Posts for: February, 2020
Just like adults, teenagers experience chipped, stained or disfigured teeth. And during a life stage where issues with appearance can be acutely painful, these defects call out for a solution.
And, there is one: porcelain veneers. These thin wafers of custom-made porcelain are bonded to the front of teeth to cover dental flaws. They’re one of the least invasive—and most affordable—methods for smile enhancement.
There is one caveat, though: The affected teeth will most likely need alteration. Veneers can look bulky when bonded directly to teeth, so we compensate for this by removing some of the surface enamel. This changes the tooth permanently, to the point that it will always require a veneer or some other form of restoration.
But although this may be a minor issue for an adult, it could pose a problem for a teenager. That’s because the pulp, the innermost layer of a tooth containing nerves and blood vessels, is larger in a younger adolescent tooth than in an older adult tooth. Because of its size, it’s closer to the tooth’s surface. During enamel reduction for veneers on a young tooth, this could lead to inadvertent nerve damage. If that happens, the tooth may need a root canal treatment to preserve it.
If the adolescent tooth needing a “facelift” has already been root canaled or sustained significant structural damage, then altering it for veneers may not be too concerning. Likewise, if the teeth are smaller than normal, the bulkiness of a veneer may actually improve appearance and not require alteration. We’ll need to examine a young patient first before making any recommendations.
There are also alternatives to veneers for improving smile appearance. Enamel staining could be enhanced temporarily with teeth whitening. Small chips can be repaired with bonded dental material, or in skilled hands be used to “build” a veneer one layer at a time with no enamel reduction. Although not as durable as regular veneers, these bonding techniques could buy time until the tooth is more mature for veneers.
Whichever path we take, there are effective ways to transform a teenager’s flawed tooth. And that can make for an even better smile.
If you would like more information on dental restorations 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 “Veneers for Teenagers.”
Even though teeth are resilient, they're not indestructible. An accidental collision involving the face could damage teeth, even knocking a tooth completely out of its socket.
At first, it might seem like the end of the line for that particular tooth. But it doesn't have to be—if you know what to do. But you'll have to act quickly: The longer the tooth is out of its socket, the less chance it will survive long-term.
Here are the steps you should take to save a knocked-out tooth.
Find the tooth. It's important that you locate the missing tooth quickly. When you do, don't handle it by the root end: It still contains delicate periodontal cells that are essential if the tooth is going to rejoin with the ligaments and bone. Use clean water to rinse off any dirt or debris.
Reinsert the tooth. Holding it by the crown and not the root, reinsert the tooth into its empty socket, hopefully within an hour (the faster the better). You want to make sure it's good and snug, so apply a little force when you do this. Place some clean gauze or cloth between the tooth and its opposite on the other jaw, then have the person bite down and hold it in place.
Get immediate dental care. It's preferable to find a dentist as soon as possible (if not, then the nearest emergency medical facility). The dentist will x-ray the tooth to make sure it's positioned properly, and may adjust it further if necessary. They may also splint the tooth to adjacent teeth to help stabilize it until it fully reattaches with the jaw.
Again, time is of the essence—the quicker you can perform the above steps, the better the tooth's chances. Any delay could jeopardize the tooth's ability to reattach, or it could shorten its lifespan.
You can also get guidance on treating a knocked-out tooth and other dental emergencies with a free mobile app developed by the International Association of Dental Traumatology (IADT). Just look in your Android or IOS app store for ToothSOS.
If you would like more information on what to do during a dental emergency, 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 “When a Tooth is Knocked Out.”
Controlling discomfort during dental work is one of our top priorities. Advances in anesthesia over the last century have made that objective easier to attain, especially for routine procedures.
The term anesthesia means “without feeling or pain.” It refers to the use of substances to prevent a patient’s nervous system from sensing pain. There are two basic types: general, through intravenous injection (IV) or gas inhalation that places a patient in an unconscious state; and local, which only affects the part of the body involved in the procedure while the patient remains conscious.
The latter type has become very important in dentistry, especially for mild to moderate procedures. Because teeth and gum tissues are rich in nerves, patients can have a heightened level of sensitivity that can increase anxiety and discomfort during dental work. Local anesthesia reduces that discomfort and relaxes both patient and dental provider.
We typically administer local anesthesia in two ways: by applying the anesthetic to the outside tissue surface (with a cotton swab, patch or spray) or by injection. The first type, topical anesthesia, is most often used to eliminate the pricking discomfort of the needle used to inject the main anesthetic. Using both applications eliminates any painful sensation at all — the only thing you might feel is a slight pressure during the procedure.
As mentioned before, local anesthesia benefits us as well as you. Knowing you’re at ease and comfortable allows us to better focus on the procedure — we’re not rushed to finish to spare you further discomfort. A relaxed, unhurried atmosphere is essential to a successful outcome for any dental procedure.
We’ve also found solutions for another issue with local anesthesia that concerns patients: the length of time the numbing effect lingers after a procedure. In response, the dental profession has developed different types of anesthesia that reduce this after effect considerably. We’re also more selective about what procedures actually require anesthesia — some, like routine teeth cleaning or work on the outer enamel (which doesn’t contain nerves), can usually be performed without it.
All in all, local anesthesia reduces your level of discomfort and increases our ability to be thorough in performing your dental work. You’ll not only find the experience more pleasant, but it will also enhance the quality of your care.
If you would like more information on alleviating pain and discomfort during dental work, 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 “Local Anesthesia for Pain-Free Dentistry.”