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Posts for tag: orthodontics

Sometimes it seems that appearances count for everything—especially in Hollywood. But just recently, Lonnie Chaviz, the 10-year-old actor who plays young Randall on the hit TV show This Is Us, delivered a powerful message about accepting differences in body image. And the whole issue was triggered by negative social media comments about his smile.
Lonnie has a noticeable diastema—that is, a gap between his two front teeth; this condition is commonly seen in children, but is less common in adults. There are plenty of celebrities who aren’t bothered by the excess space between their front teeth, such as Michael Strahan, Lauren Hutton and Vanessa Paradis. However, there are also many people who choose to close the gap for cosmetic or functional reasons.
Unfortunately, Lonnie had been on the receiving end of unkind comments about the appearance of his smile. But instead of getting angry, the young actor posted a thoughtful reply via Instagram video, in which he said: “I could get my gap fixed. Braces can fix this, but like, can you fix your heart, though?”
Lonnie is raising an important point: Making fun of how someone looks shows a terrible lack of compassion. Besides, each person’s smile is uniquely their own, and getting it “fixed” is a matter of personal choice. It’s true that in most circumstances, if the gap between the front teeth doesn’t shrink as you age and you decide you want to close it, orthodontic appliances like braces can do the job. Sometimes, a too-big gap can make it more difficult to eat and to pronounce some words. In other situations, it’s simply a question of aesthetics—some like it; others would prefer to live without it.
There’s a flip side to this issue as well. When teeth need to be replaced, many people opt to have their smile restored just the way it was, rather than in some “ideal” manner. That could mean that their dentures are specially fabricated with a space between the front teeth, or the crowns of their dental implants are spaced farther apart than they normally would be. For these folks, the “imperfection” is so much a part of their unique identity that changing it just seems wrong.
So if you’re satisfied with the way your smile looks, all you need to do is keep up with daily brushing and flossing, and come in for regular checkups and cleanings to keep it healthy and bright. If you’re unsatisfied, ask us how we could help make it better. And if you need tooth replacement, be sure to talk to us about all of your options—teeth that are regular and “Hollywood white;” teeth that are natural-looking, with minor variations in color and spacing; and teeth that look just like the smile you’ve always had.
Because when it comes to your smile, we couldn’t agree more with what Lonnie Chaviz said at the end of his video: “Be who you want to be. Do what you want to do. Do you. Be you. Believe in yourself.”
If you have questions about cosmetic dentistry, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Beautiful Smiles by Design” and “The Magic of Orthodontics.”

Orthodontic treatment is a big investment. But given the benefits for future good health and a more attractive smile, it's well worth it.
In the here and now, though, braces wearers face a different threat to their dental well-being — dental disease. Wearing braces can actually increase the risk of disease and make it more difficult to fight.
Tooth decay and periodontal (gum) disease, the two most common forms of dental disease, usually arise from plaque, a thin film of bacteria and food particles on tooth surfaces. The bacteria produce acid, which erodes enamel and makes the teeth susceptible to decay. Certain bacteria can also infect the gums and eventually weaken their attachment to teeth. Thorough brushing and flossing everyday removes this disease-triggering plaque buildup.
But braces' hardware can make brushing and flossing more difficult. The brackets attached to the teeth and wires laced through them make it more difficult for floss and brush bristles to access all the areas around the teeth. Plaque can build up in certain spots; it's estimated braces wearers have two to three times the plaque of a person not wearing braces. Acid can also remain in contact with some of the enamel surface for too long.
It's important, therefore, if you wear braces to make a concerted effort to brush and floss thoroughly. Besides improving technique and taking more time, you might also consider additional aids. You can obtain toothbrushes specially designed for use with braces, as well as floss holders or threaders that make it easier to access between teeth. Another flossing alternative is an oral irrigator that sprays water under pressure between teeth is an alternative to flossing.
As a precaution against acid damage, we can boost enamel protection with additional fluoride applied to your teeth. We may also prescribe antibacterial rinses to keep the bacteria population low.
Above all, be sure to look out for signs of disease like swollen or bleeding gums or pain. As soon as you sense something out of the ordinary, be sure and contact us.
If you would like more information on keeping your teeth disease-free while wearing braces, 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 “Caring for Teeth During Orthodontic Treatment.”

It’s something you think about often—especially when you look in a mirror or at a photo of yourself. You wish something could have been done about it a long time ago. But now you think you’re too old to correct your misaligned teeth—your “crooked” smile.
Actually, you can transform your smile through orthodontics, whatever your age. Millions of your peers have done just that—currently, an estimated one in five orthodontic patients is an adult.
If orthodontics isn’t right for you it won’t be because of age, but most likely the condition of your gums and underlying bone or your overall health. That first factor is extremely important: if you’ve lost a significant amount of bone due to periodontal (gum) disease, there may not be enough to support the force of moving the teeth during orthodontics.
Health conditions like severe heart-valve disease, uncontrolled diabetes or drugs to treat arthritis or osteoporosis can also make tooth movement difficult. And, if you have restricted saliva flow (dry mouth), wearing orthodontic devices could be uncomfortable and increase your risk of tooth decay.
If, however, your mouth and body are reasonably healthy (and you don’t have a difficult bite problem to correct), there’s no reason why you can’t undergo orthodontic treatment. The only other thing that might hold you back is concern over your appearance during treatment. Many adults balk at the possible embarrassment of wearing metal braces “at their age.”
If this is a concern, you may have an alternative: clear aligners. These are a series of computer-generated clear plastic trays that conform to the individual contours of your teeth. Each tray is slightly different—you wear one for a short period of time (usually two weeks) before moving on to the next tray to successively and gradually move your teeth. They’re nearly invisible to others and, unlike fixed metal braces, you can take them out for a rare special occasion.
The only way you’ll know whether correcting your misaligned teeth is a viable option is to undergo a full orthodontic evaluation. From there we can help you decide if and how you want to gain a straighter, more attractive smile.
If you would like more information on adult orthodontics, 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 “Orthodontics for the Older Adult.”

Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!
If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.
If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?
As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.
And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!
If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?”

Magician Michael Grandinetti mystifies and astonishes audiences with his sleight of hand and mastery of illusion. But when he initially steps onto the stage, it’s his smile that grabs the attention. “The first thing… that an audience notices is your smile; it’s what really connects you as a person to them,” Michael told an interviewer.
He attributes his audience-pleasing smile to several years of orthodontic treatment as a teenager to straighten misaligned teeth, plus a lifetime of good oral care. “I’m so thankful that I did it,” he said about wearing orthodontic braces. “It was so beneficial. And… looking at the path I’ve chosen, it was life-changing.”
Orthodontics — the dental subspecialty focused on treating malocclusions (literally “bad bites”) — can indeed make life-changing improvements. Properly positioned teeth are integral to the aesthetics of any smile, and a smile that’s pleasing to look at boosts confidence and self-esteem and makes a terrific first impression. Studies have even linked having an attractive smile with greater professional success.
There can also be functional benefits such as improved biting/chewing and speech, and reduced strain on jaw muscles and joints. Additionally, well-aligned teeth are easier to clean and less likely to trap food particles that can lead to decay.
The Science Behind the Magic
There are more options than ever for correcting bites, but all capitalize on the fact that teeth are suspended in individual jawbone sockets by elastic periodontal ligaments that enable them to move. Orthodontic appliances (commonly called braces or clear aligners) place light, controlled forces on teeth in a calculated fashion to move them into their new desired alignment.
The “gold standard” in orthodontic treatment remains the orthodontic band for posterior (back) teeth and the bonded bracket for front teeth. Thin, flexible wires threaded through the brackets create the light forces needed for repositioning. Traditionally the brackets have been made of metal, but for those concerned about the aesthetics, they can also be made out of a clear material. Lingual braces, which are bonded to the back of teeth instead of the front, are another less visible option. The most discrete appliance is the removable clear aligner, which consists of a progression of custom-made clear trays that reposition teeth incrementally.
How’s that for a disappearing act?!
If you would like more information about orthodontic treatment please contact us or schedule an appointment for a consultation. You can also learn more about the subject by reading the Dear Doctor magazine article “The Magic of Orthodontics.”
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- 2021
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- Pretty Little Liars' Lucy Hale Crushes on Smiles
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- Prevention and Early Detection of Root Cavities Could Save a Tooth
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- Friendly Bacteria Can Help Protect Our Mouths From Disease
- Dakota Johnson and Her Missing Tooth Gap Sparks Online Debate
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- Take These Measures to Lower Your Child's Tooth Decay Risk
- Gum Disease Could be Affecting More Than Just Your Mouth
- Sedation Can Help Create a More Positive Dental Experience for a Child
- Listen to Ellen DeGeneres: Don't Think You Can Get Away Without Flossing!
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- Manage These Risk Factors to Reduce Your Risk of Tooth Decay
- Too Old to Straighten Your Smile? Not If You're Like These A-List Celebrities
- You Don't Have to Live With Uncomfortable Cracked Mouth Corners
- Veneers May Not Be the Best Option for Your Teenager's Teeth
- See Your Dentist to Find out the Real Cause for Your Tooth Pain
- The Howie Mandel Effect: Avoid Dental Disease Through Daily Brushing and Flossing
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- Tobacco: One Baseball Tradition We Can Do Without
- Fixed or Removable: Deciding Which Implant-Supported Bridge is Best for You
- Get a Dental Exam as Soon as Possible if you Suspect Gum Disease
- Even Celebrities Have Accidents: See What They Do to Restore Their Chipped Teeth
- Don't Worry About Dental Amalgam: It's Safe for Treating Cavities
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- December (6)
- 3 Reasons Why Smoking Doesn't Mix with Dental Implants
- Miley Cyrus's Little Secret: Straightening Her Smile With Lingual Braces
- Your Smile Can Be Your Passport to the World - Take Care of It With These Tips
- It Takes Artistry and Skill to Achieve the Right Color Balance for Your Veneers
- Fluoridated Drinking Water Helps Curb Tooth Decay Safely
- NHL Iron Man Keith Yandle Suffers Dental Trauma on Ice
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- Eating the Right Carbs Helps Keep Your Gums Healthy
- If Appropriate, Antibiotics before Implant Surgery Could Reduce Infection Risk
- New Saliva Test may Help Identify Oral Cancer Earlier
- The Real Truth Behind Ed Helms' Missing Tooth in "The Hangover"
- Topical Fluoride Offers a Protective Boost to Children at High Risk for Decay
- Vaping Could Be Just as Harmful to Your Teeth and Gums as Smoking
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- Behavioral Therapy Could Reduce a Child's Dental Anxiety Without Drugs
- How Veneers Restored Howie Mandel's Winning Smile
- Periodontal Maintenance Can Help You Avoid Another Episode of Gum Disease
- There Are a Lot of Bacteria in Your Mouth but Only a Few Mean You Harm
- Don't Delay Seeing the Dentist If You Suspect Gum Recession
- Hugh Jackman Is All Smiles for His New Broadway-Inspired Show
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- Primary Teeth are Critical to Future Dental Health and Worth Preserving
- Watch Out for These Dental Health Issues as You Age
- Don't Let Gum Disease Cut Short Your Implant's Service Life
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- Viggo Mortensen's Red-Carpet Smile
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- Your Reoccurring Sinus Infections May Actually Be Caused by Tooth Decay
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- Bruins' Zdeno Chara Breaks His Jaw During 2019 Stanley Cup
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- 3 Things You Can do to Help Promote Your Child's Dental Development
- Crazy Little Thing Called... Hyperdontia?
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- Inflammation: the Link Between Gum Disease and Cardiovascular Disease
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- Don't Use Benzocaine Products to Ease Your Baby's Teething Pain
- Pop Star Demi Lovato Pops Out Jay Glazer's Tooth
- A Minor Procedure Could Make Breastfeeding Easier for You and Your Baby
- As Summer Heats Up, Be on Your Guard for Tooth Injuries
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- Stress and Nighttime Teeth Grinding
- A Different Kind of "Chip Shot" for Pro Golfer Danielle Kang
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- Nutrition for the Best Oral Health
- 4 Common-Sense Tactics to Lower Tooth Decay Risk Between Dental Visits
- People Born with Missing Teeth can Still Gain a Beautiful Smile
- NBA Player's Injury Points Out Need for Mouthguards
- A Pediatric Dentist Could be a Great Choice for Your Child's Dental Care
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- Stop Gum Disease Before it Becomes a Major Health Issue
- Why Alfonso Ribeiro Is Grateful for Root Canal Treatment
- Have Your Loose Tooth Examined as Soon as Possible
- 4 Things that can Cause Gum Recession and What to do About Them
- Legal or Not, Marijuana Poses a Health Risk to Your Gums
- Healthy Smiles for Alfonso Ribeiro and Family
- January (6)
- 3 Reasons for Why It's a Smart Move to Invest in Dental Implants
- Keep up Regular Dental Care While You're Pregnant
- You may Need Orthodontic Treatment Before Obtaining Implants
- Singer Dua Lipa Sees the Wisdom in Postponing Tour Dates
- Stay Hydrated in Winter for Better Year-Round Oral Hygiene
- Want to Keep Enjoying Winter Sports? Wear a Mouthguard!
- 2018
- December (6)
- Porcelain Veneers Might not be the Best Option for Teenagers
- Why Big Bang Theory Actress Mayim Bialik Couldn't Have Braces
- Dental Care is Difficult but not Impossible for a Special Needs Child
- Safety is a Priority When Imaging Children's Teeth with X-Rays
- Stop Smoking to Reduce Your Risk of Gum Disease
- J-Lo's Unlucky Break: Chipping a Tooth on Stage
- November (6)
- Take Steps to Treat Chronic Mouth Breathing as Early as Possible
- Don't Let GERD Ruin Your Teeth's Health
- Use the Same Prevention Strategy to Defeat Tooth Decay and Gum Disease
- Steely Dan Founder's Death Highlights Importance of Early Cancer Detection
- Don't Ignore Sudden Tooth Pain - Your Teeth may be Telling you Something
- Diabetes and Oral Health: True or False?
- October (6)
- To Prevent Tooth Decay, Practice Effective Brushing and Flossing
- NBC Star Delivers a Message about the "Perfect" Smile
- Stop Root Cavities with Prevention and Prompt Treatment
- Eat the Right Kind of Carbs to Protect Yourself from Gum Disease
- Ease Your Child's Teething Discomfort with these Tips
- Janet Jackson: Even pop stars get insecure about their smiles!
- September (6)
- Make Efforts to Protect Your Teeth from Disease While Wearing Braces
- Look at Your Options for Saving a Tooth First Before Replacing it
- Replacing a Missing Tooth isn't Just About Improving Your Smile
- Margot Robbie Knows: A Great Smile Is Worth Protecting
- FAQs for National Gum Care Month
- 3 Surprising Sugar Sources Your Baby Might be Consuming
- August (6)
- Keeping Gum Disease at Bay Could Help Your Overall Health
- (Don't) Break It Like Beckham
- We'll Help You Maintain Your Oral Health After Gum Disease
- Ease Your Child's Discomfort During Teething
- Treating a Child's Tooth Injury May Require Special Consideration
- Vivica's Veneers: the Making of a Hollywood Smile
- July (7)
- Avoid Bone Loss around Tooth Roots through Regular Dental Care
- A Child's Teeth Grinding is Normal - But You Should Still Keep an Eye on it
- Diabetes Doesn't Have to Stop You From Acquiring Dental Implants
- Fan of Superhero Film Black Panther Breaks Steel Wire...with Her Mouth!
- Research Confirms: Dental Sealants Really Work!
- 4 Big Benefits for Beginning Early Dental Visits for Your Child
- Gum Disease is Still a Threat to Your Dental Implants
- June (6)
- How Big Bang Theory Actress Mayim Bialik Gets Her Kids to Floss
- The Parent-Dentist Partnership: Establishing Better Oral Health for Your Child
- June Is Men's Health Month
- Good Reasons for Choosing Clear Aligners for Orthodontic Treatment
- Dental Injury Is Just a Temporary Setback for Basketball Star Kevin Love
- That Small Mouth Sore is Likely Nothing - but Still Have it Checked
- March (5)
- Charlize Theron Back in Action After Dental Surgery
- Why the Bottled Variety Might not be Your Best Choice for Clean Drinking Water
- 4 Things You Should be Doing Now for Your Baby's Long-Term Dental Health
- Instill Good Dental Habits in Your Child as Early as Possible
- Julianne Hough Shares a Video - and a Song - After Wisdom Teeth Come Out
- 2017
- September (6)
- Inflammation is a Key Element in Both Oral and Systemic Diseases
- FAQs About Pediatric Dentistry
- Attention to Detail Crucial to a Beautiful Smile Supported by Dental Implants
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- Any Time, Any Place: Cam Newton's Guide to Flossing
- Stop Gum Disease Before it Threatens Your Dental Implant
- May (5)
- Clean Your Implants Just Like you Clean Your Natural Teeth
- Instill in Your Child the Daily Habit of Brushing and Flossing
- Life Is Sometimes a Grind for Brooke Shields
- Tips on Encouraging Healthy Snacking While Your Child's at School
- Protect Your Child's Long-Term Dental Health with Regular Office Visits
- April (5)
- Gum Disease Could Affect More than Your Teeth and Gums
- Actress Emma Stone Reveals How Thumb Sucking Affected Her Teeth
- Don't Let Sleep Apnea Ruin Your Sleep - or Your Health
- Be Alert to the Unintended Consequences of Cancer Treatment to Oral Health
- Conscious Sedation can Help Ease Your Child's Dental Visit Anxiety
- 2016
- March (9)
- Good Oral Hygiene Just as Important for Implants as for Natural Teeth
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Get Relief from Cracked Corners of the Mouth
- Treating Gum Abscesses and the Underlying Gum Disease
- Dental Crowns for the King of Magic
- Although a Global Problem, Tooth Decay can be Prevented
- 3 Things to do to Prepare for Dental Emergencies While Traveling Abroad
- Though not Always Seen, it's Still Important to Replace a Missing Back Tooth
- Game, Set, Match: Milos Raonic Says A Mouthguard Helps Him Win
- February (7)
- Advancing Gum Disease Requires Thorough Treatment to Control it
- Persistent Jaw Pain After an Injury Needs Immediate Attention
- Is There a Link Between Gum Disease and Cardiovascular Health?
- Four Tips for Preventing Premature Loss of Baby Teeth From Tooth Decay
- The Time Interval to Replant a Knocked Out Tooth Can Affect its Longevity
- The Major Benefits of Early Childhood Dental Visits
- Can an App Help You Brush Your Teeth?
- 2015
- December (5)
- Nancy O'Dell on Making Oral Hygiene Fun for Kids
- Implant-Based Removable Dentures a Good Choice for Patients with Extensive Bone Loss
- Treating Dry Mouth is Important for Maintaining Good Oral Health
- A Smile Makeover is a Transforming Experience
- Master Illusionist Benefits from the Magic of Orthodontics
- June (5)
- Advancing Gum Disease Requires Your Dentist's Intervention
- Tom Hanks' Abscessed Tooth Gets Cast Away
- Life-like Dental Porcelain Helps Restore Smiles Marred by Unattractive Teeth
- 'Prepless' Veneers can Transform Your Smile Without Altering Your Teeth
- What you can Expect if You're Undergoing Implant Surgery
- May (7)
- Take Positive Action with Your Child's Thumb-Sucking Habit
- America's (Dentists) Got Talent - for Fixing Damaged or Missing Teeth!
- Dental Implants and Smoking - Cause for Concern?
- Take Steps to Reduce Mouth Acid and Avoid Dental Erosion
- Although Rare, Allergic Reactions to the Metal in Implants Could be a Concern
- While Usually Benign, Lichen Planus Lesions Should Still be Examined
- A Toothless Tiger?
- April (6)
- Tooth Bleaching: Test Your Knowledge
- Mouthguards Reduce Risk of Concussion as well as Dental Injuries
- An Oral Appliance for Sleep Apnea may be the Right Option for You
- TV's Nate Berkus Discusses Dental Sealants, Fluoride Treatments and Flossing
- Choosing Natural Tooth-Colored Fillings Over Silver
- Turn Back the Clock with Whiter Teeth
- March (8)
- A Future So Bright — Teeth Whitening Facts
- Follow in Vanna White's Footsteps and Replace That Missing Back Tooth
- Things you Should Know about Oral Cancer
- Chronic Biting Habits Can Lead to Loose Teeth
- Managing Gum Disease Could Benefit Other Conditions You May Have
- George Washington's False Teeth
- Dental Offices Uphold the Highest Standards for Infection Control
- Eating Disorders Can Cause Problems With the Teeth and Mouth
- February (8)
- Your Gum Tissue 'Biotype' Could Determine How Gum Disease Affects You
- Spice Up Your Teeth
- Bonding with Composite Resins Ideal for Restoring Chipped Teeth
- There's a Battle Going On - And It's In Your Mouth
- Reduce Your Risk of Oral Cancer With a Healthy Whole Food Diet
- The Secrets Behind Vanna White's Smile
- Pay Attention to Gum Disease Warning Signs for an Early Diagnosis
- Test Your Knowledge: A Quiz on Dental Erosion
- 2014
- September (5)
- Saving a Baby Tooth is the Best Option for Permanent Tooth Development
- Removing Bacterial Plaque is Critical to Halting Advancing Gum Disease
- Be Extra Vigilant for Signs of Gum Disease During Pregnancy
- Kristin Cavallari's "Spaghetti Catcher" - First Step To A Winning Smile
- Your Dentist May Have the Solution to Your Snoring and Sleep Apnea
- April (5)
- Advances in Clear Aligners Make Them a Viable Choice for More Teens
- Oral Cancer: Risk Factors and Prevention
- Considering Bone and Gums Critical to Achieving a Better Smile With Implants
- FAQs About Calming Your Fears With Oral Sedation Dentistry
- Implant Overdentures: a Marriage of Options for Lower Jaw Tooth Replacement
- 2013
- 2012
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