Your Smile Dental Care blog


Leave a comment

Dental Spot Remover


I just got my braces off and my teeth are straight, but now I have white spots on my front teeth!

 

Unfortunately, these spots are permanent damage to your teeth and are areas of decalcification where bacterial acid have dissolved the enamel during orthodontic treatment.

Did your dentist alert you to these  spots during treatment?

Typically, they do, when these spots initially begin to appear. They may warn you to start brushing better and may have mentioned the word “decalcification.” They obviously become more visible once ortho braces are removed and the look, texture and size of these spots will depend on the degree of severity.

 

The Battle

14-02-2017-3-27-12-pmWhen bacteria metabolize the sugars you ingest they excrete an acid onto your tooth surface. This acid is capable of breaking down the tissues that make up your tooth. Your saliva is rich in essential minerals and is the body’s natural way of repairing the damage from these “acid attacks”, but sometimes, the demineralization far outweighs any remineralization that the saliva can accomplish.

 

When this occurs, the tooth area in question begins to lose it’s shine and takes on a chalky, rough look due to surface etching.  The amount of enamel surface lost over time can be considerable enough to not only cause a very defined white spot, but it can eventually become deep enough to result in an actual cavity. Tooth decay after braces is not uncommon; it occurs far more often than you would think. Some patients have to have their orthodontic treatment stopped and the braces removed because their poor oral hygiene is causing so much damage!

 

2017-14-322Brushing your teeth effectively when you have braces on can be a challenge because food debris and plaque accumulate in, around and under the orthodontic bands and brackets making removal difficult. Extra effort is needed to make sure you are getting your toothbrush into all the nooks and crannies where food and plaque can hide.

Your orthodontist will recommend various orthodontic tooth brushing aids to help you accomplish this more easily. And since braces are typically worn for several years, this extra care is essential to keep teeth and gums free from the harmful effects of dental plaque.

 


“If you were not diligent about brushing your teeth before braces, you may find the new dental hygiene routine with braces very demanding”


 

 

20170214_110957You Get What you Give

 

A frank and honest discussion with your orthodontist before treatment begins is a very important step. Knowing and understanding the pro and cons of treatment will help equip you with all the information you need to make an informed decision before considering braces.

Cleaning your teeth will not be the only battle you may face with braces, but like anything in life – the effort you put forth is an indicator of the value you place on your smile and your interest in having healthy teeth.

 

Nothing worthwhile ever comes easy…

Having nice straight teeth with an ideal bite makes for a beautiful smile. However, if they are marred with these permanent white spots or riddled with cavities it can affect your smile for years to come, so you’ve really just traded one dental problem for another.

Treatment Options?

Getting rid of these white spots depends on the severity and can include one or a combination of these options:

20170214_125410.

 

Remineralization – Your dental professional can place a mineral rich solution on the affected areas to try to minimize the damage, strengthen the weakened area and restore some of the essential minerals back onto the tooth surface. This is only effective when the damage is not severe.

 

Whitening – The white spots are noticeable because they are whiter than the normal colour of enamel. Tooth whitening procedures can help lighten your natural tooth colour to a shade that is closer to that of the white spot. The long term effectiveness of whitening depends on how easily your tooth picks up staining. It is considered a temporary solution because it usually has to be repeated as needed and you will come to know how often your situation demands.

 

Microbrasion – If the surface damage is very minimal, there is a procedure that essentially “sands”  or rubs away the white spot with a fine rock/acid mixture until the underlying natural enamel is exposed. Different people have different variations of thickness to their tooth enamel, so this technique depends on how deep the dentist must go to reach new enamel.

 

Fillings – If the white spot is too deep then your dentist can “scoop it out” using the drill and replace it with a white filling material that most closely matches your natural tooth shade.

 

Dental Veneers – Dental veneers are very thin porcelain coverings for the front surface of your teeth. They are a quick and easy way to hide marks and discolouration of the enamel. This procedure is generally advised when the other options have been tried already or the spotting is too widespread.

 

Straightening Things Out

Your home care can dramatically minimize your health care risks during orthodontic treatment. Following the tips below will help ensure that when your braces are removed you are putting your best SMILE forward!.

 

  • Brush 3 x/day carefully and effectively
  • Use orthodontic cleaning aids
  • Choose water over sugary/acidic drinks
  • Stay away from highly acidic, sugary and sticky foods
  • Use a fluoride toothpaste
  • Rinse once/day with an antiseptic mouth rinse
  • Maintain regular dental checkups
  • Ensure that your orthodontist is examining your teeth for signs of decalcification
  • Avoid snacking in between meals

 

 

At Your Smile Dental Care, we cannot stress enough the importance of proper home care for everyone. This is especially true when you are undergoing orthodontic treatment and have braces that can trap food and plaque easily. By raising your awareness and taking the time and effort to implement the tips above into your daily routine you will be making a great investment in your future SMILE!

14-02-2017-4-2

 

Yours in Better Dental Health,
The Your Smile Dental Care team,
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com

 

 

 

 

 

 

 


Leave a comment

A Partial Glimpse into Dentures

Mithing some Teeth?
Here’s a Partial Solution!

24-03-2014 3-24-55 PMIt is unfortunate when you are missing several teeth and eating and smiling has become difficult – even embarrassing.

Finding a solution that is the right fit for you involves a number of considerations and your dentist will help you understand the factors involved in your specific-to-you situation.

Although implants are the most advanced tooth replacement, are cost-effective and are available for even the most complex cases, not every patient is an ideal candidate or can afford them at the time needed.

So, what are your other options then?

Perhaps, the idea of dental implants can be revisited at a later date. Until then, the spaces can be filled with bridges or dentures. Today, let’s take a look at your partial denture options:

 

Dentures are classified into 2 main categories: Full or Partial dentures.

 

Full Dentures – Are available for patients who have all of their teeth missing in the upper or lower arch or both. They are removable, but fortunately, full dentures can be secured to dental implants for added support and confidence while still being removable. They are made of acrylic and can be relined with more material as your jawbone changes in size and height due to missing roots.

 

Partial Dentures – Are designed for patients who are missing several, but not all the teeth in the upper or lower arch or both. There are several different types of partial dentures depending on design and materials used. They are supported by teeth and gum tissue, so the health of these are considered during selection. Each type of partial denture has their own set of pros and cons with some dentures using a combination of materials.

 

dnetures

 

Cast Metal:

– thin, metal alloy framework and claps

– more expensive

– metal not very aesthetically pleasing

– biocompatible metal, so hypoallergic for most people

– not usually harsh on health of gum tissues

– soft liner can be added to increase gum comfort

– preferred type of partial denture in terms of strength, durability, retention, thickness and fit.

– can have coloured plastic added that look like gums.

– more difficult to reline as gum and jaw changes unless soft liner added.

– more teeth can be added as needed.

 

Flexible

– made of nylon or another type of composite material

– moderate cost

– very aesthetically pleasing and can be colour blended to match gums

– very flexible and thin

– more comfortable in the mouth for chewing and speaking.

– hypoallergenic

– better on gum health than acrylic

– more damaging to natural teeth than a metal denture

– very good retention using clasps and undercuts

– more teeth can be added as needed, but some flexible material do not bond together well making the addition of new teeth ans relining more difficult and expensive.

 

Acrylic:

– made of a rigid plastic material

– much more affordable option as they are less expensive and easier to make.

– gum-coloured plastic is more pleasing than metal

– weaker and less durable than metal.

– plastic can pick up odours and stains

– can break more easily than Metal or Flexible

– plastic can be allergenic for some people

– more damaging to natural teeth than a metal denture

– can have more plastic material added if jaw/tissues change shape

– more teeth can be added as needed.

 

What You Should Know

In general, partial dentures:

  1. can interfere with speaking
  2. are less stable than natural teeth, bridges or dental implants
  3. may have supporting clasps that can break or bend, but they usually can be fixed readily
  4. need to be relined as jaw dimensions change
  5. need to be removed nightly to keep mouth tissues healthy
  6. prevent shifting of adjacent teeth until a more long-lasting, permanent solution is selected
  7. can wear down over time by natural teeth
  8. can be lost since they are removable
  9. need maintenance or repair of framework and components as they wear
  10. can be relined to accommodate changes to the underlying bone. Expense depends on type of material used to make partial denture.
  11. can have their fit impaired by any changes to the existing teeth because of decay, repair or loss.
  12. have artificial teeth that can be easily repaired or replaced.

 

 

Tendering in Tradeoffs

 

04-11-2014 2-04-12 PMNothing in life is as good as the real thing. There are tradeoffs that are made when we have to repair or replace our natural teeth. This is why caring for your teeth properly your whole life will increase the likelihood of “Teeth for Life!”

Every dentist has heard a patient say that they are just plain sick and tired of having to care for their teeth and think that by removing and replacing them with dentures they will become worry free of dental problems.

Wrong! They are trading one problem for another. Dentures come with their own set of issues, and, like teeth, they still require care yo prevent damage and prolong their life. Speaking, eating, comfort, mouth sores, and stability are just some of the issues you will likely face with dentures at one time or another.

How long a partial denture will last also depends on the proper care of existing teeth. There is no 100% perfect replacement for your natural teeth. The time and effort you put into caring for them is never a waste as it can make a huge difference in your dental health.

Furthermore, it is important to understand that dentures and bridges do not replace the missing tooth roots – only the visible tooth crown. Eventually, the jaw bone that once supported the roots will begin to shrink and reduce in overall size. This is an important consideration as dental implants need healthy jaw bone height and volume into which they are placed and eventually integrate into. The jawbone can be augmented using bone grafts, but this increases the complexity and cost of the dental implants.

 

Short Term vs Long Term

 

07-09-2015 6-03-36 PMEveryone knows the feeling of being faced with options. Decisions are not always easy and the more options available, the harder the decision. Your dentist is there to help you sift through all of the information, weigh all the factors and understand the tradeoffs you may have to make. Do you opt for an affordable solution that has limitations, a shorter lifespan and will require more on-going maintenance or do you invest now in the premium permanent option?

Being an informed patient who understands fully the pro and cons of each dental treatment option helps you move forward to the day when you can eat and smile with confidence.

Lastly, it’s Your Smile. Dental care is necessary for your remaining teeth. The function of chewing is meant to be distributed amongst many teeth. Expecting a few to do the job of many will result in wear and breakdown and you will run the risk of losing your remaining teeth through disease and dental collapse. If you are missing one or more teeth, see your dentist today to discuss your treatment options today. You’ll be glad you did!

 

06-02-2017-3-04-48-pm

 

 

Your in Better dental health,
The Your Smile Dental Care team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com