The first two patients I saw today chipped the same front right central incisor biting into a chicken bone. The third one chipped her lower right incisor biting into a sandwich. The last patient grinds his teeth and fractured the edge off his upper left central incisor. I restored each these teeth in about a half hour, for each one, with bonded ceramic composite restorations. Here are the before and after photos taken 30 minutes apart.
Here’s a New Year’s Resolution You can Smile About! Ten Steps to Happy Teeth and a Happy You:
This patient was hit in the mouth with a tennis racquet and broke his front tooth. The tooth also required a root canal, and periodontal crown lengthening surgery. I placed a temporary crown on the tooth for 2 months while the gums healed and did a computerized custom shade match to obtain a perfect color match.
This patient had decay on her back upper first molar. I cleaned out the decay and placed a beautiful ceramic composite restoration. Here’s the before and after pictures. Looks great!
It’s true that sugar does cause cavities, but it’s not the sugar directly. The naturally occurring streptococcus bacteria that live in our mouths consume the sugar, ferment it, and produce acid such as lactic acid. It is these acids that cause demineralization of the teeth and the formation of cavities. So it’s actually the acid from the bacteria in plaque in our mouth that eats holes in our teeth and causes cavities.
Here’s the interesting part, it’s not the total amount of sugar we eat, but the total amount of time the sugar is in contact with our teeth. It’s preferable to have a piece of pumpkin pie with a scoop of ice cream for Thanksgiving dessert, than to sip on a soda all afternoon. It is better to have a few sugar cookies, or slice of Christmas apple pie, than to repeatedly sip coffee with sugar all morning long. One Altoids mint or cough drop per hour throughout the day is 10 times more cavity producing than one big piece of cake for dessert, even though the cake has much more sugar and calories.
The repeated cycles of eating sugar and acid formation is the key to the problem. It’s the frequency, or the amount of time the sugar is in the mouth, not the total amount of sugar. So enjoy a few nice (and quick) holiday desserts, just please make sure to brush and floss after every meal and visit your dentist regularly.
![primary-[Converted]](http://caringdentists.com/blog/wp-content/uploads/2016/01/primary-Converted.png){kind=small}
For this patient today, I removed 2 porcelain fused to metal crowns that she recently had done in El Salvador, cleaned up the decay underneath, polished her other teeth, and placed 2 beautiful new zirconia crowns. She was so happy and has a beautiful smile for Christmas :-)))
This patient today broke off his upper lateral incisor. We discussed the different restorative options. I told him I would try to save the root and build a tooth back up for him and place a crown. The tooth had a root canal many years ago. I drilled out the canal and cemented a titanium post inside the canal and build the tooth up. I prepared the tooth and made and cemented a zirconium crown over the build-up.
This patient had a non-restorable decayed upper first molar tooth. I recommended a bridge since his adjacent teeth already had crowns on them. We extracted the infected molar and placed a temporary bridge. Following healing I prepared the adjacent teeth and fabricated and cemented a fixed 3 unit zirconia porcelain bridge. Here’s the before and after pictures.
