4146 Carmichael Road, Suite A
Montgomery, AL 36106
Dr. Ernest M. Barnes, DMD,
500 Whitesport Drive
Huntsville, AL, 48334
Hunter, Schuyler F D.D.S.
2006 Franklin St Se # 209
Huntsville, AL, 35801-4537
Mc Callum, Chris D.D.S.
2531 Rocky Ridge Rd # 122
Vestavia, AL, 35243-4447
Hannahan, Thomas H D.D.S.
3602 Old Shell Rd # B
Mobile, AL, 36608-1307
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
Dental crowns (also known as "caps") are needed on teeth for various reasons. Two of the reasons crowns are needed is to restore broken and unaesthetic - ugly - teeth.
When crowns are well made, research shows that the average length of time before they wear out is approximately ten years. Because each person is unique, no one can tell you how long a dental crown will last. Even though cosmetic dentistry uses advanced materials, the most durable dental crown material is gold. Dental porcelain fused to gold is the next most durable; an all-porcelain dental crown is the least durable.
As stated earlier, each person is unique, but there are some situations that will cause a dental crown to fail sooner rather than later.
When replacement crowns are prescribed, there are certain steps that the dentist must complete. First, the dental crown must be removed. This can be accomplished by either wiggling the crown free or cutting the crown off the tooth. Underlying decay should be removed and fillings should be placed as needed. These fillings are referred to as "build-ups" or "foundations" for the new crown. The tooth should then be refined and a new dental crown can then be placed.
No one can tell you how long a dental crown will last. The length of time that they can last is different for each person. Therefore, maintaining regular six-month visits to your dentist is extremely important if you want to maintain a healthy mouth.
By Benjamin O. Watkins, III, DDS