Dental implants are in much demand when it comes to replacing missing teeth. And although they have long-term success rates of well over 95% when properly placed, the dental profession's current rule-of-thumb is to not use them as a treatment option for teenagers because jaw and facial growth are not complete.

As with most things in life, timing can be everything. However, having missing teeth as a teen can contribute to significant loss of self-esteem and psychological issues. All this means is that we must review each patient's needs on a case-by-case basis so that we can determine the optimal time to place implants while maintaining your teen's self-esteem. However, the good news is that there are some temporary tooth replacements available until the timing is right for implants.

Unlike natural teeth, which move and change position along with normal growth and jaw development, implants don't. Because implants replace tooth roots by fusing with the jawbone, their position is fixed. If placed before normal jaw growth and maturity are complete, they appear to sink as the jaws grow and leave them behind!

Given the above details, you can clearly see why it is critical for jaw and facial growth to be complete prior to placing a dental implant. To determine this timeline, we will work with our dental team, which include orthodontists (specialist in the study of the growth, development and moving teeth into the right positions). Working together, we will best be able to assess when the time is right to plan and place dental implants — usually around late teens.

To learn more on this subject, continue reading the Dear Doctor magazine article “Teenagers & Dental Implants.” You can also contact us today to schedule an appointment for your teenager or to discuss your questions about dental implants or other treatment options.

Everyone agrees that education is an important part of personal growth. However, one area of study that often slips through the cracks centers on oral healthcare basics. And whether or not we all do it as often as we should, most people know they should brush and floss their teeth daily. But other than that, do you feel you are knowledgeable and thus have a healthy dental IQ?

We have developed a quick and easy oral health IQ test to help you self-assess your expertise. The answers are listed at the bottom of this article.

The Quiz

1. What has been the largest, single factor influencing the decline in tooth decay over the past 40 years in America?
1. Fluoridated water
2. Fluoridated toothpaste
3. Flossing
4. Sealants
2. Your dentists can help treat which of the following problem(s)?
1. Halitosis (bad breath)
2. Snoring and sleep apnea
3. Headaches, Temporomandibular Disorder (TMD), or Temporomandibular Joint Dysfunction
4. All of the above
3. The most important aspect of brushing your teeth is...?
1. The brand of toothpaste you use
2. Your brushing technique and frequency
3. The brand of your toothbrush
4. Using an electric toothbrush
4. At a minimum, how often should you have a thorough dental evaluation?
1. Every six months
2. Once a year
3. Every five years
4. Only if you are experiencing pain
5. At a minimum, how often should you have your teeth professionally cleaned?
1. Every six months
2. Once a year
3. Every five years
4. It depends on your age and oral health

Want to learn more?

Contact us today to discuss your questions or to schedule a consultation. You can also learn more by reading the Dear Doctor article, “Oral Hygiene Behavior.”

The Answers

1) a = fluoridated water, 2) d = all of the above, 3) b = your brushing technique and frequency, 4) b = once a year, 5) d = It depends on your age and oral health

Our office can design a customized smile for you. We will want to know what you really want changed and we will listen to your ideas, look at pictures of the kind of smile you had when you were younger, and even create computerized pictures of what you think you'd like to look like. And then, with all the modern techniques at our disposal, we'll put together a blueprint, a plan to give you the smile you want.

We will start with a smile analysis to determine your facial balance, which indicates how all of the elements of your smile currently relate to each other. These elements include much more than just the teeth, such as the shape of your face, skin color, eye color, lip form, and smile dimensions to name a few.

A detailed periodontal evaluation, which includes bone and gum tissues — the supporting structures of the teeth — will determine whether the foundations of your teeth and bite are healthy. Similar to the way you would ensure that the foundation of a house is intact before you renovate, we will make sure that your periodontal tissues are healthy and sound before we begin a smile makeover.

Modern restorative dental techniques include teeth whitening, enamel reshaping, gum contouring, porcelain veneers and crowns, or a combination of several of these procedures. In some cases, orthodontic treatment (braces) or clear aligners may be necessary to ensure that the teeth are in the best position for both the aesthetics and function of your new smile.

We will inform you of all the possible paths that can lead to the final desired outcome, and will discuss all the benefits, alternatives, and risks together with the time it will take and the finances involved. Bottom line — we'll find a way to get you what you want and need, a new smile, with improved function as well as appearance. We'll also provide instruction on all that you need to know and do to keep your new smile healthy and to maintain your investment for years into the future.

So, if you have been unhappy with your smile and would like to revamp it, call our office to learn about how a smile redesign could help boost your self-image. To find out more about the details involved in a smile makeover and to view some before and after photos, read the Dear Doctor magazine article “Beautiful Smiles By Design.”

One question we are most often asked by parents of athletes or those who participate in physical sports is, “Do mouthguards really work?” And when we respond, “yes,” a common follow-up question is, “Is there any scientific evidence to support this claim?” Based on this scenario, we feel it is important to provide you with some interesting and evidence-based facts on this topic.

The first reported use of mouthguards was in the sport of boxing. And because participants and bystanders in the 1920s quickly witnessed their effectiveness even back then, the trend's popularity grew to the point that boxing became the first professional sport to require them. However, other sports soon started following this lead — especially those high-contact sports. The American Dental Association (ADA) started mandating the use of mouthguards for football in 1962 and the US National Collegiate Athletic Association (NCAA) currently requires mouthguards for football, ice hockey, lacrosse and field hockey. The ADA has since expanded their recommendations to now include 29 different sports and exercise activities. So now that you know more about the professional organizations pushing the use of mouthguards, let's get back to the second question, “What's the evidence?”

There have been numerous studies over the years regarding the properties of mouthguards, and more specifically their shock absorbing capabilities. Other studies have been based upon their protective abilities due to their stiffness, hardness and strength. This research has enabled us to vastly improve upon the effectiveness of mouthguards. For example, years ago latex rubber was a popular material used to create mouthguards. However, today we use products such as ethylene vinyl acetate or polyurethane because they are far superior in durability and flexibility. And impact studies have shown that the chances of fracturing teeth is dramatically reduced when wearing one of these mouthguards...especially when compared to individuals wearing no mouthguard at all. In fact, research has revealed that by not wearing a mouthguard during physical sports or exercise, individuals are 60 times more likely to experience an injury to the mouth and/or teeth.

To learn more about the importance of protective mouthguards, continue reading the Dear Doctor magazine article “Athletic Mouthguards.” Or you can contact us today to schedule an appointment to discuss your questions about mouthguards.

As the youngest person ever to host Entertainment Tonight, Maria Menounos, an independent filmmaker, actress, and co-host of daily entertainment news program Extra, has made a huge splash in the world of entertainment journalism. However, she is also an avid ambassador for the American Diabetes Association, a cause that is very dear to her heart because her father is a diabetic.

Her father's illness taught Menounos and her family about the importance of maintaining good general and dental health. This included a diet packed with fruits and vegetables, many of which they raised themselves. According to Menounos, they also ate little-to-no junk food. These habits still help keep the busy celebrity journalist fit and smiling with beautiful, healthy teeth.

Speaking of her smile, Menounos openly discusses her oral health in her interview with Dear Doctor magazine. She has had no major dental enhancements — not even braces — but does occasionally brighten her smile with tooth whitening. She also feels that her teeth are healthy due to the sealants she had as a child.

We could not agree more with Maria! Sealants for the tiny grooves in teeth known as “pits and fissures” are something that every parent or caregiver should consider for their children. The enamel of newly erupted teeth is more permeable, meaning that the acids produced by bacteria in the mouth can damage these teeth more easily, making them more susceptible and less resistant to decay. The good news is that dental sealants help protect teeth until the enamel has matured. Because of sealants — along with fluoride, good hygiene, and better nutrition (including less sugar consumption), tooth decay has been dramatically reduced.

If you are interested in learning more about dental sealants, contact us today to schedule an appointment so that we can conduct a thorough examination. During this private consultation, we will also discuss any questions you have as well as what treatment options will be best for you or your children. However, to learn more about dental sealants now, you can continue reading the Dear Doctor magazine article “Sealants for Children.” And to read the entire interview with Maria Menounos, please see the Dear Doctor magazine article “Maria Menounos.”