Posts for: September, 2020
Dorit Kemsley isn't shy. Best known to fans as an outspoken and sometimes outrageous cast member of the reality show Real Housewives of Beverly Hills, Kemsley is never reticent about “mixing it up” with fellow castmates or their significant others. Recently, though, she confessed to something that left her less than confident: her smile.
Kemsley has been self-conscious about her smile because her teeth looked noticeably short, worn down from an unconscious habit of grinding her teeth. Although teeth grinding is more common among children (who normally grow out of it by adolescence), it can persist into adulthood, usually from difficulties managing high stress (a likely component in the fashion designer/reality show star's busy life).
Stress-induced teeth grinding can occur during waking hours or, more likely, during deep sleep. The accumulating, long-term effects from the habit can lead not only to worn teeth but to weakened gum support, a high risk of tooth fracture or jaw pain and dysfunction.
So, how do you know if you grind your teeth, especially if it's only happening at night? Typical signs include sore jaws after awaking from sleep, increased tooth pain or sensitivity or, like Kemsley, a noticeable difference in your tooth length. Your family or sleeping partner may also complain about the “skin-crawling” noise you make during the night.
There are ways to lessen the effects of teeth grinding. The first step is to have us verify the underlying cause for the habit. If it's tension from stress, then you might reduce the habit's occurrences by learning better stress management or relaxation techniques through individual counseling, group support or biofeedback therapy. We can also fit you with a mouth guard to wear at night or through the day that reduces the force generated during teeth grinding.
And if you've already experienced accelerated tooth wear like Kemsley with a resultant “small teeth” smile, you might pursue the same solution as the RHOBH star: dental veneers. These thin, life-like wafers of porcelain are custom-made to mask imperfections like chips, staining, slight tooth gaps and, yes, worn teeth.
Veneers are often less expensive and invasive than other cosmetic techniques, yet they can have a transformative effect, as Kemsley's Instagram followers have seen. In conjunction with other dental treatments needed to repair any underlying damage caused by a grinding habit, veneers are an effective fix for the smile you present to the world.
If you suspect you may have a grinding habit, see us for a complete examination. From there, we'll help you protect your teeth and your smile.
Officially, Labor Day honors the contributions of America's working men and women. Unofficially, the long holiday weekend in early September marks the end of the laid-back summer season. The day after, Americans snap back to the business, and busyness, of life. Post-Labor Day may also be an opportune time to revitalize another kind of business: taking care of your family's oral health.
Here are a few ways to refocus on healthier teeth and gums as you and yours return to regular work, school or household routines after this last summer holiday.
Make oral hygiene a daily thing. The single best thing anyone can do to maintain good dental health is to brush and floss every day. Diligently performing these tasks prevents the buildup of dental plaque, a thin bacterial film most responsible for dental disease. Twice-a-year dental cleanings round out routine dental care and help minimize your family's risk of tooth decay and gum disease.
Restrict sugar in your family's diet. Diets high in sugar increase the risk of tooth decay. That's because the oral bacteria that cause dental disease thrive on this popular carbohydrate. So, if your summer vacation included lots of sweet treats, tighten up your family's sugar intake to the equivalent (or less) of 6-9 teaspoonfuls per day. Instead, focus on foods rich in calcium and other tooth-strengthening nutrients.
Treat emerging dental problems. Even with the best hygiene and dietary practices, none of us is completely immune from dental disease. Regular dental visits should bring to light any threats brewing against your teeth and gums. In between, though, if you or a family member notices tooth pain, swollen or bleeding gums, or other abnormal signs in the mouth, don't put off getting checked. The sooner a dental problem is treated, the less teeth and gum damage—and treatment expense—it will cause.
Pursue a smile makeover. Do you or someone you love want a new smile? Or perhaps just a tweak to your current smile? There are amazing cosmetic dental techniques available, from simple teeth whitening to dental implants for missing teeth, that could completely transform your smile appearance. And don't let age discourage you: As long as a person is in reasonably good health with no prohibitive dental conditions, they can undergo most cosmetic procedures—including orthodontics—well into adulthood.
With vacations from work winding down and school gearing up, it takes no time at all to return to a hectic pace. Just be sure to carve out some time for optimizing oral health and appearance. Even a little effort can make a lifetime of difference.
If you would like more information on enhancing your dental health and smile appearance, please contact us or schedule a consultation.
On the way to adulthood, permanent teeth steadily erupt until, if all goes normally, you have a full set of teeth. Sometimes, though, one or more teeth may fail to form. This not only can affect your dental health, but it could also diminish your smile.
For example, if the lateral incisors on either side of the central incisors (the two teeth front and center) don't develop, it could create a smile that's “not quite right.” But we can vastly improve such a smile in one of three unique ways.
The first is to fill the resulting gap through canine substitution. This is an orthodontic method in which we use braces to move the pointed canine teeth, which normally position on the other side of the missing laterals, closer to the central incisors. This choice is determined by the size of the canine teeth. If they are slim in width, they can be re-shaped to make them appear more like a lateral incisor, and the gums possibly reshaped as well around them through cosmetic surgery.
We can also install a dental bridge, an appliance that fills the missing lateral space with prosthetic teeth. A traditional bridge requires the teeth on either side of the gap to be reduced in size, which becomes a permanent alteration to accommodate these crowns. This is a disadvantage in a young person. We can also use a “bonded bridge” which uses adhesives to attach extended pieces (or “wings”) of dental material from either side of the prosthetic tooth to one or more supporting teeth. These wings are behind the permanent teeth. Though not as durable as a traditional bridge, it does avoid altering the support teeth.
Finally, we can replace the missing teeth with dental implants. In this method, we install titanium metal posts into the jawbone at the missing tooth locations and then attach a life-like crown to each one. Implants may be more costly than other restorative methods and can take several months to complete. But they are life-like, highly durable, and don't require any alteration to other teeth. A disadvantage is that you should wait until at least 19 years of age to consider this option. What many people do is use a temporary solution until the proper age to do a dental implant.
Each of these methods have their advantages and disadvantages, which should be thoroughly reviewed in consultation with your dentist. And each may also require other dental work, such as initial orthodontics to open adequate space for a restoration. But any of these methods for correcting a missing lateral tooth can be effective and help restore both a healthier mouth and a more attractive smile.
If you would like more information on treating congenital dental defects, 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 Permanent Teeth Don't Grow.”