Anyone at any age, including older children and teenagers, can lose or be born missing a permanent tooth. And while those missing teeth can be restored, replacing them in patients who haven’t yet reached adulthood can be tricky.
That’s because their dental and facial development isn’t finished. This is especially problematic for dental implants because as the jaws continue to grow, a “non-growing” implant could eventually appear out of alignment with the surrounding natural teeth. That’s why it’s often better to install a temporary restoration until the jaws fully mature in early adulthood. Two great choices are a removable partial denture (RPD) or a bonded (“Maryland”) bridge.
While “dentures” and “teens” don’t seem to go together, an RPD in fact can effectively restore a teen’s lost dental function and appearance. Of the various types of RPDs the one usually recommended for teens has a hard acrylic base colored to resemble the gums, to which we attach prosthetic (“false”) teeth at their appropriate positions on the jaw.
Besides effectiveness, RPDs are easy to clean and maintain. On the downside, though, an RPD can break and—as a removable appliance—become lost. They can also lose their fit due to changes in jaw structure.
The bonded bridge is similar to a traditional fixed bridge. But there’s one big difference: traditional bridges crown the natural teeth on either side of the missing teeth to secure them in place. The supporting teeth must be significantly (and permanently) altered to accommodate the life-like crowns on either end of the bridge.
Instead, a bonded bridge affixes “wings” of dental material extending from the back of the bridge to the back of the natural teeth on either side. While not quite as strong as a regular bridge, the bonded bridge avoids altering any natural teeth.
While a fixed bridge conveniently stays in place, they’re more difficult than an RPD to keep clean. And while less prone to breakage, they aren’t entirely immune to certain stresses from biting and chewing especially in the presence of some poor bites (how the upper and lower teeth come together).
Choosing between the two restorations will depend on these and other factors. But either choice can serve your teen well until they’re able to permanently replace their missing teeth.
If we could go back in time, we all probably have a few things we wish we could change. Recently, Dr. Travis Stork, emergency room physician and host of the syndicated TV show The Doctors, shared one of his do-over dreams with Dear Doctor magazine: “If I [could have] gone back and told myself as a teenager what to do, I would have worn a mouthguard, not only to protect my teeth but also to help potentially reduce risk of concussion.”
What prompted this wish? The fact that as a teenage basketball player, Stork received an elbow to the mouth that caused his two front teeth to be knocked out of place. The teeth were put back in position, but they soon became darker and began to hurt. Eventually, both were successfully restored with dental crowns. Still, it was a painful (and costly) injury — and one that could have been avoided.
You might not realize it, but when it comes to dental injuries, basketball ranks among the riskier sports. Yet it’s far from the only one. In fact, according to the American Dental Association (ADA), there are some two dozen others — including baseball, hockey, surfing and bicycling — that carry a heightened risk of dental injury. Whenever you’re playing those sports, the ADA recommends you wear a high-quality mouth guard.
Mouthguards have come a long way since they were introduced as protective equipment for boxers in the early 1900’s. Today, three different types are widely available: stock “off-the-shelf” types that come in just a few sizes; mouth-formed “boil-and-bite” types that you adapt to the general contours of your mouth; and custom-made high-quality mouthguards that are made just for you at the dental office.
Of all three types, the dentist-made mouthguards are consistently found to be the most comfortable and best-fitting, and the ones that offer your teeth the greatest protection. What’s more, recent studies suggest that custom-fabricated mouthguards can provide an additional defense against concussion — in fact, they are twice as effective as the other types. That’s why you’ll see more and more professional athletes (and plenty of amateurs as well) sporting custom-made mouthguards at games and practices.
“I would have saved myself a lot of dental heartache if I had worn a mouthguard,” noted Dr. Stork. So take his advice: Wear a mouthguard whenever you play sports — unless you’d like to meet him (or one of his medical colleagues) in a professional capacity…
Stained teeth can be embarrassing — so much so you may even hesitate to smile. Before you seek out a whitening solution, though, there are a few things you need to know about tooth staining.
Tooth staining is more complex than you might think. There are actually two types: extrinsic, staining from foods and other substances of the outer surface of the enamel; and intrinsic, discoloration deep within a tooth that affects their outward appearance. The latter staining has a number of causes, including the type of dental materials used to fill a tooth, a history of trauma or the use of the antibiotic tetracycline during early tooth development.
There are some noticeable differences between the two types, although an examination is usually necessary to determine which you have. Extrinsic staining tends to be brown, black, or gray, or occasionally green, orange or yellow. Intrinsic staining can be red, pink or, if caused by tetracycline and fluoresced under ultraviolet light, yellow. If only one tooth is discolored it’s most likely intrinsic due to decay in the tooth pulp.
What can be done also depends on which type. Extrinsic staining can be modified through whitening, with either an office application or a home kit (there are differences, so you should consult with us before you decide). It may also be essential to modify your diet by restricting foods and beverages (coffee, wine or tea) known to cause staining and by eliminating tobacco use. You should also practice daily hygiene, including brushing with a toothpaste designed to diminish staining, and regular office cleaning and polishing.
Intrinsic staining can’t be addressed by these methods. Instead, you may need to undergo a procedure where we enter the interior of the tooth and insert a bleaching agent. If this isn’t an option, you can also choose a cosmetic restoration such as a porcelain veneer or crown that will cover the tooth to better match the color of your other teeth.
Dealing with stained teeth begins with a visit to our office to determine what type of discoloration you have and to learn your options. But regardless of what type you have, there is a way to a brighter smile.
If you would like more information on the causes and treatments of tooth staining, 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 “Tooth Staining.”
Each June, as we celebrate Father’s Day, we get a chance to pay tribute to the important men in our lives. One of the best ways to do that is by encouraging them to stay healthy—and June is a great time for that, since it’s also Men’s Health Month. So let’s take this opportunity to focus on one important aspect of maintaining good health: preventive dental care.
Preventive care includes all the measures we can take to stop disease before it gets started. One facet of prevention is encouraging people to make healthier lifestyle choices: for example, quitting tobacco, getting more exercise, and improving their diets. You can start by eliminating foods that have added sugar (like many soft drinks and processed foods) or acids (like some fruit juices and sodas, both regular and diet)—and by limiting snacks to around mealtimes, so your saliva has time to neutralize the acids in your mouth that can cause cavities.
There’s increasing evidence that having good oral health promotes better overall health—and coming in for routine checkups is essential. While some men avoid the dental office until they have a problem, that isn’t a wise decision. In fact, a routine dental visit is not only one of the greatest values in preventive health care—it’s also one of the best ways to maintain good oral health. Here’s why:
Tooth decay is among the most common chronic diseases—yet it’s almost 100% preventable! A routine office visit includes an oral exam and a professional cleaning that can help stop tooth decay before it gets started. But when decay is discovered, it’s best to treat it right away, before treatment gets more complex—and costly!
The major cause of tooth loss in adults is gum disease. If your gums bleed or show other signs of disease, we can help you get it under control with instruction for more effective oral hygiene, and/or appropriate treatment.
Routine exams include not only a check for tooth decay and gum disease—they also include screening for oral cancer. This isn’t just for older folks: Recently, the fastest growing group of oral cancer patients has been young non-smokers. The sooner it’s treated, the better the chances of a successful cure.
Good at-home oral hygiene is necessary to keep your teeth in top-notch condition. If you have questions about proper brushing, flossing, or everyday care of your mouth—this is a great time to ask. Our staff is happy to show and tell you the best practices for maintaining excellent oral health.
If you would like more information about oral health and hygiene, please call our office to schedule a consultation.
Poor oral hygiene can lead to tooth decay, gum disease, and other oral health issues. Luckily, it's easy to avoid these problems by tweaking your oral hygiene habits. Our Royston and Athens, GA, dentist, Dr. Chanda Bennett of Bella Dentistry, helps her patients care for their teeth with regular checkups, oral hygiene advice, and dental treatments.
Oral hygiene habits that can harm your smile
Most people don't spend much time thinking about oral hygiene. Brushing your teeth is just simply something you do every day. Unfortunately, if you don't evaluate your hygiene habits from time to time, you may be putting your smile at risk. Habits that are bad for your teeth and gums include:
- Speed Brushing: Do you brush your teeth in under 30 seconds? Brushing too quickly tends to leave plaque behind. The sticky substance causes cavities and may lead to gum disease if plaque turns into a hard deposit called tartar. Thorough brushing is the key to ridding your mouth of plaque. When you brush, concentrate on one tooth at a time, and spend at least two full minutes brushing your teeth.
- Not Flossing: Flossing is such a simple task, yet it offers very important benefits for your oral health. Daily flossing removes plaque between teeth and helps keep your breath fresher. If you don't like string or tape floss, buy interdental brushes, flossing picks, or a water flosser in a Royston or Athens store.
- Vigorous Brushing: Harder isn't better when it comes to cleaning your teeth. Brushing vigorously or using anything but a soft-bristle brush can erode your tooth enamel, which may make it easier for cavities to form. Receding gums may also occur if you brush too hard. If gum recession exposes your roots, you may soon notice that your teeth hurt when you eat or drink hot or cold foods and beverages.
- Indulging in Sugary Snacks: A chemical reaction occurs in your mouth every time you eat something that contains sugar. Bacteria in plaque mixes with sugar to create an acid strong enough to damage your tooth enamel and cause cavities. Skip the sweets and fill up on fruits or vegetables instead.
- Skipping Checkups: Regular dental visits help you ensure that you don't have cavities or other dental problems and also improves your oral hygiene. Every checkup includes a thorough cleaning that removes plaque and tartar.
Keep your smile healthy with good oral hygiene and regular dental visits. Call our Royston and Athens, GA, dentist, Dr. Bennett of Bella Dentistry, at (706) 546-7722 to schedule an appointment.
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