My Blog

Posts for: January, 2019

By Chevy Chase Cosmetic & Implant Dentistry
January 30, 2019
Category: Oral Health
Tags: celebrity smiles   retainer  
MargotRobbieKnowsAGreatSmileIsWorthProtecting

On the big screen, Australian-born actress Margot Robbie may be best known for playing devil-may-care anti-heroes—like Suicide Squad member Harley Quinn and notorious figure skater Tonya Harding. But recently, a discussion of her role in Peter Rabbit proved that in real life, she’s making healthier choices. When asked whether it was hard to voice a character with a speech impediment, she revealed that she wears retainers in her mouth at night, which gives her a noticeable lisp.

“I actually have two retainers,” she explained, “one for my bottom teeth which is for grinding my teeth, and one for my top teeth which is just so my teeth don't move.”

Clearly Robbie is serious about protecting her dazzling smile. And she has good reasons for wearing both of those retainers. So first, let’s talk about retainers for teeth grinding.

Also called bruxism, teeth grinding affects around 10 percent of adults at one time or another, and is often associated with stress. If you wake up with headaches, sore teeth or irritated gums, or your sleeping partner complains of grinding noises at night, you may be suffering from nighttime teeth grinding without even being aware of it.

A type of retainer called an occlusal guard is frequently recommended to alleviate the symptoms of bruxism. Typically made of plastic, this appliance fits comfortably over your teeth and prevents them from being damaged when they rub against each other. In combination with stress reduction techniques and other conservative treatments, it’s often the best way to manage teeth grinding.

Orthodontic retainers are also well-established treatment devices. While appliances like braces or aligners cause teeth to move into better positions, retainers are designed to keep teeth from moving—helping them to stay in those positions. After active orthodontic treatment, a period of retention is needed to allow the bite to stabilize. Otherwise, the teeth can drift right back to their old locations, undoing the time and effort of orthodontic treatment.

So Robbie has the right idea there too. However, for those who don’t relish the idea of wearing a plastic appliance, it’s often possible to bond a wire retainer to the back surfaces of the teeth, where it’s invisible. No matter which kind you choose, wearing a retainer can help keep your smile looking great for many years to come.

If you have questions about teeth grinding or orthodontic retainers, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Teeth Grinding” and “The Importance of Orthodontic Retainers.”


By Chevy Chase Cosmetic & Implant Dentistry
January 20, 2019
Category: Oral Health
Tags: tooth decay  
HowaNewApproachtoTreatingDecayCouldBenefitYou

Dental caries (tooth decay) is a leading cause of tooth loss. But with prompt diagnosis and care we can often stop it before it causes too much damage.

The traditional treatment approach is simple: remove all diseased tooth structure and then restore the tooth with a filling. But this otherwise effective treatment has one drawback: you may lose significant healthy structure to accommodate a suitable filling or to make vulnerable areas easier to clean from bacterial plaque.

That's why a new treatment approach called minimally invasive dentistry (MID) is becoming more common. The goal of MID is to remove as little of a tooth's natural enamel and dentin as possible. This leaves the treated tooth stronger and healthier, and could reduce long-term dental costs too.

Here's how MID could change your future dental care.

Better risk assessment. MID includes a treatment protocol called caries management by risk assessment (CAMBRA). With CAMBRA, we evaluate your individual tooth decay risk, including oral bacteria levels, the quality of saliva flow to neutralize mouth acid, and sugar consumption. We then use our findings to customize a treatment plan that targets your areas of highest risk.

New detection methods. The real key to fighting tooth decay is to find it before it can destroy tooth structure with the help of new diagnostic technology. Besides advances in x-ray imaging that provide better views with less radiation exposure, we're also using powerful dental microscopes, lasers and infrared photography to show us more about your teeth than we can see with the naked eye.

"Less is More" treatments. In contrast to the dental drill, many dentists are now using air abrasion rather than a dental drill to remove decayed tooth material. Air abrasion emits tiny material particles within a pressurized air stream that leaves more healthy tooth structure intact than with drilling. We're also using new filling materials like composite resin that not only resemble natural tooth color, but require less structural removal than other types of fillings.

Using MID, we can treat tooth decay while preserving more of your natural teeth. This promises better long-term outcomes for future dental health.

If you would like more information on new treatments for tooth decay, 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 “Minimally Invasive Dentistry: When Less Care is More.”


By Chevy Chase Cosmetic & Implant Dentistry
January 10, 2019
Category: Dental Procedures
Tags: dental implants  
DontLetSmokingIncreaseYourChancesofImplantFailure

There are plenty of good reasons to quit smoking. Here's one more if you're considering replacing a missing tooth with a dental implant: smoking increases your risk of implant failure.

By and large, dental implants are the most reliable and durable tooth replacement option, with more than a 95% success rate after ten years. But that still leaves a small percentage that fail — and twice as many of those failures are in smokers than in non-smokers.

To understand why, we need to look at how smoking affects oral health. Besides burning and thickening the surface skin cells inside the mouth, inhaled smoke can also damage salivary glands and lead to dry mouth. Reduced saliva creates an environment friendly to bacteria, which increases the risk of infection and disease.

The nicotine in tobacco also restricts the myriad of blood vessels that course through the teeth and gums. The resulting reduced blood flow deprives teeth and gums not only of nutrients but disease-fighting antibodies. The mouth takes longer to heal and can't fight infection as well.

The key to an implant's success lies with its titanium post imbedded in the jaw bone to take the place of the tooth root. Titanium attracts bone cells, which grow and adhere to the post over a period of time and create a stronger hold. But the health effects of smoking inhibit this process. Furthermore, slower healing caused by smoking increases the risk of infection, the number one cause of early implant loss.

If you want to improve your chances for a successful implant — not to mention improve your overall health — you should quit smoking. The prospect of a dental implant could be a useful incentive to enroll in a smoking cessation program.

At the very least we suggest you stop smoking a week before implant surgery and then for at least two weeks after to help promote good healing. And you should pay close attention to your daily oral hygiene — brushing and flossing at least once — and regular, semi-annual dental visits for cleanings and checkups.

Smoking can harm your health. If you're considering an implant, it could also harm your chances of a successful outcome.

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 “Dental Implants & Smoking.”