DiMariano Family Dentistry Blog

Posts for: February, 2013

By Drs. Jeff DiMariano & Shaina DiMariano
February 26, 2013
Category: Oral Health
ActressFlorenceHendersonYouAreNeverTooOldToStraightenYourTeeth

Florence Henderson has inspired generations of people through her portrayal of America's most beloved TV mother, Carol Brady, on one of the longest running situational comedies, The Brady Brunch. Today Florence is still a role model but for a much different audience: senior citizens.

Henderson created the FloH Club as an organization to assist senior citizens with understanding and embracing technology, as she described in an interview with Dear Doctor magazine. “I was inspired to create the FloH Club because of my own fear of technology and because I didn't want to keep asking my children for help,” she said.

And while Henderson was blessed with naturally straight teeth and has had no cosmetic work done, she is not opposed to it. “I wouldn't care how old I was, if I had misaligned teeth or felt I needed cosmetic dentistry I would certainly do it!”

One teeth-straightening option many adults consider is clear orthodontic aligners. They are an excellent way for self-conscious adults to align their teeth without feeling that they will appear as an awkward “brace-faced” youth — a look that is commonplace for the teenage years.

But what are clear aligners? They are an alternative system to traditional braces that use a sequence of individual, custom-fitted trays that are clear and removable to gradually straighten teeth. They are usually recommended for correcting mild to moderate spacing problems or crowding of the teeth, and for cases in which there are no major issues with your bite (i.e., your back teeth fit together properly and biting forces are distributed evenly on all of your teeth).

To learn more about this method of aligning teeth, you can continue reading the Dear Doctor magazine article “Clear Orthodontic Aligners.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss what treatment options will be best for you. And to read the entire interview with Florence Henderson, please see the Dear Doctor article “Florence Henderson.”


By Drs. Jeff DiMariano & Shaina DiMariano
February 15, 2013
Category: Dental Procedures
CanYouWhitenTraumatizedTeeth

If you are pleased with your smile except for that one front tooth that appears darker, then we have good news for you. Often a tooth appears darker as a result of trauma that may have occurred years ago. Your tooth may need root canal treatment or may have already had root canal treatment in the past. Regardless, you can whiten this tooth via a process called internal bleaching. And as the name suggests, the tooth can be bleached from the inside out. Here's a brief summary of how this entire process works:

  1. Performing an x-ray exam: The first step is to take a radiograph (x-ray) to make sure that your root canal filling is intact adequately sealing the root canal and the surrounding bone is healthy.
  2. Making an access hole: To apply the bleaching agent, a small hole will need to be made in the back of your tooth to apply the bleach. However, before doing that, the area must be thoroughly cleaned and irrigated.
  3. Sealing above the root canal filling: This step is critical to prevent the bleach from leaking into the root canal space.
  4. Applying the bleach: To obtain the whitening needed, it typically requires between one and four office visits for additional bleaching.
  5. Applying a permanent restoration: Once your tooth has lightened to the desired color, a permanent filling will be placed over the small hole to seal your tooth's dentin. This is then covered with tooth-colored composite resin (filling material) so that the access hole is undetectable to the naked eye.

To learn more about this procedure and see amazing before and after images, continue reading the Dear Doctor article, “Whitening Traumatized Teeth.” Or, you can contact us to discuss your questions or to schedule an appointment.


By Drs. Jeff DiMariano & Shaina DiMariano
February 10, 2013
Category: Dental Procedures
QuestionsYouShouldAskBeforeGettingADentalImplant

Anytime you are considering an implant surgery to replace missing teeth, you should take the time to gather the facts so that you have clear understanding of the procedure, your options and any potential risks. You should also feel comfortable with the dental team who is treating you. For these reasons, we created the following comprehensive list of questions so that you can obtain the answers you need to help you feel at ease prior to treatment.

  • Am I a good candidate for dental implants?
  • What is the success rate for dental implants?
  • How long have you been placing implants and how many do you place each year?
  • Can you show me some before and after photos that illustrate your work?
  • What are the risks, benefits and alternatives to dental implants?
  • Are dental implants ever rejected?
  • How do you assess whether I have enough bone to anchor dental implants?
  • Can you tell me about the surgical procedure for implant placement?
  • How long will the entire process take from my first appointment until I have my implant(s) and crown(s) in place?
  • Do I have to go without teeth while my implants are healing?
  • What type of anesthesia will you use during my implant surgery?
  • What can I expect in the hours and days following my implant surgery?
  • How long will it take my implants to heal?
  • How long can I expect my implants to last?
  • Will there be any maintenance required with my implant(s)?
  • How much will dental implant(s) cost?
  • Will my insurance cover all or a portion of the cost?

To learn more, read “Dental Implants, Evaluating Your Professional Options For Care.” Or, you can contact us to discuss your questions or to schedule an appointment.


By Drs. Jeff DiMariano & Shaina DiMariano
February 03, 2013
Category: Dental Procedures
SixWaystoGetWhiterTeeth

Time to tune up the brightness on your teeth? Here are six modern methods of whitening and brightening your smile.

  • In-office “power” bleaching under the supervision of my staff and me is recommended if your teeth are badly stained, or if you are about to have veneers or crowns made. It's quick, safe, and effective. Gels containing high concentrations of bleach are applied to your teeth in our office, often with the enhancement by heat and light to make them act faster. Results show teeth becoming up to ten shades lighter in about an hour.
  • “Take home” whitening solutions and trays are designed to fit your mouth and can also be provided by my office. The technique is easy to perform and is less expensive than in-office power whitening system, although it takes longer to see the same results. General recommendations are for 30 minute applications twice a day. You can usually see a change after two to four sessions. This requires patience, because it is important not to exceed recommended exposure in order to avoid damage to your teeth, gums, and the inside skin of your mouth. After two weeks of use, teeth can be expected to be about eight shades lighter.
  • Whitening strips look like clear Band-Aids that are applied to the tooth surfaces. They should be worn twice a day for 30 minutes each time, for seven days. On average, they claim to lighten teeth more than three shades. They take about two weeks to work at 30 minutes per day.
  • “Paint on” or “Brush on” whitening formulas are also available. These are gels that are painted onto the teeth every night at bedtime, for two weeks. Some claim that this line of home whitening can whiten teeth two to five shades. These gels may make your mouth feel goopy, but they are relatively inexpensive. Some gels come with a small brush to scrub them onto the teeth.
  • Over-the-counter “mouth-tray” whiteners use mouth trays that are not designed for your particular mouth, so they may not fit well and may be messy or uncomfortable. They are filled with gel and worn 45 minutes a day for one week. On average, teeth become two shades whiter.
  • Whitening gum is a relatively new product. It requires chewing two pieces for at least 20 minutes, four times a day, to see an effect.

Contact us today to schedule an appointment to discuss your questions about tooth bleaching. You can also learn more by reading the Dear Doctor magazine article “Teeth Whitening.”