Posts for: August, 2018

By Today's Dental
August 27, 2018
Category: Dental Procedures
Tags: veneers  

Porcelain VeneersCould your smile benefit from the addition of veneers? The thin porcelain shells offer the perfect way to conceal small flaws that affect your teeth. Houston, TX, dentists Dr. Tiberiu Oancea and Dr. Jeromy Thornton of Today's Dental offer veneers to help you get a dazzling smile.

Are veneers a good choice for me?

Veneers are cemented to the fronts of your teeth only and cover minor imperfections and damage. You may want to consider them if:

  • One of your teeth has become discolored: Discolorations can occur due to large fillings, leaky fillings, tetracycline use, and other issues. Your new veneers will match the shade of your teeth, helping your smile to look more uniform.
  • Your teeth aren't white enough: Sometimes, teeth whitening just doesn't get your teeth white enough. If you want a brighter smile, you may want to consider adding veneers to your teeth. The restorations are stain-resistant and won't discolor even if you drink coffee or tea regularly. You can choose any shade of white you prefer if you plan to whiten your teeth with veneers. The shade of dental cement used can also help your teeth look whiter.
  • You have minor damage: Small chips and shallow cracks may not harm your teeth, but they can certainly affect the appearance of your smile. Veneers keep the damage concealed.
  • You don't like the appearance of a tooth: Whether your tooth is bumpy, pointed, crooked, or oddly shaped, adding a veneer can completely transform your smile.
  • Your tooth is too short: It's not unusual for one tooth to be just a little shorter than surrounding teeth. Veneers extend the length of short teeth without extensive dental work.
  • You have a gap between your teeth: Even tiny gaps between teeth can make you feel reluctant to show your smile. Once your veneers are cemented to your teeth, your gaps will disappear.
  • You don't want to alter the structure of your tooth: Unlike crowns, the veneer process doesn't require significant changes to the size of teeth. In fact, your Houston dentist will only need to remove a very small amount of tooth enamel before you receive your veneers. Removing the enamel ensures that the restorations look natural and feel comfortable.

Are you ready to enhance your smile with veneers? Call Houston, TX, dentists Dr. Tiberiu Oancea and Dr. Jeromy Thornton of Today's Dental at (281) 580-0770 to schedule an appointment.


By Today's Dental
August 22, 2018
Category: Oral Health
Tags: Bad Breath  
5CausesofBadBreathandWhatYouCanDoAboutIt

Unlike the months on either side, August isn't known for major holidays. But it does have one cause for celebration: National Fresh Breath Day! True, this observance will probably never achieve big-time recognition. Yet everyone would agree that fresh breath is something to appreciate! Unfortunately, bad breath is a persistent problem for many people. The first step in treating it is to identify the cause. Here are 5 common causes of bad breath:

1. Poor oral hygiene. Certain types of oral bacteria cause bad breath, and the mouth provides a perfect environment for them—especially when dental plaque and food debris is not well cleansed. So to keep your breath fresh, maintain a diligent oral hygiene routine. This includes brushing your teeth twice a day with fluoride toothpaste and flossing at least once a day. For an extra-clean mouth, use a tongue scraper—a plastic tool about the size of a toothbrush that's available in most drug stores. This will remove bacteria and food debris from your tongue for extra freshness.

2. Oral diseases. Bad odors in your mouth may also be caused by infections—which is what tooth decay and gum disease actually are. Sometimes old fillings wear out, allowing bacteria to re-infect a tooth that was once treated for decay. Other signs of these common oral diseases include tooth pain and bleeding or puffy gums. If you notice any of these, don't ignore it—make a dental appointment today!

3. Diet. Smelly foods will give you smelly breath; it's that simple. And the odors may linger after you have eaten them. When onion, garlic and other pungent foods are digested, their odor-producing substances enter your bloodstream and proceed to your lungs—which can affect how your breath smells. If you suspect your dietary habits are causing bad breath, try eliminating certain foods (at least temporarily) and see if that helps.

4. Dry mouth. Saliva helps cleanse your mouth, so reduced saliva flow can lead to bad breath. This accounts for "morning breath," which is caused when the mouth dries out during sleep (especially if you are a mouth-breather). However, some people don't produce enough saliva throughout the day. Sometimes it's just that they don't drink enough water. But a very common cause of chronic dry mouth is regular use of medications, both prescription and over-the-counter. If you notice that medication is drying out your mouth, let your doctor know. And stay hydrated!

5. Smoking. Given that smoking increases your risk for many serious diseases, including oral cancer, the fact that it can lead to bad breath seems almost trivial. Still, it's worth noting that smoking causes mouth odor both directly and indirectly by reducing the flow of saliva and promoting gum disease. In fact, tobacco in all forms is a hazard to your health.

If you'd like more information on bad breath, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Warning Signs of Periodontal (Gum) Disease” and “Dry Mouth.”


HowtoTreattheProblemofTeeththatNeverDeveloped

About one-quarter of people have teeth that never developed. While most of these congenitally missing teeth are wisdom teeth, they can also include premolars or lateral incisors (the teeth right next to the two front teeth, the central incisors).

Missing teeth can have an adverse effect on smile appearance. But that’s not all: because each type of tooth performs a specific function, one or more missing teeth can lead to bite problems and disruption of dental function. In the case of missing lateral incisors, the canines (eye teeth) normally positioned beside and toward the back of the mouth from them may begin to drift into the empty space and grow next to the central incisors. This can result in greater difficulty chewing and a smile that “doesn’t look right.”

To correct this situation, we must often first attempt to orthodontically move any out of place teeth to their normal positions. This re-establishes the space needed for the missing teeth to be replaced, which we can then restore with prosthetic (artificial) teeth. If the permanent restoration of choice involves dental implants, we’ll usually need to wait until the completion of jaw development around early adulthood. In the mean time, we can use a retainer appliance to hold the teeth in their new positions with prosthetic teeth attached to fill the empty space for a better smile appearance in the interim.

The real issue is timing—beginning orthodontic treatment when appropriate to a person’s oral development, as well as completing the implant restoration when the mouth has matured sufficiently. There are other considerations such as bone volume, which may have diminished due to the missing teeth. At some point we may need to consider grafting to build up the bone sufficiently to support dental implants.

This all may entail a team approach by various specialties like orthodontics, periodontics and implantology. Working together and coordinating within a timely schedule, a mouth and smile marred by undeveloped teeth can be transformed.

If you would like more information on treating smiles with underdeveloped permanent teeth, 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.”


By Today's Dental
August 02, 2018
Category: Oral Health
Tags: gum disease   loose tooth  
HaveYourLooseToothExaminedasSoonasPossible

A loose permanent tooth is not a good thing—and not something you should put off having examined. That’s because a loose tooth could soon become a lost tooth.

How we treat it depends on its underlying cause, which could be one of two types. One is primary occlusal trauma, meaning the affected tooth has experienced accidental trauma or higher biting forces than it normally encounters. This usually happens because of teeth grinding habits.

It could also be secondary occlusal trauma. Unlike primary trauma where the supporting gums and bone may be reasonably healthy, secondary trauma occurs because these structures have been severely damaged by periodontal (gum) disease. As the gums begin to detach from a tooth and its underlying bone deteriorates, even normal biting forces can loosen it.

If gum disease is present, our first priority is to bring it under control. We do this primarily by removing all dental plaque (a thin film of bacteria and food particles that triggers the infection and sustains it) and calculus or tartar (calcified plaque). This can take several sessions and, in the case of deep infection, may require a surgical procedure.

On the other hand, if teeth grinding is the primary cause, we’ll focus on minimizing the habit and its effects. One way is to create a custom-fitted guard worn to prevent upper and lower teeth from making solid contact. You may also need to improve your management of stress—another factor in teeth grinding—through medication, therapy or biofeedback.

In either case, improved periodontal health will help the gums naturally regain their strong attachment with help, if necessary, from gum tissue or bone grafting surgery. But this healing process can take time, so we may need to secure a loose tooth in the interim by splinting it to neighboring stable teeth. This usually requires bonding rigid material or metal across the back of all involved teeth or in a channel cut along the teeth’s biting surfaces. In this way the more stable teeth support the loose one.

Splinting may be temporary as the mouth heals from disease or trauma and the teeth regain their stability. In some cases, though, it may be permanent. Either way, dealing promptly with a loose tooth can help ensure it’ll survive—so see your dentist as soon as possible.

If you would like more information on treating loose teeth, 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 “Treatment for Loose Teeth.”