Posts for tag: cosmetic dentistry

By drglasmeier
February 06, 2012
Category: Uncategorized

What is chairside veneer? A tooth colored facing that can be bonded to the tooth to improve the esthetics of a tooth. Whether an old discolored filling, small chip or slightly crooked tooth, a chairside veneer can be placed over the existing tooth with immediate esthetics!

How is it different from a traditional porcelain veneer? There is no lab bill so the cost is reduced significantly and you get immediate results. There is very minimal prepping(drilling) of the tooth and no impressions or temporaries. Chairside veneers are easier to repair.

Do I need to have my teeth drilled or do I need shots? To get the most esthetic outcome, the answer is typically yes but in certain circumstances(position of the teeth) you can get the veneers without numbing or drilling. It is typically determined on a case to case basis.

Can I get chairside veneers if I grind my teeth? Yes you can because the facing is bonded to the front of the tooth. The front of the tooth does not participate in biting so they are safer from “grinders and clenchers”.

What is the approximate cost of a chairside veneer? Cost is ~ ½ the cost of a porcelain lab veneer which is around $600-800/veneer.

 

How long do chairside veneer last? Much like fillings and traditional veneers, chairside veneers should last around 6-8 years assuming good hygiene and regular checkups.

 

Talk to Dr.Glasmeier about Chairside veneers!

Teeth Whitening Myths Debunked

 

There are many myths about teeth whitening that Dr.Glasmeier will help clarify.

 

Myth- All teeth in the mouth will whiten.

 

Natural teeth will naturally whiten with bleaching material but tooth colored fillings, crowns, bridges, dentures (anything artificial) will not respond.

 

Myth-All bleaching materials are the same.

 

There are different types of bleach and different concentrations. The two most common are carbamide peroxide and hydrogen peroxide. They both whiten teeth but at much different rates.

 

Myth- 10% carbamide peroxide is the same as 10% hydrogen peroxide are the same.

 

Absolutely not! 10% carbamide peroxide is only 3.5 % hydrogen peroxide while 10% hydrogen peroxide is 10 % hydrogen peroxide.

 

Myth- 10% hydrogen peroxide works better than 10% carbamide peroxide because only a small percentage is hydrogen peroxide.

 

Both materials will whiten the teeth equal but the exposure times differ between the two materials.

 

Myth- OTC whitening products are as effective as in office.

 

Materials dispensed by the dentist are typically stronger and have more research behind them warranting them as better choices.

 

Myth- Using boil and bite trays to whiten teeth is as effective as custom trays by the dentist.

 

Boil and bite trays can help whiten teeth but are more hazardous because if the material is held in secure, the patient can develop severe tissue burns on the gums and tongue.

 

Myth- Children cannot whiten teeth due to their age.

 

Dr.Glasmeier will allow children to whiten their teeth down to age 10 but a thorough assessment of the child's hygiene, temperament, and previous dental history dictates whether or not they would be a candidate.

 

Myth- OTC mouthrinses and toothpastes can whiten teeth.

 

Yes but not by the mechanism everyone thinks. Most of these products do have a peroxide ingredient which provides the chemical whitening. Majority of products claim whitening based on their ability to remove surface stain not by whitening! Just at look at the back of product!

 

Myth- People in braces cannot whiten their teeth.

 

Patients in braces can whiten their teeth around brackets and there are preliminary studies out showing that whitening while in braces can decrease the incidence of cavities

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: What is a bridge?

 

Answer: A bridge is a permanent dental restoration that replaces one or more teeth. It is permanent in that it is permanently glued in and cannot be taken in and out of the mouth like a denture. It often follows after a hopeless tooth has been extracted(removed). To put in a bridge, I have to prepare and reshape the teeth on both sides of the missing tooth. The bridge consists of the replacement tooth and two crowns (caps) on each side. The crowns will fit over the prepared teeth to support the replacement tooth. This typically requires two appointments and you will be placed in temporaries at the end of the first appointment until the lab fabricates your bridge. While this is one way to replace missing teeth, there are other ways to replace missing teeth such as removable partial dentures and implants.

By drglasmeier@nashvillefirstimpressions.net
August 25, 2009
Category: Uncategorized

Question:

 

Hello.I have cerebral palsy.I have a few metal crowns.over time my bite has become off and I ground at night.I didn't take care off this right away like I should have and now my teeth are severely worn.Do you think if I got posts and metal crowns they would last in my mouth?the few crowns I have seem to have done well over time.would the new zirconia crowns be as durable as the metal? Thank you for your time and consideration. Kurt

Answer:

 

Hi Kurt,

 

This unfortunately is a very loaded question that I cannot give you a good answer for the following reasons:

1. Posts do not make teeth stronger...they more less help hold in the foundations that the crowns sit on so they are more for retention, not strength.

2. There are crowns with different properties for different situations, so it is hard to say what is best for you as there many things that need to be evaluated such as:
1. Cavities present?
2. What kind of bite do you have?
3. Condition of existing crowns?
4. How heavy you grind?

These are several questions that would need to be answered before telling you what kind of crowns you need. Having said that, zirconia crowns are showing promise in strength and certainly have esthetic advantages over metal crowns but they are not indicated in all situations. I would recommend getting evaluated to further determine this.

 

Good luck!
Dr.Glasmeier