Posts for: July, 2018

By Bryan J. Roy D.D.S., M.S.D., P.C.
July 22, 2018
Category: Dental Procedures
Tags: celebrity smiles   crowns  
DentalCrownsfortheKingofMagic

You might think David Copperfield leads a charmed life:  He can escape from ropes, chains, and prison cells, make a Learjet or a railroad car disappear, and even appear to fly above the stage. But the illustrious illusionist will be the first to admit that making all that magic takes a lot of hard work. And he recently told Dear Doctor magazine that his brilliant smile has benefitted from plenty of behind-the-scenes dental work as well.

“When I was a kid, I had every kind of [treatment]. I had braces, I had headgear, I had rubber bands, and a retainer afterward,” Copperfield said. And then, just when his orthodontic treatment was finally complete, disaster struck. “I was at a mall, running down this concrete alleyway, and there was a little ledge… and I went BOOM!”

Copperfield’s two front teeth were badly injured by the impact. “My front teeth became nice little points,” he said. Yet, although they had lost a great deal of their structure, his dentist was able to restore those damaged teeth in a very natural-looking way. What kind of “magic” did the dentist use?

In Copperfield’s case, the teeth were repaired using crown restorations. Crowns (also called caps) are suitable when a tooth has lost part of its visible structure, but still has healthy roots beneath the gum line. To perform a crown restoration, the first step is to make a precise model of your teeth, often called an impression. This allows a replacement for the visible part of the tooth to be fabricated, and ensures it will fit precisely into your smile. In its exact shape and shade, a well-made crown matches your natural teeth so well that it’s virtually impossible to tell them apart. Subsequently, the crown restoration is permanently attached to the damaged tooth.

There’s a blend of technology and art in making high quality crowns — just as there is in some stage-crafted illusions. But the difference is that the replacement tooth is not just an illusion: It looks, functions and “feels” like your natural teeth… and with proper care it can last for many years to come.  Besides crowns, there are several other types of tooth restorations that are suitable in different situations. We can recommend the right kind of “magic” for you.

If you would like more information about crowns, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Crowns & Bridgework” and “Porcelain Crowns & Veneers.”


By Bryan J. Roy D.D.S., M.S.D., P.C.
July 12, 2018
Category: Oral Health
Tags: oral hygiene  
ReadyforSummerCampBeSuretoPackaToothbrush

Summer is the time for many children to experience the fun and freedom of sleepaway camp. Along with greater independence, camp brings increased responsibility for kids to take care of themselves, including taking care of their oral health.

Two keys to dental health are a balanced diet and good oral hygiene, but camp life may tempt kids to overdo the kinds of food they don’t often indulge in at home. For most campers, enjoying s’mores around the fire is a given, but these marshmallowy treats pack a punch in the sugar department. In fact, a single s’more has half the daily limit of sugar recommended by the World Health Organization—and if the sweet treat’s name is any indication, no one stops at just one! Because sticky marshmallows are a central ingredient, they are worse for the teeth than many other sweets; the goo adheres to the surface of the teeth and gets stuck between teeth and braces, increasing the potential for tooth decay. Add in plenty of opportunities to consume sugary drinks and other treats throughout the week, and sleepaway camp can be a less-than-ideal environment to maintain good oral health, especially since brushing and flossing may not be a high priority with so much else going on.

You can help your camper feel more invested in their oral hygiene routine by involving them in as many preparations as possible, such as making a list of items to pack and shopping together for dental supplies. These can include a travel toothbrush with a case and a travel-sized tube of fluoride toothpaste—or a package of pre-pasted disposable toothbrushes. And don’t forget dental floss! You may also wish to include gum sweetened with xylitol, a natural sweetener that helps fight cavities. This could come in handy for those times your child gets too busy to brush.

Consider scheduling a teeth cleaning for the downtime after your child gets home from camp and before the start of the new school year, just in case your child wasn’t the most diligent about oral hygiene while away—and to ensure that they begin the new school year in the best oral health.

If you would like more information about how your child can maintain good oral health, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “How to Help Your Child Develop the Best Habits for Oral Health” and “The Bitter Truth About Sugar.”


By Bryan J. Roy D.D.S., M.S.D., P.C.
July 01, 2018
Category: Oral Health
WinningtheWaronGumDiseaseRequiresPost-TreatmentVigilance

After several treatment sessions your periodontal (gum) disease is under control. But, while we may have won this battle, the war rages on. To keep an infection from re-occurring we'll have to remain on guard.

Gum disease begins and thrives on a thin film of bacteria and food particles on tooth surfaces called plaque. The infection usually begins as gingivitis, which causes the gums to become red and swollen (inflamed). Untreated it can develop into periodontitis, a more advanced form that progresses deeper into the gum tissues resulting in bone loss.

To treat the disease, we must remove all the plaque and calculus (hardened plaque deposits) we can find no matter how deeply they've penetrated below the gum line. Since the deeper it extends the more likely surgical techniques may be necessary to consider, it's better to catch the disease in its earliest stages when plaque can be removed with hand instruments or ultrasonic equipment.

The appropriate treatment technique can effectively stop and even reverse gum disease's effects — but it won't change your susceptibility. Constant vigilance is the best way to significantly reduce your risk of another episode. In this case, our prevention goal is the same as in treatment: remove plaque.

It begins with you learning and applying effective brushing and flossing techniques, and being consistent with these habits every day. As your dentist, we play a role too: we may need to see you as often as every few weeks or quarter to perform meticulous cleaning above and below the gum line. We may also perform procedures on your gums to make it easier to maintain them and your teeth, including correcting root surface irregularities that can accumulate plaque.

Our aim is to reduce the chances of another infection as much as possible. "Fighting the good fight" calls for attention, diligence and effort — but the reward is continuing good health for your teeth and gums.

If you would like more information on continuing dental care after gum disease, 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 “Periodontal Cleanings.”