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Common Dental Problems

Virtually all teeth problems can be solved by the dentist. The result is not only an improvement in the smile but also an improvement in appearance and the overall quality of life. Having beautiful teeth enhances self esteem and one will no longer have to feel awkward when meeting new people or speaking in front of others. With perfect teeth, one can eat, talk, and laugh with confidence.

One of the most common teeth problems encountered is discolored teeth. There are several reasons why teeth lose their whiteness. Certain drinks like coffee, tea, and wines can stain teeth. Smoking or chewing tobacco can also stain teeth. Poor dental hygiene and inadequate brushing is also a contributing factor. Genetics also plays a role in the color of the teeth and some people just have naturally whiter teeth. With age, the outer layer of the teeth naturally wears away, revealing the dentin layer, which is naturally yellowish in color. One can prevent teeth discoloration by improving dental hygiene, regular flossing, and visiting the dentist for checkups and cleaning twice a year. Today, there are also treatment options available to whiten the teeth. Applying a bleaching agent to the enamel can remove discoloration. A light activated bleaching gel can also significantly whiten teeth in less than an hour although follow up treatments are needed. The teeth can also be covered with bonding materials. Another treatment method is by applying veneers, which may be thin composite or dental porcelain shells that are placed on the outer surfaces to cover the stained natural teeth.

Worn or cracked teeth are usually due to grinding and chewing on hard objects. The teeth can hurt when chewing or when the teeth are exposed to extremes in temperature. The treatment will depend on the type and extent of the crack. Sometimes, severely cracked teeth can no longer be repaired and would need to be extracted. This is the reason why regular visits to the dentist are very important. The dentist can spot hairline cracks, thus preventing further damage. Cracks can sometimes be restored with filling materials. If the damage has reached the nerve, a root canal treatment is done and a crown is placed to restore the tooth. In vertical breaks or split tooth or when the tooth has weakened from a cavity, the tooth may have to be removed.

Crooked teeth can adversely affect self confidence. Conventional braces have been used for years to move the teeth gradually and eventually straighten them. Typically, it takes two to three years before these can be removed. Today, there is an option not to wear these ugly metal wire braces. Especially for adults, metal braces across the teeth can be deemed unattractive. Invisible braces are made of clear plastic and are removable teeth aligners. These also require fewer return visits to the dentist or orthodontist so they are suitable even for busy people.

Another common problem is misshapen teeth. Teeth can be misshapen either naturally or as a result of extensive wear and tear. Teeth that are naturally misshapen can be covered with veneers or can be reshaped using dental bonding techniques. Porcelain veneers are thin shells that fit snugly over the natural teeth and are very effective in hiding misshapen teeth. The result is a perfect smile.

Dental implants are the best treatment option for replacing missing teeth. Unlike removable dentures, dental implants are long term or permanent replacements. A dental surgeon places a titanium metal in the jawbone. After three to six months, this is naturally and completely fused with the jawbone. An abutment is then fitted over the implant and a crown is fitted onto the abutment for a natural appearance. Dental implants are becoming the preferred choice over bridges or removable dentures because they not only look and feel natural, they prevent bone loss that would generally occur with tooth loss.


Get a Bright Smile

Cosmetic dentistry can generally be defined as the process of fixing the appearance of a person’s teeth. The procedure involves improving/treating a person’s oral disorders relating to gums. It may include removal or addition of dental material or may involve treating a person’s teeth to improve their appearance (bleaching) or straightening of teeth according to one’s face structure.

There are several reasons for which people opt for cosmetic dentistry. Some are desirous of age-old visually appealing smile to improve their overall appearance while some seek this to improve their dental defects like gap between teeth, mouth reconstruction to solve problem related to bite, mending broken or chipped tooth or whitening stained teeth.

Previously, dentist or orthodontist as they are known in medical parlance were mainly concerned with oral hygiene but the modern field of cosmetic dentistry encompasses not only identifying or treating oral disorders but improving the overall dental appearances through the application of various methods involving the usage of porcelain or composite materials for indirect fillings, veneers for gaps, implants for tooth replacements or aligners for correcting teeth misalignment almost invisibly.

One of the dental problems that most people have is malocclusion i.e. Misalignment of teeth or the condition where teeth are crowded. In simple language, occlusion means the way the upper and lower teeth fit together. If they aren’t you are having crooked teeth. The upper and lower teeth are ideally aligned in a way that protects the cheeks, lips and tongue from getting bitten.

The reason for this may be hereditary, childhood habits, extra or lost teeth, injury to jaw bones etc. The effects may vary depending on the severity of the condition that may range from being mild to severe. Mild problems can be treated with simple cosmetic dentistry procedure while severe require elaborate orthodontic treatment.

If one is suffering from this problem Cosmetic dentistry can be the solution. Many of the dental imperfections like crowding or crookedness can be treated through cosmetic dentistry.

However, the idea of having teeth straightened leads to images of braces and brackets which is quite unappealing to many and a person may think twice before allowing a foreign apparatus to be fixed to their teeth for over a year and sometimes even more depending on the severity.

However, due to the recent advances in the field of cosmetic dentistry it is now possible to have your teeth corrected without the need of wearing braces or brackets anymore in mild or moderate cases. There are aligners which involve unique processes that provide a hygienic and convenient solution to the problem of teeth alignments.

The new technique in cosmetic dentistry of brace-less or wire-less or bracket-less corrections have been put under several clinical trials successfully and therefore now introduced for clinical usage which in turn have proven a success in a variety of malocclusion.

So from now onwards one need not worry about the braces and wires anymore for the new techniques have made them redundant. Say hello to a beautiful smile.

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Invisible Braces For Teeth Are The Top Choice For Adults

Many adults did not get the orthodontic treatment that they needed as a child or teen. They may have an overbite, crooked teeth or noticeable tooth gap. When someone feels self-conscious about the condition of their teeth, they often avoid smiling or laughing when they are around other people. They may even avoid having their photo taken or attending certain social situations because they are embarrassed about the way that their teeth look. It is never too late to get the perfect smile. Orthodontists have many adult clients.

In the past, most adults avoided getting braces because they did not want to have a mouth full of metal. Having to wear metal braces for a couple of years is not a good option for those who work in a professional environment. Today, adults can get invisible braces for teeth that can barely be seen by others. Invisible braces are a great option for adults who do not want their braces to be noticeable. Famous actors like Tom Cruise and Robert Pattinson have chosen to wear invisible braces as adults.

Invisible braces for teeth are also perfect for self-conscious teenagers who do not want their smile to stand out. The cost for invisible braces is not too much greater than the price of the metal variety. The best part about clear braces is that most people do not even notice when someone is wearing them. From a distance, they are completely unnoticeable, and they are even difficult to notice up close.

An adult who gets invisible braces for teeth will not only end up with a perfect smile, but they may also be preventing future teeth, jaw, gum or mouth problems. Orthodontic treatment is not only about beauty it is also about dental health. Adults who decide to get braces should make an appointment with their local orthodontist. The orthodontist will take x-rays, measurements and dental impressions in order to properly evaluate the bite. They will then explain whether or not braces are a good idea and provide information on a treatment plan. Most people wear braces for one or two years, but in some cases individuals must wear them for a longer period.

Once someone gets invisible braces for teeth they may experience some level of discomfort. Although everyone with braces experiences soreness now and then, most people do not find the process to be too painful overall. Very few people regret wearing braces once their treatment plan is finished. They love being able to show off their gorgeous new smile.

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Risks and Benefits of Cosmetic Dental Surgery

Cosmetic dentistry doesn’t have to require taking out a second mortgage on your house. If you really want to improve your smile, there are several affordable dental options. Perfect teeth are not just for the rich and famous. After a few short procedures, you can come out looking like a star yourself for much less money.


The decision to go forward with a full-mouth makeover is risky because of the cost and the potential for botched results, but the field has improved so much that results are highly guaranteed. The process of covering your teeth with porcelain veneers costs several thousand dollars, and while the results might be stunning, many people don’t think a perfect smile is worth that much. The trick is to go for a combination of several lesser procedures.

More Affordable Options

Some people have found the affordable combination of replacement fillings, tooth whitening and tooth shaping to be highly successful. Old fillings, especially on the front teeth, can detract from your appearance. Old white fillings can become stained and visible on your teeth. Metal fillings, particularly silver, can cause the teeth to look darker from inside since teeth are somewhat translucent. These can look unattractive, especially if your teeth are pointed or uneven.

A dentist can first bleach the teeth and then file them into a more attractive shape. Old discolored or metal fillings can be replaced with new, better-matching ones. This unconventional smile enhancement could cost as little as $1,000 or less at a cheap dentist with a discount plan. Explore different combinations and assess what your own mouth needs. Sometimes it might take only one or two small procedures before your smile is picture-perfect.


Insurance companies often won’t cover cosmetic procedures, but there are several affordable dental plans on the market that might help you out by providing a discount on your procedure list. Don’t let exorbitant costs keep you from considering the smile you want. These options can make it much more accessible.
For more information, please call Dr. Jeffrey Fester in Roswell, GA, 770.587.4202 to schedule a free consultation.
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How to Fix Broken Teeth – When To Seek Repairs

Just the thought of oral care is often enough to make some patients avoid the dentist altogether. Others do not keep regular appointments because they do not know how to obtain affordable dental coverage. While avoiding regular oral maintenance can eventually lead to serious problems, immediate dental coverage is even more important if you suddenly experience a broken tooth.

Minor Fractures

  • Chips and “Craze Lines” – These are mild cracks in your outer enamel.  Your dentist can file and polish any of these rough spots that you see or have been feeling with your tongue.
  • Crack(s) Down to the Nerve – Don’t be fooled if the pieces appear intact for the time being. Your dentist may give your tooth filling(s) and a grounding to stabilize it. If the nerve is damaged, you may also need a root canal1.
  • Broken Cusps – These are breaks in the pointed chewing surfaces of your teeth. Often, these do not require treatment at all. If they do, your dentist may give you an inlay or crown2 to maintain the tooth’s shape and integrity.

More Serious Fractures

  • Severe Fracture with Exposed Nerve – Signs of this are a good deal of pain and bleeding. Your dentist will treat this with a root canal, topped off with a crown or filling.
  • Vertical Fracture – This is when your tooth splits vertically into two pieces, causing damage to the root. Your back molars have more than one root, so if the break occurs in one of these teeth, your dentist may be able to crown it after performing a root canal. If none of the roots can be saved, your tooth will have to be extracted.
  • Root to Surface Fracture – These fractures work their way up to the chewing surface. Because the area often becomes infected, these breaks are painful and frequently result in extraction.

When Should I Visit the Dentist For My Broken Tooth?

You should head to the dentist if you notice twinges of pain when consuming food and drinks that are very hot or very cold, or if you have severe, lingering pain in the tooth, a potential sign of nerve damage.

Situations When Teeth Can Crack or Fracture

  • A fall or hit in the mouth
  • Biting down very hard on something
  • Weakening of enamel by tooth decay

Some fractures result in intense pain, but others have symptoms which are less acute. Regardless of the severity of your pain, broken teeth need to be fixed in a timely manner, and without breaking the bank! An affordable discount plan can help provide you the emergency dental coverage you need.

Why Do I Have to Visit the Dentist?

Your dentist can determine if a cavity has caused or exacerbated the break, and treat the decay before it spreads further. He or she can also diagnose any damage to the nerve inside your tooth, damage that will require more severe treatment and cause you great pain if ignored.

Why Do I Need Dental Coverage for a Broken Tooth?

As you can see, fixes for broken teeth run the gamut from a quick polish to root canal to extraction. As you might imagine, there is a very wide spectrum of prices you could pay for various treatments. A quick polish and filing may only cost you a few extra dollars, while other procedures could easily the thousand-dollar threshold if you do not have dental coverage.

When you realize that you have a cracked or fractured tooth, one of the first thoughts you may have is, “How can I make this affordable?” Fortunately, you do not need to tackle this expense on your own. There are excellent discount dental plans that can provide the affordable dental care you need. Don’t suffer in silence with a cracked or broken tooth. If you have a broken tooth, you may want to investigate cheap dental coverage today. With the money you save, you will have good reason to smile.

1 Root Canal: This endodontic therapy involves removal of a tooth’s inner pulp tissue to prevent further damage or infection. After the pulp is taken out, the dentist cuts out the nerve and cleans out the inside of the tooth. He or she then fills the root cavity with a solid substance and seals the area. Though this procedure is commonly thought to be very painful, if properly performed you will feel little. Many dentists use local anesthesia during root canals and prescribe pain relievers afterward. Discount plans often provide dental coverage of this expensive procedure, saving patients hundreds of dollars.

2 Crown: A crown, which will cap or encase your remaining tooth, often greatly increases the likelihood of a successful, long lasting root canal. A crown is often necessary to maintain the shape and effectiveness of a tooth treated with a root canal. It will help the tooth to function properly without breaking. The crown process begins with a tooth impression. The impression is then sent to a lab expert, who will fabricate a crown to match your enamel. At a later visit, your dentist will insert and cement it in place. Many crowns will last ten years or more, and may need to be replaced overtime.

For more information, please call Dr. Jeffrey Fester in Roswell, GA, 770.587.4202 to schedule a free consultation.

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Dental Crowns and Tooth Bridges

Dental Crowns and Tooth Bridges?

What are Dental Crowns and Tooth Bridges?
Both crowns and most bridges are fixed prosthetic devices. Unlike removable devices such as dentures, which you can take out and clean daily, crowns and bridges are cemented onto existing teeth or implants, and can only be removed by a dentist.

How do Crowns Work?
A crown is used to entirely cover or “cap” a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back teeth. Porcelain bonded to a metal shell is often used because it is both strong and attractive.

Your dentist may recommend a crown to:

  • Replace a large filling when there isn’t enough tooth remaining
  • Protect a weak tooth from fracturing
  • Restore a fractured tooth
  • Attach a bridge
  • Cover a dental implant
  • Cover a discolored or poorly shaped tooth
  • Cover a tooth that has had root canal treatment

How do Bridges Work?
A bridge may be recommended if you’re missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders.

Bridges are commonly used to replace one or more missing teeth. They span the space where the teeth are missing. Bridges are cemented to the natural teeth or implants surrounding the empty space. These teeth, called abutments, serve as anchors for the bridge. A replacement tooth, called a pontic, is attached to the crowns that cover the abutments. As with crowns, you have a choice of materials for bridges. Your dentist can help you decide which to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Porcelain or ceramic bridges can be matched to the color of your natural teeth.

How are Crowns and Bridges Made?
Before either a crown or a bridge can be made, the tooth (or teeth) must be reduced in size so that the crown or bridge will fit over it properly. After reducing the tooth/teeth, your dentist will take an impression to provide an exact mold for the crown or bridge. If porcelain is to be used, your dentist will determine the correct shade for the crown or bridge to match the color of your existing teeth.

Using this impression, a dental lab then makes your crown or bridge, in the material your dentist specifies. A temporary crown or bridge will be put in place to cover the prepared tooth while the permanent crown or bridge is being made. When the permanent crown or bridge is ready, the temporary crown or bridge is removed, and the new crown or bridge is cemented over your prepared tooth or teeth.

How Long do Crowns and Bridges Last?
While crowns and bridges can last a lifetime, they do sometimes come loose or fall out. The most important step you can take to ensure the longevity of your crown or bridge is to practice good oral hygiene. A bridge can lose its support if the teeth or bone holding it in place are damaged by dental disease. Keep your gums and teeth healthy byBrushing with fluoride toothpaste twice a day and flossing daily. Also see your dentist and hygienist regularly for checkups and professional cleanings.

To prevent damage to your new crown or bridge, avoid chewing hard foods, ice or other hard objects.

Porcelain Gold
Full porcelain fused to metal. Full cast goldcrown.
Space Bridge Cemented
Teeth around the space are prepared. The bridge is mounted and adjusted for fit and comfort. The bridge is cemented into position.

Please call Dr. Jeffrey Fester in Roswell, GA, 770.587.4202 to schedule a free consultation.


Am I a Candidate for Tooth Whitening?

Am I a Candidate for Tooth Whitening?

Almost anyone whose permanent teeth have come in can qualify for tooth whitening. Your dentist will be able to assess your oral health and recommend the whitening method that’s best for you. Depending on the type and severity of the staining, he or she may suggest one or more of the following treatments:

  • A professional cleaning to remove external staining caused by food and tobacco
  • Use of a whitening toothpaste to help remove surface stains between dental visits
  • For extra results, use of a convenient, affordable whitening gel or whitening strips
  • Bleaching (in-office or at-home) for more stubborn stains or yellowing
  • Veneers or bonding to fix irregular or damaged teeth or to achieve specific results

Ask your dentist which whitening technique is best for you.

  • Teeth that are yellow respond best to bleaching. Brown or gray teeth, or teeth striped or mottled from tetracycline or too much fluoride, may not whiten evenly when bleached.
  • People with periodontal disease or particularly sensitive teeth may want to avoid chemical whitening techniques that can irritate tender gums.
  • Bleaching is not recommended if you have tooth-colored fillings, crowns, caps or bonding in your front teeth — the bleach will not change the color of these materials, making them stand out in your newly whitened smile. You may want to investigate other options, like veneers or bonding with your dentist.
  • In some cases involving serious tooth or jaw problems, a crown or cap recommended to correct orthodontic problems may also result in a whiter and more appealing smile.

Please call Dr. Jeffrey Fester in Roswell, GA, 770.587.4202 to schedule a free consultation.


Implants: The Modern Solution for Missing Teeth

Tooth human implant (done in 3d graphics)

Dental implants are increasingly valuable tools in modern dentistry. Although they have been available for more than a quarter of a century, only in the last decade has technology advanced so that implants can be considered the optimal solution for missing teeth. Instead of endless rounds of heroic attempts to save a failing tooth, it is increasingly simpler, less invasive, and more cost-effective to replace the failing tooth with a dental implant.

If relatively little tooth structure remains supragingivally or furcation involvement is incipient, then conventional therapy could be tedious, time-consuming, and short-lived. If root caries are rampant, periodontal disease is aggressive, or systemic health is in decline, then aggressive therapy to save a failing dentition could be as counterproductive as it is contraindicated. Interceptive implant therapy should be considered under these circumstances.

Today, most dental implants can be placed in simple 1-stage surgical procedures. Long-term survival rates have been steadily improving, even in smokers. Restorative processes are simpler and more reliable.

Modern dental implants are generally made from titanium, with a threaded and rough microsurface on the outside. They come in lengths ranging from 7 to 16 mm and diameters from 3.5 to 6.0 mm. Increasingly, implants tend to be manufactured so that tapering aids initial stability. A special subclass of 1-piece small-diameter implants is also available.

Dental Implants

The 4 portionsof implants (Figure 4) are:

  • Implant body;
  • Collar;
  • Connection; and
  • Abutment.[1]

Figure 4. Schematic of a dental implant.

Implant body. The implant body is the portion inserted in the bone, with an exterior surface designed to osseointegrate (fuse) to the bony surface with which it comes into contact.

The rough surface interfacing with bone is generally achieved by abrasively blasting the exterior surface before it is treated with special acids. This creates an extremely porous microsurface, which facilitates osseointegration.[2]The improved osseointegration of modern implants has resulted in higher survival rates over earlier-generation systems.[3]

Collar. The collar is the upper part of the implant body that traditionally starts the passage through the gingival complex into the mouth.

With early implants, bone and gingiva levels used to “die-back,” “lose bone,” or “develop biologic height” when exposed to the oral environment. A variety of collar designs were developed to try and minimize this bone loss. The implants have now improved so that bone loss with modern systems is greatly reduced, with the result that implants are now electively placed deeper into the bone.

Connection. This is a 2-part device. The first part lies generally inside the implant body. The other component of the abutment or restorative device fits inside and is secured with a screw.

This portion can make a restoration either extremely difficult or quite simple. Problems can result if the connection is weak, fragile, easily worn, or has high rotational instability. Clinical procedures can become complex, tedious, and liable to fail. If not stable, screws can loosen and restorations can fall off. In contrast, deep, strong connections with good rotational stability make life simple for the restorative dentist and allow for fabrication of more durable restorations.[4]

Abutment. This device fits into the connection and emerges to pass through the gingival complex with an “emergence profile” (the form passing through the gingival complex) and a final portion, which retains the final crown.

As the trend to place implants deeper continues, development of the “emergence profile” in the abutment becomes more important. When placed properly, the portion of the implant emerging from the gingiva allows the implant to reproduce the shape, appearance, and color of a tooth. Traditionally made of titanium, abutments have also been made with a cast gold process and increasingly with zirconia, at least in the emergence and restorative portion of the implant. This material allows for a custom form, provides the optimal gingival reaction, and has a natural color. A conventional crown provides the final restoration.

A Natural Result

Implant-based restorations can only appear natural when the surrounding soft and hard tissues in the region appear “normal.” As in this case, soft and hard tissue augmentation is often required at the time of implant placement to generate the desired aesthetic and functional result.

For more information, please call Dr. Jeffrey Fester in Roswell, GA, 770.587.4202 to schedule a free consultation.

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Functions of the Teeth

Each permanent tooth serves a specific function, and keeping yours in good shape requires proper oral hygiene. Affordable dental care could make the difference. Your teeth are not just for chewing – their condition also affects your speaking ability, facial shape and general appearance. Maintaining a healthy mouth should be a priority.


Adults normally have 32 permanents, which start to grow in around age 6. The 20 baby ones gradually fall out to make room for the permanents to grow in. A lost permanent tooth will not grow back in, so affordable dental care could be a good investment.

Your pearly whites can be classified into these categories. (This list starts at the back of the mouth and moves toward the front.)

  • Wisdom teeth are usually the last molars to come in. These commonly emerge during the teen years. They appear at the very back of the mouth with two on top and two on the bottom. In many cases they never break through the gum line. People often think that these should be extracted regardless of circumstances, but this is only true if a dentist determines yours will overcrowd the mouth or become infected.
  • Molars have a wide surface for grinding and chewing food. Aside from wisdom teeth (which are also considered molars), adults have eight molars, two on each quadrant of the mouth. They are somewhat flat, with four pointed “corners” known as cusps to help mash food.
  • Premolars, also known as bicuspids, occupy the space between the molars and the cuspids. Adults have eight, with two in each quadrant. These are similar to but smaller than the molars, with only two cusps on the outside edge of each tooth. They are used to crush and tear food.
  • Canines, also called cuspids, are sharp and help the incisors tear food. Adults have only four, one in each quadrant.
  • Lateral incisors have a sharp, chisel-shaped edge for biting food. Adults have four lateral incisors, one in each quadrant.
  • Central incisors are the four front teeth. There are two on the top and two on the bottom. These are shaped similarly to the lateral incisors, except the two on the top are often significantly larger.

How to Take Care of Them

Careful attention to oral hygiene will help maintain healthy teeth as well as cause any problems or inconsistencies to stand out. If problems are noticed early, the issue can be taken care of before it becomes serious. Regular brushing and flossing should be an important part of your daily routine, and checkups and cleanings at the dentist office can keep excess plaque at bay. If you want to keep your pearly whites in working order for a lifetime, you may want to consider a quality, affordable dental plan.

For more information, please call Dr. Jeffrey Fester in Roswell, GA, 770.587.4202 to schedule a free consultation.