Posts for: April, 2014

By Varble Orthodontics
April 17, 2014
Category: Dental Procedures
Tags: orthodontics   braces  
ExtraCareisRequiredWhenTreatingTeenagersWithLostTeeth

Permanent tooth loss at any age greatly affects long-term oral health. But because their jaw and facial structures are still developing, it’s particularly consequential for adolescents. Add to that any planned orthodontic treatment, and a little extra care is warranted when a teenager loses a tooth.

The biggest concern is potential bone loss caused by the missing tooth. Because the mouth structures are still developing, bone loss can be especially problematic for any future restorations of missing teeth. One of the best ways to slow or stop bone loss is to surgically insert bone-grafting material at the time of an extraction. Bone grafts act as scaffolds that the body builds natural bone upon; eventually the natural bone completely replaces the graft material.

When it comes to the matter of orthodontics, the treatment plan will be to either close the space so that future tooth replacement isn’t necessary or maintain the space for future tooth replacement. If the choice is the latter, the orthodontist will maintain enough space during installation of the braces for future replacement. In the meantime, the orthodontist can install temporary, color-matched tooth replacements within the braces to cover the gap. After the braces have been removed, artificial crowns may also be incorporated into the retainers for a more natural appearance until receiving a permanent replacement.

The best choice for that permanent replacement is a dental implant, a “stand-alone” system that encourages bone maintenance and doesn’t interfere or impact adjacent teeth. The only real question for adolescents is when to install the implants.

The mouth’s structural development doesn’t conclude until early adulthood: in males around ages 20, and in females typically a year or so earlier. Your dentist will evaluate your adolescent’s growth and development to determine if he or she is ahead or behind the growth curve. Natural teeth grow and develop along with the corresponding bone growth, but implants are artificial devices that don’t “grow” with the natural bone. It’s important, therefore, to postpone an implant installation until the jaw structure has fully developed — if done too early, the implant crown’s length won’t appear to be proportionally right (especially in relation to natural teeth) as the jaw continues to grow.

If you would like more information on dental implants for teenagers, 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 “Dental Implants for Teenagers.”


JamieFoxxGetsIntoCharacterWithHelpFromHisDentist

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.”