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Posts for: August, 2013

By John Sartorio, D.M.D.
August 29, 2013
Category: Dental Procedures
DidYouKnowClearAlignersHaveBeenImprovedForTeens

Metal braces are often considered a rite of passage for teenagers whose teeth need straightening. While some teens have no problem with this, others are more self-conscious and would like a less noticeable and less restrictive form of orthodontic treatment (“ortho” – to straighten; “odont” – teeth). After all, traditional braces can sometimes require diet modification, regular tightenings can cause discomfort, and the hardware itself can irritate the inside of the mouth. All of these things can limit a teen's ability to function normally during an already difficult stage of life.

That's why many teens today are opting for removable clear aligners, which have been popular with adults for years. In this system of orthodontic treatment, transparent, flexible, plastic “trays” are custom-made to move an individual's teeth into better alignment in a step-by-step fashion. Each tray moves the teeth a little bit further, according to a precise plan developed with specialized computer software by an orthodontist, or a general dentist who has received special training. It's not available from every dentist, but we are happy to be able to offer it here.

It used to be that clear aligners were not recommended for teens for two main reasons. For one thing, because they are removable rather than attached to the teeth, it was assumed a teenager would not be as conscientious as an adult about wearing them nearly 24 hours a day, which is necessary to achieve the desired results. Now, however, clear aligners for teens have colored “compliance indicators” that fade over time. With this new tool, dentists and parents — and teens themselves — can monitor compliance and progress.

The other main problem in prescribing clear aligners for teens had been that their second molars are still growing into position. This problem, too, has been solved. Clear aligners now have “eruption tabs” that serve as space-holders for teeth that have yet to grow in.

Finally, in recent years, improvements have been made to the whole clear aligner system that allow it to be used for more serious malocclusions (bad bites). So it's actually a viable option for more orthodontic patients in general — teens as well as adults.

If you would like to learn more about clear aligners for your teenager, please contact us or schedule an appointment for a consultation. You can also find out more in the Dear Doctor magazine article “Clear Aligners For Teenagers.”


By John Sartorio, D.M.D.
August 14, 2013
Category: Dental Procedures
GeorgeWashingtonsFalseTeeth

Everyone knows that George Washington wore false teeth. Quick, now, what were our first President's dentures made of?

Did you say wood? Along with the cherry tree, that's one of the most persistent myths about the father of our country. In fact, Washington had several sets of dentures — made of gold, hippopotamus tusk, and animal teeth, among other things — but none of them were made of wood.

Washington's dental troubles were well documented, and likely caused some discomfort through much of his life. He began losing teeth at the age of 22, and had only one natural tooth remaining when he took office. (He lost that one before finishing his first term.) Portraits painted several years apart show scars on his cheeks and a decreasing distance between his nose and chin, indicating persistent dental problems.

Dentistry has come a long way in the two-and-a-half centuries since Washington began losing his teeth. Yet edentulism — the complete loss of all permanent teeth — remains a major public health issue. Did you know that 26% of U.S. adults between 65 and 74 years of age have no natural teeth remaining?

Tooth loss leads to loss of the underlying bone in the jaw, making a person seem older and more severe-looking (just look at those later portraits of Washington). But the problems associated with lost teeth aren't limited to cosmetic flaws. Individuals lacking teeth sometimes have trouble getting adequate nutrition, and may be at increased risk for systemic health disorders.

Fortunately, modern dentistry offers a number of ways that the problem of tooth loss can be overcome. One of the most common is still — you guessed it — removable dentures. Prosthetic teeth that are well-designed and properly fitted offer an attractive and practical replacement when the natural teeth can't be saved. Working together with you, our office can provide a set of dentures that feel, fit, and function normally — and look great too.

There are also some state-of-the art methods that can make wearing dentures an even better experience. For example, to increase stability and comfort, the whole lower denture can be supported with just two dental implants placed in the lower jaw. This is referred to as an implant supported overdenture. This approach eliminates the need for dental adhesives, and many people find it boosts their confidence as well.

If you have questions about dentures, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Removable Full Dentures” and “Implant Overdentures for the Lower Jaw.”