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Posts for category: Dental Procedures

By Silverman & Associates
February 17, 2020
Category: Dental Procedures
TimingisEverythingWhenReplacingaTeenagersMissingTooth

There are good reasons, for both health and appearance, to replace a missing tooth with a dental implant or similar restoration as soon as is practical. The bone around a tooth socket diminishes the longer it remains empty, up to 25% the first year. And, of course, your smile is less attractive, especially with a highly visible tooth.

If it’s your teenager, though, you may need to wait on a permanent restoration because their jaws are still developing. An implant placed before completion of jaw development could eventually appear out of alignment with neighboring teeth.

Our biggest concern is protecting bone health at the site of the missing tooth. We can do this and encourage growth by placing bone grafts (processed minerals from another donor) that serve as scaffolds on which surrounding bone can grow. Grafts usually dissolve (resorb) over time, but the rate of resorption can be slowed for a younger patient in need of long-term bone growth.

Planned orthodontic treatment can usually go on as scheduled. The orthodontist may accommodate the tooth loss by adding a temporary tooth within the braces or other device that matches the color and shape of the patient’s natural teeth. The orthodontist will also take care to maintain the empty space for a future implant or other restoration.

A dental implant is considered the best option for a missing tooth, not only for its life-like appearance and durability, but also its ability to encourage bone maintenance. Timing, though, is essential for teenagers. As it grows, the upper jaw will tend to move forward and down. Natural teeth move with this growth; implants, though, are attached differently and won’t move with the jawbone. While the other teeth around them move, the implants can appear to shrink back resulting in an unattractive smile appearance. So waiting until the jaw has finished growing is important.

For most people, jaw growth finishes by age twenty-one for men, women usually faster, but each person is different. The dentist’s expertise and experience, coupled with comparisons of adult family members’ facial appearances, will help determine the right time to undertake a permanent restoration for the best outcome both for health and a permanent, attractive smile.

If you would like more information on treating teenagers with missing teeth, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants for Teenagers.”

By Silverman & Associates
February 07, 2020
Category: Dental Procedures
Tags: chipped tooth  
OneVisitMayBeAllYouNeedtoRestoreaChippedTooth

As tough as teeth are, life can take its toll on them and sometimes lead to parts of them chipping off. Although it might not affect a tooth's overall health, it can certainly downgrade its appearance.

But we can restore a chipped tooth like new, and it may not require extensive dental work. Thanks to a versatile dental material called composite resin, we can often bring back a tooth's natural appearance in just one visit.

Tooth-colored resins have been around for decades, but their application has been limited due to issues with durability. Recently developed bonding techniques, though, have made them a workable option for restoring mild to moderate tooth defects.

We do this by applying and bonding the composite resin to a tooth to “fill in” the missing portion. While it's often a short process, it does require a thorough understanding of tooth anatomy, function and aesthetics.

We begin with a comprehensive exam to assess the true condition of a chipped tooth. Some dental defects might be better served with a porcelain restoration like a veneer or crown for best results. Still, there are a wide range of defects for which composite resins is a solid repair choice.

Once we've determined bonding is appropriate, we prepare the tooth by first roughening its outer surface and then etching it with an acid solution to increase bonding strength. We then apply a luting agent, a kind of dental cement, also to aid with bonding.

We then begin applying the composite resin in liquid form, one layer at a time. This layering process helps simulate the color depth and shape of the tooth, and to further incorporate strength into the restoration. We're also careful at this point to match the variations of color with those of the surrounding teeth so that it looks as natural as possible.

As we finish each layer, we apply a curing light to harden the resin. We can then polish the finished product and make adjustments for the bite. The end result is a tooth that not only looks whole, but natural and blended with the rest of your teeth. Bonding could truly change your smile in just one visit.

If you would like more information on cosmetic dental restorations, 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 “Artistic Repair of Front Teeth With Composite Resin.”

By Silverman & Associates
January 28, 2020
Category: Dental Procedures
Tags: celebrity smiles   veneers  
HowVeneersRestoredHowieMandelsWinningSmile

You probably wouldn't be surprised to hear that someone playing hockey, racing motocross or duking it out in an ultimate fighter match had a tooth knocked out. But acting in a movie? That's exactly what happened to Howie Mandel, well-known comedian and host of TV's America's Got Talent and Deal or No Deal. And not just any tooth, but one of his upper front teeth—with the other one heavily damaged in the process.

The accident occurred during the 1987 filming of Walk Like a Man in which Mandel played a young man raised by wolves. In one scene, a co-star was supposed to yank a bone from Howie's mouth. The actor, however, pulled the bone a second too early while Howie still had it clamped between his teeth. Mandel says you can see the tooth fly out of his mouth in the movie.

But trooper that he is, Mandel immediately had two crowns placed to restore the damaged teeth and went back to filming. The restoration was a good one, and all was well with his smile for the next few decades.

Until, that is, he began to notice a peculiar discoloration pattern. Years of coffee drinking had stained his other natural teeth, but not the two prosthetic (“false”) crowns in the middle of his smile. The two crowns, bright as ever, stuck out prominently from the rest of his teeth, giving him a distinctive look: “I looked like Bugs Bunny,” Mandel told Dear Doctor—Dentistry & Oral Health magazine.

His dentist, though, had a solution: dental veneers. These thin wafers of porcelain are bonded to the front of teeth to mask slight imperfections like chipping, gaps or discoloration. Veneers are popular way to get an updated and more attractive smile. Each veneer is custom-shaped and color-matched to the individual tooth so that it blends seamlessly with the rest of the teeth.

One caveat, though: most veneers can look bulky if placed directly on the teeth. To accommodate this, traditional veneers require that some of the enamel be removed from your tooth so that the veneer does not add bulk when it is placed over the front-facing side of your tooth. This permanently alters the tooth and requires it have a restoration from then on.

In many instances, however, a “minimal prep” or “no-prep” veneer may be possible, where, as the names suggest, very little or even none of the tooth's surface needs to be reduced before the veneer is placed. The type of veneer that is recommended for you will depend on the condition of your enamel and the particular flaw you wish to correct.

Many dental patients opt for veneers because they can be used in a variety of cosmetic situations, including upgrades to previous dental work as Howie Mandel experienced. So if slight imperfections are putting a damper on your smile, veneers could be the answer.

If you would like more information about veneers and other cosmetic dental enhancements, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers” and “Porcelain Dental Crowns.”

By Silverman & Associates
August 12, 2019
Category: Dental Procedures
Tags: Tooth Extraction  

How do you know if you need a tooth extracted? There are some definite signs and symptoms to pay attention to. The truth is, you need the help and expertise of your Bayside and Bellmore, NY, family dentist at Silverman & Associates to know for sure.

Pain is an important symptom that needs to be evaluated. Sometimes tooth pain can be relieved with a simple filling or root canal. In other instances, the tooth needs to be removed. These are some of the signs you might need a tooth extracted due to dental pain:

  • Severe tooth pain that continues after a dental filling has been placed
  • Severe tooth pain that continues after root canal treatment
  • Pain due to lost bone and infection from periodontal disease
  • Dental trauma due to an accident or injury
  • The loss of large amounts of tooth structure which prevents the tooth from being restored

There are other non-painful instances when you might need one tooth or several teeth extracted. One of the most common reasons is orthodontic treatment. Removal of teeth that are crowding other teeth makes orthodontic treatment quicker, easier, and more effective to give you the straight smile you want.

Wisdom teeth are also common teeth to be removed. Very few people have enough room for a third set of molars, called wisdom teeth. These teeth often don’t erupt properly or don’t erupt at all. They can cause problems for other teeth, and they are also very difficult to keep clean and healthy.

Only your dentist knows for sure whether tooth extraction is the right treatment. Your family dentists at Silverman & Associates can help you protect your smile! For more information about tooth extractions and other dental services, call (718) 225-0515 to schedule an appointment at our Bayside, NY, office or (516) 781-9700 to schedule an appointment at our Bellmore, NY, office today.

Are you thinking of getting dental implants?

Natural-Looking SmileDental Implants

The restorative procedure helps rejuvenate and strengthen your smile. If you're interested, your family dentist at Bellmore and Bayside, NY, provides dental implants.

Dental implants are biocompatible fixtures surgically placed into the jawbone. Dental implants consist of several parts a titanium post that's inserted into the jawbone, a screw that secures an abutment over the titanium post, and a crown matching the rest of your teeth to complete your smile.

The procedure is straightforward.

  1. The titanium post is surgically inserted into your jaws to replace missing tooth root. It provides stability and strength, and prevents weakening and shrinkage of the jawbone.
     
  2. After inserting the titanium post, the family dentist seals your gums and allows 3 to 6 months for osseointegration (a process of the post fusing to the rest of your jawbone) to occur.
     
  3. After healing is complete, your Bellmore and Bayside dentist re-opens the area above the titanium post, inserts a screw, places an abutment above the screw, and secures a crown on top that matches the rest of your teeth.

Caring for Dental Implants

To take proper care of your dental implants, make sure you brush your teeth at least twice a day and floss every day, at least once before bed. A change in diet may also be beneficial. Eating plenty of fruits and vegetables, and avoiding sugary foods to prevent the accumulation of plaque is good preventative care.

There are several advantages to dental implants like restoring bite and chewing function, and replacing one, or multiple teeth.

Are you missing teeth? If you're interested in finding out more about dental implants, call your family dentist at (718) 225-0515 for the Bayside, NY, office or (516) 781-9700 for the Bellmore, NY, office to learn more!