Dentist Blog

Posts for category: Dental Procedures

GettingaNewToothinaDayWillDependonYourBoneHealth

If you know anyone with a dental implant, you may know it can be a long process in getting one. Several weeks or months can pass between removing the old tooth and placing the implant, and then several more weeks before affixing the permanent crown.

But with recent advances in implant technology, some patients don't have to wait as long for a new implant and crown. In fact, one procedure commonly known as "tooth in one day," allows patients to walk in with a problem tooth and out the same day with a new "one."

Not every implant patient, however, can undergo this accelerated procedure. If you're considering implants, the state of your bone health will determine whether or not you can.

Implants need a certain amount of available bone for proper placement. But bone loss, a common consequence of missing teeth or dental disease, can reduce bone volume to less than what's needed to place an implant. The patient may first need to undergo grafting to regenerate the bone or choose another restorative option.

If your supporting bone is sound, your dentist might then proceed with the implant. But you will still have to wait a while for your new crown. The implant needs to integrate with the bone to improve its hold. This integration process can take anywhere from a minimum of six weeks to more commonly twelve weeks. After the attachment is mature, the dentist may need to undo the gum covering before taking impressions for the formation of the new crown.

But it is possible to have a tooth or teeth in a day. For a single tooth, your dentist may be able to immediately attach a crown right after implant surgery if the implant is very stable. Even so, this crown will need to be temporary, slightly shorter than a permanent crown so that it won't make contact with other teeth and put too much pressure on the new implant. After further healing from bone integration, impressions will be taken so that you'll receive your permanent crown shortly.

Immediate crown placement can allow you to have the cosmetic and limited functional benefit of a new tooth right from the start. If multiple implants are placed in one arch in a day, it's possible to have immediate teeth if enough implants are attached together with a temporary restoration.

This is different from a single implant replacing a single tooth and does create confusion for patients when they read about teeth in a day.┬áRegardless, no final tooth crown can be placed at the time of an implant—only a temporary restoration.

If you would like more information on your options for dental implants, 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 “Same-Day Tooth Replacement with Dental Implants.”

BobbyBonesDancesHisWaytoDentalDamage

The long-running hit show Dancing with the Stars has had its share of memorable moments, including a wedding proposal, a wardrobe malfunction, and lots of sharp dance moves. But just recently, one DWTS contestant had the bad luck of taking an elbow to the mouth on two separate occasions—one of which resulted in some serious dental damage.

Nationally syndicated radio personality Bobby Bones received the accidental blows while practicing with his partner, professional dancer Sharna Burgess. “I got hit really hard,” he said. “There was blood and a tooth. [My partner] was doing what she was supposed to do, and my face was not doing what it was supposed to do.”

Accidents like this can happen at any time—especially when people take part in activities where there’s a risk of dental trauma. Fortunately, dentists have many ways to treat oral injuries and restore damaged teeth. How do we do it?

It all depends on how much of the tooth is missing, whether the damage extends to the soft tissue in the tooth’s pulp, and whether the tooth’s roots are intact. If the roots are broken or seriously damaged, the tooth may need to be extracted (removed). It can then generally be replaced with a dental bridge or a state-of-the-art dental implant.

If the roots are healthy but the pulp is exposed, the tooth may become infected—a painful and potentially serious condition. A root canal is needed. In this procedure, the infected pulp tissue is removed and the “canals” (hollow spaces deep inside the tooth) are disinfected and sealed up. The tooth is then restored: A crown (cap) is generally used to replace the visible part above the gum line. A timely root canal procedure can often save a tooth that would otherwise be lost.

For moderate cracks and chips, dental veneers may be an option. Veneers are wafer-thin shells made of translucent material that go over the front surfaces of teeth. Custom-made from a model of your smile, veneers are securely cemented on to give you a restoration that looks natural and lasts for a long time.

It’s often possible to fix minor chips with dental bonding—and this type of restoration can frequently be done in just one office visit. In this procedure, layers of tooth-colored resin are applied to fill in the parts of the tooth that are missing, and then hardened by a special light. While it may not be as long-lasting as some other restoration methods, bonding is a relatively simple and inexpensive technique that can produce good results.

If you would like more information about emergency dental treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor articles “The Field-Side Guide to Dental Injuries” and “Knocked Out Tooth.”

PreplessVeneerscanTransformYourSmileWithoutAlteringYourTeeth

Porcelain veneers represent one of the best values in cosmetic dentistry, capable of radically changing a person’s smile with little tooth surface preparation. Still, the small amount of tooth enamel usually removed to accommodate them will permanently alter the affected teeth, to the point they will require a veneer or other restoration from then on.

The traditional veneer has remarkable versatility for solving a number of minor cosmetic problems, correcting mild tooth positioning problems and replacing lost or damaged enamel. But to avoid an unnatural bulky appearance, a portion of the tooth enamel must be permanently removed to accommodate them.

In recent years, though, a new concept known as “prepless veneers” has emerged in the field of cosmetic dentistry. Understandably, this new, “drill-free” veneer application has caused a lot of debate among dentists and patients alike, with concerns of bulky, overly-contoured teeth resulting from the technique. But the concept is growing as many well-regarded dentists have incorporated both minimal prep and prepless veneers into their service offerings.

The prepless veneer offers a cosmetic solution that doesn’t alter the tooth permanently. Using techniques such as feathering, which tapers and blends the veneer seamlessly with the tooth at the gum line, we can avoid an unnatural appearance while offering patients a much less invasive outcome.

The main disadvantage of prepless veneers at this time is that they’re not appropriate in every case. In fact, careful patient selection is a key to a successful outcome. For example, relatively large teeth or teeth positioned too far forward don’t work well with an added layer of thickness.

If, on the other hand, you have small, short or worn teeth, or teeth overshadowed by your lips — just to name a few likely scenarios — then you may benefit immensely from prepless veneers without permanent alteration to your teeth. A detailed examination is your first step to finding out if this new technique could provide you with a less-invasive smile makeover.

If you would like more information on drill-free porcelain veneers, 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 “Porcelain Veneers without the Drill.”

J-LosUnluckyBreakChippingaToothonStage

Whether she’s singing, dancing or acting, Jennifer Lopez is a performer who is known for giving it all she’s got. But during one show, Lopez recently admitted, she gave a bit more then she had planned.

“I chipped my tooth on stage,” she told interviewers from Entertainment Tonight, “and had to finish the show….I went back thinking ‘Can I finish the show like this?’”

With that unlucky break, J-Lo joins a growing list of superstar singers—including Taylor Swift and Michael Buble—who have something in common: All have chipped their teeth on microphones while giving a performance.

But it’s not just celebs who have accidental dental trouble. Chips are among the most common dental injuries—and the front teeth, due to their position, are particularly susceptible. Unfortunately, they are also the most visible. But there are also a number of good ways to repair chipped, cracked or broken teeth short of replacing them.

For minor to moderate chips, cosmetic bonding might be recommended. In this method, special high-tech resins, in shades that match your natural teeth, are applied to the tooth’s surface. Layers of resin, cured with a special light, will often restore the tooth to good appearance. Best of all, the whole process can often be done in just one visit to the dental office, and the results can last for several years.

For a more permanent repair—or if the damage is more extensive—dental veneers may be another option. Veneers are wafer-thin shells that cover the entire front surface of one or more teeth. Strong, durable and natural-looking, they can be used to repair moderate chips, cracks or irregularities. They can also help you get a “red-carpet” smile: brilliant white teeth with perfectly even spacing. That’s why veneers are so popular among Hollywood celebs—even those who haven’t chipped their teeth!

Fortunately, even if the tooth is extensively damaged, it’s usually possible to restore it with a crown (cap), a bridge—or a dental implant, today’s gold standard for whole-tooth replacement. But in many cases, a less complex type of restoration will do the trick.

Which tooth restoration method did J-Lo choose? She didn’t say—but luckily for her adoring fans, after the microphone mishap she went right back up on stage and finished the show.

If you have a chipped tooth but you need to make the show go on, 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.”

By Outlaw Dental
March 05, 2019
Category: Dental Procedures
Tags: teeth whitening  

Your smile is an important asset to your physical appearance, and it needs a “tune-up” every now and again. A teeth whitening Teeth Whiteningappointment with Dr. Jim Outlaw at Outlaw Dental in Winter Park, FL, will help you regain the luster and beauty of your smile. Whitening will renew and brighten it in about one hour.

Smile Renewal with Teeth Whitening
Day after day, you look at your teeth in the mirror after brushing them, but you may not notice the color changing. The foods and beverages you enjoy each day might eventually have an effect on how your teeth are colored. When you do start to notice your teeth are yellowing, Dr. Outlaw can renew your smile with one simple teeth whitening treatment. Using a bleaching solution that is only available to dental professionals can remove up to eight shades of discoloration.

The Teeth Whitening Session
When you schedule an appointment to have your teeth whitened by your Winter Park, FL, dentist expect to spend about an hour just relaxing and waiting to see your newly polished smile. Your lips will be held back with a retractor, so the dentist can see all of the surfaces of your teeth. After applying the bleaching solution, it takes 60-90 minutes for the whitening effect to kick in. Having this cosmetic treatment is like turning back the clock on your smile.

Ways to Keep Your Teeth White
It’s possible to maintain your newly brightened smile for multiple years after your teeth whitening session. Add these tips for keeping your teeth white to your daily routine:

- Avoid putting your teeth (especially the front rows) in direct contact with stain-causing agents, like tomato sauce, wine, or coffee. Use a straw when possible.
- Brush regularly after meals and before bedtime using a dentist-approved whitening toothpaste.
- Add sufficient calcium to your diet to keep your teeth strong and resilient.

Let Outlaw Dental Renew Your Smile
Has your smile looked a little dull and off-color for a while? A Winter Park, FL, dentist could brighten and renew it with a professional teeth whitening treatment. Call (407) 671-6506 today to schedule a visit with Dr. Outlaw.