Dowd Family Dentistry
309 McArthur Road
Fayetteville, NC 28311

Office: (910) 822-5888

Fax: (910) 822-0055

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By Dowd Family Dentistry
June 15, 2015
Category: Dental Procedures
ASmileMakeoverisaTransformingExperience

The term “makeover” is a powerful word in today’s society. It’s used for a variety of things — hair, body, lawn — that need more than a different style, a little toning or some new shrubs. A makeover is a transformation, replacing the dissatisfying status quo with something new and dynamic.

Your smile and its various components — teeth, gums, jaw structure and facial features — might also be a candidate for a makeover. This involves more than just a few modifications. It’s the answer to a smile we avoid showing in photos, cover with our hand when we’re speaking or laughing, or makes us feel older than we really are. In other words, it’s a comprehensive change to a smile that inhibits us from fully expressing ourselves in our friend, family or career relationships.

Of course, for any makeover to succeed, it must follow a plan. A smile transformation is no different. The process begins with what we call a “smile analysis”: a comprehensive examination that determines the exact condition of your entire mouth. This enables us to identify problems and defects, understand how they interact with your other facial features, and then recommend a treatment plan that effectively addresses these issues.

The plan isn’t complete, though, without your input. You may want a complete renovation — to restore missing teeth or change their shape, color and brilliance. On the other hand, you may be more comfortable with a few subtle changes, perhaps even keeping slight imperfections that you see as part of the real “you.” Whichever path you take, the end result is a smile that makes you happy, and proud to show to others.

The various techniques and materials available through cosmetic or restorative dentistry can turn any disappointing smile into a beautiful one. Your journey to that newer, brighter smile begins with your next dental visit.

If you would like more information on smile makeovers through restorative or 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 “The Impact of a Smile Makeover.”

By Dowd Family Dentistry
June 07, 2015
Category: Dental Procedures
EdenSherandtheLostRetainer

Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!

If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.

If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?

As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.

And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!

If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?

By Dowd Family Dentistry
May 23, 2015
Category: Dental Procedures
Tags: TADs  
AnchorageDevicesEnableGreaterPrecisionDuringOrthodonticTreatment

As a basic orthodontic appliance, braces are what allows us to move teeth into better positions to improve a person’s bite. In certain cases, though, this treatment application gets a little assistance from Temporary Anchorage Devices (TADs) to improve accuracy and reduce treatment time.

Braces take advantage of our teeth’s natural ability to move. Teeth are held in place within the bone by the periodontal ligament, an elastic tissue that attaches to the teeth with microscopic fibers secured by a hardened substance called cementum. The periodontal ligament is constantly remodeling in response to changes in the mouth. As pressure is placed on a tooth, new bone, ligament and cementum are formed on the “pulling” side of the tooth; on the other side, the bone and ligament dissolve (resorb), allowing the tooth to move in that direction.

Braces allow this natural process to occur with controlled forces applied by thin flexible wires threaded through the small brackets attached to the front of the teeth and then affixed or “anchored” to other teeth. By attaching the teeth to the other teeth by wires running through all the brackets, “anchorage” is created to allow teeth to be moved where the dentist wants them to go. By adjusting the tension on the wires, we can apply light but constant pressure on the “unanchored” teeth to move them into a new desired position.

Teeth we do not want to move are referred to as the anchorage for teeth we do want to move. If, however, the situation calls for more precise isolation of teeth to be moved, TADs can be very useful. TADs are mini-implants imbedded in the bone to serve as anchorage at strategic locations in the mouth. In this way, the group of teeth to be moved receives forces that are applied through the additional anchorage provided by the TADs. That “tension” or “pressure” is applied only to them and not to adjacent teeth that should not move. This increases efficiency for tooth movement and helps reduce the treatment time.

TADs can be placed using local anesthesia and with little discomfort, and are removed when orthodontic treatment is completed. Although the procedure is pretty straightforward, it does require collaboration between orthodontist and surgeon to ensure correct positioning.

In the end, TADs increase our ability to control the forces that move teeth during orthodontic treatment. This lessens discomfort for the patient and helps ensure the end result — a more functional bite and a transformed smile.

If you would like more information on the use of TADs and other orthodontic appliances, 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 “What are TADs?

ChildStarNolanGouldTalksAboutToothExtractionsOrthodonticTreatment

Nolan Gould of the hit TV show Modern Family has an uncommon gift for comedy, but he also has a very common orthodontic problem: too many teeth for the size of his mouth, which often results in “crowding.”

“My teeth used to be pretty messed up,” Nolan recently told Dear Doctor magazine in an exclusive interview. “I had two extra teeth when I was born. They hadn't come out (erupted) yet. And all the other teeth that were already there were starting to point backwards because it was getting so crowded in my mouth. They had to remove those two (extra) teeth,” he said.

Although being born with extra teeth is somewhat unusual, needing to have teeth extracted for orthodontic reasons is not. In fact, orthodontic treatment often involves removing teeth to relieve crowding. It makes sense when you think about it: When there are too many teeth for the size of the dental arches (upper and/or lower jaws) or the teeth are larger in size than the dental arch can accommodate, there may not be enough space to align them properly. The necessary space can be created by removing teeth.

The teeth most frequently extracted for orthodontic reasons are the first bicuspid teeth. These are the ones right between the cuspid, or eyeteeth (under the eyes) and the molars (biggest back teeth). Once there is enough space, the orthodontist can choose from a variety of orthodontic appliances to align the teeth, depending on the specific needs of the individual.

In Nolan's case, it was the extra two teeth he was born with that were removed. Afterwards, the young actor's orthodontist was able to shift Nolan's remaining teeth into proper alignment using orthodontic appliances called Crozats. Made of metal wires, Crozats go around the back teeth and behind the front teeth, making them virtually invisible.

“You can remove them, which is really good for acting, especially because you can't see them,” Nolan explained. “I can wear them 24/7 and nobody will ever notice.”

Nolan's orthodontic appliances may not be noticeable, but his fabulous smile certainly is!

If you would like to learn more about improving tooth alignment with orthodontics, please contact us today to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Nolan Gould, please see “Nolan Gould.” Dear Doctor also has more on “Tooth Removal for Orthodontic Reasons.”

By Dowd Family Dentistry
April 30, 2015
Category: Dental Procedures
Tags: cosmetic dentistry  

Cosmetic DentistryIf you are self-conscious about your teeth, it's time to consider a smile makeover. Advances in cosmetic dentistry make it easier to achieve the bright, straight and healthy smile you have always admired. Your Fayetteville cosmetic dentist at Dowd Family Dentistry can examine your teeth and gums and make sensible recommendations as to how you can have that great-looking set of pearly whites.

An Attractive Smile Begins With Good Oral Health

To determine how to remake your smile, the dentist starts with a thorough oral examination. This includes a visual inspection of your teeth, gums, tongue and jaw bone. They will screen you for oral cancer, and will also take x-rays or other imaging such as CT scans to look at bone structure and tooth roots. Treating cavities, gum disease and other oral health issues resulting from injury, age or birth defect are priorities. Of course, a dental visit would not be complete without a cleaning to remove plaque and tartar on the teeth and at the gumline.

A Smile Makeover Can Be Simple or Complex

Then, the dentist can address how you want your smile to change. Some individuals are dissatisfied with teeth that are:

  • discolored or stained from smoking, foods, beverages and age
  • oddly shaped or too petite or large
  • crooked or overlapping
  • chipped or cracked
  • worn down
  • widely spaced or crowded

An experienced Fayetteville cosmetic dentist has many ways to enhance your smile and to improve its health, too. For more complex issues, your dentist can offer:

  • tooth replacement with state of the art dental implants, fixed bridgework and partial or full dentures
  • traditional or clear plastic orthodontics to address a variety of tooth alignment problems
  • tooth extractions, root canal therapy (removing the diseased inner portion of a tooth) and tooth-colored fillings
  • porcelain crowns to replace tooth enamel with extensive decay, multiple fillings or fractures
  • deep tooth and root cleaning to control gum disease

Simpler aesthetic issues may be addressed in a number of ways. For example, in-office tooth whitening is an efficient and cost-sparing way to brighten the color of teeth by several shades quickly and safely. Some people choose dental veneers which are ultra-thin and durable shells of tooth-colored porcelain. Bonded to the front side of teeth, veneers create a photogenic smile that lasts for years. Cosmetic bonding with composite resin is great for correcting small gaps, chips, cracks and problems with tooth color.

Call Dowd Family Dentistry

Tracy Dowd Johnson DDS and Claude P. Dowd DDS are the cosmetic dentists in the Fayetteville, North Carolina area who can evaluate the health, function and appearance of your smile. Whether your desire is to replace that missing tooth, whiten your teeth or something in between, Doctors Johnson and Dowd will listen to your desires and formulate a treatment plan to give you the best smile possible. Call their office for an appointment: (910) 822-5888.





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