Cosmetic Dentistry for Your Family

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By Timothy T. Bui, D.D.S., Inc.
November 09, 2018
Category: Dental Procedures
Tags: crowns  
NotallCrownsareAlike-orCosttheSame

All crowns are designed to restore functionality to a damaged tooth. But crowns can differ from one another in their appearance, in the material they’re made from, and how they blend with other teeth.

A crown is a metal or porcelain artifice that’s bonded permanently over a decayed or damaged tooth. Every crown process begins with preparation of the tooth so the crown will fit over it. Afterward, we make an impression of the prepared tooth digitally or with an elastic material that most often is sent to a dental laboratory to create the new crown.

It’s at this point where crown composition and design can diverge. Most of the first known crowns were made of metal (usually gold or silver), which is still a component in some crowns today. A few decades ago dental porcelain, a form of ceramic that could provide a tooth-like appearance, began to emerge as a crown material. The first types of porcelain could match a real tooth’s color or texture, but were brittle and didn’t hold up well to biting forces. Dentists developed a crown with a metal interior for strength and a fused outside layer of porcelain for appearance.

This hybrid became the crown design of choice up until the last decade. It is being overtaken, though, by all-ceramic crowns made with new forms of more durable porcelain, some strengthened with a material known as Lucite. Today, only about 40% of crowns installed annually are the metal-porcelain hybrid, while all-porcelain crowns are growing in popularity.

Of course, these newer porcelain crowns and the attention to the artistic detail they require are often more expensive than more traditional crowns. If you depend on dental insurance to help with your dental care costs, you may find your policy maximum benefit for these newer type crowns won’t cover the costs.

If you want the most affordable price and are satisfied primarily with restored function, a basic crown is still a viable choice. If, however, you would like a crown that does the most for your smile, you may want to consider one with newer, stronger porcelain and made with greater artistic detail by the dental technician. In either case, the crown you receive will restore lost function and provide some degree of improvement to the appearance of a damaged tooth.

If you would like more information on porcelain crown, please contact us or schedule an appointment for a consultation.

By Timothy T. Bui, D.D.S., Inc.
October 30, 2018
Category: Dental Procedures
AMouthguardforNBAStarIsaiahThomas

Even after losing a tooth in an on-court collision with an opposing player, Isaiah Thomas didn’t slow down. The Boston Celtics point guard completed the play…and the rest of the game. Unfortunately, that wasn’t the end of his dental problems — it was just the beginning.

Over the next few days, Thomas had a total of ten hours of oral surgery to treat problems with multiple teeth. He got a temporary bridge, and will receive a permanent one at a later date. He also got fitted for a custom-made mouthguard to prevent re-injury.

We’re pleased to see that Thomas is getting appropriate dental treatment. But it’s unfortunate that he didn’t get the mouthguard sooner; this one piece of inexpensive safety gear could have saved him a lot of pain and trouble. If you think mouthguards are strictly for full-contact sports, Thomas’ troubles should make you think again. In fact, according to a 2015 study in the journal Sports Health, the five sports with the highest overall risk of tooth loss are basketball, football, hockey, martial arts, and boxing. Plenty of other also involve the risk of dental injury.

The study also notes that some 5 million teeth are avulsed (knocked out) each year in the U.S. alone. Countless others are loosened, fractured or chipped. What’s more, it is estimated that the lifetime cost of treating an avulsed tooth is between $5,000 and $20,000. The cost of a custom-made mouthguard is just a small fraction of that.

Where can you or your child get a custom-made mouthguard? Right here at the dental office! These high-quality items are professionally fabricated from a model of your actual teeth, so they fit much better than an off-the-shelf one ever could. They offer superior protection, durability and comfort — because, after all, no mouthguard can protect you if it’s too uncomfortable to wear.

Thomas’ season is now over due to a hip injury, but at least he will now have time to rest and get his dental problems taken care of. Let’s hope his story will inspire more athletes — both professional and amateur — to prevent similar problems by wearing custom-made mouthguards. Whether you compete on a school team, enjoy a pick-up game after work, or play in the big leagues, a dental injury is one problem that you don’t need.

If you have questions about custom-made mouthguards, please contact us or schedule an appointment for a consultation.

By Timothy T. Bui, D.D.S., Inc.
October 23, 2018
Tags: teeth whitening  

Teeth Whitening SmileWant That Glamorous Smile?

Dr. Timothy Bui offers teeth whitening in his Garden Grove and Newport Beach, CA, offices. Read below to learn of the three types of teeth whitening procedures provided by his practice!

At-Home Teeth Whitening

This form of whitening utilizes custom-made upper and lower trays made for you to take home. Dr. Bui will instruct you to place bleaching gels in these trays and to wear them after dinner for an hour. You should do this every evening for 2-3 weeks, depending on how much work your teeth need.

In-Office Teeth Whitening

For this method, Dr. Bui will begin by placing a device in your mouth that is designed to keep the cheeks and lips open, while also preventing soft tissue from coming in contact with soon to be applied bleaching gel. Your dentist will then administer the gel on your teeth and begin exposing them to ARC light to accelerate and amplify tooth whitening. While this is happening, relaxing music will be played to create a sense of comfort.

You may find his procedure better than the at-home teeth whitening kit because there is a lessened possibility of teeth sensitivity and gum discomfort. Additionally, the procedure is quicker and provides more immediate results.

Laser Teeth Whitening

During laser teeth whitening, Dr. Bui will isolate your teeth from the gums and lips using a specialized retractor. He'll then apply powder or liquid gel on the teeth and use a pulsating laser beam to whiten them. This process can be repeated 2-6 times.

Similar to the in-office method, this procedure is advantageous because there's a lessened possibility of teeth sensitivity and fast results.

Intrigued? Contact Us Today!

For more information on teeth whitening in the Garden Grove or Newport Beach area, call Advanced Dental Smiles at (949) 675-7750 (Newport Beach) or (714) 537-0550 (Garden Grove) ‎today!

By Timothy T. Bui, D.D.S., Inc.
October 20, 2018
Category: Dental Procedures
Tags: missing teeth  
TeenagerswithMissingTeethUsuallyNeedaTemporaryRestoration

Anyone at any age, including older children and teenagers, can lose or be born missing a permanent tooth. And while those missing teeth can be restored, replacing them in patients who haven’t yet reached adulthood can be tricky.

That’s because their dental and facial development isn’t finished. This is especially problematic for dental implants because as the jaws continue to grow, a “non-growing” implant could eventually appear out of alignment with the surrounding natural teeth. That’s why it’s often better to install a temporary restoration until the jaws fully mature in early adulthood. Two great choices are a removable partial denture (RPD) or a bonded (“Maryland”) bridge.

While “dentures” and “teens” don’t seem to go together, an RPD in fact can effectively restore a teen’s lost dental function and appearance. Of the various types of RPDs the one usually recommended for teens has a hard acrylic base colored to resemble the gums, to which we attach prosthetic (“false”) teeth at their appropriate positions on the jaw.

Besides effectiveness, RPDs are easy to clean and maintain. On the downside, though, an RPD can break and—as a removable appliance—become lost. They can also lose their fit due to changes in jaw structure.

The bonded bridge is similar to a traditional fixed bridge. But there’s one big difference: traditional bridges crown the natural teeth on either side of the missing teeth to secure them in place. The supporting teeth must be significantly (and permanently) altered to accommodate the life-like crowns on either end of the bridge.

Instead, a bonded bridge affixes “wings” of dental material extending from the back of the bridge to the back of the natural teeth on either side. While not quite as strong as a regular bridge, the bonded bridge avoids altering any natural teeth.

While a fixed bridge conveniently stays in place, they’re more difficult than an RPD to keep clean. And while less prone to breakage, they aren’t entirely immune to certain stresses from biting and chewing especially in the presence of some poor bites (how the upper and lower teeth come together).

Choosing between the two restorations will depend on these and other factors. But either choice can serve your teen well until they’re able to permanently replace their missing teeth.

If you would like more information on dental restorations for teens, please contact us or schedule an appointment for a consultation.

By Timothy T. Bui, D.D.S., Inc.
October 10, 2018
Category: Oral Health
DentalInjuryIsJustaTemporarySetbackforBasketballStarKevinLove

The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.

In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?

The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.

Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.

So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”

Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.

If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”





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