Posts for: January, 2018
Some people are lucky — they never seem to have a mishap, dental or otherwise. But for the rest of us, accidents just happen sometimes. Take actor Jamie Foxx, for example. A few years ago, he actually had a dentist intentionally chip one of his teeth so he could portray a homeless man more realistically. But recently, he got a chipped tooth in the more conventional way… well, conventional in Hollywood, anyway. It happened while he was shooting the movie Sleepless with co-star Michelle Monaghan.
“Yeah, we were doing a scene and somehow the action cue got thrown off or I wasn't looking,” he told an interviewer. “But boom! She comes down the pike. And I could tell because all this right here [my teeth] are fake. So as soon as that hit, I could taste the little chalkiness, but we kept rolling.” Ouch! So what's the best way to repair a chipped tooth? The answer it: it all depends…
For natural teeth that have only a small chip or minor crack, cosmetic bonding is a quick and relatively easy solution. In this procedure, a tooth-colored composite resin, made of a plastic matrix with inorganic glass fillers, is applied directly to the tooth's surface and then hardened or “cured” by a special light. Bonding offers a good color match, but isn't recommended if a large portion of the tooth structure is missing. It's also less permanent than other types of restoration, but may last up to 10 years.
When more of the tooth is missing, a crown or dental veneer may be a better answer. Veneers are super strong, wafer-thin coverings that are placed over the entire front surface of the tooth. They are made in a lab from a model of your teeth, and applied in a separate procedure that may involve removal of some natural tooth material. They can cover moderate chips or cracks, and even correct problems with tooth color or spacing.
A crown is the next step up: It's a replacement for the entire visible portion of the tooth, and may be needed when there's extensive damage. Like veneers, crowns (or caps) are made from models of your bite, and require more than one office visit to place; sometimes a root canal may also be needed to save the natural tooth. However, crowns are strong, natural looking, and can last many years.
But what about teeth like Jamie's, which have already been restored? That's a little more complicated than repairing a natural tooth. If the chip is small, it may be possible to smooth it off with standard dental tools. Sometimes, bonding material can be applied, but it may not bond as well with a restoration as it will with a natural tooth; plus, the repaired restoration may not last as long as it should. That's why, in many cases, we will advise that the entire restoration be replaced — it's often the most predictable and long-lasting solution.
Oh, and one more piece of advice: Get a custom-made mouthguard — and use it! This relatively inexpensive device, made in our office from a model of your own teeth, can save you from a serious mishap… whether you're doing Hollywood action scenes, playing sports or just riding a bike. It's the best way to protect your smile from whatever's coming at it!
If you have questions about repairing chipped teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”
Winter is the time for snowy landscapes, hot cocoa and flannel PJs, but for some 'tis the season for tooth trouble. What can you do to keep your teeth from becoming a pain this winter?
Tackle tooth sensitivity. Does crisp winter air on your teeth give you a jolt? A study published in the Journal of the American Dental Association found that 1 in 8 people (over 12%) suffer from tooth sensitivity, particularly to cold. Sensitivity can result from receding gums, erosion of tooth enamel, tooth decay or other dental problems. If you experience tooth sensitivity, use toothpaste that is specially formulated for sensitive teeth and breathe through your nose to protect your teeth from extreme cold. Most importantly, schedule a dental exam to determine why your teeth are sensitive.
Stay hydrated. In winter, we spend more time with the heat on and we tend to drink less water. A dry mouth can result, which can lead to bad breath, tooth decay and gum disease. Staying well hydrated keeps your gums and teeth moist and helps you produce more saliva, which is key to good oral health and fresh breath. Saliva helps wash away food debris and bacteria, neutralize decay-causing acid and repair weakened tooth enamel. For healthy teeth and gums, be sure to drink plenty of water this winter.
Safeguard your teeth on the slopes. Are you planning to hit the slopes this winter? Be sure to wear a mouthguard to help protect against injury. Beginning skiers and snowboarders are more likely to suffer falls that could result in dental injuries, while experts may fly over bumps and jumps, causing the upper and lower teeth to knock together with force. Even backyard sledders are at risk of dental injury. Mouthguards help protect against chipped, broken, or knocked-out teeth as well as soft tissue damage. So before you enjoy wintertime sports, make sure your teeth are protected. For the best fit and comfort, ask us about a custom mouthguard.
If you have questions about these or other dental issues, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Treatment of Tooth Sensitivity” and “Dry Mouth.”