Posts for tag: Cosmetic Dentist

By drglasmeier@nashvillefirstimpressions.net
September 24, 2013
Category: Uncategorized

One of the most controversial issues that I deal with over the past couple years is the dangers of silver fillings. Do I feel silver fillings pose a threat from medical standpoint...yes I feel they are a risk to some patients as there are many documented side effects associated with a mouthful of silver(amalgam) fillings. If the fillings are small, they should be replaced with a safer material(i.e. composite tooth colored filling). There are inherent risks, however, with larger fillings. Larger fillings, when replaced, often times require a crown as well due to the tooth's susceptibility to fracturing. While the tooth colored fillings have been shown to reduce medical issues when compared to silver fillings, there are risks with removing larger fillings. I have had many patients who have had all of their silver fillings replaced and have reported improvement in their symptoms(i.e. decreased headaches and insomnia, improved taste perception, less depressed, improved memory, etc). Talk to your dentist about whether or not you should replace your fillings!

Have you ever considered a smile makeover to......

  replace teeth?

  change the colors/shapes of teeth?

  close spaces?

  fix crowding?

The two most common barriers for achieving these goals are:

  1. Cost

  2. Fear/anxiety of shots/pain from procedures

Enter the Snap On Smile!!!!

   .....a new age way of providing a cosmetic smile makeover in 2 visits that eliminates shots, drilling on teeth, having to wear temporaries and certainly significantly less costly than "traditional" dentistry. Talk to Dr.Glasmeier about the Snap On Smile, the leading provider for this outstanding makeover appliance!!

Question: Is tongue piercing safe?

 

Answer: Oral piercing has become fashionable over the last decade. While oral piercing can involve the lips,cheek, uvula, the tongue remains to be the most commonly pierced. Tongue piercing involves placing a "barbell"-type stud through the tongue.

 

There are several common risks associated with tongue piercing.

Infection- This is possibly due to nonsterile techniques and/or improper care after the piercing. Treatment can include antiobiotic therapy, localized cleaning and oral hygiene instructions. Serious infections, involving the tongue, jaw and chin can require emergency medical treatment.

 

Chipped or Broken Teeth- Usually occurs through biting the barbell especially in new piercings with the initial longer barbell. To minimize the risk, a shorter barbell or made of acrylic/plastic should be worn.

 

Enamel Loss- Most commonly occurs at the back of the teeth through repeated rubbing against the jewelry. A shorter barbell or one made of non-metallic material can also be worn to prevent enamel loss.

 

Gum recession- Over time, repeated contact between the tongue ring and the gums can lead to receding gums especially with long stem barbells. Smaller tongue rings can reduce the risks of receding gums.

 

Future considerations for the tongue ring user:

 

1. Replacing metal barbell with a shorter, plastic based barbell.

2. Using antiseptic mouthrinse, such as Listerine on a daily basis and brushing the tongue regularly.

3. Exercise conscious control of the movement of tongue jewelry during chewing or speech.

 

Please contact Dr.Glasmeier if you have any questions re: tongue rings.

Is it necessary to replace silver fillings that are not bothering me?

 

Absolutely not. I kind of like the "If it's not broke, don't fix it" attitude. But I will try and explain further. There are many dentists who are urging patients to replace all the silver fillings in their mouth without a reasonable explanation why. There is a lot of controversy and literature that suggests the harmful effects of silver fillings can cause multiple health problems. More specifically, critics state the small amounts of mercury in the silver restorations can be potentially harmful leading to neuropathies.

 

Neuropathies are nonspecific disorders that can affect the nervous system and brain which alter things such as vision, memory, sense of smell and taste, etc. While mercury has been shown to demonstrate potentially harmful effects if exposed in large amounts, there is not enough conclusive evidence to deter dentists from still routinely placing silver fillings. If in doubt, you can consult the American Dental Association and the FDA as they still support the use of silver fillings as an acceptable restoration in dentistry.

 

So why should silver fillings be replaced?

 

Silver fillings should be replaced if they develop cavities around them. If the silver fillings(amalgams) chip, fracture, break, or develop symptoms such as cold/biting sensitivity, then it is acceptable to replace the fillings. In these cases, a tooth colored filling (aka "composite") would typically be used to restore the tooth back to function.

 

Is there any harm in replacing my silver fillings if they don't bother me?

 

Depending on the size of the filling and location, there is always a chance of sensitivity developing following replacement of the filling as with any other filling. This should be discussed at detail with your dentist prior to replacements. If the filling is more than 50% of the tooth, then a crown may be necessary to restore the tooth back to function as well as recreating an esthetic appearance.

 

If silver fillings are safe then why do you not do them on a regular basis?

 

Two simple reasons:

 

1. There are environmental hazards associated with disposing of silver filling material in the garbage. This is one of the few dental materials that has specific instructions for disposal requiring special filters/traps as well as pickup services that is not only expensive but time consuming.

 

2. Most patients simply do not want them! Less than 5% of the general public prefer silver fillings or the tooth colored kind. It becomes a supply and demand issue where there is no demand.

 

What happens if I whiten my teeth following my white fillings being placed?

 

Tooth colored fillings, much like crowns, dentures, bridges and veneers will not respond to teeth whitening like natural teeth. It is for this reason that tooth colored fillings that will be placed on the front teeth will typically follow teeth whitening so that the fillings will not have to be redone. Back teeth have less issues with esthetics simply because of their position, therefore not as critical.

Question: Can you get a cavity around a crown?

 

Answer: Yes even though the tooth is "covered" by a crown, it can still get a cavity. You can get a cavity around a crown much like you can around a filling. The reason is that the interface between the crown and the tooth, which dentists refer to as "margins" has potential to get decay, or collect food. While crowns do minimize the tooth fracturing and help decrease the chances of getting another cavity, decay can still form around the edges of the crown right around the gum line. Hygiene becomes especially important for brushing and flossing to prevent decay from developing.