Posts for: July, 2018
Some people are lucky — they never seem to have a mishap, dental or otherwise. But for the rest of us, accidents just happen sometimes. Take actor Jamie Foxx, for example. A few years ago, he actually had a dentist intentionally chip one of his teeth so he could portray a homeless man more realistically. But recently, he got a chipped tooth in the more conventional way… well, conventional in Hollywood, anyway. It happened while he was shooting the movie Sleepless with co-star Michelle Monaghan.
“Yeah, we were doing a scene and somehow the action cue got thrown off or I wasn't looking,” he told an interviewer. “But boom! She comes down the pike. And I could tell because all this right here [my teeth] are fake. So as soon as that hit, I could taste the little chalkiness, but we kept rolling.” Ouch! So what's the best way to repair a chipped tooth? The answer it: it all depends…
For natural teeth that have only a small chip or minor crack, cosmetic bonding is a quick and relatively easy solution. In this procedure, a tooth-colored composite resin, made of a plastic matrix with inorganic glass fillers, is applied directly to the tooth's surface and then hardened or “cured” by a special light. Bonding offers a good color match, but isn't recommended if a large portion of the tooth structure is missing. It's also less permanent than other types of restoration, but may last up to 10 years.
When more of the tooth is missing, a crown or dental veneer may be a better answer. Veneers are super strong, wafer-thin coverings that are placed over the entire front surface of the tooth. They are made in a lab from a model of your teeth, and applied in a separate procedure that may involve removal of some natural tooth material. They can cover moderate chips or cracks, and even correct problems with tooth color or spacing.
A crown is the next step up: It's a replacement for the entire visible portion of the tooth, and may be needed when there's extensive damage. Like veneers, crowns (or caps) are made from models of your bite, and require more than one office visit to place; sometimes a root canal may also be needed to save the natural tooth. However, crowns are strong, natural looking, and can last many years.
But what about teeth like Jamie's, which have already been restored? That's a little more complicated than repairing a natural tooth. If the chip is small, it may be possible to smooth it off with standard dental tools. Sometimes, bonding material can be applied, but it may not bond as well with a restoration as it will with a natural tooth; plus, the repaired restoration may not last as long as it should. That's why, in many cases, we will advise that the entire restoration be replaced — it's often the most predictable and long-lasting solution.
Oh, and one more piece of advice: Get a custom-made mouthguard — and use it! This relatively inexpensive device, made in our office from a model of your own teeth, can save you from a serious mishap… whether you're doing Hollywood action scenes, playing sports or just riding a bike. It's the best way to protect your smile from whatever's coming at it!
If you have questions about repairing chipped teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”
Summer is the time for many children to experience the fun and freedom of sleepaway camp. Along with greater independence, camp brings increased responsibility for kids to take care of themselves, including taking care of their oral health.
Two keys to dental health are a balanced diet and good oral hygiene, but camp life may tempt kids to overdo the kinds of food they don’t often indulge in at home. For most campers, enjoying s’mores around the fire is a given, but these marshmallowy treats pack a punch in the sugar department. In fact, a single s’more has half the daily limit of sugar recommended by the World Health Organization—and if the sweet treat’s name is any indication, no one stops at just one! Because sticky marshmallows are a central ingredient, they are worse for the teeth than many other sweets; the goo adheres to the surface of the teeth and gets stuck between teeth and braces, increasing the potential for tooth decay. Add in plenty of opportunities to consume sugary drinks and other treats throughout the week, and sleepaway camp can be a less-than-ideal environment to maintain good oral health, especially since brushing and flossing may not be a high priority with so much else going on.
You can help your camper feel more invested in their oral hygiene routine by involving them in as many preparations as possible, such as making a list of items to pack and shopping together for dental supplies. These can include a travel toothbrush with a case and a travel-sized tube of fluoride toothpaste—or a package of pre-pasted disposable toothbrushes. And don’t forget dental floss! You may also wish to include gum sweetened with xylitol, a natural sweetener that helps fight cavities. This could come in handy for those times your child gets too busy to brush.
Consider scheduling a teeth cleaning for the downtime after your child gets home from camp and before the start of the new school year, just in case your child wasn’t the most diligent about oral hygiene while away—and to ensure that they begin the new school year in the best oral health.
If you would like more information about how your child can maintain good oral health, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “How to Help Your Child Develop the Best Habits for Oral Health” and “The Bitter Truth About Sugar.”
Along with daily oral hygiene and regular dental visits, a balanced and nutritious diet is another key part of great oral health. The foods you eat can have a profound impact on how well your teeth and gums withstand diseases like tooth decay and periodontal (gum) disease.
At the heart of proper nutrition are organic compounds called vitamins. Along with trace minerals, vitamins help the body convert food into energy, repair cellular and tissue damage and protect against environmental toxins. When you don’t receive an adequate amount of each vitamin your health can suffer; in terms of dental health, your teeth and gums can weaken and become more susceptible to disease.
Vitamins play a wide variety of roles, including within the mouth. The Vitamins A and C contained in fruits and vegetables and Vitamin E in vegetable oils are antioxidants that protect cells and their DNA from destructive elements in the environment. As such, they’re a major prevention factor against tooth decay and gum disease. Vitamin D, found in dairy products, eggs or certain seafood, is used by bone and teeth to absorb calcium. Without sufficient calcium, teeth and bone lose vitality and strength.
This recognized power of vitamins for optimum health has also fueled the multi-billion dollar nutritional supplement industry. But studies show that your best source for vitamins are the foods you eat—and the more natural foods and less processed products you eat, the better your vitamin and mineral intake. Taking supplements isn’t necessarily wrong—but it’s not in your best interest health-wise to depend on them for vitamins and minerals at the expense of healthier eating.
So in all you do to prevent dental disease, don’t overlook your diet. The vitamins and minerals you receive from foods in their most natural state will help you keep your teeth and gums healthy and your smile beautiful.
If you would like more information on the role of nutrition in dental health, 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 “Vitamins & Dietary Supplements.”