Posts for: August, 2014

By Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.
August 29, 2014
Category: Dental Procedures
MatthewLewissMetamorphosis

Remember Matthew Lewis? You've seen him in all of the Harry Potter movies, where he played the bumbling Neville Longbottom: a pudgy, teenage wizard-in-training whose teeth could best be described as... dodgy. We won't spoil the movie by telling you what happens to him in the end — but in real life, let's just say his awkward phase is over. Today, he looks more like a young Ryan Gosling. How did this transformation happen?

Well, in part it was some “Hollywood magic” that made his teeth look worse in the films than they really were. But Lewis acknowledges that he also had cosmetic dental work performed. If you've ever considered getting a smile makeover yourself, you may wonder: What kinds of “dental magic” might it take to change an awkward grin into a red-carpet smile? Here are a few of the treatments we might utilize.

Orthodontics
It's possible to correct tooth crowding, protrusion, gaps between teeth, and many other bite problems with orthodontic appliances like braces or clear aligners. While some may think orthodontics is just for teens, that isn't so — you're never too old to get the smile you've always wanted! In fact, right now about one in five orthodontic patients is an adult.

Teeth Whitening
This is a popular (and surprisingly affordable) option that can effectively lighten your teeth by six shades or more. We can do in-office whitening for the fastest results, or prepare a take-home whitening kit with a custom-made tray to fit your teeth perfectly and a supply of the proper bleaching solution. How well it will work for you (and how long it will last) depends on various factors, including the original cause of the discoloration, and your preferences for foods and beverages (such as coffee or red wine) that may cause stains.

Porcelain Veneers
Sometimes, even professional bleaching isn't enough to get the kind of permanent, “Hollywood white” smile you'd like; that's where porcelain veneers come in. By placing a fingernail-thin layer of ceramic over the tooth's enamel, veneers offer a permanent, pearly white finish that looks just like your natural teeth — only more dazzling! Veneers, long the first choice of celebrities, are gaining popularity with plenty of “regular” folks.

Tooth Restorations
This category covers a wide variety of different methods and materials — like cosmetic bonding, crowns, bridges, and dental implants — which we use to repair or replace teeth that are damaged or missing. Beginning with the simple repair of small chips or cracks with tooth-colored resins, we can progress to more permanent crown restorations when more of the tooth structure needs replacement. To restore missing teeth, we have the option of using the tried-and-true bridge — or, the current gold standard in tooth replacement: the lifelike, permanent dental implant.

Of course, this is just a bare outline of the many tools and techniques cosmetic dentistry offers. We would be happy to talk with you about which ones are right in your individual situation. Will a smile makeover land you a red-carpet role? Maybe... but one thing is for sure: It will help you get the smile you've always wanted.

If you would like more information about smile makeovers and options in cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Cosmetic Dentistry,” “Porcelain Crowns & Veneers,” and “Dental Implants.”


By Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.
August 13, 2014
Category: Oral Health
Tags: bad breath  
BadBreathMightbeaSignofaMoreSeriousOralCondition

If you’re experiencing chronic halitosis (bad breath), it could be a sign of oral disease (as well as a systemic condition or treatment). In fact, it’s quite possible to visit our office about bad breath and find the cause is actually tooth decay, gum disease or some other oral condition.

In those cases treating the more serious condition might also result in a reduction in bad breath. Here are a few scenarios where such treatment could result in both better health and fresher breath.

Repairing decayed teeth. Repairing teeth damaged by decay — removing diseased tissue, filling cavities or repairing defective fillings — will also reduce the level of decay-causing bacteria. Such bacteria are often responsible for bad breath since they also release volatile sulphur compounds (VSCs), characterized by a foul “rotten eggs” odor. After treatment, these odors can diminish significantly.

Treating gum disease. Periodontal gum disease is a progressive infection caused by bacterial plaque. The basic treatment is to remove as much offending plaque and tartar (hard deposits) as possible. This may require extensive cleaning techniques (like root planing) to remove plaque from tooth root surfaces beneath the gum line, as well as antibiotic therapy. Periodontal therapy not only restores health to gum tissues, it may also alleviate bad breath caused by bacteria.

Extracting third molars (wisdom teeth). The opercula (flaps of gum tissue) around wisdom teeth have a tendency to trap food debris, which fosters bacterial growth. If this leads to chronic infection we may recommend removing the wisdom teeth. This not only reduces the chances of infection but may also alleviate bad breath caused by the bacterial growth.

Treating candidiasis. This is a yeast infection arising as a result of antibiotic use that suppresses normal oral flora. It’s also a source of bad breath. Treating the infection and restoring normal balance in the mouth may help alleviate bad breath as well as prevent disease.

You may see a pattern here: many of these conditions that simultaneously contribute to bad breath stem from high levels of bacteria, which flourish in plaque built up on tooth surfaces due to inadequate oral hygiene. Effective daily brushing and flossing (along with semi-annual office cleanings) removes much of the offending bacterial plaque. As a result you’ll experience better oral health — and maybe fresher breath too.

If you would like more information on controlling chronic bad breath, 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 “Bad Breath.”


By Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.
August 01, 2014
Category: Oral Health
GoodOralHygieneMadeAlltheDifferenceforBallroomDanceStarCherylBurke

Growing up with a dentist stepdad, Cheryl Burke of Dancing with the Stars heard a lot over the years about the importance of good oral hygiene — in particular, the benefits of using dental floss.

“My dad would say, ‘make sure you floss,’ but I never really listened to him. I was very, very stubborn,” Cheryl told Dear Doctor magazine recently in an exclusive interview. Cheryl admits this stubbornness took its toll, in the form of tooth decay. “I definitely had my share of cavities,” Cheryl recalled.

Cavities can form when food particles, particularly sugar and carbohydrates, are not effectively cleaned from the spaces between teeth. These particles are then broken down by bacteria naturally present in the mouth, resulting in the production of acids that attack the tooth enamel.

When she reached her twenties, Cheryl decided she really needed to step up her oral hygiene and cultivate an asset so important to a professional dancer: a beautiful smile. And once she did, cavities became a distant memory.

“I think when you do floss frequently, it helps to reduce the chances of getting cavities,” Cheryl said. “It took me a while to figure it out.” Now Cheryl flosses after every meal. “I carry floss with me wherever I go. I have no shame busting out my floss in the middle of a restaurant!” She declared.

Dental decay is actually a worldwide epidemic, especially among kids. Untreated, it can lead to pain, tooth loss, and, because it is an infectious disease, it may even have more serious systemic (whole body) health consequences. The good thing is that it is entirely preventable through good oral hygiene at home and regular professional cleanings here at the office.

If it has been a while since you or your children have seen us for a cleaning and check-up, or you just want to learn more about preventing tooth decay, please contact us to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Cheryl Burke, please see “Cheryl Burke.” Dear Doctor also has more on “Tooth Decay: The World's Oldest & Most Widespread Disease.”




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Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.

1712 I St. NW , Suite 906 Washington, DC 20006