Posts for category: Dental Procedures

By Smart Family Dental Care
January 21, 2018
Category: Dental Procedures
SurgicallyAccessingSinusescanHelpGrowNewBoneforImplants

Dental implants are by far the best way to replace missing teeth. But they do more than improve your smile: they can restore your ability to eat, chew and talk properly, especially if the teeth replaced are in the back of your mouth. What’s more, they can improve the entire look of your face by restoring facial height and cheek support lost because of the missing teeth.

There is, however, one obstacle to overcome before receiving dental implants — a lack of sufficient bone at the implant site. Bone loss usually occurs when teeth have been missing for some time. This is because when we chew the forces generated by the teeth stimulate continual bone growth to make up for older bone that has dissolved (resorbed). This stimulation doesn’t occur after teeth are lost, which slows the rate of bone growth. Over time the amount of healthy bone diminishes.

Without enough bone for support, implants can’t be placed properly. Fortunately, some of the bone can be regenerated through techniques that place bone grafting material at the site to stimulate and serve as a scaffold for new bone.  The new bone will eventually replace the graft.

For missing upper back teeth with bone loss, we can take advantage of facial anatomy to grow the bone needed for implants. This area of the face is where the maxillary sinuses, air spaces lined with a tissue membrane, are located on either side just above the upper jaw. After determining their exact size and location through detailed x-ray imaging, we can surgically access the area inside the mouth just above the missing teeth.

The sinus cavity is an area where bone growth can occur by placing a bone graft between the floor of the sinus and the sinus membrane. Sometimes bone growth enhancers are used to stimulate and speed up regeneration. The procedure can usually be performed with local anesthesia (much like a routine tooth filling), with only mild discomfort afterward for a few days managed by an anti-inflammatory drug like ibuprofen and a decongestant for sinus swelling.

After six to seven months, we re-evaluate the area to see if sufficient bone has returned for implant surgery. If so, you will be well on your way to achieving a new look and better function through dental implants.

If you would like more information on building new bone through sinus surgery, 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 “Sinus Surgery.”

By Smart Family Dental Care
January 06, 2018
Category: Dental Procedures
DrawingImpactedTeethintotheOpencanRestoreaSmile

You don’t have to be a dental professional to appreciate a beautiful smile. Likewise, you’ll also know when something’s not quite right with one.

Such can be the case when a tooth fails to erupt properly, causing most or all of the crown to remain below the gum line, a condition known as impaction. Upper canines (or “eyeteeth,” for their location in the arch under the eyes) are especially susceptible to impaction: located on either side of the lateral incisors, which are on either side of the central incisors (the two center front teeth).

The upper canines are important both for function and appearance. Working with their lower counterparts they help cut through food as we chew, so you lose some of that efficiency when they don’t erupt properly. Impacted teeth are susceptible to abscesses and cysts, and can impinge upon and damage the roots of other teeth. And just as importantly, their absence also disrupts the smile as nearby teeth tend to move or “drift” toward the open space.

Rather than remove the impacted canines as is often done with back teeth, it may be more advantageous for both function and appearance to “coax” them into full eruption. This requires first pinpointing their exact location below the gums using x-rays or cone beam 3-D imaging.

If the teeth are in reasonably good position we must first prepare them for orthodontic treatment by surgically exposing the crown from the gums and bonding a small bracket to it. We then attach a small gold chain to the bracket that extends outside of the gums when we suture them back into place. The chain is attached to orthodontic hardware that exerts pressure on the impacted tooth for several months to “pull” it out into the arch.

This procedure has the best chance of success if undertaken before the end of jaw development in early adulthood. Otherwise, it may be better to remove the impacted canines and replace them with dental implants, followed by orthodontic treatment of other teeth to restore their proper position and bite relationships. In either case, your impacted upper canines don’t have to be a problem — we can restore both your mouth function and your smile.

If you would like more information on impacted teeth and treatment options, 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 “Exposing Impacted Canines.”

By Smart Family Dental Care
December 29, 2017
Category: Dental Procedures
StephenColbertSharesThrowbackBracesPhotoforaGoodCause

When we look at those glamorous faces on TV, it’s easy to forget that celebrities—like the rest of us—often went through an awkward stage in adolescence.  But once in a while, something comes along to remind us that flawless Hollywood smiles didn’t always start out that way. Right now, that something is the hashtag #PuberMe: an invitation from late-night TV host Stephen Colbert for fellow celebs to post awkward photos from their youth.

In exchange for posting the embarrassing images, Colbert’s charity is donating to the hurricane relief effort for Puerto Rico; so far about $1 million has been raised. Also raised: many eyebrows, by the adorably dorky pictures—such as the one of Colbert himself, with a smile full of metal braces!

Like many kids, Colbert had teeth that didn’t align properly in his bite. The picture shows that several of his top teeth are in less-than-perfect positions, with noticeable gaps in between. Yet to look at that same smile today, you’d never suspect there had been a problem. That’s the magic of orthodontics.

Time-tested and effective, metal braces like the ones in Colbert’s picture remain among the most widely used appliances today. But orthodontics has come a long way since the late 1970’s, and now there are several other methods for correcting misaligned teeth, including ceramic braces, clear plastic aligners, and invisible lingual braces. The main advantage of the newer methods is that are they are harder to notice (and maybe a bit less awkward).

Ceramic braces, for example, have brackets that match the color of the teeth; with only the thin archwire visible, they’re much more unobtrusive. Clear aligners are transparent plastic trays that completely cover the teeth. Almost impossible to spot, they are worn 22 hours per day, but may be removed for eating or important events. Lingual braces are literally invisible, since they are placed on the tongue side of teeth rather than the lip side. In many situations, they are at least as effective as traditional braces.

Which appliance is best for you? It depends on each person’s individual situation—but many orthodontic patients now have choices that weren’t available in the past. And that goes for both kids and adults, who often appreciate a more “grown-up” image while improving their smiles with orthodontic treatment.

If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Clear Aligners for Teenagers” and “Orthodontics for the Older Adult.”

By Smart Family Dental Care
December 21, 2017
Category: Dental Procedures
Tags: Gum Surgery  

Could you benefit from gum surgery? Our Norcross, GA, dentist, Dr. Orson Baek of Smart Family Dental Care, explains how the surgery gum diseasecan enhance your appearance or improve the health of your gums.

Cosmetic gum surgery is the ideal treatment for a gummy smile

Are your gums in full view when you smile? Gummy smiles can occur for a variety of reasons. The condition often runs in families, but may also occur if your teeth haven't erupted normally or if you've worn away your tooth enamel by grinding your teeth while you sleep. If the upper portions of your teeth are covered by gum tissue or your gums are uneven, you may want to consider gum surgery to remove the excess tissue. The surgery not only eliminates extra gum tissue, but also contours and reshapes it to improve the appearance of your smile.

Gum grafts offer a solution for receding gums

Receding gums make your teeth look longer and expose the sensitive roots. Luckily, gum graft surgery can restore your natural gum line and protect your roots. During gum graft surgery, a small amount of tissue is removed from the roof of your mouth or obtained from a tissue bank, then sewn in place over your gums. If gum disease is the cause of your receding gums, the disease must be successfully treated in our Norcross office before you can receive gum grafts.

Gum surgery restores the health of gums damaged by gum disease

Removing the bacteria, tartar and plaque below your gum line is crucial to treating gum disease. Although gum disease treatment used to involve cutting the gums with a scalpel, today it's often possible to perform the surgery with lasers. Laser light not only removes diseased gum tissue, but also attacks the bacteria responsible for the disease. You won't need any stitches after laser gum surgery and will enjoy a shorter recovery period. In fact, most people return to their normal activities just 24 hours after the procedure.

Gum surgery offers an effective way to treat both cosmetic issues and gum disease. Call our Norcross, GA, dentist, Dr. Baek of Smart Family Dental Care, at (770) 446-5700 to schedule an appointment to discuss the best treatment for your gums.

By Smart Family Dental Care
December 14, 2017
Category: Dental Procedures
Tags: dental treatment  
TreatingaYoungPermanentToothRequiresaDifferentApproach

Soon after the primary (baby) teeth begin to give way, the teeth a child will have the rest of their lives start erupting into the mouth. But while they’re permanent, they’re not as strong and developed as they will be in adulthood.

That’s why we treat young permanent teeth differently from older adult teeth. For example, a decayed adult tooth may need a root canal treatment; but this standard treatment would often be the wrong choice for a child’s tooth.

The reason why involves the pulp, the innermost layer of a tooth, which plays a critical role in early development. Young permanent teeth continue to grow in sync with the jaws and facial structure. Most of this growth is in the dentin, the layer between the enamel and pulp, which increases proportionally to the other layers as the tooth matures. The pulp generates this new dentin.

A root canal treatment completely removes the diseased tissue of the pulp. This isn’t a major issue for a mature tooth because it no longer needs to generate more dentin. But it can have long-term consequences for an immature tooth whose growth may become stunted and the roots not fully formed. The tooth may thus become brittle and darkened, and might eventually require removal.

Because of these potential consequences, a root canal treatment is a last resort for a young permanent tooth. But there are modified alternatives, depending on the degree of pulp exposure or infection. For example, if the pulp is intact, we may be able to remove as much soft decayed dentin as we can, place an antibacterial agent and then fill the tooth to seal it without disturbing the pulp. If the pulp is partially affected, we can remove that part and place substances that encourage dentin growth and repair.

Our main goal is to treat a young tooth with as little contact with the pulp as possible, so as not to diminish its capacity to generate new dentin. Avoiding a full root canal treatment if at all possible by using these and other techniques will help ensure the tooth continues to develop to full maturity.

If you would like more information on dental care for children, 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 “Saving New Permanent Teeth after Injury.”