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Posts for: January, 2021

WhetherVotingforaCandidateorWisdomTeethYouCanChooseWisely

During election season, you'll often hear celebrities encouraging you to vote. But this year, Kaia Gerber, an up-and-coming model following the career path of her mother Cindy Crawford, made a unique election appeal—while getting her wisdom teeth removed.

With ice packs secured to her jaw, Gerber posted a selfie to social media right after her surgery. The caption read, “We don't need wisdom teeth to vote wisely.”

That's great advice—electing our leaders is one of the most important choices we make as a society. But Gerber's post also highlights another decision that bears careful consideration, whether or not to have your wisdom teeth removed.

Found in the very back of the mouth, wisdom teeth (or “third molars”) are usually the last of the permanent teeth to erupt between ages 17 and 25. But although their name may be a salute to coming of age, in reality wisdom teeth can be a pain. Because they're usually last to the party, they're often erupting in a jaw already crowded with teeth. Such a situation can be a recipe for numerous dental problems.

Crowded wisdom teeth may not erupt properly and remain totally or partially hidden within the gums (impaction). As such, they can impinge on and damage the roots of neighboring teeth, and can make overall hygiene more difficult, increasing the risk of dental disease. They can also help pressure other teeth out of position, resulting in an abnormal bite.

Because of this potential for problems, it's been a common practice in dentistry to remove wisdom teeth preemptively before any problems arise. As a result, wisdom teeth extractions are the top oral surgical procedure performed, with around 10 million of them removed every year.

But that practice is beginning to wane, as many dentists are now adopting more of a “wait and see” approach. If the wisdom teeth show signs of problems—impaction, tooth decay, gum disease or bite influence—removal is usually recommended. If not, though, the wisdom teeth are closely monitored during adolescence and early adulthood. If no problems develop, they may be left intact.

This approach works best if you maintain regular dental cleanings and checkups. During these visits, we'll be able to consistently evaluate the overall health of your mouth, particularly in relation to your wisdom teeth.

Just as getting information on candidates helps you decide your vote, this approach of watchful waiting can help us recommend the best course for your wisdom teeth. Whether you vote your wisdom teeth “in” or “out,” you'll be able to do it wisely.

If you would like more information about what's best to do about wisdom teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Wisdom Teeth.”


By Phillip S. Tully III DMD
January 17, 2021
Category: Oral Health
Tags: oral health   oral hygiene  
HerestoHealthySmilesin2021

A New Year's resolution can be just about anything, from losing weight to visiting every major league baseball park. But a resolution you're more likely to keep ought to have two things going for it: It's doable and it changes your life for the better. Here's one that meets those criteria—taking better care of your smile. So we hope that made your 2021 list.

Resolving to pursue more committed dental care can have a double benefit. It can improve your dental health and it could help you gain a more attractive smile. What's more, it's not hard to do—it takes only about five minutes of your time each day, along with a couple of dental visits a year.

Here's how you can make better smile care in 2021 one of your best New Year's resolutions ever.

Brush and floss daily. Your mouth's biggest enemy is dental plaque, a thin film of bacteria and food particles on tooth surfaces. The bacteria in plaque can cause both tooth decay and gum disease. But by removing accumulated plaque with brushing and flossing, you can drastically reduce your risk for dental disease. The key is to do it every day without fail—no holidays!

Have your teeth cleaned. Even if you're an oral hygiene ninja, you can still miss some plaque, which may then harden into calculus (or tartar). This calcified form (which is just as harmful as softer plaque) is nearly impossible to remove by brushing or flossing. But we can at the dental office—which is why having your teeth professionally cleaned every six months makes it even less likely you'll encounter dental disease.

Give your teeth a better diet. If you're also resolving to eat more nutritiously, here's an extra incentive: Your diet can impact your dental health. On one hand, diets high in certain carbohydrates (particularly sugar) increase your risk for disease. On the other hand, a balanced diet of fresh fruits and vegetables, whole grains, and dairy products can strengthen your teeth and help them stay healthy.

Update your dental work. You may have fillings, crowns or bridges that fixed a dental problem in the past but may have since fallen into disrepair. If so, now is the time to update them—and putting it off could increase your risk for disease or other serious dental problems. Taking care of needed renovations to older dental work promotes better oral health, and may also improve your smile.

Want to start the New Year off right in regard to your teeth and gums? See us for a complete checkup and evaluation of your dental health. Together, we can develop just the right care plan to help you achieve your resolution of a healthier mouth and a more attractive smile.

If you would like more information about effective dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”


By Phillip S. Tully III DMD
January 07, 2021
Category: Dental Procedures
Tags: crowns  
HeresWhatYouNeedToKnowAboutDentalInsuranceandChoosingaCrown

Millions of Americans rely on dental insurance to help them better afford dental care. Depending on the benefit package, an insurance policy can be useful in restoring dental health compromised by disease or injury.

But how life-like that restoration may appear is often a secondary concern with many insurance plans. For example, dental insurance will pay for a crown restoration that restores function to a tooth, but not necessarily of the highest aesthetic quality for achieving a truly life-like appearance.

To be sure, not all dental crowns are the same. Some are all metal, usually gold or silver. Some are “hybrids,” made of an interior metal shell with an outer fused porcelain shell (porcelain-fused-to-metal or PFM). In recent years all -ceramic crowns made of stronger life-like ceramics have become the most popular.

The type of crown used will depend a great deal on the type and location of the tooth. Teeth on the back of the jaw that encounter greater biting forces and are not as noticeable in the smile may do better with a metal or PFM crown. Visible side and front teeth are more likely candidates for all-ceramic. Your dentist will give you your best options as it pertains to your dental needs and appearance.

There's also a difference in crown workmanship. Dental laboratories now use milling machinery that sculpts a crown from a single block of material. Although some final handwork by skilled technicians is still necessary, milling has streamlined the process—and the cost—for producing a crown of high functioning quality.

But crowns that achieve the most natural smile appearance require more in the way of artistic craftsmanship. This in turn can increase the crown's price—beyond what many dental policies agree to cover. You may then be faced with a decision: an insurance-covered functional crown with an acceptable level of life-likeness or a more life-like crown for which you may have to pay more out-of-pocket.

Your dentist can advise you on your best options for a crown restoration, also factoring in what your insurance will cover. Ultimately, though, you'll have to weigh the kind of smile you desire with your dental situation and finances.

If you would like more information on dental crown restorations, 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 Dental Crowns.”