My Blog
By Mark J. Gleckner, D.M.D.
August 15, 2018
Category: Oral Health
Tags: oral health  
GetYourVitaminstheNaturalWayforOptimumDentalHealth

Along with daily oral hygiene and regular dental visits, a balanced and nutritious diet is another key part of great oral health. The foods you eat can have a profound impact on how well your teeth and gums withstand diseases like tooth decay and periodontal (gum) disease.

At the heart of proper nutrition are organic compounds called vitamins. Along with trace minerals, vitamins help the body convert food into energy, repair cellular and tissue damage and protect against environmental toxins. When you don’t receive an adequate amount of each vitamin your health can suffer; in terms of dental health, your teeth and gums can weaken and become more susceptible to disease.

Vitamins play a wide variety of roles, including within the mouth. The Vitamins A and C contained in fruits and vegetables and Vitamin E in vegetable oils are antioxidants that protect cells and their DNA from destructive elements in the environment. As such, they’re a major prevention factor against tooth decay and gum disease. Vitamin D, found in dairy products, eggs or certain seafood, is used by bone and teeth to absorb calcium. Without sufficient calcium, teeth and bone lose vitality and strength.

This recognized power of vitamins for optimum health has also fueled the multi-billion dollar nutritional supplement industry. But studies show that your best source for vitamins are the foods you eat—and the more natural foods and less processed products you eat, the better your vitamin and mineral intake. Taking supplements isn’t necessarily wrong—but it’s not in your best interest health-wise to depend on them for vitamins and minerals at the expense of healthier eating.

So in all you do to prevent dental disease, don’t overlook your diet. The vitamins and minerals you receive from foods in their most natural state will help you keep your teeth and gums healthy and your smile beautiful.

If you would like more information on the role of nutrition in dental health, 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 “Vitamins & Dietary Supplements.”

By Mark J. Gleckner, D.M.D.
August 05, 2018
Category: Dental Procedures
DrTravisStorkIfOnlyIdWornAMouthguard

If we could go back in time, we all probably have a few things we wish we could change. Recently, Dr. Travis Stork, emergency room physician and host of the syndicated TV show The Doctors, shared one of his do-over dreams with Dear Doctor magazine: “If I [could have] gone back and told myself as a teenager what to do, I would have worn a mouthguard, not only to protect my teeth but also to help potentially reduce risk of concussion.”

What prompted this wish? The fact that as a teenage basketball player, Stork received an elbow to the mouth that caused his two front teeth to be knocked out of place. The teeth were put back in position, but they soon became darker and began to hurt. Eventually, both were successfully restored with dental crowns. Still, it was a painful (and costly) injury — and one that could have been avoided.

You might not realize it, but when it comes to dental injuries, basketball ranks among the riskier sports. Yet it’s far from the only one. In fact, according to the American Dental Association (ADA), there are some two dozen others — including baseball, hockey, surfing and bicycling — that carry a heightened risk of dental injury. Whenever you’re playing those sports, the ADA recommends you wear a high-quality mouth guard.

Mouthguards have come a long way since they were introduced as protective equipment for boxers in the early 1900’s. Today, three different types are widely available: stock “off-the-shelf” types that come in just a few sizes; mouth-formed “boil-and-bite” types that you adapt to the general contours of your mouth; and custom-made high-quality mouthguards that are made just for you at the dental office.

Of all three types, the dentist-made mouthguards are consistently found to be the most comfortable and best-fitting, and the ones that offer your teeth the greatest protection. What’s more, recent studies suggest that custom-fabricated mouthguards can provide an additional defense against concussion — in fact, they are twice as effective as the other types. That’s why you’ll see more and more professional athletes (and plenty of amateurs as well) sporting custom-made mouthguards at games and practices.

“I would have saved myself a lot of dental heartache if I had worn a mouthguard,” noted Dr. Stork. So take his advice: Wear a mouthguard whenever you play sports — unless you’d like to meet him (or one of his medical colleagues) in a professional capacity…

If you would like more information about mouthguards, please contact us or schedule an appointment for a consultation. You can read more in the Dear Doctor magazine article “Athletic Mouthguards.”

ASmileMakeoverDependsonBalancingTechniquewithBeauty

“Redesigning” a smile is a lot like remodeling a house: the technicalities of construction must blend seamlessly with what is perceived as elegant and beautiful. The first aspect — the proper materials and techniques to achieve a sound restoration — is absolutely crucial. But the aesthetic is just as important for assuring the final restoration evokes beauty and style.

Balancing these two aspects of a smile makeover requires thoughtful intent and planning. What may be pleasing aesthetically may not be technically feasible; but what may be technically sound may not have that sought-after “curb appeal.”

You and your dentist must work together to achieve the successful blending of these two aspects. That’s why it’s important for you to have full confidence in your dentist: that he or she is both technically skilled and experienced in cosmetic procedures and artistically aware of what will look best aesthetically.

The first step in your makeover is a thorough dental examination to determine the overall state of your oral health. With this “bigger picture,” your dentist will have a better understanding of what’s possible and practical for you and your situation. The exam may also reveal problems that should be treated first before any cosmetic work.

From there, you must communicate clearly to your dentist what you perceive as wrong with your smile and what you would like to have changed. While there are general principles of beauty best followed, your dental work could hypothetically take different paths depending on your desires and expectations. You might prefer a more “sexy” look or one that’s “sophisticated.” Or perhaps you only want subtle changes that still retain features expressing your individuality.

Ultimately, though, your expectations must line up with reality. Much like your house contractor, your dentist will advise you on what’s both practical and possible. And with their experience in smile enhancement, they can also help you determine what will look most attractive given your facial structure and features.

With this preliminary planning, you can be confident as the work proceeds that the end of the project will be both exciting and satisfying. And just as with your newly renovated home, you’ll be more than happy to share your smile with others.

If you would like more information on enhancing your smile through cosmetic dentistry, 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 “Beautiful Smiles by Design.”

By Mark J. Gleckner, D.M.D.
July 16, 2018
Category: Dental Procedures
Tags: crowns  
NotAllCrownsareAlikeKnowtheDifferencestoGettheLookyouWant

If you're in need of a crown to cover a damaged tooth, you have a lot of options. But before you choose, you need to know what you want. Would you be happy with an affordable, well-fitting crown that holds up well and allows you to chew comfortably? Or are you interested in a more expensive one that also provides the most attractive result?

Crowns have been a mainstay in dentistry for generations. The first were made of metals like gold or silver — durable and effective but not very attractive.

In time, a ceramic material known as dental porcelain began to make its appearance in crowns. Dental porcelain could be fashioned to resemble the color and texture of natural teeth, but it had a significant drawback: it could be brittle and subject to shattering under chewing pressure.

This problem was somewhat addressed with the innovation of a crown with a metal substructure fused with an outer layer of porcelain. These porcelain-fused-to-metal (PFM) crowns combined the best advantages of both materials: strength and life-likeness. Up until around the mid-2000s, PFM made up over 80% of crowns.

But later porcelains continued to improve in strength, beginning in 1993 with the introduction of a Lucite-reinforced material. Newer formulations like lithium disilicate or zirconium oxide (now considered the strongest porcelain) have made all-porcelain crowns a viable option. Today, an estimated 60% of new crowns are all-porcelain.

From an appearance standpoint, all-porcelain crowns achieve the best results. The most realistic crown can be costly — not because of the material but the level of artistry required. A skilled dental technician will spend several hours, including brushing on as many as fifteen coats of liquid porcelain to the crown, to achieve the most life-like outcome. Your insurance plan, if you have one, will most likely not pay as high a percentage for that type of crown.

In the end, it's your decision as to what type of crown you wish to have. We'll help you weigh your options and decide what's best for you and your budget.

If you would like more information on crown options, please contact us or schedule an appointment for a consultation.

By Mark J. Gleckner, D.M.D.
July 06, 2018
Category: Dental Procedures
Tags: dental implants  
DentalImplantsaDurableLife-LikeSolutionforyourToothLoss

What's so special about dental implants — and why should you consider one to replace a missing tooth?

Although they've only been widely available for thirty years, dental implants have climbed to the top of tooth replacement choices as the premier restorative option. Since their debut in the 1980s, dentists have placed over 3 million implants.

There's one overriding reason for this popularity: in structure and form, dental implants are the closest replacement we have to a natural tooth. In fact, more than anything else an implant is a root replacement, the part of the tooth you don't see.

The artificial root is a titanium post surgically imbedded into the jaw bone. Later we can attach a porcelain crown to it that looks just like a visible tooth. This breakthrough design enables implants to handle the normal biting forces generated in the mouth for many years.

There's also an advantage in using titanium dental implants. Because bone cells have a special affinity to the metal, they will grow and attach to the implant over time. Not only does this strengthen the implant's hold within the jaw, the added growth also helps deter bone loss, a common problem with missing teeth.

It's this blend of strength and durability that gives implants the highest success rate for any tooth replacement option. Over 95% of implants placed attain the 10-year mark, and most will last for decades.

Dental implant treatment, however, may not be possible in every situation, particularly where significant bone loss has occurred. They're also relatively expensive, although more cost-effective than other options over the long term.

Even so, implants can play an effective and varied role in a dental restoration. While single implants with attached crowns are the most common type of replacement, they can also play a supporting role with other restorative options. As few as two strategically placed implants can provide a more secure connection for removable dentures or fixed bridges.

You'll need to first undergo a thorough dental examination to see if implants could work for you. From there, we'll be happy to discuss your options for using this "best of the best" restoration to achieve a new, beautiful smile.

If you would like more information on dental implants, 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 “Dental Implants 101.”





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