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By Nashua Smile Makers
May 20, 2022
Category: Dental Procedures
Tags: celebrity smiles   crowns  
HowCelineDionOvercameHerSmileObstacle

For over three decades, Celine Dion has amazed audiences and fans with her powerful singing voice. Best known for her recording of "My Heart Will Go On," the theme song for the movie Titanic, Dion has amassed global record sales topping 200 million. In her early singing days, though, she struggled with one particular career obstacle: an unattractive smile.

The Canadian-born performer had a number of dental defects including crooked and discolored teeth, and—most prominent of all—abnormally large cuspid or "canine" teeth (located on either side of the four front incisors). They were so noticeable that one Quebec celebrity magazine gave her the unflattering nickname "Canine Dion."

This isn't an unusual problem. Since human canines are already the longest teeth in the mouth, it doesn't take much for them to stand out. Our ancient hunter-gatherer ancestors needed these large, pointed teeth to survive. But with the evolution of agriculture and industry, canine teeth have become gradually smaller—so much so that when they're abnormally large, they don't look right in a smile.

So, what can be done if your canines embarrassingly stand out from the rest? Here are some of the options to consider.

Reduce their size. If your canines are just a tad too long, it may be possible to remove some of the enamel layer in a procedure called contouring. Using this technique, we can reduce a tooth's overall size, which we then re-shape by bonding composite resin to the tooth. It's only a good option, though, if your canines have an ample and healthy layer of enamel.

Repair other teeth. The problem of prominent canine teeth may actually be caused by neighboring teeth. When the teeth next to the canines are crooked, the canines can appear more prominent. Alternatively, other teeth around the canines may be abnormally small. Braces or clear aligners can correct crooked incisors, and applying porcelain veneers to smaller teeth could help normalize their length.

Apply dental crowns. In some instances, we can reduce the canines in size and then bond porcelain crowns to them. This is the option that Dion ultimately chose. The natural teeth are still intact, but the crowning process transforms them into properly proportioned, life-like teeth. There is, however, one caveat: The alteration to these teeth will be permanent, so they will need a crown from then on.

Besides crowning her canine teeth, Dion also underwent other dental work to straighten and whiten her other teeth. As a result, this superstar performer now has a superstar smile to match and so can you if your teeth are less than perfect. These or other cosmetic enhancements can give you the look you truly desire. All it takes is an initial visit with us to start you on the road to a transformed smile.

If you would like more information about various cosmetic solutions for your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Porcelain Dental Crowns.”

4ThingsYouCanDotoKeepAnxietyFromRobbingYouofNeededDentalCare

For most people, dental visits are as routine as a trip to the supermarket, but this is not the case for everyone. Some can become so overwhelmed, anxious, or nervous about seeing the dentist that they might put off their visit, even for a serious dental condition.

This kind of anxiety, often rooted in early childhood, shouldn't be dismissed or ignored. If it prevents you or someone you love from receiving needed dental care, it could disrupt your oral health—not to mention your overall well-being for years to come.

In recognition of Mental Health Awareness Month this May, here are 4 things you can do to prevent dental anxiety from robbing you of the dental care you or a loved one needs.

The right dentist. The partnership between dentist and patient may be the most important element in addressing dental anxiety. It's important to find a provider that accepts and understands your anxiety, and who won't dismiss it with trite aphorisms like, "Your fear is all in your head." Finding a dentist who listens and who will work with you in allaying your concerns is often the first step toward overcoming dental anxiety.

Facing anxiety. It's common for people to try to ignore their inner turmoil and focus instead on "getting their teeth fixed." But as sensible as that sounds, it's not really effective. It's better instead to acknowledge and be forthright about your feelings of nervousness and apprehension. With it out in the open, you and your dentist can then include managing your anxiety as a part of your overall treatment plan.

Sedation therapy. It often takes time to overcome deep-seated phobias like dental anxiety. In the meantime, though, your teeth and gums may still need care. Your dentist can help relieve your anxiety, albeit temporarily, using one or more sedation therapy techniques to help you relax during your visit. These therapies may include an oral sedative taken just before your appointment or gas or IV sedation that helps you relax completely during a treatment session.

Cognitive Behavioral Therapy. Psychotherapists have long used CBT to help patients overcome mental and emotional problems like depression, eating disorders, or phobias. CBT helps people change deep-seated patterns of thinking or behavior regarding a troublesome issue by confronting it and seeking to understand the "why" behind the patterns. Recently, a review of dental patients who underwent CBT for dental anxiety showed a number of positive results.

Overcoming dental anxiety can be a long journey requiring patience, courage, and understanding, but it can be done! With the techniques and methods dentists now have to address it, anxiety over dental treatment no longer need interfere with a person's ability to receive the dental care they need.

If you would like more information about dental anxiety and what to do about it, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Overcoming Dental Fear & Anxiety.”

IfYoureCaringForanOlderAdultMakeTheirOralHealthaTopPriority

Most of us care for our teeth without much assistance, save from our dentist. But that can change as we get older. A senior adult sometimes needs the help of a family member or a close friend, even with the basics of personal oral care.

At the same time, an older adult's other pressing health needs can be so overwhelming for their caregiver that their oral health needs move to the back burner. But the condition of a person's teeth and gums is directly related to overall health and well-being, especially later in life—it deserves to be a high priority.

First and foremost, caregivers should focus on daily oral hygiene to prevent tooth decay or gum disease, the two most prevalent diseases capable of severely damaging teeth and gums. Dental plaque, a thin bacterial film accumulating on tooth surfaces, is the top cause for these diseases. Removing it daily helps lower the risk for either type of infection.

Older adults may begin to find it difficult to brush and floss on a daily basis. Caregivers can help by adapting the tools of the job to their situation. Adults with diminished hand dexterity might be better served with a power or large-handled toothbrush, or switching to a water flosser for flossing. If they're cognitively challenged, it might also be necessary to perform these tasks for them.

Because of medications or other oral issues, older adults have a higher propensity for chronic dry mouth. Saliva neutralizes acid and supplies antibodies to fight infection, so not having enough can make the mouth environment more conducive to harmful bacteria. Caregivers should interact with their loved one's doctor to help reduce dry mouth through alternative medications or products to improve saliva flow.

An older person may also have dental work like crowns, bridges or dentures that protect their oral health and improve dental function. Be sure they're seeing a dentist to regularly check their dental work and make adjustments or repairs as necessary.

Good oral health is important in every stage of life, but particularly in our later years. Watching out for an older adult's teeth and gums can make a big difference in their overall quality of life.

If you would like more information on dental care for senior adults, 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 “Aging & Dental Health.”

By Nashua Smile Makers
April 20, 2022
Category: Dental Procedures
HowaRootCanalCouldSaveYourDiseasedTooth

Just a century ago a heavily decayed tooth was most likely a goner, but that all changed in the early 1900s when various treatments finally coalesced into what we now call root canal therapy. The odds have now flip-flopped—you're more likely to preserve a decayed tooth than to lose it.

By decay, we're not referring only to cavities in a tooth's enamel or outer dentin. That's just the start—decay can quickly spread deeper into the dentin close to the pulp, the central portion of a tooth containing bundles of nerves and blood vessels. It can then move into the tooth's pulp chamber, causing the pulp to die and producing infection that will eventually infect the surrounding supporting bone.

Root canal treatments are often a lifeline to a tooth in this perilous condition. After numbing the tooth and surrounding tissues with local anesthesia, we start the procedure by drilling a tiny hole to access the central pulp and root canals. We then use specialized tools to remove all of the infected tissue within these interior spaces.

After thoroughly disinfecting the tooth of any decay, we shape up the root canals for filling. We then inject a rubbery substance known as gutta percha and completely fill the tooth's resulting empty spaces. This filling helps to prevent a recurrence of infection within the tooth.

Once we've filled the tooth, we seal off the access hole to complete the procedure. You may experience a few days of mild discomfort, but it's usually manageable with over-the-counter pain relievers. Later, we'll cement a crown over the tooth: This provides additional protection against infection, as well as adds support to the tooth structure.

One more thing! You may have encountered the notion that undergoing a root canal is painful. We're here to dispel that once and for all—dentists take great care to ensure the tooth and the area around it are completely dead to pain. In fact, if you were experiencing a toothache beforehand, a root canal will alleviate the pain.

To get the best treatment outcome for tooth decay, it's important to uncover it as soon as possible. The earlier we begin treatment, the more likely we can bring your tooth back to good health.

If you would like more information on root canal treatment, 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 “A Step-By-Step Guide to Root Canal Treatment.”

EmmaRobertsConfessestoHavingaMajorSweetToothWhileExpecting

Emma Roberts, star of American Horror Story (and niece of actress Julia Roberts), welcomed her first child at the end of 2020. She confessed that her love of sweets made pregnancy challenging. She couldn't get enough of cupcakes with sprinkles and a Salt & Straw ice cream flavor called The Great Candycopia. But Roberts isn't unique. Hormonal changes in pregnancy often bring heightened cravings for certain foods. Unfortunately, this can increase an expectant mother's risk for dental disease, especially if they're consuming more sugary foods.

In fact, around four in ten expectant women will develop a form of periodontal disease called pregnancy gingivitis. It begins with dental plaque, a thin film that forms on tooth surfaces filled with oral bacteria that can infect the gums. And what do these bacteria love to eat? Yep—sugar, the same thing many women crave during pregnancy.

So, if you're expecting a baby, what can you do to minimize your risk for dental disease?

Practice oral hygiene. Removing dental plaque by brushing and flossing daily is the most important thing you can do personally to prevent both tooth decay and gum disease. It's even more important given the physical and hormonal changes that occur when you're pregnant. Be sure, then, that you're diligent about brushing and flossing every day without fail.

Control your sugar intake. If you have strong cravings for sweets, cutting back may be about as easy as stopping an elephant on a rampage through the jungle. But do give your best effort to eating more dairy- and protein-rich foods rather than refined carbohydrates like pastries or candies. Not only will reducing sugar help you avoid dental disease, these other foods will help strengthen your teeth.

Maintain regular dental visits. Seeing us for regular cleanings further reduces your disease risk. We can clean your teeth of any plaque deposits you might have missed, especially hardened plaque called tartar that's nearly impossible to remove with brushing and flossing. We'll also monitor your teeth and gums for any developing disease that requires further treatment.

Undergo needed treatments. Concerned for their baby's safety, many expectant mothers are hesitant about undergoing dental procedures. But both the American Congress of Obstetricians and Gynecologists and the American Dental Association endorse necessary dental treatments during pregnancy, even if they include local anesthesia. We will make you have only a safe type of anesthesia, and we can advise you when it is prudent to postpone certain treatments, such as some elective procedures, until after the baby is born.

Emma Roberts got through a healthy pregnancy—cravings and all—and is now enjoying her new baby boy. Whether you're a celebrity like Emma Roberts or not, expecting a baby is an exciting life moment. Follow these tips to keep your teeth and gums healthy throughout your pregnancy, and be sure to let the dental team know of your pregnancy before any treatment.

If you would like more information about dental care during pregnancy, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Pregnancy and Oral Health.”





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