Archives for August 2024

How Can I Get My Tooth Edges Smoothed After Braces?

Posted on August 29, 2024 by AllSmiles.

How can I get my tooth edges smoothed after braces? The edges were jagged before the braces. Now that I have finished my treatment and my teeth are even, the jagged edges are more noticeable. Thanks! Russ

Russ,

Cosmetic contouring can smooth the edges of your teeth.

What Is Cosmetic Contouring?

Before and after teeth contouring/enameloplasty photos

Tooth contouring and dental bonding smoothed and evened this patient’s teeth

Cosmetic contouring, or enameloplasty, involves reshaping the front teeth for a more aesthetically pleasing appearance. A dentist must limit reshaping to the enamel and polish your teeth afterward.

While the technical skills required are relatively straightforward, good judgment is essential. If the reshaping needed is minor, many orthodontists can handle it as part of their treatment.

Find an Advanced Cosmetic Dentist

For more significant changes, we recommend seeking a dentist with postgraduate training in cosmetic dentistry. Avoid general family dentists and look for a dentist who can showcase a variety of successful cosmetic cases and has postgraduate training in dental aesthetics.

Cosmetic contouring is a more complex procedure than it might seem. Changing the lengths of the front teeth can affect your bite and potentially cause tooth movement. It’s important to be aware of these potential risks, but an experienced cosmetic dentist should be able to avoid them, ensuring a safe procedure.

In some cases, composite bonding may be necessary to complete the treatment. This is a normal part of the process; a dentist can skillfully apply it. As shown in the example of the patient pictured below, a dentist reshaped the edges of the teeth and applied cosmetic bonding to the sides of some teeth.

San Antonio dentists Dr. Gilberto Tostado and Dr. Karina Acuña sponsor this post. Read how they strive to provide patients with some of the best dental care in San Antonio.

Will an Onlay Protect My Cracked Tooth?

Posted on August 22, 2024 by AllSmiles.

My bottom right second molar is cracked, and I would like to know if an onlay will work. I visited an endodontist who suggested a crown for the tooth. However, the endodontist did not do as my dentist asked and took out the filling to see the extent of the crack. My dentist tried to mend the tooth, but it hurts when pressure affects it. I am trying not to chew on that side of my mouth, and my jaws are beginning to hurt. My dentist wants to try an onlay next. Although I don’t want a crown, I do not want to keep trying different methods, especially if an onlay won’t work. Is an onlay likely to work, or should I ask for a crown? Thanks. Andrew from NM

Andrew,

A cosmetic dentist would need to examine your tooth and x-ray it to see the extent of the crack.

What Is the Treatment for a Cracked Tooth?

Treatment for a cracked tooth depends on the crack’s extent, location, and severity.

The extent of the crack – A crack can be limited to the tooth enamel or extend deep into the dentin (the layer beneath enamel) or the pulp (living tissue inside).
Location of the crack – A crack can be horizontal or vertical.
Crack or facture – If any part of the tooth moves independently, the tooth is fractured. A dentist must treat a cracked tooth to avoid a fraction.

Will an Onlay Work for a Cracked Tooth?

There are different types of onlays—some that work well for any crack and others that have restrictions. Gold and zirconia onlays are stronger and can withstand the biting forces of your teeth.

What Is an Onlay?

Porcelain onlay for a molar tooth

An onlay is a custom-made dental ceramic, gold, or hardened composite covering most or all of your tooth’s chewing surface. Many advanced cosmetic dentists use onlays instead of crowns. Your dentist must take impressions of the tooth. Your dentist or a ceramist will make a custom onlay to cover your tooth precisely. An onlay requires the skill and advanced cosmetic dentistry training.

Gold onlay – A gold onlay can cover the entire chewing surface of your tooth and prevent the crack from spreading.
Porcelain or ceramic onlay – A porcelain onlay can protect minor cracks affecting a tooth’s cusp or corner. Porcelain might not be strong enough to hold a molar tooth together. Zirconia is a high-strength dental ceramic. High-strength ceramic onlays are more substantial than all-porcelain. Advanced cosmetic dentists use them to preserve teeth.
Hardened composite onlay – Weaker than porcelain, a hardened composite onlay is not strong enough to protect a crack in a molar tooth.

We recommend getting a second opinion from a cosmetic dentist trained in occlusion and bite. They will explain your options for a restoration that fits well, protects your tooth, and prevents the crack from worsening.

San Antonio dentists Dr. Gilberto Tostado and Dr. Karina Acuña sponsor this post.

What If I Can’t Afford Dental Implants?

Posted on August 17, 2024 by AllSmiles.

What are my options if I can’t afford dental implants? I’m 42 and am embarrassed to wear dentures. I know it makes sense to have dentures rather than a toothless smile. I wonder if there are alternatives that I may not know about. Thanks. Tish

Tish,

Tooth replacement options include partial dentures, removable complete dentures, a dental bridge, and dental implants. Your options depend on your oral health and the number of teeth you have lost.

A palateless denture

Dental implants are a significant investment, but there are options to make them more accessible. While it’s unlikely to find dentists willing to provide implants in exchange for advertising, there are several strategies to consider:

Dental School Clinics: Many dental schools offer discounted treatment to patients who participate in their implant training programs. Treatment from a dental school can be cost-effective, though it may involve longer treatment times and potential discomfort associated with student practitioners.
Affordable Dental Implant Options: Snap-on dentures supported by two standard dental implants or mini implants can be less expensive and less invasive than traditional implant procedures.
Phased Approach: Consider getting a removable denture now and saving for implant-supported dentures in the future. This phased approach can help you spread out the costs over time.
Charity Dental Clinics: While dental clinics often focus on providing primary care, they may offer some assistance with dentures or partial dentures.

Explore these options and consult a dentist to determine the most suitable approach for your needs and budget. While there may not be a straightforward solution, these strategies can help make implant dentures more affordable in the future.

San Antonio dentists Dr. Gilberto Tostado and Dr. Karina Acuña sponsor this post.