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3WaystoCorrectaSmileWithMissingIncisors

In the classic holiday film, It's a Wonderful Life, George Bailey sees what life would be like if he'd never been born. In a variation on the theme, imagine your life if your teeth had never formed.

That's actually a reality for some—they're born without teeth, albeit usually only one or two. But even then, they're often more susceptible to problems with their bite, speech development and nutrition.

And if their missing teeth affects their appearance, their self-image could also take a hit. In particular, the maxillary lateral incisors on either side of the central incisors (those in the very front) can create an odd smile if missing.

Fortunately, we can correct the problem of missing lateral incisors with three possible solutions. The first is canine substitution, involving the pair of pointed teeth next in line to the missing incisors. In effect, we use orthodontic appliances like braces to move them toward the frontmost teeth and close the missing teeth gap.

It's a minimally invasive way to improve smile appearance. But because of their size and sharp edges, it's often necessary to alter the canines, perhaps even crown them. Some people may also need gum surgery to "blend" the gums with the repositioned teeth.

A second method is a fixed bridge, a series of fused crowns. Those in the middle replace the missing teeth, while those on the ends are bonded to the natural teeth on either side of the gap to support the bridge.

Bridges can function well for many years, but it does require permanently altering the supporting teeth for crowning. An alternative Maryland or bonded bridge doesn't require this alteration, but it's also less durable than a traditional bridge.

Finally, we could replace the missing teeth with dental implants, a titanium post imbedded into the jawbone with an attached life-like crown. An implant tooth can last for decades, and don't require alterations to other teeth. However, they're not suitable for younger patients who are still undergoing jaw development—a temporary restoration may thus be in order until the jaw matures.

Being born without certain teeth is something you can't do anything about. But you can change how it affects your appearance and life with one of these options for a new smile.

If you would like more information on correcting a smile with missing teeth, 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 “When Permanent Teeth Don't Grow.”

By SC Dental Group
January 17, 2022
Category: Dental Procedures
Tags: celebrity smiles   crowns  
HowCelineDionOvercameHerSmileObstacle

For over three decades, Celine Dion has amazed audiences and fans with her powerful singing voice. Best known for her recording of "My Heart Will Go On," the theme song for the movie Titanic, Dion has amassed global record sales topping 200 million. In her early singing days, though, she struggled with one particular career obstacle: an unattractive smile.

The Canadian-born performer had a number of dental defects including crooked and discolored teeth, and—most prominent of all—abnormally large cuspid or "canine" teeth (located on either side of the four front incisors). They were so noticeable that one Quebec celebrity magazine gave her the unflattering nickname "Canine Dion."

This isn't an unusual problem. Since human canines are already the longest teeth in the mouth, it doesn't take much for them to stand out. Our ancient hunter-gatherer ancestors needed these large, pointed teeth to survive. But with the evolution of agriculture and industry, canine teeth have become gradually smaller—so much so that when they're abnormally large, they don't look right in a smile.

So, what can be done if your canines embarrassingly stand out from the rest? Here are some of the options to consider.

Reduce their size. If your canines are just a tad too long, it may be possible to remove some of the enamel layer in a procedure called contouring. Using this technique, we can reduce a tooth's overall size, which we then re-shape by bonding composite resin to the tooth. It's only a good option, though, if your canines have an ample and healthy layer of enamel.

Repair other teeth. The problem of prominent canine teeth may actually be caused by neighboring teeth. When the teeth next to the canines are crooked, the canines can appear more prominent. Alternatively, other teeth around the canines may be abnormally small. Braces or clear aligners can correct crooked incisors, and applying porcelain veneers to smaller teeth could help normalize their length.

Apply dental crowns. In some instances, we can reduce the canines in size and then bond porcelain crowns to them. This is the option that Dion ultimately chose. The natural teeth are still intact, but the crowning process transforms them into properly proportioned, life-like teeth. There is, however, one caveat: The alteration to these teeth will be permanent, so they will need a crown from then on.

Besides crowning her canine teeth, Dion also underwent other dental work to straighten and whiten her other teeth. As a result, this superstar performer now has a superstar smile to match and so can you if your teeth are less than perfect. These or other cosmetic enhancements can give you the look you truly desire. All it takes is an initial visit with us to start you on the road to a transformed smile.

If you would like more information about various cosmetic solutions for your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Porcelain Dental Crowns.”

By SC Dental Group
January 10, 2022
Category: Dental Procedures
Tags: invisalign  

Invisalign is known for correcting spacing issues with teeth. However, Dr. Michael Amir and Dr. Larry Hamer of SC Dental Group in Sherman Oaks, CA, are asked if Invisalign can correct crooked teeth frequently. Let's discuss what clear aligners can and can't do in terms of crooked teeth. 

How Invisalign Works

First, it's vital to know how cleaner aligners work to help you better understand if they fix really crooked teeth. With these clear aligners, you place trays on your teeth that you must wear for a certain number of hours each day. The aligners gradually move your teeth into the correct place because the aligners change shape slightly every time you switch to a new one. 

Aligners Impact on Crooked Teeth 

Yes, aligners can correct crooked teeth, possibly even really crooked teeth. In fact, they can correct the same issues as braces. Often, even in severe cases, Invisalign can successfully fix crooked teeth. 

However, either Dr. Amir or Dr. Hamer will thoroughly evaluate your teeth and use a computerized program to predict the results of Invisalign to determine if correction with invisible aligners is possible. This ensures the treatment has the potential to be successful and to what degree. 

Time it Takes 

How long a Sherman Oaks, CA, dentist recommends clear aligners depends on your specific situation. Typically, more severely crooked teeth require longer durations with the trays. 

It could take up to two years to correct your teeth if they're really crooked. On average, it takes between 12 and 18 months, though. Your dentist will give you a prediction at the beginning of your treatment to help you decide if this method of tooth correction is right for you. 

Both Dr. Hamer and Dr. Amir offer clear aligners to correct crooked teeth. They may even recommend this option if you have one or more severely crooked teeth. Fortunately, with these trays, the treatment is fully customizable. Plus, they can complete the entire process at their SC Dental Group office in Sherman Oaks, CA. 

Schedule an appointment today with SC Dental Group to discuss if clear aligners can fix your crooked smile by calling 818-905-5400. 

PromoteDental-FriendlyHabitsinYourKidsForLong-termOralHealth

What's a habit? Basically, it's a behavior you consistently perform without much forethought—you seemingly do it automatically. They can be good (taking a bath every day); or, they can be bad (devouring an entire bag of chocolate chip cookies every day). Our goal, therefore, should be to develop more good habits than bad.

One other thing about habits: we start forming them early. You might even have habits as an adult that began before you could walk. Which is why helping children develop good habits and avoid bad ones remains a top priority for parents.

Good habits also play a major role in keeping your teeth and gums healthy. Habits like the following that your kids form—or don't form—could pay oral health dividends throughout their lives.

Daily hygiene. Brushing and flossing is the single best habit for ensuring healthy teeth and gums. Removing disease-causing plaque on a daily basis drastically reduces a person's risk for tooth decay and gum disease. So, start forming this one as early as possible—you can even make a game of it!

Dental-friendly eating. To paraphrase a popular saying, "Your teeth and gums are what you eat." Dairy, vegetables and other whole foods promote good dental health, while processed foods heavy on sugar contribute to dental disease. Steer your child toward a lifetime of good food choices, especially by setting a good example.

Late thumb-sucking. It's a nearly universal habit among infants and toddlers to suck their thumbs or fingers. Early on, it doesn't pose much of a threat—but if it extends into later childhood, it could lead to poor bite formation. It's best to encourage your child to stop sucking their thumbs, fingers or pacifiers by age 3.

Later-developing bad habits. Children often come into their own socially by the time they've entered puberty. But while this is a welcome development on the road to adulthood, the pressure from peers may lead them to develop habits not conducive to good oral health—tobacco, drug or alcohol use, or oral piercings. Exert your influence as a parent to help them avoid these bad oral habits.

If you would like more information on best dental care practices for children, 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 “How to Help Your Child Develop the Best Habits for Oral Health.”

By SC Dental Group
December 28, 2021
Category: Oral Health
Tags: oral health   pregnancy  
MaintainYourDentalCareDuringPregnancyForYouandYourBaby

Hearing the words, "You're going to have a baby," can change your life—as surely as the next nine months can too. Although an exciting time, pregnancy can be hectic with many things concerning you and your baby's health competing for your attention.

Be sure, then, that you include dental care on your short list of health priorities. It may seem tempting to "put things off" regarding your teeth and gums. But there are good reasons to keep up your dental care—for you and your baby.

For you: a higher risk of dental disease. Hormonal changes during pregnancy can trigger outcomes that increase your dental disease risk. For one, you may encounter cravings that include carbohydrates like sugar. Bacteria feed on sugar, which can cause both tooth decay and gum disease. This change in hormones can also trigger a form of gum disease called pregnancy gingivitis.

For your baby: dental-related complications. Some studies show evidence that a mother's oral bacteria can pass through the placenta and affect the baby. This may in turn spark an inflammatory response in the mother's body, creating potential complications during pregnancy. Other research points to what could result: Women with diseased gums are more likely to deliver premature or underweight babies than those with healthy gums.

Fortunately, you can minimize dental disease during pregnancy and protect both you and your baby.

  • Keep up regular dental cleanings and checkups during pregnancy;
  • Limit consumption of sweets and other sugary foods;
  • Brush and floss every day to remove dental plaque, which feeds bacteria;
  • See your dentist at the first sign of swollen, painful or bleeding gums;  
  • And, inform your dentist that you're pregnant—it could affect your treatment plan.

Although it's wise to put off dental work of a cosmetic or elective nature, you shouldn't postpone essential procedures. Both the American Dental Association and the American Congress of Obstetricians and Gynecologists approve of pregnant women undergoing therapeutic dental work.

Dental care during pregnancy shouldn't be an option. Maintaining your oral health could help you and your baby avoid unpleasant complications.

If you would like more information on dental care during pregnancy, 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 “Dental Care During Pregnancy.”





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