons, for both health and appearance, to replace a missing tooth with a dental implant or similar restoration as soon as is practical. The bone around a tooth socket diminishes the longer it remains empty, up to 25% the first year. And, of course, your smile is less attractive, especially with a highly visible tooth.
If it’s your teenager, though, you may need to wait on a permanent restoration because their jaws are still developing. An implant placed before completion of jaw development could eventually appear out of alignment with neighboring teeth.
Our biggest concern is protecting bone health at the site of the missing tooth. We can do this and encourage growth by placing bone grafts (processed minerals from another donor) that serve as scaffolds on which surrounding bone can grow. Grafts usually dissolve (resorb) over time, but the rate of resorption can be slowed for a younger patient in need of long-term bone growth.
Planned orthodontic treatment can usually go on as scheduled. The orthodontist may accommodate the tooth loss by adding a temporary tooth within the braces or other device that matches the color and shape of the patient’s natural teeth. The orthodontist will also take care to maintain the empty space for a future implant or other restoration.
A dental implant is considered the best option for a missing tooth, not only for its life-like appearance and durability, but also its ability to encourage bone maintenance. Timing, though, is essential for teenagers. As it grows, the upper jaw will tend to move forward and down. Natural teeth move with this growth; implants, though, are attached differently and won’t move with the jawbone. While the other teeth around them move, the implants can appear to shrink back resulting in an unattractive smile appearance. So waiting until the jaw has finished growing is important.
For most people, jaw growth finishes by age twenty-one for men, women usually faster, but each person is different. The dentist’s expertise and experience, coupled with comparisons of adult family members’ facial appearances, will help determine the right time to undertake a permanent restoration for the best outcome both for health and a permanent, attractive smile.
If you would like more information on treating teenagers with missing teeth, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants for Teenagers.”
Losing a tooth affects not only your smile but your overall dental health too. A dental implant solves both issues: it replaces the whole tooth, including the root, to merge durability with a life-like appearance.
For teenagers with a missing tooth, however, an implant may not be a good idea, at least until they've physically matured. Although their permanent teeth have usually all come in by puberty, the jaws and facial structure continue to develop into early adulthood. An implant placed too early could appear misaligned when the jaw fully matures.
The best approach for teens is a temporary replacement until they're physically ready for an implant. There are two good options: a removable partial denture (RPD) or a fixed bonded bridge.
Common among adults, an RPD is also a viable replacement for a teenager's missing tooth. An RPD consists of a prosthetic (false) tooth set in a nylon or acrylic base that resembles gum tissue. Metal clips formed in the RPD fit over adjacent teeth to hold the appliance in place; this also makes it easy to remove for cleaning or sleep time. We typically recommend an acrylic base for teens because it's easier to adjust if the RPD's fit becomes loose.
To hold it in place, a traditional bridge uses crowns on either side of the replacement tooth to bond over the natural teeth next to the open socket. Because this requires permanently altering the support teeth, we recommend a bonded bridge that doesn't.
This modified bridge uses wing-like strips of dental material on the back of the false tooth that project outward. With the tooth in place, we bond the extending portions of these projections to the back of the adjacent teeth, which secures the false tooth in place.
Of the two options, the bonded bridge is more comfortable, buys the most time and looks the most natural. But it will cost more than an RPD. Bite issues, teeth grinding, overall gum health or your child's level of hygiene conscientiousness could also nix it as a viable option.
Either choice will effectively replace your child's missing tooth until it's time for a permanent restoration. We'll help you weigh all the factors to determine which one is best for your situation.
So you’re tearing up the dance floor at a friend’s wedding, when all of a sudden one of your pals lands an accidental blow to your face — chipping out part of your front tooth, which lands right on the floorboards! Meanwhile, your wife (who is nine months pregnant) is expecting you home in one piece, and you may have to pose for a picture with the baby at any moment. What will you do now?
Take a tip from Prince William of England. According to the British tabloid The Daily Mail, the future king found himself in just this situation in 2013. His solution: Pay a late-night visit to a discreet dentist and get it fixed up — then stay calm and carry on!
Actually, dental emergencies of this type are fairly common. While nobody at the palace is saying exactly what was done for the damaged tooth, there are several ways to remedy this dental dilemma.
If the broken part is relatively small, chances are the tooth can be repaired by bonding with composite resin. In this process, tooth-colored material is used to replace the damaged, chipped or discolored region. Composite resin is a super-strong mixture of plastic and glass components that not only looks quite natural, but bonds tightly to the natural tooth structure. Best of all, the bonding procedure can usually be accomplished in just one visit to the dental office — there’s no lab work involved. And while it won’t last forever, a bonded tooth should hold up well for at least several years with only routine dental care.
If a larger piece of the tooth is broken off and recovered, it is sometimes possible to reattach it via bonding. However, for more serious damage — like a severely fractured or broken tooth — a crown (cap) may be required. In this restoration process, the entire visible portion of the tooth may be capped with a sturdy covering made of porcelain, gold, or porcelain fused to a gold metal alloy.
A crown restoration is more involved than bonding. It begins with making a 3-D model of the damaged tooth and its neighbors. From this model, a tooth replica will be fabricated by a skilled technician; it will match the existing teeth closely and fit into the bite perfectly. Next, the damaged tooth will be prepared, and the crown will be securely attached to it. Crown restorations are strong, lifelike and permanent.
Was the future king “crowned” — or was his tooth bonded? We may never know for sure. But it’s good to know that even if we’ll never be royals, we still have several options for fixing a damaged tooth. If you would like more information, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Crowns and Bridgework.”
When you visit us for your regular checkup we're examining more than your teeth and gums. We're also checking to see if you're having problems with soft tissues in and around your mouth.
Besides canker sores, rashes or other types of abnormalities, our exam may uncover strange looking lesions known as lichen planus on the inside of the mouth. These purple-tinted bumps or rash-like discolorations are named for their similarity in appearance to lichen fungi found on trees or rocks. Although these mouth sores may look odd, they're fairly rare and usually do not cause concern.
Most people don't even know they have lichen planus until it's discovered during a dental exam. If there are any symptoms, it's usually a feeling of roughness, tenderness or itching. They may increase your sensitivity to spicy or acidic foods, but rarely cause extreme pain. If they're located around the gums, you may also notice a little soreness after brushing or eating.
To confirm it is lichen planus, we need to perform a biopsy. During this procedure, we remove a tiny amount of the affected tissue and have it examined microscopically. We do this not only to determine the correct diagnosis, but also to rule out more serious problems like pre-cancerous lesions or oral cancer.
Thankfully, though, this worst case scenario is quite rare, and although the condition can't be cured, there are some things you can do to keep any discomfort to a minimum. If the lesions are irritating, we recommend using a soft toothbrush with gentle brushing action. You may also want to limit or avoid spicy or acidic foods like citrus, tomatoes, hot peppers and caffeinated drinks. Managing stress can also help. For some extreme conditions, we can prescribe a topical steroid to help relieve discomfort.
If you notice any of the above symptoms, be sure to contact us or point it out at your next appointment. Once we know what we're dealing with, we can take steps to treat you.
If you would like more information on different types of mouth sores, 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 “Lichen Planus.”
Your teeth naturally wear as you age, but you may be making it worse if you grind your teeth.
Teeth grinding is a behavior that causes the teeth to gnash, grind or clench against each other generating forces greater than those produced from normal biting. These forces often result in tooth wear that cause not only functional problems but result in a more aged appearance. Grinding occurs while a person is awake, but most often episodes occur while asleep at night.
Teeth grinding is quite common in children, but not usually of great concern since most grow out of it. There's even a school of thought that teeth grinding might even help readjust an uneven bite.
Among adults, though, other factors seem to contribute to teeth grinding. Many researchers believe nighttime grinding occurs as a person passes through different sleep phases including deep REM (Rapid Eye Movement) sleep. It may also have a connection with chronic snoring.
Certain medications seem to contribute to teeth grinding, particularly psychoactive drugs like amphetamines. Nicotine falls in this category, which could be why tobacco users report twice the incidence of the habit compared to non-users. Teeth grinding is also connected to another fact of modern life: stress. People who grind their teeth tend to have higher levels of anxiety, hostility or depression.
Because there are multiple triggers, there are many treatment approaches. Whatever course we take, our aim is to eliminate or minimize those factors that contribute to your habit. For example, we can create a custom mouth guard for night wear to prevent the teeth from making solid contact and thus reduce the biting pressure.
Perhaps the most important thing is to control or reduce stress. This is particularly helpful at night to prepare you for restful sleep by changing some of your behaviors. We also encourage investigating other stress therapies like biofeedback, meditation or group therapy.
Whatever the means, bringing teeth grinding under control not only reduces problems now, but could also help prevent abnormal teeth wearing and future health issues down the road.
If you would like more information on causes and treatments for teeth grinding, 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 “Stress & Tooth Habits.”
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