Posts for: December, 2013

By Wayne Cook, D.D.S.
December 30, 2013
Category: Dental Procedures
Tags: orthodontics   frenectomy  
MinorProcedureCanHelpKeeptheSpaceBetweenTeethClosed

You have a beautiful smile, but with one noticeable flaw — there's a small gap between your two front teeth. It's a common occurrence that can be corrected with orthodontics.

There are a number of causes for this wider spacing, including an excessive overlap bite of the upper teeth over the lower, habits such as tongue-thrusting or finger-sucking, or extra (or even missing) teeth. But one of the most common is the presence of an overly large muscle attachment called a frenum or, as it's sometimes referred to, frenulum. If that's the case, you may need a minor surgical procedure in addition to orthodontic treatment to ensure the space remains closed.

The frenum is the fold of tissue that contains some muscle tissue that connects the gum to the lip. In certain people, a larger than normal frenum may extend further to the front of the roof of their mouth, just behind the teeth, and may also extend lower between the teeth and contribute to the gap. Unless some of this tissue is removed, it can force the teeth apart again after the gap has been closed through orthodontics.

This simple procedure is called a frenectomy. After numbing the area with a local anesthetic, we remove the excess tissue from the frenum extended into the space between the teeth, using either a small scalpel or a special laser. The resulting wound is generally very small and may require only a few stitches, if any. Healing usually takes no more than a week and any discomfort is easily managed by anti-inflammatory medication like aspirin or ibuprofen.

As a general rule, a frenectomy is best performed after the orthodontic treatment so that scar tissue resulting from the procedure won't interfere with the gap closure. With proper dental follow-up, the gap should stay closed — and your new enhanced smile won't fade away.

If you would like more information on treating spaces between 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 “Space Between Front Teeth.”


By Wayne Cook, D.D.S.
December 27, 2013
Category: Dental Procedures
Baseball and Braces Joe Girardis Bargain

Sometimes, we all need a bit of prompting to do what's good for us. When Serena Girardi, the 10-year-old daughter of New York Yankees manager Joe Girardi, needed to have orthodontic treatment, she was a little nervous. To help lessen her anxiety, Girardi, then 45 years old, made a deal: if she got dental braces, then he would too.

“What I didn't realize,” said Girardi in an interview with ESPN, “is that she only had to get four on her front teeth and I got the full mouthful.”

But that didn't stop the baseball great from keeping up his end of the bargain. In a separate deal with his son Dante, who also needed braces, Girardi agreed to wear blue rubber bands. “It's a good look,” he said. What will he do if his third child needs braces? Stay tuned...

Whether it starts as a bargain with your kids or as a promise to yourself, orthodontic treatment can offer real benefits at any age. In fact, about one out of five orthodontic patients today is an adult. Studies have shown that up to three-quarters of all adults have some form of orthodontic problem, like drifting or crowding of teeth. And having a great-looking smile not only improves self-confidence, but can also boost an adult's social life, and even enhance his or her career opportunities.

If you or your child may need braces, but you're put off by the dreary metal hardware you remember from back in the day, take heart! Plenty has changed in the field of orthodontics since you were a teenager — and it's not just the color of the rubber bands.

In many cases, clear or colorless ceramic braces can be used instead of metal ones. These stain-resistant orthodontic appliances blend in well with your own teeth, making them much less evident. It may be possible for them to be placed on the lingual (tongue) side of the teeth, where they're even less visible.

Clear aligners offer an alternative to braces that's appropriate for some people. Aligners are a series of precision-made “trays” composed of polyurethane plastic. Worn 20-22 hours per day for a period of months, these appliances gradually move teeth into an improved position. Besides being virtually invisible, another advantage of these trays is that they may be removed for eating and for important occasions. Once recommended only for adults, they have recently become available to teenagers as well.

What's the best way to find out whether you or someone in your family could benefit from orthodontics, and which treatment option best suits your individual needs? Come in to our office for a consultation! After a thorough examination, we would be happy to recommend the most appropriate treatment methods for your particular situation.

If you have questions about orthodontic treatment, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Orthodontics For The Older Adult” and “Clear Aligners for Teenagers.”


By Wayne Cook, D.D.S.
December 12, 2013
Category: Dental Procedures
Tags: dental implants  
NewPermanentTeeth-FasterThanEver

If you have lost your natural teeth, you may already have heard that dental implants are the best option for tooth replacement. Unlike removable dentures or bridgework, implants actually fuse to your jawbone — providing lifetime support for a full set of great-looking replacement teeth. But you may not know that for many people without teeth, it’s possible to receive an entire set of new implant teeth in just one surgical appointment!

Here are the steps:

Initial Consultation — We will assess your existing condition with the help of x-ray imaging. CT scans allow us to see the jawbone in three dimensions, which is particularly helpful for planning implant treatment. These scans provide critical information about anatomical structures such as bone, sinuses and nerves, and help us determine the ideal location for the implants as we design your new smile.

Implant Surgery — The surgery to place implants is actually minor and routine. If you need to have any failing teeth removed, we will do that first. Depending on the quality of your tooth-supporting bone, you may need as few as four or, at most, eight implants in each jaw (upper and lower) to replace all of your teeth.

Temporary Teeth — If the bone in your jaw is healthy and strong enough, we can immediately attach temporary acrylic replacement teeth to the implants so that you can leave the office with teeth the same day as your implant surgery! Once you have fully healed, we will replace your temporary teeth with permanent ones.

Healing — During the first 6-8 weeks after surgery, you”ll need to go easy on the new teeth, avoiding chewy or tough foods so that the implants remain stationary as they complete the process of fusing to your jawbone. People generally have little postoperative discomfort after surgery and begin functioning with their new temporary teeth almost immediately.

A Revitalized Smile — When we are satisfied that your implants have successfully fused to the jawbone, we will remove your temporary teeth and replace them with your permanent ones. These are generally made of stronger, more durable materials and fit the healed gum tissues more precisely. They should feel just like your own teeth. In fact, neither you nor anyone else should be able to tell that they are replacement teeth!

If you would like to learn more about replacing all of your missing teeth with dental implants, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “New Teeth in One Day.”




Marion, AR Family Dentist
Wayne Cook, D.D.S.
303 Bancario Rd.Suite 7
Marion, AR 72364
870-739-8799
Dental Tooth Contact For Pricing Options

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