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Cosmetic dentistry

If you’re not satisfied with your smile, modern cosmetic dentistry can help. This method of professional oral care focuses on improving the appearance of your mouth, teeth, gums, and overall smile. Common procedures include teeth whitening, veneers, fillings, and implants.

Cosmetic dentistry is becoming more and more popular, with the industry as a whole projected to reach $32 billion by 2026. Although it’s not an essential procedure, cosmetic treatment can restore confidence in your smile.

What Does a Cosmetic Dentist Do?

A cosmetic dentist is responsible for a variety of procedures — from minor fixes to major surgeries. Here are a few of the cosmetic procedures they offer.

Inlays and Onlays

Inlays and onlays, also known as indirect fillings, are used when a tooth is too decayed to support a typical filling. These fillings are created in a dental laboratory and bonded in place by a cosmetic dentist.

An “inlay” is when the material is bonded in the center of the tooth. An “onlay” is when the filling covers one or more parts of the tooth or covers the tooth’s entire surface.

This procedure is an alternative to the crown, preserving more of the tooth’s natural surface while still strengthening and restoring the tooth after decay or deterioration.

Dental Implants

After severe tooth decay or tooth loss, dental implants are used to replace teeth. The cosmetic dentist first attaches a screw to the jaw to provide support. Then, the implant is inserted into the bone socket of the missing tooth.

Over time, the bone and tissue fuse to the implant, securing the replacement tooth inside the mouth. Once properly attached, the dental implant should blend into the surrounding teeth.

Dental Bonding

For dental bonding, the cosmetic dentist applies a moldable resin to the tooth and hardens it with ultraviolet light. Then, they trim, shape, and polish the material to blend into the surface of the tooth.

Bonding can repair chips, cracks, misshapen teeth, and tooth decay. For minor cosmetic issues, bonding is a more affordable alternative to fillings or crowns.

Reasons to See a Cosmetic Dentist

There are many reasons you might see a cosmetic dentist, including:

  • Tooth decay
  • Damage (cracks, chips, etc.)
  • Crooked teeth
  • Misshapen teeth
  • Discoloration
  • Missing teeth

People with damaged, decaying, crooked, or discolored teeth may also have difficulty when eating and speaking. For others, dental issues may affect their self-esteem.

According to a 2015 survey by the American Dental Association, 33% of young people are reluctant to smile due to conditions of the teeth and mouth. Another 23% of adults have cut back on their participation in social activities due to embarrassment about their smiles.

If you feel dissatisfied with your smile, a cosmetic dentist can improve the condition of your teeth.

https://www.webmd.com/a-to-z-guides/

Pediatric Dentistry

Pediatric dentists are dedicated to the oral health of children from infancy through the teen years. They have the experience and qualifications to care for a child’s teeth, gums, and mouth throughout the various stages of childhood.

Children begin to get their baby teeth during the first 6 months of life. By age 6 or 7 years, they start to lose their first set of teeth, which eventually are replaced by secondary, permanent teeth.

Without proper dental care, children face possible oral decay and disease that can cause a lifetime of pain and complications. Early childhood dental caries—an infectious disease—is 5 times more common in children than asthma and 7 times more common than hay fever. About 1 of 5 (20%) children aged 5 to 11 years have at least one untreated decayed tooth.

What kind of training do pediatric dentists have?

Pediatric dentists have completed at least:

  • Four years of dental school
  • Two additional years of residency training in dentistry for infants, children, teens and children with special needs

What types of treatments do pediatric dentists provide?

Pediatric dentists provide comprehensive oral health care that includes the following:

  • Infant oral health exams, which include risk assessment for caries in mother and child
  • Preventive dental care including cleaning and fluoride treatments, as well as nutrition and diet recommendations
  • Habit counseling (for example, pacifier use and thumb sucking)
  • Early assessment and treatment for straightening teeth and correcting an improper bite (orthodontics)
  • Repair of tooth cavities or defects
  • Diagnosis of oral conditions associated with diseases such as diabetes, congenital heart defect, asthma, hay fever and attention deficit/ hyperactivity disorder (ADHD)
  • Management of gum diseases and conditions including ulcers, short frenula, mucoceles and pediatric periodontal disease
  • Care for dental injuries (for example, fractured, displaced or knocked-out teeth)

Where can I find a pediatric dentist?

Pediatric dentists practice in a variety of locations including private practices, dental schools, and medical centers. Your pediatrician can help you find a pediatric dentist near your home.

Pediatric dentists — the best care for children

Children are not just small adults. They are not always able to be patient and cooperative during a dental exam. Pediatric dentists know how to examine and treat children in ways that make them comfortable. In addition, pediatric dentists use specially designed equipment in offices that are arranged and decorated with children in mind.

A pediatric dentist offers a wide range of treatment options, as well as expertise and training to care for your child’s teeth, gums and mouth. When your pediatrician suggests that your child receive a dental exam, you can be assured that a pediatric dentist will provide the best possible care.

https://www.healthychildren.org

Zygomatic implants

Implants

If you are self-conscious because you have missing teeth, wear dentures that are uncomfortable, or don’t want to have good tooth structure removed to make a bridge, talk to your dentist to see if dental implants are an option for you.

Dental implants are a popular and effective way to replace missing teeth and are designed to blend in with your other teeth. They are an excellent long-term option for restoring your smile. The development and use of implants are one of the biggest advances in dentistry in the past 40 years. Dental implants are made up of titanium and other materials that are compatible with the human body. They are posts that are surgically placed in the upper or lower jaw, where they function as a sturdy anchor for replacement teeth.

Zygomatic Implants

Zygomatic implants are dental implants that are anchored in the zygoma or cheekbone. They are prescribed for patients who have moderate, advanced, and even extreme resorption in the maxilla, or the upper jaw. Normally, when needed, zygomatic implants will be used to replace a full set of teeth in the upper jaw for patients who have severe bone loss in the maxilla.

Are Zygomatic Implants Safe?

Yes, when placed by a board-certified maxillofacial and oral surgeon, zygomatic implants are safe, effective, and painless. As these implants come near sensitive parts of the face, including the eyes and sinuses, they must be placed by a qualified and experienced surgeon to avoid serious complications.

The most effective way to understand zygomatic implants is to see them. The animation below illustrates the placement of two zygomatic implants and four traditional implants, an all-on-six implant procedure. The implants support the whole upper bridge.

Zygomatic implants make it possible to sidestep bone loss issues. The extended length of the implant allows it to anchor into a patient’s cheekbone or the zygoma. No bone grafting or sinus lifts are needed. The zygoma is a very dense bone and provides excellent implant support for the lifetime of the patient.

Why Does Losing Teeth Cause Bone Loss?

Like a muscle, bone is a tissue that requires exercise to maintain strength and mass.

A natural tooth is nested within the jawbone. Chewing and biting down regularly works the bone and tells the body to build a healthy jawbone. When the teeth are lost or removed, the surrounding jawbone is no longer stimulated by chewing activity, and this disuse quickly leads to bone loss.

When teeth must be removed, a dental implant is the last resort option to replace the missing or unsalvageable teeth. Quality dental implants, including zygomatic implants, offer a lifetime solution that is comfortable and strong, matching the look and feel of natural teeth.

How Do Implants Work?

The roots of a natural tooth are secured within the root canal of a person’s jawbone. Similarly, conventional dental implants are anchored in place by the jawbone.

Titanium is the preferred material for implants due to effective osseointegration with the patient’s jaw.

A typical implant cannot be securely secured in someone who has severe bone loss in the upper jaw, resulting in further difficulties and chronic pain or discomfort.

How Do Dental Implants Help Prevent Bone Loss?

Dental implants that imitate the natural stimulation of teeth are the most effective method for preventing further bone loss. The titanium root of a new teeth implant duplicates the pressure and stimulation of chewing, matching the natural stimulation of teeth. This gentle action signals the body to continue fortifying the jawbone, significantly reducing the risk of bone loss, and quite often leading to stronger and healthier bones.

Titanium implants imitate the role of a natural tooth root, providing stimulation to your jawbone and allowing osseointegration, and fusion with the bone.

To prevent additional bone loss, implants should be placed immediately following tooth extractions. The sooner the better.

Can You Have Dental Implants If You Suffer from Severe Bone Loss?

Since zygomatic implants can be placed in one day and have a higher success rate than bone grafting, they are the ideal solution for bone loss when receiving a full-arch prosthesis in the upper jaw.

While traditional implants are placed in the jawbone, surgeons utilize the zygomatic implant’s length to securely place them in the patient’s cheekbone, or zygoma. The zygoma is a very dense bone and provides excellent support for the lifetime of the patient.

Where Can You Get Zygomatic Implants?

Although the placement of zygomatic implants is a very safe and effective procedure, it requires the specialization and experience of a qualified oral surgeon. Not many oral surgeons have routine experience placing zygomatic implants. Depending on your location, you may need to travel to have your zygomatic implants placed.

https://www.mouthhealthy.org/en/az-topics/i/implants

Oral Piercings

Body piercing is a popular form of self-expression. Oral piercings or tongue splitting may look cool, but they can be dangerous to your health. That’s because your mouth contains millions of bacteria, and infection and swelling often occur with mouth piercings. For instance, your mouth and tongue could swell so much that you close off your airway or you could choke if part of the jewelry breaks off in your mouth. In some cases, you could crack a tooth if you bite down too hard on the piercing, and repeated clicking of the jewelry against teeth can also cause damage. Oral piercing could also lead to more serious infections, like hepatitis or endocarditis.

If you pierce your tongue, lips, cheeks, or uvula (the tiny tissue that hangs at the back of the throat,) it can interfere with speech, chewing, or swallowing. It may also cause:
  • Infection, pain, and swelling. Your mouth is a moist environment, home to huge amounts of breeding bacteria, and an ideal place for infection. An infection can quickly become life-threatening if not treated promptly. It’s also possible for a piercing to cause your tongue to swell, potentially blocking your airway.
  • Damage to gums, teeth, and fillings. A common habit of biting or playing with the piercing can injure your gums and lead to cracked, scratched, or sensitive teeth. Piercings can also damage fillings.
  • Hypersensitivity to metals. Allergic reactions at the pierced site are also possible.
  • Nerve damage. After a piercing, you may experience a numb tongue that is caused by nerve damage that is usually temporary but can sometimes be permanent. The injured nerve may affect your sense of taste, or how you move your mouth. Damage to your tongue’s blood vessels can cause serious blood loss.
  • Excessive drooling. Your tongue piercing can increase saliva production.
  • Dental appointment difficulties. The jewelry can get in the way of dental care by blocking X-rays.

If you already have piercings:

  • Contact your dentist or physician immediately if you have any signs of infection—swelling, pain, fever, chills, shaking, or a red-streaked appearance around the site of the piercing.
  • Keep the piercing site clean and free of any matter that may collect on the jewelry by using a mouth rinse after every meal.
  • Try to avoid clicking the jewelry against teeth and avoid stress on the piercing. Be gentle and aware of the jewelry’s movement when talking and chewing.
  • Check the tightness of your jewelry periodically (with clean hands). This can help prevent you from swallowing or choking if the jewelry becomes dislodged.
  • When taking part in sports, remove the jewelry and protect your mouth with a mouthguard.
  • See your dentist regularly, and remember to brush twice a day and floss daily.

Of course, the best option is to consider removing mouth jewelry before it causes a problem. Don’t pierce on a whim. The piercing will be an added responsibility to your life, requiring constant attention and upkeep. Talk to your dentist for more information.

Oral Piercing Safety

If you’ve decided to get an oral piercing, make sure you’re up to date on vaccines for hepatitis B and tetanus.

Pick a piercing shop that appears clean and well-run. Look for a piercer who has a license, which means they were specially trained. The piercer should wash their hands with germ-killing soap, wear fresh disposable gloves, and use sterilized tools or ones that are thrown away after one use.

Oral Piercing Care

Once you leave the shop, you’ll need to make sure your piercing heals and doesn’t get infected. Healing usually takes 3 to 4 weeks. During that time, you should:

  • Rinse your tongue or lip piercing after every meal or snack and before bed. Use warm salt water or an antibacterial, alcohol-free mouthwash.
  • Not share cups, plates, forks, knives, or spoons
  • Eat small bites of healthy food.
  • Not eat spicy, salty, or acidic foods and drinks
  • Not have hot drinks, like coffee, tea, or hot chocolate
  • Be gentle. Talk and chew carefully, and try not to click your jewelry against your teeth.
  • Check every once in a while to make sure your jewelry is still tight to prevent swallowing or choking.
  • Take out your jewelry while you play sports, and wear a mouthguard.

While the piercing heals, you should be able to remove the jewelry for short periods without the hole closing. If you get a tongue piercing, the piercer will start with a larger “barbell” to give your tongue room to heal as it swells. After the swelling goes down, dentists recommend that you replace the large barbell with a smaller one that’s less likely to bother your teeth.

After your tongue has healed, take the jewelry out every night and brush it the way you brush your teeth. You might want to take it out before you go to sleep or do anything active.

https://www.mouthhealthy.org/en/az-topics/o/oral-piercings

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