Family Dentistry of Ocean City
Robert W. Yaskin, D.M.D. LLC
421 15th Street
Ocean City, NJ 08226
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Did you ever brush your teeth and find that your gums were bleeding slightly? This unwelcome discovery is more common than you might think — and it might have something to tell you about your oral health. Here are five things you should know about bleeding gums.
It’s never “normal” to have bleeding gums — so if you notice this problem, be sure to have an examination as soon as you can. If you have questions about bleeding gums or periodontal disease, contact us or schedule a consultation. You can read more in the Dear Doctor magazine article “Assessing Risk For Gum Disease.”
Each year, over a million Americans venture abroad for healthcare, with roughly half for dental treatment. Cost is the main reason — “medical tourists” believe they can save substantially on treatment, even with travel.
But before undertaking such a venture for dental work, there are some things you should take into consideration. For one, although quality care exists all over the world, you’ll also find different standards of care. In the United States, for example, not only must dental providers graduate from accredited schools, they must also pass state examinations before they can practice (specialists even more). In some parts of the world, educational standards aren’t as difficult to attain. You may also find differing standards for infection control, drug applications or appliances: for example, you may find a lower quality in implant or crown materials or craftsmanship than you might expect in the U.S.
Communication can also be an obstacle. Language barriers make it more difficult to understand what to expect before, during and after a procedure, or to have your questions answered. It may also hinder your provider from fully accessing your medical and dental history, which could have an impact on your treatment and outcome. Limited communication also increases misunderstanding about services offered, charges and treatment expectations.
Finally, many dental procedures have multiple phases to them, some of which normally span several months and visits. Many who go abroad for more complex procedures may try to have them performed in a much shorter time frame. Doing so, however, could prove disappointing both in the quality of the final outcome and your own well-being under such an arduous schedule. Even if your dental work is performed in an exotic locale, recovering from extensive procedures where you must rest and refrain from strenuous activity is best performed in the comfort of your own home.
It’s important to get the facts before traveling to a foreign country for any medical or dental treatment, especially about a region’s accreditation and care standards, as well as what you can expect in terms of amenities and culture during your stay. One good source is the U.S. Center for Disease Control’s web page for medical tourism (http://goo.gl/75iWBk).
Going abroad for dental care is a big decision — be sure you’re prepared.
If you would like more information on dental treatment abroad, 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 “Dental & Medical Tourism: It’s No Vacation.”
Crowns are a mainstay of cosmetic dentistry used to improve your smile’s appearance in a variety of situations. Not all crowns are alike, though — and the differences could affect your cost.
Crowns or caps are needed to cover remaining tooth structure which was previously damaged. Tooth decay and trauma are the major reasons for damage or loss of tooth structure that make crowns necessary. After preparing the remaining healthy tooth to fit into the new crown, we then make an impression mold of the tooth for a dental technician to use to create the new crown. It’s at this point where the road to your new smile can take different paths, both in construction and how much artistry goes in to your crown’s formation.
Porcelain crown construction falls into two general categories. The first category involves life-like porcelain fused to an inner core of metal. Because many older types of porcelain tend to be brittle and subject to breaking under pressure, metals are used to strengthen the crown. A fused crown can thus provide both durability and a life-like appearance.
In recent years, though, new dental materials have made the second category — all porcelain crowns — a viable option. Either lithium disilicate or zirconium oxide account for nearly two-thirds of crowns made today. Although research on their durability is relatively new, initial results have been encouraging, showing advanced all-ceramic crowns can tolerate forces comparable to porcelain fused to metal (PFM) crowns used in bridges.
On the downside, these newer materials may be more expensive than PFM crowns. Costs for manufacturing may also increase depending on how life-like the matching of color with other teeth you desire your crown to be. For example, individual teeth aren’t a uniform color — there are gradations of color that can vary from the tip of the tooth to the root. To capture these gradations in an individual crown requires a high level of artistry and time by the dental technician, which increases the final cost.
If you’re in need of a crown, it’s best to first make an appointment for a consultation to review your options, and to consider both your expectations and financial ability. Together we can determine what it will take to create a new look for your teeth that fits your expectations and your budget.
One of the best restorative options for slightly deformed, misaligned or stained teeth is a porcelain veneer. Composed of thin, laminated layers of dental material, the veneer is bonded to the outside of the tooth to transform both its shape and color to blend with other natural teeth.
Veneers are more than a technical process — they’re works of art produced by skilled artisans known as dental lab technicians. They use their skills to shape veneers into forms so life-like they can’t be distinguished from other teeth.
How technicians produce veneers depends on the material used. The mainstay for many years was feldspathic porcelain, a powdered material mixed with water to form a paste, which technicians use to build up layers on top of each other. After curing or “firing” in an oven, the finished veneer can mimic both the color variations and translucency of natural teeth.
Although still in use today, feldspathic porcelain does have limitations. It has a tendency to shrink during firing, and because it’s built up in layers it’s not as strong and shatter-resistant as a single composed piece. To address these weaknesses, a different type of veneer material reinforced with leucite came into use in the 1990s. Adding this mineral to the ceramic base, the core of the veneer could be formed into one piece by pressing the heated material into a mold. But while increasing its strength, early leucite veneers were thicker than traditional porcelain and only worked where extra space allowed for them.
This has led to the newest and most advanced form that uses a stronger type of glass ceramic called lithium disilicate. These easily fabricated veneers can be pressed down to a thickness of three tenths of a millimeter, much thinner than leucite veneers with twice the strength.Â And like leucite, lithium disilicate can be milled to increase the accuracy of the fit. It’s also possible to add a layer of feldspathic porcelain to enhance their appearance.
The science — and artistry — of porcelain veneers has come a long way over the last three decades. With more durable, pliable materials, you can have veneers that with proper care could continue to provide you an attractive smile for decades to come.
If you would like more information on dental veneers, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Porcelain Veneers.”