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Archives for December 2023

Fixing Enamel Hypoplasia

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I have had enamel hypoplasia for as long as I can remember. I’ve always been embarrassed by my smile as a result. For my Christmas present, my husband said I could have any cosmetic dentistry procedure I need that will make me more comfortable smiling. I am so freaking excited!! The only problem I have is that I do not know what procedure I need to get. Do you have a recommendation?

Madilyn

Dear Madilyn,

Examples of mild and severe enamel hypoplasia

What an exciting present for you! There is no better feeling than a smile that makes you feel confident. For the benefit of those who may not be aware of what enamel hypoplasia is let me give a basic rundown. Enamel hypoplasia is a either caused by a genetic defect or disease that happens during the development of your teeth. The result is that the enamel on  your teeth do not fully develop. The results can vary between  some decalcification, such as on the left or deep pitted teeth, such as on the right.

There are two good treatments for enamel hypoplasia. Which you get depends on the severity of your particular case. If you are dealing with mild hypoplasia, then dental bonding is a perfectly good solution. If you want your teeth whiter, make sure you have teeth whitening done before the bonding. Once the dental bonding is completed, the color can’t be changed.

If, however, you have more severe hypoplasia, then you will want to get porcelain veneers instead. While dental bonding can just be placed on the specific spots where your enamel is affected, porcelain veneers will cover the entire front surface of your teeth.

Regardless of the procedure chosen, you will need someone with post-doctoral training in cosmetic dentistry. These are both advanced procedures. You would be wise to take a look at their smile gallery. This will have before and after images of their work. You want to feel excited about the type of results they get.

This blog is brought to you by Duluth, GA Dentist Dr. David Marion.

Is there a Soft Denture?

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I have a denture and it is driving me bananas. I have a strong gag reflex and the hard plate is making it hard for me to get through my day with teeth in. I am hoping there is such a thing as a soft denture that will make it easier for me to handle this.

Judy

Dear Judy,

dentures

 

There is not such a thing as a soft denture, but there is something like a soft lining. These can be used to line the inside of the denture and are helpful for patients who have bony ridges. This protects the ridge of their jawbone from getting sores. They help the lower denture to become more comfortable. They are more expensive and do not last very long so they will have to be replaced.

Unfortunately, this will not help with your upper denture. The plate is necessary to create a stable framework. There is not anything pliable that will work in that case.

The best solution for you would be to get fixed implant dentures. This entails having some dental implants surgically placed, then your dentures can be anchored to them. This will prevent you from needing that plate at all because the implants retain the dentures for you. They will be completely secure.

An even bigger benefit is it will prevent facial collapse. When your teeth were first removed, your body recognized that and began to resorb the minerals in your jawbone. It does this because it realizes that you no longer need to support the teeth and it wasn’t to be as efficient with the resources in your body as possible. After about ten or so years, you will no longer have enough minerals in your jawbone to retain your dentures. This is known as facial collapse.

The dental implants placed in your body, serve as prosthetic tooth roots. This signals to your body that you still have tooth roots, which means it will preserve your jawbone in order to keep your teeth in place.

This blog is brought to you by Duluth, GA Dentist Dr. David Marion.