Dental Health and Veneers

Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size, or length.

Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement. You will need to discuss the best choice of veneer material for you with your dentist.

What Types of Problems Do Dental Veneers Fix?

Veneers are routinely used to fix:

Teeth that are discolored -- either because of root canal treatment; stains from tetracycline or other drugs, excessive fluoride or other causes; or the presence of large resin fillings that have discolored the tooth

·      Teeth that are worn down

·      Teeth that are chipped or broken

·      Teeth that are misaligned, uneven, or irregularly shaped (for example, have craters or bulges in them)

·      Teeth with gaps between them (to close the space between these teeth)

What's the Procedure for Getting a Dental Veneer?

Getting a dental veneer usually requires three trips to the dentist – one for a consultation and two to make and apply the veneers. One tooth or many teeth can simultaneously undergo the veneering process described below.

Diagnosis and treatment planning. This first step involves active participation between you and your dentist. Explain to your dentist the result that you are trying to achieve. During this appointment your dentist will examine your teeth to make sure dental veneers are appropriate for you and discuss what the procedure will involve and some of its limitations. He or she also may take X-rays and possibly make impressions of your mouth and teeth.

Preparation. To prepare a tooth for a veneer, your dentist will remove about 1/2 millimeter of enamel from the tooth surface, which is an amount nearly equal to the thickness of the veneer to be added to the tooth surface. Before trimming off the enamel, you and your dentist will decide the need for a local anesthetic to numb the area. Next, your dentist will make a model or impression of your tooth. This model is sent out to a dental laboratory, which in turn constructs your veneer. It usually takes 1 to 2 weeks for your dentist to receive the veneers back from the laboratory. For very unsightly teeth, temporary dental veneers can be placed for an additional cost.

Bonding . Before the dental veneer is permanently cemented to your tooth, your dentist will temporarily place it on your tooth to examine its fit and color. He or she will repeatedly remove and trim the veneer as needed to achieve the proper fit; the veneer color can be adjusted with the shade of cement to be used. Next, to prepare your tooth to receive the veneer, your tooth will be cleaned, polished, and etched -- which roughens the tooth to allow for a strong bonding process. A special cement is applied to the veneer and the veneer is then placed on your tooth. Once properly position on the tooth, your dentist will apply a special light beam to the dental veneer, which activates chemicals in the cement causing it to harden or cure very quickly. The final steps involve removing any excess cement, evaluating your bite and making any final adjustments in the veneer as necessary. Your dentist may ask you to return for a follow-up visit in a couple of weeks to check how your gums are responding to the presence of your veneer and to once again examine the veneer's placement.

What Are the Advantages of Dental Veneers?

Veneers offer the following advantages:

·      They provide a natural tooth appearance.

·      Gum tissue tolerates porcelain well.

·      Porcelain veneers are stain resistant.

·      The color of a porcelain veneer can be selected such that it makes dark teeth appear whiter.

·      Veneers offer a conservative approach to changing a tooth's color and shape -- veneers generally don't require the extensive shaping prior to the procedure that crowns do, yet offer a stronger, more aesthetic alternative.

What Are the Disadvantages of Dental Veneers?

The downside to dental veneers include:

• The process is not reversible.
• Veneers are more costly than composite resin bonding.
• Veneers are usually not repairable should they chip or crack.
• Because enamel has been removed, your tooth may become more sensitive to hot and cold foods and beverages.
• Veneers may not exactly match the color of your other teeth. Also, the veneer's color cannot be altered once in place. If you plan on whitening your teeth, you need to do so before getting veneers.
• Though not likely, veneers can dislodge and fall off. To minimize the chance of this occurring, do not bite your nails; chew on pencils, ice, or other hard objects; or otherwise put excessive pressure on your teeth.
• Teeth with veneers can still experience decay, possibly necessitating full coverage of the tooth with a crown.
• Veneers are not a good choice for individuals with unhealthy teeth (for example, those with decay or active gum disease), weakened teeth (as a result of decay, fracture, large dental fillings), or for those who have an inadequate amount of existing enamel on the tooth surface.
• Individuals who clench and grind their teeth are poor candidates for porcelain veneers, as these activities can cause the veneers to crack or chip.

How Long Do Dental Veneers Last?

Veneers generally last between 5 and 10 years. After this time, the veneers would need to be replaced.


Above article from: WebMd.com


David J. Piroli, DDS, PA
General & Cosmetic Dentistry
(561)746-3290
1620 North US Highway 1, Suite 2
Jupiter, FL 33469

Teeth Whitening

Many teeth whitening systems are available, including whitening toothpastes, over-the-counter gels, rinses, strips, and trays, and whitening agents obtained from a dentist.

Teeth whitening is ideal for people who have healthy, unrestored teeth (no fillings) and gums. Individuals with yellow tones to their teeth respond best. But this cosmetic procedure is not recommended for everyone.

Find out if teeth whitening is right for you.

·      Whitening Systems

·      Whitening Toothpastes

All toothpastes help remove surface stains because they contain mild abrasives. Some whitening toothpastes contain gentle polishing or chemical agents that provide additional stain removal effectiveness. Whitening toothpastes can help remove surface stains only and do not contain bleach; over-the-counter and professional whitening products contain carbamide peroxide or hydrogen peroxide that helps lighten the color deep in the tooth. Whitening toothpastes can lighten your tooth's color by about one shade. In contrast, light-activated whitening conducted in your dentist's office can make your teeth three to eight shades lighter.

Over-the-Counter Whitening Strips and Gels

Whitening gels are clear, peroxide-based gels applied with a small brush directly to the surface of your teeth. Instructions generally call for twice a day application for 14 days. Initial results are seen in a few days and final results are sustained for about four months.

Whitening strips are very thin, virtually invisible strips that are coated with a peroxide-based whitening gel. The strips are applied twice daily for 30 minutes for 14 days. Initial results are seen in a few days and final results are sustained for about four months.

Whitening Rinses

Among the newest whitening products available are whitening rinses. Like most mouthwashes, they freshen breath and help reduce dental plaque and gum disease. But these products also include ingredients, such as hydrogen peroxide, which whiten teeth. Manufacturers say it may take 12 weeks to see results. You just swish them around in your mouth for 60 seconds twice a day before brushing your teeth. However, some experts say that rinses may not be as effective as other over-the-counter whitening products. Because a whitening rinse is only in contact with the teeth for such a short time -- just two minutes a day compared to 30 minutes for many strips -- it may have less of an effect.

Tray-Based Tooth Whiteners

Tray-based tooth whitening systems, purchased either over-the-counter or from your dentist, involve filling a mouth guard-like tray with a gel whitening solution -- which contains a peroxide-bleaching agent -- and wearing the tray for a period of time, generally from a couple hours a day to every day during the night for up to four weeks and even longer (depending on the degree of  discoloration and desired level of whitening).

In-Office Whitening

In-office bleaching provides the quickest  way to whiten teeth. With in-office bleaching, the whitening product is applied directly to the teeth. These products can be used in combination with heat, a special light, and/or a laser. Results are seen in only one, 30- to 60-minute treatment. But to achieve dramatic results, several appointments are usually needed. However, with in-office bleaching, dramatic results can be seen after the first treatment. This type of whitening is the most expensive technique. 

How Long Do Teeth Whitening Effects Last?

Teeth whitening is not permanent. People who expose their teeth to foods and beverages that cause staining may see the whiteness start to fade in as little as one month. Those who avoid foods and beverages that stain may be able to wait one year or longer before another whitening treatment or touch-up is needed.

The degree of whiteness will vary from individual to individual depending on the condition of the teeth, 

nature of the stain, the type of bleaching system used, and for how long.

Above article from: WebMd.com


David J. Piroli, DDS, PA
General & Cosmetic Dentistry
(561)746-3290
1620 North US Highway 1, Suite 2
Jupiter, FL 33469

Sedation Dentistry: Can You Really Relax in the Dentist's Chair?

Does the thought of having your teeth cleaned make your entire body tense with fear? Would you rather endure the agony of a toothache than step foot in a dentist's office? You're not alone. A lot of people are so phobic about going to the dentist that they prefer not to have any treatment.

For people who avoid dentists like the plague, sedation dentistry may take away some of their anxiety. Sedation can be used for everything from invasive procedures to a simple tooth cleaning. How it's used depends on the severity of the fear.

What Is Sedation Dentistry?

Sedation dentistry uses medication to help patients relax during dental procedures. It's sometimes referred to as "sleep dentistry," although that's not entirely accurate. Patients are usually awake with the exception of those who are under general anesthesia.

The levels of sedation used include:

·      Minimal sedation -- you are awake but relaxed.

·      Moderate sedation (formerly called "conscious sedation") -- You may slur your words when speaking and not remember much of the procedure.

·      Deep sedation -- you are on the edge of consciousness but can still be awakened.

·      General anesthesia -- you are completely unconscious.

What Types of Sedation Are Used in Dentistry?

The following types of sedation are used in dentistry:

·      Inhaled minimal sedation. You breathe nitrous oxide -- otherwise known as "laughing gas" -- combined with oxygen through a mask that's placed over your nose. The gas helps you relax. Your dentist can control the amount of sedation you receive, and the gas tends to wear off quickly. This is the only form of sedation where you may be able to drive yourself home after the procedure.

·      Oral sedation. Depending on the total dose given, oral sedation can range from minimal to moderate. For minimal sedation, you take a pill. Typically, the pill is Halcion, which is a member of the same drug family as Valium, and it's usually taken about an hour before the procedure. The pill will make you drowsy, although you'll still be awake. A larger dose may be given to produce moderate sedation. This is the type of anesthesia most commonly associated with sedation dentistry. Some people become groggy enough from moderate oral sedation to actually fall asleep during the procedure. They usually can, though, be awakened with a gentle shake.

·      IV moderate sedation. You receive the sedative drug through a vein, so it goes to work more quickly. This method allows the dentist to continually adjust the level of sedation.

·      Deep sedation and general anesthesia. You will get medications that will make you either almost unconscious or totally unconscious -- deeply asleep -- during the procedure. While you are under general anesthesia, you cannot easily be awakened until the effects of the anesthesia wear off or are reversed with medication.

Regardless of which type of sedation you receive, you'll also typically need a local anesthetic -- numbing medication at the site where the dentist is working in the mouth -- to relieve pain if the procedure causes 

any discomfort.

Above article from: WebMd.com


David J. Piroli, DDS, PA
General & Cosmetic Dentistry
(561)746-3290
1620 North US Highway 1, Suite 2
Jupiter, FL 33469

Treating Gum Disease for Your Healthiest Smile
Everyone knows that regular visits to the dentist are essential for maintaining optimum oral health. Professional teeth cleaning and the prevention of dental problems go hand in hand. The American Dental Association estimates that 8 out of 10 Americans have some form of periodontal (gum) disease. Periodontal disease is characterized by inflammation and bacterial infection of the gums surrounding the teeth.

Teeth cleaning does more that just clean your teeth. Removing plaque is essential if you want to preserve your teeth. Plaque builds up on the tooth surfaces and between the teeth. Brushing and flossing are of course vital, but everyone needs their teeth professionally cleaned on a regular basis

With mild periodontal disease, there are very effective NON-surgical procedures which, coupled with improved dental hygiene, can halt the spread of the disease in its tracks. Essentially, the pockets around the teeth containing bacteria must be cleaned. This, too, is usually covered under most dental insurance plans. Then, of course, the patient must keep them clean with regular brushing and flossing.

We have a soft tissue management program (soft tissue = gums). Part of this program is regular cleanings, LASER gum treatments when needed, and the latest in medications to prevent gum disease. You will also receive home care instructions and at least three follow-up examinations to make sure you’re doing fine.

Regular visits to the dentist are essential for maintaining optimum oral health. Professional teeth cleaning and the prevention of dental problems go hand in hand. We are very interested in heading trouble off BEFORE it happens. This saves you time and expense.

Target Gum Disease at the Source
Tooth loss is almost always attributable to gum disease (aka periodontal disease), not tooth decay. Patients are often not even aware of the extent of their gum disease until they see the dentist, and many worry about the potential for painful treatment. But Dr. Piroli uses a fantastic, pain-free solution called ARESTIN™. This powder carries invisible microspheres that deliver a time-released antibiotic to the spaces between the gums and teeth where bacteria lingers. ARESTIN kills the bacteria that causes gum disease.

David J. Piroli, DDS, PA
General & Cosmetic Dentistry
(561)746-3290
1620 North US Highway 1, Suite 2
Jupiter, FL 33469