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Posts for: June, 2017

Do you have small smile gaps, a chipped tooth or mild crookedness? Then, composite resin bonding and cosmetic contouring may be cosmetic dentistryjust what your smile needs. Your family dentist in Cincinnati, Dr. Janette Williams, offers both aesthetic services to give healthy teeth the aesthetic boost they need. And, the process happens in just one simple visit to Montgomery Dental Care.

It starts with an examination

A simple dental exam will tell Dr. Williams if your teeth are healthy enough for cosmetic dental enhancements. If they are free from decay and gum disease, she may recommend one or more kinds of treatments depending on your specific aesthetic goals.

If you wish to repair minor flaws in tooth shape, size, and alignment, then composite resin bonding and cosmetic contouring may be for you. In addition to bonding and contouring, Dr. Williams offers:

  • Porcelain veneers
  • Professional teeth whitening
  • Invisalign clear adult braces
  • Porcelain crowns
  • Tooth-colored fillings
  • Dental implants
  • Crowns and bridgework

How bonding and contouring work

Composite resin bonding uses a natural-looking material made of acrylic and glass. It can fill in chips, pits, small gaps, and other dental flaws and also can smooth mildly overcrowded teeth.

To start the bonding process, Dr. Williams prepares the surface of the tooth with a mild etching liquid which also conditions the enamel, allowing the composite resin to adhere well. Then, she adds the resin to the tooth, shaping and sculpting the material to achieve the desired effect. Your Cincinnati family dentist makes sure the resin perfectly matches the natural tooth structure.

The bond is strengthened with a special curing light, and Dr. Williams buffs the new surfaces to a polished sheen. This entire process takes about a half an hour per tooth and results in a beautiful, durable enhancement of select teeth.

Regarding contouring, Dr. Williams quickly reshapes oddly shaped teeth, small chips or other minor flaws. The procedure is painless because the doctor only removes a small amount of enamel. This resurfacing, however, is permanent. That's why the initial examination of your teeth and gums is so important before you undergo any cosmetic treatment.

How do want your smile to look?

The American Academy of Cosmetic Dentistry says that your smile actually helps project your personality. You can be proud to show it off it if you get some minor aesthetic enhancements. Why not contact Montgomery Dental Care to arrange a consultation with Dr. Janette Williams? Her years of experience and expertise will help you achieve your very best smile. Call today: (513) 793-5703.

By Montgomery Dental Care
June 24, 2017
Category: Dental Procedures
Tags: dental implants  

If you’re in the initial planning stages for a dental implant, you may already be encountering a number of options to consider. One that may come up is how the visible crown will attach to the metal implant imbedded in the bone.

Generally speaking, implants are composed of two parts: a metal post most often made of titanium placed into the bone that serves as the “root” for the new tooth; and a visible, life-like crown made of dental porcelain that attaches to an abutment on the titanium post. The crown can be attached in one of two ways: either with a small screw through the biting surface of the crown into a receiving hole in the abutment or cemented to it.

The major advantage of a screwed crown is that it allows for easy removal of the crown if needed. While the titanium post can often last a lifetime, porcelain crowns more often need repair or replacement since they receive the brunt of the biting forces in the mouth. A screw-attached crown is much easier to remove than a cemented one.

On the other hand, screwed crowns have a small access hole that must be restored with a tooth-colored filling to help the crown appear natural. This isn’t too great an issue with back teeth but does make achieving a natural appearance in the front more difficult. Cemented crowns look more like a natural tooth and are thus more flexible in achieving the desired appearance.

Besides the possibility the cement may cause gum inflammation or bone loss, the chief detraction from cemented crowns is the difficulty in removing them. Crowns are often damaged in this process so it’s highly likely it will have to be replaced rather than repaired. It’s possible to use weaker cement, but this raises the risk of the crown coming loose at some point from the abutment.

As we plan for your implant, we’ll discuss which type of attachment will work best for you, depending on the tooth to be replaced and other conditions with your oral health. The end result, though, should be the same — a new, natural-looking tooth that serves you well for many years to come.

If you would like more information on dental implants, 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 “How Crowns Attach to Implants.”

By Montgomery Dental Care
June 09, 2017
Category: Oral Health

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.”