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Posts for: December, 2013

By Edward C. Smith, DMD, MPH, LLC
December 30, 2013
Category: Dental Procedures
Tags: celebrity smiles  
JohnStamosBritneySpearsandHowtoRelaxDuringDentalTreatment

We're always tickled to see dentists represented in popular culture, especially when portrayed by an actor as handsome as John Stamos. On the hit television show Glee, Stamos played a dentist who made sure the glee club members cleaned up their act when it came to oral hygiene — though perhaps he used a bit too much anesthesia to achieve this admirable goal. While under his care — and lots of sedation — several Glee characters had music-infused hallucinations in which they danced and sang with pop star Britney Spears.

Far-fetched? No doubt. Still, it's worth mentioning that sedation has its place in dentistry. In fact, if you are someone who tends to get anxious or even fearful about dental treatment, you should know that sedation can help you relax both mind and body so you can feel peaceful rather than anxious in the dentist's chair. And that's the whole point: Fear of pain should not stand in the way of your getting the care that will keep you healthy and allow you to keep your teeth for as long as possible.

You may not know this, but when you are afraid, your threshold for pain is actually lower. You become hypersensitive to every sensation and sound, and you tense your muscles. Fear and anxiety trigger the release of certain chemicals that put you in “fight or flight” mode. In this heightened state of alert you experience more pain during and even after treatment.

The good news is that this response can virtually be eliminated with various oral sedatives and/or with nitrous oxide, which is inhaled. Both treatments will allow you to let your guard down and relax. Your apprehension and hypersensitivity to pain will disappear, even though you are still conscious. And when you are relaxed, we are better able to focus on the task at hand, knowing that you are comfortable.

The sedatives used in dentistry have been subjected to rigorous testing and have a strong safety record backed by decades of use. Several even have “amnesic” properties, meaning that you will remember little to nothing of your treatment — unless, of course, you end up singing and dancing with Britney Spears!

If you would like more information about sedation in dentistry, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Oral Sedation Dentistry.” Dear Doctor also has more on “Overcoming Dental Fear & Anxiety.”


By Edward C. Smith, DMD, MPH, LLC
December 27, 2013
Category: Dental Procedures
GetaWhiterBrighterSmile

If your teeth are not as bright as they used to be, or as white as you'd like them to be, then whitening or bleaching them may be the solution. Surface stains from coffee, tea, red wine or tobacco may be the most likely culprits. Internal staining can also be the result of root canal treatments, large fillings, too much of a good thing, like fluoride — or just plain aging. In some cases taking an antibiotic (tetracycline) during tooth development can cause permanent staining. In most cases bleaching stained or yellow teeth can really make a difference, helping to make them brighter and whiter.

The active ingredient in whitening products is hydrogen peroxide, which is also the breakdown product in carbamide peroxide. If a good regular dental cleaning doesn't remove your stains, then these products can bleach stains that are either superficial (on the surface) or deeper within the tooth structure. “In office” professional tooth whitening speeds the process along with the use of specialized lights or lasers, so that your teeth will whiten after only one or two office visits. Professional whitening or bleaching, which uses up to 35% peroxide solutions, may cause transient tooth sensitivity, but this will fade away quickly within a few days. Gum protection is also necessary to prevent irritation.

The effects of bleaching usually last six months to a year, at which time all that may be necessary is a minor touch up or refresher. And your whiter, brighter teeth will last longer if you avoid the habits that caused them — like avoiding smoking and foods that cause staining.

Whitening products for home use are an alternative to professional whitening systems that we apply in the office. Products for home use have a lower concentration of the active bleaching ingredients. We can make you custom fitted “trays” that exactly fit your teeth, and provide you with home strength whiteners, so that you can whiten at your own pace and stop at the brightening level of your choice.

And finally there are over-the-counter (OTC), whitening products, at even lower strengths for safety, but they are slower to work.

If whitening doesn't give you the smile you want, and deserve, then you may need to consider veneers or crowns to improve your smile.

Make an appointment to have a consultation with us about your personal cosmetic needs. We will review all the risks, benefits and alternatives to bleaching. You can learn more about teeth whitening by reading the Dear Doctor magazine article “Teeth Whitening: Bleaching is an effective method with minimal side effects.”


By Edward C. Smith, DMD, MPH, LLC
December 12, 2013
Category: Dental Procedures
BillRancicsSmileHelpsClosetheDeal

Can having a great smile help land you a high-level business position, a TV show, and a bride? Maybe — at least if you go by the example of Bill Rancic.

The 42-year-old Chicago native is well known as the first winner of NBC-TV's The Apprentice, a reality show where contestants vied for a job with Donald Trump's organization. Shortly after his selection as Trump's newest hire, Rancic met his future wife, Giuliana, when she interviewed him for E! News. Flash forward a few years, and the couple is now hosting their own reality TV show on Style network.

So how much has Bill's winning smile helped?

“I think a great smile says a lot about a person — especially in our professions,” Bill recently said in an interview with Dear Doctor magazine. He also mentioned that having a few cosmetic dental treatments helped him close the deal.

As a child, Bill wore braces to correct an overbite. For both kids and adults, orthodontic treatment is often the first step toward getting the smile of your dreams. The practice of orthodontics has changed dramatically in the past 20 years and there are now a number of choices available in lieu of traditional metal braces.

Not Your Father's Braces
For those who need to maintain a “professional” image, tooth-colored braces offer a less noticeable way to straighten your teeth. Lingual braces are another option that's suitable in some situations. These are truly invisible: bonded on the tongue side of the teeth, they can't be seen from the front.

Or, you may be able to forego braces altogether and use a series of clear plastic aligners to gradually bring your teeth into alignment. Not only are these difficult to notice, but they can be completely removed for short periods of time — at important board meetings, for example.

Red-Carpet Tooth Whitening
More recently, Rancic had tooth whitening treatments. Depending on the degree of lightening needed, these can range from custom-fitted bleaching trays that you wear at home under the supervision of a dentist, to in-office whitening treatments that work in far less time. Both can be effective in lightening your teeth by six shades or more.

But if you need the ultimate in whitening, veneers may be the best option. These are fingernail-thin coatings, made of pearly-white porcelain or composite material, that are placed directly on the tooth surfaces. Realistic and durable, they can provide a “Hollywood white” smile that's ready for the red carpet.

Did Bill's cosmetic dental work really improve his life? We can't say for sure — but as his wife Giuliana recently told Dear Doctor, “First impressions are very important, and having a beautiful smile will help anyone make a great impact on others.” So perhaps it worked on her!

If you would like more information on how cosmetic dental treatments can improve your smile, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Important Teeth Whitening Questions Answered.”