My Blog

Posts for: May, 2014

By Paul D. Nifong, Jr, DDS, PA
May 21, 2014
Category: Dental Procedures
WhatMadeAmericanIdolFinalistElliottYaminSmile

One day, while looking at old pictures of himself, 34-year-old American Idol finalist Elliott Yamin noticed something peculiar. “I [had] figured out how to kind of smile without displaying all my teeth,” he told an interviewer with People magazine. The reason: Yamin (like many other people) was unhappy with the way his teeth looked. And others noticed it too: “[They] wrote things in magazines, called me Snaggletooth and things like that,” he said.

Yamin's situation came to the attention of dentists from across the country, several of whom offered to fix his crossbite and other problems. One of them even provided the singer with computer-generated renderings of how he'd look after a total “smile makeover” — and that was enough to convince him. Finally, after receiving a set of porcelain veneers and other dental work — all provided free of charge by the concerned dentist — Yamin has the smile he always dreamed of.

You don't have to be an American Idol finalist to appreciate the benefit of having a super smile — and it's never too late to get started! As Yamin found out, a “smile analysis” is the first step, and it's a critical part of the process. This is the time when you and your dentist get to know each other, and begin talking about what kind of a look you want to achieve, and what you should realistically expect.

But it can be tough to express in words exactly what your idea of a perfect smile looks like. Are the teeth completely regular in alignment and “Hollywood white?” A little bit asymmetrical and more natural-looking — or something in between? And exactly how would that look on you? Fortunately, we have a variety of ways to help you make those decisions.

One is computer-generated images, like the ones that persuaded Yamin. Convenient and relatively easy to produce, they're a great way to preview possible changes before a single tooth is touched. However, some people may find it hard to picture their new smile from different angles and in different lights. If you'd like a better representation, it's possible to produce a 3-D model of the proposed work before it's done. This can let you truly visualize your new smile in a realistic way.

If you need even more evidence before deciding, there's still more that can be done. Your teeth can be built up to their new contours with composite resin, a tooth-colored restoration material that can change tooth shape and size with relative ease. A related procedure, the “provisional restoration,” gives you a complete preview of the final work. When you're satisfied, the “temporary” materials are replaced with more permanent ones, like long-lasting porcelain veneers. Whichever method you choose, you'll be on your way to a better looking smile.

If you would like more information about a smile makeover, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Great Expectations — Perceptions in Smile Design” and “Smile Design Enhanced with Porcelain Veneers.”


By Paul D. Nifong, Jr, DDS, PA
May 06, 2014
Category: Oral Health
Tags: oral health   oral hygiene  
OralIrrigationforCleaningBetweentheTeeth

Does anyone truly enjoy flossing their teeth? We can’t rule it out — but for most of us, flossing is something we do because we understand how very important it is to our oral hygiene. Yet there are some for whom flossing is a much greater challenge — for example, people with limited mobility, or those who are wearing braces. Is there any alternative to flossing that offers these people the same health benefits?

Perhaps — but before we discuss the options, let’s remember why flossing is so important. The number one enemy of your oral health is plaque: a sticky, bacteria-rich film that builds up on the surface of your teeth every day. Flossing is an effective means of removing plaque from the tiny spaces in between the teeth — the places a regular brush can’t reach. Left alone, plaque builds up into a hardened layer called tartar or calculus, which generally requires a professional cleaning with special dental tools to remove. Both plaque and tartar are the major causes of tooth decay and gum disease.

If you are unable to remove plaque via regular flossing, a tool called an oral irrigator may help. Sometimes called a “water flosser” or “pick,” this device is designed to squirt a pulsing jet of high-pressure water through a hand-held wand. Special tips may be also available for use with braces or dental implants.

Since these devices first became widely available in the 1960s, they have been the subject of many studies. The general conclusion from the research has been that water irrigators can be helpful in controlling plaque — particularly in people who would otherwise have trouble doing so. For example, a 2008 study showed that orthodontic patients who used an irrigator with a special tip after brushing normally were able to remove five times as much plaque as those who used brushing alone.

Oral irrigators aren’t just for use in the home. Many dental offices use similar devices for special treatments that can help control gum disease. Of course, in that case, the professional-grade tool is handled by a specially trained dental hygienist, dentist, or periodontist — and it’s part of a procedure that may also involve other manual or power instruments, plus special cleaning solutions.

So does it make sense to use an oral irrigator instead of flossing? For most people, flossing is probably the best way to ensure that you remove as much plaque as possible. But if for some reason you aren’t able to floss effectively, using an oral irrigator offers some well-documented benefits. Why not ask us the next time you come in? We can help you decide which method is right for you, and even demonstrate the most effective techniques for plaque removal.

If you would like more information about oral irrigators, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Cleaning Between Your Teeth: How Water Flossing Can Help.”