"Every tooth in a man's head is more valuable than a diamond."

Miguel de Cervantes, Don Quixote, 1605

Your teeth

Most people know that the teeth are the hardest and strongest part of the body. There's more than meets the eye, though. Teeth are actually a living part of your body that has blood vessels and nerves. If you used to judge your teeth like a book by its cover, then you're in for one big surprise. Teeth anatomy is a lot more complicated than you ever thought.

Throughout your life you end up having 2 completely different sets of teeth. The initial set is the baby teeth (deciduous teeth) that eventually fall out. They are whiter, softer, and less sturdy than adult teeth. Hence, they tend to wear out much faster than permanent teeth, but they also fall out to make room for them. Making sure that there's enough space in the vacancy caused by a lost baby tooth is important for healthy adult teeth.

New developments include the implantation of artificial teeth or binding posts into the gums or jawbone; antibiotic fiber for periodontal disease; root canal surgery, a procedure that ameliorates pain while permitting teeth to remain in place; and nearly painless lasers to repair dental cavities, usually making local anesthesia unnecessary.

Dental implants tomorrow

If you have a small dental bridge or partial dentures (removable type), implants will be a welcome alternative. Implants are an alternative to a fixed bridge. The implant will last a lifetime, but the crown on top of it will last ten to fifteen years.

Implants are surgically placed in your jaw bone while under anesthesia. It is a very time consuming procedure when having many implants placed. As this procedure is surgical, it is very important to research and find a well credited cosmetic dentist that you are comfortable with. For some people there are varying degrees discomfort or pain, which subsides in a couple of days. As with similar types of surgery, bruising and minor swelling might also develop shortly after the procedure.

When missing one tooth, your cosmetic dentist may use a Flipper to fill the space. A Flipper is a false tooth to temporarily take the place of a missing tooth before the permanent crown is placed on the implant. A Flipper can be attached via either a wire or a plastic piece that fits in the roof of your mouth. Flippers are meant to be a temporary solution while awaiting the permanent crown to be placed on your implant(s).

Dental cavities

Your dentist will give you a local anesthetic to numb the area. The dentist then prepares an access to the decayed area of the tooth and removes the decayed portions. This is accomplished with traditional drills, micro air abrasion or even with a dental laser. With a composite filling, your dentist will preserve more of the natural tooth as the composite resin can be bonded to the tooth in thin layers. If your tooth's decayed area is close to a nerve, a special liner will be used to protect the nerve.

A special dental material is then used to open up the pores of your tooth's dentin and roughens up the surface of the exposed enamel. This achieves better and stronger bond. The bond resin is applied to stick the composite to your tooth. This material is made of the same dental resin as the composite however it is much more fluid. This layer is then hardened and cured with a very bright light.

Composite resin fillings are applied in thin layers, and slowly built up to form the complete filling. A bright dental light will harden each layer before the next is applied. Once your filling is completed, your dentist will use a special paper, articulating paper, to adjust the height of your dental filling and that your bite remains correct. Your tooth is then polished.

Tooth dentures

Dentures are removable replacements for missing teeth typically made out of an acrylic resin which at times incorporate porcelain or metal for additional structural support.

This procedure should be thoroughly discussed with your dentist as there are several personal and medical factors to take into consideration. You may instead be a candidate for dental bridges and dental implants as optional procedures.

The main component of dentures is acrylic resin molded over the top of various combinations and paterns of metal. In oreder to use dentures all of the teeth in the top or bottom or both top and bottom of the mouth are removed. It is recomended that after the removal of the necessary teeth that the patient wait at least a month to have the dentures fit to the mouth. The waiting period allows for proper healing in the mouth to take place.

Teeth bridges

A dental bridge is a false tooth, known as a pontic, which is fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place that are attached onto your teeth on each side of the false tooth. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures.

In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as many ten years or more.

If you a space from a missing tooth, a bridge will be custom made to fill in the space with a false tooth. The false tooth is attached by the bridge to the two other teeth around the space - bridging them together.

Teeth contouring and reshaping

For individuals who have chipped, cracked or irregularly shaped teeth, dental contouring and reshaping can be just the ticket for a more beautiful smile.

You maybe candidate for tooth contouring and reshaping, if you want your teeth to appear less crowded, lack chips and fractures, have decreased overlaps or to be without pits or grooves in the enamel, this procedure should be discussed with your cosmetic dentist.

Tooth reshaping, or tooth sculpting, is a safe and conservative way to improve your smile. Teeth may become weaker if large amounts of enamel are removed, tooth reshaping should be limited to minor changes or combined with veneers or bonding for the best smile.

Dental crowns

As we age, many of us find ourselves with teeth that are no longer structurally sound. Root canals, lost fillings, decay below a filling, chipping and cracking of the enamel are all things that can lead to large scale defects in a tooth's surface. When the entire surface of the tooth is a problem, but the root system is intact, a crown might be just what the dentist orders.

Grinding your teeth, an improper bite, age, fillings and tooth decay can all be contributing factors in the wearing down, cracking or breakage of your teeth. Dental crowns cover the entire visible surface of your affected tooth and add strength, durability and tooth stability.

Your cosmetic dentist will usually be able to spot problem areas in your mouth that might lead to tooth damage and a need for crowns. Chewing patterns play a big role as well. By selectively grinding the tips of your middle and back teeth (called cusps) will alter your bite to reduce the stress on at-risk teeth.

In some cases your cosmetic dentist may choose to use a Flipper instead of a temporary crown. A Flipper is a false tooth to temporarily take the place of a missing tooth before the permanent crown is placed. A Flipper can be attached via either a wire or a plastic piece that fits in the roof of your mouth. Flippers are meant to be a temporary solution while awaiting the permanent crown.

Teeth straightening

Teeth straightening is accomplished with a number of different procedures and is usually done on children and adolescents when their permanent teeth begin growing in. Crooked teeth, crowded teeth, and even overbites and underbites can be treated with various teeth straightening techniques. While considered a cosmetic procedure, some people require teeth straightening in order for their teeth to be aligned in such a way that chewing is possible. Severe overbites and underbites can result in serious consequences over time, and even overly crowded teeth can mean health problems for the mouth.

Lingual braces are similar to classic orthodontic braces but are attached to the backside of the teeth, rather than the front. Although they still have many of the problems of standard braces, they are not visible and may be chosen by adults who do not wish for visible braces. Lingual braces are more expensive than standard braces but the fastest method of "invisible" teeth straightening.

Invisalign is one of the newest methods of teeth straightening and is extremely popular with adults. Consisting of a clear mold that is nearly invisible when worn, Invisalign uses a series of molds that gradually push the teeth into the desired shape. Invisalign does not cost significantly more than standard orthodontic braces, but cannot correct an overbite or underbite and is only a good choice for minor straightening. Invisalign is not as effective on major problems, which may require standard braces.

Definitions used on this page

Dental fillings

• Dental fillings are inserted as restorations in the treatment of dental cavities, after drilling out the cavities.

Dental implants

• Dental implants are surgically fixed substitutes for roots of missing teeth. Embedded in the jawbone, they act as anchors for a replacement tooth, also known as a crown, or a full set of replacement teeth.

Dentures

• Removable complete dentures are full-mouth false teeth, which are used when a patient has no teeth left on either the mandibular arch, the maxillary arch, or both.

Veneer

• A layer of tooth-colored material, usually porcelain or acrylic resin, attached to and covering the surface of a metal crown or natural tooth structure.

Anesthesia

• Total or partial loss of sensation, especially tactile sensibility, induced by disease, injury, acupuncture, or an anesthetic, such as chloroform or nitrous oxide.


• Local or general insensibility to pain with or without the loss of consciousness, induced by an anesthetic.


• A drug, administered for medical or surgical purposes, that induces partial or total loss of sensation and may be topical, local, regional, or general, depending on the method of administration and area of the body affected.

Bridge

• A dental bridge is a prosthesis used in place of missing teeth and may be removable or permanently attached.

Dental cavities

• The formation of cavities in the teeth by the action of bacteria; tooth decay.


• Also known colloquially as tooth decay.

Dental crown

• Full-coverage restoration (sometimes incorrectly called a cap) is a prosthetic tooth designed by a dentist and usually created by a lab technician.

Porcelain

• A hard, white, translucent ceramic made by firing a pure clay and then glazing it with variously colored fusible materials.

Stomatology

• The medical study of the mouth and its diseases.

Tooth bleaching

• Also known as tooth whitening.

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