Everyone loves a concert where there's plenty of audience participation… until it starts to get out of hand.├é┬áRecently, the platinum-selling band Fifth Harmony was playing to a packed house in Atlanta when things went awry for vocalist Camila Cabello. Fans were batting around a big plastic ball, and one unfortunate swing sent the ball hurtling toward the stage — and directly into Cabello's face. Pushing the microphone into her mouth, it left the “Worth It” singer with a chipped front tooth.

Ouch! Cabello finished the show nevertheless, and didn't seem too upset. “Atlanta… u wild… love u,” she tweeted later that night. “Gotta get it fixed now tho lol.” Fortunately, dentistry offers a number of ways to make that chipped tooth look as good as new.

A small chip at the edge of the tooth can sometimes be polished with dental instruments to remove the sharp edges. If it's a little bigger, a procedure called dental bonding may be recommended. Here, the missing part is filled in with a mixture of plastic resin and glass fillers, which are then cured (hardened) with a special light. The tooth-colored bonding material provides a tough, lifelike restoration that's hard to tell apart from your natural teeth. While bonding can be performed in just one office visit, the material can stain over time and may eventually need to be replaced.

Porcelain veneers are a more long-lasting solution. These wafer-thin coverings go over the entire front surface of the tooth, and can resolve a number of defects — including chips, discoloration, and even minor size or spacing irregularities. You can get a single veneer or have your whole smile redone, in shades ranging from a pearly luster to an ultra-bright white; that's why veneers are a favorite of Hollywood stars. Getting veneers is a procedure that takes several office visits, but the beautiful results can last for many years.

If a chip or crack extends into the inner part of a tooth, you'll probably need a crown (or cap) to restore the tooth's function and appearance. As long as the roots are healthy, the entire part of the tooth above the gum line can be replaced with a natural-looking restoration. You may also need a root canal to remove the damaged pulp material and prevent infection if the fracture went too far. While small chips or cracks aren't usually an emergency (unless accompanied by pain), damage to the tooth's pulp requires prompt attention.

If you have questions about smile restoration, please contact us and schedule an appointment. You can read more in the Dear Doctor magazine articles “Porcelain Veneers: Strength & Beauty As Never Before” and “Porcelain Crowns & Veneers.”

By Andrew M. Sklar, D.D.S., PC
March 04, 2018
Category: Dental Procedures
Tags: Teeth Whitening  

If you're ready to put the "pizzazz" back into your smile, your dentist may be able to help. It's possible your dull, dingy smile could be transformed with teeth whitening.

Teeth whitening or bleaching is a technique that applies a solution with a bleaching agent (usually up to 35% hydrogen peroxide in an office setting) to the teeth to whiten them. Although there are Do-It-Yourself home whitening kits you can use, there are a few good reasons why you should first consider a whitening procedure in a dental office setting.

To begin with, you should first have your teeth examined by a dentist to determine why they're discolored. Certain foods and beverages we consume or tobacco habits are the usual culprits causing stains on the enamel, the outermost tooth layer. These are the kinds of stains targeted by most whitening solutions.

But the interior of a tooth can also become discolored for reasons like trauma, past dental work or tetracycline use at an early age. If your staining is internal (intrinsic) rather than external (extrinsic) reducing that discoloration will require an invasive procedure only a dentist can perform—a home kit won't be able to do the job.

Another reason for having your teeth whitened by your dentist (even extrinsic staining) involves your time and the degree of brightness you'd like. Because dentists use stronger bleaching solutions (home kits usually use a weaker solution of 10% carbamide peroxide) it takes fewer sessions than home kits to achieve results—and they may last longer. In addition, dentists have more control over the level of brightness to match your expectations of a more subdued, natural look or a dazzling "Hollywood" smile.

A dentist can also help you navigate special circumstances like matching and managing natural teeth whiteness with dental restorations (which don't bleach) or special whitening situations like a single discolored tooth.

Even if you eventually decide to go the home kit route, consulting with a dentist first can still prove helpful. You'll get expert advice on products, tips on how to apply them and how to prolong the whitening effect. Whichever way you go, home kit or dentist, you can gain a brighter, more confident smile with teeth whitening.

If you would like more information on teeth whitening, 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 “Important Teeth Whitening Questions…Answered!

By Andrew M. Sklar, D.D.S., PC
February 17, 2018
Category: Dental Procedures
Tags: braces   retainer  

A lot of time and effort goes into straightening your smile. But there’s a possibility it might not stay that way—and all that hard work could be lost. The same natural mechanism that enables your teeth to move with braces could cause them to revert to their old, undesirable positions.

So for a little while (or longer for some people) you’ll need to wear a retainer, an appliance designed to keep or “retain” your teeth where they are now. And while the removable type is perhaps the best known, there’s at least one other choice you might want to consider: a bonded retainer.

Just as its name implies, this retainer consists of a thin metal wire bonded to the back of the teeth with a composite material. Unlike the removable appliance, a bonded retainer is fixed and can only be removed by an orthodontist.

Bonded retainers have several advantages. Perhaps the most important one is cosmetic—unlike the removable version, others can’t see a bonded retainer since it’s hidden behind the teeth. There’s also no keeping up with it—or losing it—since it’s fixed in place, which might be helpful with some younger patients who need reminding about keeping their retainer in their mouth.

There are, however, a few disadvantages. It’s much harder to floss with a bonded retainer, which could increase the risks of dental disease. It’s also possible for it to break, in which case it will need to be repaired by an orthodontist and as soon as possible. Without it in place for any length of time the teeth could move out of alignment.

If you or a family member is about to have braces removed, you’ll soon need to make a decision on which retainer to use. We’ll discuss these options with you and help you choose the one—removable or bonded—that’s right for you.

If you would like more information on bonded retainers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Bonded Retainers: What are the Pros and Cons?

By Andrew M. Sklar, D.D.S., PC
February 15, 2018
Category: Dental Procedures
Tags: dental crowns  

We've all seen them--a tooth cracked in an accident, a molar with numerous fillings, and other situations which compromise the integrity ofdental crown tooth enamel. Often, people pick the quick solution: just pull that nasty tooth, and be done with it. However, losing even one tooth effects the health, function, and appearance of your smile. What's the alternative? A dental crown from your Alexandria, VA, dentist, Dr. Andrew Sklar.

Details on the dental crown

The ancestor of today's porcelain dental crown has its origins back in 1903, says the American Dental Association (ADA). That's when Dr. Charles Land developed a tooth-shaped jacket to shore up a failing tooth.

Since then, dental crowns have taken many forms and materials, but the concept is the same: preserve the healthy portion of a sick or damaged tooth by covering it with something durable and compatible with the human body.

Currently, your Alexandria dentist uses all-porcelain crowns to protect and support teeth compromised by:

  • Abscess (infection)
  • Oral injury
  • Congenital malformation
  • Deep decay
  • Multiple restorations, including fillings and root canal therapy

Whatever the situation, Dr. Sklar works to save a tooth rather than extracting it because a smile gap invariably compromises smile aesthetics, biting, chewing, speaking and the strength of teeth adjacent to the empty socket. Sometimes a tooth requires root canal therapy to remove diseased pulp. Other times, a crown will suffice. Either way, he performs a complete oral examination and takes X-rays to determine the viability of the tooth.

The crown treatment in Alexandria

If you need a crown, the process is really simple. It takes two to three dental visits and includes:

  • Taking oral impressions and writing a care plan for the dental lab to follow
  • Numbing the area around the tooth
  • Removing any fillings and decayed portions
  • Shaping the remaining enamel to receive the restoration
  • Placing a temporary crown

When the permanent crown is ready, Dr. Sklar removes the temporary crown and uses a strong bonding cement to place the new porcelain crown. Usually, today's dental crowns are crafted from realistic porcelain.

Tooth-colored and strong, a quality crown can last up to 15 years with routine hygiene at home and at Dr. Sklar's office. Just try to avoid chewing ice, taffy or other hard foods, and to avoid excessive wear, use a bite guard at night if you tend to clench and grind your teeth (bruxism).

If you think you need a crown...

Please arrange a consultation with your Alexandria, VA, dentist, Dr. Sklar. He loves to restore and preserve natural teeth and make his patients smile. Call today for an appointment: (703) 931-3141.

By Andrew M. Sklar, D.D.S., PC
February 02, 2018
Category: Dental Procedures
Tags: cosmetic dentistry  

The most romantic holiday of the year, Valentine’s Day is celebrated each February 14th. It’s a time when many look forward to giving (and receiving) cards, flowers, and other tokens of love. On special days like this, it’s natural to want to look your best—and many surveys rank a person’s smile as his or her most noticeable (and appealing) physical feature. But what if you are unsatisfied with your smile?

Don’t worry! Today, cosmetic dentistry can resolve smile problems as never before. Here are some popular and effective dental treatments that can quickly brighten up your smile.

Tooth Whitening
In just one visit, dull or stained teeth can often be lightened by up to 10 shades! How? We use special bleaching solutions that are applied safely, under our careful supervision, in the dental office. You can’t use these concentrated solutions at home. But if you‘re not in a rush, we can prepare custom-made take-home bleaching trays and whiteners that are safe for home use. The same results can be achieved, but the process may take weeks instead of hours. After months or years, depending on lifestyle factors (like whether you smoke or drink coffee, red wine, etc.) your teeth can have whitening treatment again.

Cosmetic Bonding
Small chips, cracks, or other minor irregularities can be quite noticeable in an otherwise flawless smile. Fortunately, these problems can often be resolved with a treatment called cosmetic bonding. In a relatively simple in-office procedure, we can apply tooth-colored bonding material to restore teeth to better appearance. Layers of high-tech bonding material are built up and cured with a special light to form a tough, natural-looking tooth surface. Bonding isn’t as long-lasting as some other types of restoration, like veneers or crowns, but it’s an easy and inexpensive way to resolve some smile problems.

Professional In-Office Cleaning
Remember that feeling you get after your regular checkup? Your mouth feels squeaky-clean, your breath is fresh and you’re ready to show that sparkly smile. So why wait until your next routine appointment? You can schedule a hygiene visit any time. We will remove plaque from your teeth, check your gums for signs of periodontal (gum) disease, and make sure you’re on track for good oral health. If any problems are found, we’ll take care of them right away. And if you have questions about cosmetic procedures, it’s the perfect time to ask. A professional cleaning can help your smile look (and feel) great.

If you have questions about brightening up your smile, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Artistic Repair of Front Teeth with Composite Resin” and “Important Teeth Whitening Questions Answered.”

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