My Blog

Posts for: January, 2019

By Phillip S. Tully III DMD
January 26, 2019
Category: Dental Procedures
Tags: porcelain veneers  
GetRidofThoseUnattractiveTeethwithPorcelainVeneers

Those unattractive teeth you see in the mirror are what are standing between you and a truly beautiful smile. If only you could make them go away.

In a way, you can do just that—with dental veneers. For the past three decades dentists have been covering the imperfections of problem teeth with these thin layers of porcelain. What's more, they're usually less involved and expensive than other restorations.

Veneers work best on teeth with moderate flaws like chipping, heavy staining or wearing, or slight misalignments like crookedness or gaps. The dental porcelain used is a ceramic material that so closely mimics the color and translucence of natural teeth it often takes a trained eye to notice any difference.

The first step to getting veneers is to plan your new look with a full examination and a diagnostic mock-up, a temporary application of tooth-colored filling materials applied directly to the teeth. This gives you and your dentist a better visual idea of how veneers will look on your teeth, and to make any adjustments ahead of time. A dental lab will use these findings to create your custom veneers.

In the meantime we'll prepare your teeth to accommodate your veneers. Although they're usually only 0.3 to 0.7 millimeters thick, veneers can still appear bulky when placed straight on the teeth. To adjust for their width we usually must remove some of the teeth's surface enamel so the veneers look more natural. Because enamel can't be replaced, the removal permanently alters the teeth and will require some form of restoration from then on.

When the veneers are ready we'll attach them with special cement so they'll form an almost seamless bond with the teeth. You'll then be able to use them just as before—but with a little caution. Although quite durable, veneers can break under too much force, so avoid biting on hard objects like ice, hard candy or nuts. And be sure you practice good dental care on your veneered teeth with daily brushing and regular dental cleanings and checkups.

The end result, though, is well worth the upkeep. Porcelain veneers can rejuvenate your smile and provide you a new level of confidence for years to come.

If you would like more information on porcelain 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.”


By Phillip S. Tully III DMD
January 23, 2019
Category: Dental Procedures
Tags: cosmetic dentistry   crowns  

Dental Crowns & BridgesThinking about a crown for that tooth which has so many fillings? Avoid the hassle of gooey impressions and multiple visits to the dentist to discuss, create and fit your restoration. Ask Dr. Phillip Tully and Dr. W. Newton Sharp about what CEREC processes can do for you. Performed in just one visit to their Columbus, GA, office, CEREC crowns and partial crowns restore life, aesthetics and functionality to decayed, misshapen and otherwise damaged teeth. The results are nothing short of exceptional.

What is CEREC?

CEREC stands for Chairside Economical Restorations of Esthetic Ceramics. Translated, that long name means a patient gets a new crown, inlay, or onlay (inlays are partial crowns) in just one short visit to Dr. Tully's office in Columbus, GA. After determining that a tooth needs a crown or large filling, the dentist takes digital impressions of the tooth, inputs the information into the CEREC milling machine using CAD/CAM (computer-aided design/computer-aided manufacturing) and then creates the restoration out of a solid block of porcelain.

The milling process happens right in the treatment room in about 20 minutes. In fact, the patient can watch his or her crown being made! Then, the dentist bonds the restoration onto the prepared tooth, shading the crown to match the neighboring teeth.

CEREC crowns fit perfectly right away; so there's no need for multiple try-ons or adjustments to dental bite. Beginning to end, the process take about ninety minutes. Amazing!

Benefits of the CEREC process

The obvious benefit is a fully restored tooth which is spared from extraction. Whether you've had multiple fillings, a serious abscess, root canal therapy or need to restore a dental implant, a CEREC crown can be the right restoration for you.

Other benefits include:

  • Less time in the dental chair (under two hours)
  • One-appointment convenience (not three or four as with old-fashioned crowns)
  • No awkward temporaries or messy impressions
  • Natural shape, texture and color
  • All processes completed by your trusted dentist right on premises--no outside lab needed
  • A beautiful and durable restoration that can last for ten years or longer with good at-home and in-office care, reports ShareCare

Learn more
If you are concerned about the health of a tooth, please don't wait. Many times, tooth loss can be avoided with placement of a realistic porcelain crown, and CEREC manufacturing with Dr. Tully and Dr. Sharp in Columbus, GA, makes it all so easy. Please call us today for a CEREC consultation. Phone (706) 323-6491.


By Phillip S. Tully III DMD
January 16, 2019
Category: Uncategorized
Tags: pulp capping  
Less-InvasivePulpCappingCouldSaveYourTooth

There’s one sure thing about tooth decay: you can’t ignore it. In fact, the best outcomes result from finding it early and treating it before it enters the pulp in the center of the tooth, often a filling or similar treatment.

If it does advance to the pulp, you may need a root canal treatment to save the tooth. This is a moderately invasive procedure where we access the pulp and root canals, tiny passageways leading to the root and supporting bone. We then remove all the diseased tissue and fill the empty pulp chamber and root canals with a special filling. Later we’ll crown the tooth for added protection against future infection or fracture of the tooth.

But there’s also another less-invasive method than a root canal called pulp capping. It’s only appropriate to use, however, if the pulp has become exposed or almost exposed by decay, but hasn’t yet shown signs of disease.

Pulp capping can be either direct or indirect. We use direct pulp capping if the healthy pulp has been exposed by the disease process. We first isolate the tooth from the rest of the mouth to prevent contamination and then proceed to remove all of the tooth’s decayed dentin structure. We then apply a biocompatible material directly over the pulp to protect it from further decay and to facilitate healing. We then restore the tooth, usually with a filling, to its proper function and life-like appearance.

When the pulp is threatened by decay but not yet exposed, we may then use the indirect method. In this approach we first remove most of the decayed dentin, but leave a small amount next to the pulp to keep it covered. We then treat this remaining dentin with a material to help it heal and re-mineralize, followed by a temporary filling of the tooth. A few months later we’ll remove this filling and inspect the treated dentin. If it has regenerated sufficiently, we remove any remaining decay and permanently restore the tooth.

As we said, pulp capping is only used with patients with deep decay whose pulp tissue is healthy. But when we can use it we can avoid some of the permanent alterations that often come with a root canal treatment and still save the tooth.

If you would like more information on treatments for tooth decay, 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 “Pulp Capping: A Procedure that May Save a Decayed Tooth.”


By Phillip S. Tully III DMD
January 06, 2019
Category: Dental Procedures
Tags: porcelain veneers  
PorcelainVeneersMightnotbetheBestOptionforTeenagers

For chipped, stained, or slightly crooked teeth, dental veneers might be the ideal solution. These thin layers of porcelain bonded directly over the teeth with the perfect blend of color, sizes and shapes, can transform a person’s smile for a relatively modest cost.

But if the teeth belong to a teenager, veneers might not be appropriate. This is because in most cases, we’ll need to remove some of the tooth enamel so that the applied veneers won’t look unnaturally bulky. This alteration is permanent, so the teeth will require some form of restoration from then on.

While not usually a major issue with fully matured adult teeth, it could be with the developing teeth of pre-teens and teens. During childhood and adolescence the tooth’s inner pulp plays an important role in dentin production, and so the pulp chamber is relatively large compared to an adult tooth. This larger size places the pulp closer to the enamel surface than with an adult tooth.

Because of its proximity to the enamel, there’s a greater chance veneer alterations could damage a teenager’s tooth pulp and its nerve bundles. If that happens, we may need to perform a root canal treatment to save the tooth—also not an optimal situation for a developing tooth.

That’s why we need to take into consideration a patient’s age and stage of dental development first, including x-raying the affected teeth to measure the depth of the tooth pulp. If we deem it too risky at the moment, there are other ways to improve dental appearance at least temporarily. This includes whitening externally stained teeth with a bleaching agent, or applying tooth-colored composite resin material to chipped areas. We can also apply a composite material veneer that, although not as durable as traditional porcelain, doesn’t require much if any tooth alteration.

To know your options, have your teenager undergo a thorough dental examination. Your dentist will then be able to discuss with you whether veneers can be safely attempted. And be sure the dentist who may perform the work has experience performing cosmetic procedures on teenagers.

If you would like more information on restoration choices for teenagers, 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 “Veneers for Teenagers.”