By Carey & Aylward, DDS, PC
April 24, 2018
Category: Dental Procedures
Tags: cosmetic dentistry   veneers  

Do you have to have braces or dental crowns to remake your cosmetic smile defects? Your four front teeth have always been crowded, veneersand now they are chipped from a car accident. The professional team at Carey & Aylward, DDS, PC in Westland, MI, have a better solution. Called porcelain veneers, these tooth-shaped ceramic laminates disguise flaws and strengthen defective teeth. Dr. Dennis Aylward, Dr. Brent Carey, or Dr. Allison Carey would love to tell you about them.

Why veneers are popular

Porcelain veneers are just part of a wide repertoire of cosmetic dentistry treatments Carey & Aylward, DDS, PC offers. These services address problems with tooth alignment, dental stains, hairline cracks, surfacing pitting, overcrowding, chips, and more. Veneers correct defects which are too extensive for simple teeth whitening treatments or composite resin bonding. They can be a great alternative to orthodontic correction or porcelain crowns.

Placing veneers

Veneer patients enjoy realistic appearance and durability. Your Westland dentist may recommend veneers after evaluating your teeth and gums with an oral examination and digital X-rays. If they are healthy and if the veneers would adequately address your aesthetic concerns, your dentist will take oral impressions and remove a small portion of enamel from each tooth. While you wait for your new veneers, your dentist will place temporary ones over your prepared teeth to protect them and give you normal oral function and appearance.

Your dentist's detailed care plan and your oral impressions will go to a dental lab where a skilled technician will make a three-dimensional model of your mouth. From there, the technician will sculpt the veneers one by one, coloring them and shaping them to blend in with the rest of your smile.

When you return to Carey & Aylward, DDS, PC, your dentist will remove your temporaries and bond the new veneers in place with a strong, tooth-colored adhesive. The doctor always ensures veneers fit properly so your dental bite is correct.

You and your veneers

Life with veneers is easy. The American Academy of Cosmetic Dentistry advises twice daily brushing with a non-abrasive toothpaste, and you should floss daily to keep all your teeth plaque-free. Limit staining foods and beverages and extra-hard foods. If you clench or grind your teeth, consider a customized bite guard to protect your teeth from premature wear. All in all, your veneers should last at least a decade.

Find out more in Westland

Yes, porcelain veneers have many dental benefits. Why not explore what they could do for your smile? Call Carey & Aylward, DDS, PC in Westland, MI, for a cosmetic dentistry consultation: (734) 425-9130.

RemovingTeethCouldImprovetheOutcomeforaCrowdedBite

The primary goal of dental care is to preserve teeth. But there are circumstances in which removing a tooth, even a relatively healthy one, could prove best in the long run.

A malocclusion (poor bite) related to crowding might fit such a circumstance. Crowding occurs when the size of the jaw is too small for the teeth coming in. With not enough space, some teeth could erupt out of their proper positions. Removing certain teeth frees up space to eventually allow braces or other orthodontic devices to re-align the teeth.

The teeth most frequently removed are the first bicuspids, located between the cuspid (the "eyeteeth" directly under the eyes) and the back teeth, and the second premolar. Removing these won't normally affect appearance or functionality once orthodontic or cosmetic treatments are complete.

Because of the mechanics of jaw development it might be necessary to perform these extractions several years before orthodontic treatment. This could create another potential problem: the time lag could adversely affect bone health.

This is because bone, as living tissue, has a life cycle with cells forming, functioning and then dissolving, and new cells taking their place. When teeth are chewing or in contact with each other they generate force that travels through the tooth roots to the bone and stimulates cell growth at a healthy replacement rate.

But when a tooth is missing, so is this stimulation. This slows the replacement rate and eventually leads to decreased bone volume. Too much bone loss could create obstacles for orthodontic treatment or a future dental implant.

To avoid this, the dentist will often place a bone graft with processed bone mineral within the empty tooth socket right after extraction. The graft serves as a scaffold for bone cells to grow upon. The graft (plus any other added growth boosters) can help maintain a healthy level of bone volume to facilitate future orthodontic or restorative treatments.

Since targeted extraction for orthodontics is time-sensitive, you should have your child's bite evaluated by an orthodontist by age 7 to see if any action is necessary. The earlier a malocclusion is detected, the more likely a more attractive and healthy smile will be the ultimate outcome.

If you would like more information on correcting poor bites, 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 “Tooth Removal for Orthodontic Reasons.”

By Carey & Aylward, DDS, PC
March 31, 2018
Category: Dental Procedures
Tags: gum disease  
AreLasersforGumDiseaseTreatmentinOurFuture

One of the most important revolutions in healthcare in recent decades is the increasing use of lasers. Now, laser technology is making a showing in dental care for the treatment of periodontal (gum) disease.

Lasers (an acronym for "Light Amplification by Stimulated Emission of Radiation") narrowly focus and amplify light within a small area. First developed in the early 1960s, laser technology rapidly advanced in the ensuing decades with more compact and precise devices that were eventually safe and effective for many types of medical procedures. Its remarkable features are now available for the primary focus of gum disease treatment—removing bacterial plaque.

Plaque is a thin, built-up film of bacteria and food particles on tooth and gum surfaces that serves as a haven for the bacteria that cause gum disease. The continuing presence of plaque and calculus (tartar) enables the infection to thrive and advance within the gum tissues, ultimately damaging them along with supporting bone. As the tissues weaken and bone volume diminishes, the teeth are at greater risk for loss.

It's necessary, therefore, first and foremost to remove all detectable plaque and calculus to stop the infection. This is traditionally done with special hand tools called scalers used to manually remove plaque, or with ultrasonic equipment that vibrates plaque loose to be flushed away with water. These procedures can take numerous sessions and may result in some minor post-procedural discomfort and bleeding during the cleaning.

But lasers specifically designed for plaque removal can minimize tissue damage and resulting discomfort. Because the particular laser light used reacts only with plaque and diseased tissue, it can remove them without disturbing nearby healthy tissue usually more efficiently than traditional scaling. Dentists who've used the technology frequently report less bleeding and higher patient satisfaction.

But before lasers for gum disease treatment are widely adopted, the procedure must undergo further scrutiny. Reports from dentists notwithstanding, not enough research studies have been performed to date that meet the necessary scientific criteria. But if the evidence so far from the field holds up, it's quite possible lasers will one day become a regular part of dental practice for treating gum disease.

If you would like more information on treating gum disease, 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 “Lasers Versus Traditional Cleanings for Treating Gum Disease.”

By Carey & Aylward, DDS, PC
March 16, 2018
Category: Dental Procedures
Tags: braces   retainer  
WhyaBondedRetainerMightbeaBetterChoiceAfterBraces

A lot of time and effort goes into straightening your smile. But there’s a possibility it might not stay that way—and all that hard work could be lost. The same natural mechanism that enables your teeth to move with braces could cause them to revert to their old, undesirable positions.

So for a little while (or longer for some people) you’ll need to wear a retainer, an appliance designed to keep or “retain” your teeth where they are now. And while the removable type is perhaps the best known, there’s at least one other choice you might want to consider: a bonded retainer.

Just as its name implies, this retainer consists of a thin metal wire bonded to the back of the teeth with a composite material. Unlike the removable appliance, a bonded retainer is fixed and can only be removed by an orthodontist.

Bonded retainers have several advantages. Perhaps the most important one is cosmetic—unlike the removable version, others can’t see a bonded retainer since it’s hidden behind the teeth. There’s also no keeping up with it—or losing it—since it’s fixed in place, which might be helpful with some younger patients who need reminding about keeping their retainer in their mouth.

There are, however, a few disadvantages. It’s much harder to floss with a bonded retainer, which could increase the risks of dental disease. It’s also possible for it to break, in which case it will need to be repaired by an orthodontist and as soon as possible. Without it in place for any length of time the teeth could move out of alignment.

If you or a family member is about to have braces removed, you’ll soon need to make a decision on which retainer to use. We’ll discuss these options with you and help you choose the one—removable or bonded—that’s right for you.

If you would like more information on bonded retainers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Bonded Retainers: What are the Pros and Cons?

By Carey & Aylward, DDS, PC
March 13, 2018
Category: Oral Health
Tags: oral hygiene  

Oral hygiene habits are effective only if you're consistent. The American Dental Association says children through senior adults should oral hygienebrush twice daily for two minutes and floss once a day. But, what occurs if you neglect one or both of these common practices? Your Westland, MI, dentists, Dr. Dennis Aylward, Dr. Brent Carey and Dr. Allison Carey promote brushing and flossing as the best defenses against tooth decay and gum disease.

You only have one set

We all get one set of permanent teeth and a limited amount of gum tissue. Both require careful attention--not only from your Westland, MI, dentists with check-ups and hygienic cleanings, but also with good brushing and flossing at home.

These habits should begin early on, as soon as that first baby tooth erupts. Mom or Dad, be sure to brush it with a small smear of non-fluoride toothpaste and a soft brush. Then, as your youngster grows, add flossing, and do it for your child until he or she has the dexterity and discipline to go solo.

Teens, adults and seniors, keep going with your own brushing and flossing. They remove the soft plaque which accumulates on and between teeth and at the gum line. Plaque quickly hardens into tartar, and both biofilms contain harmful bacteria that feed on food residues. In turn, the bacteria secrete corrosive acids, leading to tooth decay and periodontal disease.

Best ways to brush and floss

Select a fluoride toothpaste and soft brush (and change it when it wears out or after a cold or flu). Put the bristles at a 45-degree angle to your teeth, and slowly brush back and forth, covering the front, back and chewing surfaces. Stay at it for two full minutes, and don't forget to clean your gums, tongue, and hard palate. Rinse well with water.

For best flossing, choose a product you feel comfortable with:

  • Waxed floss
  • Plain floss
  • Flavored floss
  • Y-shaped flosser
  • Interproximal brushes
  • Water flossers

Whatever your preference, use it each day. Be gentle, and expect some minor bleeding if your gums are unaccustomed to flossing. If you wear braces, have restorations such as crowns or bridgework, or have tooth replacements such as dental implants, ask your hygienist or Westland, MI, dentist for additional tips on how to keep them clean.

A word about diet

You know sugar and carbs lead to tooth decay; so limit them. But, also, add these beneficial dietary choices:

  • Water
  • Fiber (fruits and vegetables)
  • Low-fat protein
  • High-calcium dairy products

Learn all you can

It's never too late to start a good habit, and your teeth and gums will benefit from your diligence in oral hygiene. Additionally, see your Westland, MI, dentist every six months for a check-up and professional cleaning to preserve your healthy smile. Call Carey & Aylward, DDS today for an appointment: (734) 425-9130.





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