Posts for: December, 2017
When we look at those glamorous faces on TV, it’s easy to forget that celebrities—like the rest of us—often went through an awkward stage in adolescence. But once in a while, something comes along to remind us that flawless Hollywood smiles didn’t always start out that way. Right now, that something is the hashtag #PuberMe: an invitation from late-night TV host Stephen Colbert for fellow celebs to post awkward photos from their youth.
In exchange for posting the embarrassing images, Colbert’s charity is donating to the hurricane relief effort for Puerto Rico; so far about $1 million has been raised. Also raised: many eyebrows, by the adorably dorky pictures—such as the one of Colbert himself, with a smile full of metal braces!
Like many kids, Colbert had teeth that didn’t align properly in his bite. The picture shows that several of his top teeth are in less-than-perfect positions, with noticeable gaps in between. Yet to look at that same smile today, you’d never suspect there had been a problem. That’s the magic of orthodontics.
Time-tested and effective, metal braces like the ones in Colbert’s picture remain among the most widely used appliances today. But orthodontics has come a long way since the late 1970’s, and now there are several other methods for correcting misaligned teeth, including ceramic braces, clear plastic aligners, and invisible lingual braces. The main advantage of the newer methods is that are they are harder to notice (and maybe a bit less awkward).
Ceramic braces, for example, have brackets that match the color of the teeth; with only the thin archwire visible, they’re much more unobtrusive. Clear aligners are transparent plastic trays that completely cover the teeth. Almost impossible to spot, they are worn 22 hours per day, but may be removed for eating or important events. Lingual braces are literally invisible, since they are placed on the tongue side of teeth rather than the lip side. In many situations, they are at least as effective as traditional braces.
Which appliance is best for you? It depends on each person’s individual situation—but many orthodontic patients now have choices that weren’t available in the past. And that goes for both kids and adults, who often appreciate a more “grown-up” image while improving their smiles with orthodontic treatment.
If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Clear Aligners for Teenagers” and “Orthodontics for the Older Adult.”
You don’t have to be a dental professional to appreciate a beautiful smile. Likewise, you’ll also know when something’s not quite right with one.
Such can be the case when a tooth fails to erupt properly, causing most or all of the crown to remain below the gum line, a condition known as impaction. Upper canines (or “eyeteeth,” for their location in the arch under the eyes) are especially susceptible to impaction: located on either side of the lateral incisors, which are on either side of the central incisors (the two center front teeth).
The upper canines are important both for function and appearance. Working with their lower counterparts they help cut through food as we chew, so you lose some of that efficiency when they don’t erupt properly. Impacted teeth are susceptible to abscesses and cysts, and can impinge upon and damage the roots of other teeth. And just as importantly, their absence also disrupts the smile as nearby teeth tend to move or “drift” toward the open space.
Rather than remove the impacted canines as is often done with back teeth, it may be more advantageous for both function and appearance to “coax” them into full eruption. This requires first pinpointing their exact location below the gums using x-rays or cone beam 3-D imaging.
If the teeth are in reasonably good position we must first prepare them for orthodontic treatment by surgically exposing the crown from the gums and bonding a small bracket to it. We then attach a small gold chain to the bracket that extends outside of the gums when we suture them back into place. The chain is attached to orthodontic hardware that exerts pressure on the impacted tooth for several months to “pull” it out into the arch.
This procedure has the best chance of success if undertaken before the end of jaw development in early adulthood. Otherwise, it may be better to remove the impacted canines and replace them with dental implants, followed by orthodontic treatment of other teeth to restore their proper position and bite relationships. In either case, your impacted upper canines don’t have to be a problem — we can restore both your mouth function and your smile.
If you would like more information on impacted teeth and treatment options, 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 “Exposing Impacted Canines.”