Cosmetic Dentist - Schoolcraft
529 N Grand St
Schoolcraft, MI 49087
269-679-5584











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Posts for: September, 2013

By David E. Habecker DDS
September 25, 2013
Category: Dental Procedures
Tags: root canal   whitening  
Non-VitalBleachingRemovesUnsightlyToothDiscolorationFromWithin

Root canal treatments are an important method for stopping the disease process within an infected tooth and ultimately saving it. However, one of the few side effects could have an aesthetic impact on your smile. Leftover blood pigments or the filling materials themselves can cause a darkening of the tooth — the tooth could eventually stand out in an unsightly way from surrounding teeth.

There is, however, one possible solution: a whitening technique known as internal or non-vital bleaching can lighten a darkened, non-vital tooth. For this procedure, we would insert a bleaching mix (usually sodium perborate mixed with hydrogen peroxide) into the pulp chamber of the darkened tooth for a short period of time. The chemical reaction of the mix whitens the tooth from within.

Our first step is to make sure by x-rays that the root canal filling in the tooth is still intact and still has a good seal. We then create a small opening in the rear of the tooth just above the root canal filling, irrigate it with water to remove any debris, and then add a special cement at the point where the root canal filling begins to seal it from any leakage of the bleaching solution into the root canal filling.

We then insert the bleaching solution into the empty pulp chamber. This is covered with a cotton pellet, which is then sealed in with a temporary filling. We repeat this application over a number of days until we see a noticeable change in the tooth color (normally after one to four visits). At this point, we would remove any residual solution and apply a permanent filling to seal the tooth.

This procedure can be performed instead of more extensive procedures such as veneers and crowns as a cover for the discolored tooth, or as a way to lighten teeth before applying a veneer or crown to help prevent discoloration from showing through. Either way, non-vital bleaching can help remove unsightly discoloration and restore vibrancy to your smile.

If you would like more information on internal or non-vital bleaching, 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 “Whitening Traumatized Teeth.”


By David E. Habecker DDS
September 17, 2013
Category: Dental Procedures
Tags: dental implants  
TheMarvelousMini-ImplantASmallWonder

If you are at all uncomfortable at the thought of getting a dental implant, you might be pleasantly surprised to learn the truth about these marvelous state-of-the-art tooth-replacement systems — and the special role of a relatively new device, the mini-implant. So, first, let's go over some basic facts.

What's a dental implant? Basically, it's just a replacement for the root part of the tooth, the part that lies beneath the gum line. It attaches to a crown, which is a replacement for the visible portion of the tooth. But instead of ceramics or metals, implants are made of titanium, which becomes fused to the surrounding bone. When complete, implants are much stronger and longer-lasting than other methods of tooth replacement, like bridgework and dentures.

Implants are presently regarded as the best way to replace missing teeth, with a success rate of over 95%. They also help prevent bone loss in the jaw, a major goal of modern dentistry. Having one put in is an office procedure that's generally accomplished with local anesthesia, and most patients experience only minor discomfort. Standard dental implants can be used to replace a single tooth, or multiple teeth. The mini-implant, which is just a miniature version of the same technology, is now playing an increasing role in many other phases of dentistry.

Why mini-implants? Because in several situations, this smaller and less expensive alternative offers a solution that's just as good — or better — than any other dental treatment. One area where mini-implants excel is in supporting lower jaw overdentures.

Many people find that lower dentures are far more troublesome than upper dentures. The movement of the tongue muscle, and the smaller area of surface contact (compared to the upper denture, which is supported by the palate) often results in a poor, loose fit, which leads to problems when eating or speaking. These problems can be solved by affixing a lower overdenture (an implant-retained denture) with just two mini-implants.

Not only do mini-implants help prevent bone loss, they also give the denture wearer increased stability, comfort, and confidence. And they do so at a price that's more economical than you might think. In some cases, the mini-implants can be placed in a single one-hour office visit, and your own denture can be modified to fit them — so you can go home and eat a steak that night!

Another area where mini-implants are finding increasing use is in orthodontics. Orthodontic appliances (commonly called braces) move teeth by exerting a light force on them, using a wire which is fixed to a solid anchor point. Traditionally, other teeth are used as anchors — but sometimes these teeth move as well! By using immovable mini-implants as the anchor points, the process is greatly simplified. Strategically placed mini-implants called TADS (temporary anchorage devices) can be used to correct both skeletal (jaw) position and dental (tooth) position problems.

Mini-implants may also be used in upper dentures and temporary bridgework.

If you would like more information about mini-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 articles “Implant Overdentures for the Lower Jaw,” “The Great Mini-Implant,” and “What are TADS?”


By David E. Habecker DDS
September 09, 2013
Category: Oral Health
TestingYourKnowledgeWhatDoYouKnowAboutBadBreath

Bad breath, medically known as halitosis (“halitus” – breath; “osis” – disorder) is an unpleasant condition that can negatively impact your personal and business relationships. It's more than just embarrassing! In fact, one recent survey found that three out of five people would rather work with someone who talks too loudly than with someone who has bad breath! Gum, mints and mouth rinses can temporarily remedy the situation, but not cure it permanently. So how much do you know about the underlying causes of bad breath?

The following true/false quiz will help you discover, while learning more about bad breath.

Questions

  1. The most common orally related sites associated with bad breath are the tongue and gums.
  2. Systemic (general body) medical conditions can't cause bad breath.
  3. Bad breath is always worse in the morning.
  4. Effective treatment depends on the underlying cause of the disease.
  5. Dentists can do very little to diagnose the cause of bad breath.

Answers

  1. True. The back of the tongue and diseased gums can become repositories for bacteria. In the case of the tongue they are from left over food deposits and even post-nasal drip. Bad breath that emanates from the tongue has a “rotten egg” odor caused by volatile sulfur compounds (VSCs).
  2. False. Medical conditions can cause bad breath including lung infections, liver disease, diabetes, kidney infections and cancer.
  3. True. Saliva flow decreases during the night making the mouth feel dry, and giving you that typical “morning breath” taste and odor upon wakening.
  4. True. As with any medical condition, uncovering the origin will dictate appropriate treatment. For example, tongue scraping or brushing can help eliminate odor that originate from the tongue. If the cause is disease related, the disease will need to be treated to control associated bad breath.
  5. False. There are several things dentists can do starting with a thorough medical history and oral examination. For example, decayed or abscessed teeth, diseased gums, coated tongue or infected tonsils are all common oral causes. We can also conduct breath tests to determine if the odor is emanating from the mouth or lungs, and test to determine the level of VSCs in the mouth.

Learn More

Worried about bad breath? Are you ready to trade your breath mints for a more permanent solution? Call our office today to schedule an oral examination. For more information about the causes of bad breath, read the Dear Doctor magazine article “Bad Breath: More Than Just Embarrassing.”


By David E. Habecker DDS
September 06, 2013
Category: Oral Health
DoYouHabituallyClenchorGrindYourTeeth

Clenching, or grinding of your teeth (also known as bruxing) are common habits. Biting forces are normally small, gentle, fleeting and very frequent throughout the day. In fact, it's the normal stimulus necessary to keep your teeth and jawbone healthy. When you clench or grind your teeth you apply forces up to ten times normal (in the 200 lb range). And it's not just the force, it's the duration and frequency with which they're applied. High forces lasting for seconds or minutes, frequently exerted, can affect some or all of the masticatory system. This includes the teeth, jaws, jaw joints and muscles, causing aching jaws, headaches, earaches, neck and even backaches; and the teeth themselves causing excessive wear, fractures, or even loose teeth.

Why does grinding occur? Habitual grinding is most frequently a reaction to stress. Sometimes abnormalities in your bite or malocclusion (“mal” – bad; “occlusion” – bite) can trigger clenching or grinding. It is normal for children to sometimes grind their teeth when new teeth are coming in, but it may be indications of stress too. You may be grinding your teeth subconsciously in your sleep, but it may be so loud as to awaken your sleeping partner. Or our office may be the first to suspect it during a dental exam because of the apparent signs of change to muscles, joints and teeth especially abnormal tooth wear.

What can be done about teeth grinding or bruxing? If you are symptomatic, having pain, muscle, joint or tooth soreness, the first step is to get you comfortable. Generally, a mild non-steroidal anti-inflammatory medication (aspirin, ibuprofen) and muscle relaxants will help in addition to moist heat and mild jaw exercises. Stress management is also helpful. To prevent further damage, we may recommend a bite guard made of wear-resistant plastic that fits over the biting surfaces of your upper teeth. These customized unobtrusive appliances when properly fitted and adjusted stop clenching and grinding activity, or at least the damage they can do. A bite guard can be worn day or night especially during stressful periods.

Contact us today to schedule an appointment to discuss your questions about stress and tooth grinding. You can also learn more by reading the Dear Doctor magazine article “Stress & Tooth Habits.”