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Posts for: March, 2018


The primary goal of dental care is to preserve teeth. But there are circumstances in which removing a tooth, even a relatively healthy one, could prove best in the long run.

A malocclusion (poor bite) related to crowding might fit such a circumstance. Crowding occurs when the size of the jaw is too small for the teeth coming in. With not enough space, some teeth could erupt out of their proper positions. Removing certain teeth frees up space to eventually allow braces or other orthodontic devices to re-align the teeth.

The teeth most frequently removed are the first bicuspids, located between the cuspid (the "eyeteeth" directly under the eyes) and the back teeth, and the second premolar. Removing these won't normally affect appearance or functionality once orthodontic or cosmetic treatments are complete.

Because of the mechanics of jaw development it might be necessary to perform these extractions several years before orthodontic treatment. This could create another potential problem: the time lag could adversely affect bone health.

This is because bone, as living tissue, has a life cycle with cells forming, functioning and then dissolving, and new cells taking their place. When teeth are chewing or in contact with each other they generate force that travels through the tooth roots to the bone and stimulates cell growth at a healthy replacement rate.

But when a tooth is missing, so is this stimulation. This slows the replacement rate and eventually leads to decreased bone volume. Too much bone loss could create obstacles for orthodontic treatment or a future dental implant.

To avoid this, the dentist will often place a bone graft with processed bone mineral within the empty tooth socket right after extraction. The graft serves as a scaffold for bone cells to grow upon. The graft (plus any other added growth boosters) can help maintain a healthy level of bone volume to facilitate future orthodontic or restorative treatments.

Since targeted extraction for orthodontics is time-sensitive, you should have your child's bite evaluated by an orthodontist by age 7 to see if any action is necessary. The earlier a malocclusion is detected, the more likely a more attractive and healthy smile will be the ultimate outcome.

If you would like more information on correcting poor bites, 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 “Tooth Removal for Orthodontic Reasons.”

By Montgomery Dental Care
March 23, 2018
Category: Dental Procedures
Tags: cosmetic dentistry  

Let cosmetic dentistry help you feel more confident in your smile.cosmetic dentistry

No matter whether you want to make subtle alterations to your smile or you want a serious cosmetic makeover, our Cincinnati cosmetic dentist Dr. Janette Williams has a plethora of options to cater to your specific needs and goals. If you want to say goodbye to that awkward gap between your front teeth, lengthen your teeth, fix uneven gums or brighten teeth and remove stains then you’ve come to the right place.

As you might imagine, the purpose of cosmetic dentistry is to be able to enhance and boost the appearance of your smile. There are many ways in which to do this and cosmetic dentistry can help you find self-confidence in your appearance. Our Cincinnati dentist understands just how important it is to have a healthy-looking smile and our goal is to help you achieve that even if you weren’t born with the perfect smile.

Some popular cosmetic dentistry options include:

  • Dental bonding
  • Tooth and/or gum reshaping
  • Teeth whitening
  • Dental veneers

If you are looking for fast, easy and inexpensive ways to boost your appearance then turn to dental bonding, tooth reshaping or teeth whitening. Of course, if you are dealing with more significant cosmetic imperfections then dental veneers may offer you the makeover you’ve been looking for.

What is dental bonding?

This simple cosmetic technique uses a tooth-colored resin that is molded over a tooth to hide one or more small flaws. While bonding shouldn’t be used for more extensive cosmetic issues it can be a great way to close small gaps between teeth, lengthen teeth, cover discolorations and hide small chips and cracks.

What is tooth reshaping?

This treatment often goes hand in hand with dental bonding; so don’t be surprised if our dentist recommends getting both. Reshaping require us to shave off small amounts of enamel to alter the size or shape of a tooth. While it won’t make drastic changes it can be enough to even out your smile.

What is teeth whitening?

Teeth whitening is one of the easiest and most effective ways to not only remove surface stains but also brighten the color of your teeth. In-office whitening can get your teeth several shades whiter in about one hour. Of course, if you prefer, you can also use our at-home whitening system, which can give you results in just a couple of weeks of daily use.

What are dental veneers?

If you have more significant or widespread cosmetic flaws then thin porcelain shells might be the best option. These custom-made restorations are designed to cover the front surface of one or more teeth to give you an overall new and improved smile. Getting a straighter, whiter and more even smile has never been easier.

Are you ready to sit down and chat with our very own Dr. Williams about cosmetic dentistry and how it can improve your smile? We’re happy you’re ready to take the next step. Call Montgomery Dental Care in Cincinnati, OH, today to schedule a consultation with us.


Fans of the legendary rock band Steely Dan received some sad news a few months ago: Co-founder Walter Becker died unexpectedly at the age of 67. The cause of his death was an aggressive form of esophageal cancer. This disease, which is related to oral cancer, may not get as much attention as some others. Yet Becker's name is the latest addition to the list of well-known people whose lives it has cut short—including actor Humphrey Bogart, writer Christopher Hitchens, and TV personality Richard Dawson.

As its name implies, esophageal cancer affects the esophagus: the long, hollow tube that joins the throat to the stomach. Solid and liquid foods taken into the mouth pass through this tube on their way through the digestive system. Worldwide, it is the sixth most common cause of cancer deaths.

Like oral cancer, esophageal cancer generally does not produce obvious symptoms in its early stages. As a result, by the time these diseases are discovered, both types of cancer are most often in their later stages, and often prove difficult to treat successfully. Another similarity is that dentists can play an important role in oral and esophageal cancer detection.

Many people see dentists more often than any other health care professionals—at recommended twice-yearly checkups, for example. During routine examinations, we check the mouth, tongue, neck and throat for possible signs of oral cancer. These may include lumps, swellings, discolorations, and other abnormalities—which, fortunately, are most often harmless. Other symptoms, including persistent coughing or hoarseness, difficulty swallowing, and unexplained weight loss, are common to both oral and esophageal cancer. Chest pain, worsening heartburn or indigestion and gastroesophageal reflux disease (GERD) can also alert us to the possibility of esophageal cancer.

Cancer may be a scary subject—but early detection and treatment can offer many people the best possible outcome.┬áIf you have questions about oral or esophageal cancer, call our office or schedule a consultation. You can learn more in the Dear Doctor magazine article “Oral Cancer.”