Smile Solutions by Emmi Dental
What does this statement mean to a dentist?
1. It could simply mean the cement washed out and needs to be re-cemented.
2. It could be that decay has decayed the tooth so that the crown is no longer viable.
3. It could mean that the tooth fractured under crown.
4. It could mean that the bite is off so the crown loosens due to an off bite.
I see patients every week with this issue. The first step is to access the problem. Patients need to remember that everything in the mouth happens for a reason. It may be that your crown really does need to be re cemented. But the situation has to be evaluated by the dentist.
How long does cement last?
1. It depends on the amount of tooth supporting crown
2. It depends on the type of cement.
3. It depends on the material of the crown
Many things effect the cementation of a crown. It’s a good rule of thumb that if a patient can get a decade out of most of their dental restorations then it was done well.
What are some additional factors effecting crown cementation?
1. The load on the crown dictated by the number of teeth in mouth.
2. The kind of bite the patient has.
3. If the patient is a grinder.
4. How well the patient brushes and flosses.
So as you can see, when I see a patient on my schedule for a “recementation of a crown”, I don’t think it is simply a matter to get the “good” glue out and put it back in.
Call Smile Solutions for more information. 302-999-8113
Most times the Dentist can absolutely fill a chipped tooth instead of crowning it. The question is, should he or she? A tooth chips most times once it has had a filling that is more than 40-60 % of the tooth’s volume. When a tooth has a large filling, it may look as strong as a natural tooth but it is far from it. No filled tooth is as strong as an unfilled tooth. Here are some reasons teeth chip:
1. A biting force was applied at a bad angle and the load was too much to prevent a shearing force fracture.
2. The filling was past its maximum life cycle and could not support chewing forces as well.
3. The opposing tooth was too strong compared to the filled tooth and it eventually caused the filled tooth to fail.
4. It had an diagnosed fracture
There are more reasons than this why a tooth fractures or chips. The life cycle of a tooth is a small filling, larger filling, crown, root canal, extraction and then an implant, bridge or a partial denture. Like the rest of our body parts the tooth is in a state of decline from the moment it erupts into our mouth. Our hope is that your Dentist can extend the life of the tooth/natural root or implant longer then you need it.
So I recommend fixing the chipped tooth with the strongest material and procedure so that it does not have to be retreated again for another decade or two. A tooth that chips and is filled beyond its capacity to withstand the future loads is like a tire that gets plugged instead of buying a new tire. It will work but it may fail at a very bad time!
Call our office for a free consultation, 303-999-8113
A jutted tooth can be impossible to hide when smiling or talking. If a protruding tooth has you feeling self-conscious every time you smile or open your mouth, treatment for a jutted tooth can help. Our team at Smile Solutions by Emmi Dental Associates offers a variety of cosmetic dentistry treatments to improve the appearance of jutted teeth and enhance the smile. To find out if treatment for a jutted tooth is right for you, contact our offices in Wilmington, DE.
The Causes of a Jutted Tooth
In many cases, jutted teeth are genetic in nature. Genetics may be responsible for overcrowding of the teeth, which can cause one or more teeth to jut forward. In other cases, genetics may affect the size of the jaw, causing the jaw to be undersized in relation to the teeth. This can also lead to overcrowding, and consequently jutted teeth.
Genetics isn't the only cause of a jutted tooth. Some people may develop one or more jutted teeth as a result of a condition called tongue thrust. Tongue thrust is a disorder of the swallowing reflex that causes the tongue to push into the upper teeth instead of the roof of the mouth. If left untreated, this consistent pressure can cause the teeth to jut forward.
Another possible cause of jutted teeth is thumb sucking, pacifier use, or bottle use long after the age of two. Regularly sucking on a pacifier, bottle, or the thumb for years after the teeth have erupted can lead to alignment issues, affect the growth of the mouth, and cause one or more teeth to jut forward.
Effective Treatments for a Jutted Tooth
The best treatment for correcting a jutted tooth will vary according to the needs of each patient, including the extent a tooth protrudes forward, how many teeth protrude, and other oral health issues. Our dentists will work with you to determine which treatment is best suited to your needs.
Some treatments that can effectively treat a jutted tooth include:
- Porcelain veneers: When one or more teeth slightly jut forward, porcelain veneers may be a viable treatment option. Porcelain veneers treatment transforms the smile using thin, tooth-shaped shells. These fabrications are bonded to the front surface of the teeth to correct minor dental flaws and enhance the overall appearance of the smile.
- Orthodontics: Orthodontic treatment can improve the alignment of mild to severely jutted teeth. Traditional braces are highly effective at repositioning the teeth and bringing protruding teeth into proper alignment. Those with less severely jutted teeth may benefit from Invisalign® orthodontics for discreet treatment of their alignment issues.
- Oral surgery: In some cases, treatment with porcelain veneers or orthodontics may not be sufficient to correct severely jutted teeth. For these patients, oral surgery may be the best course of action. Oral surgery can be used to adjust the jawbone and correct the position of jutted teeth. In serious cases, orthodontic treatment may be recommended after oral surgery to fully correct the alignment of the teeth.
Schedule a Consultation
For more information about treatment for a jutted tooth, or to discuss your treatment options, we invite you to schedule a consultation today.
Dental bridges and dentures are an excellent option for people who are missing teeth. Our Wilmington dental care center has also achieved excellent results with dental implants, which are artificial tooth roots surgically embedded into the jawbone and soft tissues of the mouth. Thanks to dental implants, bridges, dentures, and individual crowns can be secured with the same amount of stability as natural tooth roots.
By and large, most people tend to get dental implants placed during middle age and onward. This coincides with the common ages for age-related tooth loss and people getting dental bridges and dentures. While these are the most common ages for getting dental implants, it's possible for people to get them much earlier. Let's explore the issue of age in more detail.
Can People Be Too Young for Dental Implants?
Obviously dental implants should never be placed in infants and toddlers, even if they show signs of hypodontia (congenital missing teeth). Babies and infants are still growing, and these options should not be considered until their permanent teeth are in place. That said, dental implants are also not ideal for children in the K-6 age range or teenagers.
Since children are still growing and maturing, it's possible that their jawbone may change over time. Placing dental implants too soon could lead to a number of problems with the maturation of the jawbone as well as the position of the teeth.
When Is the Youngest a Person Can Get Dental Implants?
The youngest a person can get dental implants is technically age 18, though it's pragmatic to wait until at least the mid-twenties. By that time, a patient will have full matured, meaning that oral surgery can be performed with more permanent results. Still, even the mid-twenties may be too early. During the consultation process, a dentist and oral surgeon can determine whether or not dental implants are an ideal option.
Can People Be Too Old for Dental Implants?
Technically the answer is no.
There have been plenty of people who have gotten dental implants placed well into their 80s. With a few select dental implants, full upper dentures and/or lower dentures may be secured, restoring a person's ability to bite, chew, and smile well into their golden years.
While a person can technically get dental implants well into their golden years, there are many practical reasons why dental implants may be a bad idea late in life.
Age-Related Factors That Affect Dental Implant Candidacy
As people get older, their general health and wellness may prevent them from undergoing surgeries. Issues with infection, healing, and other complications can become more likely with advanced age.
In addition, getting dental implants will require a months-long healing and recovery process. Some patients may not be in good enough health to tolerate this recovery process, or they may want a more immediate solution to their tooth loss.
If a person has been missing teeth for many years, bone loss and gum recession will have occurred around the tooth gap. A dental implant may not have enough tissue to be anchored to because of this. While bone augmentation and gum grafting surgeries can be performed to address this loss of tissue, this increases the overall treatment and recovery time of the implant dentistry process.
Learn More About Dental Implants
For more information about dental implants and how they can help you have the healthiest smile possible, be sure to contact our cosmetic and restorative dentistry center today. We will work with you to help ensure optimal dental health and wellness.
When you're missing a tooth or multiple teeth, this can lead to a number of problems that impact the appearance of your smile and your overall dental health. While removable dental appliances are a common solution for tooth loss, more and more people are turning to dental implants to support crowns, bridges, and dentures.
The team at our Wilmington dental care center would like to cover the basics of dental implants. In particular, we want to consider the basic structure and anatomy of a dental implant so you have a better understanding of how they work.
About Dental Implants
Dental implants are artificial tooth roots that are surgically implanted into the jawbone and gum tissue. After fully fusing with the bone structure of the jaw (a process known as osseointegration), dental implants are able to support an individual dental crown, a dental bridge, a partial denture, or a full denture.
The most well-known types of dental implants are known as endosteal dental implants. These consist of three basic parts:
- The implant post
- The abutment
- The dental restoration or appliance
Let's cover each of these in greater detail below.
The Implant Post
The implant post is what most people think of when they hear the term dental implant. Shaped like a screw, the implant post is anchored directly into the jawbone during oral surgery. The implant post is made of titanium, allowing it to merge with the bone structure and form a bond comparable to a natural tooth root.
The Implant Abutment
The abutment can be thought of as the connecting portion of the dental implant. This part of the dental implant is fixed onto the top of the exposed implant post. The abutment joins the final dental appliance to the implant post.
Abutments can be made of different materials. The ideal abutment material for a patient can be discussed in more detail during the consultation process.
The restoration or appliance refers to the false tooth or set of false teeth that will be supported by the dental implant. This is often a crown for individual tooth replacement, a bridge for people missing a few teeth, and a denture for patients who are missing many or all of their teeth.
Dental restorations and appliances are carefully crafted at a dental lab. Technicians will use dental records, x-rays, and dental impressions in order to craft the final appliance. The ideal is to make the appliance look natural and fully functional, just like an actual tooth or set of teeth.
A Word on Subperiosteal Dental Implants
Subperiosteal dental implants are dental implants that are placed below the gum tissue but above the jawbone. Rather than using an implant post, a superiosteal dental implant has a frame that rests and braces on top of the jawbone, eventually fusing with the bone structure. The abutments will attach to this frame and support the final dental appliance.
Are Dental Implants Right for Me?
The best way to find out if dental implants are right for you is to visit our practice for a consultation. During your visit, we will answer all of your questions and address all of your concerns about the treatment process. We can also discuss payment and financing options to put implant dentistry treatments within your grasp.
Contact the Team at Smile Solutions by Emmi Dental Associates
For more information about dental implants and whether or not they are right for you, be sure to contact our cosmetic and restorative dentistry center today. The team at Smile Solutions by Emmi Dental Associates will help you have a healthy and beautiful smile.
One or more twisted teeth can cause some patients to feel self conscious about the appearance of their smile. Restorative dentistry treatments can help address issues like twisted teeth to reveal a more attractive smile. If you would like to learn more about treatment for a twisted tooth, contact Wilmington, DE dentists Jeffrey J. Emmi, Laura Dougherty, and Jeff Bartoshesky to schedule a consultation. In the meantime, learn more about enhancing the smile as we discuss the causes and treatments for twisted teeth.
The Causes of Twisted Teeth
The teeth may become twisted for a variety of reasons. One of the most common causes of twisted teeth is related to the loss of primary teeth, also called baby teeth, and the growth of permanent, or adult, teeth. As baby teeth are lost, permanent teeth may not come in uniform alignment. Overcrowding may also cause crooked teeth because there is not enough room to accommodate each tooth.
In some cases, adults who previously had straight teeth may develop crooked or twisted teeth as a result of tooth loss. The loss of a permanent tooth, whether caused by decay or an accident, can cause the remaining teeth to shift. This may lead to one or more teeth twisting or becoming crooked.
Treatment for a Twisted Tooth
The treatment used for straightening a twisted tooth will depend on the extent of twisting and the number of twisted teeth. Some possible treatments for correcting the appearance of twisted teeth and improving the smile include:
- Porcelain veneers: Porcelain veneers may be used as instant orthodontics to treat minor twisting or crookedness. Porcelain veneers are tooth-shaped shells that cover the front surface of the teeth to correct the appearance of mildly twisted teeth, as well as other dental flaws.
- Invisalign®: Invisalign® is a discreet alternative to traditional orthodontics and may be used to straighten mild to moderately twisted teeth. Instead of using a metal bracket and wire system, Invisalign® uses clear, plastic trays to gradually adjust dental alignment and create beautifully straight teeth.
- Braces: For more severely twisted teeth, braces are one of the best options. Braces, or traditional orthodontics, use metal brackets and wires to apply gentle pressure to the teeth. This pressure helps guide the teeth to a straighter, more attractive position, free of twisting or crookedness.
The Benefits of Treating Twisted Teeth
Correcting the appearance of twisted teeth can help enhance the smile, but treating twisted teeth offers more than just aesthetic benefits. Some benefits of treating twisted teeth include:
- Reduced risk of tooth decay and gum disease: Twisted teeth often overlap the neighboring teeth. This overlap makes it difficult to properly clean the teeth, often increasing the risk of gum disease and tooth decay. By treating twisted teeth and eliminating overlap, it is easier to maintain good oral hygiene for the prevention of tooth decay and gum disease.
- Reduced jaw and muscle strain: Even just one twisted tooth can affect a person's bite, potentially straining the muscles supporting the jaw and the jaw itself. Correcting twisted teeth helps establish a healthy bite, reducing strain on the jaws and muscles.
- Reduced risk of uneven enamel wear: Twisted and crooked teeth can lead to uneven wear of the enamel as a result of improper alignment, increasing the risk of tooth sensitivity and tooth decay. Straightening twisted teeth helps reduce the risk of uneven enamel wear by allowing the teeth to properly align when eating and speaking.
- Improved confidence: Correcting the appearance of twisted teeth can help improve patients’ confidence by producing straighter teeth.
Discover Which Treatments Are Right for You
If you have twisted teeth and would like to learn more about your treatment options, please contact our dental team today.
Tooth decay doesn't happen overnight. It's a process that develops over time through repeated exposure to bacteria and acids. Fortunately, tooth decay is treatable. At Smile Solutions by Emmi Dental Associates, we offer a wide range of restorative dentistry treatments to reverse the damage of tooth decay and restore the smile's health and beauty.
Find out more about the tooth decay as we discuss its stages. If you live in or around Wilmington, DE and would like to know more about tooth decay and your treatment options, we invite you to schedule a consultation with our team of dentists.
Stage 1: Demineralization
The first stage of tooth decay is demineralization. During the demineralization process, minerals that strengthen the enamel are leached away from the teeth, causing a white or brown lesion to form on the surface of the tooth. When tooth decay is caught at this stage, steps may be taken to remineralize the enamel and prevent decay from advancing.
Stage 2: Enamel Decay
If demineralization continues without treatment, decay will advance to the next stage, which is enamel erosion. The enamel is the hard outer layer of the teeth that protects the delicate inner structures from infection and decay. As demineralization progresses, it beings to decay the enamel. Enamel decay often creates a visible cavity within the tooth or may be seen with an x-ray.
Stage 3: Dentin Decay
As decay through the enamel progresses, the inner dentin layer will eventually be exposed. Once the dentin is exposed to bacteria and acids, it will begin to decay. When decay reaches the dentin layer of the teeth, the tooth may begin to feel sensitive to hot, cold, sweet, or sour foods. This is because the dentin has microscopic tubules that lead to the inner nerves of the teeth. At this stage, decay must be physically removed from an affected tooth and treated with a dental filling or other dental restoration.
Stage 4: Infection of the Pulp Tissues
As decay progresses through the dentin it will eventually reach the inner chamber of the tooth that houses the pulp tissue, nerves, and blood vessels, which are responsible for nourishing the tooth and regulating sensitivity. When bacteria are allowed to reach these tissues, they will become infected, causing a painful root canal infection. As infection advances, the nerves and pulp tissues begin to break down. This can cause the tooth to die and must be treated with root canal therapy.
Stage 5: Abscess Formation
If a root canal infection is not treated, the infection may spread to the root tip and out into the surrounding bone and tissues, creating a pus-filled pocket, called an abscess. Abscesses are extremely painful and can cause the face to swell on the affected side. Treatment for an abscess should be sought as soon as possible to prevent the further spread of infection and to save the tooth if possible.
Seek Treatment for Tooth Decay
If you suspect you suffer from tooth decay, we encourage you to schedule a consultation to learn more about your treatment options.
Did you know that hormone changes as a result of pregnancy and menopause could have a direct impact on a woman’s oral health? When hormone changes occur, it affects blood flow to the gums and the body’s response to unhealthy bacteria and plaque build-up. This is why we place such importance on attending routine dental cleanings and examinations at Smile Solutions by Emmi Dental Associates in Wilmington, DE.
Visiting the dentist every six months reveals immediate oral health changes so dental professionals can provide the necessary treatments to prevent oral health concerns, such as gum disease and tooth decay. When gum disease is left untreated, it can lead to tooth loss and costly restorative dentistry procedures. If you are currently experiencing hormone changes and gum health issues, we recommend scheduling a consultation as soon as possible.
What Factors Contribute to Hormonal Changes?
Below are the five common stages that a woman goes through when hormone levels shift and increase your susceptibility for oral health concerns:
- Puberty: During this stage, estrogen and progesterone surge and increase blood flow to the gums. Individuals may notice dental sensitivity, as well as red and swollen gums that bleed when brushing and flossing.
- Monthly Cycle: During this five- to seven-day cycle each month, progesterone increases and may cause gums to appear red and swollen. Women are more likely to develop canker sores and the initial stages of gingivitis. Although side effects may reduce after menstruation, following a regimented oral health program during this time, followed by gum disease preventative measures can protect your oral health.
- Birth Control Pills: Certain oral contraceptives that contain a high dosage of progesterone can affect blood flow to your gums and aggravate surrounding tissues. Monitoring your gums while taking oral contraceptives is key to your long-term oral and physical health.
- Pregnancy: When a woman becomes pregnant, it is not uncommon for her to experience pregnancy gingivitis throughout the entire gestation period due to the rapid changes in hormones. Gums may appear red and swollen and bleed when brushing and flossing. Talking to your dental care professional about how to care for your teeth and gums throughout your pregnancy will not only protect your health, but the health of your baby.
- Menopause: Age, medication, and the combination of reduced estrogen during this stage in a woman’s life can increase her chances for developing severe gum disease. It is not uncommon to experience dry mouth, abnormal looking gums, and dental sensitivity during this stage. Talking to your gynecologist about hormone therapy, in addition to following a regimented oral hygiene program can prevent tooth loss, bone degeneration, and facial structural changes.
How to Prevent Gum Disease
Visiting the dentist biannually for a professional cleaning and examination can help prevent the early stages of gum disease. When caught early, side effects are easily managed and often reversible. In addition, we also recommend:
- Brushing your teeth at least twice a day
- Flossing daily
- Replacing tooth brushes every three to four months
- Rinsing daily with an antibacterial mouthwash
- Eating a healthy diet and avoiding sugary, acidic, and starchy foods
- Asking your dentist about other recommendations and preventative treatments to protect your oral health
Schedule Your Consultation
If you are concerned you may have the beginning stages of gum disease as a result of shifts in your hormones, contact us today online or by calling (302) 999-8113 to schedule a dental cleaning and exam with one of our trusted dentists.
At Smile Solutions by Emmi Dental Associates, our team of highly trained cosmetic, general, and restorative dentistry professionals understands that the health of your gums is intimately linked to the health of your entire body. Gum disease has been clinically connected with an increased risk of a variety of diseases, including heart disease, stroke, and high blood pressure. It is also the number-one cause of tooth loss among adults. This makes it all the more unfortunate that gum disease affects approximately 75 percent of the population to one degree or another, making it, by far, the most common of all diseases.
While there are numerous excellent treatments available to restore form, function, and health to oral structures damaged by gum disease, it is far preferable to achieve and maintain healthy gums in the first place. It is for this reason that Smile Solutions by Emmi Dental Associates offers a full range of periodontal treatments designed to diagnose and treat gum disease in its earliest stages, when it is easiest to control. Our dentists also provide patients with education about the causes of poor gum health at our Wilmington, DE practice so that they can take measures to lower their risk for gum disease in between dental visits.
If you would like to learn how we can help you achieve and maintain healthy gums, please schedule your initial consultation with Dr. Jeffrey Emmi, Dr. Laura Dougherty, or Dr. Jeff Bartoshesky at Smile Solutions by Emmi Dental Associates today.
The Most Common Factors That Contribute to Poor Gum Health
There are many factors that can contribute to poor gum health. Some of these factors are well within your control while others may not be. The most important thing is that you are proactive in promoting your own oral health; if you can decrease your risk for gum disease by making a positive lifestyle change or altering one of your habits, it is in your best interests to do so.
The possible causes of gum disease include:
- Poor oral health: All gum disease is ultimately caused by plaque and tartar, which are composed of millions of bacteria. You can remove much of the plaque on your teeth at home through proper brushing and flossing; however, there are certain places where plaque can hide that can only be accessed via a professional cleaning. Plaque that is not removed in a timely fashion will eventually harden into tartar, a substance that can only be removed by a dental professional.
- Tobacco use: People who smoke or otherwise use tobacco are continually introducing millions of additional bacteria and other toxins into their mouths.
- Teeth grinding: One of the most common causes of poor gum health is chronic teeth grinding, clinically known as bruxism. Over time, chronic teeth grinding will wear down the delicate periodontal tissues.
- Age: People aged 65 and over are more susceptible to gum disease.
- Genetics: According to a 2000 study, genetics may play a role in up to half of all cases of gum disease.
- Certain medications: Antidepressants and certain heart medications can increase the risk for gum disease.
Learn More about the Causes of Poor Gum Health
To learn more about the causes of poor gum health, please contact Smile Solutions by Emmi Dental Associates today.
Usually, the harder something is scrubbed, the better it's cleaned, but that's not the case for the teeth. Brushing hard, or aggressively, can wear away the enamel and cause serious dental damage. Although restorative dentistry treatments can repair damage caused by aggressive brushing, it's best to prevent damage to begin with. Let's explore how aggressive tooth brushing can cause dental damage. To learn more about dental damage and aggressive tooth brushing, schedule a consultation with Wilmington, DE dentists Jeffrey J. Emmi, Laura Dougherty, or Jeff Bartoshesky.
Understanding Aggressive Tooth Brushing
Using too much pressure, a hard-bristled toothbrush, brushing too frequently, or all three, can do more harm to the teeth than good. Such aggressive tooth brushing can wear away the enamel and cause gum recession, exposing the teeth to tooth decay and other damage. A clear sign of aggressive tooth brushing is the state of your toothbrush's bristles. Bristles that are pushed back are often an indication of aggressive tooth brushing and should not be ignored.
Dental Damage Caused by Aggressive Tooth Brushing
Brushing the teeth is essential for protecting oral health, but using too much pressure can lead to serious dental damage, such as:
- Enamel wear: Aggressive tooth brushing can wear away the protective outer layer of the teeth, called the enamel. As the enamel is worn away, the inner structures of the teeth are left vulnerable to plaque, bacteria, and acid.
- Receding gums: Aggressive tooth brushing can push the gums away from the teeth, leading to gum recession. Gum recession can affect dental health by leaving areas of the teeth that are usually protected by the gums exposed to bacteria, increasing the risk of tooth decay.
- Tooth decay: Brushing the teeth aggressively increases the risk of tooth decay due enamel wear and gum recession. Both gum recession and enamel wear expose delicate areas of the teeth to plaque, bacteria, and acid, all of which can cause tooth decay.
- Increased tooth sensitivity: Both enamel wear and gum recession caused by aggressive brushing can increase the risk of tooth sensitivity.
How to Avoid Aggressive Tooth Brushing
If you suspect you may be aggressively brushing your teeth, it's important to takes steps to protect your smile. Some ways to avoid aggressive brushing include:
- Use a soft-bristled toothbrush: Using a soft-bristled toothbrush instead of a medium- or hard-bristled brush can help reduce the damage caused by aggressive tooth brushing.
- Use light pressure: If your hand hurts when you brush your teeth, you may be using too much pressure. Instead, relax your grip and lighten your pressure when brushing the teeth.
- Brush with small, short strokes: Use small, short strokes to brush the teeth while holding the toothbrush at a 45-degree angle to thoroughly clean the teeth without being too aggressive.
- Don't over brush the teeth: Although brushing the teeth more than twice a day can be beneficial, brushing obsessively, for instance more than ten times a day, can wear away the enamel and cause dental damage.
Learn More about Your Treatment Options
For more tips on how to protect your smile from aggressive brushing, or to learn more about your treatment options, please schedule a consultation with our team today.