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1. Periodontal or Gum Health
2. Teeth
The teeth are hard calcified objects which serve many useful purposes, including chewing food, supporting the jaws and giving form and stability to the lower third of the face. Teeth are made up of calcium and other minerals, and tooth enamel is the hardest substance in the body. Unlike bone, they do not heal when broken.
Due to their mineralized nature, teeth are susceptible to acid erosion and dental decay (also known as "dental caries"). Cavities form in teeth when bacteria digest the carbohydrates and sugars in our diet and create acid. This acid dissolves the minerals out of the teeth and breaks down the tooth structure creating holes or cavities.
Small areas of tooth decay require fillings. Historically, most fillings were made of silver-amalgam, but have now been mostly replaced with tooth-colored composite or resin fillings. Bonding composite fillings strengthens the weakened tooth and restores the natural color and appearance of the tooth.
Larger amounts of decay must be repaired using restorations such as onlays and crowns (also called "caps"). This is necessary due to the compromise in structural integrity that large amounts of decay or broken down tooth structure creates. If the decay reaches or damages the nerve in the center of the tooth, the tooth will either need to be removed or receive a root-canal procedure which removes the nerve and blood vessels in the middle of the tooth.Dental Caries or tooth decay is a disease, and as such is more than just having "cavities". Caries is the process of how and why tooth decay happens. In short, it’s a bacterial infection, and filling cavities is just one step in treating the infection. Other steps require the proper management of oral bacteria and protecting the teeth against the destructive effects of acid.
The science of "mouth chemistry" is that teeth lose calcium at a pH of 5.5 or lower on the pH scale. Teeth that are "acid conditioned" become softer as minerals are removed from the teeth. This results in tooth erosion, decay and increased sensitivity.
Acidic conditions in the mouth occur from:
- bacteria which "eat" sugars and form organic acids,
- acidic foods and beverages,
- stomach acids – gastric acid-reflux.
Tooth decay happens when bacteria metabolize (eat) the food in your mouth and create organic acids around the teeth. This acid then removes calcium from the tooth, and if not arrested can produce a cavity or hole in the tooth.
Many foods and beverages lower the pH in the mouth causing the teeth to be bathed in acid. This acidic state is usually neutralized within 30-60 minutes due to the buffering and diluting effects of saliva. People with dry mouth (xerostomia) have problems neutralizing this acid state, causing an accelerated loss of minerals and more tooth decay. Many prescription and over-the-counter medications are known to have dry-mouth side effects. Extreme care must be taken to control mouth acidity and to not use sugar containing mints or gums to improve saliva flow.
When combined with aggressive tooth grinding, acid conditions in the mouth help create erosions (grooves) at the gum line on the sides of teeth, and the biting surfaces of teeth, exposing the softer sensitive dentin of the tooth.
Excessive tooth wear and damage from grinding can further damage weakened teeth, and can also shorten or collapse the jaws and face giving them and you an aged appearance. Teeth grinding obviously decreases the durability or life-expectancy of the teeth.
The good news is that just as calcium can be removed from teeth in acidic conditions, calcium in the saliva can be re-absorbed back into the teeth when the pH is neutral, making the tooth hard again. Topical fluoride also hardens tooth surfaces, making them more resistant to the effects of acid.
3. Bite
4. Smile
Someone once said that "your smile is the light in your soul’s window which tells others that your heart is at home". That’s why an unattractive smile is such a thief – it can rob you of much needed confidence and betray the real you. Unfortunately, all too often this hurts careers, damages relationships and holds people back from their potential.
While smiles are obviously made up of individual teeth, it is their combined appearance that makes a smile. Smiles can be blemished and damaged from decay, trauma, gum disease, old crowns and fillings, and ongoing wear and aging.
One of the quickest ways to show your advancing age is when your smile begins to wear down. Unkempt, worn out and aging smiles can make you look older than you really are. This is because good or bad, the mouth and smile are the focal point of the face.
Fortunately, modern smile design is no longer guesswork. Master cosmetic dentists understand the principles of art and science that combine to create a confident and healthy smile. They emulate and copy the rules of nature which demand proper proportion and pleasing symmetry, and blend them with principles of modern science to create stunning and beautiful smiles no matter what kind of smile nature gave you to start with or which you acquired through years of wear and tear.
Modern Cosmetic Dentistry is the blending of art and technology which allows for smile possibilities previously only imagined. These possibilities range from simply whitening your teeth, to beautiful porcelain veneers which strengthen teeth and create radiant new smiles which restore laughter and life to the most boring of smiles and lives.
5. Facial Cosmetics



