Mayim Bialik has spent a good part of her life in front of TV cameras: first as the child star of the hit comedy series Blossom, and more recently as Sheldon Cooper’s love interest — a nerdy neuroscientist — on The Big Bang Theory. (In between, she actually earned a PhD in neuroscience from UCLA…but that’s another story.) As a child, Bialik had a serious overbite — but with all her time on camera, braces were just not an option.
“I never had braces,” she recently told Dear Doctor – Dentistry & Oral Health magazine. “I was on TV at the time, and there weren’t a lot of creative solutions for kids who were on TV.” Instead, her orthodontist managed to straighten her teeth using retainers and headgear worn only at night.
Today, there are several virtually invisible options available to fix orthodontic issues — and you don’t have to be a child star to take advantage of them. In fact, both children and adults can benefit from these unobtrusive appliances.
Tooth colored braces are just like traditional metal braces, with one big difference: The brackets attached to teeth are made from a ceramic material that blends in with the natural color of teeth. All that’s visible is the thin archwire that runs horizontally across the teeth — and from a distance it’s hard to notice. Celebs like Tom Cruise and Faith Hill opted for this type of appliance.
Clear aligners are custom-made plastic trays that fit over the teeth. Each one, worn for about two weeks, moves the teeth just a bit; after several months, you’ll see a big change for the better in your smile. Best of all, clear aligners are virtually impossible to notice while you’re wearing them — which you’ll need to do for 22 hours each day. But you can remove them to eat, or for special occasions. Zac Efron and Katherine Heigl, among others, chose to wear clear aligners.
Lingual braces really are invisible. That’s because they go behind your teeth (on the tongue side), where they can’t be seen; otherwise they are similar to traditional metal braces. Lingual braces are placed on teeth differently, and wearing them often takes some getting used to at first. But those trade-offs are worth it for plenty of people. Which celebs wore lingual braces? Rumor has it that the list includes some top models, a well-known pop singer, and at least one British royal.
So what’s the best way to straighten your teeth and keep the orthodontic appliances unnoticeable? Just ask us! We’d be happy to help you choose the option that’s just right for you. You’ll get an individualized evaluation, a solution that fits your lifestyle — and a great-looking smile!
For more information about hard-to-see (or truly invisible) orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Orthodontics for the Older Adult” and “Clear Aligners for Teenagers.”
Your mouth is a lot like the Wild West — home to millions of bacteria and other microbes, some of which are definitely not “the good guys.” But your teeth are well-protected from these hostile forces and their acidic waste products: with enamel shielding the visible part of your tooth, your gums protect the parts you can’t see.
As effective as they are, though, your gums aren’t invincible: their greatest threat is periodontal (gum) disease. This bacterial infection arises from plaque, a thin film of bacteria and food particles accumulating on teeth due to inadequate brushing and flossing.
The infected tissues soon become inflamed (red and swollen), a natural defensive response from the immune system. The longer they’re inflamed, however, the more likely they’ll begin detaching from the teeth. The gums may eventually shrink back or recede from the teeth, often causing them to appear “longer” because more of the tooth is now exposed to view.
Gum recession doesn’t bode well for your teeth’s survival: the exposed tooth and underlying bone can become even more susceptible to infection and damage. In the end, you could lose your tooth and portions of the supporting bone.
Treatment depends on the severity of the gum recession. In mild to moderate cases, we may only need to perform the standard gum disease treatment of removing plaque and calculus from all gum and tooth surfaces (including below the gum line) with special instruments. This helps reduce the infection and allow the gums to heal and re-establish attachment with the tooth. In more advanced cases, though, the recession may be so extensive we’ll need to graft donor tissue to the area using one of a variety of surgical techniques.
Although the right treatment plan can help restore your gum health, there’s another approach that’s even better — preventing gum disease in the first place. You can reduce your disease risk by practicing daily brushing and flossing and visiting your dentist regularly or when you see symptoms like gum swelling or bleeding. Taking care of your gums won’t just save your smile — it might also save your teeth.
If you would like more information on diagnosing and treating gum disease, 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 “Gum Recession.”
We most often associate plastic surgery with cosmetic enhancements to our outer appearance. While this is their primary purpose, some forms of reconstructive surgery restore lost function and health as well as improve appearance. A classic example is cosmetic periodontal (gum) surgery that restores receded gum tissues that have exposed more of the tooth than is visually appealing.
Gum recession occurs primarily because of excessive brushing (too hard or for too long) or because of periodontal (gum) disease, a bacterial infection that ultimately causes gum tissue to detach and pull away from the teeth. Gum recession not only affects the appearance of the teeth, it can expose the tooth’s root surface to further infection and decay. Without treatment, the disease could progress causing further damage with the potential for the tooth to be eventually lost.
In conjunction with plaque removal to stop gum disease and possibly other treatments like orthodontics to correct misaligned teeth, cosmetic gum surgery is used to rejuvenate lost gum tissues around teeth through tissue grafting. In these procedures, a combination of surgical approaches and/or grafting materials are attached to the area of recession to stimulate the remaining tissue to grow upon the graft and eventually replace it.
Donor grafts can originate from three sources: from the patient (an autograft); another person (an allograft); or another animal species, usually a cow (a xenograft). Tissues from outside the patient are thoroughly treated to remove all cellular material and bacteria to eliminate any possibility of host rejection or disease transmission.
Depending on the nature of the gum recession and tooth condition, the procedure can take different forms. It could involve completely detaching the graft tissue from the host site and re-attaching it to the recipient site. But if more of the tooth root is exposed, the surgeon may cover the graft with tissue adjacent to the host site to supply blood to the graft, and affix the loosened pedicle to the graft site. While any technique requires advanced training and experience, the latter procedure involves microsurgical techniques that require the highest levels of technical skill and art.
Cosmetic gum surgery can result in healthier gum tissues and teeth that are less susceptible to infection and loss. No less important, though, these procedures can return a more natural look to your teeth and gums — and a more pleasing smile.
If you would like more information on gum tissue reconstruction, 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 “Periodontal Plastic Surgery.”
In November, many of us take time to reflect on what we are most thankful for—and good health is often put at the top of the list. If your teeth and gums have been trouble-free this year, congratulations! If not, here’s how to start making next year a better one for your oral health:
No Rushing When Brushing
It takes time to do a good job on the vital task of brushing your teeth. The American Dental Association recommends brushing twice each day for a full two minutes. That’s not a lot when you think about it: only 30 seconds to reach the front, back and chewing edge of every tooth in each quadrant of your mouth (upper left, upper right, lower left, lower right). Yet many people don’t regularly achieve the two-minute mark. So it’s a good idea to time yourself and see how long that actually is!
Clean In Between
Disease-causing dental plaque builds up not only on teeth, but also in between them. So it’s important to use floss or another interdental (between-the-teeth) cleaning aid. If you don’t floss, you’ll miss cleaning about a third of your tooth surfaces! Plaque left in place can harden into a deposit called calculus or tartar, which can only be removed at the dental office—not at home. When it remains on the teeth, tartar can irritate gums and promote dental disease.
Don’t Be a Stranger!
Practicing a good daily oral hygiene routine is essential for a healthy mouth, but regular dental exams and cleanings are also vital to maintaining your oral health. Routine dental visits are one of the best preventive healthcare values available. You’ll be screened for everything from cavities to oral cancer and alerted to any concerns that should be dealt with now—before they grow into bigger, more expensive problems later. So don’t be a stranger at the dental office!
Maintaining good oral health will help ensure your quality of life—today, tomorrow and throughout your life. That’s truly something to be thankful for.
If you have questions about oral health and hygiene, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor article “10 Tips for Daily Oral Care at Home.”
Towson Center for Dental Implants and Periodontics is proud to announce Dr. Keyla Torres is now offering laser periodontal therapy! Dr. Torres completed rigorous training to perform LANAP (Laser Assisted New Attachment Procedure) this month in New York. Dr. Torres now joins Dr. James Kassolis as the second certified LANAP provider in the Towson periodontal office.
"The laser gives me the opportunity to improve the health of my patients in a new way! Many people have expressed concerns with periodontal surgery, and LANAP will allow those patients to receive care without highly invasive measures. Our training was intensive!" said Dr. Torres after returning. Torres trained under Dr. Raymond Yunka, professor of advanced periodontal therapies at the University of Colorado School of Dental Medicine (pictured right) and others.
LANAP is the only FDA-approved laser treatment for periodontal disease and bone regeneration. Simply put, the laser kills bacteria living in the tissue around the teeth causing infection and stimulates bone growth. Towson Center for Dental Implants and Periodontics was one of the first practices in Maryland to begin offering this advanced treatment two years ago. For more information about LANAP, visit our LANAP Laser page. Oral DNA testing is done immediately before the LANAP protocol begins and after it is complete, ensuring the bacteria are identified, destroyed, and health is achieved. The laser can also be used to treat infection around dental implants, in many cases restoring health and allowing patients to retain their investment!
If you are interested in learning about your periodontal treatment options, call 410.321.9477 to schedule your exam and consultation.
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