Center for Dental Excellence, LLC

Advantages of Invisalign

'woman smiling'Many of us think that invisible braces, such as Invisalign, are only used to enhance the aesthetic value of a person’s smile. To a certain extent, that is true. Typically the goal of having braces is to straighten one’s teeth and improve his or her smile. However, did you know that there are actually health benefits to having a straighter smile as well?

Below are just a few of the ways in which invisible braces can benefit your health:

  • Overall Health: Since oral infections are thought to be related to other health issues in the body such as an increased risk of heart disease, stroke, or diabetes, keeping your teeth straightened and properly spaced apart is an important and crucial step to having better overall health.
  • Diverse Diet: With traditional metal braces, there are many foods you are unable to eat which can severely hinder diversity in your diet. Since invisible braces are removable, they allow you to eat a wider variety of foods, helping to ensure that you get all of the vitamins and minerals that are necessary for a healthy body.
  • Periodontal Health: Overcrowded teeth can lead to red, swollen, and irritated gums. These symptoms are typically signs of periodontal disease. Getting braces can allow your teeth to not only straighten, but also make more space between your teeth, allowing your gums more room.
  • Better Cleaning Access: Traditional braces take up a large amount of surface area on your tooth. therefor there is a good amount of tooth you’re missing every time you brush. With invisible braces, however, you are able to remove them in order to clean the entire surface of your teeth and maintain that impeccable flossing and brushing routine!

If you’re looking for a straighter smile, as well as better overall and oral health, give us a call at Simsbury CT Office of Center For Dental Excellence Phone Number 860-658-1991.


Manual, Electric, and Sonic Toothbrushes

manual vs electric toothbrushWith the many options of toothbrushes available today, we understand that choosing the right one for you can be overwhelming. If you are considering changing your brush style, read more information below about manual, electric and sonic toothbrushes.

Manual Toothbrushes

Manual toothbrushes are the most common type of toothbrushes, available at your local convenience store. Many people choose to opt for the manual toothbrush because it is a much cheaper option compared to the electric and sonic toothbrushes. Studies have shown that there is not a huge difference in using a manual toothbrush vs. an electric/sonic toothbrush, as manually brushing still cleans the surface of your teeth of food debris and plaque. However, manual toothbrushes clean your teeth at a rate of around 300 brush strokes per minute, while electric and sonic toothbrushes operate much faster (see below).

Electric Toothbrushes

Electric brushes operate at a much higher brush stroke rate than manual toothbrushes, with around 3,000 – 6,000 brush strokes per minute. A brush stroke from an electric toothbrush differs from that of a manual toothbrush because it moves much faster in a smaller surface area, using either oscillating or vibrating motions.

Sonic Toothbrushes

Sonic brushes differ from electric brushes slightly in that they vibrate at a much higher frequency, about 30,000 to 40,000 strokes per minute. Sonic toothbrushes have been found to have a slighter higher cleaning rate because they clean harder to reach areas, such as under the gums and in between the teeth. However, while this may be true – nothing compares to flossing in between the teeth. The ADA recommends for adults with arthritis or who have a hard time manually brushing to change to electric or sonic toothbrushes, which increases stability for your hand while brushing.

Whatever option you chose, as long as you are brushing for two minutes twice a day and flossing once, you will be able to effectively keep your teeth clean and healthy! If you have any further questions about the toothbrush for you, give us a call at Simsbury CT Office of Center For Dental Excellence Phone Number 860-658-1991!

Tagged under: , , , , , ,


5 Reasons Why Your Teeth Are Changing Color

woman brushing her teethBrushing and flossing your teeth every day can keep your smile bright and white. However, you might have noticed that even though you take great care of your teeth, they look a little yellow and have lost their sparkle. This is completely normal. Here are 5 reasons why this could be happening to you.

  1. Food and Drinks:

    Coffee, tea and red wine play a major role in staining your teeth. They all have Chromogens, which are intense color pigments that attach to the white outer part of your tooth known as enamel.
    Tip: Drink with a straw, keeping those stain-causing dyes in the drink away from your teeth

  2. Tobacco Use:

    The two chemicals found in tobacco, tar and nicotine, create a tough stain. Tar is naturally dark. Nicotine is colorless, but when it’s mixed with oxygen, it creates a yellowish color. Both together create the stain.

  3. Age:

    Below the white shell of enamel on our teeth is a softer area called Dentin. Over the years, our outer enamel gets thinner from brushing and the yellowish dentin shows through.

  4. Trauma:

    If you have experienced an injury to the mouth, your tooth may change color. This is because your tooth reacts to the trauma by putting down more dentin, which is darker than the outer enamel on your teeth.

  5. Medications:

    Many different kind of medications come with the side effect of darkening your teeth. Also, children who are exposed to medication when their teeth are forming, either in the womb or as a baby, can experience discoloration of their adult teeth later in life.

Some of these reasons are preventable and some of these happen over the course of life. Try to avoid some of these things and continue to brush and floss your teeth every day. If you would like to discuss your teeth whitening options with us, please call our office at 860-658-1991 to schedule an appointment.

Tagged under: , , , ,


New Trends In Dental Implants

dental implantsA trending topic right now seems to be the decision to opt for “mini-dental implants” instead of more traditional ones. Below we are going to take a look inside the trend, and lay out some of the benefits and drawbacks so that you can get a better understanding of this exciting trend in dentistry.

Benefits

  • Mini dental implants are usually less expensive than traditional ones, sometimes costing only 1/3 that of regular implants. They take less time to place and are smaller and less invasive, and can be used in small spaces or for those with inadequate bone mass.
  • With mini dentures, smaller dentures can be used, leading to a better tasting experience for the palate than a traditional denture would provide.
  • Mini implants can be placed with minimal recovery time, and usually require very little to no bone grafting.

Drawbacks

Because this is still a fairly new procedure, there are a few downsides. For one, there aren’t enough studies out there on the longevity of these implants, so we don’t know how they hold up over time. A study published in the International Journal of Implant Dentistry in 2016 revealed that traditional dental implant placement has a proven survival rate of 95% or greater. The analysis collected data from over 10,000 implants from 3,095 patients, across three separate private practices over the course of 20 years. For mini dental implants, there isn’t yet enough data to conclude a proper survival rate.

Another concern is that because this is such a new trend there is not as much information or regulation out there. Some practices with claims such as “Dentures-in-a-day” might not do a proper consultation, skipping important steps such as a 3D scan to make sure that you are a good candidate for the procedure.

While it may be some time before this method is perfected and adopted, it is also exciting to see the advancements changing people’s lives in the dental industry every day. Check in with Center For Dental Excellence to find out what tooth replacement options may be right for you!

Tagged under: , , , ,


Tooth Extraction – Managing Pain

cartoon image of man kicking pain

The Procedure Itself

 

Thanks to a wide variety of anesthesia choices available to us these days, you should feel no pain during your extraction.

After the Surgery

  • Over-the-Counter Medicines: Generally speaking, over the counter non-steroidal anti-inflammatory medications such as Ibuprofen are all that you will need following your surgery.
  • Staying On Top of Pain: It is very important to stay on a strict schedule of medication the first few days following your surgery. Getting behind on medication will result in more pain and may even make it difficult to catch up with pain control again.
  • Ice for Swelling: We want you to ice your cheeks for the first 24 hours following surgery, twenty minutes on and twenty minutes off alternating. Managing swelling can help greatly with pain management, and the act of icing may even feel good on its own.
  • Rest: Your body was expertly designed with high-tech systems in place to heal – but you have to give it the space and conditions to do so. Rest is one of the most important things you can do to help your body heal faster.
  • Salt Rinse the DAY AFTER Surgery: The day after surgery, you should rinse your mouth very gently with a mixture of one cup of warm water and ½ teaspoon of salt. You may do so up to 4 times a day. Designed to gently clean the wound site (but NOT dislodge the blood clot), some patients also feel that the warm water helps with pain relief.
  • Prescriptions: Most often, our patients do not require prescription pain medication post-op. However, in the case that we feel your case calls for such, please keep the following in mind:
    • Antibiotics – If we have ordered antibiotics for you, you must take them on schedule and for as long as we prescribe – Never stop antibiotic treatment prematurely without our specific orders.
    • Pain-Killers – In the event that you require prescription pain killers, please note that we are required to prescribe these sparingly and in accordance with certain laws, due to rising rates of substance abuse. You can help keep these drugs off the street by taking only what you need, and taking unused pills to a pharmacy for safe disposal – never “keep them around” in your cabinet for future use.

Where do Dental Implants come from?

kids playing Dental implants have a surprisingly rich and interesting history. Across centuries and throughout cultures around the world there is evidence of attempts at replacing missing teeth with various objects and materials.

The oldest dental implants can be traced back to 2000 BC in China, where missing teeth were substituted with bamboo pegs.

Fast forward a bit to around 1000 BC and you’ll find an ancient Egyptian King whose tomb was recently discovered along with his mummified remains; a copper peg hammered into place where a tooth once lived. This may have been the first time in history that we know of when metal implants were used.

Across the globe some time around 300 BC, an iron tooth was found in a French grave thought to be Celtic in origin. It is possible this implant may have been a post-mortem placement to honor the dead, as an attempt to perform the surgery using a live patient would have been an excruciatingly painful process.

Just 2000 years ago missing teeth were being substituted for animal teeth, and the poor were even selling their teeth to the wealthy, just to make ends meet! The body often rejected these surrogate teeth, causing infection.

More recently in 1931 in Honduras, Dr. Wilson Monroe and his wife found a jawbone amongst other artifacts, with teeth fashioned from shells and attached to the jawbone of an ancient man.

Today we are lucky enough to have dental implants that not only look and feel like real teeth, and anesthesia for the pain is also a plus. Thanks to studies conducted by Per-Ingvar Brånemark of Sweden in the 1950’s, oral surgeons have been able to perfect the process over the years to create today’s implants, which have a 98% success rate! Through a process known as osseointegration, metals and other implant materials are able to be skillfully placed so that your jaw bone actually attaches itself to the implant creating a seamless support system.

Missing a tooth or two? Give us a call at Simsbury CT Office of Center For Dental Excellence Phone Number 860-658-1991 to discuss your dental implant options today!


Autograft vs. Allograft

woman smiling straight teethSo, you were recently told by your doctor that you need a bone graft, but you aren’t quite sure what that means.

A bone graft is a surgical procedure that is used to fix bones or joints that were damaged by trauma, and it is also used to replace bone that is missing to provide structural stability around the body, including the jawbone. There are many types of bone grafts we can use to grow bone – the two most common are autografts and allografts.

An autograft is a bone or tissue that is transferred from one spot to another on the patient’s body. It is often thought of as the “gold standard” in bone grafting because of its reliability. Its high success rate is due to the fact that it is living tissue and thus its cells are kept intact.

An allograft is a bone or tissue that is transplanted from one person to another. They typically come from a donor, or cadaver bone. The allograft is safe, ready to use and available in large amounts. The main advantage of an allograft is that it requires one less procedure than the autograft, which must first be taken from the patient. Surgical time is minimized and the recovery can be quicker. The allograft comes from a reputable and reliable tissue bank.

Knowing which bone-grafting option you will need can be confusing, but we are here to answer any questions you may have. Please schedule a bone grafting consultation with us by calling Simsbury CT Office of Center For Dental Excellence Phone Number 860-658-1991. We will perform a thorough evaluation of your oral health. After our evaluation, we will recommend what bone graft is best for you. We are happy to discuss your options and answer any questions you may have. We want you feeling confident with our choice and worry free.


Yes, You Still Have to Floss.

woman flossingThe AP recently released an article making the claim that “there’s little proof that flossing works”. Their review cited a series of studies that found flossing does little or nothing to improve oral health.

Here’s the problem: the studies were flawed.

The AP concluded that floss does little for oral health, but it’s important to note that the evidence they cited was very weak at best. In fact, they said so themselves.

As acknowledged by the AP, many of these studies were extremely short. “Some lasted only two weeks, far too brief for a cavity or dental disease to develop” (Associated Press). They also say that “One tested 25 people after only a single use of floss” (Associated Press).

Of course the evidence is unreliable. You don’t simply develop gum disease because you forgot to floss yesterday. Cavities and gum disease do not happen overnight. You can prevent gum disease by maintaining a clean mouth over a long period of time. Wayne Aldredge, President of the American Academy of Periodontology explained: “gum disease is a very slow disease”. In his interview with the AP he recommended long-term studies which he believes would clearly show the difference between people who floss and people who don’t.

Lets put it this way: If a study claims drinking milk does nothing for bone health, but draws conclusions after only three glasses of milk, is it a reliable study? What do you think?

The fact of the matter is floss removes gunk from teeth. You can see it. Gunk feeds bacteria which leads to plaque, cavities, poor gum health, and eventually gum disease. Floss has the ability to reach the food particles that your brush can’t get to.

Aldredge also pointed out that most people floss incorrectly, using a sawing motion instead of moving up and around the teeth to clean the cracks. Positive results come from correct use and it’s critical that people learn to use a tool properly before discarding it as useless.

That’s just what floss is: a tool. Just like your toothbrush, it is designed to keep your mouth clean, and therefore keep your body safe from infection. Both your toothbrush and floss are designed to do what the other can’t, and both successfully remove bacteria from your mouth. Just like proper brushing technique, it is important that you know how to use floss properly, so that you can reap the long-term health benefits of good oral hygiene.

It’s a shame that studies on an important tool such as floss have yielded poor results, but it’s a bigger shame that the studies themselves were poorly designed. Oral hygiene is a long term process, and requires long term observations to make worthwhile conclusions. In the mean time, it’s obvious that you should continue to do everything you can to protect your well being, and floss is one of many tools that can help you do that. If you would like a refresher on the best, most efficient techniques for floss use feel free to call our office today at 860-658-1991!


Taking care of your veneers

Woman smiling with veneersCongratulations! You’ve just received your brand new 4. Your smile has never looked this good, and you probably want to make sure it stays that way! Good veneers can last a long, long time, but only if you take good care of them along the way.

Here are some tips to make your veneers last a decade and even more:

Treat Them Like Teeth

You can ensure that your veneers last a long time if you brush them with the same care that you would your original teeth. Brush twice and floss once daily for best results!

Regular Cleanings

It’s important that we continue to schedule appointments with you so that we can make sure your veneers are looking their best, and that they stay that way. The week after the veneers are placed is the most important visit, followed by your regular dental hygiene visits, during which we can keep an eye out for potential problems.

Try Not to Grind

Many people grind their teeth, but it’s important that you let us know if you have a history of doing so. Measures can be taken to avoid damage to your new veneers over time, such as a nighttime mouth guard to protect your new smile.

Avoid Damage

Biting down on hard food is dangerous for any teeth, and even more so for veneers. Avoid using your veneers to bite down on hard materials and foods. The less stress you put on them the better.

Staining

Veneers keep their shade beautifully over the years, but they are not immune from staining. Avoid the same foods and beverages that you do for your natural teeth such as coffee, tea, wine (and smoking)!

What is involved in the procedure?

First we evaluate your teeth using various kinds of imaging and impressions to ensure that veneers are a good choice for you. Next we create a mock-up so that you can see what your teeth will look like after the procedure, before you make your final decision. If you decide to proceed the first step is to remove a thin layer of enamel from the teeth and then make an impression from which we can build the veneers. The veneers are bonded to the teeth with dental cement and hardened using a special light. That’s where the procedure ends and your new smile begins.

If you are ready for a smile upgrade with veneers, give us a call at Simsbury CT Office of Center For Dental Excellence Phone Number 860-658-1991!


Missing Teeth: More than Just a Gap in Your Smile

man smiling no missing teethWhile it is true that the most obvious effect of missing teeth is a gap in your smile, missing teeth can cause other problems that you might not be immediately aware of. For example, did you know that for every missing tooth you have you lose 10 percent of your chewing ability? Read on to get a better idea of how a missing tooth can affect your life.

Surrounding Teeth

A missing tooth usually means more stress for the remaining teeth. In addition to that, if you are missing a tooth on the lower jaw, the opposing tooth on the top can grow longer to fill the gap in a process known as superuption or extrusion. This could lead to teeth tilting and move out of place by drifting into the space that was left by your missing tooth – a disaster for your beautiful smile!

Digestive Health

If you are missing teeth, you can’t enjoy all of the foods that you are used to eating – bad for your health and bad for your mood! Say goodbye to caramel apples, saltwater taffy, crunchy carrots and even gum. And because the variety in your diet is reduced when a tooth is missing, digestive problems are unfortunate yet common.

Decay and Hygiene Problems

The shifting of your teeth may cause new hygiene issues as it may be difficult to brush and floss like you normally would. This leaves your mouth more vulnerable to gum disease and tooth decay.

Facial Aesthetics

People with more than one missing tooth may also have issues with a collapsed bite which causes a loss of vertical dimension. This could make your face appear shorter, as the distance between the tip of your nose and your chin would decrease.

The good news is that you don’t have to suffer anymore! Dental implants can help you avoid all of the problems listed above and let you live your life normally again. It’s never too late for a dental implant, give us a call at Simsbury CT Office of Center For Dental Excellence Phone Number 860-658-1991 to find out about this life-changing procedure.