As you are aware, plaque (the whitish build-up of food material, and bacteria) is the cause of cavities, tooth scarring (white lines as stains, also technically known as enamel decalcification) and gum disease, which may occur if teeth are not kept clean. In order to prevent the above problems from occurring, several techniques have been developed to reduce or eliminate plaque build-up on your teeth. You should brush your teeth immediately after every time you eat, even after snacks. We recommend a soft toothbrush and any brand of toothpaste which contains fluoride. Tooth brushing and oral hygiene must be excellent at all times, especially next to the gumline. When oral hygiene is poor several things happen:
- Gum infection (gingivitis) is recognized by puffy, swollen, red gums which bleed easily. This can lead to more severe disease (periodontal disease), which eventually leads to tooth loss.
- Permanent white spots (decalcifications) may also be left on the teeth after appliances are removed if plaque is allowed to remain on the teeth during treatment. Extra care must be taken in the area between your gums and the braces. We call this “The Danger Zone”. Food and plaque that collects around your braces and wires can cause stains and cavities as well as unpleasant odors, so be sure to keep your teeth clean. Take time and do it right. If you have difficulty brushing, an electric toothbrush may be recommended. A “proxy brush” is a small pipe-cleaner type of toothbrush and is recommended for brushing under your wires and between brackets in addition to a regular toothbrush.
- Finally, cavities can occur before, during or after treatment if hygiene is poor. Fortunately, all of these are preventable simply by brushing and flossing. We reserve the right to remove braces and stop treatment if hygiene is repeatedly poor and we feel that high plaque levels are damaging teeth and/or gums. Remember, during your orthodontic treatment you must see your dentist every 4-6 months for your cleanings and dental check-ups.
Remember that although your braces and wires are metal, they are fragile and can be damaged by eating the wrong foods.
When it comes to tooth whitening, many people want instant gratification. Our office uses the Zoom! In-Office Whitening System, a revolutionary tooth whitening procedure -especially suited for people who just won’t find the time to do home bleaching/whitening.
It’s safe effective and fast – very fast. In just over an hour, your teeth will be dramatically whiter. Zoom! Whitening is ideal for anyone looking for immediate results. The convenience of Zoom!, compared to days of wearing trays and gradual whitening, makes it the perfect choice for the busy individual.
This whitening procedure is simple and painless. It begins with a short preparation to isolate your lips and gums. Then the proprietary Zoom! whitening gel, is applied, and when activated by the Zoom! light, it gently penetrates the teeth to remove deep stains and discoloration. Teeth typically become at least six to ten shades whiter, sometimes more. A five-minute fluoride treatment completes the procedure. You’ll be amazed with the results. In most cases, teeth get even whiter the first few days after the procedure.
There are big advantages of doing an implant as a replacement for a single missing tooth.
- The teeth on either side of the missing tooth don’t have to be cut down or modified in any way.
- The resulting implant-supported unit is stronger than a fixed bridge and stronger even than the original tooth.
- It is going to be stable and should last a very long time.
- It looks almost like new!
This patient [fig. 1] fractured the root of her tooth at the gum line and had to lose the tooth. A single tooth implant-supported restoration was the treatment plan of choice. It was determined that an immediate temporary crown could be provided on the same day that the tooth was removed, and the implant was placed.
After the tooth was removed, the implant was immediately placed [fig. 2]. A temporary crown was fabricated and cemented over the implant [fig. 3], making sure the patient couldn’t bite on the temporary or touch it with her lower teeth; she walked out of the office the same day with a provisional tooth.
Five months later, after the implant has become firmly attached to the bone, impressions for the permanent implant abutment and crown were taken. The abutment is the part of the implant that connects the implant to the crown. The final implant-supported restoration looks and functions like the other teeth [fig. 4].
|Fig. 3||Fig. 4|