DiMariano Family Dentistry Blog

Posts for: March, 2017

By Drs. Jeff DiMariano & Shaina DiMariano
March 29, 2017
Category: Oral Health
PracticeProactivePreventiontoEnhanceYourChildsDentalDevelopment

Like any parent you want your child to grow up healthy and strong. So be sure you don't neglect their dental care, a crucial part of overall health and well-being.

The most important part of this care is prevention — stopping dental disease and other problems before they do harm. Proactive prevention is the best way to keep their teeth and gum growth on the right track.

Prevention starts at home with a daily habit of brushing and later flossing. In the beginning, you'll have to brush for them, with just a smear of toothpaste on the toothbrush. As they get older, you can teach them to brush for themselves, graduating to a pea-sized dose of toothpaste.

It's also important to begin regular dental visits around their first birthday. Many of their primary (baby) teeth are coming in, so regular cleanings and checkups will help keep tooth decay in check. Early visits will also get them used to seeing the dentist and hopefully help stimulate a lifelong habit.

These visits have a number of purposes. First and foremost is to monitor dental development and early detection of any emerging problems, like a poor bite. Catching problems early could help reduce or even eliminate future treatment.

Some children are also at greater risk for tooth decay and could benefit from applications of topical fluoride, a mineral that strengthens tooth enamel, or a sealant to help protect the teeth. This is especially helpful in preserving primary (baby) teeth: early loss of a primary tooth could disrupt the permanent tooth's eruption and cause a poor bite.

Your child's dental visits could also benefit you as their caregiver. You receive regular feedback on how well your child's teeth and gums are developing, and the effectiveness of their oral hygiene. You also get answers to your questions about their oral health: the dentist's office is your best source for advice on teething, diet and other issues.

Together, you and your dentist can provide and maintain the best conditions for your child's dental development. The result will be the healthiest mouth they can have as they enter their adult years.

If you would like more information on preventive dentistry for your child, please contact us or schedule an appointment for a consultation.


By DRS. JEFF DIMARIANO & SHAINA DIMARIANO
March 15, 2017
Category: Dental Procedures

A dental bridge and crowns can be used to replace lost tooth structure, as well as fill in gaps where teeth are missing. The bridge dental bridgescontains artificial teeth to replace any natural ones that are missing. The crowns fit over the existing teeth near the gap and are used to anchor the bridge in place. Installing a dental bridge with crowns is an effective way to give you a full set of functioning teeth while also restoring your smile. Dr. Jeff DiMariano and Dr. Shaina DiMariano, your Sacramento and Folsom, CA area dentists, can determine if crowns and bridgework would benefit you.

Benefits of a Dental Bridge

Installing a dental bridge with crowns can offer several benefits, both functional and aesthetic. For example, a dental bridge anchored by crowns can restore your ability to bite and chew properly, while also improving your smile by filling in gaps where teeth were missing. Additionally, a dental bridge can correct problems associated with having missing teeth, such as changes in speech or to the shape of the face. The following examples are of some instances when crowns and bridges are needed.

  • To fill in large gaps and create a full smile
  • To maintain the natural shape of the face
  • To prevent existing teeth from moving out of place
  • To distribute the bite evenly across all teeth
  • To restore normal biting and chewing functions
  • To restore normal speech

Creating a Dental Bridge

Your Sacramento dentist will create a dental bridge that is custom fit to your mouth. The bridge will usually consist of pontics and crowns. Pontics refer to artificial teeth that fill in the gaps where natural ones are missing. Crowns fit over the existing teeth on either side of the gap and hold the bridgework in place. These existing teeth fitted with crowns to anchor the bridgework are often referred to as abutment teeth. The crowns and pontics are all connected together to form the dental bridge. A permanent dental adhesive is used to install the bridgework.

Dental crowns and bridges are needed when several consecutive teeth are missing or when there is extensive lost tooth structure. Once in place, your new bridgework will not only have restored your smile, but will have also improved tooth functioning and speech, among other things. For dental bridgework in the Sacramento and Folsom, CA area, see either Dr. Jeff DiMariano or Dr. Shaina DiMariano. To schedule an appointment, call (916) 929-3898.


By Drs. Jeff DiMariano & Shaina DiMariano
March 14, 2017
Category: Oral Health
JamieFoxxChipsaTooth-ThisTimebyAccident

Some people are lucky — they never seem to have a mishap, dental or otherwise. But for the rest of us, accidents just happen sometimes. Take actor Jamie Foxx, for example. A few years ago, he actually had a dentist intentionally chip one of his teeth so he could portray a homeless man more realistically. But recently, he got a chipped tooth in the more conventional way… well, conventional in Hollywood, anyway. It happened while he was shooting the movie Sleepless with co-star Michelle Monaghan.

“Yeah, we were doing a scene and somehow the action cue got thrown off or I wasn't looking,” he told an interviewer. “But boom! She comes down the pike. And I could tell because all this right here [my teeth] are fake. So as soon as that hit, I could taste the little chalkiness, but we kept rolling.” Ouch! So what's the best way to repair a chipped tooth? The answer it: it all depends…

For natural teeth that have only a small chip or minor crack, cosmetic bonding is a quick and relatively easy solution. In this procedure, a tooth-colored composite resin, made of a plastic matrix with inorganic glass fillers, is applied directly to the tooth's surface and then hardened or “cured” by a special light. Bonding offers a good color match, but isn't recommended if a large portion of the tooth structure is missing. It's also less permanent than other types of restoration, but may last up to 10 years.

When more of the tooth is missing, a crown or dental veneer may be a better answer. Veneers are super strong, wafer-thin coverings that are placed over the entire front surface of the tooth. They are made in a lab from a model of your teeth, and applied in a separate procedure that may involve removal of some natural tooth material. They can cover moderate chips or cracks, and even correct problems with tooth color or spacing.

A crown is the next step up: It's a replacement for the entire visible portion of the tooth, and may be needed when there's extensive damage. Like veneers, crowns (or caps) are made from models of your bite, and require more than one office visit to place; sometimes a root canal may also be needed to save the natural tooth. However, crowns are strong, natural looking, and can last many years.

But what about teeth like Jamie's, which have already been restored? That's a little more complicated than repairing a natural tooth. If the chip is small, it may be possible to smooth it off with standard dental tools. Sometimes, bonding material can be applied, but it may not bond as well with a restoration as it will with a natural tooth; plus, the repaired restoration may not last as long as it should. That's why, in many cases, we will advise that the entire restoration be replaced — it's often the most predictable and long-lasting solution.

Oh, and one more piece of advice: Get a custom-made mouthguard — and use it! This relatively inexpensive device, made in our office from a model of your own teeth, can save you from a serious mishap… whether you're doing Hollywood action scenes, playing sports or just riding a bike. It's the best way to protect your smile from whatever's coming at it!

If you have questions about repairing chipped teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”