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Posts for: September, 2015

WeighaPoorSmilesEmotionalandSocialCostwhenConsideringRestorations

We readily understand the physical costs of a decayed tooth or infected gums — pain, discomfort and loss of function. It’s much more difficult to understand the emotional and social costs of a lost smile. Without that understanding we may be tempted to view restorative solutions as a luxury we can’t afford.

But there is a definite cost to a smile that embarrasses or makes you unhappy. It can inhibit your friendships and family relations and cause you to become withdrawn from others. Your career may suffer, especially if your vocation involves networking or similar social outreach where you no longer feel free to be outgoing. Most of all, though, your own feelings about your look can keep you from pursuing the things you love or that matter the most to you.

Viewed in that light, a “smile makeover,” a comprehensive approach to transforming your appearance, is an investment in a better life, not a frivolity. Although the word “cosmetic” can mean “a superficial outer adornment,” in the dental profession the meaning is much deeper. Dentists who specialize in smile design are focused on the overall effect of their work — not only with your mouth but with your whole face.

The process begins with a complete examination of your mouth to identify your particular dental needs. We also want to know about your expectations and desires for a better smile. We use that, along with the realities of your physical condition and other factors, to develop a treatment plan. The plan may be as singular as whitening procedures or porcelain veneers applied to the outside of your teeth — or it may be comprehensive with a variety of procedures that could include other specialties like orthodontics or oral surgery. The overall aim is to develop a plan that’s right for you, and realistically satisfies your expectations.

The end result can be life-changing. Even subtle changes can alter your own image perceptions and free you to be yourself in your personal and professional relationships. In the end the positive impact of your new smile will more than offset the costs for achieving it.

If you would like more information on smile transformation, 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 Impact of a Smile Makeover.”


By Berger Family Dental
September 16, 2015
Category: Dental Procedures
Tags: teeth whitening  
WeighingtheProsandConsofTeethWhitening

Transforming your smile doesn’t necessarily require complex treatments like orthodontics, dental implants or porcelain veneers. Sometimes a little brightness can mean all the difference in the world.

Bleaching (or teeth whitening) is a proven method for dealing with tooth discoloration and staining. Nearly all whitening products, whether home or professional, contain the bleaching agent carbamide peroxide or its breakdown product hydrogen peroxide. These agents effectively diminish staining deep within a tooth (intrinsic) or on the enamel surface (extrinsic), although intrinsic staining will require a more invasive office procedure.

If you have extrinsic staining you have three basic options: dental office bleaching, a retail home kit or a kit purchased from a dentist. Again, you’ll find the same basic bleaching agents in each of these versions. The difference will be the concentration: home kits contain about 10% agent by volume, while the office application will be a much higher range of 15% to 35% (which may also employ specialized lights or lasers to increase the bleaching effect). As a result, an office bleaching may take only a visit or two to achieve the desired brightness while a home kit about two or three weeks.

Whitening is a more economical route for smile enhancement of otherwise sound teeth than other measures. But there are other considerations you should weigh before undergoing a procedure. Whitening isn’t a permanent fix — the brightness will diminish over time, optimally six months to a year in what dentists call the “fade rate.” You can slow this process by avoiding or limiting foods and habits that cause staining.

If you have other dental work — crowns, bridgework or fillings — it may be difficult to achieve a tint level that matches these restorations, especially at home. And while whitening is relatively safe (as long as you’re using your kit as directed), you may experience tooth sensitivity, gum irritation or other minor oral side effects.

Before you decide on whitening, visit us first for a complete dental examination. From there we can advise you on whether whitening is a good smile enhancement choice for you.

If you would like more information on teeth whitening, 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 “Teeth Whitening.”


By Berger Family Dental
September 08, 2015
Category: Oral Health
Tags: oral health   cold sore  
IrritatingColdSoreOutbreakscanbeControlledThroughMedication

Although normally benign, a cold sore outbreak can be irritating and embarrassing. Understanding why they occur is the first step to minimizing outbreaks.

The typical cold sore (also known as a fever blister) is caused by the Herpes Simplex Virus (HSV) Type I, medically known as “Herpes Labialis” because it occurs on or around the lips. This virus is not to be confused with HSV Type II, which causes a genital infection. Unlike most viruses, HSV Type I can cause a recurring sore outbreak in certain people. Most viruses tend to occur only once because the body produces anti-bodies to prevent further attack; it’s believed HSV Type I, however, can shield itself from these defenses by hiding in the body’s nerve roots.

These cold sore outbreaks often occur during periods of high stress, overexposure to sunlight or injuries to the lip. Initially you may have an itch or slight burning around the mouth that escalates into more severe itching, redness, swelling and blistering. The sores will break out for about a week to ten days and then scab over and eventually heal (unless they become infected, in which case the healing process may go longer). You’re contagious between the first symptoms and healing, and so can spread the virus to other people.

In recent years, anti-viral prescription medications have been developed that can effectively prevent HSV outbreaks, or at least reduce the healing time after an occurrence. The most common of these are acyclovir and valcyclovir, proven effective with only a few possible mild side effects. They can be taken routinely by people with recurring cold sores to suppress regular outbreaks.

While HSV Type I cold sores are more an aggravation than a health danger, it’s still important for you to see us initially for an examination if you encounter an outbreak. It’s possible for a more serious condition to masquerade as a cold sore or blister. A visit to us may also get you on the right track to reducing the frequency of outbreaks, as well as minimizing discomfort when they do occur.

If you would like more information on the treatment of cold sores, 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 “Cold Sores.”




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