Comprehensive dental care is when a dentist provides a full range of dental health services for diagnosis, treatment, follow-up, and rehabilitation of a patients smile. This will include thinking about not only a person’s smile as a singular item. It will include a person’s functional health as well as facial esthetics.
“We believe in a comprehensive dental care approach to restorative and cosmetic dentistry, that fully integrates health, comfort, and beauty.” – Marielaina Perrone DDS
The human body acts as a complex group of systems and never acts in isolation. In comprehensive dental care, it is very similar in how we look at the patient and their smile. The teeth may be the focus of our smiles but they do not work in isolation either. In comprehensive dental care, we look at the soft tissues as well as the hard tissues to create a treatment plan that is personalized for you. This can and will include the TMJ joint, the muscles of the face, and how the teeth fit together (also called occlusion). Often times, a deeper dental examination will reveal issues with the occlusion or over active muscles. This can show as uneven wear of the teeth which can be due to genetic issues or stress. A comprehensive dental care examination will reveal these deeper functional flaws that can affect the cosmetics of your smile.
Comprehensive Dental Care Personalized
A well trained dentist with comprehensive dental care experience will know to look beyond the issue at hand and ask why did that happen? If we examine the smile in a comprehensive dental care way of looking at things, we realize a tooth extraction is not a singular event. Once that tooth is removed, there will be changes to our occlusion as well as our esthetics. This can have long term implications to a person’s overall dental health. Treating “just one tooth” is often not the best interest for your long term dental health. Below are some dental procedures that are included in comprehensive dental care to treat function and cosmetics as one:
–Porcelain Crowns. This type of dental crown combines strength and beauty into one package. Porcelain crowns have the esthetics patients desire for their smile but the strength demanded by patients and dentists for function. When porcelain crowns are used properly, a patient will begin to see an immediate improvement in their occlusion and in the cosmetic appearance in the skin around the face as wrinkles will lessen. The wrinkles will lessen because the occlusion will be “raised” forcing the skin around the mouth to stretch slightly. Using dental crowns for this purpose is called bite reclamation.
–Porcelain Veneers. Known as part of the Hollywood smile. Porcelain veneers are sometimes referred to as “instant orthodontics” because they have the ability to realign teeth vs wearing orthodontic braces. Porcelain veneers are more conservative than porcelain crowns and are purely cosmetic in nature and cannot be used to reclaim lost occlusion height.
–Dental Implants. Dental implants are highly successful for replacing one or more teeth. These would be an integral part of comprehensive dental care especially for larger scale smile restorations.
–Orthodontic Braces Or Invisalign. Many people see orthodontics or invisalign as a purely cosmetic treatment for adults. However, in comprehensive dental care your dentist will see that re aligning the bite will result in straighter teeth but it will also bring those teeth into harmony with one another. This will place less stress on the teeth thru their daily functions as well.
–Tooth Bonding. can be used to repair a tooth damaged by trauma or tooth decay. These tooth colored restorations can make an immediate improvement to your smile.
–Facial Asymmetry. In comprehensive dental care, your well trained dentist will evaluate not just the smile but also the entire face. By looking beyond the smile, they may be able to see certain asymmetry’s in the alignment of your face. The use of botox can be used to balance the facial muscles and bring them into harmony with your smile. An eyebrow lift or a depression of the brow can also be enhanced using botox applications.
–Gummy Smile. This occurs when too much gum tissue is exposed upon smiling. This usually is the result of the lip rising too high when smiling. Injecting Botox into the upper lip weakens the retractor muscles of the upper lip so that it won’t raise as high and your smile will appear better balanced. In comprehensive dental care, your dentist will see this immediately and factor this into your treatment plan.
–Crown Lengthening. This is a comprehensive dental care surgical process whereby your dentist will remove bone around a tooth to expose more of the tooth into the mouth. This is often needed in patients with a severe grinding issues to reclaim lost occlusal height.
–Gum and Bone Grafting and Recontouring. Both gum tissues and bone tissues can be grafted in to replace lost tissues in comprehensive dental care. These have both functional and esthetic concerns. Functionally, adding more bone will aid in support of teeth and adding gingival tissues can cover exposed roots alleviating tooth sensitivity and stop tooth decay from forming on the roots of your teeth. Cosmetically, these grafts can restore your smile to its youthful glory.
–Teeth Whitening. Many of our worn teeth are also dark and discolored. The color you desire to reach may require a dental whitening process, or simply a whiter color bonding restoration or a whiter colored porcelain restoration. Teeth whitening is included in comprehensive dental care because it will be usually a priority for most patients when trying to rejuvenate their smiles.
–Juvederm Dermal Fillers. These fillers can be used to turn back the clock and fill in areas that time has changed. Again bringing about a balance between function and smile is a hallmark of comprehensive dental care.
Comprehensive Dental Care Conclusion
A dentist who is well trained in comprehensive dental care will be able to spot problem areas quite easily. Some areas are hidden but a deeper look during a dental examination and they will be revealed. Some issues will not have longer term implications while others may. It is important to recognize the difference between the two so the proper recommendations can be made to the patient.
Cosmetic dentistry deals with much more than just an esthetic result. A well trained cosmetic dentist will be just as concerned with function as well as cosmetics. Without proper function, any cosmetic dentistry will ultimately fail over the long term. Below will be some of the most common cosmetic dentistry procedures your dentist can perform to bring new life to your smile.
Common Cosmetic Dentistry Procedures
–Cosmetic Teeth Whitening. Probably the most popular cosmetic dentistry procedure due to its quick results and relatively low cost. Teeth whitening can be performed at home by the patient or in the office by your cosmetic dentist. Your teeth have pores and anything we eat or drink that has color will absorb into those pores. Wine, coffee, dark berries, and smoking are the main culprits in staining our teeth. As we get older, the natural color of your teeth becomes darker and darker due to these stains. These stains will not go away without intervention by your cosmetic dentist. Not every patient will achieve the same cosmetic dentistry results, so it is very important to check with your dentist first to see what to expect.
–Cosmetic Porcelain Veneers (or even composite veneers). Porcelain veneers are a thin shell of porcelain similar to a fingernail. They are custom made in a dental laboratory and cemented in place over your teeth to transform your smile. Porcelain veneers are sometimes called “instant orthodontics” in cosmetic dentistry because they have ability to realign slightly crooked teeth. Porcelain veneers also have the ability to change the color of your smile, repair chipped teeth, or close gaps between your teeth. This is a staple of cosmetic dentistry and a well trained cosmetic dentist can dramatically change your smile quickly.
–Cosmetic Porcelain Crowns. These are custom fabricated to restore function and esthetics to your smile. Porcelain crowns are utilized in cosmetic dentistry by your cosmetic dentist to restore teeth that have been damaged to trauma, tooth decay, or to close gaps between teeth. All porcelain crowns are ideal to restore a front tooth as they are translucent and designed to look like your natural teeth.
–Cosmetic Dental Implants. A dental implant is a titanium root structure designed to replace a missing tooth or teeth. A dental implant is surgically implanted into the jawbone where the tooth is missing. Unlike a dental bridge, a dental implant is permanent, this is because the dental implant becomes one with surrounding bone (process is called osseointegration). A dental implant is designed to act as the tooth root. Once integrated it can be used as a platform to replace a single tooth, multiple teeth, or even be support for a full denture. Dental implants are the closest you can get to a natural tooth in function. They give you the freedom to confidently eat, smile, laugh, talk, and enjoy all of your everyday activities without worrying about your smile. These can be used in cosmetic dentistry along with other procedures to restore your smile.
–Cosmetic Teeth Recontouring. Also called tooth enamel shaping. A misshapen tooth can be lightly shaped by your cosmetic dentist in a painless procedure but it can have a dramatic effect on your smile. It is common to do this if you have protruding mamelons. A mamelon is a rounded protuberances which are present on the cutting edge of an incisor (front) tooth when it first erupts into the mouth. Generally, they wear away over time as we grow up but for some they need help in removing them.
–Cosmetic Dental Bonding. Also called tooth bonding. Dental bonding is the cosmetic dentistry procedure in which tooth-colored materials are bonded to the tooth to repair tooth decay, repair a chipped tooth, or even close a gap between teeth. These tooth colored materials are bonded using chemistry and a special light which hardens the material in seconds.
–Cosmetic Orthodontic Braces. Adult orthodontics have become very popular in cosmetic dentistry especially with introduction of invisalign orthodontic system. Your cosmetic dentist can make small adjustments to one or a few teeth or a major overhaul using more traditional orthodontics treatment.
Cosmetic Dentistry Conclusion
Cosmetic dentistry can transform any smile but function is the key. Make sure you see a well trained dentist who knows that function trumps cosmetics. If a dental restoration is not functional it will not last and withstand the stresses of the mouth. Cosmetic dentistry can be what is missing from your smile. Ask your dentist today to transform your smile.
Charcoal Toothpaste is all the rage for teeth whitening. Activated charcoal is also found in other popular items like supplement pills and cosmetic face masks. It is believed that activated charcoal toothpaste can be used for teeth whitening as well as giving you fresher breath. Does activated charcoal toothpaste actually make your teeth whiter or give you fresher breath over traditional toothpastes.
What Is Activated Charcoal Toothpaste?
Activated charcoal is a fine black powder made from bone char, coconut shells, peat, petroleum coke, coal, olive pits or sawdust. The charcoal is then “activated” by putting it under very high temperatures. These high temperatures change the charcoal’s internal chemical structure by decreasing the size of its pores and increasing its surface area. Once the charcoal undergoes this change it is now more porous than regular charcoal. This activated charcoal does not contain any toxic substances that are present in charcoal briquettes used in BBQ’s. Activated charcoal is commonly used in water filters. The porosity of activated charcoal allows it to bind to everything that comes its way. This can include stains, bacteria, tartar and plaque, as well as viruses. Activated charcoal is also commonly used in patients suffering from a drug overdose or poisoning.
This is a controversial topic but there has been no long term research to date to prove that activated charcoal toothpaste is safe. What we do know is the following:
–Activated charcoal toothpaste should not be used daily. The activated charcoal toothpaste is quite abrasive and can damage your tooth’s enamel. Wearing down your enamel can thin the outer layer out making your teeth appear yellower due to underlying dentin showing through. This tooth enamel erosion can also increase tooth sensitivity significantly. If you do choose to use an activated charcoal toothpaste it is recommended not to be used daily and to use a soft touch when brushing.
–Lack Of Fluoride In Activated Charcoal Toothpastes. Most activated charcoal toothpastes do not contain fluoride. Fluoride is essential in keeping our teeth strong to defend against tooth decay. The British Dental Journal found that activated charcoal toothpaste may actually increase tooth decay. But this evidence needs to be researched further. Activated charcoal toothpastes can be used in conjunction with a regular toothpaste for people who are seeking a whiter smile, but it cannot be used in place of it.
–Increased Staining. For obvious reasons, introducing a fine black powder can leave stains especially in teeth with fine micro cracks. This can also occur on dental restorations like white composite fillings, porcelain veneers and porcelain crowns.
Does Activated Charcoal Toothpaste Make Teeth Whiter?
Toothpaste that contains activated charcoal may help to remove teeth staining due to the activated charcoal’s abrasiveness. The activated charcoal also has the ability to absorb surface staining through its porous nature. To date there has been no evidence that it has a natural teeth whitening effect. Current teeth whitening products work by not only removing surface teeth stains (also called extrinsic stains) on the surface of teeth but also those below the surface (also called intrinsic stains). There just is not enough scientific evidence to prove that activated charcoal toothpastes are effective in whitening your teeth. No matter how dedicated you are to using activated charcoal toothpaste for teeth whitening, a major lightening of tooth color can only come from teeth whitening treatments that have the ability to penetrate below the external surface of our teeth. Therefore, the only recommendation that can be given right now is to use activated charcoal toothpaste to remove surface staining.
Alternatives To Activated Charcoal Toothpaste For Teeth Whitening
Your teeth whitening alternative options include:
–American Dental Association (ADA) approved teeth whitening toothpastes
-In office teeth whitening
-Dentist supervised at home teeth whitening
Charcoal Toothpaste For Teeth Whitening Conclusion
Charcoal toothpaste is safe for use as a teeth whitener. It is not to be used daily and as long as you need to understand charcoal toothpaste has definite limitations when it comes to teeth whitening. At this time, activated charcoal toothpaste is not the answer if you are looking for significantly whiter teeth. Your dentist can offer you better options. As always see your dentist regularly for a healthy, happy smile.
What Is A Snap On Smile?
Snap on smile is a dental appliance that is removable which is designed to snap over the existing teeth to enhance your smile. The snap on smile removable appliance is made from an extremely strong dental resin. It can be used as a short term or a long term cosmetic dentistry option. Snap on smile is a fantastic solution for many cosmetic dentistry issues. The beauty of the snap on smile is that it is a completely reversible cosmetic dentistry option. The snap on smile is far more affordable than porcelain veneers or porcelain crowns. In general, the snap on smile procedure costs about the price of a single dental crown.
Is Snap On Smile Painless?
The snap on smile procedure itself is completely pain free. All your dentist needs to do is take an impression of your teeth and send it to a qualified dental laboratory technician to fabricate. It requires zero shots, zero drilling and zero removal of your natural tooth structure.
As with any dental appliance there will be an adjustment period that is temporary as you get used to having your snap on smile in your mouth. This is very common and most people report that their speech is back to normal within a few weeks. Wearing your Snap On Smile regularly will allow you to return to your normal speech pattern much faster.
Does Snap On Smile Cover All My Teeth?
Snap On Smile has been designed to cover your entire upper and/or lower arch of teeth.
How Do I Keep My Snap On Smile Clean?
A special cleaning solution will be supplied when you first receive your Snap On Smile from your dentist. Refills can be re ordered and are available through your dentist. Your dentist will recommend lining inside of snap on smile with fluoride as a layer of protection for your teeth against tooth decay.
Is Snap On Smile Covered By Insurance?
Snap On Smile is a cosmetic dental procedure. Generally, cosmetic dental appliances are not covered by dental insurance. You will want to discuss your individual insurance policy with your dentist and also give your dental insurance company a call.
I Am Missing Teeth. Will Snap On Smile Work For Me?
Snap-On Smile is the perfect solution for people with missing teeth. Your cosmetic dentist can determine if Snap-On Smile will work for your individual smile.
Dental Appointments Needed For A Snap On Smile?
The following are the steps involved in the fabrication of a custom snap on smile:
–Consultation and Preparation. A full dental health evaluation must be completed prior to snap on smile fabrication. A complete set of x-rays and dental exam are needed to fully assess whether this is the proper cosmetic dental treatment for you. Your smile line, lips, they way you bite, cavities, and periodontal disease must be addressed prior to any dental appliance being fabricated. Once any and all issues have been addressed, the dentist can consult with you to decide whether this is the proper treatment for your individual smile. A professional dental cleaning and all tooth decay must be taken care of prior to the next steps beginning so that the final snap on smile will fit perfectly and last for a long time.
–Dental Impressions. This will include impressions of the teeth, photographs, and an occlusal bite registration. A bite registration allows the dental lab to know the relationship between the upper and lower teeth. At this visit you and your dentist will also pick out the style, shape, and color of your new smile.
–Dental Laboratory. The information gathered by the dentist is then sent off to the dental laboratory. The dental technician will digitally create the custom made snap on smile. You may request a digital image of your snap on smile from the lab before it is completed. There is an additional fee for the digital imaging.
–Snap On Smile Insertion. Following custom fabrication by the dental laboratory, your cosmetic dentist will then place the final product over your teeth. The snap on smile pops right in over your own teeth and should fit with little, if any modification. The snap on smile is durable and unlike other brands can be used for eating. Your snap on smile does comes with a warranty which can be extended by you with the Den Mat company.
Snap On Smile Conclusion
The snap on smile is so simple to complete without the need for removing any of your natural tooth structure or need to use any anesthesia. The beauty is that it is completely removable at any time with no long term effect to your natural teeth.