By Carey & Aylward, DDS, PC
May 11, 2015
Category: Dental Procedures
Tags: veneers  
PreplessVeneerscanTransformYourSmileWithoutAlteringYourTeeth

Porcelain veneers represent one of the best values in cosmetic dentistry, capable of radically changing a person’s smile with little tooth surface preparation. Still, the small amount of tooth enamel usually removed to accommodate them will permanently alter the affected teeth, to the point they will require a veneer or other restoration from then on.

The traditional veneer has remarkable versatility for solving a number of minor cosmetic problems, correcting mild tooth positioning problems and replacing lost or damaged enamel. But to avoid an unnatural bulky appearance, a portion of the tooth enamel must be permanently removed to accommodate them.

In recent years, though, a new concept known as “prepless veneers” has emerged in the field of cosmetic dentistry. Understandably, this new, “drill-free” veneer application has caused a lot of debate among dentists and patients alike, with concerns of bulky, overly-contoured teeth resulting from the technique. But the concept is growing as many well-regarded dentists have incorporated both minimal prep and prepless veneers into their service offerings.

The prepless veneer offers a cosmetic solution that doesn’t alter the tooth permanently. Using techniques such as feathering, which tapers and blends the veneer seamlessly with the tooth at the gum line, we can avoid an unnatural appearance while offering patients a much less invasive outcome.

The main disadvantage of prepless veneers at this time is that they’re not appropriate in every case. In fact, careful patient selection is a key to a successful outcome. For example, relatively large teeth or teeth positioned too far forward don’t work well with an added layer of thickness.

If, on the other hand, you have small, short or worn teeth, or teeth overshadowed by your lips — just to name a few likely scenarios — then you may benefit immensely from prepless veneers without permanent alteration to your teeth. A detailed examination is your first step to finding out if this new technique could provide you with a less-invasive smile makeover.

If you would like more information on drill-free porcelain 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 “Porcelain Veneers without the Drill.”

By Carey & Aylward, DDS, PC
April 24, 2015
Category: Oral Health
GiulianaRancicPreparesforHerSonsFirstDentalVisit

When Giuliana Rancic, long-time host of E! News, first saw her new son, she said it was “the best single moment of my life.” Recently, on the eve of Duke's first birthday, the TV personality and reality star spoke to Dear Doctor magazine about her growing family, her battle with cancer — and the importance of starting her child off with good oral health.

“Duke will have his first visit with the dentist very soon, and since he is still a baby, we will make his visit as comfortable as possible,” Giuliana said. That's a good thought — as is the timing of her son's office visit. Her husband Bill (co-star of the couple's Style Network show) agrees. “I think the earlier you can start the checkups, the better,” he said.

The American Academy of Pediatric Dentistry concurs. In order to prevent dental problems, the AAPD states, your child should see a dentist when the first tooth appears, or no later than his or her first birthday. But since a child will lose the primary (baby) teeth anyway, is this visit really so important?

“Baby” Teeth Have a Vital Role
An age one dental visit is very important because primary teeth have several important roles: Kids rely on them for proper nutrition and speech, and don't usually begin losing them until around age 6. And since they aren't completely gone until around age 12, kids will depend on those “baby teeth” through much of childhood. Plus, they serve as guides for the proper position of the permanent teeth, and are vital to their health. That's why it's so important to care for them properly.

One major goal for the age one dental visit is to identify potential dental issues and prevent them from becoming serious problems. For example, your child will be examined for early signs of dental diseases, including baby bottle tooth decay which is a major cause of early childhood caries. Controlling these problems early can help youngsters start on the road to a lifetime of good oral health.

Besides screening your child for a number of other dental conditions or developmental problems, and assessing his or her risk for cavities, the age one visit also gives you the opportunity to ask any questions you may have about dental health in these early years. Plus, you can learn the best techniques for effectively cleaning baby's mouth and maintaining peak oral hygiene.

Breezing Through the Age-One Visit
To ease your child's way through his or her first dental visit, it helps if you're calm yourself. Try to relax, allow plenty of time, and bring along lots of activities — some favorite toys, games or stuffed animals will add to everyone's comfort level. A healthy snack, drink, and spare diapers (of course) won't go unappreciated.

“We'll probably bring some toys and snacks as reinforcements,” said Giuliana of her son's upcoming visit. So take a tip from the Rancics: The age one dental visit is a great way to start your child off right.

If you would like more information on pediatric dental care, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”

By Carey & Aylward, DDS, PC
April 23, 2015
Category: Dental Procedures
Tags: Teeth Whitening  

Teeth WhiteningIf you're thinking about whitening your teeth, you'd be joining the 100 million Americans who have tried a dental bleaching product or procedure. Needless to say, whitening now leads the cosmetic industry; the products are easily obtained and very affordable. But are they safe? Because the dentists at Carey & Aylward in Westland know that it's important to make an informed decision about your health, here are some facts about the safety of dental whitening.

More isn't better

It may seem like a good idea to extend the time you wear whitening strips or trays to achieve a brighter smile in faster time. However, your Westland dentist advises against going "off-label" for several reasons.

First, the overuse of whitening chemicals can actually bring on the opposite effect - your teeth can become mottled and unevenly colored if the trays or strips are left in place too long. They can even permanently dull the finish on your enamel.

Leaving whitening products on longer than instructed can also have painful consequences. The gum tissue can become very irritated from exposure to the chemicals. If the enamel is compromised, the teeth can become extremely sensitive to hot and cold stimuli (coffee, ice cream, and so on). If you have an untreated cavity or fracture, the whitening chemicals can edge into these spaces, potentially causing internal nerve damage.

Expert opinion

It may ease your mind to know that the American Dental Association has placed their Seal of Acceptance on many whitening systems and procedures, including some that can be purchased at pharmacies or grocery stores. However, these industry experts caution that a dental professional should be consulted before beginning any treatment. Checking for the ADA's seal and talking with your southeastern Michigan dentist about the product will help put you on the right track for whiter teeth.

Leave it to the pros

For those who want quick but safe results, a visit to your Westland dental office would be your best option. In-office whitening treatments usually only take as long as a lunch break - between 30 and 60 minutes. Upon completion, the results are immediately visible. In-office whitening can last up to a year, much longer than over-the-counter systems, and with your dentist at the helm, your safety and satisfaction is the ultimate goal.

Don't let discolored teeth keep you from smiling. Contact the team at Carey & Aylward DDS in Westland today for a consultation.

WithProperCareVeneersareaLong-TermOptionforStainedTeeth

Your otherwise beautiful smile has one noticeable flaw — one or more of your teeth are deeply discolored or stained. More than likely this staining is deep within the teeth, what we refer to as intrinsic staining. There are a number of reasons this can occur — from fillings or use of antibiotics, for example — and our first approach should be to attempt a whitening technique.

However, if that doesn't produce the desired result, porcelain laminate veneers are another option you might consider. Veneers are made of dental porcelain, a bio-compatible material that can be shaped and colored to closely match neighboring teeth. After a minimal amount of tooth reduction (removal of some of the enamel from the tooth surface) to prepare for the laminate, the veneers are then permanently bonded to the tooth surface and cover the discolored natural tooth. Besides changing the appearance of discolored or stained teeth, veneers can also be used to correct other imperfections such as chipped or misshapen teeth.

Patients, however, have a common question: how long will the veneers last? With proper care, veneers can last anywhere from seven years to more than twenty years. It's possible, though, to damage them — for example, you can break them if you bite down on something that goes beyond the porcelain's tolerance range, such as cracking nut shells with your teeth (not a good idea even for natural teeth!). You should also keep in mind that veneers are composed of inert, non-living material and are attached and surrounded by living gum tissue that can change over time. This process may eventually alter your appearance to the point that the veneer may need to be removed and reapplied to improve the look of your smile.

If a veneer is damaged, all is not necessarily lost. It may be possible to re-bond a loosened veneer or repair a chipped area. The worst case is replacement of the veneer altogether. Chances are, though, this will only happen after the veneer has already served you — and your smile — for many years.

If you would like more information on porcelain laminate 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 “Porcelain Veneers.”

By Carey & Aylward, DDS, PC
March 25, 2015
Category: Oral Health
50CentTweetsHisDentalExam

Not long ago, musician, businessman, and actor 50 Cent (AKA Curtis James Jackson III) joined the growing ranks of celebrities (like Demi Moore and LeAnn Rimes) who have sent out tweets from the dental chair. The rapper, who has had extensive cosmetic work done on his teeth, even live-tweeted an action shot of his dentist giving him an oral exam!

Some might consider this too much information — but we're happy whenever people are reminded of the importance of regular dental checkups. In fact, the “routine” dental exam is truly one of the most useful procedures (and one of the best values) in dental care. Let's “examine” some reasons why that's so.

For one thing, coming in to our office when you don't have a specific problem gives us the chance to talk to you about any concerns you may have in regard to your mouth — or your health in general. In fact, many of the questions we ask and the exam procedures we perform give us an opportunity to detect potentially deadly diseases. For example, simply monitoring your blood pressure may identify a risk for heart disease; or an examination of the oral tissues may reveal the first signs of oral cancer. Both conditions are treatable if caught early on.

Of course, at a dental exam we always look closely at your teeth for signs of cavities. We also check your gums for inflammation or bleeding, which could indicate gum disease. X-rays or other diagnostic tests are performed when necessary. Generally, the sooner we can diagnose and treat any problems we may find, the better (and less costly) the outcome tends to be.

A typical checkup also includes a thorough, professional teeth cleaning with specialized tools, performed by our skilled dental hygienists. This not only makes your mouth look and feel sparkly clean — it also removes the built-up hard deposits (called tartar or calculus) that can lead to bad breath or gum disease.

Once the exam and cleaning are done, we have a good idea of the general state of your dental health. We can then give feedback on your oral hygiene techniques, assess your risk for disease, and make recommendations tailored to your individual needs. And we can do all this in about half an hour.

So talk about it, tweet about it — but don't neglect it! Along with regular brushing and flossing, routine dental checkups are the best way for you to maintain good oral hygiene — and prevent future dental problems.

If you would like more information about the benefits of regular dental exams, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “The Dental Hygiene Visit.”





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.