Have Your Teeth Shifted Position?

Did you know that your teeth position are constantly subjected to forces that cause them to shift? Those forces may be due to muscle tension, biting, chewing or uneven jaw joints. The teeth will move in response to those forces.As you age, your teeth wear down and get shorter. Your jaw joints can wear down. You lose a tooth and maybe decide to not replace it. Both of these factors create imbalances in your mouth.

When that occurs, instead of your teeth all sharing equally in the function of chewng, some are forced to work overtime to compensate for missing, broken or shorter teeth.

If you were driving your car with two bald tires and two new tires, it would create a rough ride.The analogy is comparable when it comes to your teeth. If you chew on an uneven surface a tooth can crack, resulting in more chewing force on the remaining teeth.

It’s not only for cosmetic reasons that you straighten your teeth position, get crowns or implants. These treatments improve the way your teeth mesh together. They also balance your bite. They can even enhance or even create entire body balance. You may not notice an immediate effect from imbalance and uneven chewing, but like the “perfect storm,” many health conditions are the result of long-term, non-optimum conditions that have been ignored.

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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.

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Do You Treat Your Dental Care Like Your Car Maintenance?

Some people give their teeth and gums the same type of care as their car. They give it minimal maintenance and only bring it into the shop when it breaks down. Eventually, with too many parts neglected for too long, the car requires either a huge investment in repairs or the cost of replacement.

Well … your dental condition has some similarities. Once it starts to deteriorate, you face a crossroads: do you want to keep your teeth for your natural life or lose them?

If you catch up on your dental work before it’s too late, you can sidestep many procedures that “older” people wind up getting. For example, a 45 year old woman came into my office requesting her thirty-year old silver fillings be removed, since they were dark and detracted from her beautiful smile.

Lurking underneath were cracked teeth which, left alone for another year or so, would have required extraction and replacement with implants and crowns. She was lucky that we treated the situation in time and was able to restore the teeth with buildups. Had they deteriorated even slightly more, she would have been faced with having to replace her teeth.

I see people neglect simple fillings, which over time get bigger and, in some cases, lead to infection and root canal therapy. It’s just not a good idea to neglect needed dental treatment. Teeth and gums don’t get better by themselves.

Normally, the motivation to catch up on years of backlogged treatment is cosmetic. There’s a romantic or professional reason. Or, the person recognizes the role a smile plays in maintaining a youthful appearance. Whatever the motivation, if you already know you want to keep your teeth for the rest of your life – or you want to get some cosmetic procedures to brighten up your appearance, the first step is to restore the health of your teeth and gums. Neglected treatment always results in more expense, unless you’re content to wind up with dentures.

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Use Less Invasive Dentistry as the First Alternative

Sometimes the cause of your tooth pain is not always indicative of a clear cut procedure. Here’s a classic example of what I mean: Let’s say you bite down too hard on something and experience pain. If the dentist is too eager to do a root canal or extract your tooth he/she might miss that you just “sprained” your tooth. [Read more...]

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Anti-Aging Benefits of Keeping Your Natural Teeth

Want to know what happens to your teeth as you get older? They wear down, like tread on tires. Ever so gradually, the distance between your chin and nose diminishes until one day you realize that you’ve got lines around your mouth and you just, well …look older, but don’t really know why. That’s one reason to consider crowns or overlays on your back teeth – this procedures restores the lost vertical distance created by wear. It’s almost like having a facelift!

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Can Your Smile Make You Rich?

A survey done by the American Academy of Cosmetic Dentistry found that 74 percent of American adults believe an unattractive smile can harm a person’s chances of career success. Julia Roberts was at one time the highest paid actress in Hollywood. She also was voted as having the best smile in the business. Think there’s a connection?

As you age, your facial skin begins to sag and wrinkle. Much of this is actually caused by what’s happening inside your mouth! For starters, your teeth get shorter as you get older. You don’t always notice it because it happens gradually. At the same time, your teeth position are shifting incrementally each year.

By the time you surpass the age of fifty, your teeth will most likely be in a different position than when you were twenty years old.

The good news is that strategic dental work can soften folds and wrinkles and perk up sagging. You can erase five to ten years off your face with dental minilift procedures.

Interested? Call for a free consultation with Doc.

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In an Era of Speed, Quality is Still Valued…

Will all of you under 40 indulge me for just a moment while I reminisce about “When I was Growing Up?” Once in a while, I’m reminded of the higher quality with which things used to be made. Cars, furniture, clothing, appliances and yes, even dentistry were MADE TO LAST.

My dad, Dr. Sam Pagano, practiced dentistry in St Louis for over 50 years. Many of his techniques are lost today. Yet, his techniques resulted in quality dental work that lasts.

Case in point: My dad and I were having breakfast at Sunrise Café on 141 and Olive Blvd. A 91 year old woman by the name of Josephine came up to our table. She looked at my dad, waiting for him to recognize her. Turns out, he filled her teeth 40 years ago. She proudly announced that she still had those same fillings and that her current dentist wanted to know (and I quote): “Who did all of this beautiful work in your mouth?”

In another outing, my dad and I ran into a former patient of his who proudly displayed the dentures my dad had made for him – IN 1953! Over 50 years later, these dentures were still working for this patient.

In earlier times artisans and craftsmen spent years as apprentices in order to Master their skills. I was fortunate enough to get an apprenticeship fresh out of dental school, working with my dad for nearly ten years. I learned as much from him as I did in school, if not more. By mastering the fundamentals of dentistry and focusing on quality, I had a strong foundation on which to embrace the technological advancements that have been made in dentistry.

Despite my excitement at learning new procedures and acquiring the latest technology, I know that these aren’t substitutes for a firm grounding in the skills of providing quality dentistry that will last.

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To Fix The Problem, You Have To Identify The Cause

A St Louis woman was referred to me who had constant pain in her front tooth and had been advised to extract the tooth. I observed that the problem tooth was constantly being hit by the tooth directly underneath it. I adjusted her bite. It immediately felt better. The next day her husband said he’d heard no more complaints about the tooth.

The same woman I just mentioned was looking to invest a sizeable amount on dental procedures in several different offices around town. She was recommended to me for a second opinion.

After examining her I knew she suffered from headaches, neck aches and low back pain. She was shocked that I knew this. All of the treatment other doctors had advised was correct — EXCEPT — there was one key component missing. She had a jaw joint that was out of place and no one addressed that.

Over time, this condition had created other dental problems, which included missing teeth on the side where the jaw joint was out of place. And of course, she had pain as a result of her condition.

Her proposed treatment addressed every aspect of her dental health — except her jaw joint problem. By individually consulting different doctors for various aspects of her treatment, she was trying to renovate her mouth without an overall coordinated plan.

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Why I Favor Minimally-Invasive Dentistry

I usually recommend milder treatments to alleviate conditions before resorting to treatment like extractions, surgery or root canals. For example if your tooth had a 3 surface cavity, many dentists would give you a crown and build up (a $900 procedure). I might start with a 3 surface filling to see if that alleviates your problem. If the filling doesn’t hold up, you may need the crown in 6 months, but often times the less invasive procedure will suffice.

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