February 2021 - Smile by Sulastry

A Panic Moment: Orthodontic Treatment Relapse!

Uncategorized·February 21, 2021March 22, 2021

It’s the best day ever in your Orthodontic treatment to relapse. You’ve been finished 90% of your Orthodontic treatment, your teeth are aligned, and it’s time to take the braces off!! You provided with a new retainer that you make on your good word that you will wear it every day and take care of it.

Months pass and you can’t remember when was the last time you wear it, suddenly you look at the mirror and noticed that your teeth have shifted! It’s a panic moment and you call your orthodontist immediately.

Periodontal tissues require time, usually about one year, to reorganize and solidify after treatment. Then bone and tissues need to adjust to the new position of teeth. Retainers facilitate this adjustment and protect teeth from forces that contribute to relapse in the future.

The risk of relapse is always present. There are many factors that contribute to this process such as teeth grinding, genetics, tooth loss, and age. So, how to protect the investment you’ve made in orthodontic treatment? A retainer is an answer.

When the orthodontist treatment to relapse job finished, your job is starting, and it’s a lifetime commitment.

There are many types of retainers available, including removable Hawley and Essix retainers and fixed retainers.
Image result for orthodontic retailers image result for orthodontic retainers

Image result for fixed retainers

Hawley retainers are made of acrylic and metal. Essix retainer is a clear plastic retainer that resembles Invisalign aligners. It’s discreet and fits precisely over each tooth and meets the aesthetic needs of teens and adults. Fixed retainers offer permanent retention through lightweight wires that are bonded to the backside of teeth. Maintenance is key to proper retainer use. Removable retainers are easy to keep clean and easier to keep your oral hygiene good.

A fixed retainer is more comfortable to use since you don’t need to put it on every day, but need to clean the teeth properly as food debris often trapped between wire and tooth. Which retainer is suitable for you? Have a consultation with your orthodontist about it. The final result of these retainers is the same as long as you commit to wearing them.

However, patients have to promptly visit their orthodontist for treatment for relapse for follow-up, retainer repair, or replacement.

Finally, Good luck with your retainer!

read to Self Ligating Brackets Answering my Patients Question

Porcelain Veneer Euphoria A New Trend

Dental Cosmetic·February 19, 2021February 18, 2021

Porcelain Veneer A New Trend? Porcelain veneers are the quick-fix route to a perfect Hollywood smile. Hiding all manner of imperfections.

What is Veneers?

A Porcelain Veneer A New Trend is a layer of material placed over a tooth, either to improve aesthetics or to protect the tooth surface from damage. There are two main types of veneer material; composite and dental porcelain.
we will talk about composite veneer in my next article.

A dental porcelain veneer is a porcelain shell that covers the front surface of the teeth to improve their appearance. It can be used for discolored tooth, chipped/cracked tooth, correct minor spacing or spacing after orthodontic treatment. You even can get one set of veneers for a beautiful smile.

Is Veneer a New Technology?

Veneers were invented by California dentist Charles Pincus in 1928 to be used for a film shoot for temporarily changing the appearance of the actor’s teeth. It’s not a new technology.

How are teeth been prepared for Veneers?

Unlike the crowns, veneers require little preparation before being placed. The amount of enamel removed will be the same as the thickness of veneers to be fitted. Often no anesthetic required. After preparation, the dental team will take an impression (mold). This will be sent to a technician with any other information needed to make the veneer. Then, It will be bonded permanently in place and it can be last for seven to twenty years.

What are the veneer’s advantages and disadvantages?

Advantages of Veneers:
* Natural-looking teeth.
Porcelain veneers mimic the light reflecting of natural teeth. They made very thin and translucent.

* Correct multiple imperfections
Porcelain veneers can improve the shape, color, and position all at once

* Preparation
Tooth preparation for veneers require the removal of less tooth structure than a full crown

* Quick
It just takes two or three appointments

* Stain resistant
It’s easy to keep clean and porcelain resist the classics stain of coffee, tea, smoking, and soft drinks

The disadvantage of Veneers:
Veneers will probably need to replace either due to failure and their temporary sensitivity because the enamel has been removed.

When Veneers would be unfit for me?

Do you have any of these conditions: high tooth decay, gum recession, exposure of the root of the tooth, severely rotated or overlapped teeth, severely discolored, large existing restorations, habitual teeth grinding(bruxism). Some cases may require orthodontic treatment or others before veneers. I suggest you have a consultation with your dentist before you deciding to have dental Porcelain Veneer A New Trend.

Read to Self Healing Teeth – Is it Possible?

Self Healing Teeth- Is It Possible??

Dental Cosmetic·February 13, 2021February 12, 2021

Self Healing Teeth – Is It Possible?

Is Possible to get Self Healing Teeth You might be said ‘What!?’ after you read the title. I was said it’s impossible! Well, close to impossible till I found myself through some research on the internet, it happened! Let’s talk about it. In the dentistry world, a filling is one of the most common procedures but the Anaesthetic injections followed by drill sound always been a big worry for patients. Would be great if there’s any treatment without drill and anaesthetic. This is the reason for this finding.

What actually happened in dental caries or cavities?

The process involved in dental caries called demineralization. This process makes tooth weaker and porous since bacteria produce acid that pulls out the minerals from your tooth. When you not caught it early and get a filling, it results in dental caries and this cavity gets bigger by time. Unfortunately, it’s not really good news at all after filling. The bad news after the filling is the process will continue into a cycle. Repaired and replaced for the rest of the tooth’s life until it gets endodontic treatment and so on.

So, we need a reverse process!

It called by remineralization where minerals which present in saliva and some foods enter the tooth enamel to make it stronger and denser. The natural process of remineralization looks at times, thus Reminova’s prototype device speeds up this process to the same amount of time it would take to have filling. Others advantage are painless, no injection and no drilling. It’s good news for patients, especially children. Yes! This product’s main market will be children and teenagers though adults and the elderly can also have this kind of treatment.

The new technology developed by British scientists based in the Scottish city of Perth, Reminova say their patented technology named EAER (Electrically Assisted Enhanced Remineralization). The mineral ions are pushed by the electrical field to the deepest parts of the lesson creating the right conditions for the minerals to precipitate and become part of the solid enamel structure, and causing the lesion to fill from the deepest part upwards. EAER will be marketed in 3 years.

Its amazed how dental technology develop, isn’t it? Maybe in future, there will be the same technology as this to healing gingival recession. Self Healing Gingival Recession.

Read the Blog Self Ligating Brackets Answering My Patients Question!

Source:

Dental device promises pain-free tooth repair

(https://www.reuters.com/article/us-dental-device-idUSKCN0QU21C20150825)

Self Ligating Brackets Answering My Patients Question:

Dental Cosmetic·February 12, 2021February 12, 2021

Self Ligating Brackets (SLB)

There are many factors that come to deciding what Orthodontic treatment is appropriate for your needs and better to visit the dentist and having a completed examination and consultation. Some of these factors come from personal desires such as; how much is your budget, how long you would like to be in braces, and your aesthetic requests.

Bracket system types areas: Traditional (metal) brackets, Self Ligating Brackets, Ceramic Brackets, Lingual brackets and even Aligning trays (Invisalign). Each of them has its pros and cons. On this page, we discussed Self Ligating Brackets (SLB) compared to Traditional brackets. Both of them achieve the same results but SLB easier to tolerate.

The Looks

Traditional brackets use ligation which means making a tie. The wire is held in place by use of ties; either metal or rubber ligature. The rubber ligature is interchangeable colored make braces personalized and fun, as well as, perform an important function in the tooth movement process.
Self-ligating brackets eliminate the need for rubber or metal ties and instead use a permanently installed moveable component to entrap the wire.

How do they work?

The traditional bracket uses a process in which you have to return every 4-6 weeks to tightened and repositioned ligature to pull the teeth. The elastomeric ligation causes a bit of friction during the movement process.
SLB doesn’t utilize elastomeric ligation (rubber ties) so there is no friction through the bracket. SLB works by using a tiny spring-loaded door to maintain pressure on the archwires. This process applies pressure to the system to gently adjust the teeth to the desired position. Thus, the need for tightening is eliminated which means fewer visits.

Tooth Extractions

Some articles said with SLB tooth extraction is not typically necessary on the other hand Traditional braces mostly need extractions. Based on my experiences, it depends on how much space do you need to align your teeth. Both of these braces could need extractions and could be not.

Treatment time and Chair time

The treatment time for SLB is faster due to the ease of movement, therefore, if you are looking for the most efficient system that will get you in and out faster, this system is suitable for you. SLB eliminates chair time and easy for clinicians to doing adjustments.

Aesthetic

SLB comes in both clear and metal so it can match your aesthetic desire. While SLB is less visible than Traditional brackets.

Cleaning and Oral Hygiene

Cleaning your teeth absolutely important while you get orthodontic treatment. SLB brackets are easier to clean than traditional brackets.

Less Pain?

Based on a study by Tecco S ( Eur J Orthod. August 2009), patients treated with conventional brackets reported significantly more ‘ constant’ pain than those treated with Self Ligating Brackets who complained of ‘ chewing/biting’ pain.
Another thing to consider is the tolerance pain level of a patient, it’s individual.

Any treatment no matter what you choose is better than no treatment. You can contact me and have an appointment for a free consultation. You are worth a beautiful smile!

Click for Print your Crown or your Implant? Why not?

Print your Crown or your Implant? Why not?

Dental Cosmetic·February 10, 2021February 9, 2021

3D printing is a process of making three dimensional solid objects from a digital file. The Digital file itself comes from 3D scanners or 3D Impressions that I discussed in my last article.

How does 3D Printing work?

To make a crown and your implant starts from a virtual design of the object we want to make. this design is a CAD (Computer-Aided Design) file. CAD file created using a 3D modeling application or with a 3D scanner. The digital object Crown and your implant is divided into horizontal slices by the desired layer thickness and then created by laying down the sequential slide layers of material until the complete object is formed.

There are 3 types of 3D printing: Extrusion, Granular/ powder-based, and Light Polymerization.
3D printing takes the efficiencies of digital design to the production stage. By combining oral scanning, CAD/CAM design, and 3D printing, dental labs can accurately and rapidly produce crowns, bridges, stone models, a range of orthodontic appliances, even in surgery such as dental implants, manufacture of dental craniofacial and orthopedic implants, and the fabrication of copings and frameworks for implants and dental restorations. 3D printing can produce smaller feature sizes with no restriction on part geometry.

Joseph DeSimone, the CEO of the 3D printing company Carbon 3D and a professor of chemistry at the University of North Carolina at Chapel Hill, announced that a breakthrough technology allows teeth to be printed in 6,5 minutes. It’s amazing! Going to the dentist will take a longer time on your ride than the chairside process itself!

Unfortunately, Only 10% of dentists use a CAD/CAM machine, however, even though the technology has been available for years. The learning curve can be steep, and most dentists still prefer to leave the work to skilled technicians in dental labs.

One Visit Veneer ? Why Not ?

Dental Cosmetic·February 9, 2021February 9, 2021

Are you looking for another cheaper and faster veneer option? A composite direct veneer is an answer. Today’s composite materials can provide a life-like, beautiful appearance that is conservative of tooth structure and can last for a long time. These composite layers placed on the tooth and sculpted directly in the mouth to achieve the desired aesthetic the patient looking for. It can be used in situations in which there is chipping, discoloration, and minor misalignment of natural teeth.

Advantages of Direct faster veneer option :
1. Composite direct veneer can be applied in one day, last 4-8 years
2. The cost is less than porcelain veneers – about half price
3. Can be used for a variety of aesthetic situations and results can be amazing.
4. Composite is essentially reinforced plastic with today’s technology it’s much stronger and aesthetic than ever before.
5. It made chairside, therefore accomplished in one visit only
6. Can be repaired

Disadvantages of Direct Veneer :
1. It requires maintenance (they chip).
2. Its last shorter-lasting finish than Porcelain Veneers
3. Not as stain-resistant or color stable as porcelain
4. Need an adequate removed amount of tooth structure to allow placement of composite resins in the desired shape without added tooth bulk.

Composite veneer therapy is an art, ask to see some of your doctor’s work and make sure you feel comfortable with the doctor since it involves extreme attention to detail.

To improve the durability and longevity of veneers you need to maintain consistent good oral hygiene and have regular dental examinations and cleanings at least twice a year. In addition, you must avoid using them to bite or crack hard objects like nuts and ice.

So, you have your choices of veneers now. Have your new smile NOW.

Click another Blog about Digital Impressions 3D Dental Scanner Vs Conversional Impressions

Digital Impressions 3D Dental Scanner Vs Conversional Impressions

Dental Cosmetic·February 8, 2021February 9, 2021

The field of digital increasing very fast and incredible. Every day we heard about new technology in every aspect of human life. Digital Impressions 3D Dental Scanner Vs Conversional Impressions Dentistry is included. Digital age in Dentistry has begun since 1980 but not been using so much. New technology increasing to provide high quality standard, convenient for patients and in other hand easy chairside process, eliminate appointment time, improving accuracy for clinician and eco-friendly. Through this post i will write about digital impression as a major information for public.

What is Digital impression?
Digital impressions represent cutting-edge technology that allows dentists to create a virtual, computer-generated replica of the hard and soft tissues in the mouth using lasers and other optical scanning devices. No more Gag reflex, less anxious, less chairtime, digital Impressions can be stored electronically and the impressions can be send to laboratory as fast as email. It captures clear and highly accurate impression in minutes, no need traditional impression materials that inconvenient and messy. The impression information then is transferred to a computer often without stone models.

There is 2 types of scanners today. There are systems that used LED, these systems are optical scanners and require a contrasting medium or powder to acquire a representation of tooth morphology. There also system that use LASER which is not require powder.

Digital impressions or Convensional impressions?

Based on summary on the article published in The Journal of Prosthetic Dentistry : Digital versus convensional impressions for fixed prosthodontics : A Systematic review and meta- analysis ( August 2016), we get this key findings : No statistically significant differences were noted in the marginal fit of fixed dental protheses and single crowns made using either impression technique.

Initial investment for Digital Impressions typically about $21.000- $24.000. Of course this number will have an impact to patients cost. If traditional impressions will be charged about $20-$30, with Digital impressions the price would be up to 4-5 times convensional impressions price. In my opinion,Yes, its awesome to have Digital impressions as we know its advantages and considering patients ability to pay.
Most of dentists in Asia (include my clinic now) still use convensional impressions which is taking potentially involves multiple materials and occasionally more steps. Its a skilled process and have been used for years. Either Digital Impressions or Convensional Impressions, As long as your dentists doing it properly, will be same result in the end. In future, we will use Digital impressions as well. Its dental Future and we move step by step to this path. Digital Impressions 3D Dental Scanner Vs Conversional Impressions

Feel free to ask or sharing your opinion here.

Source: https://www.yourdentistryguide.com/digital-impressions/
http://oasisdiscussions.ca/2016/09/19/dvc/

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