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Posts for: May, 2017

ABondedRetainerCouldbeaPreferredChoiceoveraRemovableOne

If you've known anyone who has worn braces, you know what comes after — wearing a retainer. This can be kind of a letdown after all those months with braces, but it's absolutely necessary.

That's because teeth have a tendency to “rebound” to their pre-orthodontic positions once the force to move them stops after the braces are removed. Retainers help keep or “retain” moved teeth in their new positions and prevent them from reverting to the old.

When you think “retainer,” you probably picture a removable appliance with a wire that fits over the front of the teeth. While that may be the most common type, it isn't the only one. There's another called a bonded retainer, a thin piece of wire bonded to the back of the teeth that need to be retained. Unlike the other type, a dentist must remove a bonded retainer when it's no longer needed.

The biggest advantage of a bonded retainer is its invisibility — the wire is behind the teeth so no one can see it as with a removable retainer. The wire is bonded to the teeth with a dental composite material and then light-cured to create a strong attachment.

Another advantage is especially pertinent to younger patients. Because it's permanently attached and can't be taken out, there's no constant reminding of the patient to wear it — and no more worries about replacing a lost one.

They can, though, be difficult to floss around leading to potential plaque buildup that increases disease risk. It's very important you receive proper hygiene instruction for cleaning under the bonded retainer. Another concern is that they can break under excessive chewing pressure. And as with the more common retainer, we wouldn't want to remove it as that will result in the teeth's relapse to their old positions.

To learn which retainer is best for your situation, you should discuss the options with your orthodontist. Regardless of which type you choose, though, a retainer is a must for protecting your investment in that new smile.

If you would like more information on orthodontics and retainers, 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 “Bonded Retainers.”


By Acuña Dentistry
May 11, 2017
Category: Dental Procedures
Tags: orthodontics   braces   invisalign  

Are you wondering how clear removable aligners could straighten your teeth?invisalign

You are ready to say goodbye to gaps in your smile or teeth that overlap but you aren’t entirely sure how to do it. After all, you are an adult, and you think adults aren’t supposed to wear braces, right? Well, wrong! Our Winter Park, FL, dentist, Dr. Edgar Acuña, makes it easy to get the smile you’ve always hoped for through this unique, completely clear orthodontic system.

You didn’t read that wrong. Invisalign does offer a special and ideal way to straighten teeth in older teens and adults. If you’ve never been one for wearing metal braces but you have been dreaming of getting a straighter smile, then this set of clear, custom-made aligners may be the answer you’ve been looking for.

Aligners look similar to mouthguards or whitening trays, except that each aligner you get is specially crafted and designed to shift teeth gradually into their ideal place. How? Well, our Winter Park general dentist will map out your treatment plan and determine what teeth need to move and just how much thanks to Invisalign’s amazing computer technology and software. Your entire treatment plan can be determined right here in our office during your consultation phase.

Once your aligners have been crafted and sent to us we will get you fitted with the first set of aligners in your treatment plan. You may find that it takes a couple days to adjust to wearing your aligners. Making sure you wear them as much as possible and only taking them off before mealtimes and before brushing and flossing will help you acclimate faster and will also ensure that you get the results you want by the time you want it.

Another benefit is that many adults find that they can get the results they want much faster with Invisalign. This can be music to someone’s ears if they hate the idea of wearing braces, especially when going into work or spending time with friends. Invisalign can easily fit into anyone’s busy lifestyle without inconvenience.

Acuña Dentistry in Winter Park, FL, is ready to help straighten your smile. If you’ve wanted Invisalign for a long time, isn’t it time you treated yourself? We think your smile deserves it! Call our office to book your consultation today!


By Acuña Dentistry
May 08, 2017
Category: Dental Procedures
NewFrontTeethforaTeenagedDavidDuchovny

In real life he was a hard-charging basketball player through high school and college. In TV and the movies, he has gone head-to-head with serial killers, assorted bad guys… even mysterious paranormal forces. So would you believe that David Duchovny, who played Agent Fox Mulder in The X-Files and starred in countless other large and small-screen productions, lost his front teeth… in an elevator accident?

“I was running for the elevator at my high school when the door shut on my arm,” he explained. “The next thing I knew, I was waking up in the hospital. I had fainted, fallen on my face, and knocked out my two front teeth.” Looking at Duchovny now, you’d never know his front teeth weren’t natural. But that’s not “movie magic” — it’s the art and science of modern dentistry.

How do dentists go about replacing lost teeth with natural-looking prosthetics? Today, there are two widely used tooth replacement procedures: dental implants and bridgework. When a natural tooth can’t be saved — due to advanced decay, periodontal disease, or an accident like Duchovny’s — these methods offer good looking, fully functional replacements. So what’s the difference between the two? Essentially, it’s a matter of how the replacement teeth are supported.

With state-of-the-art dental implants, support for the replacement tooth (or teeth) comes from small titanium inserts, which are implanted directly into the bone of the jaw. In time these become fused with the bone itself, providing a solid anchorage. What’s more, they actually help prevent the bone loss that naturally occurs after tooth loss. The crowns — lifelike replacements for the visible part of the tooth — are securely attached to the implants via special connectors called abutments.

In traditional bridgework, the existing natural teeth on either side of a gap are used to support the replacement crowns that “bridge” the gap. Here’s how it works: A one-piece unit is custom-fabricated, consisting of prosthetic crowns to replace missing teeth, plus caps to cover the adjacent (abutment) teeth on each side. Those abutment teeth must be shaped so the caps can fit over them; this is done by carefully removing some of the outer tooth material. Then the whole bridge unit is securely cemented in place.

While both systems have been used successfully for decades, bridgework is now being gradually supplanted by implants. That’s because dental implants don’t have any negative impact on nearby healthy teeth, while bridgework requires that abutment teeth be shaped for crowns, and puts additional stresses on them. Dental implants also generally last far longer than bridges — the rest of your life, if given proper care. However, they are initially more expensive (though they may prove more economical in the long run), and not everyone is a candidate for the minor surgery they require.

Which method is best for you? Don’t try using paranormal powers to find out: Come in and talk to us. If you would like more information about tooth replacement, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Crowns & Bridgework,” and “Dental Implants.”