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White Spots On Your Teeth? You May Have Fluorosis!

April 16, 2015

Filed under: cosmetic dentistry,Dental Fluorosis — Tags: — Dr Gillis @ 3:12 am

White Spots On Your Teeth? You May Have Fluorosis!

This information from our very own talented assistant, Regina

Fluorosis spots detract from this healthy smile!

Fluorosis spots detract from this healthy smile!

Close up of fluorosis stains and spacing between teeth.

Close up of fluorosis stains and spacing between teeth.

A much more attractive smile after treatment with porcelain veneers!

A much more attractive smile after treatment with porcelain veneers!

Dental fluorosis is a developmental disturbance in the enamel caused by extremely high concentrated levels of fluoride while the teeth are developing.

 

Fluorosis stains on healthy teeth before and after treatment with porcelain veneers.

Fluorosis stains on healthy teeth before and after treatment with porcelain veneers.

Overexposure of fluoride between the ages of 1-4 is the most critical period.  Once the teeth erupt into place they are no longer at risk for fluorosis, this is generally around age 8.  Fluorosis usually affects permanent teeth but occasionally the primary teeth may be involved as well.  Fluorosis is found to be more prevalent in rural areas where drinking water is derived from shallow wells, but can also occur in areas where drinking water has fluoride content greater than 1 ppm, also in children with poor calcium intake.

Fluorosis stains prior to treatment.

Fluorosis stains prior to treatment.

A much more attractive smile after treatment of fluorosis with porcelain veneers,

A much more attractive smile after treatment of fluorosis with porcelain veneers,

Mild fluorosis appears as barely noticeable white spots or white streaks in the tooth’s enamel.  These spots or blotches become more noticeable in cases of moderate fluorosis and they are especially noticeable as the teeth become dry as may happen during exercise or any prolonged period of mouth breathing.

 

In severe cases dental fluorosis causes the teeth to have discoloration often described as brown staining.  You may even notice that the enamel may be pitted, rough, & may darken over time.  Talk with your dentist or our office today  to discuss what procedures will work best for you if you have concerns about dental fluorosis, or any other cosmetic treatment!  Our office is located in Grand Junction, Colorado.  Our phone number is (970) 242-3635.  We would love to hear from you!

 

Whitening Teeth – It’s Easier Than You Think!

March 31, 2015

Return Your Smile to its Better, Brighter Days!

Love Your WHITE Smile!

It’s easy for your teeth to begin to discolor. Coffee, red wine and even carbonated beverages can dull and darken the enamel in your teeth.  Some people are born with darkened enamel, but much of the change in color comes from the natural, aging process.  Dark and discolored teeth are considered less attractive and may affect your self-esteem and confidence. Tooth whitening or tooth bleaching can take years off of your smile!

After custom tray bleaching.

After custom tray bleaching.

Before custom tray bleaching.

Before custom tray bleaching.

Large molecules breaking down into smaller.

Large molecules breaking down into smaller.

Tooth color is a result of light reflectance from large natural pigment and stain molecules trapped within the microstructure of your teeth.  The larger these molecules become, the stronger the reflectance of color from the teeth.  Whitening gels work to break down these molecules into smaller molecules which become colorless or white.  The effectiveness of teeth whitening systems is dependent on exposing the tooth structure to a fully potent gel with extended time to allow it to diffuse into the microstructure of the tooth. [1]

We have been whitening teeth with custom tray tooth bleaching, in-office “Power tooth bleaching,” and prefilled disposable tooth whitening trays for over 15 years.  Custom tray tooth bleaching continues to be the easiest and most effective method and very reasonably priced at #300.00  It is worth noting that 15 years ago the price  for tooth whitening or tooth bleaching was still $300.00 in our office and the procedure is now easier, and the products used are more effrective!  There are not too many things that you can say that about!

Please call our Grand Junction, Colorado office at (970) 242-3635 if you have any questions about tooth bleaching or tooth whitening!  This is one dental procedure that is actually FUN!

Yours for better dental health, Julie Gillis DDS

Restoring Teeth/Restoring Smiles

[1] “Solving Teeth Whitening Frustrations”, Rod Kurthy, DMD Evolve Dental Technologies, Inc. whitepaper

 

Possible links:   www.korwhitening.com

www.juliegillisdds.com/teeth-whitening.html

 

Born Without Lateral incisors? You have Options For Replacing These Teeth!

December 4, 2014

Born Without Lateral incisors? You have Options For Replacing These Teeth!

Canine and Lateral incisor is missing on one side and lateral incisor is 'peg' shaped on the other!

Lateral incisor is missing on one side and  ‘peg’ shaped on the other!  Adult canine teeth have not yet erupted.

One of the most common teeth to be missing is the upper lateral incisor.  (The most common missing tooth is one or more of the wisdom teeth)  Because a lateral incisor is in the front of the mouth, it is almost always an aesthetic concern when it is not present.  There are many treatment options to  replace a missing lateral incisor:

  1. The adult canine tooth can be re positioned with orthodontic treatment into the lateral incisor position and then reshaped either with a porcelain veneer, direct bonding, and/or conservative enameloplasty (grinding to reshape the tooth) to make the canine tooth look more like a lateral incisor.
  2. An implant can be placed in the lateral incisor position of enough bone is available to do this.
  3. A cantilever bridge (the tooth adjacent to the missing one is crowned and supports a crown in the place of the missing tooth) can be placed to make it appear as if the  tooth is not missing.
  4. A fixed porcelain bridge can be placed to replace the missing incisor.
  5. A tooth can be bonded between the existing teeth to replace the missing tooth.
  6. A ‘flipper‘ or removable partial denture can be made that replaced the missing tooth.
This patient is missing several front teeth including the lateral incisors which will be replaced by all-porcelain bridges.  The dental laboratory has cut away the tissue on the models to check the margins of this bridge.

This patient is missing several front teeth including the lateral incisors which will be replaced by all-porcelain bridges. The dental laboratory has cut away the tissue on the models to check the margins of this bridge.

There are advantages and disadvantages to each of these.

  1. When a canine tooth is in the position of a lateral incisor, it may be too large compared to a ‘normal’ lateral incisor. But often it looks great.
  2. An implant in the position of the lateral incisor may look like you grew a new, ideally shaped tooth! An implant may require orthodontic treatment and bone grafting for a successful result.
  3. A cantilever bridge may be the best treatment especially if the tooth supporting the cantilever bridge could benefit from a change in shape as well.  This does involve placing a crown or partial crown on either the canine or the central incisor.
  4. A porcelain bridge may be the best treatment IF the teeth involved in the bridge need treatment as well
  5. A bonded tooth is a very conservative treatment but may be prone to breaking or involve a change in eating habits.
  6. A flipper or removable treatment partial is a very conservative treatment option and can look very aesthetic but may feel artificial.

    A "flipper" or treatment partial can be made to fill the space where the missing tooth is.

    A “flipper” or treatment partial can be made to fill the space where the missing tooth is.

Our office would be happy to review your treatment options!  We want our patients to select the best treatment for their needs – now and in the future!

“Caring For And Enhancing Your Smile” has been our office’s bi-line ever since I opened my practice in Grand Junction, CO.  Our practice philosophy is to restore dental health and comfort as a priority and restore beauty whenever we can along with this! Our office’s phone number is (970) 242-3635. We would love to have you visit our office Facebook page and “Like” us!  www.facebook.com/juliegillisddspc

Yours for better dental health, Julie Gillis, DDS, Restoring Smiles/Restoring Health!

Smile restored with a combination of porcelain veneers and a porcelain cantilever bridge.

Smile restored with a combination of porcelain veneers and a porcelain cantilever bridge.

Lateral incisor is missing on one side and peg shaped on the other!

Lateral incisor is missing on one side and peg shaped on the other!  The right canine has been prepared for a cantilever bridge.

I Have Peg Laterals? Is That Bad? What Are My Options?

July 27, 2014

Filed under: cosmetic dentistry,Crowns,Porcelain Veneers — Tags: — Dr Gillis @ 12:16 am

 I Have Peg Laterals? Is That Bad? What Are My Options?

Small sized lateral incisors

Small sized lateral incisors

What are Peg Laterals?

The term “Peg lateral” refers to an anomaly affecting the upper lateral incisors which causes these teeth to be abnormally small in size or even ‘pointy’ compared to their usual more rectangular shape.  Peg laterals may occur on just one or on both sides of a patient’s mouth.   When these incisors do not grow to their full size, the appearance is affected and these teeth are small and ‘peg-shaped’ hence the term Peg Laterals.  These teeth are in a very noticeable location at the front of a person’s smile. The upper or maxillary lateral incisors are the front teeth between the upper central incisors and the upper canine teeth.  Because these teeth are right in front, this can be a very noticeable and possibly even embarrassing condition.  Luckily we have a very conservative treatment to correct this condition.   

Peg Lateral incisor - left side

Peg Lateral incisor – left side

Lateral incisor developed very small

Lateral incisor developed very small

Many good options are available to treat peg laterals.

We may treat peg laterals  using  direct bonding with tooth colored materials on the front and sides of the small tooth to give it a more natural appearance.  Another alternative treatment for peg laterals is Porcelain veneers.  This conservative treatment would be a more permanent and usually more aesthetic option.

Do peg laterals have to be treated?

No! Treatment of peg laterals is usually considered ‘cosmetic’ and not a ‘necessary’ procedure covered by dental insurance, however this treatment will improve the appearance of these lateral incisors, and can boost the self confidence that comes from having a more aesthetic smile!

 

Restoring peg laterals can make a big difference in the appearance of a smile!

Peg lateral incisors and central incisors restored with conservative porcelain veneers.

Peg lateral incisors and central incisors restored with conservative porcelain veneers.

Conservative porcelain veneer to restore  a peg lateral.

Conservative porcelain veneer to restore a peg lateral.

Conservative porcelain veneer restoration on the lateral incisor

Conservative porcelain veneer restoration on the lateral incisor

What Causes Peg Laterals?

There are two primary causes of peg laterals, both of which are beyond your control. These are as follows:

Genetics:  there seems to be a genetic component to this condition.  Some people with peg laterals have parents who had the same condition.

Developmental anomaly:  Sometimes the teeth just do not form correctly.

Some people are genetically missing the adult lateral incisors so the primary or baby lateral incisors remain in the position of the adult lateral incisors.  In a mouthful of full-sized adult teeth the baby lateral incisors will look abnormally small.

Our office would be happy to answer any questions you may have about your teeth!  We would be happy to offer you treatment options for your peg laterals or any other cosmetic concerns.

Peg Lateral Treatment Options:

Right and left peg lateral incisors

Right and left peg lateral incisors – note the discolored bonded restoration covering the corner of the left central incisor.

Anterior teeth have been restored with porcelain veners

Anterior teeth have been restored with porcelain veners

(1) cosmetic bonding with tooth-colored materials

(2) Porcelain veneers

(3) Orthodontic treatment may be needed to position these teeth ideally for either of the above two options.  We work with many talented orthodontists to assist us when necessary for a more ideal result for you!

Sometimes the only treatment needed is to re position the peg laterals with orthodontic treatment or a removable appliance.  Our office will let you know what options are available and help you determine what is best for you.

Canine and Lateral incisor is missing on one side and lateral incisor is 'peg' shaped on the other!

Canine and Lateral incisor is missing on one side and lateral incisor is ‘peg’ shaped on the other!

 

 

Smile restored with a combination of porcelain veneers and a porcelain cantilever bridge.

Smile restored with a combination of porcelain veneers and a porcelain cantilever bridge.

Our office would be happy to tell you about what is going on in your mouth in as much detail as you would like. We are located in Grand Junction, Colorado.  Our office phone number is (970) 242-3635.  You can email us at jgillis@juliegillisdds.com.   We would love for you to ‘like’ us on our office’s Facebook page!  Please find us at Julie M Gillis DDS PC.

As always, yours for better dental health,

 Julie Gillis, DDS

Restoring Smiles/Restoring Health

 

How To Choose A Cosmetic Dentist!

July 30, 2013

How To Choose A Cosmetic Dentist!

Ads may suggest that any dentist can do cosmetic dentistry – Protect your teeth and your smile by choosing carefully!

If you would like more information our office would be happy to help! Our office is located in Grand Junction, Colorado.  Our phone number is (970) 242-3635.  Please visit us on Facebook (https://www.facebook.com/juliegillisddspc) or call us if you have any questions or concerns.  You can also email our office at jgillis@juliegillisdds.com for further information.

This information shared with you by Julie Gillis, DDS PC .  We feel that your dental health is the top priority, and if we can make your smile more attractive while improving your health that is wonderful! Dr. Gillis practices restorative and cosmetic dentistry including porcelain veneers, tooth whitening, implants, crowns, bridges and periodontal care.  Our office website is www.juliegillisds.com.  For further information, please contact us at (970) 242-3635.

Yours for better health,

Julie Gillis, DDS,

“Restoring Smiles – Restoring Health”

 

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1190 Bookcliff Ave. Suite 201, Grand Junction, CO 81501 USA
Julie M Gillis DDS Grand Junction, CO cosmetic, general, & restorative dentist. (970) 242-3635 (970) 242-8479 jgillis@juliegillisdds.com