DiMariano Family Dentistry Blog

Posts for: January, 2017

By Drs. Jeff DiMariano & Shaina DiMariano
January 20, 2017
Category: Dental Procedures
Tags: celebrity smiles   veneers  

What's an actor's most important feature? According to Vivica A. Fox, whose most recent big-screen role was in Independence Day: Resurgence, it's what you see right up front.

"On screen, your smile and your eyes are the most inviting things that bring the audience in" she said. "Especially if you play the hot chick."

But like lots of people, Vivica reached a point where she felt her smile needed a little help in order to look its best. That's when she turned to a popular cosmetic dental treatment.

"I got veneers years ago," Ms. Fox told Dear Doctor magazine in a recent interview, "just because I had some gapping that probably only I noticed."

What exactly are dental veneers? Essentially, they are thin shells of lustrous porcelain that are permanently attached to the front surfaces of the teeth. Tough, lifelike and stain-resistant, they can cover up a number of defects in your smile — including stains, chips, cracks, and even minor spacing irregularities like the ones Vivica had.

Veneers have become the treatment of choice for Hollywood celebs — and lots of regular folks too — for many reasons. Unlike some treatments that can take many months, it takes just a few appointments to have veneers placed on your teeth. Because they are custom made just for you, they allow you to decide how bright you want your smile to be: anywhere from a natural pearly hue to a brilliant "Hollywood white." Best of all, they are easy to maintain, and can last for many years with only routine care.

To place traditional veneers, it's necessary to prepare the tooth by removing a small amount (a millimeter or two) of its enamel surface. This keeps it from feeling too big — but it also means the treatment can't be reversed, so once you get veneers, you'll always have them. In certain situations, "no-prep" or minimal-prep veneers, which require little or no removal of tooth enamel, may be an option for some people.

Veneers aren't the only way to create a better smile: Teeth whitening, crowns or orthodontic work may also be an alternative. But for many, veneers are the preferred option. What does Vivica think of hers?

"I love my veneers!" she declared, noting that they have held up well for over a decade.

For more information about veneers, please contact us or schedule an appointment for a consultation.

January 12, 2017
Category: Dental Procedures
Tags: orthodontics  

From straightening your smile to correcting a misaligned bite, orthodontics can treat many different dental concerns for teens and adults. orthodonticsIn Sacramento and Folsom, CA, your orthodontics experts are Dr. Jeff DiMariano and Dr. Shaina DiMariano.

Orthodontic Problems

Common orthodontic problems include crooked teeth, a misaligned bite and large gaps between the teeth. Braces, one type of orthodontic, can be used to move and straighten crooked or gapped teeth. Orthodontics can also correct a misaligned bite, which occurs when the top and bottom rows of teeth don’t line up properly. Individuals with a misaligned bite sometimes experience painful tension in the jaw area, as well as headaches. Correcting the misaligned bite with orthodontics can provide relief.

Types of Orthodontics

There are several types of orthodontics in Sacramento and Folsom. Braces are one of the most common orthodontic treatments used to straighten teeth, close gaps and correct misaligned bites. There are traditional metal braces, clear ceramic braces, lingual braces and clear aligners. Depending on your needs, your dentist can advise you as to which type of braces might be best for you.

Metal braces and clear ceramic braces are similar. Both types of braces involve the installation of brackets on each tooth. Along each row of teeth, the brackets are connected to one another with metal wires. The primary difference between these two types of braces is that the metal ones are more readily visible, while the clear ceramic brackets are less conspicuous and blend in with the teeth better. Both metal and clear ceramic braces are effective at shifting and realigning the teeth for a beautiful, straight smile.

Like both metal braces and clear ceramic braces, lingual braces also involve brackets and wires. However, with lingual braces, the brackets and wires are placed on the backs of the teeth, whereas metal and clear braces involve attaching brackets to the front of the teeth. Since all orthodontic hardware is applied to the back of the teeth, lingual braces are almost unnoticeable to others, which patients find appealing.

Another type of braces that is quickly become popular among patients and dentists are clear aligners, including the brand Invisalign. Instead of brackets and wires, clear aligners utilize soft plastic trays that fit directly over the top and bottom rows of teeth. Although they need to be worn most of the time, the trays are removable. They can be taken out to eat, which prevents food particles from getting trapped in the trays. It also makes brushing and flossing much easier. Clear aligners are a great option for straightening teeth when there is no jaw misalignment.

From straightening your smile to correcting jaw alignment, orthodontics can treat many dental problems. To learn about which orthodontic treatment might be right for you, visit the office of Dr. Jeff DiMariano and Dr. Shaina DiMariano in Sacramento and Folsom, CA. To schedule an appointment, call (916) 929-3898.

By Drs. Jeff DiMariano & Shaina DiMariano
January 05, 2017
Category: Oral Health
Tags: root resorption  

Baby (primary) teeth look and function much like their permanent counterparts. Besides having a visible crown, they also have roots that maintain contact with the jawbone.

But there are some differences, the biggest one being the normal process whereby primary tooth roots dissolve or, in dental terms, resorb. Root resorption eventually leads to the tooth coming loose to make way for the permanent tooth.

Adult tooth roots can also resorb — but it's decidedly not normal. If adult root resorption isn't promptly treated, it could also lead to tooth loss — but there won't be an incoming tooth to take its place.

Although it can begin inside a tooth, adult root resorption usually begins on the outside. One type, external cervical resorption (ECR), begins around the neck-like area of the tooth not far below the gum line. Its initial signs are small pink spots where the tooth enamel has eroded; those pink cells within the space are doing the damage.

We don't fully understand the mechanism behind ECR, but there are some factors that often contribute. People with periodontal ligament damage or trauma, sometimes due to too much force applied during orthodontic treatment, have a high risk of ECR. Some bleaching techniques for staining inside a tooth may also be a factor.

The key to treating ECR is to detect it as early as possible before it does too much root damage. Regular checkups with x-rays play a pivotal role in early detection. Advanced stages of ECR might require more advanced diagnostics like a cone beam computed tomography (CBCT) scan to fully assess the damage.

If the lesion is small, we can surgically remove the cells causing the damage and fill the site with a tooth-colored filling. If ECR has spread toward the pulp, the tooth's inner nerve center, we may also need to perform a root canal treatment.

Either of these methods intends to save the tooth, but there is a point where the damage is too great and it's best to remove the tooth and replace it with a life-like dental implant or other restoration. That's why it requires vigilance through regular, semi-annual dental visits to detect the early signs of root resorption before it's too late.

If you would like more information on adult tooth root resorption, 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 “Root Resorption.”