"The greatest wealth is health."

Virgil

Your teeth

The visible part of a tooth, otherwise known as the crown, is only a small portion of the living system. The crown is made up of enamel, the hardest substance found within the body. It is bone that has been enriched with large percentages of calcium. That's why people who drink lots of milk or take calcium supplements have strong bones and teeth. The enamel is thickest at the crown, and thinnest near the roots of the teeth.

Throughout your life you end up having 2 completely different sets of teeth. The initial set is the baby teeth (deciduous teeth) that eventually fall out. They are whiter, softer, and less sturdy than adult teeth. Hence, they tend to wear out much faster than permanent teeth, but they also fall out to make room for them. Making sure that there's enough space in the vacancy caused by a lost baby tooth is important for healthy adult teeth.

The permanent teeth are the second set of teeth that will last the rest of your life. They tend to be more yellow (and not just because of coffee) and are extremely hard. The final set of teeth is made up of 32 teeth, or 16 on each jaw. There are two central incisors for biting, two lateral incisors for biting, two canines for tearing and cutting, four premolars for chewing, and six molars for chewing.

Dentures as false teeth

This procedure should be thoroughly discussed with your dentist as there are several personal and medical factors to take into consideration. You may instead be a candidate for dental bridges and dental implants as optional procedures.

The setting up dentures procedure begins with a wax bite impression of your mouth that will give your dentist exacting measurements. A try-on appointment will fine tunes color, shape, and custom-fit. After your final dentures are fabricated, they will be placed and informed of their required care.

The main component of dentures is acrylic resin molded over the top of various combinations and paterns of metal. In oreder to use dentures all of the teeth in the top or bottom or both top and bottom of the mouth are removed. It is recomended that after the removal of the necessary teeth that the patient wait at least a month to have the dentures fit to the mouth. The waiting period allows for proper healing in the mouth to take place.

Learning more about dental implants

Implants are great for replacing missing teeth. It is important that you have enough bone in the area of the missing teeth for the implants to be attached to. Implants are not only used to replace one tooth, but rather people missing most, if not all, of their teeth benefit greatly as well. Implants are increasingly being used to replace certain types of bridges and removable partial dentures.

The implant procedure is a surgical placement of the implant or implants in your jaw bone which requires a three to six month healing period before the implant restoration to replace the missing tooth or teeth. During this healing time, the bone grows in and around the titanium implant creating a very strong support. Dental implants can be rejected. Usually they are replaced with another implant of a slightly larger size. The rejection or "failure" rate is minimal, only 1 to 2% of all implant procedures. You must go without wearing your dentures for one day to two weeks after an implant placement. After the implant has "taken" and you have sufficiently healed, a very natural crown is placed on the implant.

If you're missing one tooth or all of your teeth, implants may well be for you. So long as you have enough bone in the area of the missing tooth to facilitate the anchorage of the implants, this procedure can yield terrific results. If you don't have enough bone for this purpose, a bone graft may be necessary. A procedure of building up the bone is known as Bone Grafting. Bone grafting is common with dental implants. The bone that is used is one of three types. The preferred bone to use is taken from other areas of your mouth or collected in a suction device as the drilling of the sites for dental implants occurs. Sometimes bone is taken from areas such as a hip (this requires an orthopedic surgeon and an operating room). The third source for needed bone is a synthetic type. This is the least preferred type of bone to be used for this procedure.

Tooth fillings

A special dental material is then used to open up the pores of your tooth's dentin and roughens up the surface of the exposed enamel. This achieves better and stronger bond. The bond resin is applied to stick the composite to your tooth. This material is made of the same dental resin as the composite however it is much more fluid. This layer is then hardened and cured with a very bright light.

Composite resin fillings are applied in thin layers, and slowly built up to form the complete filling. A bright dental light will harden each layer before the next is applied. Once your filling is completed, your dentist will use a special paper, articulating paper, to adjust the height of your dental filling and that your bite remains correct. Your tooth is then polished.

There are no known health risks of receiving composite fillings. If such a filling is not going to be enough to protect your damaged tooth, or if your tooth enamel is thin and will easily fracture, or if your tooth has had a root canal that weakened your tooth condition, your tooth may require additional protection such as a crown.

Teeth bridges

A dental bridge is a false tooth, known as a pontic, which is fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place that are attached onto your teeth on each side of the false tooth. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures.

In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as many ten years or more.

Your cosmetic dentist will prepare your teeth on either side of the space for the false tooth. You will be given a mild anesthetic to numb the area, and the cosmetic dentist will remove the an area of each abutment (teeth on either side of the space) to accommodate for the thickness of the crown. When these teeth already have fillings, part of the filling may be left in place to help as a foundation for the crown.

The need for teeth whitening

Teeth whitening can be accomplished many different ways. Considered a cosmetic procedure, teeth whitening has become very popular in recent years with the development of various methods that range from drugstore products to dental visits.

While there is no medical need to whiten teeth, it is a procedure that can have a big impact on a person's self-esteem. Severely yellowed or discolored teeth can make a person self-conscious and reluctant to smile.

Dentists are able to provide much more dramatic teeth whitening. Some patients opt for a take-home kit that provides results in a few days, while others choose a one-hour procedure that uses advanced technologies to immediately bleach teeth several shades lighter. Take-home kits usually involve custom-fit trays with a whitening gel of carbamide peroxide, to be worn for several hours at a time over some number of weeks as determined by the dentist. These kits are usually less expensive than the one-visit whitening procedures.

Some types of tooth discoloration are difficult to whiten and treat. Teeth that have been subjected to trauma may darken significantly, and resist any bleaching procedure. Some medications affect young children when their teeth are first forming and may also be nearly impossible to treat. Dentists will be able to tell what situations may result in bleach-resistant discoloration, and provide advice on how effective various treatments may be. In cases of extreme discoloration that cannot be subjected to common teeth whitening procedures, porcelain veneers applied to the teeth may be an alternative solution.

Tooth crowns

In other instances, crowns are used to replace a actual missing tooth. These crowns are anchored to the teeth on either side, with a bridge section connecting the two crowns. Instead of bridges, single tooth dental implants may be used that eliminate the need for supporting the crowns.

Be sure to discuss with your cosmetic dentist that the cement color used for your permanent crown will be the same as used for your temporary crown. A try in paste is used for this purpose. The color of the cement does affect the overall color of a porcelain crown, so this needs to be discussed long before your temporary crown is placed.

In some cases your cosmetic dentist may choose to use a Flipper instead of a temporary crown. A Flipper is a false tooth to temporarily take the place of a missing tooth before the permanent crown is placed. A Flipper can be attached via either a wire or a plastic piece that fits in the roof of your mouth. Flippers are meant to be a temporary solution while awaiting the permanent crown.

There are basically three types of crowns, those made of gold, ceramic crowns and ceramic-veneered gold crowns. Gold and metal-ceramic crowns are extremely durable and are normally used in molars, where the forces from chewing and grinding are most prevalent. Ceramic crowns are used primarily for front teeth, since they can best resemble the natural tooth color.

Tooth bonding

Basically, bonding will cover any natural flaws applying a thin coating of a plastic material on the front surface of your teeth. After this, your cosmetic dentist will apply a bonding material and sculpt, color and shape it to provide a pleasing result. A high-intensity light then hardens the plastic, and the surface is finely polished.

A very mild etching solution is applied to your teeth to create very small crevices in the tooth's enamel structure. These small crevices provide a slightly rough surface permitting a durable resin to bond materials to your teeth. The resin is then placed on your tooth and high-intensity light cures the resins onto your tooth's surface - with each individual layer of resin hardening in just minutes. When the last coat has been applied to your tooth, the bonded material is then sculpted to fit your tooth and finely polished.

The resin comes in many shades so that we can match it to your natural teeth. Due to the layers involved, this procedure will take slightly longer than traditional silver fillings because multiple layers of the bonding material are applied. Typically bonding takes an hour to two hours depending on your particular case.

Dental veneers

This section of our cosmetic dentistry information site provides you with some background into dental veneers, both composite veneers and porcelain veneers. Dental veneers, sometimes called tooth veneers, can be used to correct both color and shape problems.

Veneers provide a durable solution to the color and shape problems that are common to so many people. Veneers are applied to fronts or visible areas of the teeth. The enamel (outside layer of the tooth) is ground down or reduced by just fractions of a milimeter in order to allow for the thin (contact lense thickness) veneer to be permanently attached to the tooth.

Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement. You will need to discuss the best choice of veneer material for you with your dentist.

While no alternative to veneers will create the exact same effect, there are some popular procedures that may seem worthwhile. Crowns, while more expensive, also act to cover the tooth with a protective coating. For individuals who simply want to brighten their teeth, many clinics now offer tooth bleaching, though this is a much less permanent procedure.

Teeth straightening

Teeth straightening is accomplished with a number of different procedures and is usually done on children and adolescents when their permanent teeth begin growing in. Crooked teeth, crowded teeth, and even overbites and underbites can be treated with various teeth straightening techniques. While considered a cosmetic procedure, some people require teeth straightening in order for their teeth to be aligned in such a way that chewing is possible. Severe overbites and underbites can result in serious consequences over time, and even overly crowded teeth can mean health problems for the mouth.

Lingual braces are similar to classic orthodontic braces but are attached to the backside of the teeth, rather than the front. Although they still have many of the problems of standard braces, they are not visible and may be chosen by adults who do not wish for visible braces. Lingual braces are more expensive than standard braces but the fastest method of "invisible" teeth straightening.

Some tenderness and soreness is to be expected with any method of teeth straightening, especially soon after an adjustment is made. The bone on one side of each tooth socket will be compressed, and the other side must be filled in with new bone as the tooth moves through the jaw. Standard orthodontic braces may cause superficial irritation to the interior of the mouth, a symptom that can be reduced with salt water gargles and a soft wax on the surface of the brackets. Severe side effects to teeth straightening are nearly unheard of, and the process is considered very safe.

Dental contouring and reshaping

For individuals who have chipped, cracked or irregularly shaped teeth, dental contouring and reshaping can be just the ticket for a more beautiful smile.

You maybe candidate for tooth contouring and reshaping, if you want your teeth to appear less crowded, lack chips and fractures, have decreased overlaps or to be without pits or grooves in the enamel, this procedure should be discussed with your cosmetic dentist.

Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session. This procedure is even a substitute for braces under certain circumstances. This is also a procedure of subtle changes. A few millimeters of reduction and a few millimeters of tooth-colored can create a beautiful smile when performed by a cosmetic dentist, with no discomfort to you. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of your teeth.

Terms interpreting

Dental fillings

• Dental fillings are inserted as restorations in the treatment of dental cavities, after drilling out the cavities.

Dental implants

• Dental implants are surgically fixed substitutes for roots of missing teeth. Embedded in the jawbone, they act as anchors for a replacement tooth, also known as a crown, or a full set of replacement teeth.

Dentures

• Removable complete dentures are full-mouth false teeth, which are used when a patient has no teeth left on either the mandibular arch, the maxillary arch, or both.

Veneer

• A layer of tooth-colored material, usually porcelain or acrylic resin, attached to and covering the surface of a metal crown or natural tooth structure.

Anesthesia

• Total or partial loss of sensation, especially tactile sensibility, induced by disease, injury, acupuncture, or an anesthetic, such as chloroform or nitrous oxide.


• Local or general insensibility to pain with or without the loss of consciousness, induced by an anesthetic.


• A drug, administered for medical or surgical purposes, that induces partial or total loss of sensation and may be topical, local, regional, or general, depending on the method of administration and area of the body affected.

Bridge

• A dental bridge is a prosthesis used in place of missing teeth and may be removable or permanently attached.

Dental cavities

• The formation of cavities in the teeth by the action of bacteria; tooth decay.


• Also known colloquially as tooth decay.

Dental crown

• Full-coverage restoration (sometimes incorrectly called a cap) is a prosthetic tooth designed by a dentist and usually created by a lab technician.

Porcelain

• A hard, white, translucent ceramic made by firing a pure clay and then glazing it with variously colored fusible materials.

Stomatology

• The medical study of the mouth and its diseases.

Tooth bleaching

• Also known as tooth whitening.

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