Nashua, NH Dentist
Nashua Smile Makers
76 Allds Street
Nashua, NH 03060
(603) 882-3727
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By Nashua Smile Makers
December 04, 2017
Category: Oral Health
Tags: oral health   Oral Hygiene  
NewYearsResolutionsforBetterOralHealth

Laying out goals for the New Year is a great way to inspire yourself to make positive changes that can improve your health. For example, many habits—both good and bad—affect the health of your teeth and gums. Here’s a list of risky habits to kick, and mouth-healthy habits to adopt:

Habits That Risk Oral Health

Smoking. As if oral cancer weren’t enough to worry about, smoking also promotes gum disease and tooth loss. According to the U.S. Centers for Disease Control, smokers have double the risk of gum disease compared to nonsmokers. And according to the Academy of General Dentistry, smokers are about twice as likely to lose their teeth as nonsmokers. For help quitting, visit smokefree.gov.

Snacking. Nibbling all day can create the perfect conditions for tooth decay—especially if your snacks contain sugar and other carbohydrates. Sticky snacks like cookies, crackers, chips and candy bars that cling to teeth tend to remain in the mouth and attract decay-causing oral bacteria. The acid these bacteria produce can penetrate the enamel of your teeth, causing cavities.

Soft Drinks. Speaking of tooth-eroding acid, soft drinks have plenty of it. And this includes both regular and diet varieties of soda, sweetened iced tea, sports drinks and so-called energy drinks. The healthiest drink for your teeth is water!

Mouth-Healthy Habits

Brushing. You probably brush your teeth every day already, but are you doing it correctly? To get the most benefit from this healthy habit, brush twice each day for a full two minutes each time. Use a soft-bristled toothbrush with toothpaste that contains fluoride, and don’t scrub too harshly!

Flossing. Yes, it’s worth the effort! If you don’t floss, you’ll miss cleaning about 40% of your tooth surfaces. A toothbrush just can’t reach in between teeth, where decay-causing dental plaque can hide. If you find dental floss difficult to work with, try using disposable floss holders.

Regular Dental Checkups. Keep up a regular schedule of professional teeth cleanings and exams! This allows us to remove any hardened dental plaque (tartar) that has built up on your teeth, screen you for oral cancer, and treat minor dental problems before they become major ones. Plus, it’s a great opportunity to review your at-home oral hygiene.

If you have any questions about how to improve your oral health, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “10 Tips for Daily Oral Care at Home” and “10 Tips to Help You Stop Smoking.”

By Nashua Smile Makers
November 28, 2017
Category: Dental Procedures
Tags: cosmetic dentistry  

Improving your appearance can be as simple as taking advantage of a smile makeover. Our Nashua, NH, dentists, Dr. Salvatore Guerriero cosmetic dentistryand Dr. Salvatore Colletta, discuss several cosmetic dentistry services that can transform your smile.

Bonding

Bonding is one of the simplest and most cost-effective cosmetic treatments. It's commonly used to repair small chips or cracks in teeth, but can also conceal discolorations or cracks or change the appearance of a crooked or oddly shaped teeth. Composite resin, a flexible plastic-based material available in a range of common tooth shades, is applied to your teeth, then bonded to your enamel with a curing light.

Veneers

Veneers cover many types of imperfections that can mar your smile. Cracks, chips and discolorations disappear under a thin layer of porcelain during the veneer process. The tooth-shaped shells are applied to the fronts of teeth only and can also be used to change the shape of teeth, extend the length or close small gaps between teeth.

Teeth whitening

Stains on your teeth dull your smile and can make you feel a little self-conscious about the way you look. Professional whitening in our Nashua office only takes about an hour and can lighten your teeth as much as eight shades. Both in-office whitening and take-home whitening kits are available.

Crowns

Whether you have a crack in a tooth, a discoloration or don't like the shape of a tooth, a crown offers an excellent way to transform your smile. The hollow restorations fit over the top of your teeth after they've been filed on all sides. Crowns are also used to strengthen fragile or brittle teeth or teeth that have become weak due to a dental procedure.

Dental implants

Dental implants, the latest tooth restoration option, permanently replace your tooth roots. The titanium posts bond to your jawbone, ensuring that the crown attached to the top won't move no matter what you eat. Unlike other restoration options, implants usually never need to be replaced. Daily brushing and flossing is the key to keeping your implant healthy.

Ready to make over your smile with a cosmetic dentistry procedure? Call our Nashua, NH, dentists, Dr. Guerriero and Dr. Colletta, at (603) 882-3727 to schedule an appointment.

By Nashua Smile Makers
November 26, 2017
Category: Oral Health
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 Nashua Smile Makers
November 11, 2017
Category: Dental Procedures
Tags: orthodontics   headgear  
OrthodonticHeadgearWhatItIsandWhyItMaybeNeeded

Most of us are quite familiar with what traditional braces look like. But occasionally we see more complex-looking devices being worn by young orthodontic patients: thicker wires that extend outside the mouth, with straps that may go behind the neck or over the chin. What are these devices, and why are they sometimes needed?

In general, orthodontic appliances with external parts braced by the head, neck or chin are referred to as “headgear.” These devices may be used to handle a number of particular orthodontic situations, but they all have one thing in common: They provide the additional anchorage needed to move teeth into better positions.

It may come as a surprise that teeth, which seem so solid, can actually be moved fairly easily over time. This is because teeth are not fixed directly into bone, but are instead held in place by a hammock-like structure called the periodontal ligament. Using a light, controlled force — such as the force of springy wires and elastics in traditional braces — teeth can be moved slowly through the jaw bone, like a stick being pulled through sand.

Of course, to pull a stick through sand, you need a firm anchorage — your legs, for example, bracing against a rock. Most of the time, the back teeth, with their large, multiple roots, provide plenty of support. But sometimes, the back teeth alone aren’t enough to do the job.

If a very large space between teeth is being closed, for example, the back teeth might be pulled forward as the front teeth are pulled back; this could result in poor alignment and bite problems. In other cases, the front teeth may need to be pulled forward instead of back. The back teeth can’t help here; this is a job for headgear.

Some types of headgear have a strap that goes behind the head or neck; they use the entire head as an anchorage. Other types, called “reverse pull” headgear, have a strap that comes over the chin or the forehead; they can pull teeth forward. Headgear can even influence the proper growth of facial structures — that’s why it is usually seen on preteens, whose growth isn’t yet complete.

Headgear is usually worn for 12 hours per day, for a limited period of time. In some cases, rather than headgear, appliances called “temporary anchorage devices” (TADS) may be recommended. These are tiny screws that are implanted into the jawbone in a minimally invasive procedure, and serve a similar function.

While it may not look pretty, orthodontic headgear is capable of moving teeth into their proper positions in a relatively short period of time — and ending up with a great-looking smile is what orthodontics is all about.

If you have questions about orthodontic headgear, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine article “Moving Teeth With Orthodontics.”

By Nashua Smile Makers
October 27, 2017
Category: Dental Procedures
MovingJustaFewTeethcanhaveBigResults

Orthodontists are able to achieve attractive results with traditional braces moving several teeth into a better position. In a way, braces are the original “smile makeover.”

But orthodontic treatment can also be useful if only a few teeth (like the two upper front teeth) need to be moved slightly. A treatment known as minor tooth movement takes only a few months as opposed to years for traditional multiple teeth movement, and with removable appliances that may use small springs or elastics to place gentle pressure on teeth to move them.

So, what constitutes a minor tooth movement scenario? As with any dental condition, the first step is a complete dental examination, particularly the bite. We also need to determine if enough room exists to close any space without compromising the bite with the opposing teeth, and if the teeth and their roots are in a good position to allow minor movement — otherwise, more extensive treatment may be called for. The surrounding gum tissues and bone also need to be healthy and disease-free, especially in adults.

We may also need to look more closely at the actual cause for a front tooth gap. If the gap is the result of the tongue habitually pressing against the back of the teeth and pushing them forward, it may then be difficult or impossible to close the gap with minor tooth movement techniques. The cause may also originate from the frenum (a thin, muscular tissue that rises up from between the upper front teeth toward the lip) if it has extended too far between the teeth. In this case we may first need to surgically remove some of the frenum tissue before attempting orthodontics or the teeth may gradually move back apart after closing the gap.

Although minor tooth movement normally doesn’t take as long as braces, it may still require several months. And just like with braces, you will need to wear a retainer for several months afterward until the bone stabilizes around the new position. Still, minor tooth movement could have a major impact on your smile.

If you would like more information on orthodontic treatments, 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 “Minor Tooth Movement.”





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