Posts for: March, 2015
On his way to the top of the urban contemporary charts, the musician, actor and entrepreneur known as 50 Cent (born Curtis James Jackson III) earned his street credibility the hard way; his rise from youthful poverty to present-day stardom is chronicled in many of his rhymes. So when it came time for the rapper to have cosmetic work performed on his teeth, he insisted on doing it in his own way.
“I told [the dentist] to leave [my front teeth] a little bigger than the other ones, because I need to still see me when I look in the mirror,” he told his co-host on the New York radio station Power 105.1. “Don't give me no whole ’noter guy — I like me!”
We understand how 50 Cent feels — in fact, we think it's a perfectly reasonable request.
Cosmetic dentistry has come a long way in recent years, as we strive to meet the increasing expectations of our patients. We realize that different people have different perceptions of what makes a smile attractive — and that in dental aesthetics, beauty really is in the eye of the beholder. That's why, before we begin cosmetic work, we want to hear what you like and don't like about your smile as it is now. In addition, we can also perform what is called a “smile analysis.”
This procedure doesn't cause any discomfort — but it's a crucial part of cosmetic enhancement. In doing the analysis, we look at the various parts of an individual's smile: the spacing, size and alignment of the teeth; the health and position of the gum line; the relationship of the upper and lower jaws; and the relative shape and size of the face. All of these features combine to make a person's smile unique. By looking at them closely, we can help determine the best way for you to improve your smile.
But how can you tell if the cosmetic changes you're contemplating will end up being just right for you? Fortunately, with today's technology, it's easier than ever. Computer imaging offers a chance to visualize the final outcome before we start working on your teeth; it's even possible to offer previews of different treatment options. If you want to go a bit further, we may be able to show you a full-scale model of your new smile.
In some situations, we can even perform a provisional restoration — that is, a trial version of the new smile, made with less permanent materials. If the “temporary” smile looks, feels, and functions just right, then the permanent one will too. If not, it's still possible to make changes that will make it work even better.
Whether you're thinking about having teeth whitening, cosmetic bonding, porcelain veneers, or dental implants to improve your smile, you probably have a picture in your mind of how the end result should look. Will your teeth be perfectly even and “Hollywood white” — or more “natural,” with slight variations in size, spacing and color allowed? Either way, we can help you get the smile you've always wanted.
If you would like more information about smile makeovers and options in cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Cosmetic Dentistry.”
If you’ve noticed a small sore in your mouth, it’s possible you have a non-contagious disease known as lichen planus. Although usually benign, it’s still a good idea to have it examined and monitored.
The condition is so named because its lesions are similar in appearance to lichen, the algae and fungi organism often found on rocks and trees. It’s believed to be a type of autoimmune disease, in which the body treats some of its own cells as foreign and reacts adversely to them. Certain medications and substances may also cause a lichenoid reaction. Besides the inner cheeks, gums or tongue, lichen planus may also appear on other skin or mucous surfaces on the wrists, legs or fingernails.
When it appears inside the mouth it usually resembles a lacy pattern of white lines or ulceration. Gum tissues may become red and inflamed, with some soreness after brushing or eating. Although there’s no known cure for lichen planus, it rarely causes serious problems — in fact, you may not even be aware you have the condition unless pointed out during a dental exam. It may, in time, fade away.
If the lesions do become bothersome (painful, itchy or overly-sensitive), there are some ways to ease discomfort: brushing with a soft toothbrush (to minimize irritation), flossing, and avoiding acidic or spicy foods and beverages which have been known to cause flare-ups. Managing stress is also helpful, and a topical steroid may be prescribed for more severe outbreaks.
Perhaps the greatest concern with lichen planus, though, is it may resemble more serious conditions, particularly oral cancer. The only way to be certain that it is a benign condition is to perform a biopsy on some of the affected tissue. If you notice a problem, be sure to visit us for a complete examination. And regardless of whether you have the condition or not, regular oral cancer screenings, as well as limits on alcohol consumption and stopping use of tobacco, will also reduce your risk of oral cancer.
Odds are if you have a case of lichen planus it isn’t causing you any problems. If it does cause you discomfort, though, you can take steps to ease your symptoms.
The lengths that some comedians will go to for a laugh! Actor Ed Helms, as dentist Stu Price, pulled out his own tooth in the movie The Hangover. Or did he? Turns out Helms really is missing a tooth, which never grew in. When he was in his late teens, he received a dental implant to make his smile look completely natural.
Helms told People magazine he wasn't exactly eager to remove the implant crown that had served him so well for almost 20 years, but there was no better way to do the famous tooth-pulling scene.
“We started to do different tests with prosthetics and blacking it out and nothing worked,” Helms told the magazine. Helms' dentist said it would be okay to take the implant crown out. “My dentist was really into it,” Helms said. The rest is movie history!
Congenitally missing (“con” – together with; “genital” – relating to birth) teeth are inherited and actually quite common. More than 20% of people lack one or more wisdom teeth, for example. These would not usually be replaced if missing (in fact, wisdom teeth are often removed) but it's a more serious issue when the missing tooth is in the front of the mouth — and not just for aesthetic reasons.
When a particular type of tooth is missing, it disrupts the pattern and function of the teeth. If left alone, sometimes the existing teeth will shift to close the gap. It's like removing a brick from an arch — the rest of the bricks would fall together in a different formation (or collapse entirely). And when upper and lower teeth don't come together properly, they can't function well.
The best treatment for this type of situation is the one Ed Helms had: a dental implant. They look and function like real teeth and do not attach to or damage adjacent teeth as other tooth-replacement options might.
It is important that a child with a congenitally missing tooth wait until jaw growth is complete — different for every person but usually in the late teens — before getting an implant. Otherwise, the artificial tooth might eventually appear too short when the person has stopped growing. In the meantime, there are temporary tooth replacements that can be made.
If you would like more information about options for congenitally missing teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “When Permanent Teeth Don't Grow.” Dear Doctor also has more on “Teenagers & Dental Implants.”