My Blog

Posts for: December, 2014

By Eric G. Piascik, DMD
December 30, 2014
Category: Dental Procedures
MatthewLewissMetamorphosis

Remember Matthew Lewis? You've seen him in all of the Harry Potter movies, where he played the bumbling Neville Longbottom: a pudgy, teenage wizard-in-training whose teeth could best be described as... dodgy. We won't spoil the movie by telling you what happens to him in the end — but in real life, let's just say his awkward phase is over. Today, he looks more like a young Ryan Gosling. How did this transformation happen?

Well, in part it was some “Hollywood magic” that made his teeth look worse in the films than they really were. But Lewis acknowledges that he also had cosmetic dental work performed. If you've ever considered getting a smile makeover yourself, you may wonder: What kinds of “dental magic” might it take to change an awkward grin into a red-carpet smile? Here are a few of the treatments we might utilize.

Orthodontics
It's possible to correct tooth crowding, protrusion, gaps between teeth, and many other bite problems with orthodontic appliances like braces or clear aligners. While some may think orthodontics is just for teens, that isn't so — you're never too old to get the smile you've always wanted! In fact, right now about one in five orthodontic patients is an adult.

Teeth Whitening
This is a popular (and surprisingly affordable) option that can effectively lighten your teeth by six shades or more. We can do in-office whitening for the fastest results, or prepare a take-home whitening kit with a custom-made tray to fit your teeth perfectly and a supply of the proper bleaching solution. How well it will work for you (and how long it will last) depends on various factors, including the original cause of the discoloration, and your preferences for foods and beverages (such as coffee or red wine) that may cause stains.

Porcelain Veneers
Sometimes, even professional bleaching isn't enough to get the kind of permanent, “Hollywood white” smile you'd like; that's where porcelain veneers come in. By placing a fingernail-thin layer of ceramic over the tooth's enamel, veneers offer a permanent, pearly white finish that looks just like your natural teeth — only more dazzling! Veneers, long the first choice of celebrities, are gaining popularity with plenty of “regular” folks.

Tooth Restorations
This category covers a wide variety of different methods and materials — like cosmetic bonding, crowns, bridges, and dental implants — which we use to repair or replace teeth that are damaged or missing. Beginning with the simple repair of small chips or cracks with tooth-colored resins, we can progress to more permanent crown restorations when more of the tooth structure needs replacement. To restore missing teeth, we have the option of using the tried-and-true bridge — or, the current gold standard in tooth replacement: the lifelike, permanent dental implant.

Of course, this is just a bare outline of the many tools and techniques cosmetic dentistry offers. We would be happy to talk with you about which ones are right in your individual situation. Will a smile makeover land you a red-carpet role? Maybe... but one thing is for sure: It will help you get the smile you've always wanted.

If you would like more information about smile makeovers and options in cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Cosmetic Dentistry,” “Porcelain Crowns & Veneers,” and “Dental Implants.”


By Eric G. Piascik, DMD
December 19, 2014
Category: Dental Procedures
Tags: root canal   endodontics  
NeedaRootCanalFearNot

Perhaps you or someone you know has been told they will need root canal treatment. Maybe you're experiencing some unexplained tooth pain, and you think you might need to have this procedure done. Nervous? You shouldn't be! A good understanding of this common and relatively pain-free dental treatment can go a long way toward relieving your anxiety.

What's a root canal? It's the small, branching hollow space or canal, deep within the root of the tooth. Like an iceberg in the ocean, a tooth shows only part of its structure above the gum line: That's the part you see when you smile. But about two-thirds of the tooth — the part called the root — lies below the gum. A healthy root canal is filled with living pulp tissue, which contains tiny blood vessels, nerves and more.

A “root canal” is also shorthand for the endodontic treatment that's called for when problems develop with this tissue. For a variety of reasons — deep tooth decay or impact trauma, for example — the pulp tissue may become inflamed or infected. When this happens, the best solution is to remove the dead and dying tissue, disinfect the canals, and seal them up to prevent future infection.

How is this done? The start of the procedure is not unlike getting a filling. A local anesthetic is administered to numb the tooth and the nearby area. Then, a small opening is made through the chewing surface of the tooth, giving access to the pulp. A set of tiny instruments is used to remove the diseased tissue, and to re-shape and clean out the canals. Finally, the cleared canals are filled with a biocompatible material and sealed with strong adhesive cement.

After root canal treatment, it's important to get a final restoration or crown on the tooth. This will bring your tooth back to its full function, and protect it from further injury such as fracture. A tooth that has had a root canal followed by a proper restoration can last just as long as any other natural tooth. And that's a long time.

If you would like more information about root canals, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Common Concerns About Root Canal Treatment” and “Signs and Symptoms of a Future Root Canal.”


By Eric G. Piascik, DMD
December 04, 2014
Category: Dental Procedures
HowardSternOpensUp-AboutHisTeeth

Is there anything that radio and TV personality (and self-proclaimed “King of All Media”) Howard Stern doesn’t want to talk about in public? Maybe not — but it took a caller’s on-air question to get the infamous shock jock to open up about his own dental work.

When he was directly asked if his teeth were capped, Stern said no. “I redid ‘em [some time] ago… I had bonding and um… veneers… over my real teeth. But I don’t get that ‘Hollywood white’ though,” he said, before adding his uncensored opinion on the subject of proper tooth shades.

As we’re sure Stern would be the first to point out, everyone has a right to their own opinion. But we’re pleased that Howard brought up an important point about veneers: They are custom-made in a whole range of different shades, from a more ‘natural’ tooth color to a brilliant white shine. Which one you select depends on what look is right for you — and that’s your choice.

In case you aren’t familiar with veneers, they are fingernail-thin coverings made of porcelain, which are bonded onto the surfaces of the teeth. This enables them to hide a number of defects — like chips, discoloration, and even small irregularities in spacing. They can also be used to lengthen teeth that seem out of proportion to the gums, lips or other facial features.

Veneers are among the cosmetic dental treatments most favored by Hollywood stars… as well as regular folks who want a dramatic improvement in their smile. Unlike crowns (caps), which generally require extensive reshaping of the tooth, standard veneers require the removal of just fractions of a millimeter of tooth surface. That makes them a minimally invasive method of smile enhancement that can make a big difference in your appearance. In fact, veneers are often a major part of a complete “smile makeover.”

Dental veneers are custom made in a laboratory from a mold of your teeth. They are designed to fit your teeth perfectly — and to be just the shade you want. When you come in for a consultation, we will discuss what you like and don’t like about your smile, and how we might improve it. Will you opt to get the brilliant “red-carpet” smile you always wished for… or go for a subtle, more natural tooth color? Only you can decide.

Howard Stern’s veneers may be the most restrained thing about him… but we’re just glad that veneers helped him get the kind of smile he wanted. You can, too. If you would like more information on dental veneers, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Porcelain Veneers” and “Porcelain Crowns & Veneers.”




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