crowding

Have Teeth that are Too Big or Too Small?

February 23rd, 2019

Although not frequently common, you may know someone or yourself experience having a tooth or teeth that are smaller or larger than normal in size. When adult permanent teeth appear to be smaller, or similar to the size of baby teeth, this condition is known as Microdontia. Microdontia commonly affects the upper lateral incisors, and are often referred to as peg laterals. On the other hand, if the teeth are larger than usual, this is known as Macrodontia. When every tooth is affected by Macrodontia, this is typically due to the rare condition pituitary gigantism, which is seen in children and affects other parts of the body such as the feet and hands. Both conditions have been mainly associated with genetics. However, other causes including certain syndromes, unilateral facial hypoplasia, gigantism, and hormonal imbalance, for instance, could be contributing factors.

Macrodontia and Microdontia can create some issues for people, including crowding or excess space, teeth misalignment, and even impact someone's confidence in smiling. The discrepancy between the upper and lower relationship of teeth when biting together as a result of macrodontia or microdontia could cause individuals to have trouble chewing or speaking. It can also lead to excessive wear on the teeth. Luckily, there are ways to correct macrodontia and microdontia with certain treatment options.

For Microdontia:

  • Composite Restorations: Composite, a tooth-colored filling material can correct the shape and size of teeth by bonding to the tooth.
  • Dental Veneers: Veneers are custom-made to cover the front surface of teeth to help improve one's smile. They are made of a combination of porcelain or ceramic materials that match the color of teeth.
  • Dental Crowns: If a tooth is shaped abrnomally crowns can help cover teeth and help fix the tooth size discrepancy.

For Macrodontia:

Some cases may not need treatment, unless wanting to treat for esthetic reasons. If Macrodontia has caused crowding, orthodontics (braces) or other restorative treatments may help create the proper bite and improve esthetics. Teeth may also be contoured to a smaller size or different shape depending on the severity of the case.

Extraction may be recommended if the tooth affected by Macrodontia does not erupt into the mouth.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment and consultation.

Your little ones and teens are welcome to visit our pediatric dentist Dr. DerekDr. Emad is happy to help with your orthodontic needs. For wisdom teeth extractions or any other oral surgery needs Dr. Stephens would be more than willing to help.

References:

https://www.colgate.com/en-us/oral-health/life-stages/childrens-oral-care/understanding-macrodontia-what-it-is-and-how-to-treat-it-

http://www.columbia.edu/itc/hs/dental/d7710/client_edit/dental_anomalies.pdf

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What's Up With My Bite?

October 7th, 2018

Malocclusion, or the misalignment of opposing teeth in the upper and lower jaw, is very common in both children and adults. This is often due to the fact that teeth can move slowly overtime just from the normal forces of chewing. This can even occur in individuals who have had braces in the past if they are not wearing a retainer. But not to worry, occlusal/bite problems can be identified early on in children while they still have baby teeth or mixed dentition and restored with orthodontic treatment.

Sometimes malocclusion can be genetic, or due to unhealthy oral health habits during childhood such as thumb sucking  or tongue thrusting. An orthodontic consult is typically recommended for all children around the age of 7 as permanent teeth start coming in so that any potential orthodontic problems can be identified.

Adults may also begin to notice crowding developing visible when smiling. This could occur for various reasons, including teeth shifting out of place after the loss of a tooth. Despite age, orthodontics can help anyone experiencing common tooth alignment issues:

Abnormal eruption

This is caused when a tooth erupts from the gums in the wrong place. The tooth could be blocked from developing in the correct place (tooth impaction), in which a minor oral surgery treatment can be performed to uncover the tooth before beginning orthodontics to bring the tooth into the correct position.

 

 

Crossbite

Crossbite occurs when  one or more of the upper teeth are positioned behind the lower teeth. Orthodontic appliances including a palatal expander can solve this problem in children whose jaws are still developing.

 

 

 

Crowding

This occurs due to a lack of space in the jaw either because the teeth are too big or the jaws are too small. Crowding can be corrected by removing some teeth and/or creating more space within the jaws through orthodontic appliances.

 

 

 

 

Excessive spacing

Spaces may develop when teeth are lost or there is a difference between jaw size and tooth size. These spaces can be closed with braces to ensure teeth don't shift out of place.

 

 

 

Open bite

An open bite can be hereditary, or be the result of prolonged thumb sucking r tongue thrusting. This results in a space between the upper and lower front teeth when biting down.

 

 

 

Overbite

Also known as a deep bite, occurs when the upper front teeth cover the majority of the lower teeth.

 

 

 

 

Overjet

This occurs when the upper front teeth protrude outwards or the lower teeth are inclined toward the tongue. This can be hereditary, or from improper jaw development, missing lower teeth and/or improper positioning of molars. Poor oral habits including thumb sucking or tongue thrusting can contribute to overjet.

 

 

 

Underbite

This is characterized by the lower front teeth covering the upper front teeth. This may be due to overgrowth of the lower jaw and/or less development of the upper jaw.

 

 

Feel free to contact Drs. Ali & Ali and their newest addition to the team, Dr. Zarah Ali, if you have any thoughts or concerns. Your little ones and teens are welcome to visit our pediatric dentist Dr. Van. Dr. Emad is happy to help with your orthodontic needs. For wisdom teeth extractions or any other periodontal or oral surgery needs, Dr. Ghazi would be more than willing to help.

The caring team at Wellesley Dental Group will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment and consultation.

References:

http://decisionsindentistry.com/article/10-orthodontic-challenges-primary-mixed-dentition/?inf_contact_key=e17b0783bf79a8d42df1839c50865018e7b31325dd704fa477f44a4202dc9fcdhttp://www.abckiddentist.com/orthodontics/common-orthodontic-problems

http://www.abckiddentist.com/orthodontics/common-orthodontic-problems

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To Pull Or Not To Pull: Wisdom Teeth Extractions

December 13th, 2016

To pull or not to pull, that is the question! Wisdom teeth, molars found in the back of your mouth, usually appear in your late teens or early twenties, may need to be removed if they are impacted, or fail to erupt due to a lack of room or a poor entry angle.

If an impacted wisdom tooth is not removed, you may experience painful crowding and infections. For instance, if a gum flap is covering part of a wisdom tooth that can't come out all the way, food particles and bacteria could become trapped and lead to pericoronitis, a low-grade infection, and swelling.

Additionally, in more serious cases, fluid-filled growths called cysts can form and permanently damage your bone, teeth, and nerves.

To determine whether your wisdom teeth need to be removed, make sure to make an appointment early on in your late teens or early twenties so that there is less of a chance that the roots of your teeth have not fully formed and the bone surrounding your teeth is less dense. Additionally, your recovery time will be much shorter. At your appointment, your dentist will take a panoramic X-ray to take a look at your situation.

At Wellesley Dental Group, Dr. Ghazi, our periodontist, is our specialist in wisdom teeth extractions. Be sure to make make an appointment with us for a consultation.  Regular check-ups cleaning are essential to keep your teeth happy and healthy!

Resources:

http://healthrow.net/wp-content/uploads/2016/07/wisdom-tooth-0.jpg

http://www.wellesleydentalgroup.com/wisdom-teeth-extraction

http://www.colgate.com/en/us/oc/oral-health/conditions/wisdom-teeth/article/should-you-have-your-wisdom-teeth-removed

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