Modern restorations for severely damaged or missing teeth are truly remarkable. Although the type of restoration may differ — dental implant, bridge, or veneer — the end result is a life-like facsimile that matches the shape and color of your natural teeth.
To achieve this result, though, the new crown or veneer requires fabrication in a dental laboratory, a meticulous process that may take a few weeks. In the interim, we often install temporary crowns. These help in a number of ways: because we’ve prepared the teeth for final restoration by removing some of the tooth structure, the temporary crown protects and stabilizes the teeth, reduces sensitivity and helps maintain gum health. Temporary crowns also enable the patient to present a more natural smile while waiting for the permanent restoration.
Temporary crowns are typically manufactured to fit a wide range of patients, similar to an “off-the-rack” suit from a clothing store. In recent years, though, customized “tailored” temporary crowns designed specifically for an individual patient have grown in popularity among dental professionals as well as patients.
In creating a customized temporary crown, we first perform a smile analysis similar to one used for a permanent restoration. After a careful assessment of your mouth, we would then make recommendations about the elements to include in the temporary crown, including shape and color. We would also factor in your desires and concerns into the final design. Working together with the dental laboratory, we would then have the temporary crowns produced and ready to apply as soon as we complete the preparatory work.
Customized temporary crowns also serve another important purpose as a kind of “dress rehearsal” for the permanent restoration. This gives you an opportunity to “try out” the smile you’ll have with the permanent restoration in your daily life. We can then use your experience to make adjustments to the permanent crowns before final production.
While customized temporary crowns involve more effort and expense than the traditional, the benefits are worth the added cost, especially if you’re involved with an extensive “smile makeover” procedure. Not only will you look better while your permanent restoration is under construction, your temporary look will give you added confidence that your future smile is right for you.
If you would like more information on temporary and permanent dental restorations, 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 “Concepts of Temporary Restorations.”
Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!
If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.
If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?
As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.
And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!
If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?”
Do you ever get sores in your mouth that seem to appear for no reason and then disappear just as mysteriously? Chances are they’re aphthous ulcers — better known as canker sores.
These are irritating breaks in the protective lining of the mouth (oral mucosa) — akin to a blister without its dome — that are yellowish/grayish in the center surrounded by an aggravated red border. They typically develop in movable, thinner oral membranes such as the cheeks and lips, under the tongue, or the soft palate at the back of the mouth. Because they expose underlying tissues, canker sores can be quite painful, especially when eating or drinking.
Recurrent aphthous ulcers (RAS) affect up to 25% of the population, making them one the most common oral conditions. They are considered “minor” when they are smaller and “major” when they exceed 1 centimeter in diameter. Larger ones take more time to heal and may cause scarring. A less common type is herpetiform aphthae, so named because the small clusters of ulcers that characterize it are similar in appearance to those caused by the herpes simplex virus (HSV1). However, unlike herpes-related cold sores and fever blisters, canker sores in any form are not contagious. Another difference is that ulcers from the herpes virus occur more frequently on the gums and hard palate.
No Clear Cause
There is no clear cause for canker sores. They often appear during stressful periods and times when resistance is down, suggesting an immune system malfunction. They may also be an allergic reaction to ingredients in food or oral products like toothpaste or mouthwash or related to an underlying medical conditions such as gastrointestinal diseases or nutritional deficiencies.
Canker sores usually resolve on their own within seven to ten days. Various over-the-counter and prescription treatments can help facilitate healing and help minimize pain along the way. If they do not resolve within two weeks; or they increase in severity, frequency or duration; or you’re never without a mouth sore it’s important to seek dental or medical attention as they could signify a more serious condition.
If you would like more information about canker sores, please contact us or schedule an appointment for a consultation. You can also learn more about the subject by reading the Dear Doctor magazine article “Mouth Sores.”
You know that sugar is bad for your teeth. But did you know that eating too much fruit or drinking fruit juice regularly can also cause dental problems? Drs. Steven Dickey of Total Dental Care in Pekin, Illinois see a number of patients that have suffered the ill effects of consuming too much seemingly-healthy fruit and fruit juice. Here are some answers to this puzzling problem.
How does fruit damage your teeth?
While fruit has many health benefits, nourishing the body with vitamins, antioxidants, and fiber, it can wreak havoc on the mouth, especially if it is consumed in large quantities. While fruit has not shown to promote tooth decay, it is a major contributor to an acid erosion of the tooth structure.
What is acid erosion?
When the teeth are consistently exposed to acidic foods and drinks, the pH level in the mouth becomes imbalanced and the protective enamel begins to break down. While saliva (spit) in the mouth acts as a buffer against the pH imbalance, fruit juices are highly resistant to saliva's effects. The result is sensitivity to hot, cold and sweet foods and beverages, yellow and transparent discoloration, and a change in the shape and size of the teeth.
What fruits have the highest acid content?
Citrus fruits - oranges, lemons, limes, and grapefruit - are particularly high in acid content. Any fruit juices or fruit-based drinks, especially orange juice and lemonade, also introduce acids into the mouth. Dental professionals like Dr. Dickey and Dr. Conroy, your Pekin dentists, have determined that the amount of fruit or fruit-based beverage is not a contributor to acid erosion; rather, it is the frequency with which it is consumed. This is especially true for babies and toddlers who are given fruit juice in their bottles and allowed to sip on them throughout the day and night.
How can I prevent acid erosion?
You can limit acid erosion by rinsing immediately after ingesting acidic foods or drinks. Brushing immediately after eating or drinking these items is discouraged by your Pekin dentist; the teeth have become softened and the abrasive effects of brushing may do more harm than good. Wait at least a half-hour to brush after acidic items have been consumed. Eating cheese or drinking milk along with acidic items is also helpful; dairy products increase saliva's anti-acid effects.
If you think your teeth might be showing signs of acid erosion, call Total Dental Care in Pekin to have a thorough evaluation from one of our skilled dentists.
A woman as gorgeous and funny as Sofia Vergara surely planned to be a model and actress from the get-go, right? Wrong! Sofia’s first career choice actually was to be… a dentist! That’s right, the sexy star of TV’s Modern Family actually was only two semesters shy of finishing a dental degree in her native Columbia when she traded dental school for the small screen. Still, dental health remains a top priority for the actress and her son, Manolo.
“I’m obsessed,” she recently told People magazine. “My son thinks I’m crazy because I make him do a cleaning every three months. I try to bribe the dentist to make him to do it sooner!”
That’s what we call a healthy obsession (teeth-cleaning, not bribery). And while coming in for a professional cleaning every three months may not be necessary for everyone, some people — especially those who are particularly susceptible to gum disease — may benefit from professional cleanings on a three-month schedule. In fact, there is no one-size-fits-all approach to having professional teeth cleanings — but everyone needs this beneficial procedure on a regular basis.
Even if you are meticulous about your daily oral hygiene routine at home, there are plenty of reasons for regular checkups. They include:
- Dental exam. Oral health problems such as tooth decay and gum disease are much easier — and less expensive — to treat in the earliest stages. You may not have symptoms of either disease early on, but we can spot the warning signs and take appropriate preventive or restorative measures.
- Oral cancer screening. Oral cancer is not just a concern of the middle aged and elderly — young adults can be affected as well (even those who do not smoke). The survival rate for this deadly disease goes up tremendously if it is detected quickly, and an oral cancer screening is part of every routine dental visit.
- Professional teeth cleaning. Calcified (hardened) dental plaque (tartar or calculus) can build up near the gum line over time — even if you brush and floss every day. These deposits can irritate your gums and create favorable conditions for tooth decay. You can’t remove tartar by flossing or brushing, but we can clear it away — and leave you with a bright, fresh-feeling smile!
So take a tip from Sofia Vergara, and don’t skimp on professional cleanings and checkups. If you want to know how often you should come in for routine dental checkups, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor articles “Dental Hygiene Visit” and “Dental Cleanings Using Ultrasonic Scalers.”
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