Teeth Whitening Done Safely

Summer is a fun and busy time of year with attending graduations, weddings, and family vacations. We all want to look our best, and having a brighter smile can help with that. The best natural ways to keep your teeth white are everyday healthy habits, including:

-Brush twice daily for two minutes

-Floss once daily

-Use a whitening toothpaste with the ADA Seal of Acceptance

-Don’t smoke or use tobacco

In recent years, there has been a push for more natural, home remedies to whiten teeth, but there is no evidence that shows using (products with) charcoal, turmeric, apple cider vinegar, or lemons are safe or effective for your teeth, according to the September 2017 issue of the Journal of the American Dental Association.

In fact, using materials that are too abrasive on your teeth can actually make them look more yellow. Whitening products affect enamel, but if you’re using a rough or acidic scrub, it can wear down the enamel to the softer, yellower layer called dentin. Your best and safest bet to whiten your teeth is to ask your dentist what’s right for you. S/he may recommend chairside whitening or trays for use at home. As always, don’t forget to schedule your regular checkups and cleanings to keep your smile healthy.




When Should my Child See the Orthodontist?

The American Association of Orthodontists and the American Academy of Pediatric Dentistry recommends that all children have an initial orthodontic evaluation (not necessarily treatment) by an orthodontic specialist by the age of seven. Although some children may need early intervention, most children are placed on a recall system, meaning that we will keep track of your child for re-evaluation. This enables the orthodontist to select the optimal window of opportunity to help a growing and changing child. 

Contrary to 20-30 years ago when children saw an orthodontist for the first time after all their baby teeth had fallen out at about age 12, today’s standard of care can involve two phases of treatment. This two phase treatment plan does not double the treatment, but rather divides it. 

Phase I Treatment: usually done when a child still has many baby teeth, typically 8-10 years of age, and usually lasts about one year. There are corrections that are easily achieved and possible at this early age, but may be difficult or impossible later on. For instance, an expansion of the palate to alleviate crowding and/or bite irregularities can be done easily at an early age, often very simply with just an expander, whereas an older child may require surgery to attain the same result. At the end of active Phase I Treatment, retainers are usually implemented to maintain the achieved results.

Phase II Treatment: usually occurs when a child has lost all of their baby teeth. At this time more adult teeth have erupted and braces are needed to work on all of the teeth and to complete treatment. This involves full braces on both the top and bottom teeth.  Wisdom teeth are also assessed at this time.

Also contrary to 20-30 years ago when extractions of four permanent teeth were almost the norm with braces, two phase treatment has made it possible to avoid extractions in most cases. With two phase treatment, the percentage of patients needing extractions has drastically decreased with patients achieving better overall results.

At Fusion Dental, we offer complimentary orthodontic consultations. During this visit, you can expect a thorough examination of your child, an assessment of whether treatment is necessary, and when the best time would be to start. This is a free information session for you. Furthermore, we will discuss different treatment options that may be available, and you will have the opportunity to ask the orthodontist any questions. You will also meet with the financial/insurance coordinator to discuss financing, and we will work with you to accommodate your particular situation and needs. 

At Fusion Dental, we don’t want anything to stand in the way of your child’s beautiful and healthy smile!

When Restoring Your Smile Means a Dental Implant

If you’ve been told that what’s standing between you and a great smile is a dental implant, don’t despair. These days, restoring your smile is a lot easier, quicker and less traumatic than it once was, thanks to state-of-the art technology.

A dental implant is an artificial tooth root that your dentist can place into your jaw to hold a replacement tooth, bridge or denture. You are a candidate for implant restoration if you are in good general and oral health but may have lost a tooth or teeth due to periodontal disease, an injury, or some other reason. Dental implants and their restorations look and feel very natural, and they are more “tooth-friendly” than traditional bridgework, since they don’t rely on your neighboring teeth for support.

What will happen during the process? It’s a surgical procedure where the dental implants will be placed into areas of the jaw bone where teeth are already missing, or sometimes they can be placed into the socket of a tooth immediately after it is removed. The implant is made of titanium, a biologically acceptable material that allows bone attachment to anchor it securely to the jaw. In select circumstances, the implants can be used to support temporary crowns or dentures immediately after surgery.  More often, after three or four months of healing, we will make impression molds to record the position of the implants and teeth and then our laboratory will fabricate the restoration. We will often attach a small connector post, called an abutment, to the implant. The new replacement tooth or teeth will be secured to the abutment with cement or screws.  Care is taken to match the color of your restoration to your natural teeth.

We’ve heard from many of our patients that there is very little discomfort involved during and after the procedure. Sedation is used, when needed, along with local anesthesia to ensure the process is as pain and anxiety free as possible. Under proper conditions, including diligent cleaning and maintenance, implants can last a lifetime.

If you wear dentures, you have a range of options. Your implants can allow for the dentures to be removable or not depending upon your individual situation and needs. 

So if you have been hiding your smile because of missing teeth, you have difficulty chewing, or your dentures don’t feel secure – dental implants may be for you. Dental implants can help improve your quality of life and boost your confidence. Call us today for an appointment to restore your smile! 

Could Your Jaw Pain Be Caused By TMJ Disorder?

Living in the nation’s capital, we are quite used to facing all types of stress, such as commuting to work! And many of us may unconsciously try to relieve stress by clenching or grinding our teeth. Small unevenness in our bite may also promote clenching and grinding. In some families, it is just heredity that makes us more susceptible to grinding our teeth. 

Clenching or grinding can cause TMJ disorder.  The term “TMJ” is often used to refer to facial muscle, jaw joint, or tooth pain as a result of misalignment of the bite, grinding or clenching habits, or from damage in the jaw joint itself. In fact, “TMJ” is an abbreviation for Temporomandibular Joint, the joint that allows our lower jaws to open and move.

TMJ disorder can be a problem that starts in childhood, but can extend into adulthood and can show itself in a variety of ways. If there are bite discrepancies, or unevenness, patients will unconsciously tend to avoid the spots where teeth do not fit together by re-positioning the jaw.  This action strains the muscles, resulting in fatigue and soreness.  In an attempt to eliminate the bite unevenness, some people also rub the teeth together to wear down the uneven spots.  This can result in teeth that wear out prematurely and have a flattened appearance and broken enamel. It can also cause sore muscles. 

Clenching and grinding may occur during the day or night, or both.  At night, some people clench their teeth hard for up to 60-90 seconds repeatedly during sleep without even knowing. During waking hours, others may clench their jaws in quick bursts throughout the day. This can lead to the classic “stress headache” in the temples, usually in the afternoon.

Symptoms of TMJ disorder can include headaches, tiredness in the muscles below the cheekbones, and even sensitivity in the scalp when brushing hair.  Teeth may appear worn down, cracked or loose.  To get a better idea of the impact of TMJ disorder, you can take a look at the pressure on our teeth: when chewing food, people apply approximately 60 pounds per square inch of pressure.  When a person clenches their jaw, the back teeth can produce pressure of approximately 500 hundred pounds per square inch – which can be very destructive over the years!   

What are some signs of TMJ disorder to look for?  In addition to the classic warning signs of clenching or grinding, your spouse might report hearing you grinding your teeth at night, or you might be waking up with your teeth clenched together or with facial muscle pain. Excessive muscle pressure can damage not only the teeth but also the jaw joints.  A “pop’ or “click” when opening your jaw can progress to pain, dislocation, getting the jaw locked in an open or closed position, and even destruction of the joint itself.

There are solutions to TMJ disorder, and the best approach is to schedule an appointment for a consultation. Frequently your dentist will provide you with a “U” shaped, hard plastic guard to wear on the teeth, usually at night. This protects the teeth from wearing each other down, and helps to break the cycle of grinding by providing a perfect bite with no unevenness.  As grinding or clenching continues while wearing the guard, it’s the guard that gets worn down and cracked, not the teeth. Occasionally, special splints, and even joint surgery, may be required.

Fusion Dental doctors are trained in the diagnosis and treatment of TMJ problems. If you or somebody in your family is suffering from any of these symptoms, please contact us today for help.