Madeline Stuart, acclaimed fashion model; Chris Burke, successful actor; Collette Divitto, founder of Collettey's Cookies. Each of them is accomplished in their own right—and each has Down syndrome. In October, Down Syndrome Awareness Month recognizes the achievements of people with Down syndrome overcoming incredible challenges. One such challenge, keeping their dental health on track, is something they and their families face every day.
Down syndrome, also known as trisomy 21, is a genetic disorder that happens when the body's cells contain an extra copy of chromosome number 21. This can cause a wide range of physical, intellectual and developmental impairments that, among other things, can contribute to dental disease and other oral health concerns.
But oral problems can be minimized, especially during childhood. Here are four ways to better manage dental care for a child with Down syndrome.
Begin dental visits early. Down syndrome patients can have physical challenges that could result in delayed tooth eruption, undersized teeth or smaller jaws that contribute to poor bite development and greater risk of tooth decay and periodontal (gum) disease. To stay ahead of any developing issues, you should begin regular visits to the dentist no later than the child's first birthday.
Be aware of dental anxiety. Some children with Down syndrome experience significant anxiety about the clinical aspects of their care. We strive to provide a comfortable, caring environment for all patients, including those with special needs. A variety of relaxation techniques as well as sedation options may help to reduce anxiety.
Coordinate medical and dental care. Medical problems can affect dental care. Be sure, then, to keep us informed about your child's health issues. For example, heart defects are more common among those with Down syndrome, and dental patients with heart conditions may need to be treated with antibiotics before certain dental procedures to minimize the chances of infection.
Make daily hygiene easier. Daily brushing and flossing are important for everyone's dental health, but they can be difficult for someone with Down syndrome. In some cases, you may have to assist or even perform these tasks for your child. You can make oral hygiene easier by choosing toothbrushes that fit your child's level of physical ability or using special flossing devices.
The physical disabilities of those with Down syndrome fall along a wide spectrum, with some individuals needing more help than others. Tailoring their dental care to their specific needs and capabilities can help keep your child's teeth and gums healthy for the long term.
If you would like more information about providing dental care for children with disabilities, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Managing Tooth Decay in Children With Chronic Diseases” and “Dentistry & Oral Health for Children.”
Although teeth are quite durable, we can still lose them—even all of them—to disease or injury. The good news, though, is that we have effective ways to restore teeth after they're lost. One of these, the removable denture, has given people their teeth back for several generations. And with recent advances in technology, today's dentures are even better.
Although more advanced, today's dentures share the same basic structure as those from a century ago: prosthetic (false) teeth set in a plastic resin colored to resemble the gums. The traditional denture is molded to fit snugly over an individual patient's alveolar jaw ridges, which once supported the former natural teeth. The denture stays in place primarily through a suction effect between the denture and the ridges.
Modern technology, though, has greatly improved today's dentures. Digital imaging can be used to generate highly accurate impressions of the dental ridges that can lead to denture bases with better fit. Dentists using photographs of the patient, especially in earlier years, are better able to identify facial landmarks, which enables them to position the new teeth to more closely recreate the patient's former smile.
These technological aids now help dentists to create more attractive dentures with better support and comfort. But the fit that makes this possible may not last due to a particular weakness inherent in traditional dentures—continuing bone loss. When teeth are missing, the underlying jawbone can lose bone volume over time. Dentures don't stop this process and can accelerate it due to constant friction and pressure on the dental ridges.
But a new modification incorporating dental implants with dentures can help solve these problems. By placing a few strategically positioned implants in the jawbone that then connect with the denture, the appliance not only gains more stability, but also produces less pressure on the dental ridges. In addition, bone cells naturally grow and adhere to the titanium implant posts, which helps to stop or slow bone loss.
If you've experienced total tooth loss, dentures are an affordable and effective option. Thanks to modern dental advances, you can get back the smile and dental function you once lost.
If you would like more information on denture restorations, 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 “Removable Full Dentures.”
If you've decided to straighten your teeth, you've made a wise choice for both your dental health and your smile. Now you may be facing another decision—which method to use for bite correction.
Not too long ago people had only one choice—traditional braces all the way. But that changed with the introduction of clear aligners, a series of removable plastic trays worn one after the other to realign teeth. In all but a few situations, clear aligners accomplish the same outcome as braces but without the conspicuous appearance and, thanks to their removability, difficulty in brushing and flossing teeth.
And now, a recent innovation in orthodontics could give you a third option—lingual braces. These are braces fixed to the back of teeth adjacent to the tongue (hence the term “lingual”), rather than on the front as with traditional braces. They essentially perform the same action, only instead of “pushing” teeth like traditional braces, they “pull” the teeth to the target positions. Lingual braces may also ease certain disadvantages people find with traditional braces or clear aligners.
If you're into martial arts, for instance, you may encounter blows to the face that increase your injury risk while wearing traditional braces. Likewise, if you're highly social, clear aligners can be a hassle to take out and keep up with if you're frequently eating in public. Lingual braces answer both types of issues: They won't damage your lips or gums in the case of blunt force facial contact; and they remain out of sight, out of mind in social situations.
Before considering lingual braces, though, keep in mind that they may cost 15-35 percent more than traditional braces. They also take time for some people to get used to because of how they feel to the tongue. And, they're not yet as widely available as traditional braces, although the number of orthodontists who have received training in the new method is increasing.
If you'd like to know more about lingual braces and whether they're right for you, speak to your dentist or orthodontist. You may find that this new option for improving your dental health and your smile fits your lifestyle.
If you would like more information on lingual braces, 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 “Lingual Braces: A Truly Invisible Way to Straighten Teeth.”
Love at first sight—it's an endearing notion found in movies and novels, but perhaps we're a little skeptical about it happening in real life. Then again, maybe it does once in a blue moon. According to supermodel Gisele Bündchen, something definitely happened the first time she met pro quarterback Tom Brady in 2006. And it all began when he smiled.
“The moment I saw him, he smiled and I was like, 'That is the most beautiful, charismatic smile I've ever seen!'” Bündchen said in an article for Vogue magazine. That was all it took. After a three-year romance, they married in 2009 and have been happily so ever since.
Both Brady and Bündchen have great smiles. But they also know even the most naturally attractive smile occasionally needs a little help. Here are three things our happy couple have done to keep their smiles beautiful—and you could do the same.
Teeth whitening. Bündchen is a big proponent of brightening your smile, even endorsing a line of whitening products at one point. And for good reason: This relatively inexpensive and non-invasive procedure can turn a dull, lackluster smile into a dazzling head-turner. A professional whitening can give you the safest, longest-lasting results. We can also fine-tune the whitening solution to give you just the level of brightness you want.
Teeth straightening. When Bündchen noticed one of her teeth out of normal alignment, she underwent orthodontic treatment to straighten her smile. Rather than traditional braces, she opted for clear aligners, removable trays made of translucent plastic. Effective on many types of orthodontic problems, clear aligners can straighten teeth while hardly being noticed by anyone else.
Smile repair. Brady is a frequent client of cosmetic dentistry, sometimes due to his day job. During 2015's Super Bowl XLIX against the Seattle Seahawks, Brady chipped a tooth, ironically from “head-butting” his Patriots teammate Brandon LaFell after the latter caught a touchdown pass. Fortunately, he's had this and other defects repaired—and so can you. We can restore teeth as good as new with composite resin bonding, veneers or crowns.
This superstar couple, known for their advocacy of all things healthy, would also tell you a beautiful smile is a healthy one. You can help maintain your smile's attractiveness with daily brushing and flossing to lower the risk of staining and dental disease, regular dental visits, and “tooth-friendly” eating habits.
And when your teeth need a little extra TLC, see us for a full evaluation. You may not be in the spotlight like this celebrity couple, but you can still have a beautiful smile just like theirs.
If you would like more information on ways to enhance your smile, please contact us or schedule a consultation.
There have been vast improvements over the years in various methods to restore diseased, damaged or missing teeth. A lot of this is due to better restorative materials that are stronger and more life-like.
But given the mouth's hostile environment and the forces generated from chewing, even the most durable restorations could fail. You can, however, improve their durability through proper care and good protective practices.
Here are 3 ways to preserve your dental work and keep it functioning for years or even decades to come.
Daily oral hygiene. Although the bacteria in dental plaque doesn't affect non-living dental materials, it can infect and weaken living tissues around fillings, crowns or implants. Because these tissues often support restorations, an infection could cripple your dental work's survivability. You can prevent this by practicing daily brushing and flossing, and getting regular dental cleanings, to remove plaque and decrease your risk of dental disease.
Dietary choices. You can further prevent dental disease by restricting your consumption of sugar and eating foods rich in calcium and other nutrients. But there's one other thing to keep in mind about what you eat: Some foods can stain veneers and other restorations, as well as natural tooth enamel. If staining occurs at different rates, your dental work could stand out from your natural teeth and look out of place. You can help avoid this by limiting items in your diet known to stain (like wine or coffee) and practicing good oral hygiene.
Poor habits. Many of us have nervous habits like nail-biting or ice-chewing, or an unconscious habit of grinding teeth. Habits like these can damage restorations like composite bonding or veneers. To prevent the chances of this happening, take steps to stop habits and practices that involve biting down on hard objects (including foods like fruits with hard skins). You should also talk to your dentist about solutions to reduce teeth grinding, especially if it's occurring while you sleep.
Above all, keep up your dental visits to regularly monitor the condition of your dental work and obtain repairs or enhancements as needed. By taking care of these valuable restorations, you can help them continue to function and serve your needs for a long time to come.
If you would like more information on maintaining your dental restorations, 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 “Extending the Life of Your Dental Work.”
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