Nowadays you hear more and more about cosmetic dentistry on ads and infomercials, as well as health news reports and articles. Still, when I tell people I’m a cosmetic dentist, I sometimes still hear, “what is that” or “what do you do”? Actually I’m not that surprised, as the term “cosmetic dentistry” refers to numerous procedures, correcting many different types of dental problems. However, for those who were once unhappy with the appearance of their teeth, there is no question that cosmetic dentistry served an important purpose in their lives.

What is Cosmetic Dentistry?

Cosmetic dental procedures refer to procedures which allow a tooth to be restored to its natural looking beauty, or procedures which enhance a smile’s aesthetic appearance. If you have ever had your teeth bleached, or a crown or tooth-colored filling placed in your mouth, you have had a cosmetic dental procedure done. Cosmetic dentistry can give back a youthful smile to someone middle-aged or older, or allow instant correction of bad teeth to a much better end result.

What kinds of dental problems can Cosmetic Dentistry address?

The dental situations cosmetic dentistry can possibly address include:

1. Missing teeth or spaces between teeth.
2. Darkened, yellowed or grey, stained teeth.
3. Crooked teeth or “mismatched” teeth.
4. “Gummy” smiles, where a larger proportion of the gums show when smiling.
5. Too small, too large, too short or too thin teeth.
6. Change silver amalgam fillings to natural appearing, tooth-colored restorations.
7. Replace old crowns that show black lines with non-metal crowns.

Cosmetic dentistry gives people a chance to have a smile that conveys the right messages for their personal and professional life: confidence, strength, happiness, acceptance, friendship. Through a variety of circumstances, people may find themselves not liking their smile. Maybe they got into a fight, a car accident, or fell down. Maybe certain medical conditions, such as being born with dark staining of teeth, or personal situations made it difficult to care for their smile. Maybe over time their teeth naturally yellowed, darkened, or became crooked. These people are given the opportunity to restore their smile to match their overall image, so they don’t feel embarrassed about their appearance.

What kinds of cosmetic dental procedures are there?

Cosmetic dental treatment covers a variety of procedures. To name a few, these include procedures that whiten teeth, correct a “gummy” smile, “straighten” crooked teeth, and fill gaps in between teeth. These procedures use either porcelain or plastic to properly restore teeth cosmetically.

Is Cosmetic Dentistry just for looks?

Some people think that cosmetic dental procedures are for appearance only, and have nothing to do with the ability to bite and chew. These people will be surprised to learn that when cosmetic dentistry is properly done, it incorporates the health and function of the teeth as well. The materials used are incredibly strong. They can withstand normal chewing and last for years and years. Depending on which procedures are performed, cosmetic dentists address the way the biting and chewing surfaces of teeth occlude or come together.

How long do cosmetic dental procedures take?

The length of time for a patient’s cosmetic dental treatment depends on the type of procedure or procedures required. In other words, every patient is unique. For some patients, cosmetic dental treatment can be completed in one appointment. For others, preliminary work may have to be done first before procedures can be started. Each dental procedure itself also takes different amounts of time. For example, a tooth-colored restoration not needing to be processed by a laboratory can be completed in one appointment. Bleaching teeth (in-office), on average, may take about one to two sessions. However, the majority of cosmetic dental problems can be corrected in as little as two visits.

Can Cosmetic Dentistry alone help my dental situation?

Sometimes other dental specialists must first treat a patient before the cosmetic dentist can begin. Examples of such cases may be:

• Patients who first require orthodontics (braces) to “move” teeth.
• Gum or bone surgery to create a more normal gum appearance.
• Implant surgery to properly restore a specific dental problem. (Implants are titanium screws that are surgically placed in the bone of either the upper or lower jaw, on which a tooth-colored crown or bridge is placed.)

If they align with their strengths, the best cosmetic dentists may handle some of these dental treatments in-house. And other times they’ll partner with other dental specialists and refer out for that part of the restorative work.

What changes have you seen with your Cosmetic Dentistry patients?

One of the most rewarding part of cosmetic dentistry for me is the positive changes I’ve seen patients experience in their lives. The catalyst is the enhanced smile, but the smile becomes such a part of them that it affects their self-image.

I mean let’s face it, after a top cosmetic dentist is done working their artistry, the patient will hear endless compliments, which leads to more smiling, which in turn leads to a more friendly appearance. All that leads to the patient being a happier person.

This in turn affects how the patient views their personal and professional life, overall appearance, career, relationships and even life itself. The emotional and psychological changes are amazing.

Most people who have lived with their problem dental situation for years don’t realize how their smile and their life can change more positively when it is corrected.

Cosmetic dentistry covers a wide-range of procedures and can address a multitude of dental situations. If you have ever wondered what can be done about your smile or teeth, talk to a top cosmetic dentist about your concerns. We’d be happy to arrange a Hawaiian Smile Vacation for you! :)

Dr. Wynn Okuda is an award winning international leader in cosmetic dentistry. He is one of only 280 dentists in the world to be accredited by the American Academy of Cosmetic Dentistry (AACD). Dr. Okuda turned the dental profession on its head nearly a decade ago , replacing pain, fear, & discomfort with the Dental Day Spa system. His offices for cosmetic, restorative and implant dentistry are located in Honolulu, Hawaii.

Dr. Okuda has been featured in the New York Times, Wall Street Journal, Reader’s Digest, American Spa, Shape Magazine, Better Homes & Garden, Health & Fitness Sports Magazine, New Woman, and dozens more!

Dr. Okuda is the founder of “Give Back a Smile”, a charitable foundation of the AACD which helps survivors of domestic violence throughout the nation to restore their smiles and lives. He has assembled nearly 1,000 cosmetic dentists nationwide to help fight against domestic violence.

Does this sound familiar? Are you living with a broken, sore tooth, and tell yourself you’ll call the dentist only when you can no longer tolerate the pain? Or have you told yourself you’ll make an appointment when work is less busy, but that was one year ago? Or do you become tense and anxious with the mere thought of stepping into a dental office? If you identify with these examples, fear (phobia) or dental anxiety may be affecting your ability to achieve optimal dental and overall health. It may also keep you from achieving your smile makeover.

Talk to Your Cosmetic Dentist if You Have Dental Fears

Before you start thinking negative thoughts, it is essential to keep in mind the positive aspects of your dental treatment. Sometimes when you step out of your comfort zone, it’s easy to want to totally avoid an uneasy situation. Every step you take towards your goal to better dental health will benefit you and your quality of life. In overcoming dental anxiety, be proud of every achievement you gain in pursuit of your goal.

Why is it that some people have strong phobias or anxieties and others do not? For many people, phobias are linked to childhood incidents. Children may experience a fearful situation, such as almost drowning, where their “fight-or-flight” survival responses are triggered. Fight or flight reactions occur when a rush of adrenaline causes rapid heart rate, shortness of breath, cold sweat and other symptoms.

Many children may “outgrow” these fears as they have more positive encounters with swimming. However, some may always associate the ocean with this survival panic. In addition, there are studies that suggest learned behavior from other family members and genetics may also contribute to enhancing a person’s phobias.

Why is it important for people with a fear of the dentist to not avoid treatment? Unfortunately, if there are dental problems, neglect and time will increase its severity, decrease treatment options, and be more expensive to fix later. If cavities are left untreated, the decay may continue deeper into the tooth, leading to possible root canals, infections or possibly even tooth loss. Furthermore, periodontitis or gum disease, can lead to tooth and/or bone loss if left untreated.

Your dental appointment is made up of many different sounds, sights, smells, tastes, and touch. For someone who is dental phobic, anxiety may heighten their sensitivity to these sensations. If the patient’s perception is that the situation is out of their control, the patient may have the desire to leave their appointment and not come back.

Some Suggestions to Help You Feel More Comfortable So You Can Get that Beautiful Smile

To avoid this unwanted outcome, be sure to talk to your dentist and his or her staff about your special needs. Take control of your dental appointment. If you don’t tell them about your concerns, they will assume you are comfortable during your appointment. If knowing what the dentist is doing makes you feel more at ease, let the dentist know. For example, talking you through a dental procedure may make your appointment much easier.

During the dental procedure, if you need a quick break, work out a code with the dentist, such as raising your hand. This way you won’t feel helpless once the dental procedure starts. Also, if you want to communicate during your appointment, but are unable to speak, ask for a paper and a pen at the beginning of your appointment. This way you will still be able to relay your immediate concerns.

Be aware of what contributes to your stress before your appointment and take the necessary steps to minimize it. (1) Avoid caffeine on the day of your appointment. Because caffeine is a stimulant, it may cause you to feel anxious and jittery. This may contribute to a stressful appointment. (2) Allow extra time to get to your appointment. No one enjoys rushing through traffic when running late. Rushing to your appointment will increase blood pressure, which will then increase your stress level. (3) Take something to do or read while you wait. This will let you make good use of your time, the way you choose to, instead of concentrating on waiting for the appointment.

Everyone is unique. Something in the dentist’s office may bother one person, and totally not concern another. So take a moment before your appointment and ask yourself: What part of your dental appointments really bothers you? If it is the sound of the drill, bring ear plugs or a Walkman radio/tape player to your appointment to help drown it out. If it is the anesthesia shot that bothers you, remember that today dentists are knowledgeable of methods to administer “pain-free” shots. Many times a “topical” anesthesia is placed at the injection site using a cotton swab prior to the shot being given. If you don’t like to see the needle, make you sure tell the dentist!

Establishing good rapport with your dental professionals will assure that you not only receive timely dental treatment, but also do so in comfort. Don’t worry about what others will think about your special needs. You should feel proud of yourself for taking steps toward your goals of optimal dental health. Be proud of taking risks, challenging yourself, and achieving goals. Because in the end, you and your health are truly the ones that will benefit.

Dr. Wynn Okuda is an award winning international leader in cosmetic dentistry. He is one of only 280 dentists in the world to be accredited by the American Academy of Cosmetic Dentistry (AACD). Dr. Okuda turned the dental profession on its head nearly a decade ago, replacing pain, fear, & discomfort with the Dental Day Spa system. His offices for cosmetic, restorative and implant dentistry are located in Honolulu, Hawaii.

Dr. Okuda has been featured in the New York Times, Wall Street Journal, Reader’s Digest, American Spa, Shape Magazine, Better Homes & Garden, Health & Fitness Sports Magazine, New Woman, and dozens more!

Dr. Okuda is the founder of “Give Back A Smile,” a charitable foundation of the AACD which helps survivors of domestic violence throughout the nation to restore their smiles and lives. He has assembled nearly 1,000 cosmetic dentists nationwide to help fight against domestic violence.

Okay, don’t turn the page just yet. It may not be easy to listen to health information on cancer. Sometimes it makes people so uncomfortable that they completely tune out what’s important. An article on oral cancer is not meant to scare you or make you paranoid. I want to help you save that beautiful smile. Rather I hope this article can give you essential information on prevention and early detection of oral and oropharyngeal cancer for yourself, family or friends.

The term “oral cancer” refers to cancers that begin in the oral cavity, which includes the lips, cheeks, gums, tongue, floor and roof of the mouth. The term “oropharyngeal cancer” refers to cancers that start in the throat, next to your mouth. The good news, according to the American Cancer Society, is that new cases of oral and oropharyngeal cancers (together referred to as oral cancer in this article) have been decreasing over the past 20 years. The death rate for this disease has also been on the decline over the past 25 years. Unfortunately, the number of affected people is still significant. In 2005 alone there were an estimated 29,000 new cases of oral cancer diagnosed, while an estimated 7,000 people died of this disease.

Therefore, it is important to be aware of what may contribute to these cancers, how to prevent it, and to know the signs and symptoms. Two of the main risk factors for oral cancer are tobacco and alcohol use. Tobacco use takes the form of smoking and using chewing tobacco. The American Cancer Society cites that about 90% of people with oral cancer use tobacco, and the risk increases with amount or duration of use. About 75% of people with these cancers drink considerable amounts of alcohol. People who use tobacco or alcohol alone are six times more likely to contract oral cancers. The combined use of the two leads to the highest severity in risk factors.

Tell Your Dentist or Cosmetic Dentist if You Have Any of These Symptoms

The American Dental Association adds that oral cancer is more likely to occur in those over 40 years old, and those who are male. Interestingly, more than 25% of oral cancers occur in people who do not smoke and have no other risk factors. So everyone can benefit from this information. In addition, the risk of contracting lip cancer increases with prolonged exposure to the sun.

The American Cancer Society states the signs and symptoms to look for are:

• Sore in the mouth that does not heal (most common symptom)
• Pain in the mouth that doesn’t go away (also very common)
• A persistent lump or thickening in the cheek
• A persistent white or red patch on the gums, tongue, tonsil or lining of the mouth
• A sore throat or a feeling that something is caught in the throat that doesn’t go away
• Difficulty chewing or swallowing
• Difficulty moving the jaw or tongue
• Numbness of the tongue or other area of the mouth
• Swelling of the jaw that causes dentures to fit poorly or become uncomfortable
• Loosening of the teeth or pain around the teeth or jaw
• Voice changes
• A lump or mass in the neck
• Weight loss
• Persistent bad breath

Obviously some of these symptoms are more general and may be caused by something unrelated to oral cancer. Know what’s normal for you, then when an unusual situation arises you’ll be able to detect it and discuss it historically with your dentist or physician.

At your periodic dental examination appointment, your dentist will do an oral cancer exam of your entire mouth. This is an ideal time to talk to your dentist about your risk factors for oral cancer and other concerns. In addition, if you want to minimize or eliminate risk factors you have for oral cancer, there are many sources of information in your area or on the Internet.

Quit Smoking and Retain Your Beautiful Smile

For example, if you want to quit smoking, you can start by asking your physician or dentist for their recommendations. There are also resources online or in our community, such as the Hawaii Tobacco Quitline at 1-800-QUIT-NOW (784-8669) or www.CallitQuitsHawaii.org (you may have seen their ads on television). The Quitline can provide free information and referrals, discuss therapies (e.g. nicotine patch), and link callers with support services. For those who do not have insurance to cover the nicotine patch or other therapies, they may qualify to participate in a program that provides free therapies to quit smoking.

In so many ways our oral health affects our overall health, such as by nutritional intake or oral diseases. It’s always important to be aware of how we can maintain our health and take strides to improve it, or prevent disease. (For more information on oral cancer you can visit the American Dental Association website at www.ada.org, or the American Cancer Society website at www.cancer.org.)

Dr. Wynn Okuda is an award winning international leader in cosmetic dentistry. He is one of only 280 dentists in the world to be accredited by the American Academy of Cosmetic Dentistry (AACD). Dr. Okuda turned the dental profession on its head nearly a decade ago, replacing pain, fear, & discomfort with the Dental Day Spa system. His offices for cosmetic, restorative and implant dentistry are located in Honolulu, Hawaii.

Dr. Okuda has been featured in the New York Times, Wall Street Journal, Reader’s Digest, American Spa, Shape Magazine, Better Homes & Garden, Health & Fitness Sports Magazine, New Woman, and dozens more!

Dr. Okuda is the founder of “Give Back A Smile,” a charitable foundation of the AACD which helps survivors of domestic violence throughout the nation to restore their smiles and lives. He has assembled nearly 1,000 cosmetic dentists nationwide to help fight against domestic violence.

A missing tooth can be esthetic? You must be thinking, “Did I read that correctly?” Well, what I mean by this is a replacement for a missing tooth, now more than ever, can brighten your beautiful smile immensely. For those who are missing a tooth and want to get it replaced, you can rest assured that your new replacement tooth can look like a natural tooth.

Other than for appearance reasons, why is it important to replace a missing tooth? Because a tooth serves many purposes just by being there. Without a tooth there, the adjacent teeth may tip toward the open space, as there’s nothing to hold the teeth in place. Also, the tooth on the opposite jaw that bites against this missing tooth may appear to grow longer, toward the space. Finally, in replacing a tooth with a bridge or a dental implant, having a tooth replacement stimulates the underlying gums and/or bone to reduce the risk of the gums and bone receding.

Your New Beautiful Smile Will Look Natural

Why does today’s replacement for a missing tooth look more natural? Thanks to advances in cosmetic dental technology, there are many reasons for this. The first reason is the type of materials used for the restoration. Years ago, all crowns and bridges had metal foundations for increased strength. Instead of having to use a metal base under the crown or bridge, dentists today can use non-metallic porcelain as a long-lasting restorative material in most situations. Crowns and bridges with a metal base can appear to have a dark band around the gumline if not fabricated correctly. A non-metallic porcelain crown or bridge will not only allow the restoration to appear esthetic, but it will also continue to look natural even as it ages.

A second factor in a natural-looking replacement for a missing tooth, has to do with periodontal (gum) esthetics. Whether it is with a bridge or dental implant, the gums must be first prepared in achieving an optimal normal appearance. When the gums are not esthetically prepared, it is difficult to have a false tooth appear natural. Gum sculpting is a minor procedure that maximizes the natural appearance of a false tooth.

Your Cosmetic Dentist May Choose a Dental Implant

Other than a bridge, a dental implant can replace missing teeth. What is a dental implant and what role does it play in a missing tooth? A dental implant is a titanium screw that is inserted into the jaw bone and sits below the gumline. A dental restoration, such as a single crown, bridge or denture is later placed on the implant for esthetic and functional purposes. The dental implant stabilizes the teeth, especially in the instance of a denture. If it weren’t for implants, a denture may develop a tendency to “rock” or become ill fitting with time. The implant also stimulates the bone surrounding it, to reduce the risk of bone recession. As for a single esthetic tooth replacement with an implant, a crown is the restoration of choice.

There are stringent guidelines for using an implant as an esthetic option in the anterior (front) region. Because of the irretrievable nature of implants, be sure to see dentists that are experienced in placing implants and restoring dental implants. If placed incorrectly, not only will the result appear very unesthetic, it may be extremely difficult to correct.

So take advantage of modern cosmetic dentistry and implant dental technology and fill that space with a natural looking restoration. Regardless of whether you choose to replace a missing tooth with only a bridge or an implant, the end result is beneficial to your dental health and in making your smile beautiful.

Dr. Wynn Okuda is an award winning international leader in cosmetic dentistry. He is one of only 280 dentists in the world to be accredited by the American Academy of Cosmetic Dentistry (AACD). Dr. Okuda turned the dental profession on its head nearly a decade ago , replacing pain, fear, & discomfort with the Dental Day Spa system. His offices for cosmetic, restorative and implant dentistry are located in Honolulu, Hawaii.

Dr. Okuda has been featured in the New York Times, Wall Street Journal, Reader’s Digest, American Spa, Shape Magazine, Better Homes & Garden, Health & Fitness Sports Magazine, New Woman, and dozens more!

Dr. Okuda is the founder of “Give Back a Smile,” a charitable foundation of the AACD which helps survivors of domestic violence throughout the nation to restore their smiles and lives. He has assembled nearly 1,000 cosmetic dentists nationwide to help fight against domestic violence.

Esthetic dental implants have been a part of restorative and cosmetic dental procedures for over 35 years. Through the years, the dental profession has seen incredible progress in all aspects of implants, from placement techniques to implant materials to longevity and esthetic outcome. Originally invented in Sweden, dental implants are made of ultra-strong titanium alloy and look like a large screw.

Dental implants are used to replace a single tooth, several teeth or a whole arch of teeth. Implants not only stabilize the restoration that sits on it, but also stimulates bone growth around the implant. If a tooth is missing, the gums and bone it was attached to are no longer stimulated by the blood supply and activity of that tooth. Therefore, with the tooth gone, the surrounding bone and gums may resorb or melt away. Furthermore, the opposing tooth (on the opposite jaw) no longer has something to bite against, and may grow towards the missing tooth’s space.

Technology Makes it Easier to Get a Smile Makeover

For implant placement, the diagnostic information provided by the two-dimensional x-ray or radiograph used is limited. Critical questions which need to be answered prior to surgery include if there was enough bone level to place an implant, the location an implant could be placed, positions of the sinuses, location of nerves and other important aspects. More recently, the CT or computed tomography scan tremendously improves the diagnostic abilities of the implant dentist by providing more detailed information needed not only during the initial diagnostic phases, but also during the actual surgery.

CT scans assist in lowering risks of irreversible nerve damage and developing predictable success in attaining the best outcome for most situations. This is especially true if there is question if adequate bone is present in a site with a missing tooth or teeth.

Implants are placed during a surgical procedure, directly in the jawbone. The number of implants required depends on each person’s individual situation. The surgical site with the implants are then left (under the gums) to allow the bone to grow around the implant and “osseo-integrate”. Four to six months after the first surgery, the implant is uncovered from under the gums. An “abutment” or implant post is then connected to it, and the gums are given time to heal around this abutment. About a month later, a final tooth restoration is custom-made to fit onto the abutment. This final restoration could be a crown, bridge or denture. Thanks to advances in cosmetic dental technology in materials, the final restorations look more natural.

A second factor in natural-looking restorations has to do with periodontal (gum) esthetics. In the placement of a dental implant, the gums must first be prepared in achieving an optimal normal appearance. When the gums are not esthetically sculpted, it is difficult to attain a natural result. Gum sculpting is a cosmetic dental procedure that maximizes the natural appearance around a restored implant tooth.

Implants can ensure a healthy diet is maintained. Before implants, people with dentures (a full arch of false, removable teeth) or partials (several false, removable teeth) had no options when they were unable to get a firm, strong bite on food. Nutrition and overall health is highly dependent on a person’s ability to chew a variety of foods. A person may shy away from certain foods either because certain teeth are missing, their teeth don’t meet each other (occlude) properly, or there is not enough force due to slippage of a denture. For example, the inability to chew foods with a firmer consistency may lead a person to eat more unhealthy foods like french fries instead of fresh vegetables. It is challenging to eat a balanced diet of only softer foods.

Most Patients are Pain Free Once They’ve Healed From Cosmetic Surgery

There seems to be a common misconception that implants will continually hurt as long as they are in. The fact is that this is not the case if the implant is properly placed and heals correctly. Naturally, there is some discomfort immediately after surgery. However, advancements in medication for dentistry can address the pain. As the site quickly heals, post surgical pain subsides.

How long a implant can last is reliant on many factors. Although no restoration in dentistry is guaranteed to last forever, dental implants could last ten to fifteen years, or more, depending on how well the implant is cared for professionally and at home.

Dental implants may sound too good to be true, but unfortunately not everyone is a good candidate for implants. According to the Academy of General Dentistry, each patient must: (1) Have a comprehensive exam to determine if they are a candidate, (2) Be in good health, (3) Have healthy gums, (4) Have adequate bone structure, (5) Have excellent oral hygiene habits, such as brushing and flossing, (6) Maintain regular dental visits.

We live in such a great era of cosmetic dentistry where people are able to benefit incredibly from technology in implant dentistry. Combining cosmetic dental procedures with implant dentistry allow people to have implants in the most visible area of their smile and have it look natural. Implants offer bone and gum stimulation, and stability to restorations which lets people eat to their heart’s desire. Although there is no exact replacement to a healthy, natural tooth, dental implants that are assisted with the latest in CT scans allow dental professionals to give their patients one more reason to smile.

Dr. Wynn Okuda is an award winning international leader in cosmetic dentistry. He is one of only 280 dentists in the world to be accredited by the American Academy of Cosmetic Dentistry. Dr. Okuda turned the dental profession on it’s head nearly a decade ago , replacing pain, fear, & discomfort with the Dental Day Spa system. His offices for cosmetic, restorative and implant dentistry are located in Honolulu, Hawaii.

Dr. Okuda has been featured in the New York Times, Wall Street Journal, Reader’s Digest, American Spa, Shape Magazine, Better Homes & Garden, Health & Fitness Sports Magazine, New Woman, and dozens more!

Dr. Okuda is the founder of “Give Back a Smile”, a charitable foundation of the A.A.C.D. which helps survivors of domestic violence throughout the nation to restore their smiles and lives. He has assembled nearly 1,000 cosmetic dentists nationwide to help fight against domestic violence.

oday, I want to address the dental health and beautiful smiles of senior or older adults. I know there’s always a debate over at what age you can be called a “senior.” Many people wholeheartedly admit to being a senior when it’s Discount Day at Don Quijote (Daiei) or Shirokiya, but try to change the subject otherwise.

However, always remember that age is nothing to be ashamed of. Each year we add to our age means another grateful year of wisdom, experience, fun and making dreams come true. And thanks to advancements in medical technology and people taking care of themselves more, people are living longer, therefore needing their teeth longer. It’s never too late to take better care of your teeth.

Dental Health Contributes to Overall Health and Beautiful Smiles

Keeping as many of your natural teeth as possible is not only a dental issue, but also an overall health issue. Your mouth is the window to good nutritional health. What foods we can eat depends on our ability to bite and chew them. If we can’t bite foods with crunchier or firmer textures like vegetables or meats, we potentially limit the full nutritional value of what we ingest. This in turn may lead to negative health consequences. Optimum oral health care – along with maintenance and education – is the key for seniors to maintain their teeth and their natural smiles.

Some Obstacles to Seniors’ Beautiful Smiles

Tooth Decay. Yes, tooth decay can still be a problem for the senior patient. Many seniors did not have the benefit of fluoridated water or fluoride supplements while they were growing up. Consequently, these people have many dental restorations. Having a “filling” makes you that much more susceptible, at any time, to having recurrent decay form around these restorations.

Root Decay. This is another type of tooth decay common in older people. The American Dental Association states the majority of people over age 50 have root decay. Generally, this type of decay will occur in adults whose gums have receded so much as to expose the root surfaces of teeth. Because the root surface is softer than enamel, root decay can form easier and faster than you think.

Brushing and flossing regularly will help to address tooth decay. In addition, ask your dentist if a fluoride rinse or gel would be of additional benefit to you.

Periodontal Disease. If you haven’t known already, periodontal or gum disease is the major cause of tooth loss in adults. Since the prevalence and severity increases with age, the senior patient is at a higher risk than normal of getting gum disease. Periodontal disease starts with plaque, a sticky, colorless layer of bacteria, that forms on your teeth between brushing. As we age, plaque can build-up at an even faster rate and greater amount. If not removed thoroughly, it hardens into tartar or calculus, which irritates the gums. This may cause gums to pull away from the teeth. If untreated, eventually bone level around the affected teeth may recede or lower, resulting in loose teeth.

Initial warning signs to watch for include gums that are red, swollen, or bleeding, and bad breath. Again, your part in preventing gum disease is brushing and flossing your teeth to remove plaque. The second part is periodic professional cleanings to remove the hard calculus from your teeth.

Dry Mouth. Frequently considered an age-related condition, dry mouth or xerostomia may also result from taking certain medications such as antihistamines, pain killers and decongestants. This decrease in the flow of saliva can cause an increase in cavities. Normally, saliva plays a major role in rinsing away food particles and neutralizing acids. Dry mouth puts you at a higher risk of having recurrent tooth decay. Talk to your dentist about your situation, as there are ways to increase saliva flow, including sugar-free candy and oral rinses.

See Your Dentist Periodically, and Your Cosmetic Dentist When the Time is Right

Professional Dental Visits. Having periodic professional cleanings and oral examinations at your dentist’s office will ensure that problems are addressed early on, while the most conservative solution is still possible. These appointments will also ensure that proper home care regimen is prescribed for your current situation. Even if you have a full denture or only a few teeth, be sure to talk to your dentist about how often to schedule a check-up.

Knowing that problems can arise in your later years makes it important for you to emphasize prevention now. Many of the problems mentioned above can be corrected if you see your dentist within a reasonable period of time. Also, consider that with certain dental concerns there may exist a window of treatment opportunity now that may not be available later.

For example, if you are considering having dental implants (titanium screws placed in the jaw bone, to which restorations are attached) to replace a missing tooth or teeth, the time to talk with your dentist is now. Although you may be thinking you are able to tolerate your situation for now and maybe in five or ten years you’ll consider implants, your body may not agree with your plans. Your overall health and the specifics of your oral health, such as sufficient bone level, factor into the success rate or even the consideration to place dental implants. These may change between how you are now and how you’ll be later. Therefore it’s always wise to talk with your dentist, not only about your immediate needs, but also your long term needs.

Practicing good dental home care rituals and having regular dental check-ups is certainly a step in the right direction for maintaining your dental health in your senior years. Remember that it’s never too late to start good oral health habits. Even if you have spent years with less than ideal habits, tomorrow is a new day. It may seem overwhelming or bothersome, but little by little if you incorporate good dental health habits into your everyday routine, it will be second nature before you know it. Preserving your natural teeth and healthy gums is essential to your overall health, well-being and smile, especially in your senior years.

Dr. Wynn Okuda is an award winning international leader in cosmetic dentistry. He is one of only 280 dentists in the world to be accredited by the American Academy of Cosmetic Dentistry (AACD). Dr. Okuda turned the dental profession on its head nearly a decade ago, replacing pain, fear, & discomfort with the Dental Day Spa system. His offices for cosmetic, restorative and implant dentistry are located in Honolulu, Hawaii.

Dr. Okuda has been featured in the New York Times, Wall Street Journal, Reader’s Digest, American Spa, Shape Magazine, Better Homes & Garden, Health & Fitness Sports Magazine, New Woman, and dozens more!

Dr. Okuda is the founder of “Give Back A Smile,” a charitable foundation of the AACD which helps survivors of domestic violence throughout the nation to restore their smiles and lives. He has assembled nearly 1,000 cosmetic dentists nationwide to help fight against domestic violence.

When I tell people I’m a cosmetic dentist, I still hear, “What’s that?” It continues to surprise me that although cosmetic dental procedures have been around for over 30 years, people are still unsure what the term “cosmetic dentistry” means.

What is cosmetic dentistry? Cosmetic dental procedures refer to procedures which allow a tooth to be restored to its natural looking beauty, or procedures which enhance a smile’s esthetic appearance. If you have ever had a tooth-colored filling placed in your mouth, you have had a cosmetic dental procedure done.

A Bright Smile and Then Some

Is the purpose of cosmetic dentistry for looks only? Some people think that cosmetic dental procedures are for appearance only, and have nothing to do with the ability to bite and chew. This is definitely the case with teeth bleaching, however many people may be surprised to learn that when other cosmetic dental procedures are properly done, it incorporates the health and function of your teeth as well. Depending on which procedures are performed, cosmetic dentists also address the way the biting and chewing surfaces of teeth occlude or come together.

As people are living longer, cosmetic dentistry can help to restore the strength or performance of teeth. For example, if a person habitually grinds their teeth, they may end up with shorter, worn teeth. This not only looks like an “aged smile,” but he or she can’t bite as effectively and may have increased sensitivity. Porcelain crowns can restore the youthful appearance of the smile, and restore the shapes and function of the teeth. They can also rejuvenate your smile to a more youthful appearance. In my nearly 15 years of providing cosmetic dentistry, we have consistently found that people say they appear about 10 years younger after these procedures.

A Cosmetic Dentistry Buffet of Procedures

What kinds of cosmetic dental procedures are there? Although a cosmetic dentist has many ways of approaching an esthetic dental problem, I’ll mention four solutions that can be used. More likely, a combination of solutions are used for an optimal result.

Teeth bleaching is probably the most well-known of the cosmetic dental procedures. It can be done in the dental office or at home, and can brighten a smile by several tooth shades. However, it’s not the solution for everyone. Those not able to bleach are people who have tooth colored restorations in their front teeth (including fillings, crowns, bridges, etc.), those with gum disease or those with certain types of discoloration, such as due to tetracycline medication.

Porcelain veneers or crowns can not only brighten a smile but can also change the shape, length or positioning of teeth. They can “straighten” crooked teeth or fill gaps between teeth. These procedures strengthen the natural tooth through a bonding process.

A “gum lift” might be performed in certain situations if a smile looks too “gummy”, teeth appear too short or square, or if a gumline is uneven. This is very minor surgery with minimal discomfort, as gums heal quite fast with proper home care.

Q & A

QUESTION: Can cosmetic dentistry alone help my dental situation?

ANSWER: Sometimes other dental specialists may be needed to first treat a patient before the cosmetic dentist can begin. Examples of such cases may be patients who first require orthodontics (braces) to “move” teeth; gum or bone surgery to correct gum esthetics; or “implant” surgery to properly restore a specific dental problem. (Implants are titanium screws that are surgically placed in the bone of either the upper or lower jaw, on which a crown or bridge is placed.)

QUESTION: What kinds of dental problems can cosmetic dentistry address?

ANSWER: The dental situations cosmetic dentistry can possibly address include:

1. Missing teeth or spaces between teeth.
2. Darkened, yellowed or grey, stained teeth.
3. Crooked teeth or “mismatched” teeth.
4. “Gummy” smiles, where a larger proportion of the gums show when smiling.
5. Too small, too large, too short or too thin teeth.
6. Changing silver amalgam fillings to natural appearing, tooth-colored restorations.

QUESTION: How long do cosmetic dental procedures take?

ANSWER: The length of time for a patient’s cosmetic dental treatment depends on the type of procedure or procedures required. In other words, every patient is unique. For some patients, cosmetic dental treatment can be completed in one day. For others, preliminary work may have to be done first before procedures can be started. Each dental procedure itself also takes different amounts of time. For example, a tooth-colored restoration not needing to be processed by a laboratory can be completed in one appointment. However, bleaching teeth (during the night), on average, may take about two weeks.

QUESTION: What changes have you seen with your cosmetic dentistry patients?

ANSWER: One of the most rewarding parts of cosmetic dentistry for me is the positive changes I’ve seen patients go through. The catalyst is the enhanced smile, but the smile becomes such a part of the patient that it affects how the person sees him or herself. The patient hears endless compliments, which lead to more smiling, which leads to a more friendly appearance, and happier person. This in turn affects how the patient views his or her personal life, overall appearance, career, relationships and even life itself.

It is my hope that everyone will be informed on cosmetic dentistry, which allows them to make the best decisions for themselves. Cosmetic dentistry covers a wide range of procedures and can address a multitude of dental situations. If you are self-conscious about your smile or teeth, talk to a cosmetic dentist about what can be done for you.

Dr. Wynn Okuda is an award winning international leader in cosmetic dentistry. He is one of only 280 dentists in the world to be accredited by the American Academy of Cosmetic Dentistry (AACD). Dr. Okuda turned the dental profession on its head nearly a decade ago, replacing pain, fear, & discomfort with the Dental Day Spa system. His offices for cosmetic, restorative and implant dentistry are located in Honolulu, Hawaii.

Dr. Okuda has been featured in the New York Times, Wall Street Journal, Reader’s Digest, American Spa, Shape Magazine, Better Homes & Garden, Health & Fitness Sports Magazine, New Woman, and dozens more!

Dr. Okuda is the founder of “Give Back A Smile,” a charitable foundation of the AACD which helps survivors of domestic violence throughout the nation to restore their smiles and lives. He has assembled nearly 1,000 cosmetic dentists nationwide to help fight against domestic violence.