Posts for: May, 2021
X-rays are so interwoven into dental care that we often don't think twice about them. Even so, we shouldn't take this invisible form of radiation lightly—regular exposure at high levels can affect the human body, especially in children.
The ability of x-rays to pass through tissue greatly improves our ability to diagnose tooth decay and other dental diseases. But x-rays can also potentially harm those same tissues. Because children are more sensitive to x-ray energy, they run a greater risk for cellular damage that could lead to cancer later in life.
In reality, though, these potential risks from x-rays are extremely low—so low, in fact, dental professionals regard their use as altogether safe for children. Here's why.
The ALARA principle. Dentists and other healthcare providers perform x-ray diagnostics based on a principle known as ALARA (“As low as reasonably achievable”). This means dentists only utilize x-rays to gain the most diagnostic benefit at the lowest amounts of radiation exposure. As such, ALARA guides both the development of x-ray equipment and the protocols involved in using them.
Equipment advances. Today's x-ray devices are safer and more efficient, restricting x-ray emissions to a single beam without scattering radiation into the environment. A child's radiation exposure is further lowered with the use of digital x-rays, which produce images in less time than conventional film. Because of these and other advances, children are exposed to less radiation during x-rays than what they typically receive in a day from the outside environment.
Safe practices. Following the ALARA principle, dentists are quite conservative in their use of x-rays in children. The most common means of x-ray is the bitewing, which captures images primarily of the back teeth that are more prone to decay. Bitewings, which require a lower x-ray dosage than a full mouth x-ray, are usually spaced at least six months apart or longer depending on a child's risk for dental disease.
The efficiency of modern radiographic equipment coupled with their judicious use has drastically reduced the amount of x-ray radiation to which a child may be exposed, thus lowering their risk of future health issues. The benefit for saving a child's teeth from disease is well worth their use.
If you would like more information on x-ray safety, 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 “X-Ray Safety for Children.”
Kill Bill fans have been pressing for a third installment of the stylized revenge tale since Kill Bill, Volume 2 hit the theaters in 2004. Finally, filmmaker Quentin Tarantino is talking about the long-awaited Volume 3 as if it might soon become a reality. The third movie in the franchise would most likely focus on the now-grown daughter of the character played by Vivica A. Fox in the first two. Vivica recently made known that should Kill Bill, Volume 3 go into production, she thinks 24-year-old actress and singer Zendaya would be perfect for the role.
Although Zendaya is a few inches taller than Vivica, the two women have a few things in common. Besides being talented movie and television actresses who have won awards for their roles, they both have camera-ready smiles. And both Vivica and Zendaya can thank their dentists for helping their smiles be their best.
In 2016, Vivica told Dear Doctor magazine that her smile needed a boost, so she opted for dental veneers to correct gaps between her teeth—and she's very happy with them. “I love my veneers!” she exclaimed. Zendaya also had help in achieving her Hollywood-perfect smile. In 2011, early in her career on the Disney channel, she wore clear orthodontic aligners to straighten her teeth. To further perfect her smile, she visited her dentist for professional teeth whitening in 2016, inviting a film crew along to show how easy and effective in-office tooth whitening is.
But you don't have to be a celebrity to enjoy smile-enhancing dental treatments. They are great options for anyone who wants to improve the look of their smile.
Teeth whitening. If your teeth are looking yellowed, in-office whitening can make them up to 10 shades brighter in one visit! Some people prefer professional at-home whitening kits, which produce great results more gradually.
Bonding or veneers. For small chips and cracks, cosmetic bonding can cover flaws by adding layers of a tooth-colored material over the tooth. For bigger flaws, heavy discoloration or gaps between teeth as Vivica had, dental veneers may be the answer. These custom-made thin porcelain shells cover the front-facing surface of the tooth, hiding imperfections to give anyone a Hollywood smile.
Orthodontics. Crooked teeth can detract from the look of a smile. While traditional braces are an option, many people with mild to moderate alignment issues find removable clear aligners the perfect way to get the smile they desire with minimal impact on their daily activities. Clear aligners are very subtle and can be removed for eating and cleaning as well as for special occasions—or for filming scenes, as Zendaya knows.
Contact us or schedule an appointment for a consultation to see if professional teeth whitening, cosmetic bonding or veneers, orthodontics, or another dental treatment could enhance your smile. You can also learn more by reading the Dear Doctor magazine articles “Important Teeth Whitening Questions Answered” and “How Your Dentist Can Help You Look Younger.”
We instinctively know when a smile looks normal—and when it doesn't. It could be that something simply looks out of place like crooked teeth. But we might also notice when something is missing—as with one or both of the canine teeth.
The canine teeth align just under the eyes and are recognizable by their pointed ends. When they're missing, the smile looks “incomplete.” But “missing” in this case could mean “invisible”—the teeth are there, but hidden within the gums because they failed to come in properly and became impacted. This often happens on a smaller jaw where other teeth have crowded into the space intended for them.
Fortunately, we may have a remedy, and not just for appearance's sake—any impacted tooth can cause health problems, from gum abscesses to root damage of neighboring teeth. Although this might necessitate their surgical removal, we might also be able to coax them through the gums into better position in the jaw, if they're in a reasonably good position. This could result in both a boost to a patient's oral health and a more normal looking smile.
First, though, a patient will need to undergo a thorough bite evaluation by an orthodontist. Besides pinpointing the impacted teeth's precise location with x-rays or CT technology, an orthodontist will also want to assess the positions and condition of the rest of the teeth. If the conditions are right and there's enough room in the jaw, the orthodontist may recommend drawing the impacted canines into proper alignment in the jaw.
The process starts when an oral surgeon exposes the impacted teeth by surgically cutting through the gum tissue. They then attach a small bracket to the tooth with a tiny metal chain attached, the other end of which is looped over orthodontic hardware attached to other teeth. The tension on the chain by the hardware gradually nudges the teeth downward out of the gums. This is usually done in coordination with other measures to fully correct the bite.
If the procedure is successful, bringing the canines out of impaction reduces the problems those teeth could cause the person's oral health. But just as important, it can restore normality to their smile.
If you would like more information on treating impacted teeth, 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 “Exposing Impacted Canines.”