cosmetic dentist

What Is Cementum?

What Is Cementum?

Cementum is a hard layer of tissue that helps the periodontal ligament attach firmly to a tooth. Made of cementoblasts, cementum slowly forms over a lifetime.

Cementum is a hard, calcified layer of tissue that covers the root of the tooth. On its outer side, cementum is attached to the periodontal ligament; on its inner side, the dentin. Along with the periodontal ligament, alveolar bone and gingiva, cementum helps a tooth stay in its place. In fact, if it weren’t for cementum, the periodontal ligament wouldn’t be able to attach firmly to a tooth.

Slowly formed throughout life, cementum is created when the root of the tooth excretes cementoblasts. Though cementoblasts are somewhat of a mystery, it is known that cementum is yellow in color and softer than dentin. Its chemical makeup is similar to that of bone — but unlike bone, cementum is avascular (not supported by blood vessels).

Types of Cementum

There are three types of cementum: acellular cementum, cellular cementum and afibrillar cementum. Acellular cementum covers about 1/3-1/2 of the root and has little to no cellular components. Cellular cementum covers about 1/3-1/2 of the apex and is permeable. Afibrillar cementum sometimes extends onto the enamel of the tooth.

If you have periodontal disease, your acellular cementum, cellular cementum or afibrillar cementum may also be diseased. A gum disease treatment called scaling and root planing can be performed to remove the diseased cementum, as well as dental tartar and diseased dentin.

If it has been awhile since your last dental visit, make an appointment today.

Prevention: Let It Shine

While lasers were at one time just material for science fiction writers, they’ve become a common part of our everyday life. They zap through your groceries, they open garage doors … and now they can detect wear and tear on your tooth’s surface before it becomes a cavity.

Is it caries [cavity]? Or is it a healthy tooth? Dentists often experience anxiety when attempting to diagnose the phenomenon known as hidden caries. A suspicious-looking tooth presents a treatment dilemma for dentists. Should the tooth be opened up? What if no cavity is found? Should the tooth just be watched? Or does that give caries more time to destroy the tooth’s structure? In the case of hidden caries, traditional diagnostic methods all too frequently yield indeterminate results. If you can’t detect a sub-surface lesion, how can you treat it?

Diagnodent is a revolutionary new dental laser tool that safely and effectively detects changes on your tooth’s surface that might not be visible on a traditional x-ray. When this light source is directed at your tooth, anything unusual about the tooth’s surface, such as the beginnings of a surface breakdown, or the start of a cavity, causes a different type of light to be bounced back to the instrument. This light is transferred into an acoustic signal and the wavelength is then evaluated by the control unit. This lets us know what type of preventive treatment you might need. Diagnodent can even detect decay occurring under a crown, allowing us to quickly catch what could later become a problem.

Treatment decisions require a higher degree of certainty. The Diagnodent laser caries detection aid removes the doubt from treatment decisions regarding hidden caries or questionable stained grooves. The device’s ability to see into a tooth’s biting surface pits and fissures enables dentists to treat sub-surface caries lesions with confidence.

We want to ensure that every tooth remains yours for life, and that your visit to our office is comfortable and pleasant. Diagnodent is a unique development that will not only reduce your need for x-rays, it will catch problems before they even get started.

Tough Brushing Tortures Teeth

Most dentists don’t go a day without seeing patients who are damaging their teeth and gums by brushing too hard. Some report that as many as two out of three patients brush their teeth too hard. This is a problem. A stiff-bristled toothbrush combined with overzealous brushing teeth can cause serious dental problems over time, including gum disease and tooth sensitivity.
People think that if they brush twice as hard, they will do twice as much good, In fact, overzealous brushing can cause significant damage to the periodontal tissues and bones that support the teeth. If you used the same amount of force and brush the side of your arm, you could take your skin off.
One way to avoid damaging your teeth and gums is to purchase a “soft” toothbrush featuring rounded bristles which are less abrasive to teeth. You should hold the brush between the thumb and forefinger, not with the fist. When brushing, do not `scrub’ the teeth with a horizontal, back-and-forth motion.
Instead, start at the gum line and angle the brush at a 45-degree angle. Brush both the teeth and the gums at the same time. Push hard enough to get the bristles under the gumline but not so hard that the bristles flare out. It’s also a wise move to limit the amount of toothpaste because it is abrasive.
The irony is that dentists want people to brush longer, not harder. Children and adults tend to spend less than one minute at a time brushing their teeth, even though removing plaque from the mouth requires at least two to five minutes of brushing at least twice a day. Remember: brush longer, not harder.

I Lost my Dental Insurance!

Occasionally we get a call from a patient who wants to cancel their cleaning appointment because they have lost their dental insurance. If you have been a regular patient and your teeth are in good shape, the worst thing you can do is try to save money by avoiding preventive care.

If you do not have dental insurance, we offer the convenient option of getting your own Smile Solutions Dental Plan.  We accept most insurance plans. If you don’t have insurance, you can get an individual plan through us.

Preventive maintenance can keep your mouth healthy for less than the premium costs of a decent dental insurance plan. Too often when we have insurance coverage we don’t even know how much our treatment really costs.

I don’t think any of us would neglect the regular maintenance of our car considering the cost of an oil change vs. a new engine. The same is true (but thankfully on a much less expensive scale) for our teeth.  By letting our office check for cavities regularly, most problems can be found while they are small and relatively inexpensive to cure. We can catch a small cavity before it becomes a root canal, a cracked filling before it needs a crown or gum disease before it results in extractions and dentures.

If you do need more extensive treatment we can work with you to design a course of treatment to bring your mouth back to good oral health. There are usually several ways to restore your mouth to better health – each with its own unique cost and time frame.  We can discuss the options, organize your treatment in order of necessity and make financial arrangements to suit your budget.

Let us help you achieve a healthy, beautiful smile and don’t let your insurance dictate your dental care.

The Science And Art Of Smile Design

Patients have asked why this office puts an emphasis on cosmetic dentistry. The answer is easy. Cosmetic dentistry involves some of the more creative aspects of dentistry, rather than the simple, straightforward and routine mechanical side. There are so many things to evaluate when trying to remake someone’s smile. The challenge of figuring out the puzzle so that the patient will look their best is really intriguing and fun, and the results are highly satisfying.

The finished product of a smile design is the result of a lot of work with excellent communication and cooperation between our dental office, the lab and the patient. Please call our office, if you would like to evaluate or discuss your smile.