In The Beginning Was The Orthopedic Dental Exam

An exam by any other name…Is not an exam.

A typical dental exam checks your teeth for cavities and your gums for disease and stops there. It doesn’t include examining your jaw joints and their impact on your dental health and your overall health. This more comprehensive dental exam is important in “orthopedic dentistry,” which ensures your jaw joints are balanced.

An “orthopedic dentistry” exam notes the teeth position and function of your teeth and their supporting structures; an analysis of how your teeth fit together when you bite down; an examination of your chewing and speech — and the movement of your jaws and joints and how they impact all of the above.

Taking the exam even further, the experience of the practitioner determines how much he/she is able to detect. Usually, a dentist doesn’t see much beyond what he or she can treat. At Artistic Dentistry, we treat nearly any dental situation — from root canals to orthodontics to cosmetics to identifying the “mysterious” reason for a tooth problem. In short, the scope of responsibility your practitioner is willing to take depends upon his/her knowledge.

Your teeth and mouth tell a story. Your mouth, gums and jaws indicate much about your overall health. Aside from your dental condition — I can sometimes detect conditions like osteoporosis, leukemia, cancer and even bulimia.

A young woman came to me with tonsils that had been swollen for fifteen years. She had regular dental care while growing up and five years of orthodontics. Neither her dentist or her orthodontist had suggested she see a specialist about the swollen tonsils. I queried her about a list of symptoms I suspected she was suffering from, including chronic fatigue. Wide-eyed, she sat up in my chair and asked “how do you know all this about me?” I immediately referred her to a surgeon who diagnosed that her condition as life-threatening.

A man came to me after spending $50,000 on cosmetic dental treatment. The doctor overseeing the case only performed cosmetic procedures and had referred him to several specialists to perform various phases, such as root canals, extractions, etc. After two years of treatment and expense, the patient still had lower crooked teeth. Why? The specialist overseeing his case didn’t perform orthodontics and told this patient he didn’t need it. After spending $50,000 to rehab your mouth, wouldn’t you want straight teeth? In our office, the steps of his treatment program would have been put in a sequential order that would have included orthodontics at the correct stage.

A dentist with multi-disciplinary skills sees beyond a limited set of procedures. So, the next time my staff in St Louis calls to get you scheduled for your cleaning and exam, you should know that this is one of the most important visits to the dentist you can make. If you value the health of your mouth and plan to keep your teeth for a lifetime, then we’re both on the same page.

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Are You A Night Grinder?

Teeth grinding is when you clench your top and bottom teeth together or grind your teeth back and forth over each other. Because it’s a subconscious muscle activity, most grinders grind without realizing it, until a fragmented tooth or facial soreness or other symptom occurs.

It is estimated that 10-15 percent of Americans moderately or severely grind their teeth. Normally, we exert about 20 to 30 pounds per square inch on our back molars when we chew. but teeth grinders, especially at night without restraint, can exert up to as much as 200 pounds per square inch on their teeth.

The relentless wear and tear at night from grinding can quickly erode enamel, fracture teeth, affect bite and damage the temporomandibular joint at the hinge of the jaw, and the masseter muscle, which controls the jaws. Jaw and face pain as well as earaches and headaches may also occur.

Having treated this condition for over thirty years, I’ve helped many night grinders eliminate their problems.

*Some information for this article was taken from NY Times article of October 2009: When Stress Takes a Toll on Your Teeth.

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Want a Movie Star Smile?

Julia Roberts Movie Star Smile

Julia looks like one of those lucky ones with a naturally gorgeous smile. But consider if she’d be as successful if that smile weren’t stunning.

You can transform your appearance from ordinary to extraordinary with the use of porcelain crowns (caps) and veneers. These dental procedures are called “cosmetic dentistry.”

Before you invest in this treatment, let me point out that you’re not just interior decorating. There’s two major areas of outcome you need to be concerned with: Do your teeth look natural? and do they chew comfortably?

Often when someone has extensive work done in their mouth, it’s noticeable. Sometimes the teeth seem to be out-of-proportion to the mouth. Or, they don’t look natural. With the technology available today, there’s no reason crowns and veneers can’t look like your own teeth and not like dental work, even to the most discerning eye.

An experienced dentist utilizing the latest technological advancements can give you a complete cosmetic makeover that is dazzling, and yet entirely natural looking and feels comfortable.

The hallmark of good dental work is it enhances your smile without being obvious. It’s beautiful, but natural looking and natural feeling. Let me give you some examples of what I consider dental work that is far too obvious. Dick Van Dyke and Carol Burnett had smiles that looked fake – their bite planes are off and their teeth don’t look natural. 

For those of you too young to remember those famous TV stars, just start looking at the smiles of stars in the magazines you see at the supermarket checkout counters. You’ll notice there are those that simply don’t look right to you. The teeth can seem out of proportion to the mouth or seem fake looking. Once you start looking, you’ll see what I mean.

When someone has had good dental work, you’d never guess they’ve had any work at all.

The three keys to a successful cosmetic makeover:

1. Correct the Structure First. You don’t want to do interior decorating of the teeth until the foundation tissues of the mouth and teeth are stable and balanced. The foundation of your mouth includes balanced jaw joints and healthy bone and ligaments surrounding the teeth.

2. Function Must Go Hand in Hand With Appearance.No matter how good the dental work looks, it has to be able to function in a way that facilitates chewing. If it impedes chewing or restricts jaw movements a person makes, the treatment will not hold up. Improper chewing can lead to muscle spasms, jaw joint dislocations, with mild to severe muscle pain, creating headaches, neck aches and back pain.

3. A natural look is not necessarily the whitest look. A tooth’s shade varies from the area at the gum line through the biting edge of the tooth. That’s why monochromatic tooth colors appear very unnatural.

Also know that if you’re just getting a single crown or veneer, the hardest thing to do is match that tooth color to its neighboring teeth. Therefore, if you’re crowning or veneering just one tooth, it’s vital your practitioner matches the shade exactly. Otherwise, that one tooth will shout to all its presence. If you’re interested in rejuvenating your smile, use the coupon above for an introductory consultation with me.

I look forward to seeing you at our St Louis office!

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Do You Have Symptoms of Imbalance?

Headaches or migraines.
Neck aches.
Facial pain with increased pressure in your head and sinuses.
You wake up with headaches or develop them by midday.
You have pain behind your eyes for no apparent reason.
You have sounds in your ears, but your doctor can’t find anything wrong.
You notice your smile is getting crooked as teeth wear down unevenly.
You’ve had an increase in root canals, especially on one side of your
mouth.
You have neck and low back pain that creates stiffness and inability to
perform tasks.
Your bite isn’t the same since getting cosmetic dental work.
You have head pain since your orthodontics.

Correct the Problem and These Symptoms Go Away. That’s Done By Balancing Your Head, Neck and Jaw Before Doing Dental Work. That’s What Orthopedic Dentistry Is All About. It Also Ensures Your Cosmetic Enhancements Don’t Create An Imbalance.

In a perfectly constructed mouth, the teeth and jaw fit together to perform the function of chewing. The slightest adjustment to a tooth can throw this precise functioning off-balance. Even the replacement of a filling can make your bite feel different if it’s not balanced correctly and if not adjusted, can cause your jaw joints to move out of place.

If just a simple filling requires such precision, imagine the skill required in placing veneers or implants while ensuring they not only look great but are completely natural in their feel and fit.

Like a perfectly balanced bridge constructed to withstand the elements of weather and carry immense weight, your teeth and jaw are designed with a similar precision. The ability to work with the precision of an engineer and the talent of a master artisan ensures your dental outcome is both sound and beautiful.

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