Between the final game of the World Series in late October and spring training in February, major league baseball players work on their skills preparing for the new season. Reporters on a Zoom call to the New York Yankees' training camp wanted to know what star outfielder Aaron Judge had been doing along those lines. But when he smiled, their interest turned elsewhere: What had Aaron Judge done to his teeth?
Already with 120 homers after only five seasons, Judge is a top player with the Yankees. His smile, however, has been less than spectacular. Besides a noticeable gap between his top front teeth (which were also more prominent than the rest of his teeth), Judge also had a chipped tooth injury on a batting helmet in 2017 during a home plate celebration for a fellow player's walk-off home run.
But now Judge's teeth look even, with no chip and no gap. So, what did the Yankee slugger have done?
He hasn't quite said, but it looks as though he received a “smile makeover” with porcelain veneers, one of the best ways to turn dental “ugly ducklings” into “beautiful swans.” And what's even better is that veneers aren't limited to superstar athletes or performers—if you have teeth with a few moderate dental flaws, veneers could also change your smile.
As the name implies, veneers are thin shells of porcelain bonded to the front of teeth to mask chips, cracks, discolorations or slight gaps between teeth. They may even help even out disproportionately sized teeth. Veneers are custom-made by dental technicians based on a patient's particular tooth dimensions and color.
Like other cosmetic techniques, veneers are a blend of technology and artistry. They're made of a durable form of dental porcelain that can withstand biting forces (within reason, though—you'd want to avoid biting down on ice or a hard piece of food with veneered teeth). They're also carefully colored so that they blend seamlessly with your other teeth. With the right artistic touch, we can make them look as natural as possible.
Although porcelain veneers can accommodate a wide range of dental defects, they may not be suitable for more severe flaws. After examining your teeth, we'll let you know if you're a good candidate for veneers or if you should consider another restoration. Chances are, though, veneers could be your way to achieve what Aaron Judge did—a home run smile.
If you would like more information about porcelain veneers, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Porcelain Veneers: Strength & Beauty As Never Before.”
Millions of Americans live with osteoporosis, a degenerative bone disease that can turn a minor fall into a potential bone fracture. Literally meaning "porous bone," osteoporosis causes the natural marrow spaces in bone tissue to progressively grow larger and weaken the remaining bone.
Many osteoporosis patients take medication to slow the disease's process. But due to the dynamic nature of bone, some of these drugs can have unintended consequences—consequences that could affect dental care.
As living tissue, bone is literally "coming and going." Certain cells called osteoblasts continuously produce new bone, while others called osteoclasts remove older tissue to make way for the new. Drugs like bisphosphonates and RANKL inhibitors interrupt this process by destroying some of the osteoclasts.
As a result, more of the older bone remains past its normal lifespan, helping the bone overall to retain strength. But ongoing research is beginning to hint that this may only be a short-term gain. The older, longer lasting bone is more fragile than newer bone, and tends to become more brittle and prone to fracture the longer a patient takes the drug. This tissue can also die but still remain intact, a condition known as osteonecrosis.
The femur (the large upper leg bone) and the jawbone are the bones of the body most susceptible to osteonecrosis. Dentists are most concerned when this happens in the latter: Its occurrence could lead to complications during invasive procedures like oral surgery or implant placement.
Because of this possibility, you should keep your dentist informed regarding any treatments you're undergoing for osteoporosis, especially when planning upcoming dental procedures like oral surgery or implant placement. You might be able to lower your risk by taking a "drug holiday," coming off of certain medications for about three months before your dental work.
As always, you shouldn't stop medication without your doctor's guidance. But research has shown drug holidays of short duration won't worsen your osteoporosis. If you're already showing signs of osteonecrosis in the jaw, a short absence from your prescription along with antiseptic mouthrinses and heightened oral hygiene could help reverse it.
Fortunately, the risk for dental complications related to osteoporosis medication remains low. And, by working closely with both your dentist and your physician, you can ensure it stays that way.
If you would like more information on osteoporosis and your dental care, 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 “Osteoporosis Drugs & Dental Treatment.”
Periodontal (gum) disease may begin superficially, but it can eventually work its way deeper below the gums to become a threat to the teeth and the underlying bone. The tooth roots are especially vulnerable to the disease with long-lasting implications to the tooth's survival.
An infection usually begins with dental plaque, a thin biofilm on tooth surfaces that harbor the bacteria that cause gum disease. The infection may eventually reach an area around the tooth roots called a furcation, where the roots branch off from the main tooth body. If the disease gains a foothold in a furcation, it could seriously erode the infected bone structure.
This often occurs in stages, commonly classified as early, moderate or advanced ("through and through"). In the first stage, the infected area exposes a slight groove in the tooth, but no significant structural loss. The next stage shows bone loss of at least two millimeters. In the most advanced stage, the bone loss now extends all the way beneath the tooth from one side to the other.
As with any situation caused by gum disease, it's best to catch a furcation involvement early and initiate treatment. As with any case of gum disease, the objective is to remove accumulated plaque and tartar (hardened plaque), which both fuel the infection. With plaque removed, the periodontal tissues can begin to heal and possibly regenerate.
It can be hard to achieve these outcomes because furcations are difficult to access. Although we may be able to clean the roots with tools like scalers (curettes) or ultrasonic equipment, we might still need to surgically access the area to completely remove the infection.
Initial treatment of furcations is often only the beginning. Someone with this level of gum disease usually needs continuous, heightened dental care and maintenance to prevent reinfection, often by an experienced hygienist working in consultation with a periodontist (gum specialist). It's also common to surgically alter the tissues around a furcation to make them easier to inspect and clean.
The best scenario, of course, is to avoid an infection altogether, or at least diagnose it before it becomes this advanced. The best way to stay gum (and tooth) healthy is to be sure you brush and floss every day, and see your dentist for cleanings and checkups at least twice a year.
If you would like more information on treating furcations, 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 “What are Furcations?”
In his iconic poem, "A Visit from St. Nicholas," Clement Moore wrote of children sleeping "while visions of sugar plums danced in their heads." Indeed, sweet treats are still interwoven into the holidays—and a prime reason why we tend to put on pounds during the season. It may also be why your next dental visit might come with some unpleasant news.
The starring actors in much of traditional holiday snacking and feasting are naturally-occurring or added sugars. Carbohydrates like refined sugar in particular can dramatically affect your dental health if you over-consume them, because they can feed the bacteria that causes both tooth decay and gum disease.
There are ways, though, to reduce their impact on your teeth and gums. You can, of course, go "cold turkey" and cut refined sugar out completely, as well as curtail other carbohydrates like refined flours and fruit. It's effective, but not much fun—and what are the holidays without fun?
More in line with "moderation in all things," there are other ways to minimize the impact of carbohydrates on your teeth and gums during the holiday season. Here are a few of them.
Limit refined sugar. While you and your family may not be up for banning sugar during the holidays, you can reduce it significantly. For instance, prepare more savory items rather than the sweeter kinds. If you must go for sweet, opt for naturally occurring sugars in fruit or dairy rather than refined table sugar or high fructose corn syrup.
Eat sweet treats with meals. Constant snacking often comes with the holiday season. And, why not—all those abundant goodies are just begging to be eaten. But noshing all the time never allows your mouth's saliva, which neutralizes the enamel-eroding acid produced by the bacteria fueled by sugar, a chance to finish its buffering. Instead, try as much as possible to limit treats to mealtimes.
Use different sweeteners. There are a number of alternative sweeteners to regular sugar, both natural and artificial. Some work better in baked goods, while others are more suitable for candies or beverages. Xylitol in particular, a sugar alcohol, actually discourages oral bacterial growth. You can also use natural sweetening agents like stevia or erythritol to help reduce refined sugar in your treats.
Even if you normally limit carbohydrates, it's understandable if their consumption rises during the holidays. That's why it's important you don't neglect daily brushing and flossing to help control bacterial plaque, the main driver for dental disease. Both effective oral hygiene and reining in the sweets will help your teeth and gums sail through the holidays into the new year.
If you would like more information about protecting your oral health during the holidays, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “The Bitter Truth About Sugar.”
It's not unusual for serious actors to go above and beyond for their roles. They gain weight (or lose it, like Matthew McConaughey for True Detective). They grow hair—or they shave it off. But perhaps nothing tops what Brad Pitt did to assume the character of Tyler Durden in the movie Fight Club—he had his dentist chip his teeth.
While a testament to his dedication to the acting craft, Pitt's move definitely falls into the category of "Kids, don't do this at home." Fortunately, people deliberately chipping their teeth isn't a big problem. On the other hand, accidentally chipping a tooth is.
Chipping a tooth can happen in various ways, like a hard blow to the jaw or biting down on something too hard. Chipping won't necessarily endanger a tooth, but the missing dental structure can put a damper on your smile.
But here's the good news: you don't have to live with a chipped tooth. We have ways to cosmetically repair the damage and upgrade your smile.
One way is to fit a chipped or otherwise flawed tooth with a dental veneer, a thin wafer of dental porcelain bonded to the front of a tooth to mask chips, discolorations, gaps or other defects. They're custom-made by a dental lab to closely match an individual tooth's shape and color.
Gaining a new smile via dental veneers can take a few weeks, as well as two or more dental visits. But if you only have slight to moderate chipping, there's another way that might only take one session in the dentist's chair. Known as composite bonding, it utilizes plastic-based materials known as composite resins that are intermixed with a form of glass.
The initial mixture, color-matched for your tooth, has a putty-like consistency that can be easily applied to the tooth surface. We apply the composite resin to the tooth layer by layer, allowing a bonding agent in the mixture to cure each layer before beginning the next one. After sculpting the composite layers into a life-like appearance, the end result is a "perfect" tooth without visible flaws.
Unlike Brad Pitt, it's pretty unlikely you'll ever find yourself in a situation requiring you to purposely damage your teeth. But chips do happen—and if it happens to you, we have more than one way to make your teeth as good as new.
If you would like more information about repairing dental flaws with veneers or composite bonding, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Artistic Repair of Front Teeth With Composite Resin.”
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