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Posts for: August, 2014

By Howard D. Klein, DMD
August 25, 2014
Category: Dental Procedures
MarthaStewartSharesToothTouch-UpSecrets

Here’s a quick quiz: What recent activity did domestic guru Martha Stewart share via social media for the first time? Need a hint? Was she following the lead of other celebrities like rapper 50 Cent (AKA Curtis James Jackson III), actress Demi Moore and country music star LeAnn Rimes?

Give up? The answer is… she live-tweeted her visit to the dentist! Not only that, she also posted pictures of her mouth as she was undergoing an in-office whitening procedure.

Now, we understand that some might feel they don’t need to see close-ups of Stewart’s teeth under treatment. But we have to admire her for not trying to hide the fact that she’s had the same procedure that has benefited so many people, whether famous or not. Plus, her pictures actually provide a good illustration of how the treatment works.

In-office whitening treatments are the fastest way to brighten up your smile. In a single one-hour visit, your teeth can be lightened by three to eight shades — and that's a big difference! How can we achieve such dramatic results? When you’re under our direct supervision in an office setting, we can use the most concentrated bleach solutions safely and effectively. You can get similar results with custom-made trays and take-home lightening solutions we can prepare for you, but then the process will take longer.

If you look closely at her photos, you’ll see that Stewart’s lips, gums, and face are covered up to prevent any contact with the bleaching solution. She’s also wearing protective eyewear, which not only keeps chemicals away, but also guards her eyes against strong lights, which are sometimes used in conjunction with bleach. When we perform in-office whitening procedures, we use safeguards like these for all of our patients — not just celebrities!

We also perform a complete oral examination before starting any whitening procedure, to be sure you don’t have any underlying conditions that need to be treated before teeth whitening begins. That’s something you just can’t get from an over-the counter whitening product.

Teeth whitening is an effective and affordable way to give your smile a quick boost. But whether you decide to live-tweet your procedure — or keep your fans guessing about why your smile looks so good all of a sudden — that’s up to you.

If you would like more information about the teeth whitening, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Teeth Whitening” and “Important Teeth Whitening Questions Answered.”


ReplaceMissingTeethtoPreventOtherTeethFromMovingOutofPlace

Although your teeth feel as if they’re rigidly set in the jawbone, they’re actually capable of movement. In fact, dynamic tooth movement is an essential mechanism in good dental function — it allows your teeth to adapt to changes brought on by age and other factors.

The periodontal ligament is a key component in this mechanism. This elastic tissue actually holds the teeth to the bone through tiny fibers that attach to the tooth root on one side of the ligament and to the jawbone on the other. The teeth move within the ligament to maintain contact with both adjacent and opposing teeth in response to changes like the normal wear that occurs due to aging.

This is a primary reason why a missing tooth should be replaced by an artificial one as soon as possible. Because of the tendency just described, teeth next to the space left by the missing tooth will begin to move (or drift) into the space at an accelerated rate. The end result is teeth out of their normal position and range, which could seriously disrupt their normal function as well as adversely affect your appearance.

This is especially important for back teeth. Because they’re not easily visible to others when we open our mouths, many people will forgo replacement when they’re lost. But missing back teeth can set off a chain reaction of movement that could eventually hinder jaw function.

The best option for a tooth replacement is a dental implant. Life-like and durable, dental implants encourage bone growth at the implant site and adjacent teeth will respond to it as they would a natural tooth. If an implant isn’t feasible, then a fixed bridge is also a viable replacement option that will prevent drift. As a result, tooth movement should continue normally with no adverse effects on function.

If you’ve lost teeth or are about to undergo tooth extraction, it’s in your other teeth’s best interest to consider a permanent replacement. A new implant or bridge will vastly improve your smile and prevent more serious problems in the future.

If you would like more information on the importance of teeth replacement, 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 “Replacing Back Teeth.”


August 01, 2014
Category: Uncategorized
Tags: Untagged

Coming soon.


By Howard D. Klein, DMD
August 01, 2014
Category: Dental Procedures
LeaMichelesWiseDentalDecision

Not long ago, Glee star Lea Michele had all of her wisdom teeth removed. This is a very common procedure that people in their twenties, like Michele, often undergo to prevent serious dental problems down the road. The actress found that the procedure really was actually not very difficult to tolerate.

“Feeling all better from my surgery!” she tweeted to fans a few days later. “Back to work tomorrow.”

Why do wisdom teeth so often cause problems? For one thing, they come in years later than the other 28 permanent teeth — usually between the ages of 17 and 25. By that time, there is often no room in the jaw to accommodate them. As man has evolved, the jaws have actually become smaller in size — often creating a lack of space for the wisdom teeth to erupt into proper position. If wisdom teeth become blocked (impacted) by other molars that are already there, infection and damage to neighboring teeth may result.

Sometimes the wisdom teeth themselves cause the problem by growing in at an odd angle. They push against other teeth, often compromising the adjacent tooth's supporting bone. While you would think pain would occur if any of these problems were present, that does not always alert us to a wisdom-tooth problem. It's usually diagnosed with the help of x-rays.

Wisdom tooth extraction is often performed in the dental office using a local anesthetic (numbing shot) to keep you from experiencing any pain, along with conscious sedation to help you relax. The type of anesthesia that's best for you will be determined before the procedure.

After we gently remove the tooth or teeth, you may need to have the site sutured (stitched) to promote healing. You will rest for a short time before going home, and may need to have someone drive you, depending on what type of anesthesia you were given.

Once you get home, you should apply an ice pack on the outside of your cheek for about five minutes on, five minutes off for as many hours as possible to help reduce any postoperative swelling on the first day. Starting on the second day, the warm moist heat of a washcloth placed on the cheek and hot salt water rinses will make you more comfortable. You may want to eat soft foods and brush your teeth very carefully during the recovery period, which lasts only a few days as Lea Michele discovered. Before you know it, you'll be “feeling all better!”

If you have any questions about wisdom teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Wisdom Teeth.”