Posts for: May, 2020
What makes a beautiful smile? Beautiful teeth, for sure. But there's also another component that can make or break your smile, regardless of your teeth's condition: your gums. Although their primary function is to protect and stabilize the teeth, your gums also enhance them aesthetically by providing an attractive frame.
But just as a painting displayed in an oversized frame can lose some of its appeal, so can your smile if the size of your gums appears out of proportion with your teeth. Normally, a smile that displays more than four millimeters of gum tissue is considered “gummy.”
There are some things we can do to improve your gum to teeth ratios. What we do will depend on which of the following is the actual cause for your gummy smile.
Excess gum tissue. We'll start with the obvious: you have excess gum tissue that obscures some of the visible tooth crown. We can often correct this with a surgical procedure called “crown lengthening,” which removes some of the excess tissue and then reshapes the gums and bone to expose more teeth length.
Teeth that appear too short. The problem may not be your gums — it could be your teeth appear too short. This can happen if the teeth didn't erupt fully, or if they've worn down due to aging or a grinding habit. One option here is to “lengthen” the tooth cosmetically with veneers, crowns or other bonding techniques.
Higher lip movement. Rather than your teeth and gums being out of size proportion, your upper lip may be rising too high when you smile, a condition known as hypermobility. One temporary fix is through Botox injections that paralyze the lip muscles and prevent their movement from overextending. We could also use periodontal surgery to perform a lip stabilization procedure that permanently corrects the upper lip movement.
Overextended jaw. Your gums may seem more prominent if your upper jaw extends too far down and forward. In this case, orthognathic (jaw straightening) surgery might be used to reposition the jaw relative to its connection with the skull. Setting the jaw up and back in this way would reduce the prominence of the gums when you smile.
As you can see, treatments range from cosmetic techniques to moderate surgical procedures. A full dental exam will help determine which if any of these measures could reduce gumminess and improve your smile.
If you would like more information on correcting gummy smiles, 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 “Gummy Smiles.”
We all need a good night's sleep, both in quantity and quality. That's why the Better Sleep Council promotes Better Sleep Month every May with helpful tips on making sure you're not only getting enough sleep, but that it's also restful and therapeutic. The latter is crucial, especially if you have one problem that can diminish sleep quality: nocturnal teeth grinding.
Teeth grinding is the involuntary movement of the jaws outside of normal functioning like eating or speaking. You unconsciously grind teeth against teeth, increasing the pressure of biting forces beyond their normal range. It can occur while awake, but it is more common during sleep.
The habit is fairly widespread in children, thought to result from an immature chewing mechanism. Children normally outgrow the habit, and most healthcare providers don't consider it a major concern.
But teeth grinding can also carry over or arise in adulthood, fueled in large part by stress. It then becomes concerning: Chronic teeth grinding can accelerate normal age-related tooth wear and weaken or damage teeth or dental work. It may also contribute to jaw joint pain and dysfunction related to temporomandibular disorders (TMD).
If you notice frequent jaw tenderness or pain, or a family member says they've heard you grind your teeth at night, you should see us for a full examination. If you are diagnosed with teeth grinding, we can consider different means to bring it under control, depending on your case's severity and underlying causes.
Here are some things you can do:
Alter lifestyle habits. Alcohol and tobacco use have been associated with teeth grinding. To reduce episodes of nighttime teeth grinding, consider modifying (or, as with tobacco, stopping) your use of these and related substances. Altering your lifestyle in this way will likely also improve your overall health.
Manage stress. Teeth grinding can be a way the body “lets off steam” from the accumulated stress of difficult life situations. You may be able to reduce it through better stress management. Learn and practice stress reduction techniques like meditation or other forms of relaxation. You may also find counseling, biofeedback or group therapy beneficial.
Seek dental solutions. In severe cases, there are possible dental solutions to reducing the biting forces generated by teeth grinding. One way is to adjust the bite by removing some of the structure from teeth that may be more prominent than others. We may also be able to create a bite guard to wear at night that prevents teeth from making solid contact with each other.
These and other techniques can be used individually or together to create a customized treatment plan just for you. Minimizing teeth grinding will help ensure you're getting the most out of your sleep time, while protecting your dental health too.
If you have a less than attractive smile due to some moderate imperfections, dental veneers may be the answer. This relatively inexpensive dental restoration may be the key to transforming your smile.
If you're thinking of veneers as a “thin covering,” you're on the right track. Just like construction veneers used to cover wall surfaces, dental veneers are thin wafers of material (usually porcelain) that cover the front of tooth surfaces. Made uniquely for the individual patient, veneers provide a life-like covering that can mask a variety of dental imperfections.
Veneers are mildly invasive, meaning some of the enamel layer of the teeth to which they're bonded will need to be removed. If this alteration occurs, it's permanent, so the teeth will require a veneer or other restoration from then on. It's usually necessary, though, so that the veneer doesn't appear too bulky. Even so, veneers are still less invasive than other restorations.
The list of appearance problems veneers can address is quite varied. One of their more common uses is to correct certain structural flaws in teeth: chips, abnormal tooth shape from wear or teeth that are congenitally smaller than normal.
They're also a remedy for heavy staining. While teeth whitening can temporarily brighten a dull, dingy smile, veneers provide a permanent solution for the problem of staining. They're also a practical option for internal tooth staining, which can't be addressed by either home or professional external teeth whitening procedures.
Finally, veneers may be used to close small gaps and other mild forms of dental misalignment. And although they may not be able to correct larger gaps by themselves, they're sometimes used in conjunction with orthodontic treatment.
Veneers can address many dental flaws, but not all. To see if your dental situation could benefit from a veneer application, you'll need to undergo a complete dental examination. If it seems veneers aren't a good fit for you, your dentist will discuss other types of cosmetic treatments to improve your smile.
If, on the other hand, veneers do appear to be a viable option for you, you're just a few visits away from a completely new look. Veneers can change your smile—and your life!
If you would like more information on porcelain veneers, 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 “Porcelain Veneers: Strength & Beauty as Never Before.”