You probably wouldn't be surprised to hear that someone playing hockey, racing motocross or duking it out in an ultimate fighter match had a tooth knocked out. But acting in a movie? That's exactly what happened to Howie Mandel, well-known comedian and host of TV's America's Got Talent and Deal or No Deal. And not just any tooth, but one of his upper front teeth—with the other one heavily damaged in the process.
The accident occurred during the 1987 filming of Walk Like a Man in which Mandel played a young man raised by wolves. In one scene, a co-star was supposed to yank a bone from Howie's mouth. The actor, however, pulled the bone a second too early while Howie still had it clamped between his teeth. Mandel says you can see the tooth fly out of his mouth in the movie.
But trooper that he is, Mandel immediately had two crowns placed to restore the damaged teeth and went back to filming. The restoration was a good one, and all was well with his smile for the next few decades.
Until, that is, he began to notice a peculiar discoloration pattern. Years of coffee drinking had stained his other natural teeth, but not the two prosthetic (“false”) crowns in the middle of his smile. The two crowns, bright as ever, stuck out prominently from the rest of his teeth, giving him a distinctive look: “I looked like Bugs Bunny,” Mandel told Dear Doctor—Dentistry & Oral Health magazine.
His dentist, though, had a solution: dental veneers. These thin wafers of porcelain are bonded to the front of teeth to mask slight imperfections like chipping, gaps or discoloration. Veneers are popular way to get an updated and more attractive smile. Each veneer is custom-shaped and color-matched to the individual tooth so that it blends seamlessly with the rest of the teeth.
One caveat, though: most veneers can look bulky if placed directly on the teeth. To accommodate this, traditional veneers require that some of the enamel be removed from your tooth so that the veneer does not add bulk when it is placed over the front-facing side of your tooth. This permanently alters the tooth and requires it have a restoration from then on.
In many instances, however, a “minimal prep” or “no-prep” veneer may be possible, where, as the names suggest, very little or even none of the tooth's surface needs to be reduced before the veneer is placed. The type of veneer that is recommended for you will depend on the condition of your enamel and the particular flaw you wish to correct.
Many dental patients opt for veneers because they can be used in a variety of cosmetic situations, including upgrades to previous dental work as Howie Mandel experienced. So if slight imperfections are putting a damper on your smile, veneers could be the answer.
If you would like more information about veneers and other cosmetic dental enhancements, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers” and “Porcelain Dental Crowns.”
Although we begin our New Year's resolutions with high hopes, many of them fall by the wayside by the end of January. It simply takes tremendous willpower to lose weight or exercise more. So to improve your resolution success rate, why not throw in some with a little more zing, like trying every item on the menu at your favorite restaurant or learning a new magic trick every month? Or how about this one: Resolve to do four things this year to change your smile.
Okay, it doesn't have to be exactly four. But we just happen to have four suggestions—one for each quarter of the new year—that can make your smile the best it can be in 2020.
Brighten up your smile. A professional whitening procedure can improve a stained, dingy smile. Our advanced bleaching techniques give your teeth that brighter look that could last for years with proper care and regular touchups. We can also control the level of whiteness to give your teeth a softer natural look or one that's dazzling bright.
Fix a chipped tooth with bonding. You may have a great smile, except for that one tooth that's missing a little piece. We can repair minor chips and other defects with composite resin material bonded directly to the tooth. Composite resin can be color-matched and shaped to fit the tooth being repaired so that it looks completely natural. Best of all, we can transform your tooth's appearance in just one visit.
Gain a new look with veneers. If you have one or more teeth with mild to moderate chipping, staining or misalignment, dental veneers could change their appearance altogether. These thin wafers of dental porcelain are bonded to the front of teeth to permanently mask imperfections. They're so lifelike, others will have a hard time telling the difference between your teeth with veneers and those without.
Straighten your smile. It's never too late to have a crooked smile straightened. And you might not even have to wear braces: Clear aligners are computer-generated plastic trays worn in sequence to straighten teeth. They're removable, so you can take them out to eat or clean your teeth. Best of all, they're hardly noticeable—and they can give you a more attractive smile.
These and other cosmetic treatments are relatively easy ways to make a big impact on your appearance. Be resolved, then, that with a little help from us this can be the year you'll gain a more attractive smile through the art of dentistry.
If you would like more information about smile enhancements, please contact us or schedule an appointment. To learn more, read the Dear Doctor magazine articles “Cosmetic Dentistry: A Time for Change” and “Beautiful Smiles by Design.”
Looking for an affordable way to beautify your smile? The answer could be dental veneers, thin wafers of porcelain bonded to the front of teeth to hide stains, chips or other deformities. Custom-made veneers can look so much like natural teeth in color and shape, it’s hard to tell they’re there.
To achieve this realism, though, it’s usually necessary to alter the tooth first. That’s because a veneer can look unnaturally bulky when bonded to an unprepared tooth. To compensate, we often remove a slight amount of surface enamel so that the veneer’s width won’t be unattractive.
This alteration doesn’t harm a tooth as long as it has a veneer or some other restoration to protect any exposed underlayer of dentin. And because the alteration is permanent, the tooth will need a veneer or other protective covering from then on.
In recent years, though, two new options called no-prep or minimal-prep veneers make it possible to avoid or at least decrease the amount of enamel reduction needed. This is possible thanks mainly to improvements in the strength composition of the dental material used in them.
As a result, these veneers are as thin as contact lenses and may only require slight enamel reshaping to smooth out the sides of the teeth for a better fit. And, unlike traditional veneers, you can have them removed and return to your original look without the need for another restoration.
Low prep veneers are best suited for patients with teeth that are small (or appear small), worn, narrow or only slightly stained or misshapen. Someone with oversized teeth, on the other hand, or that jut forward may still need extensive tooth preparation or even orthodontic work beforehand.
If you do meet the criteria, though, you may be able to benefit from low prep veneers. Because there’s no tooth preparation, you may not even need local anesthesia. And you can reverse the restoration if you desire without harm to your teeth.
To find out if you might benefit from these new kinds of veneers, see us for an initial dental examination to see if you qualify. It’s your first step toward a more beautiful and confident smile.
If you would like more information on no-prep or minimal-prep veneers, 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 “No-Prep Porcelain Veneers.”
Getting a new smile doesn’t have to be an elaborate affair. If your teeth have minor to moderate chips, stains or tooth gaps, dental veneers could be the answer. These thin wafers of dental porcelain mask tooth imperfections and completely change your smile’s dynamic—and without a huge impact to your wallet.
To achieve that effect, though, your personal set of veneers will require the expertise of both your dentist and a dental lab technician to design and create your veneers. And while there are numerous considerations in achieving a truly life-like appearance with veneers, one of the most important is their color.
We always associate the color white with teeth. And while it is the dominant hue, actual tooth color is more complex. An individual tooth is comprised of multiple shades and tints, that range in variation from its biting edge to the gums. Likewise, tooth color in general can differ from person to person.
Your dentist must take these individual color variations into account while designing your new veneers, especially if you’ll be getting them for some but not for all your teeth. In that case, it’s important for the veneer color to blend seamlessly with the color of your natural teeth without veneers.
Your new smile expectations and desires are also important and should be considered when designing veneer coloring. For instance, do you want a more natural look—or would you prefer a smile with more “dazzle”? This could have an impact on color.
Your dentist takes all of this information (including your input) and communicates it clearly to the dental lab technician creating the veneers. That process is a combination of both science and artistry, using a variety of techniques to achieve an accurate, life-like texture and color result. For example, a technician may paint the edges of the veneers with a ceramic paste that when cured produces a life-like translucency.
This meticulous attention to color detail is necessary to create beautiful veneers that look natural. If the color is right, you’re sure to enjoy the change your veneers bring to your smile for many years to come.
If you would like more information on transforming your smile with dental veneers, 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 “Porcelain Veneers: Your Smile—Better Than Ever.”
The long-running hit show Dancing with the Stars has had its share of memorable moments, including a wedding proposal, a wardrobe malfunction, and lots of sharp dance moves. But just recently, one DWTS contestant had the bad luck of taking an elbow to the mouth on two separate occasions—one of which resulted in some serious dental damage.
Nationally syndicated radio personality Bobby Bones received the accidental blows while practicing with his partner, professional dancer Sharna Burgess. “I got hit really hard,” he said. “There was blood and a tooth. [My partner] was doing what she was supposed to do, and my face was not doing what it was supposed to do.”
Accidents like this can happen at any time—especially when people take part in activities where there’s a risk of dental trauma. Fortunately, dentists have many ways to treat oral injuries and restore damaged teeth. How do we do it?
It all depends on how much of the tooth is missing, whether the damage extends to the soft tissue in the tooth’s pulp, and whether the tooth’s roots are intact. If the roots are broken or seriously damaged, the tooth may need to be extracted (removed). It can then generally be replaced with a dental bridge or a state-of-the-art dental implant.
If the roots are healthy but the pulp is exposed, the tooth may become infected—a painful and potentially serious condition. A root canal is needed. In this procedure, the infected pulp tissue is removed and the “canals” (hollow spaces deep inside the tooth) are disinfected and sealed up. The tooth is then restored: A crown (cap) is generally used to replace the visible part above the gum line. A timely root canal procedure can often save a tooth that would otherwise be lost.
For moderate cracks and chips, dental veneers may be an option. Veneers are wafer-thin shells made of translucent material that go over the front surfaces of teeth. Custom-made from a model of your smile, veneers are securely cemented on to give you a restoration that looks natural and lasts for a long time.
It’s often possible to fix minor chips with dental bonding—and this type of restoration can frequently be done in just one office visit. In this procedure, layers of tooth-colored resin are applied to fill in the parts of the tooth that are missing, and then hardened by a special light. While it may not be as long-lasting as some other restoration methods, bonding is a relatively simple and inexpensive technique that can produce good results.
If you would like more information about emergency dental treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor articles “The Field-Side Guide to Dental Injuries” and “Knocked Out Tooth.”
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