Posts for: December, 2013

By J. Marie Stidham, DMD, PA
December 30, 2013
Category: Dental Procedures
AvoidingtheJimCarreyChipped-ToothLook

Fans of the classic bumbling-buddies comic film “Dumb and Dumber” will surely remember the chipped front tooth that Jim Carrey sported as simpleminded former limo driver Lloyd Christmas. Carrey reportedly came up with the idea for this look when considering ways to make his character appear more “deranged.” He didn't need help from the make-up department, however… He simply had his dentist remove the dental bonding material on his left front tooth to reveal the chip he sustained in grade school!

Creating a Bond
A dental cosmetic bonding involves application of a composite filling material that our office can color and shape to match the original tooth. Bonding material can be used to replace the lost portion of tooth or to seamlessly reattach the lost portion if it has been preserved and is otherwise undamaged. Little to no removal of existing tooth surface is needed. This is the quickest and lowest-cost option to repair a chip.

Alternatives
When a relatively large portion of the tooth is missing, a crown is often the better choice. It fully encases the visible portion of the remaining tooth above the gum line and is shaped and sized to match the original. It can be made of tooth-colored porcelain fused to metal crowns or all-ceramic (optimal for highly visible areas). A small amount of the existing tooth surface will be removed to allow the crown to fit over it.

A veneer can be used to hide smaller areas of missing tooth. This is a thin, custom-made shell placed on the front of the tooth to give it a new “face.” Some removal of existing tooth surface also may be necessary to fit a veneer.

A chipped tooth makes an impression, but generally not a flattering one. Nearly 20 years after “Dumb and Dumber” hit the theaters, the only thing Jim Carrey had to do recently to hint at a sequel for his nitwitted character was tweet a photo of that goofy grin!

If you would like more information about repairing a chipped tooth, 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 J. Marie Stidham, DMD, PA
December 27, 2013
Category: Oral Health
SecondThoughtsonTonguePiercingShouldYouRemoveYourTongueBolt

It was one of those things that seemed like a good idea at the time. Maybe it was years ago, or maybe it was yesterday — at some point in your past life you had your tongue pierced and a metal bolt inserted. But now you are wondering whether you made a bad decision. If you have the bolt removed from your tongue, will your mouth go back to being the way it was before the piercing?

The answer is yes, your oral health will improve when you remove a tongue bolt. There are many reasons for this. Your tongue has a rich blood vessel supply to fuel its energy needs and heals quickly.

Some people suffer from chronic pain as long as the bolt is in place. In addition to pain, tongue piercing is associated with other risks. The bolt can chip your teeth or cause tooth sensitivity. It can also cause your gums to recede from your teeth. You may also suffer from inflammation and infection in your gums. This can lead to bone loss and ultimately to loss of teeth.

A piercing and tongue bolt can also cause damage to the nerves in your tongue. This causes pain for some people until the bolt is removed. Your tongue is well supplied with nerves as well as blood vessels. That is why biting your tongue hurts and bleeds a lot, another good reason for not having a piercing.

So what happens if you have the bolt removed? In most cases conditions in your mouth will return to normal. We will want to monitor your condition after removing the bolt to make sure it has not caused collateral damage to your gums and teeth and other oral structures.

Removing the bolt will leave your tongue with a hole that is likely to close spontaneously. If it does not close, a small surgical procedure can remove the skin that lines the holes, which are then stitched closed. This procedure is done with local anesthesia so you don't feel anything, and healing is usually quick and without complications.

If you are having second thoughts about a tongue piercing, it's time to make an appointment for a consultation with us. You can also view the Dear Doctor magazine article “Oral Piercing.”


By J. Marie Stidham, DMD, PA
December 12, 2013
Category: Dental Procedures
JaneFondaChoosesNewTeethOveraNewCar

Not long ago, Jane Fonda gave a British interviewer a clue as to how she manages to look so young at her advanced age. During the 2011 Cannes Film Festival, the septuagenarian actress and fitness guru said to a journalist from the London-based Daily Mail, “See these teeth? They cost $55,000. It was teeth or a new car — and I opted for the teeth.”

We think she made the right choice — though she might have overpaid just a tad. Most people don't have that kind of cash to spend on either a car or new teeth. But luckily, you can get either for a lot less — particularly the teeth!

The truth is, at a reasonable cost, cosmetic dentistry really can make you look a lot younger while giving your self-esteem a tremendous boost. It's an investment in both your emotional and oral health as we will never implement a smile makeover without first making sure we've addressed any underlying dental disease. Best of all, it doesn't have to cost anywhere near what you'd pay for the latest-model Jaguar, the price tag of Fonda's smile notwithstanding. Here is a list of the more common cosmetic dental techniques used to enhance a person's smile:

  • Whitening — a peroxide-based bleach is applied directly to the teeth to remove minor staining and discoloration.
  • Bonding — an acrylic material is applied to a tooth, colored and shaped to match the person's other teeth. Primarily used for chipped, broken or decayed teeth.
  • Enamel Shaping — the removal of very tiny amounts of enamel, the tooth's outer layer, for a more pleasing tooth shape.
  • Veneers — a thin shell of custom-designed tooth-colored material, usually porcelain, affixed to the front surface of the teeth.
  • Crowns and Bridgework — a technique that covers heavily damaged teeth or replaces missing teeth by capping them, or using capped teeth to support one or more false teeth.
  • Dental Implants — a small titanium post is surgically implanted in the jawbone to replace the root-part of a missing tooth. A lifelike crown is attached to the implant above the gum line and is the only part of the whole tooth restoration that is visible in the mouth.
  • Gum Contouring — a minor surgical procedure altering the position of the gum tissue to improve the look and regularity of the gum line around the teeth.

If you'd like more information on cosmetic dentistry, please contact us or schedule an appointment. To learn more, please read the Dear Doctor magazine articles, “Beautiful Smiles by Design” and “The impact of a Smile Makeover.”