missing teeth

Too Few Or Too Many Adult Teeth?

June 11th, 2019

DEPENDING ON HOW MANY wisdom teeth come in and whether or not they have to be removed, most adults have 28-32 adult teeth. There are a few outliers in either direction, however. Some people have fewer teeth than they should (called hypodontia or congenitally missing teeth), while others have one or more extra (called hyperdontia or supernumerary teeth). How does this happen and what do we do about it?

Congenitally Missing Teeth

Between 2-4 percent of the population has at least one tooth missing from the adult set. The most common teeth affected by this condition are wisdom teeth, lower second premolars, and upper lateral incisors. It’s not really an issue to be missing wisdom teeth, but missing incisors and premolars can cause difficulties with chewing, the surrounding teeth may shift, and the decreased jaw support can lead to additional tooth loss.

The reason for congenitally missing teeth is nearly always genetics,which is why you tend to see it run in families. Sometimes it happens in conjunction with a larger genetic disorder like Down syndrome or ectodermal dysplasia.

Supernumerary Teeth

At the other end of the dental spectrum is hyperdontia, where extra teeth develop in the jaw. It happens more often with adult teeth than baby teeth. We don’t fully understand what causes this condition, but one leading theory is that it could be the result of a tooth bud dividing abnormally, producing two teeth instead of one.

Supernumerary teeth aren’t always shaped like normal teeth. They can also be peg-shaped, have multiple cusps, or simply be a mass of dental tissue. However they develop, they often don’t have room to erupt, so they remain impacted in the gums, causing crowding and alignment problems for the normal teeth.

The typical treatment for extra teeth is to extract them if there isn’t room for them, but dealing with a congenitally missing tooth can be more complicated. Depending on the age of the patient and how long the tooth has been missing, different options may be better. The first step is usually orthodontic treatment so that the gap will be wide enough to fit a replacement tooth. These come in a few forms:

  • Removable partial dentures are a simple solution. They can be attached to a retainer or anchored in place by the surrounding teeth.
  • Dental bridges “bridge” the gaps by anchoring to the neighboring teeth, but unlike dentures, they’re cemented in place.
  • The most permanent solution is a dental implant, which functions like a normal tooth. An implant consists of a post fixed in the jaw bone with a crown on top that matches the natural teeth. Implants can also provide support for bridges when multiple teeth are missing.

Let’s Take A Look At Those Teeth

With regular dental appointments, we can catch cases of hypodontia and hyperdontia early on and make a plan for how to address it. Keep up with your daily dental hygiene routine, keep scheduling those regular appointments, and give us a call if you have any questions about these rare conditions!

Keep on smiling!

Top image by Flickr user Héctor Arango used under Creative Commons Attribution-Sharealike 4.0 license. Image cropped and modified from original.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Tooth Impaction: Teeth Trapped In The Gums

May 14th, 2019

EVERYONE’S TEETH ARE DIFFERENT. Some people’s adult teeth come in early, some come in late. In rare cases, not all of the adult teeth will come in on their own, which could be because they’re trapped beneath the gums.

Impacted Teeth

Overcrowding is a fairly common issue for adult teeth, but sometimes when there isn’t room for a new tooth to come in, it stays partially or fully under the gums instead. This happens most often with wisdom teeth, which can actually endanger the roots of neighboring molars when they are crooked or sideways in the jaw.

After wisdom teeth, the most likely teeth to be impacted are the upper canines. Research has shown that these tend to pop up more frequently in families. Usually only one of the canines is impacted, but sometimes they both are. The reason this happens to the upper canines is that they come in after the incisors and premolars next to them, which doesn't always leave them enough room.

The Problems When Teeth Can’t Come In

Typical complications of impacted teeth include cavities, infections, gum disease, nerve damage, root damage to adjacent teeth with symptoms like bad breath or a bad taste in the mouth, pain and tenderness around the jaw, headaches and jaw aches, swollen gums or lymph nodes, and visible gaps between teeth.

Not everyone with an impacted tooth will experience these symptoms, however. With an impacted canine, the baby tooth might not even loosen because nothing’s pushing at it. This can have a significant impact on a person’s face and smile, because canine teeth have the longest roots and form the “corners” of the smile, as well as providing protection and support for the teeth around them.

Putting An Impacted Tooth In Its Place

There isn’t usually a way to prevent a tooth from becoming impacted, but an impacted wisdom tooth can be removed, and an impacted canine can be moved into its proper place with the assistance of oral surgery and orthodontic treatment. After the impacted tooth is discovered in dental X-rays, the orthodontist can decide how best to proceed.

https://www.youtube.com/watch?v=_r1Zl2rI_8o

Think You Might Have An Impacted Tooth?

Do you or someone you know have an impacted canine tooth? Schedule a consultation with us so that we can take a look and come up with a plan to move that tooth out of the gums where it’s hiding and into the place it belongs!

We’re here to help you get the smile of your dreams!

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Top image by Flickr user ilaria used under Creative Commons Attribution-Sharealike 4.0 license. Image cropped and modified from original.

Breaking Down Eight Braces Myths

April 16th, 2019

EVEN IF YOU’VE NEVER had braces before, you’ve probably still heard a lot of things about what they’re like. Well, don’t believe everything you hear, because there is some bad information out there. That’s why today we’re going to bust eight of the most common braces myths.

1. Braces Rust

While braces are often made of metal, they do not rust. The metals in braces are stainless steel and titanium, so you don’t have to worry about them rusting in your mouth.

2. You Can’t Play An Instrument With Braces

It certainly takes some adjusting to play brass or woodwind instruments with braces, but it’s still entirely doable! Don’t feel like you have to choose between proper dental alignment and the instrument you love, because you can have both!

3. You Can’t Play Sports With Braces

If you play a sport, particularly a contact sport, you may have heard that you won’t be able to keep playing while you have braces, but this isn’t the case! As long as you wear a properly fitted mouthguard, your mouth and your braces will be protected while you play.

4. Braces Are Only For Teens

It is true that it is easier to undergo orthodontic treatment as a teenager, but there isn’t a time limit for getting braces. Adults of any age can get them too. We've treated patients from age 8 to 80!

5. My General Dentist Can Give Me Braces

To become an orthodontist, a dentist must gain years of additional training after completing dental school. Your general dentist has not completed this training to understand the best ways to safely and effectively correct misaligned teeth and jaws.

6. Rubber Bands Aren’t Important

Failing to wear rubber bands as instructed by the orthodontist is one of the biggest causes for prolonged orthodontic treatment. Wear your rubber bands!

7. Double Rubber Bands Equal Double The Movement

While some patients forget their rubber bands or don’t want to bother with them because they are uncomfortable, other patients think they can reduce their treatment time by wearing even more rubber bands than recommended. Do not do this! Too many rubber bands will cause unnecessary discomfort and they won’t move your teeth the way they are meant to move. It can actually cause damage to the roots and bone due to excessive force! You will probably end up needing to wear your braces longer than planned as a result. Stick to the instructions.

8. Your Teeth Will Be Straight Forever After Braces

The periodontal ligaments that hold our teeth in place within our jaws tend to be stubborn, and have muscle memory like all other muscles in our body. They remember where the teeth used to be before braces, and they want to go back. To keep your teeth in their aligned, post-braces condition, make sure you wear your retainers as recommended.

Trust The Experts, Not The Myths!

Whatever you’ve heard about orthodontic treatment, make sure you bring all your questions to us. We can tell you what braces are really like at your initial consultation, as well as what you can expect from your treatment, how long it will likely take, and what you will experience.

We can’t wait to help you get the smile of your dreams!

Top image by Flickr user Gordon used under Creative Commons Attribution-Sharealike 4.0 license. Image cropped and modified from original.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Adult Braces: Not A Myth

March 19th, 2019

IF YOU’RE OUT OF your teens, you might think you missed your chance for straight teeth, but that’s not true! Modern orthodontic treatment is for adults as well as teens. And even if you had braces before, your teeth might still shift over time, which is another reason to consider treatment as an adult.
How Teeth Shift As We Age

Our teeth naturally move and shift throughout our lives — including in ways we’d prefer they didn’t. In a process called mesial drift, our teeth slowly move towards the front of our mouths as we age. Other factors, including enamel loss, teeth grinding, and tooth loss, can move our teeth out of alignment too. The result is an increasingly crooked, overcrowded smile that is harder to keep healthy. If you previously had orthodontic treatment, but stopped wearing your retainers or had them removed, your teeth are free to shift wherever they please! Retainers are a lifelong commitment!

 

It’s Never Too Late For Orthodontic Treatment

Stopping bad habits and maintaining good ones is important, but it won’t reverse dental shifting that has already taken place, and that’s where adult orthodontic treatment comes in. While it’s true that our teeth can be guided into place more easily when we are younger, they will still respond to orthodontic appliances.

One advantage adult orthodontic patients have over teenagers is that they have the self-discipline to carefully follow the orthodontist’s instruction, which ensures better, timelier results!

Go Low-Profile With Modern Orthodontics

Maybe you already knew that adults could get braces, and what’s really stopping you is the idea of spending a year or so as a “brace-face.” Don’t be discouraged! There are several ways to get orthodontic treatment without everyone noticing your appliance, such as invisible aligners or clear, ceramic braces. No one needs to know that you’re on your way to a straighter smile if you don’t want them to!

Schedule Your Consultation Today!

Everyone’s teeth are different, and so is their orthodontic treatment. We’re sure you still have many questions about what your treatment would involve, how long it would take, and, of course, the cost. We’d be happy to answer any questions you have about adult braces, so just give us a call or stop by!

Everyone deserves to have the smile of their dreams!

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Top image by Flickr user tiarescott used under Creative Commons Attribution-Sharealike 4.0 license. Image cropped and modified from original.

Straight Teeth: Not Just About Looks

February 26th, 2019

The most obvious impact of orthodontic treatment is a straighter, more attractive smile. While it is true that we tend to perceive people with properly aligned teeth as happier and more successful, the benefits aren’t just superficial.

Clearer Speech

Do you remember the lisp you had between losing your two front teeth and the adult ones growing in? Based on that, it shouldn’t be much of a surprise that our teeth are a crucial component to our ability to speak and enunciate clearly.

In order to make the right sounds, our lips and tongues have to maneuver around our teeth. When teeth are properly aligned, this is simple, but crooked teeth can result in a lisp, slurring, or difficulty making certain sounds that require tongue-to-tooth contact, such as the “t,” “s,” and “ch” sounds. Orthodontic treatment can solve these problems by moving the teeth into their proper positions.

Healthier Digestion

We don’t give our teeth enough credit for the role they play in good digestion. Chewing is a very important part of the process. It doesn’t just chop the food into small enough pieces to fit down the esophagus, it mixes the food with saliva, which begins the chemical digestion process.

When we wolf down our food without much chewing — or when we chew with misaligned teeth that don’t do the job effectively — it forces our stomachs to work harder than they should. If you already have straight teeth, put them to good use by chewing each mouthful for longer. If you don’t, your digestive system will thank you for getting orthodontic treatment.

Better Breathing

Having poorly aligned teeth can make it difficult or even impossible to comfortably close your jaws when you aren’t moving them, which can lead to habitual mouth breathing. Mouth breathing has a number of negative effects, including dry mouth, bad breath, snoring, chronic fatigue, and brain fog. The effects are an even bigger problem for kids, sometimes going as far as changing the development of their facial bone structure.

Easier Cleaning

Properly aligned teeth have the additional benefit of being easier to clean and maintain! It can be difficult to adequately navigate your toothbrush and floss around very crooked or misplaced teeth. When your teeth are in their appropriate positions, your job of keeping them clean becomes much easier. Plus, if you are able to keep things healthier, there should be less cavities for your to worry about!

Straight Teeth For A Better Life

Not only do straight teeth make it easier to speak, eat, and breathe properly, they’re also easier to clean! Maybe you’ve been avoiding orthodontic treatment because you’re happy with the way your smile looks, but the many benefits of straight teeth are worth considering.

Straight teeth lead to better oral health and better overall health!

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Top image used under CC0 Public Domain license. Image cropped and modified from original.

How Dental Implants and Orthodontic Treatment Fit Together

October 9th, 2018

IF YOU HAVE EXPERIENCED TOOTH LOSS, you are not alone. In fact, more than 35 million Americans are missing all of their teeth, while 178 million are missing at least one tooth. Here’s the good news: there are solutions for you.

There Are Many Benefits to Choosing Implants

Here are five major benefits to consider when deciding between dental implants and other tooth restoration options:

#1: Dental implants are convenient and long-lasting.

Unlike dentures, you don’t need to take them out to eat or clean and there’s no need to reapply them with adhesive. Implants also provide a permanent solution to tooth loss–they are built to last a lifetime if they are well taken care of.

#2: Get the look, feel and function of your natural teeth.

Dental implants are virtually indistinguishable from natural teeth so you can look and feel your best. They also function like real teeth, meaning you can bite naturally and eat the foods you love without hesitation. Implants also don’t interfere with speech like some other replacement options.

#3: Oral hygiene isn’t complicated by implants.

You can take care of your teeth as usual, flossing once a day and brushing twice daily. With implants, it’s easy to maintain that bright, beautiful smile!

#4: Implants prevent bone deterioration and loss.

When you lose teeth the jawbone deteriorates, causing your face to appear sunken over time. Implants act as an artificial tooth root, stimulating the jawbone and promoting bone growth. This helps maintain the natural shape of your face and jaw.

#5: Leave your natural teeth unaltered.

Some treatment options, like a dental bridge, require grinding down other healthy teeth to support the bridge. Implants replace lost teeth but do not require any alteration of your existing healthy teeth.

Where Does Orthodontic Treatment Come In?

Some patients may need to undergo orthodontic treatment to create space in their mouths for dental implants to be placed in the proper location. Other patients may have implants placed first to serve as an anchor for orthodontic appliances, so the remaining natural teeth can be straightened.

Whatever tooth restoration option you choose, it is important that you replace your missing teeth. When teeth are missing, other remaining teeth will shift into the empty space resulting in bite misalignment and crooked teeth. If left untreated, gums will begin to deteriorate, bone structure will weaken and there is a higher risk of additional tooth loss.

Don’t Let Tooth Loss Keep You From Smiling

You should never let tooth loss keep you from a healthy, beautiful smile. If you have experienced tooth loss, come and talk with us today. We work together with your other dental care providers to see what tooth restoration options will be best for you, your lifestyle and health.

Our patients' smiles make it all worthwhile!

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Image by Flickr user Gordon used under Creative Commons Attribution-ShareAlike 4.0 license. Image cropped and modified from original.

Congenitally Missing Teeth

March 1st, 2018

IT’S ONE THING TO lose a tooth, whether through poor oral hygiene, accident, or oral surgery. A tooth not growing in where it should is something else. Between 2-4 percent of the population will have at least one tooth missing from their adult set. This condition is called congenitally missing teeth or hypodontia. In the much rarer event that the full set of teeth is missing, it’s called anodontia.
It’s All About Genes

The most common teeth to be affected by this condition are wisdom teeth, upper lateral incisors, and lower second premolars. Since wisdom teeth are often removed anyway, not having them in the first place can save you a lot of hassle, but those incisors and premolars are more important!

Genetics are almost always the culprit behind hypodontia, which is why it tends to run in families. Missing teeth could be the only issue, or they could be the result of a broader genetic disorder, such as ectodermal dysplasia or Down syndrome. Whatever the cause, there are many treatment options available for hypodontia.

Filling In The Gaps

Having these missing teeth can cause a few problems, such as difficulty chewing, the existing teeth shifting, and poor jaw support that could lead to the loss of additional teeth. This is why it’s important to get the issue taken care of as soon as possible. However, there is no one-size-fits-all solution. Different options will be preferable depending on the age and sex of the patient and the length of time the tooth has been missing.

In most cases, orthodontic treatment will be the first step. Because missing teeth can cause the existing teeth to shift, braces are typically necessary to correct the problem and open the gap wide enough to fit a replacement tooth. Replacements can come in a few different forms:

  • Removable partial dentures. These are the simplest solution in many cases. They use the surrounding teeth to anchor them in place, or might be attached to a retainer.
  • Dental bridges. As the name implies, a dental bridge “bridges” gaps by anchoring to the neighboring teeth. Unlike dentures, bridges are cemented in place.
  • Dental implants. These will function like normal teeth, with a post fixed in the jaw bone and a crown on top that matches the natural teeth. If multiple teeth are missing, implants can be used as support for bridges.

In other instances, it is possible to use orthodontics to close the space, and camouflage the way the teeth fit together, preventing our patients from needing a replacement tooth. Again, each situation is unique, so while one person may be better treated by creating space to replace a missing tooth, another may be better served by closing the space.

What Treatment Is Right For You?

Having congenitally missing teeth can be a struggle, but our practice is here for you. We can answer any questions you have and help you find the ideal treatment option so that your smile can be complete!

Keep being the wonderful patients that you are!

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Top image used under CC0 Public Domain license. Image cropped and modified from original.

What to Do About Congenitally Missing Teeth

April 19th, 2016

WHILE MOST PEOPLE HAVE thirty-two permanent teeth that develop (including the wisdom teeth), some people’s permanent teeth never grow in at all. These are called congenitally missing teeth—teeth missing from birth—and it’s actually more common than you think!

So, what do you do if you find out you or your child have one or more congenitally missing teeth?

Why Would a Tooth Be Congenitally Missing?

A lot of factors are at play when it comes to the complex process of tooth formation. Congenitally missing teeth can run in families, meaning that often it is simply an inherited trait. Certain systemic conditions can also result in missing teeth. Whatever the reason for congenitally missing teeth, the good news is that there are effective ways to treat it.

What Kinds of Treatments Are There for Missing Teeth?

Depending on your unique situation and personal preference, your orthodontist and/or dentist will recommend one or a combination of these treatments:

  • Orthodontic treatment: Often times gaps left by missing teeth will cause the surrounding teeth to rotate and shift into the empty space, resulting in bad bite and other issues. Orthodontic treatment is typically recommended first to set the patient up for an ideal tooth replacement in the future in regards to function and aesthetics. Your orthodontist will even put a fake tooth on your wire, and create a retainer with a tooth on it so that your smile stays at it's best while you are considering your options for permanent replacement.
  • Dental implants: This is most often the treatment of choice once the surrounding teeth have been put into their proper places. Dental implants are artificial tooth roots that provide a strong foundation for replacement teeth. Combined with a crown specifically made to match your teeth, they are the most aesthetic, functional and long-lasting treatment option.
  • Dental bridge: Bridges, often considered the next best option, literally “bridge” the gap created by one or more missing teeth. Crowns, placed on the two teeth adjacent to the gap, are connected to a false tooth that fills the space left by the missing tooth.
  • Removable partial denture: This appliance consists of replacement teeth attached to a gum-colored plastic base. The removable denture simply rests on your natural teeth and gums.

Your Dream Smile Is Our Goal

If you or your child have congenitally missing teeth, consult with us today about your options. Whatever your decided treatment plan, we’re dedicated to making sure you get the smile you’ve always dreamed of!

Making you smile makes our day!

Image by Flickr user KatieThebeau used under Creative Commons Attribution-ShareAlike 4.0 license. Image cropped and modified from original.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

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