Posts for: February, 2018

By River Forest Dental Studio
February 26, 2018
Category: Dental Procedures
Tags: porcelain veneers  
ANo-PrepVeneerCouldEliminatetheNeedtoRemoveToothEnamel

Porcelain veneers are one of the best ways to transform your teeth’s appearance with only a small amount of tooth preparation. But even that small amount could leave a veneered tooth permanently altered.

As the name implies, veneers are thin layers of custom-designed porcelain bonded to the outside of a tooth to cover defects. They’re usually ideal for minor chipping, staining or even slight tooth misalignments. But although they’re thin—often just a millimeter or so in thickness—they can still make a tooth appear or feel bulky.

To reduce this extra width, we usually need to remove some of the tooth’s surface enamel. Since enamel doesn’t replenish itself, this alteration could mean the tooth will require a restoration from then on.

But now, you may be able to take advantage of new advances in this popular restoration: No-Prep or Minimal Prep veneers that involve little to no tooth alteration. In most cases they’re simply bonded to the teeth with only slight enamel reshaping.

Because of their ultra-thinness, No-Prep veneers (usually between 0.3 to 0.5 mm, as thin as a contact lens) are bonded directly to teeth that are practically untouched beforehand. A Minimal Prep veneer usually requires only enamel reshaping with an abrasive tool before it’s placed. And unlike traditional veneers, they can often be removed if needed to return the teeth to their original form without another restoration.

These new veneers are best for people with small teeth, often from wear due to teeth grinding, narrow smiles (the side teeth aren’t visible while smiling), or slightly misshapen teeth like underdeveloped teeth that can appear peg-shaped. But people with oversized teeth, some malocclusions (bad bites) or similar dental situations may still require enamel removal to avoid bulkiness even with ultra-thin veneers.

If you don’t have those kinds of issues and your teeth are reasonably healthy, we can apply No-Prep or Minimal Prep veneers in as few as two appointments. The result could be life-changing as you gain a new smile you’re more than happy to share.

If you would like more information on no-prep veneers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “No-Prep Porcelain Veneers.”


By River Forest Dental Studio
February 18, 2018
Category: Dental Procedures
Tags: tooth pain  
DontIgnoreToothPain-YouMayNeedaRootCanal

Tooth decay is one of the most common diseases in the world, nearly as prevalent as the common cold. It’s also one of the two major dental diseases—the other being periodontal (gum) disease—most responsible for tooth and bone loss.

Tooth decay begins with high levels of acid, the byproduct of oral bacteria feeding on food remnants like sugar. Acid can erode tooth enamel, leading to a cavity that will require removal of decayed material around it and then a filling.

Sometimes, though, decay can spread deeper into the tooth reaching all the way to its core: the pulp with its bundle of nerves and blood vessels. From there it can travel through the root canals to the bone. The continuing damage could eventually lead to the loss of the infected tooth.

If decay reaches the tooth interior, the best course of action is usually a root canal treatment. In this procedure we access the pulp through the crown, the visible part of the tooth, to remove all of the diseased and dead tissue in the pulp chamber.

We then reshape it and the root canals to receive a filling. The filling is normally a substance called gutta percha that’s easily manipulated to conform to the shape of the root canals and pulp chamber. After filling we seal the access hole and later cap the tooth with a crown to protect it from re-infection.

Root canal treatments have literally saved millions of teeth. Unfortunately, they’ve gained an undeserved reputation for pain. But root canals don’t cause pain—they relieve the pain caused by tooth decay. More importantly, your tooth can gain a new lease on life.

But we’ll need to act promptly. If you experience any kind of tooth pain (even if it goes away) you should see us as soon as possible for an examination. Depending on the level of decay and the type of tooth involved, we may be able to perform the procedure in our office. Some cases, though, may have complications that require the skills, procedures and equipment of an endodontist, a specialist in root canal treatment.

So, don’t delay and allow tooth decay to go too far. Your tooth’s survival could hang in the balance.

If you would like more information on tooth decay treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Root Canal Treatment: What You Need to Know.”


By River Forest Dental Studio
February 03, 2018
Category: Dental Procedures
GetAheadofBiteProblemswithInterceptiveOrthodontics

At any given time some 4 million teens and pre-teens are wearing braces or other orthodontic appliances to correct a malocclusion (poor bite). While most cases are straightforward, some have difficulties that increase treatment time and cost.

But what if you could reduce some of these difficulties before they fully develop? We often can through interceptive orthodontics.

This growing concept involves early orthodontic treatment around 6 to 10 years of age with the goal of guiding the development of a child’s jaws and other mouth structures in the right direction. These early years are often the only time of life when many of these treatments will work.

For example, widening the roof of the mouth (the palate) in an abnormally narrow upper jaw takes advantage of a gap in the bone in the center of the palate that doesn’t fuse until later in adolescence. A device called a palatal expander exerts outward pressure on the back teeth to influence the jawbone to grow out. New bone fills in the gap to permanently expand the jaw.

In cases with a developing overbite (the upper front teeth extending too far over the lower teeth when closed), we can install a hinged device called a Herbst appliance to the jaws in the back of the mouth. The hinge mechanism coaxes the lower jaw to develop further forward, which may help avoid more extensive and expensive jaw surgery later.

Interceptive treatments can also be fairly simple in design like a space retainer, but still have a tremendous impact on bite development. A space maintainer is often used when a primary (“baby”) tooth is lost prematurely, which allows other teeth to drift into the empty space and crowd out the incoming permanent tooth. The wire loop device is placed within the open space to prevent drift and preserve the space for the permanent tooth.

To take advantage of these treatments, it’s best to have your child’s bite evaluated early. Professional organizations like the American Association of Orthodontists (AAO) recommend a screening by age 7. While it may reveal no abnormalities at all, it could also provide the first signs of an emerging problem. With interceptive orthodontics we may be able to correct them now or make them less of a problem for the future.

If you would like more information on orthodontic treatments, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Interceptive Orthodontics.”




Gina Piccioni, D.M.D. and John G. Hartmann, D.D.S.

River Forest, IL Dentist

River Forest Dental Studio

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