What is Orthopedic Cosmetic Dentistry?

This is not a recognized specialty in dentistry. Rather, it’s a term we use in
our office to describe the Pagano Protocol – the sequence in which your
teeth, gums and structure are treated which results in a dazzling smile that
sits in a structurally sound foundation.
What do we mean by “orthopedic cosmetic dentistry?” Think of your teeth
and gums as the inside of a house and your jaw and head bones as the
structure and foundation. Once Doc ensures that the structure is balanced
and stable – which often includes treatment that eliminates headaches,
teeth grinding and other unwanted conditions – then the restorative and
cosmetic treatments on your teeth and gums can be performed on a stable
foundation. This results in cosmetic treatment that lasts, a bite that feels
natural, and eliminates redoing your work.
One patient with lifelong headaches experienced complete relief. Her
treatment included straightening her teeth and getting a gorgeous
smile. You can read more in Doc’s free downloadable ebook: Lifetime Smile
at www.stlouisdentistdrpete.com.

This is not a recognized specialty in dentistry. Rather, it’s a term we use in our office to describe the sequence in which your teeth, gums and structure are treated. A dazzling smile should sit on a structurally sound foundation.

What do we mean by “orthopedic cosmetic dentistry?” Think of your teeth and gums as the inside of a house and your jaw and head bones as the structure and foundation. Once Doc ensures that the structure is balanced and stable – which often includes treatment that eliminates headaches,

teeth grinding and other unwanted conditions – then the restorative and cosmetic treatments on your teeth and gums can be performed on a stable foundation. This results in cosmetic treatment that lasts, a bite that feels natural, and eliminates redoing your work.

One patient with lifelong headaches experienced complete relief. Her treatment included straightening her teeth and getting a gorgeous smile.

You can read more about orthopedic dentistry in Doc’s free downloadable ebook available on our home page.

Graphic courtesy of Humor Illustrator Suzanne Conway

Designer Dentures?

Designer Dentures?
Rather Than Dread Dentures, Views Them as a
Chance to Design Your Own Smile
Morton came in as a new patient asking for a new
set of dentures. In collaborating with him so we
could make him dentures he would be proud to
wear, I asked him questions such as:
Do you want spaces between your front teeth?
What type of smiles do you like?
Who do you want to look like?
Do you want big teeth, little teeth, long teeth,
wide teeth?
• Do you want personalization, such as little
character flaws built into your teeth?
• Do you want perfect alignment?
Morton told me he’d never been consulted to that
degree like when getting dentures made previously.
He said for the first time ever, he was excited to get
his new denture appliance.
According to the Center for Disease Control, 1 out of
every 4 adults over 60 have lost all of their natural
teeth due to gum disease and tooth decay. Another
CDC report says 1 out of every 5 adults over 65 have
lost all of their teeth. Once that occurs, your choices
are dentures or implants.
Although dental implants are an excellent alternative
to dentures, not everyone can get them. This doesn’t
mean you have to dread dentures. The biggest
reason denture wearers switch to implants is:
• Their dentures are ill-fitting and uncomfortable;
• They don’t like how their dentures look.
You can dread dentures or view them as an
opportunity to design your smile. If you want to pay
$99 and get “teeth-on-a-plate” then the old adage
“you get what you pay for” applies.
On the other hand, if you want someone to craft an
appliance that feels and looks natural, you can spend
the money and get something that will make you
feel confident.
As an Art Minor in college, I see beyond the science
of dentistry. Although an appliance needs to be
engineered perfectly, the aesthetic appeal must also
be present.
If you need a denture, view it as an opportunity to
design the smile you’ve always wanted.
*BLOG is short for “weblog,” a journal posted online.

Rather Than Dread Dentures, View Them as a Chance to Design Your Own Smile

Morton came in as a new patient asking for a new set of dentures. In collaborating with him so we

could make him dentures he would be proud to wear, I asked him questions such as:

Do you want spaces between your front teeth?

What type of smiles do you like?

Who do you want to look like?

Do you want big teeth, little teeth, long teeth, wide teeth?

Do you want personalization, such as little character flaws built into your teeth?

Do you want perfect alignment?

Morton told me he’d never been consulted to that degree like when getting dentures made previously.

He said for the first time ever, he was excited to get his new denture appliance.

According to the Center for Disease Control, 1 out of every 4 adults over 60 have lost all of their natural teeth due to gum disease and tooth decay. Another CDC report says 1 out of every 5 adults over 65 have lost all of their teeth. Once that occurs, your choices are dentures or implants.

Although dental implants are an excellent alternative to dentures, not everyone can get them. This doesn’t mean you have to dread dentures. The biggest reason denture wearers switch to implants is:

• Their dentures are ill-fitting and uncomfortable;

• They don’t like how their dentures look.

You can dread dentures or view them as an opportunity to design your smile. If you want to pay $99 and get “teeth-on-a-plate” then the old adage “you get what you pay for” applies.

On the other hand, if you want someone to craft an appliance that feels and looks natural, you can spend the money and get something that will make you feel confident.

As an Art Minor in college, I see beyond the science of dentistry. Although an appliance needs to be engineered perfectly, the aesthetic appeal must also be present.

If you need a denture, view it as an opportunity to design the smile you’ve always wanted.

Dr. Pete’s Top 5 Dental Health Trends

Trend #1. The explosion of implant dentistry will bring costs down. Like computer technology costs came down with demand, so it is with dental implants. The cost of materials that kept prices high for implants and crowns is coming down simply because more people are getting implants for missing teeth and instead of dentures. 

The American Academy of Implant Dentistry reports, “As the Baby Boomers begin filing for Social Security, they’re replacing teeth weakened from periodontal disease with dental implants instead of bridgework and removable dentures. Further incentive is that highly precise computer-guided dental implant surgery has made the procedure faster, highly predicable and long-lasting with a success rate of 97 percent.”

Trend #2: Teeth straightening will increasingly become the first step in a cosmetic makeover. It’s been a common practice to place porcelain veneers on crooked teeth. While this gives the appearance of straight teeth, it does nothing to address the health conditions caused by uneven teeth. These create uneven bite pressure which can lead to health problems, including headaches and migraines. With more dentists understanding the connection between the bite and jaw joints and head, neck and back pain, concern for health will lead to correcting the uneven bite rather than covering it up with veneers.

Trend #3: Gum Contouring Will Become More Popular. Just like lip plumping or botox improve appearance without surgery, contouring gum lines will become popular as more dentists investing in acquiring and learning how to use laser dental equipment. With laser technology being used in everything from skin care to knee replacement surgery, it was only a matter of time before it would be more routinely employed in your dental care. In addition to gum contouring which, by the way, is also great for men, lasers can disinfect diseased gum tissue. They can also cut into the teeth, making it faster and more comfortable to get fillings.

Trend #4: 3D x-rays will enable more precise dental treatment. Technology called “cone beam” takes two dimensional x-rays and makes them 3D. This allows your dentist to provide more precise dental treatment. For example, with a 3d picture, your dentist can see the nerve tissue surrounding impacted wisdom teeth. This allows for a better surgery. With implants, we’re able to determine more exactly their correct placement.

Trend #5: Teeth whitening will become part of a daily makeup routine for women. Whitening pens like Liquid Smile will make a professional in-offce whitening last a lot longer. Instead of bulky whitening trays sitting in your mouth for an hour with saliva coming out the side of your mouth, pens allow you to touch up the teeth that are visible.

 

Want to Keep Your Teeth and Gums Healthier

Want to Keep Your Teeth and

Gums Healthier? Try Adding

This Little Known Step to Your

Daily Dental Routine

Everyone pretty much knows by

now brushing and flossing after

every meal and getting a

professional cleaning at least

every six months has a huge

impact on dental health.

But there’s another facet to

personal daily dental hygiene

that has a big impact on dental

health: scraping your tongue.

Perhaps we don’t hear that

much about it because tongue

scrapers are not well promoted.

One inexpensive one can

practically last a lifetime.

Studies suggest that by

removing the soft plaque from

the tongue, you’re removing

most of the bacteria and other

debris that are the primary

source of bad breath, hard

plaque (tartar) and mineral

leaching acids (tooth decay).

The latest research associates

the bacteria in our mouths with

heart disease and other

ailments. The bottom line – for

dramatically better oral hygiene

and health just add cleaning

your tongue to your routine.

You can get a tongue scraper at

your next appointmentTry Adding

Tongue Scraper

Try Adding This Little Known Step to Your Daily Dental Routine

Everyone pretty much knows by now brushing and flossing after every meal and getting a professional cleaning at least every six months has a huge impact on dental health.

But there’s another facet to personal daily dental hygiene that has a big impact on dental health: scraping your tongue.

Perhaps we don’t hear that much about it because tongue scrapers are not well promoted. One inexpensive one can practically last a lifetime.

Studies suggest that by removing the soft plaque from the tongue, you’re removing most of the bacteria and other debris that are the primary source of bad breath, hard plaque (tartar) and mineral leaching acids (tooth decay).

The latest research associates the bacteria in our mouths with heart disease and other ailments. The bottom line – for dramatically better oral hygiene and health just add cleaning your tongue to your routine.

You can get a tongue scraper at your next St Louis dental appointment.

Is Your Dentist Keeping Secrets From You?

“I don’t think so. But I did like much of the information contained in an article of this title from Dr. Mercola’s website. Here’s a few followed by my comments:

“Secret #1: Your dentist may not have the latest technology.”

“Digital x-ray: Dentists who do not have digital x-ray equipment are practicing in
the dark ages. Digital x-rays use less radiation than film. They are easier to read
and make diagnosis more accurate.”

“Ultrasonic Cleaning: Ultrasonic instruments vibrate plaque and calculus off your
teeth, even in areas below your gums. It is much more comfortable than oldfashioned
hand scraping.”

Dr Pete’s Comment: I agree. Thats’ why our office has had this technology for years.

“Secret #2: Your dentist may be using mercury.”

“Mercury is toxic. Norway and Sweden have banned the use of mercury fillings..
But mercury fillings are less expensive and easier for the dentist to use. If your
dentist does not use composite fillings, don’t go to that dentist any more. In the
US, the FDA is way behind the ball and not actively warning patients about this
like they have been mandated by the courts to do.”

Dr. Pete: I haven’t used mercury for fillings in twenty years.

“Secret #3: The lab may be more important than your dentist.”

‘Dental labs create dentures, crowns, bridges, orthodontic appliances, and other
dental restorations like implant crowns. There is a huge difference in the quality
of these labs. You should be particularly wary if your dentist is using a lab in
China or Mexico. Some of the top labs in the U.S. are Aurum Ceramics,
MicroDental Laboratories, da Vinci Dental Studio, and Williams Dental Lab.”

Dr. Pete: Aurum Ceramics is one of the labs we use at Artistic Dentistry.

“Secret #4: There’s more to good dentistry than filling cavities.”

“A competent dentist screens for more than tooth decay. He or she should be
concerned about sleep apnea, jaw-related pain known as TMJ, oral cancer,
diabetes and hypertension.”

Dr. Pete: All good points. I cover some of this in my free downloadable
electronic ebook found at http://stlouisdentistdrpete.com

TIME Magazine Reports Dental Visits Shouldn’t Be Cut in Lean Times

A February issue of TIME Magazine reported that the effort to save a few bucks by skipping cleanings or needed dental work was not a wise financial decision. “Patients who’ve skipped checkups now have achy teeth and have no choice but to undergo a more expensive procedure,” the magazine reported.

Consider your cleanings like you would regular oil changes and maintenance on your car. When you keep these up, your maintenance expenses in the long run are actually less. Just because the car is running well today doesn’t mean you should skip your scheduled oil change.

Maintenance of oral health has far more impact on your health and pocketbook than your car. The condition of your gums and teeth affect the comfort of your chewing, how you present yourself to the world and your overall health. Most people don’t actually realize that each tooth is energetically connected to the rest of their bodies. When you do, you can see that allowing teeth and gum health to deterioriate is tantamount to inviting illness.

$205 Savings for All My Twitters Followers!

I’d like to extend an invitation to all my Twitter followers to experience top-notch st louis dental care right in your own backyard.

Call or email us to set up an appointment, tell us your Twitter name, and we’ll give you $205 off your New Patient Cleaning, X-rays and Five Point Dental Exam.

This offer ends January 31st, 2009! Don’t miss this offer deadline!

Look Ma’ No Cavities!

Look Ma! No Cavities!

For Boomers who grew up with this famous toothpaste advertisement, I have a news flash: At your age, it’s no longer just about cavities!

If you’ve passed the age of forty, you really should have a mid-life diagnosis to evaluate the overall state of your oral health AND to plan a proper course of treatment that will enable you to keep your teeth for the remainder of your lifetime.

Patients over forty have often shortchanged their dental health or just barely maintained their teeth and gums. With the expense of family taking precedence through the previous two decades, Boomer-aged patients coming to me for the first time are often prepared to play catch-up with their own dental health.

Today you can plan a course of treatment that will ensure you’ve got your own teeth to chew with well into your senior years. In addition, nothing is more youthful than a natural-looking white smile. Unlike your parents, if you take care now you can have both.

Sorry maam, your insurance only covers bumpers and tires

That’s about what your dental insurance would cover if you were a car. If you had to have your car towed to a garage, and the mechanic discovered you needed a new alternator, belts, and a laundry list of other repairs, would you say, I’ll hold off for now on the battery and belts. My insurance company won’t cover those?

Relying on what insurance will cover to get through your life’s dental care is like playing the slot machines in Vegas. You might wind up a winner, with all your teeth in your senior years. More common is that people require more dentistry than insurance covers.

Make sure you get your treatment done in the right order

Have you ever gone to the dentist and walked out with a laundry list of treatment you need to have done?

Ever wondered if there’s a proper sequence to the treatment?

If you hired a contractor to build your house, you already know that you wouldn’t put up the walls before wiring the house.

You know it’s just not the right sequence.

Same is true for dentistry. The problem is, most people don’t know there’s actually a proper sequence to performing treatment. If the sequence of treatment is scrambled a new problem is often created, requiring a costly solution. Don’t ever assume that all dental treatment is created equal. It’s NOT! First of all the approach to treatment can be very different, depending on the training of the diagnosing Doc to see and address problems with an understanding of their impact on your overall condition. Secondly, he may not even be aware that a problem exists. Thirdly, he may see the problem and not know what to do about it or where to send you to get the treatment needed.

If you get a treatment program from your dentist, ask him or her to explain the rationale behind the sequence of the proposed treatment. If something doesn’t make sense to you, query it. You need to understand your treatment, WHY it is necessary and WHAT benefits you can expect to get from it