Tuesday, May 9, 2017
Friday, February 10, 2017
Friday, January 27, 2017
Take control of your oral health!Have a toothache? Let us help you, according to our patients, Dr. Cherukuri is the most gentle dentist they know!
Want straight teeth? We offer Invisalign in our office, the clear alternative to traditional metal braces.
Wish you had a brighter smile? As part of your smile evaluation, we will discuss your teeth whitening options.
This special even includes an oral cancer screening.
Let us give you the smile you deserve. Call us today (909)627-6699
Tuesday, October 18, 2016
Innovation in dental materials over the last decade has made a number of choices available for restoring teeth with full coverage restorations. Although gold crowns, considered the gold standard have proven predictable in the long term, improvements in the beauty, strength and durability of materials like porcelain and zirconia have made more natural looking and lifelike cosmetic restorations possible.
What is the right crown material?
Consider the following aspects to help with the decision.
Why do I need a crown?
Do I grind my teeth?
Is the restoration on a front tooth or a back tooth?
Is the tooth visible in my smile zone?
Are my teeth sensitive?
Am I allergic to any materials?
What is the long term predictability with each material option?
What is my periodontal condition?
Frequency of periodontal maintenance
Is my opposing tooth a natural tooth or restored?
If restored, with what material?
Answering the above questions will make the selection of crown material far more predictable and comfortable.
Porcelain fused to Metal (PFM) is the most commonly used crown. PFM, or porcelain dental crowns, are lined by metal on the inside (See figure 2.) and shaped with tooth colored porcelain which is baked onto the metal inside, simulating the natural tooth in shape, shade and anatomy.
Gold Alloy has been used in dentistry for over 100 years and crowns fabricated in gold are still the most long lasting crowns. Other than its objectionable color in the current esthetic age, gold alloy is still most compatible in wear and other properties to the natural teeth. With good hygiene practices, good crowns usually last a lifetime and are a great choice for teeth in the back of the mouth.
Resin Crowns are the least used in dentistry but can be used in a bite that is aggressive to prevent wear of the opposing teeth. Gold crowns wear through and porcelain wear outs the opposing teeth in a heavy bite. Resin crowns do wear and roughen over time.
Cost is not significantly different for the different material (except resin) and the choice is based on what is best suited for the mouth and patient preference. Regardless of the material choice, crowns do last a long time and considered to be the most successful procedure in dentistry. Contact us today for tooth crowning in Chino CA.
Figure 1. Outside: PFM (Left) vs. Ceramic (Right)
Figure 2. Inside: Ceramic (Left) vs. PFM (Right)
Figure 3. Variety of Crown Materials
Friday, June 24, 2016
Some form of gum and bone disease is present in most adult mouths.
Periodontal disease is unrecognized because the condition is generally painless and slow in progression. Symptoms include red, inflamed gums, which bleed easily with brushing and flossing, bad breath and teeth becoming loose as condition worsens.
The supporting structures of the teeth including the gums and bone are termed Periodontium.
Gum and bone breakdown begins at the gum line with gingivitis and progresses to the more severe periodontitis. When oral hygiene is neglected and poor over all health is encountered, gum disease begins.
Gingivitis is a mild inflammation of the gum tissue when food deposits, dental plaque or the more calcified calculus are allowed to remain on the teeth.
Periodontitis is when food deposits, plaque and calculus continue to remain on the teeth, over time the bone begins to degenerate. This condition is termed Periodontitis.
As bone surrounding the root degenerates, teeth loosen, drift, migrate eventually leading to the loss of tooth. Proper treatment can still save most teeth.
Gum Disease Treatment Alternatives:
The success of conservative gum disease treatments rests on significant coordination and cooperation between the patient and the dental professional. Periodontal health can be stabilized with conservative treatment alone but in some cases the more invasive conventional therapy is required.
Conventional Periodontal Therapy is usually surgical. It involves gently lifting away the gum tissue from the affected teeth, removing and root planing the calcified calculus, re contouring the irregularities on the root and bone surfaces and carefully placing back and securing the reflected tissue. After a healing period and maintenance of good oral hygiene, the periodontal condition can be improved or stabilized.
Prevention of gingival and periodontal disease only requires optimal oral hygiene practices, healthy diet and a restriction on tobacco and alcohol use.
Maintenance of periodontal health may require more frequent dental hygiene visits and adherence to individual hygiene recommendations made to you by the dental professional.
Oral Health is Important to Overall Health Maintenance. Let Smile Artistry, a trusted dentist in Chino, help you achieve your best smile yet!
Visit wwwsmileartistrychino.com for additional information
Friday, June 10, 2016
A good one third of the population has a problem with clenching and grinding of their teeth.
Human teeth are subjected to enormous forces in the mouth and as a result cracking teeth is unavoidable, especially as we age. Cracked teeth are painful and can occasionally cause loss of the tooth.
To understand the various types of cracks and appreciate the variations in treatment options, a basic understanding of the tooth anatomy will be helpful
Cracks in enamel only are generally asymptomatic and require no real treatment. Almost all adults have cracks in the enamel of teeth. These are caused by eating hard foods, biting accidents, contact sports and aging. Some preventative measures include softening hard foods before biting into them and avoiding hard and brittle foods like peanut brittle, corn nuts and chewing ice.
Cracks in dentin cause sharp pain when biting especially when there is contact on the cracked portion of tooth. Contact with sweets also causes lingering pain. Cracks in dentin above the gum line are easily corrected by removing the cracked portion of tooth and placing a crown covering the tooth including the cracked defect.
Cracks in dentin extending below the gum line require a surgical modification of the surrounding bone away from the fracture line and a subsequent placement of crown. This combination of treatment can become questionable if crack extends deep down into the root surface, especially when exact extent of crack cannot be determined. Tooth removal and replacement with implant or bridge can be an alternative.
Cracks into pulp can be very painful and usually need immediate attention. Conservative treatment options are of limited value and generally involve removal of tooth and replacement with a bridge, implant or removable prosthesis. Sometimes, a root canal therapy is performed and root temporarily restored and observed for several weeks and if asymptomatic, restored with a more permanent crown. If pain persists, an extraction becomes necessary.
Only superficial cracks can be left with no treatment. Most cracked teeth require treatment as soon as pain is experienced. Early treatment can mean less invasive and less expensive treatment.
If you are concerned about a fracturing or a cracked tooth, feel free to call our office for a no obligation 10 minute consultation. Call 909 627 6699 or visit www.smileartistrychino.com