The Golden Globes ceremony is a night when Hollywood stars shine their brightest. At the recent red-carpet event, leading man Viggo Mortensen had plenty to smile about: Green Book, the movie in which he co-starred, picked up the award for Best Motion Picture—Musical or Comedy. But fans looking at the veteran actor's big smile today might not realize that it once looked very different. A few years ago, an accident during the filming of The Two Towers took a major chip out of Mortensen's front tooth!
That might be OK for some movies (think The Hangover or Dumb and Dumber)—but it's not so great for everyday life. Fortunately, Mortensen visited a dentist promptly, and now his smile is picture-perfect. How was that accomplished? He didn't say…but generally, the best treatment for a chipped tooth depends on how much of the tooth's structure is missing.
If the tooth has only a small chip or crack, it's often possible to restore it via cosmetic bonding. This procedure can be done right in the dental office, frequently in a single visit. Here's how it works: First the tooth is cleaned and prepared, and then a tooth-colored resin is applied to the area being restored. After it is cured (hardened) with a special light, additional layers may be applied to build up the missing structure. When properly cared for, a tooth restored this way can look good for several years.
For a longer-lasting restoration, veneers may be recommended. These are wafer-thin shells made of durable material (most often porcelain) that cover the front (visible) surfaces of teeth. Strong and lifelike, veneers can match the exact color of your natural teeth—or give you the bright, high-wattage smile you've always wanted. No wonder they're so popular in Hollywood! Because veneers are custom-made for you, getting them may require several office visits.
If a chip or crack extends to the inner pulp of the tooth, a root canal procedure will be needed to keep the tooth from becoming infected—a situation that could have serious consequences. But you shouldn't fear a root canal! The procedure generally causes no more discomfort than filling a cavity (though it takes a little longer), and it can help save teeth that would otherwise be lost. After a root canal, a crown (cap) is generally needed to restore the visible part of the tooth.
When a damaged tooth can't be restored, it needs to be extracted (removed) and replaced. Today's best option for tooth replacement is a dental implant—a small, screw-shaped post inserted into the bone of your jaw that anchors a lifelike, fully functional crown. Implants require very little special care and can look great for many years, making them a top choice for tooth replacement
If you have questions about chipped or damaged teeth, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Artistic Repair Of Front Teeth With Composite Resin” and “Porcelain Veneers.”
Besides their life-likeness, implants are also prized for their high success rate. More than ninety-five percent of implants continue to function effectively after ten years.
Implants’ advanced technology explains some of their reliability and longevity—they’re as close to natural teeth as we’re now able to achieve. But their impressive success rate also owes to the detailed protocols that dentists follow to install them. One critical part of these protocols is ensuring a patient has enough bone in their jaw to support and precisely situate the implant for the best functional and aesthetic outcome.
Unfortunately, there are situations where a patient doesn’t have enough bone to achieve a satisfactory result. This often happens if there’s been months or years between losing the tooth and considering an implant. The reason why relates to the nature of bone as living tissue.
Like other cellular tissues in the body, bone has a life cycle: Older, worn-out cells die and are absorbed by the body, and new cells form to replace them. The growth cycle in the jaw receives stimulation from the forces generated when we chew, which travel up through the teeth to the bone.
However, this stimulation stops after tooth loss for the related area of bone, which can slow new bone growth. Over time, the volume and density of the bone around a missing tooth gradually decreases, enough eventually to make an implant impractical.
Insufficient bone volume, though, doesn’t necessarily mean an implant is out of the question. We may be able to address the problem by attempting to regenerate the bone through grafting. This is a procedure in which we insert graft material into the affected area of the jawbone. The graft then becomes a scaffold upon which bone cells can grow. After several months, we may have enough regenerated bone to support an implant.
If there’s been too much bone loss, we may still need to consider another form of restoration. But if we can successfully build up the bone around your missing tooth, this premier restoration for replacing lost teeth could become a reality for you.
The 2020s are here, so throw those “new decade” parties! Well, maybe. Some of your party guests might insist the Twenties won't begin until January 1, 2021. For some reason, feelings can run hot on both sides of this “debate,” enough to warm up everyone's eggnog. Instead, steer the conversation to something a little less controversial: how to achieve the best possible dental health in the upcoming decade (whenever it comes!).
Sadly, many folks don't pay attention to their dental health until it's in dire need of attention. The better approach is to be proactive, not reactive: doing things now to ensure healthy teeth and gums years, and decades, later.
If you say brush and floss daily, you're already ahead of the game. Nothing you do personally promotes a healthy mouth more than dedicated oral hygiene. But there's one more critical piece to proactive dental care—a solid partnership with us, your dental professionals. Working together, we can help ensure you remain healthy dental-wise for the long term.
To understand the value of this partnership, it helps to think of dental care as a four-phased cycle:
Identifying your individual dental risks. Because of our individual physical and genetic makeup, each of us faces different sets of risks to our dental health. Over the course of regular dental visits, we can identify and assess those weaknesses, such as a propensity for gum disease or structural tooth problems due to past tooth decay.
Designing your personal care program. Depending on your risk profile assessment, we can develop an ongoing personal care program to minimize those risks. Part of this risk-lowering plan will be identifying recommended prevention measures like enhanced fluoride applications or areas that need correction or treatment.
Treating dental problems promptly. The key to the best possible dental health is treating any arising problems as soon as possible. Diseases like tooth decay or gum disease only get worse with time and cause more damage the longer they go untreated. Treatment, though, can also extend to less urgent matters: Straightening crooked teeth, for example, can make it easier to keep them clean.
Maintaining your optimum level of health. Through comprehensive treatment and care, we can help you reach “a good place” in your dental health. But we can't stop there: We'll continue to monitor for health changes and maintain the good practices we've already established through regular care. And with any new developments, we begin the cycle again to keep you focused on optimum dental health.
No one knows what their life will be like passing through the next decade. But one thing's for certain: A dental care partnership with us can help you achieve the health you desire for your teeth and gums.
If you would like more information about ongoing dental care, please contact us or schedule an appointment. To learn more, read the Dear Doctor magazine articles “Successful Dental Treatment” and “Cost-Saving Treatment Alternatives.”
Our bodies wage a continuous war against enemies too small to be seen with the naked eye. If we’re healthy, our immune system will stop the vast majority of these microbial agents.
But some of them, viruses in particular, are so small and with certain characteristics that they can slip past our immune systems. Prevention — removing the opportunity for these viruses to gain entry into our bodies in the first place — is a key component in controlling infection.
Healthcare facilities, including dental offices, are primary battlegrounds in this war. In recent years, the stakes have increased as viral infections that cause the liver disease hepatitis (B and C) and HIV that causes the auto-immune disorder AIDS are on the rise. Although different in effect, these viruses spread in much the same way — when the blood of an infected person comes in contact with the bloodstream of another person.
The risk for this exposure is higher in situations when there’s a break in the skin. Blood transfusion, surgery centers and similar facilities with invasive procedures require high standards of protection to prevent viral transmission between people.Â This includes dental clinics — even a routine hygienic cleaning can become a conduit for viral infection.
As a result, the more than 170,000 dental providers across the country have adopted strict infection control standards that conform to the National Center for Disease Control (CDC) guidelines, as well as state and local regulations. These standards detail such issues as wearing protective equipment and clothing (like disposable gloves, gowns or facemasks), cleaning and sterilizing instruments, or disposing of bio-hazardous waste.
High infection control standards are also promoted by the professional boards and organizations of dental providers, like the American Dental Association, and are a requirement for continued membership.Â As a result, infection occurrences from dental visits or procedures are extremely rare.
We understand you may have concerns. We’re glad to discuss with you our procedures for infection control and how we’re following the highest standards to keep you and our staff safe. We’re making sure the care you receive for your teeth and gums doesn’t lead to another health problem.
If you would like more information on dental infection control practices, 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 “Infection Control in the Dental Office.”
To anyone immersed in the “X-Men Universe” Hugh Jackman will always be Wolverine, a role he played in seven movies. But there’s more to this Australian actor than mutant bone claws and mutton chops that would make Elvis envious. Jackman has also starred in over 20 non-superhero films, including Les Misérables, for which he won a Golden Globe. He is also a Tony award-winning Broadway performer—with a winning smile.
With his famed character Logan/Wolverine fading in the rearview mirror, Jackman has returned to his musical roots. He will play Harold Hill in the Broadway revival of The Music Man, set to open in Fall 2020. And since May 2019 he’s been on world tour with Hugh Jackman: The Man. The Music. The Show., featuring Jackman and a supporting cast performing songs from favorite shows and films, including Les Misérables and the 2017 hit The Greatest Showman.
The Show, with 90 planned stops throughout Europe, North America and Oceania, is a decidedly different “universe” from the X-Men. As Wolverine, Jackman could get away with a scruffier look. But performing as Jean Valjean or the bigger-than-life P.T. Barnum, he has to bring a vastly different look to the role, which brings us to Jackman’s teeth…
Once upon a time, Jackman’s teeth were an unflattering gray—definitely not a good look for stage or film. So with the help of his dentist, Jackman set about upgrading his smile with teeth whitening. Teeth whitening is a great way to take a dull, stained smile and turn up the volume on its brightness—and attractiveness—a notch or two. A dentist applies a bleaching solution that stays in contact with the teeth for a few minutes. The process is often aided by special lighting.
A professional application is especially desirable if, like Jackman, you want “Goldilocks” brightness: not too little, not too much, but just right for you. Dentists can precisely control the tint level to get a brighter but more naturally looking white. Of course, you can also get a dazzling “Hollywood” smile if you so desire.
And although the effect of teeth whitening isn’t permanent, a dental application can last a while, depending on how well you manage foods and beverages that stain teeth. With a touchup now and then, you may be able to keep your brighter smile for years before undergoing the full procedure again.
One important note, though: This technique only works with outer enamel staining. If the discoloration originates from within the tooth, the bleaching agent will have to be placed internally, requiring access to the inside of the tooth. An alternative would be porcelain veneers to mask the discoloration, an option that also works when there is ultra-heavy enamel staining.
If you’re tired of your dull smile, talk with us about putting some pizzazz back into it. Teeth whitening could be your way to get a smile worthy of Broadway.
If you would like more information about teeth whitening, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Whitening” and “Whitening Traumatized Teeth.”
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