Wednesday 27 May 2015

The Ins and Outs of Using Dental Veneers

What are dental veneers?
Dental Veneers
Dental veneers are wafer-thin pieces of porcelain that are used to replace damaged enamel on your teeth in order to rejuvenate your smile. Also referred to as porcelain veneers, dental veneers have a wide range of applications, allowing us to restore your teeth if they are broken, cracked, or chipped, among other things. The dental veneers are extremely thin, which allows them to be easily placed onto the teeth in a way that looks natural. In fact, dental veneers are so natural looking, that most of our patients will even forget which of their teeth have been repaired with the veneers.

How are dental veneers placed?
Before dental veneers are actually placed, we need to determine if you are a good candidate for the product. Typically most people are, but we will schedule an initial first consultation to determine if there are any underlying problems that may prevent you from getting dental veneers and would require different treatment options. During this consultation, we would conduct a smile analysis, which tells us what kind of a smile you are hoping to achieve, and what products can be used to help get you there. We sometimes do a cosmetic imaging to demonstrate the type of smile that dental veneers can help you to achieve.

Once we decide on dental veneers as a great option, we will schedule fitting and placing appointments. The first appointment begins with shaving away a small portion of the enamel. Usually, dental veneers do not require more than a few millimeters to be shaved away. The reason for shaving the enamel is so that the porcelain can fit flush with the tooth, making sure to maintain the natural contour of the tooth, and ensuring that the porcelain veneers look and feel like real teeth. Next, we will make an impression of your teeth and send it along with notes to the dental lab.  While they are creating your permanent veneer, you will need to wear a temporary one that will be removed in a week or two.We will make sure that the color, shape, and size of the veneers gives your teeth a look of perfection and once we have achieved that, the dental veneers will be cemented in place using dental cement.

What are dental veneers used for?
Dental veneers are extremely malleable solutions, so we use them for a wide range of solutions. The most common, and commonly read about, reason people chose veneers is the desire for a perfect Hollywood type smile. This means perfectly shaped, perfectly white teeth. To do this veneers are an excellent choice since they can cover most imperfections perfectly. As such porcelain veneers can be used to correct minor alignment issues, to ensure that you have not unsightly spaces or gaps between your teeth, and to ensure that the teeth are all the right length and size. Veneers are also used to improve and whiten teeth that are stubbornly refusing to respond to the traditional tooth whitening formulas. As we mentioned earlier, one of applications that dental veneers have is to fix broken, chipped, or cracked teeth. This solution is used because the porcelain veneers do not require a great deal of the normal enamel to be removed. Unlike a dental crown, the veneers fit in with the enamel after a few millimeters has been shaved off.


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Monday 4 May 2015

What You Should Know About Wisdom Teeth Extraction

Wisdom Teeth Extraction
Wisdom Teeth Extraction
A wisdom teeth extraction is the surgical procedure by which one or more wisdom teeth are removed. Wisdom teeth are the four permanent adult molars located at the very back of your mouth, two on top and two on the bottom. Their rather imaginative name stems from the fact that they erupt much later than the other permanent teeth (approximately between the ages of 15 and 25). The person has already achieved adulthood and is, supposedly, 'wiser'.

Many people have wisdom teeth that erupt normally and cause them no problems. However, countless others are not quite as lucky, in which case wisdom teeth extraction is the simplest course of treatment since our softer, easier to chew, processed and cooked foods have made them largely redundant. While the jury may still be out, many believe that primitive societies needed this third molar in order to be able to chew their coarser food.

While some oral surgeons and dentists recommend wisdom teeth extraction as insurance against future problems, many others are of the opinion that routine prophylactic removal is ill-advised, and wisdom teeth should only be extracted if they develop problems. Wisdom teeth that are symptomatic, i.e., aren't causing problems should be left alone. Most problems with wisdom teeth occur at the time they erupt, i.e. between the ages of 15 and 25. It is very rare that someone over the age of 30 develops any problem with these third molars. During a consultation, we will let you know whether or not yours should be removed.

When Wisdom Teeth Extractions Become Necessary
Many of the problems that surround wisdom teeth are connected with the fact that many people's jaws are not large enough to accommodate a third molar. In these cases, the tooth is said to be "impacted" which means it is so wedged in between the jawbone and the tooth beside it that it cannot emerge normally. In some cases, the wisdom tooth remains under the gums. In others, it erupts only part of the way or at an angle with the top of the tooth facing one of the two sides, or even forward or backward.

An impacted wisdom tooth can cause a number of serious problems including damage to the tooth immediately next to it, or even to the bone itself. If the tooth has only emerged slightly above the gum line, a flap of gum tissue has been known to grow over the tooth. Bacteria from food can flourish in this 'protected' area causing an infection and tooth decay. Besides which, if there isn't enough space for the tooth to erupt properly, often means that it will be hard to reach and, therefore, hard to manipulate a toothbrush around it. Thus if a wisdom tooth is impacted (doesn't have room to grow normally), causing an infection, pain or other complications, it is more than likely that you will have to have it pulled.

The Surgery
Wisdom tooth extraction is almost always performed on an outpatient basis in our clinic. However, if you are considered a high risk for complications or are having all four wisdom teeth extracted at the same time, it may be necessary to have the surgery in a hospital.

Most often, just like most other extractions, wisdom teeth are removed using a local anesthetic that will completely numb the area. Once again, should you opt to have all four teeth removed in one go, a general anesthetic may be used, in which case, you should  not eat or drink anything a certain number of hours before the surgery.  If we have to cut into the gum and remove any bone that is covering the tooth, it is likely that some stitches will be necessary. These will either dissolve over time or be removed at a later date. Regardless, we will ensure that your wisdom teeth extraction is completed in a way that allows you to relax and feel comfortable.


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