Posts for: November, 2015
Each year, over a million Americans venture abroad for healthcare, with roughly half for dental treatment. Cost is the main reason — “medical tourists” believe they can save substantially on treatment, even with travel.
But before undertaking such a venture for dental work, there are some things you should take into consideration. For one, although quality care exists all over the world, you’ll also find different standards of care. In the United States, for example, not only must dental providers graduate from accredited schools, they must also pass state examinations before they can practice (specialists even more). In some parts of the world, educational standards aren’t as difficult to attain. You may also find differing standards for infection control, drug applications or appliances: for example, you may find a lower quality in implant or crown materials or craftsmanship than you might expect in the U.S.
Communication can also be an obstacle. Language barriers make it more difficult to understand what to expect before, during and after a procedure, or to have your questions answered. It may also hinder your provider from fully accessing your medical and dental history, which could have an impact on your treatment and outcome. Limited communication also increases misunderstanding about services offered, charges and treatment expectations.
Finally, many dental procedures have multiple phases to them, some of which normally span several months and visits. Many who go abroad for more complex procedures may try to have them performed in a much shorter time frame. Doing so, however, could prove disappointing both in the quality of the final outcome and your own well-being under such an arduous schedule. Even if your dental work is performed in an exotic locale, recovering from extensive procedures where you must rest and refrain from strenuous activity is best performed in the comfort of your own home.
It’s important to get the facts before traveling to a foreign country for any medical or dental treatment, especially about a region’s accreditation and care standards, as well as what you can expect in terms of amenities and culture during your stay. One good source is the U.S. Center for Disease Control’s web page for medical tourism (http://goo.gl/75iWBk).
Going abroad for dental care is a big decision — be sure you’re prepared.
If you would like more information on dental treatment abroad, 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 & Medical Tourism: It’s No Vacation.”
If a pain you’ve been feeling goes away, you might believe the problem that caused it is gone too. But that doesn’t mean it has, especially with a tooth. An excruciating toothache that suddenly stops should still be examined. Here’s why.
Tooth decay often works its way into a tooth’s innermost layer, the pulp, which contains bundles of nerves and other tissue. The infection attacks the nerves, which send pain signals to the brain. As the infection persists, though, the nerves will eventually die and will no longer be capable of sending pain signals — hence the “mysterious” end of your toothache.
Although the pain has stopped, the infection is very much active in the tooth and will continue to work its way through the root canals to the jaw. And ultimately, the pain will return as the infection invades the bone.
But there’s good news: a tooth in this condition can be saved with a procedure known as root canal therapy. We drill a small hole in the tooth to access the pulp, usually through the biting surface of back teeth or in the rear in front teeth. Once inside the pulp chamber, we clean out the infected and dead tissue. We then fill the empty pulp chamber and the root canals with a special filling and seal the access hole. In a few weeks the tooth receives a life-like crown to further protect it from re-infection and fracture years later.
A straightforward root canal treatment can be performed by a general dentist. If there are complications like a complex root canal network, however, then the skills and specialized equipment of an endodontist (a specialist in root canals) may be needed.
A root canal treatment resolves the real cause of a toothache that suddenly stopped, as well as puts an end to future pain and infection related to the tooth. More importantly, it can save your tooth and add many more years to its life.
If you would like more information on tooth pain, 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 “A Severe Toothache.”
When the multi-platinum recording artist, songwriter and TV personality Jason Derulo was recently asked about his ideal woman, his answer covered a remarkably broad spectrum. "There’s no specific thing," he said, "so I think it’s unfair to say what my ‘type’ is." But it turns out that there is one thing the So You Think You Can Dance judge considers essential: A beautiful smile.
"I’m not into messy teeth," Derulo said. "If the grill has spaces and different colors, it’s not my vibe."
As it turns out, he may be on to something: A number of surveys have indicated that a bright, healthy smile is often the first thing people notice when meeting someone new. Yet many are reluctant to open up that big grin because they aren’t satisfied with the way their teeth look. If you’re one of them, consider this: Modern cosmetic dentistry offers a variety of ways to improve your smile — and it may be easier and more affordable than you think.
For example, if your smile isn’t as bright as you would like it to be, teeth whitening is an effective and economical way to lighten it up. If you opt for in-office treatments, you can expect a lightening effect of up to 10 shades in a single one-hour treatment! Or, you can achieve the same effect in a week or two with a take-home kit we can custom-make for you. Either way, you’ll be safe and comfortable being treated under the supervision of a dental professional — and the results can be expected to last for up to two years, or perhaps more.
If your teeth have minor spacing irregularities, small chips or cracks, it may be possible to repair them in a single office visit via cosmetic bonding. In this process, a liquid composite resin is applied to the teeth and cured (hardened) with a special light. This high-tech material, which comes in colors to match your teeth, can be built up in layers and shaped with dental instruments to create a pleasing, natural effect.
If your smile needs more than just a touch-up, dental veneers may be the answer. These wafer-thin coverings, placed right on top of your natural teeth, can be made in a variety of shapes and colors — from a natural pearly luster to a brilliant "Hollywood white." Custom-made veneers typically involve the removal of a few millimeters of tooth enamel, making them a permanent — and irreversible — treatment. However, by making teeth look more even, closing up spaces and providing dazzling whiteness, veneers just might give you the smile you’ve always wanted.
If you would like more information about cosmetic dental treatments, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine article “Cosmetic Dentistry — A Time for Change.”
One of the most widely used forms of dental imaging is the bitewing x-ray. So called because of the shape of the device that holds the exposable film a patient clenches between their back teeth, the bitewing x-ray is an effective means for detecting the earliest stages of tooth decay.
These early signs are small lesions on a tooth surface caused by mineral loss in the enamel. While we can identify them on front teeth through visual examination or bright lighting, they’re nearly impossible to see on the biting surfaces of back teeth. The bitewing x-ray solves this problem.
During the procedure, a narrow beam of x-rays is directed at the back teeth area. Since X-rays can transmit through solid matter, they pass through the teeth and gums to expose the film attached to the bitewing assembly.
X-rays pass through matter at different rates depending on the density of the tissue — a slower rate for harder tissues like teeth and bone and a faster rate for soft tissues like the gums. As a result, x-rays through teeth expose less of the film and appear as a lighter image than the gums. This difference is so precise even a tooth’s softer dentin appears slighter darker than its harder outer enamel.
This precision helps us identify decay lesions. Because the lesions on the enamel are less dense than the normal enamel, they’ll appear as dark spots. By detecting them at this stage we have a better chance for reversing the effects of decay or at least minimizing damage that’s already occurred.
Because x-rays emit radiation, there’s a natural concern about over-exposure and we go to great lengths to reduce it. Children may undergo a bitewing x-ray twice a year for developing teeth, while adults with healthy teeth are typically x-rayed just once a year. Advances in digital film and other technology have also helped lower the exposure rate.
Today’s standard 4-film bitewing x-ray produces about four days worth of what we receive on average from normal background radiation, so the health risk is quite negligible. The benefit, on the other hand, is much greater — the early detection of tooth decay could ultimately save a tooth.
Transforming your smile can be a huge undertaking. And while we have the technical skills, experience and understanding of aesthetics to perform a smile makeover, your input is just as necessary to achieve a satisfying result.
Your part really has to do with expectations — what do you see when you look in the mirror — and what do you want to change?
Here are 3 questions to help guide you in shaping your expectations for that new, beautiful smile.
What do you dislike about your teeth? This is really about specifics and not just a general feeling of dissatisfaction. Are your teeth misshapen, chipped or missing? Are they discolored or stained? Is the spacing off or do you have a poor bite (malocclusion)? Getting a sense of what you perceive as unattractive will help us formulate a plan to improve the appearance of those problem areas.
Are you concerned with how much your gums show when you smile? Your teeth may be perfect, but if your gums seem to steal the spotlight when you smile (known as a “gummy” smile), you may need some remedy like veneers, crowns or even corrective surgery. Which procedure depends on whether the crowns of your teeth are too short in proportion to the gums, or the muscles in your upper lip are allowing the lip to rise too high when you smile. A dental examination will tell all.
Do you want a “Hollywood Smile” — or just a more attractive, natural you? Smile makeovers aren’t just about clinical alterations — it’s just as much about your personal perceptions of beauty. Some patients want the perfectly shaped, aligned and dazzlingly white smile that’s the epitome of Hollywood. Others want only to enhance their smile, perhaps even keeping a few unique imperfections they’re comfortable with. It’s important to know which person you are, and to communicate that with us when we’re putting together your makeover plan.
Changing your smile is a big step in your life. You can help make the process more satisfying and successful if you understand what you want to change — and why.
If you would like more information on smile analysis and makeover, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Great Expectations.”