14122 West McDowell Road Suite 200
Goodyear, AZ 85395
Van Der Werf Endodontics
1630 S Stapley Dr # 208
Mesa, AZ, 85204-6659
Christopherson, Brian D.D.S.
1635 N Greenfield Rd # 119
Mesa, AZ, 85205-4010
Mc Clammy, Thomas V D.D.S.
8765 E Bell Rd # 213
Scottsdale, AZ, 85260-1321
428 S Gilbert Rd Ste 114
Gilbert, AZ, 85296-2262
Not even the most beautiful teeth can look attractive if healthy and pleasing-looking gums do not surround them. That's because the gums frame the teeth like a picture frame frames a picture. To have a pleasing smile, the shape, color, and texture of the gums are just as important as that of the teeth they frame. Although tooth development, periodontal disease, trauma, or tooth loss can create esthetic gum deformities, modern periodontal procedures and cosmetic dentistry can give individuals a smile to smile about.
As a result of periodontal disease, gums may appear red, swollen, and shiny. If an individual has gingivitis or periodontitis, the gums have to be periodontally treated prior to cosmetic dentistry procedures.
Teeth that appear too short may be normal-sized teeth hiding under too much gum. This can be the result of normal tooth development, or the use of certain medications that may cause gums to overgrow. Either way, a crown lengthening procedure can help reveal the normal tooth structure.
If the teeth appear to be too long or if the root surfaces are exposed, it may be due to gum recession. Soft tissue grafting is very successful in correcting this problem.
If the gum margins appear to be higher on some teeth and lower on others, this may be due to gum recession, altered eruption, or gum defects that resulted from tooth loss. The treatment of uneven gum margins may require crown lengthening, soft tissue grafting, ridge augmentation, or a combination of these procedures.
After a tooth is lost, the bone that encased it disintegrates and the gum around it may collapse, creating an indentation where the tooth used to be. Ridge augmentation procedures can help correct this problem.
Changes in the color of the gums may be part of normal gum development, or the result of scarring. Soft tissue grafts can predictably correct this problem.
Periodontal disease can result in spaces in between the teeth that may appear like black triangles. These spaces can be very difficult to treat. They can be made less unattractive by a combination of procedures that include orthodontics (braces), crowns (caps), and/or periodontal (gum) surgery. The best way to avoid these spaces is to treat periodontal disease in its early stages and avoid the need later for cosmetic dentistry.
One or more missing teeth can be predictably replaced with the aid of dental implants. Dental implants can look and feel like natural teeth.
Changes in the appearance of the gums can occur as a result of normal tooth development, periodontal disease, trauma, or tooth loss. By working with a restorative dentist who has expertise in cosmetic dental care and through the aid of modern periodontal techniques, individuals can design a smile that is both esthetic and youthful in appearance.
By Laura Minsk, DMD
Everyone, even your dentist, knows that when we age, we see certain changes in our face (for example, wrinkled skin, less skin tone, shrunken appearance). The soft tissue in the lower one-third of the face is supported by the teeth and jawbone, and gives support to your smile. As we age, we lose support to our smile and we begin to appear older.
Anatomically, the face is divided into thirds: the upper, middle and lower one-third. The space between your nose and your chin is referred to as the lower one-third. The teeth support the vertical height of your lower face, and more specifically the back teeth support your lower face.
Most dentists agree that minimal and gradual wearing away of the top enamel of the teeth is considered normal during the lifespan of a patient. However, excessive wear on the top surfaces of the teeth can result in abscessed teeth, an irregular bite, decreased chewing capacity and esthetic disharmony. Patients with these types of problems often require extensive restorative cosmetic dentistry treatment.
Although the prevalence of tooth wear, or attrition, is not known, it is thought to be very common in adults over the age of 40. The wearing of the top surfaces of the teeth is most often attributed to attrition, which is the wearing away of one tooth surface by another tooth surface. Attrition is the result of bruxism, or the involuntary grinding of the teeth against each other.
Attrition can be the result of one or a combination of problems such as:
Depending on the severity of the tooth wear, teeth may be broken, shortened and unattractive. Having worn teeth can result in jaw joint pain (TMJ), a decreased ability to chew and a sunken appearance to the lower face. All of these results can make a person appear more wrinkled and older.
Generally, the worn teeth will have to have new fillings placed or redone. When severe wear occurs in the mouth, a dental crown or multiple crowns may be the only solution.
Yes, tooth wear can be prevented, but only if you make regular visits to the dentist. If detected early enough, your dentist may prescribe a plastic night guard to protect your teeth, much like an athletic mouth guard.
By Benjamin O. Watkins, III, DDS