Family Dentistry of Ocean City
Robert W. Yaskin, D.M.D. LLC
421 15th Street
Ocean City, NJ 08226
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For decades, dental amalgam — the common “silver” fillings found in the mouths of millions — was the best option for restoring teeth after the removal of decay. This time-tested material is still going strong, but in recent years it's had serious competition from newer restoration techniques that use tooth-colored substances to make fillings. If you've heard of these new materials and want to know more, you can start with the following five facts.
1) Filling materials must match the properties of natural teeth.
When properly cared for, teeth are strong, resilient, and superbly functional. A good filling material should mimic the strength and durability of natural teeth under biting forces. It should also last a long time in the mouth, be relatively easy to place, and be economical in cost. In the past, amalgam fillings were the best choice to do the job. But that was then.
2) Tooth-colored filling materials offer similar benefits, plus aesthetic appeal.
Composite resins and dental porcelains are tough, durable materials that have been found to hold up well under years of use. Unlike traditional silver fillings, however, they match the appearance of natural teeth quite closely. This means that even a restoration in the front of the mouth may be virtually undetectable. And who wouldn't like that?
3) Tooth-colored resins may allow more conservative treatment in decay removal.
In order to keep them securely in place, amalgam (silver) fillings may require “undercutting,” which removes more of the tooth structure. The process involved in bonding tooth-colored restorations, however, generally requires removal of less tooth material. This means a stronger base for rebuilding the tooth's structure.
4) Different treatment methods are used for different degrees of tooth restoration.
Small cavities can be treated by direct “chairside” techniques, which are very similar to the methods used for traditional amalgam (silver) fillings: in one brief visit, it's all done. When a greater volume of tooth structure must be replaced, we may be able to create a larger tooth-colored filling in a longer visit. Or, we might need to have a special restoration made to match your teeth; then, you can come back to have it securely bonded for a natural and long-lasting result.
5) Both amalgam and tooth-colored fillings are safe and effective.
Each has advantages and disadvantages in particular cases. But as the technology of tooth-colored filling systems evolves, some dental researchers have heralded the beginning of the “post-amalgam era.” Are tooth-colored fillings right for your individual situation? We're the ones to ask.
If you would like more information about tooth-colored fillings, 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 “The Natural Beauty of Tooth-Colored Fillings.”
Don't ignore tooth pain hoping it goes away. No matter how mild or fleeting it may be, it's a sign that something's wrong. Healthy teeth shouldn't cause discomfort because the parts containing the nerves — the interior pulp and the dentin around it — are shielded by dental enamel and gums.
Here are some common reasons that teeth ache:
As you can see, it's risky to discount tooth pain and “wait ‘til it goes away.” Our office can help you determine the origin of your pain and the best course of action to resolve it. When in doubt, it's always better to err on the side of caution!
If you would like more information about tooth pain and ways to prevent or treat it, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Tooth Pain? Don't Wait!” and “Sensitive Teeth.”
If a glance in the mirror reveals stained or discolored teeth that are detracting from your self-confidence, it's time to do something about it. The first step is to make an appointment for an office visit to find out how we can help you.
External (extrinsic) stains that form on the surfaces of teeth are usually caused by beverages such as red wine, tea, coffee as well as unhealthy habits like tobacco use. Extrinsic stains generally come in shades of browns, black or grays, but may even be orange or green from color producing bacteria.
Internal (intrinsic) stains are part of the structure of the tooth and cannot be removed by polishing. Among their causes are excessive fluoride levels or tetracycline antibiotics given in childhood and during tooth formation. Teeth do become more yellow and discolored as we age. Discoloration of individual teeth may be indicative of tooth decay, or teeth that have had root canal treatment and have literally lost their vitality tend to darken over time. Internal discoloration comes in a variety of shades and hues from yellows, grays, browns, and even some reds or pink.
If your mirror tells you that your smile needs attention, there's no time like the present to get started. Get back your bright, white smile and your self-confidence as well.
Edentulism — the complete loss of all the permanent teeth — is a condition that affects over one-quarter of all Americans over the age of 65. For many seniors, it can be a devastating blow to their confidence and self-image. Worse, if left untreated, it may lead to nutritional problems, periodontal disease, and bone loss.
Fortunately, an affordable, time-tested treatment option is available: full denture prosthetics, or false teeth. Denture technology has changed over time, but one aspect of the process remains the same: making a superior set of dentures requires an equal blend of science and art.
To replicate the look of a patient's natural teeth, a dentist must make many choices: What size should the new teeth be? How much of them should show above the gum line? How should they be spaced? Photographs of the patient before tooth loss can help in making the decisions. We will use these, combined with clinical acumen and an artist's eye, to achieve the best aesthetic results.
But dentures not only simulate the teeth and gums they replace — they also help support the facial skeleton and the soft tissues of the lips and cheeks. Balancing the muscular forces of the jaws and tongue, they help restore natural functions like speech and eating. In order to perform these tasks properly, it is essential that they be well crafted.
At each stage of their progress, from temporary wax rims through the hard plastic resins of the final product, the dentures are carefully custom-fitted to the contours of the patient's mouth. Their bite must be balanced, meaning that upper and lower dentures come together to properly stabilize each other. This ensures that they will be comfortable to wear and will function properly.
Most people have only minor issues as they make the adjustment to wearing dentures; but for some, it's more troublesome. There are various options available to those patients, including implant-supported hybrid dentures. We can recommend alternatives based on your individual needs and preferences.
If you would like more information about dentures, 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 “Removable Full Dentures.”