Dear Doctor,
I have lost my four upper front teeth and would like to have them replaced with dental implants some day. In the meantime, I don’t want to use the type of partial denture known as a “flipper.” Is there something else I can use, at least temporarily?
How muscles (frenums) cause separation of your front teeth
Dear Doctor,
I have a gap between my two front teeth. My dentist says my teeth are separated because of a muscle that runs down between them. I want to have the spaces closed but he says I will need surgery. Please explain further!
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Despite improvements in dental care, millions of Americans suffer tooth loss — mostly due to tooth decay, gingivitis (gum disease), or injury. For many years, the only treatment options available for people with missing teeth were bridges and dentures. But, today, dental implants are available.
What Are Dental Implants?
Dental implants are replacement tooth roots. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth.
What Are the Advantages of Dental Implants?
There are many advantages to dental implants, including:
Improved appearance. Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent.
Improved speech. With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that teeth might slip.
Improved comfort. Because they become part of you, implants eliminate the discomfort of removable dentures.
Easier eating. Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain.
Improved self-esteem. Dental implants can give you back your smile and help you feel better about yourself.
Improved oral health. Dental implants don’t require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.
Durability. Implants are very durable and will last many years. With good care, many implants last a lifetime.
Convenience. Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place.
If you’re bothered by a “gummy” smile or teeth that you feel are too small, you may want to consider crown lengthening. Also known as a gum lift, this cosmetic dentistry procedure can beautify your smile by exposing more of your teeth.
“Crown lengthening has been used by dentists for years to improve dental health, but it’s recently been gaining popularity as a cosmetic dentistry technique,” says Kimberly Harms, DDS, a dentist in Farmington, Minn., and consumer advisor for the American Dental Association.
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Your teeth can become discolored by stains on the surface or by changes inside the tooth. There are three main types of tooth discoloration:
Extrinsic — This occurs when the outer layer of the tooth (the enamel) is stained. Coffee, wine, cola or other drinks or foods can stain teeth. Smoking also causes extrinsic stains.
Intrinsic — This is when the inner structure of the tooth (the dentin) darkens or gets a yellow tint. You can get this type of discoloration if:
You had too much exposure to fluoride during early childhood.
Your mother used tetracycline antibiotics during the second half of pregnancy.
You used tetracycline antibiotics when you were 8 years old or younger.
You had trauma that affected a tooth when you were a young child. A fall, for example, may damage the developing permanent tooth.
You had trauma in a permanent tooth, and internal bleeding discolored the tooth.
You were born with a rare condition called dentinogenesis imperfecta. This causes gray, amber or purple discolorations.
Age-related — This is a combination of extrinsic and intrinsic factors. Dentin naturally yellows over time. The enamel that covers the teeth gets thinner with age, which allows the dentin to show through. Foods and smoking also can stain teeth as people get older. Finally, chips or other injuries can discolor a tooth, especially when the pulp has been damaged.