Posts for: September, 2014

By Smart Family Dental Care
September 23, 2014
Category: Dental Procedures
MatthewLewisAdultOrthodontics

If you haven't seen a recent picture of Matthew Lewis, the actor who played Neville Longbottom in all eight Harry Potter movies, you may be in for a surprise: It seems the plump, awkward teenager from Gryffindor has been magically transformed into a post-Hogwarts hunk. What kind of wizardry did it take to change his memorably snarled teeth into a leading man's sparkly smile? The kind skilled cosmetic dentists perform every day!

While special effects created some of the character's dental disarray, the actor's own teeth were far from perfect. And, as Lewis recently noted, the film studio urged him to postpone cosmetic dental work until the movies were all done. “It was something I'd always wanted to do, but it would have meant me wearing a brace for two years,” he told an interviewer with the Yorkshire Evening Post. “Warner Brothers said if I put it off until we'd finished filming they'd pay for it — and they did.”

There are plenty of people, like the twenty-something actor, who put off orthodontic treatment until after their teen years. If you're wondering whether there's still time to get orthodontic work done, then take heart — it's never too late to straighten your teeth!

Today, an estimated twenty percent of orthodontic patients are adults. Compliance with the orthodontic program (meaning thorough regular brushing and flossing, wearing elastics, etc.) is often less of an issue with adults than with teens. Plus, there are some options that can help ensure your orthodontic appliances will fit in with a more mature image.

One is colorless braces. In this system, the brackets (the parts that are bonded to the front teeth and hold the archwire) are made of a clear ceramic material that blends in with the tooth's natural color. This makes them hard to see unless you look closely. Inconspicuous yet effective, clear braces have been the first choice of many celebrities, such as Tom Cruise and Faith Hill... and lots of “regular” adults too.

Another option is lingual braces. These are truly invisible, because they attach behind the teeth (on the tongue side) instead of in front. They work just like the standard braces, and they're appropriate in many situations. However their cost is higher, and the space they occupy in the mouth may take the wearer a bit of time to get used to.

A third option is clear aligners. Unlike braces, which aren't normally removed until orthodontic treatment is nearly complete, clear aligners are easily removable. They consist of a series of transparent trays made of special plastic, which are worn over the teeth 22 hours per day. Each tray in the series is worn for a few weeks, and each moves the teeth a small amount; all together, they can accomplish a big change.

Aligners work well for correcting mild to moderate malocclusion (bite problems). Plus, you can temporarily remove them for important social occasions. But best of all, they're virtually undetectable — so whether or not you play the role of a wizard in the movies, you won't need a magic spell to make them invisible!

Which option is right for you? That's something we would be happy to discuss. If you would like more information about adult orthodontic treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Orthodontics for the Older Adult.”


By Smart Family Dental Care
September 08, 2014
Category: Oral Health
SavingaBabyToothistheBestOptionforPermanentToothDevelopment

Our “baby” teeth begin appearing around six months of age — by age 10 or 13, they’ve largely been replaced by our permanent teeth. Though their lifespan is relatively short, baby teeth play an important role in our dental development. In fact, saving a damaged baby tooth is an extremely important treatment goal even though they will be eventually lost.

Baby teeth perform a number of functions as our mouth and facial structure develops during our formative years (infancy to early adulthood). Besides providing a means to chew food, baby teeth aid speech by providing contact points for the tongue while speaking. They help us relate to others socially through smiling and other facial gestures. And, in relation to our long-term development, they serve as both guides and “placeholders” for our permanent teeth until they’re ready to erupt.

Thus, a permanent tooth’s development could be stymied if its counterpart baby tooth is lost prematurely. It could come in misaligned or not erupt fully if adjacent teeth have drifted into the open space. The resulting malocclusion (bad bite) could require long-term orthodontic treatment with higher costs than treatments to save the baby tooth and avoid the misalignment.

There are various treatments to prevent and save at-risk baby teeth. Even a badly decayed tooth might be saved with a pulpotomy, a similar treatment to a root canal but less invasive. This is often followed with a stainless steel crown to cover the remaining tooth and restore some of its form and function.

If it’s not feasible to save a baby tooth, we may recommend installing a space maintainer that prevents other teeth from drifting into the resulting space until the permanent tooth is ready to erupt. This orthodontic appliance usually consists of a metal band cemented to an adjacent tooth with an attached stiff wire loop that extends across the gap and rests against the tooth on the other side. Although effective, space maintainers can break or become dislodged, require extra monitoring and are often cosmetically unappealing.

In any event, the primary goal should be to save a baby tooth, if possible. Doing so will prevent more serious long-term problems for permanent teeth.

If you would like more information on the importance of baby teeth, please contact us or schedule an appointment for a consultation.