DiMariano Family Dentistry Blog

Posts for: May, 2017

By Drs. Jeff DiMariano & Shaina DiMariano
May 28, 2017
Category: Dental Procedures
WemayNeedtoRemoveoneorMoreTeethBeforeApplyingBraces

“To gain something, sometimes you have to give up something else.”

No, that isn't the latest viral meme on the Internet. It's actually a practical consideration that could arise in orthodontics.

In this case, the “something” to gain is a straighter, more attractive smile; the “something” you may have to part with is a few teeth. This may be necessary if there are too many teeth on a dental arch for its capacity, a situation called crowding. A lack of space is the main reason teeth come in misaligned.

Before we can correct this, we'll need to free up space to allow for tooth movement by removing one or more of the existing teeth. The ideal candidates are those that are near to the teeth we wish to move but not highly visible. The first bicuspids are the most frequent choices for removal: they're located behind the cuspids or eyeteeth (the pointed teeth right under the eyes).

Ideally, we'll remove the target teeth some time before we apply braces to give the gums a chance to heal. At the same time we want to preserve the bone that once supported the teeth we've extracted. This is because when we chew the forces generated by the teeth stimulates bone replacement growth. When a tooth is no longer there the supporting bone doesn't receive this stimulation and may ultimately reduce in volume.

We may try to prevent this by placing a bone graft in the empty socket immediately after removing the tooth. The graft serves as a scaffold to encourage new bone to grow. Hopefully when we're ready to apply braces, the bone will be strong and healthy to handle the movement of the teeth.

As the teeth move under the influence of braces, they'll begin to fill up the space created by tooth removal. Once it's completed, the extracted teeth won't be missed — the other teeth now straightened will completely fill out the smile.

The different steps in this process must be carefully planned and executed precisely, and it will take months or even years to complete. In the end, though, this complicated bite problem can be corrected and replaced with an attractive, straight smile.

If you would like more information on correcting a poor bite, 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 “Tooth Removal for Orthodontic Reasons.”


By DRS. JEFF DIMARIANO & SHAINA DIMARIANO
May 24, 2017
Category: Dental Procedures

Your teeth have a strong outer enamel layer, but the inside layers are vulnerable. The inner parts of the teeth need to be protected from dental bondingfood particles and bad bacteria which could cause infection and decay. If a tooth becomes compromised due to an injury or weakened enamel, dental bonding can help shore it up. Find out more about this popular dental treatment that’s available at Jeff L. DiMariano DDS, a family dentist office located in Sacramento, CA, and how it can benefit your smile.

What Is Dental Bonding?
Dental bonding is the process of filling in or covering up certain imperfections in your smile with a special tooth-colored composite resin material. Think of how a crack in a wall is patched with plaster -- the bonding material used during a bonding treatment patches up similar problems in your smile. When the bonding agent hardens, it becomes as resilient as the rest of your tooth. The results will last for five years or even longer if you make regular dental visits and good at-home dental health a priority.

Common Dental Problems
If you need a quick fix for a dental issue, it’s worthwhile to ask your Sacramento dentist about dental bonding. These are just a few of the common dental problems that this treatment can fix:

  • A chipped tooth from playing sports
  • A cracked tooth from biting into something hard
  • A hard to remove stain on a tooth that doesn’t respond to whitening bleaches
  • Small gaps and spaces between the teeth (an alternative to braces)

The Procedure Is Quick and Painless
While many restorative and cosmetic dental procedures take weeks or even months to complete, bonding only takes one appointment. It’s unlikely you’ll need any sedation. Your dentist prepares the tooth with a solution that makes it more receptive to the bonding process, then applies the composite material in layers. It’s hardened with a curing tool and before you know it, you’re on your way with a better-looking smile.

Come in for a Dental Bonding Treatment
You may be surprised by how much your smile can improve after a simple dental bonding appointment with Dr. Jeff DiMariano or Dr. Shaina DiMariano at their Sacramento, CA family dentist office. Call (916) 929-3898 today to set up a date and time to visit.


By Drs. Jeff DiMariano & Shaina DiMariano
May 13, 2017
Category: Dental Procedures
ArianaGrandeBreaksFree-ofHerWisdomTeeth

Via a recent Instagram post, pop diva Ariana Grande became the latest young celebrity to publicly acknowledge a dental milestone: having her wisdom teeth removed. The singer of hits such as “Break Free” and “Problem” posted an after-surgery picture of herself (wearing her signature cat-eye eyeliner), with a caption addressed to her teeth: “Peace out, final three wisdom teeth. It’s been real.”

With the post, Grande joined several other celebs (including Lily Allen, Paris Hilton and Emile Hirsch) who have shared their dental surgery experience with fans. Will "wisdom teeth removal" become a new trending topic on social media? We aren’t sure — but we can explain a bit about the procedure, and why many younger adults may need it.

Technically called the “third molars,” wisdom teeth usually begin to emerge from the gums between the ages of 17 and 25 — presumably, around the same time that a certain amount of wisdom emerges. Most people have four of these big molars, which are located all the way in the back of the mouth, on the left and right sides of the upper and lower jaws.

But when wisdom teeth begin to appear, there’s often a problem: Many people don’t have enough space in their jaws to accommodate them. When these molars lack sufficient space to fully erupt (emerge), they are said to be “impacted.” Impacted teeth can cause a number of serious problems: These may include pain, an increased potential for bacterial infections, periodontal disease, and even the formation of cysts (pockets of infection below the gum line), which can eventually lead to tooth and bone loss.

In most cases, the best treatment for impacted wisdom teeth is extraction (removal) of the problem teeth. Wisdom tooth extraction is a routine, in-office procedure that is usually performed under local anesthesia or “conscious sedation,” a type of anesthesia where the patient remains conscious (able to breathe normally and respond to stimuli), but is free from any pain or distress. Anti-anxiety medications may also be given, especially for those who are apprehensive about dental procedures.

So if you find you need your wisdom teeth extracted, don’t be afraid to “Break Free” like Ariana Grande did; whether you post the results on social media is entirely up to you. If you would like more information about wisdom tooth extraction, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”