Posts for: November, 2015

By Anthony Gazzola, Jr., DMD
November 27, 2015
Category: Dental Procedures
ChrissyTeigensTeeth-GrindingTroubles

It might seem that supermodels have a fairly easy life — except for the fact that they are expected to look perfect whenever they’re in front of a camera. Sometimes that’s easy — but other times, it can be pretty difficult. Just ask Chrissy Teigen: Recently, she was in Bangkok, Thailand, filming a restaurant scene for the TV travel series The Getaway, when some temporary restorations (bonding) on her teeth ended up in her food.

As she recounted in an interview, “I was… like, ‘Oh my god, is my tooth going to fall out on camera?’ This is going to be horrible.” Yet despite the mishap, Teigen managed to finish the scene — and to keep looking flawless. What caused her dental dilemma? “I had chipped my front tooth so I had temporaries in,” she explained. “I’m a grinder. I grind like crazy at night time. I had temporary teeth in that I actually ground off on the flight to Thailand.”

Like stress, teeth grinding is a problem that can affect anyone, supermodel or not. In fact, the two conditions are often related. Sometimes, the habit of bruxism (teeth clenching and grinding) occurs during the day, when you’re trying to cope with a stressful situation. Other times, it can occur at night — even while you’re asleep, so you retain no memory of it in the morning. Either way, it’s a behavior that can seriously damage your teeth.

When teeth are constantly subjected to the extreme forces produced by clenching and grinding, their hard outer covering (enamel) can quickly start to wear away. In time, teeth can become chipped, worn down — even loose! Any dental work on those teeth, such as fillings, bonded areas and crowns, may also be damaged, start to crumble or fall out. Your teeth may become extremely sensitive to hot and cold because of the lack of sufficient enamel. Bruxism can also result in headaches and jaw pain, due in part to the stress placed on muscles of the jaw and face.

You may not be aware of your own teeth-grinding behavior — but if you notice these symptoms, you might have a grinding problem. Likewise, after your routine dental exam, we may alert you to the possibility that you’re a “bruxer.” So what can you do about teeth clenching and grinding?

We can suggest a number of treatments, ranging from lifestyle changes to dental appliances or procedures. Becoming aware of the behavior is a good first step; in some cases, that may be all that’s needed to start controlling the habit. Finding healthy ways to relieve stress — meditation, relaxation, a warm bath and a soothing environment — may also help. If nighttime grinding keeps occurring, an “occlusal guard” (nightguard) may be recommended. This comfortable device is worn in the mouth at night, to protect teeth from damage. If a minor bite problem exists, it can sometimes be remedied with a simple procedure; in more complex situations, orthodontic work might be recommended.

Teeth grinding at night can damage your smile — but you don’t have to take it lying down! If you have questions about bruxism, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Stress & Tooth Habits” and “When Children Grind Their Teeth.”


By Anthony Gazzola, Jr., DMD
November 12, 2015
Category: Dental Procedures
3QuestionstoAnswerBeforeYourSmileMakeover

Transforming your smile can be a huge undertaking. And while we have the technical skills, experience and understanding of aesthetics to perform a smile makeover, your input is just as necessary to achieve a satisfying result.

Your part really has to do with expectations — what do you see when you look in the mirror — and what do you want to change?

Here are 3 questions to help guide you in shaping your expectations for that new, beautiful smile.

What do you dislike about your teeth? This is really about specifics and not just a general feeling of dissatisfaction. Are your teeth misshapen, chipped or missing? Are they discolored or stained? Is the spacing off or do you have a poor bite (malocclusion)? Getting a sense of what you perceive as unattractive will help us formulate a plan to improve the appearance of those problem areas.

Are you concerned with how much your gums show when you smile? Your teeth may be perfect, but if your gums seem to steal the spotlight when you smile (known as a “gummy” smile), you may need some remedy like veneers, crowns or even corrective surgery. Which procedure depends on whether the crowns of your teeth are too short in proportion to the gums, or the muscles in your upper lip are allowing the lip to rise too high when you smile. A dental examination will tell all.

Do you want a “Hollywood Smile” — or just a more attractive, natural you? Smile makeovers aren’t just about clinical alterations — it’s just as much about your personal perceptions of beauty. Some patients want the perfectly shaped, aligned and dazzlingly white smile that’s the epitome of Hollywood. Others want only to enhance their smile, perhaps even keeping a few unique imperfections they’re comfortable with. It’s important to know which person you are, and to communicate that with us when we’re putting together your makeover plan.

Changing your smile is a big step in your life. You can help make the process more satisfying and successful if you understand what you want to change — and why.

If you would like more information on smile analysis and makeover, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Great Expectations.”