Posts for: November, 2014

By New Image Dental, LLC
November 26, 2014
Category: Dental Procedures
JaneFondaChoosesNewTeethOveraNewCar

Not long ago, Jane Fonda gave a British interviewer a clue as to how she manages to look so young at her advanced age. During the 2011 Cannes Film Festival, the septuagenarian actress and fitness guru said to a journalist from the London-based Daily Mail, “See these teeth? They cost $55,000. It was teeth or a new car — and I opted for the teeth.”

We think she made the right choice — though she might have overpaid just a tad. Most people don't have that kind of cash to spend on either a car or new teeth. But luckily, you can get either for a lot less — particularly the teeth!

The truth is, at a reasonable cost, cosmetic dentistry really can make you look a lot younger while giving your self-esteem a tremendous boost. It's an investment in both your emotional and oral health as we will never implement a smile makeover without first making sure we've addressed any underlying dental disease. Best of all, it doesn't have to cost anywhere near what you'd pay for the latest-model Jaguar, the price tag of Fonda's smile notwithstanding. Here is a list of the more common cosmetic dental techniques used to enhance a person's smile:

  • Whitening — a peroxide-based bleach is applied directly to the teeth to remove minor staining and discoloration.
  • Bonding — an acrylic material is applied to a tooth, colored and shaped to match the person's other teeth. Primarily used for chipped, broken or decayed teeth.
  • Enamel Shaping — the removal of very tiny amounts of enamel, the tooth's outer layer, for a more pleasing tooth shape.
  • Veneers — a thin shell of custom-designed tooth-colored material, usually porcelain, affixed to the front surface of the teeth.
  • Crowns and Bridgework — a technique that covers heavily damaged teeth or replaces missing teeth by capping them, or using capped teeth to support one or more false teeth.
  • Dental Implants — a small titanium post is surgically implanted in the jawbone to replace the root-part of a missing tooth. A lifelike crown is attached to the implant above the gum line and is the only part of the whole tooth restoration that is visible in the mouth.
  • Gum Contouring — a minor surgical procedure altering the position of the gum tissue to improve the look and regularity of the gum line around the teeth.

If you'd like more information on cosmetic dentistry, please contact us or schedule an appointment. To learn more, please read the Dear Doctor magazine articles, “Beautiful Smiles by Design” and “The impact of a Smile Makeover.”


AlternativestoRootCanalTreatmentCanSaveanInjuredImmatureTooth

When a permanent tooth has been injured, our first priority should be to save it. A root canal treatment (where the interior pulp of the tooth is removed and the pulp chamber and root canals are filled and sealed) is usually the best approach for tooth preservation.

An immature permanent tooth, however, presents a different challenge. While the pulp is less essential to a mature tooth’s vitality, it serves a critical purpose in the tooth’s early development before early adulthood. The pulp produces layers of dentin necessary for the tooth’s root system development. Completely removing the pulp at this stage may retard root development and cause the tooth to eventually weaken, and become brittle and darkened.

For younger teeth, we should therefore use alternative techniques that preserve as much healthy pulp as possible. One of these alternatives is Indirect Pulp Therapy, used when the pulp hasn’t been exposed by the trauma. With this technique we remove as much damaged dentin as possible while preserving the harder dentin closer to the pulp. After applying an antibacterial agent to protect against infection, and then filling and sealing the tooth, the pulp can continue to produce dentin in a normal way.

If pulp exposure has occurred, some form of pulpotomy — the partial removal of any damaged or infected pulp — would be in order. Our goal here is to leave as much of the pulp as possible, and then apply substances that stimulate the remaining pulp to create dentin. The most common type of growth substances are calcium hydroxide or mineral trioxide aggregate (MTA).

If the pulp isn’t at all salvageable, we may then turn to a procedure known as apexification. After removing the pulp we insert MTA at the root end of the tooth, then fill and seal the remaining interior as in a regular root canal treatment. The MTA will help the surrounding bone to heal and continue to grow around the root to further support the tooth.

Recent research into pulp stem cells promises further advances in this area. The regenerative qualities of stem cells could eventually help us “engineer” root development. Until then, there are still effective ways to give a young, damaged tooth a fighting chance to survive.

If you would like more information on preserving injured teeth, 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 “Saving New Permanent Teeth After Injury.”




Dentist - East Brunswick
444 Ryders Lane
East Brunswick, NJ 08816
(732)432-8388

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