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Posts for category: Dental Procedures

YouDontHavetoLivewithaGummySmileHeresHowWeCanChangeit

A beautiful smile is a balanced smile, especially in regard to your gums. A normal smile usually shows 4 mm or less of gum tissue along with about 10 mm of tooth length. But if your gums show more than that, your smile may seem too gummy. In terms of perceived balance, this could detract from your smile's attractiveness.

Fortunately, you don't have to live with a gummy smile—there are various ways to correct or minimize its effect. First, though, we'll need to determine the underlying cause before deciding on the best treatment. And, there are several possible causes, the obvious being too much gum tissue present. Teeth that appear shorter due to wear or incomplete eruption could also make the gums appear larger.

We may be able to correct these size problems by surgically removing and reshaping excess gum tissues and possibly the underlying bone to reveal more of the teeth. We can also bond composite resins or porcelain veneers to shorter teeth to make them appear larger.

But not all gummy smile problems pertain directly to the teeth and gums; instead, it could be your upper lip moves too far up as you smile (hypermobility). Or, your upper jaw may be too long for your face, which can also cause too much of the gums to show during smiling.

With upper lip hypermobility, we may be able to inhibit the lip muscles' movement temporarily with Botox injections that partially paralyze the muscles (the effect eventually wears off, so this treatment will need to be repeated). A periodontist, an oral surgeon, or a plastic surgeon could also permanently alter the upper lip movement through a surgical procedure. Surgery may also be necessary for an abnormally long upper jaw: orthognathic surgery re-positions the jaw to the skull, which can lessen the amount of gums showing.

If your smile is too gummy, we can transform it. But first, let's find out what the real cause is with a comprehensive dental examination. Once we know, we can better advise you on the best way to bring beautiful balance to your smile.

If you would like more information on improving a gummy smile, 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.”

By Transcendental, LLC
March 16, 2019
Category: Dental Procedures
Tags: teeth whitening  
StainsfromWithinaToothRequireProfessionalWhitening

Whether performed in a dental office or using a home kit, teeth whitening applications are quite effective for bleaching exterior (extrinsic) stains on enamel surfaces. But what if your discoloration comes from inside the tooth? In this case, extrinsic teeth whitening won’t work — you’ll need to undergo an “internal bleaching” method, which can only be performed in a dentist's office.

There are a number of causes for “intrinsic” staining, including too much fluoride exposure or tetracycline use during childhood. One of the more common causes, though, occurs from root canal treatments used to remove the remnants of the pulp tissue inside a tooth’s pulp chamber and root canals. Certain cements used during the procedure to help seal in the filling material and leftover blood pigments can cause the tooth to darken over time.

To alleviate this discoloration, we use a bleaching agent, usually sodium perborate mixed with a diluted solution of hydrogen peroxide to achieve a safe, accelerated color change. After determining that the root canal filling is still intact and the bone is healthy, we create a small cavity in the back of the tooth to access the pulp chamber. The chamber is cleaned of any debris or stained material and then thoroughly irrigated. The original root canal filling is then sealed off to prevent leakage from the bleaching agent.

We then place the bleaching agent in the cleaned-out space with a cotton pellet and seal it in with a temporary adhesive. This step is repeated for several days until we achieve the desired shade of white. Once that occurs we then seal the dentin with a more permanent filling and then restore the cavity we created with a composite resin bonded to the enamel and dentin.

If we’re successful in achieving the desired color, intrinsic whitening could help you avoid more costly options like veneers or crowns for an otherwise healthy and attractive tooth. The end result would be the same — a beautiful smile without those unsightly stains.

If you would like more information on treating internal tooth stains, 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 “Whitening Traumatized Teeth.”

By Transcendental, LLC
February 26, 2019
Category: Dental Procedures
Tags: cosmetic dentistry   crowns  

Dental Crowns SmileHow dental crowns from your dentist in Clifton, NJ, can repair your smile

Damaged teeth can affect the way your smile looks, and the way your smile functions. Damaged teeth are embarrassing, and may keep you from smiling. Damaged teeth can also be painful, and may keep you from eating. The good news is, dental crowns can restore your damaged teeth and give you back your smile. Your dentist, Dr. Toan K. Bui, at Transcendental, LLC in Clifton, NJ, offers dental crowns to get you smiling again.

When you think of dental crowns, do you think of old, yellowed dental crowns that don’t match your tooth color? If so, it’s time to rethink dental crowns! Today’s dental crowns can be color-matched to blend with your teeth, creating a harmonious, beautiful smile.

Full porcelain crowns are extremely popular, and for good reason. Porcelain reflects light and looks just like tooth enamel. When you choose a porcelain crown, it will be virtually indistinguishable from your natural teeth. Porcelain is also stain-resistant, which means your porcelain crown will stay bright and beautiful for years, even if you smoke or drink coffee.

Porcelain can also be fused to a metal framework. These crowns are known as PFM crowns and they combine the increased strength of metal with the beauty and natural look of porcelain. PFM crowns don’t have the light-reflective quality of full porcelain, so PFM crowns are a popular choice for posterior teeth.

Dental crowns restore your damaged teeth by covering the entire surface of your teeth above the gumline. When you bite down on a crown, the biting stress is spread evenly across your tooth surface, keeping your tooth from breaking.

In contrast, dental fillings aren’t as protective, and they can actually weaken your teeth by dividing your teeth into sections. Large metal fillings also don’t provide the cosmetic benefits of dental crowns.

If you need to restore your damaged teeth, you need to consider dental crowns. They are the go-to solution to repairing and restoring your smile. For more information about dental crowns and other cosmetic and restorative services, call your dentist, Dr. Toan K. Bui, at Transcendental, LLC in Clifton, NJ. Call today!

By Transcendental, LLC
January 25, 2019
Category: Dental Procedures
CrazyLittleThingCalledHyperdontia

The movie Bohemian Rhapsody celebrates the iconic rock band Queen and its legendary lead vocalist, Freddie Mercury. But when we see pictures of the flamboyant singer, many fans both old and new may wonder—what made Freddie’s toothy smile look the way it did? Here’s the answer: The singer was born with four extra teeth at the back of his mouth, which caused his front teeth to be pushed forward, giving him a noticeable overbite.

The presence of extra teeth—more than 20 primary (baby) teeth or 32 adult teeth—is a relatively rare condition called hyperdontia. Sometimes this condition causes no trouble, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other situations, hyperdontia can create problems in the mouth such as crowding, malocclusion (bad bite) and periodontal disease. That’s when treatment may be recommended.

Exactly what kind of treatment is needed? There’s a different answer for each individual, but in many cases the problem can be successfully resolved with tooth extraction (removal) and orthodontic treatment (such as braces).┬áSome people may be concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is routine and relatively painless.

Teeth aren’t set rigidly in the jawbone like posts in cement—they are actually held in place dynamically by a fibrous membrane called the periodontal ligament. With careful manipulation of the tooth, these fibers can be dislodged and the tooth can be easily extracted. Of course, you won’t feel this happening because extraction is done under anesthesia (often via a numbing shot). In addition, you may be given a sedative or anti-anxiety medication to help you relax during the procedure.

After extraction, some bone grafting material may be placed in the tooth socket and gauze may be applied to control bleeding; sutures (stitches) are sometimes used as well. You’ll receive instructions on medication and post-extraction care before you go home. While you will probably feel discomfort in the area right after the procedure, in a week or so the healing process will be well underway.

Sometimes, dental problems like hyperdontia need immediate treatment because they can negatively affect your overall health; at other times, the issue may be mainly cosmetic. Freddie Mercury declined treatment because he was afraid dental work might interfere with his vocal range. But the decision to change the way your smile looks is up to you; after an examination, we can help you determine what treatment options are appropriate for your own situation.

If you have questions about tooth extraction or orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Simple Tooth Extraction” and “The Magic of Orthodontics.”

By Transcendental, LLC
January 15, 2019
Category: Dental Procedures

Cosmetic Dentistry SmileIf you look in the mirror and see a tired, worn, misaligned, or discolored smile, you may benefit from cosmetic dentistry. This facet of dentistry allows you to pick and choose how you want your smile to appear, alter your look, and give yourself the chance to feel great about the way you look. Find out more about cosmetic dentistry and what it can do for you with Dr. Toan Bui at Transcendental in Clifton, NJ.

What are some common cosmetic dentistry procedures?

  • Teeth Whitening: Teeth whitening is a popular solution for people with discolored or yellowed teeth. The treatment usually takes less than an hour and can lift the color of your teeth by up to ten shades.
  • Veneers: They are a porcelain dental restoration which your dentist attaches to the front surface of the tooth. Veneers are versatile, achieving anything from repairing a small chip to overhauling your entire smile for a totally new look.
  • Lumineers: While veneers require preparation of the teeth, Lumineers are a non-invasive option to change the appearance of your smile used in the same way as dental veneers.
  • Cosmetic Bonding and Contouring: Cosmetic bonding uses composite resin materials molded directly onto the surface of the tooth to change its appearance. Contouring goes hand-in-hand with bonding and is used to reshape the bonded tooth.

Cosmetic Dentistry in Clifton, NJ
Cosmetic dentistry can transform your smile. If you think you can benefit from a cosmetic procedure, you should consult with your dentist to ensure that this is the best course of treatment for you. A good candidate for cosmetic dentistry has no teeth decay or gum disease and has a great at-home oral care routine to ensure their teeth remain healthy and clean.

For more information on cosmetic dentistry or how it can help you, please contact Dr. Toan Bui at Transcendental in Clifton, NJ. Call (973) 458-9899 to schedule your appointment with Dr. Bui today!