By Rotunda Dental
July 13, 2018
Category: Dental Procedures
Tags: cosmetic dentistry  
TipstoBrightenYourSummerSmile

In summer, there is no shortage of occasions to show off your smile. Whether attending a wedding, graduation celebration, family reunion or neighborhood barbecue, you’ll want to look your best. But if your smile doesn’t shine as brightly as you’d like, a trip to the dental office may just be the confidence-booster you’re looking for. Here are some popular techniques to enhance your smile:

Teeth cleaning. A professional cleaning can make your mouth feel fresh and add sparkle to your smile. The dental hygienist uses special tools to get rid of plaque and tartar that you cannot remove during your oral hygiene routine at home. In addition, hygienists use a tooth-polishing tool that removes surface stains.

Professional whitening. Professional teeth whitening can achieve excellent results in one short office visit. But if you have several weeks before the big event on your calendar, you can also get winning results at home using custom-made whitening trays from the dental office. Either way, your smile can sparkle at summer celebrations.

Cosmetic bonding. If your teeth have small chips or cracks, cosmetic bonding may be a good option for you. In bonding, tooth-colored material is shaped to the tooth and hardened with a curing light. The procedure—generally done in one office visit without anesthesia—is relatively inexpensive, and the result is very natural-looking.

Porcelain veneers. If you are unhappy with the color, shape, size or spacing of your teeth, long-lasting dental veneers can give your smile a whole new look. Veneers are wafer-thin porcelain shells that are bonded to the tooth’s surface. Because they may be crafted in a dental lab, they may require two to three visits to the dental office over a few-week period.

With so many options, it’s easy to put your best smile forward at all your summer gatherings. We can help. If you have any questions about brightening your smile, please contact our office or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Whitening” and “Porcelain Veneers.”

ActressEmmaStoneRevealsHowThumbSuckingAffectedHerTeeth

It's no secret that many of Hollywood's brightest stars didn't start out with perfectly aligned, pearly-white teeth. And these days, plenty of celebs are willing to share their stories, showing how dentists help those megawatt smiles shine. In a recent interview with W magazine, Emma Stone, the stunning 28-year-old star of critically-acclaimed films like La La Land and Birdman, explained how orthodontic appliances helped her overcome problems caused by a harmful habit: persistent thumb sucking in childhood.

“I sucked my thumb until I was 11 years old,” she admitted, mischievously adding “It's still so soothing to do it.” Although it may have been comforting, the habit spelled trouble for her bite. “The roof of my mouth is so high-pitched that I had this huge overbite,” she said. “I got this gate when I was in second grade… I had braces, and then they put a gate.”

While her technical terminology isn't quite accurate, Stone is referring to a type of appliance worn in the mouth which dentists call a “tongue crib” or “thumb/finger appliance.” The purpose of these devices is to stop children from engaging in “parafunctional habits” — that is, behaviors like thumb sucking or tongue thrusting, which are unrelated to the normal function of the mouth and can cause serious bite problems. (Other parafunctional habits include nail biting, pencil chewing and teeth grinding.)

When kids develop the habit of regularly pushing the tongue against the front teeth (tongue thrusting) or sucking on an object placed inside the mouth (thumb sucking), the behavior can cause the front teeth to be pushed out of alignment. When the top teeth move forward, the condition is commonly referred to as an overbite. In some cases a more serious situation called an “open bite” may develop, which can be difficult to correct. Here, the top and bottom front teeth do not meet or overlap when the mouth is closed; instead, a vertical gap is left in between.

Orthodontic appliances are often recommended to stop harmful oral habits from causing further misalignment. Most appliances are designed with a block (or gate) that prevents the tongue or finger from pushing on the teeth; this is what the actress mentioned. Normally, when the appliance is worn for a period of months it can be expected to modify the child's behavior. Once the habit has been broken, other appliances like traditional braces or clear aligners can be used to bring the teeth into better alignment.

But in Stone's case, things didn't go so smoothly. “I'd take the gate down and suck my thumb underneath the mouth appliance,” she admitted, “because I was totally ignoring the rule to not suck your thumb while you're trying to straighten out your teeth.” That rule-breaking ended up costing the aspiring star lots of time: she spent a total of 7 years wearing braces.

Fortunately, things worked out for the best for Emma Stone: She now has a brilliant smile and a stellar career — plus a shiny new Golden Globe award! Does your child have a thumb sucking problem or another harmful oral habit? For more information about how to correct it, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine article “How Thumb Sucking Affects the Bite.”

By Rotunda Dental
June 23, 2018
Category: Oral Health
Tags: gummy smile  
FindingtheRightSolutionforYourGummySmile

Even with picture perfect teeth, you may still be unhappy with your appearance. The problem: too much of your upper gums show when you smile.

There’s no precise standard for a “gummy smile”—it’s often a matter of perception. As a rule of thumb, though, we consider a smile “gummy” if four or more millimeters of upper gum tissue show while smiling. In any event if you perceive you have a gummy smile, it can greatly affect your self-confidence and overall well-being.

The good news is we can often correct or at least minimize a gummy smile. The first step, though, is to find out why the gums are so prominent.

There are a few possible causes: the most obvious, of course, is that there’s more than normal gum tissue present. But the cause could be the front teeth didn’t fully erupt in childhood and so the gums appear more prominent. Other causes include the upper lip moving too far upward when smiling (hypermobile) or an elongated upper jaw that’s out of proportion with the face.

Finding the exact cause or combination of causes will determine what approach we take to minimize your gummy smile. If too much gum tissue or not enough of  the teeth show, we can use a surgical procedure called crown lengthening to expose more of the crown (the visible part of a tooth), as well as remove excess gum tissues and reshape them and the underlying bone for a more proportional appearance.

A hypermobile upper lip can be treated with Botox, a cosmetic injection that temporarily paralyzes the lip muscles and restricts their movement. But for a permanent solution, we could consider a surgical procedure to limit upper lip movement.

Surgery may also be necessary for an abnormal jaw structure to reposition it in relation to the skull. If, on the other hand it’s the teeth’s position and not the jaw causing gum prominence, we may be able to correct it with orthodontics.

As you can see, there are several ways varying in complexity to correct a gummy smile. To know what will work best for you, you’ll need to undergo an orofacial examination to determine the underlying cause. It’s quite possible there’s a way to improve your smile and regain your self-confidence.

If you would like more information on improving a gummy smile, 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 “Gummy Smiles.”

By Rotunda Dental
June 13, 2018
Category: Oral Health
Tags: tooth decay   oral hygiene  
CapsGownsandSmilesforHighSchoolGraduation

High school graduation marks the end of childhood and the beginning of young adulthood. Do you have a graduate in your family? If so, this is the ideal time to schedule a dental checkup and cleaning. Many graduates will be moving away to attend college, and an oral exam and cleaning now can help ensure that they will embark on this next phase of life in good oral health.

Is your graduate ready for the barrage of camera snaps? Long after graduation day, pictures of your graduate beaming in cap and gown will be on display. A professional teeth cleaning may be just what is needed for a camera-ready smile. The dental hygienist will use an electronic polishing tool to remove many stains from the teeth for a sparkling smile.

What’s more, the dental hygienist uses special tools to get rid of plaque and tartar that can cause bad breath, a common concern among teens and young adults. Bad breath is primarily caused by poor oral hygiene habits, and the hygienist can check to see if your teen’s oral hygiene routine has been too lax—and offer pointers if needed. It’s never too late to form better brushing and flossing habits, especially if your graduate will soon be living away from home!

A dental exam will reveal tooth decay or gum disease, problems that will only get worse if not taken care of. Another reason why dental exams are important at this time is that wisdom teeth—or third molars—generally appear between ages 17–21. Although these teeth sometimes come in without any problem, many wisdom teeth become impacted and must be removed, so it’s important to monitor them during regular dental checkups.

Take time to schedule a dental exam and cleaning so your graduate can march into a bright future armed with a big smile and the best oral health.

If you have questions about teen oral health concerns, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “How to Help Your Child Develop the Best Habits for Oral Health.”

By Rotunda Dental
June 03, 2018
Category: Oral Health
Tags: gum disease  
RecreationalMarijuanaCouldIncreaseYourRiskofGumDisease

In 2016, voters in three states—California, Massachusetts and Nevada—joined Alaska, Colorado, Oregon, Washington and the District of Columbia in legalizing the use of recreational marijuana. These referenda moved the country closer to what may soon be a monumental political showdown between the states and the federal government, which still categorizes marijuana as a controlled substance.

But there’s another angle to this story often overshadowed by the political jousting: is increased marijuana use a good thing for your health and overall physical well-being?

When it comes to your dental health, the answer might be no. The Journal of Periodontology recently published a study that included frequent marijuana users showing increased signs of periodontal (gum) disease. This harmful bacterial infection triggered by plaque buildup can cause weakening of gum attachment to teeth and create the formation of large voids between teeth and gums called periodontal pockets. Left untreated, the disease can also cause supporting bone loss and eventually tooth loss.

The study looked at the dental treatment data of over 1,900 adults of which around one-quarter used marijuana once a month for at least a year. Marijuana users in the study on average had 24.5% of pocket sites around their teeth with depths of at least eight millimeters (an indication of advanced gum disease). In contrast, non-users averaged around 18.9% sites.

To be sure, there are several risk factors for gum disease like genetics, oral hygiene (or lack thereof), structural problems like poor tooth position or even systemic conditions elsewhere in the body. This published study only poses the possibility that marijuana use could be a risk factor for gum disease that should be taken seriously. It’s worth asking the question of whether using marijuana may not be good for your teeth and gums.

If you would like more information on the effects of marijuana on dental health, please contact us or schedule an appointment for a consultation.





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