690 Rozier Street, Ste. Genevieve, MO 63670
Orthodontics is a specialty of dentistry dedicated to the diagnosis and treatment of misaligned teeth, or malocclusions. The goal is to help patients achieve better long-term oral health by improving teeth alignment. Sometimes, though, the misalignment is much more involved than the position of the teeth — it may be that the jaw structure is also misaligned. In that case, the skills of an oral surgeon may be in order.
The jaws are similar in shape to the arch of a horseshoe, hence the referral to either upper or lower sets of teeth as dental arches. In a normal jaw structure, the lower arch fits just inside the upper arch when you bite down and the teeth are able to function correctly. In some individuals, though, the lower arch closes in front of the upper arch, commonly known as an underbite. If the underbite is only slight, the malocclusion can be corrected by repositioning the teeth only, as with braces. If, though, the underbite is more severe it would require a surgical procedure to realign the jaws, also known as orthognathic surgery.
Orthognathic surgery can help relieve a number of functional complications caused by jaw-related malocclusions: difficulty chewing and swallowing; chronic jaw or head pain; or sleep apnea. It can also enhance the patient’s facial appearance by correcting an imbalance between the two lateral sides (asymmetry), or by minimizing a receding chin or protruding jaw.
Its primary benefit, though, is its effect on the patient’s bite and tooth alignment. For this purpose, the orthodontist and oral surgeon work together to achieve the best result possible. In some cases, the orthodontist may perform his or her work first by moving teeth into the proper position. This sets the stage for the oral surgeon to perform orthognathic surgery to complete the correction of the misalignment.
Each individual patient’s case is different — the best plan of action must begin with a full examination by an orthodontist, and a consultation with an oral surgeon if necessary. It may require time and the expertise of two specialties, but the final result will be better health and a better look.
If you would like more information on various orthodontic procedures, 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 “Jaw Surgery & Orthodontics.”
Like many who have risen to the top tier in show business, singer Taylor Hicks found that he needed a few things (besides talent, of course) to really succeed: a willingness to seek out opportunities and work hard; a unique and energetic stage presence; and a bright, appealing smile.
“Everyone wants to have a great smile,” Hicks recently told Dear Doctor magazine. “In my business, it’s one of the most important things. A lot of what I do is smiling and having fun, being in front of the camera and taking pictures.”
To help him keep his smile sparkling, Hicks opts for in-office whitening treatments from his dentist. These treatments are a safe, quick and effective way to lighten teeth by 3 to 8 shades in a single one-hour visit. Best of all, you don’t have to be an American Idol winner or a Las Vegas headliner to take advantage of them — in fact, we offer them right here in our own office.
Why choose in-office treatments instead of take-home trays (or over-the-counter products)? While each system can be effective at lightening teeth to some degree, the in-office method offers several distinct advantages. For one, it’s the fastest way to get your teeth as bright as they can be; the same lightening that can be achieved in one office visit could take a week when done at home, using custom-made trays and dentist-supplied bleaching solutions — and several weeks with over-the-counter products! So if your time is limited, in-office treatment is the way to go.
Plus, in-office treatments are performed under our direct supervision. That means we can safely use the most powerful whitening gels, and achieve the maximum control over the result. This can be important when you have crowns or replacement teeth such as implants, which Hicks has. Artificial crowns don’t whiten like natural teeth, so it’s important to get just the right degree of lightening to produce an evenly bright smile.
The bottom line, of course, is the result: a dazzling white smile. “In entertainment, a big, pearly white smile makes a difference,” Hicks said. But you don’t have to be an entertainer to enjoy the benefits of a brilliant smile — we do it for plenty of “regular folks” too.
So if your smile could use a little brightening, why not call us and schedule an appointment for whitening treatment? You can learn more in the Dear Doctor magazine articles “Teeth Whitening” and “Important Teeth Whitening Questions Answered.”
The next time you’re visiting Boston, why not make time for a stroll in the city’s renowned public garden? It’s got a little something for everyone: acres of greenhouses and formal plantings, a picturesque pond where you can go for a paddle in swan-shaped boats, and the first (and perhaps the only) statue dedicated to an anesthetic gas.
Yes, the Ether Monument (also called “The Good Samaritan”) is a vaguely Moorish-looking sculpture that commemorates the first use of anesthetic in a medical procedure. This ground-breaking event took place at nearby Massachusetts General Hospital in 1846. But if it seems that perhaps the park designers were feeling a bit light-headed when they commissioned this statue* then just think of what it would have been like to have a tooth drilled without it!
Today, of course, ether is no longer used for anesthesia; that’s because medical science has developed far better ways to make sure you don’t feel pain when you’re having a procedure. However, we do still use a gas for people who need a little more help relaxing during dental treatment. It’s called nitrous oxide, but sometimes goes by the nickname “laughing gas.”
This sweet-smelling gas, mixed with oxygen, is often administered in a process called inhalation conscious sedation. It doesn’t put you to sleep — you can still follow directions and respond to verbal cues — but it makes you very comfortable, and may even induce a slightly euphoric feeling, which wears off quickly when the gas is stopped. That’s what makes it ideal for some dental procedures: It’s quite effective for people who might otherwise have a great deal of dental anxiety, yet it’s quick, easy and safe to administer — and you can usually drive yourself home afterward.
Sometimes, however, you may need even more relaxation — for example, if you’re having multiple wisdom teeth extracted. In this case, it may be best to use intravenous (IV) conscious sedation. Here, the precise amount of medication you need is delivered directly into your bloodstream via a tiny needle. As with nitrous oxide, you’ll remain conscious the whole time, but you won’t feel any pain — and afterward, you probably won’t remember a thing.
Sedation dentistry has come a long way since the days of ether… but making sure you don’t feel pain or anxiety remains a critical part of what we do. Before a procedure, we’ll talk to you about what type of anesthesia is best — and if you have any questions or concerns, we’ll work with you to make sure you have the best experience possible. If you would like more information about sedation dentistry or relieving dental anxiety, call our office for a consultation. You can learn more in the Dear Doctor magazine articles “Oral Sedation Dentistry” and “Sedation Dentistry For Kids.”