My Blog

Posts for: September, 2020

By Jacob W. Skinner DMD, PA
September 29, 2020
Category: Dental Procedures
ViggoMortensensRed-CarpetSmile

The Golden Globes ceremony is a night when Hollywood stars shine their brightest. At the recent red-carpet event, leading man Viggo Mortensen had plenty to smile about: Green Book, the movie in which he co-starred, picked up the award for Best Motion Picture—Musical or Comedy. But fans looking at the veteran actor's big smile today might not realize that it once looked very different. A few years ago, an accident during the filming of The Two Towers took a major chip out of Mortensen's front tooth!

That might be OK for some movies (think The Hangover or Dumb and Dumber)—but it's not so great for everyday life. Fortunately, Mortensen visited a dentist promptly, and now his smile is picture-perfect. How was that accomplished? He didn't say…but generally, the best treatment for a chipped tooth depends on how much of the tooth's structure is missing.

If the tooth has only a small chip or crack, it's often possible to restore it via cosmetic bonding. This procedure can be done right in the dental office, frequently in a single visit. Here's how it works: First the tooth is cleaned and prepared, and then a tooth-colored resin is applied to the area being restored. After it is cured (hardened) with a special light, additional layers may be applied to build up the missing structure. When properly cared for, a tooth restored this way can look good for several years.

For a longer-lasting restoration, veneers may be recommended. These are wafer-thin shells made of durable material (most often porcelain) that cover the front (visible) surfaces of teeth. Strong and lifelike, veneers can match the exact color of your natural teeth—or give you the bright, high-wattage smile you've always wanted. No wonder they're so popular in Hollywood! Because veneers are custom-made for you, getting them may require several office visits.

If a chip or crack extends to the inner pulp of the tooth, a root canal procedure will be needed to keep the tooth from becoming infected—a situation that could have serious consequences. But you shouldn't fear a root canal! The procedure generally causes no more discomfort than filling a cavity (though it takes a little longer), and it can help save teeth that would otherwise be lost. After a root canal, a crown (cap) is generally needed to restore the visible part of the tooth.

When a damaged tooth can't be restored, it needs to be extracted (removed) and replaced. Today's best option for tooth replacement is a dental implant—a small, screw-shaped post inserted into the bone of your jaw that anchors a lifelike, fully functional crown. Implants require very little special care and can look great for many years, making them a top choice for tooth replacement

If you have questions about chipped or damaged teeth, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Artistic Repair Of Front Teeth With Composite Resin” and “Porcelain Veneers.”


By Jacob W. Skinner DMD, PA
September 19, 2020
Category: Oral Health
Tags: oral health   oral hygiene  
KeepTheseTopFactorsinMindWhenBuyingYourNextToothbrush

Search online for “right tool for the job” and you'll get over a billion results related to everything from baking cakes to repairing cars. It's also just as applicable to oral hygiene.

One of those “right” tools is the humble toothbrush. Most of us use the manual variety whose basic components—a long narrow handle and a bristled head—haven't changed much in a couple of centuries. That hasn't stopped competing manufacturers, however, from striving to produce the latest and greatest toothbrush. It's a wonderful testament to the free market, but it might leave you dizzy with indecision about which product is right for you.

You can avoid this paralysis if you remember why you're using a toothbrush in the first place—to remove the daily buildup of dental plaque, a thin bacterial film that causes tooth decay and gum disease. With that in mind, here are the top things to consider when picking out your next toothbrush.

Bristle texture. Although you might think a stiff-bristled brush would be better at removing plaque, most dental professionals recommend soft bristles. Stiffer bristles can damage your gums and lead to recession; on the other hand, coupled with the mild abrasives and detergents in toothpaste, soft bristled-brushes are just as effective in removing plaque.

Comfortable size and shape. Toothbrushes come in various lengths and handle widths, so choose one that's comfortable in your hand. If you have issues with manual dexterity, consider one with a wider and thicker handle that's easier to hold. You'll be acquainted for at least six months (that's how often you should change out your current brush for a new one), so get a toothbrush that feels right to you.

The ADA Seal of Acceptance. Like toothpaste, the American Dental Association also tests toothbrushes. Those that meet the ADA's high dental product standards can include the ADA Seal of Acceptance on their packaging. When you see it, it's a good indication that particular toothbrush will perform well. You can also get advice from your dentist or hygienist on what type of brush you should use.

Every time you brush, you're potentially improving your dental health and avoiding disease. Make sure it counts with a toothbrush that's right for you.

If you would like more information on toothbrushes, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sizing Up Toothbrushes.”


By Jacob W. Skinner DMD, PA
September 09, 2020
Category: Oral Health
Tags: oral hygiene   toothpaste  
BeyondTheirMarketingClaimsMostToothpastesareSurprisinglySimilar

In your search for the right toothpaste, you’re inundated with dozens of choices, each promising whiter teeth, fresher breath or fewer cavities. Cutting through the various marketing claims, though, you’ll find most toothpaste brands are surprisingly alike, each containing the same basic ingredients. Taken together, these ingredients help toothpaste perform its primary task — removing daily bacterial plaque from tooth surfaces.

Here, then, are some of the ingredients you’ll find — or want to find — in toothpaste.

Abrasives. A mild abrasive increases your brushing effectiveness removing sticky food remnants from teeth. And unlike the burnt, crushed eggshells of the ancient Egyptians or the brick dust used by 18th Century Brits, today’s toothpaste abrasives — hydrated silica (from sand), calcium carbonate or dicalcium phosphates — are much milder and friendlier to teeth.

Detergents. Some substances in plaque aren’t soluble, meaning they won’t break down in contact with water. Such substances require a detergent, also known as a surfactant. It performs a similar action as dishwashing or laundry soaps breaking down grease and stains — but the detergents used in toothpaste are much milder so as not to damage teeth or irritate gum tissues. The most common detergent, sodium lauryl sulfate, is gentle but effective for most people. If it does cause you irritation, however, you may want to look for a paste that doesn’t contain it.

Fluoride. This proven enamel strengthener has been routinely added to toothpaste since the 1950s, and is regarded as one of the most important defenses against tooth decay. If you’re checking ingredients labels, you’ll usually find it listed as sodium fluoride, stannous fluoride or sodium monofluorosphosphate (MFP). And since it inhibits bacterial growth, fluoride toothpastes don’t require preservative additives.

Humectants, binders and flavoring. Humectants help toothpaste retain moisture, while binders prevent blended ingredients from separating; without them your toothpaste would dry out quickly and require stirring before each use. And, without that sweet (though without added sugar) and normally mint flavoring, you wouldn’t find the average toothpaste very tasty.

The ADA Seal of Approval. Although not an ingredient, it’s still sound advice to look for it on toothpaste packaging. The seal indicates the product’s health claims and benefits are supported by the research standards set by the American Dental Society; and all ADA approved toothpastes will contain fluoride.

If you would like more information on toothpaste and other oral hygiene products, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Toothpaste: What’s in it?