By Lakeshore Dentistry & Implant Center
January 18, 2019
Category: Dental Procedures
Tags: porcelain veneers  
ANewVeneerwithMinimalorNoToothAlteration

Dental veneers, thin layers of porcelain bonded to chipped, stained or slightly crooked teeth, are an effective and affordable way to transform your smile. Their color, translucence and shape blend so well with the rest of your teeth that it's often difficult to tell them apart.

But traditional veneers have one drawback: although they're less than a millimeter in width, they can still appear bulky on unprepared teeth. To help them look more natural, we often have to remove some of the enamel layer from the tooth surface. Enamel doesn't grow back, so this alteration is permanent and the prepared teeth will require a restoration from then on.

But you may be able to avoid this—or at least keep the alteration to a minimum—with no-prep or minimal-prep veneers, two new exciting choices in cosmetic dentistry. About the width of a contact lens, we can bond these much thinner veneers to teeth with virtually no preparation at all or, in the case of a minimal-prep veneer, needing only an abrasive tool to reshape and remove only a tiny bit of the enamel.

These ultra thin veneers are best for teeth with healthy enamel, and can be placed in as few as two appointments. And besides being less invasive, the procedure is reversible—we can remove them and you can return to your original look without any follow-up restoration. One caveat, though: because of the strong bonding process used, it's not always easy to remove them.

Although their thinness makes it possible to avoid or minimize alterations, there are some dental situations like oversized teeth that may still require extensive tooth preparation. With some poor bites (malocclusions) orthodontic treatment to straighten the teeth may also be needed first.

All in all, though, no-prep or minimal-prep veneers could help you avoid the permanent tooth alteration that usually accompanies their thicker cousins. What's more, you'll have the beautiful, transformed smile that veneers can achieve.

If you would like more information on minimal or 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 magazine article “No-Prep Porcelain Veneers.”

By Lakeshore Dentistry & Implant Center
January 08, 2019
Category: Dental Procedures
ThreeReasonswhyYourSixYearOldShouldUndergoanOrthodonticCheck

It would seem the best time to turn your attention to orthodontic problems with your child is when their permanent teeth have come in around early puberty. In fact, you should be attentive much earlier at around 6 years of age.

Here are 3 reasons why an early orthodontic evaluation could be beneficial to your child’s dental health.

We may be able to detect the first signs of a malocclusion. Also known as a poor bite, it’s possible for an experienced dentist or orthodontist to notice the beginning of a malocclusion as the permanent teeth start coming in between ages 6 and 12. Crowding of teeth, abnormal space between teeth, crooked, protruding or missing teeth are all signs that the teeth are not or will not be coming in properly and some type of treatment will eventually be necessary to correct it.

We might spot problems with jaw or facial development. Not all malocclusions arise from faulty erupting teeth position: sometimes they’re caused by abnormal development of the jaw and facial structure. For example, an orthodontist can detect if the upper jaw is developing too narrowly, which can create a malocclusion known as a cross bite. The difference in the source of a malocclusion will determine what present or future treatment will be needed.

We can perform “interceptive” treatment. While braces won’t typically be undertaken until the permanent teeth have come in, there are other treatments that can “intercept” a growing problem to eliminate or lessen future treatment needs. Orthodontists may recommend appliances that help guide incoming teeth, coax impacted teeth to come in fully or expand portions of the upper jaw to normal dimensions.

As with other areas of health, the earlier orthodontic problems are found the better the chances of a successful and less interventional outcome. By having your child examined orthodontically you may be saving money and future difficulties.

If you would like more information on when to begin monitoring bite development in your child, 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 “Early Orthodontic Evaluation.”

By Lakeshore Dentistry & Implant Center
December 29, 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.”

By Lakeshore Dentistry & Implant Center
December 19, 2018
Category: Dental Procedures
OrthodonticsCouldbetheSmileTransformerYouveBeenLookingFor

When designing your new smile, we have a lot of options for changing how individual teeth look: from whitening discolored teeth to replacing missing teeth with life-like dental implants. But the problem may not be how your teeth look — in fact, individually they may look perfect. If they’re not straight, though, your smile won’t be as attractive as it could be.

We can address a poor bite (malocclusion) through the dental specialty of orthodontics. By moving misaligned teeth we may be able to transform your smile without any other dental work, or it could serve as a more solid foundation for other cosmetic enhancements. To find out if orthodontics can make a difference for you, you should begin with an initial visit to your general dentist. A thorough dental examination will enable them to tell you if correcting your bite could be a good option for you. If it is, they’ll most likely refer you to an orthodontist, a specialist in treating malocclusions.

The orthodontist will also perform an evaluation and get as complete a picture as possible of your particular bite problems. This examination will also include checking jaw growth and development in younger patients, how the affected teeth align with other teeth, and if your current bite is having any effect on the jaw joints. This will provide a good overview of not only the malocclusion but how it affects the rest of your mouth.

With this detailed analysis, they can then advise you on the best course of treatment. Most malocclusions can be corrected with braces or, increasingly, clear aligner trays. In certain situations, though, more specialized approaches may be needed, such as isolating only certain teeth for movement.

While orthodontic treatment takes time and can be expensive, the end result can be amazing: an improved bite that not only enhances your appearance but improves function and long-term health. Along with other cosmetic enhancements to your teeth and gums, orthodontics can give you a new sense of confidence in your smile.

If you would like more information on improving your smile with orthodontic treatment, 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 Magic of Orthodontics.”

By Lakeshore Dentistry & Implant Center
December 10, 2018
Category: Dental Procedures
Tags: dental implants  

Dental ImplantsYour smile matters. If yours is gapped due to decay, injury, gum disease or other circumstance, explore what dental implants can do for you. At Lakeshore Dentistry & Implant Center in Holland, MI, expert dentists, Drs. Ryan Lebster and Jose Vivas combine years of experience, skill, and artistry to place dental implants and fully restore smiles. Your smile could be one of them.

The dental implant

It's a completely artificial tooth from its titanium metal root in the jawbone, to the extension post and beyond to the realistic porcelain crown. Replacing a single tooth, several or even a full arch, implants recreate the appearance and oral function Nature intended.

The Journal of Oral Implantology states that the vast majority of dental implant treatments are successful--to the tune of 98 percent, in fact. That means that the jaw bone and titanium screw have bonded, or osseointegrated, correctly, allowing the new tooth to bear the loads of chewing and biting easily. Osseointegration is no less than a medical miracle, giving implant patients complete confidence in how they look, eat and speak.

Evaluating for dental implants

Your Holland dentist will inspect your remaining teeth and gums and take digital X-rays and a special CT scan. The scan tells your dentist how dense, wide and high your jaw bone is, measurements which are key to implant success. If you don't have enough bone in your jaw, your dentist may augment it with donor materials (from your own body or cadaver bone, as examples).

The treatment

Patients tolerate their implant procedures well. Your dentist will use local anesthetic (or other sedation options as needed) as he inserts the device into the jaw. Sutures close the area, and you''ll be sent home for a lengthy period of healing. When the site is fully osseointegrated, the doctor will attach the metal abutment and custom-made porcelain crown.

Caring for implants

Oral hygiene is critical. Dr. Lebster and Dr. Vivas ask their patients to:

  • Brush twice a day with a soft-bristled toothbrush
  • Floss daily to remove harmful plaque (the cause of gum disease around dental implants)
  • Wear a bite guard if you clench or grind your teeth
  • See them twice a year for hygienic cleanings and check-ups (or any time you have a question or concern)

A new smile

Whether you must replace one tooth or need whole mouth reconstruction, Lakeshore Dentistry & Implant Center is the place to go for expert evaluation, skilled treatment, and the most compassionate care in the Holland, MI, area. Please call our office to arrange your dental implant consultation. We even have early morning hours to fit your busy schedule. Call us today at (616) 399-3946!





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