Complete Smile Makeover!

What makes a perfect smile "pop?"

Today's patient came to our office wanting a smile that exuded natural beauty. Their existing teeth had a general "flat" appearance with uneven wear on the edges. Younger/cosmetically desirable teeth tend to have more variance in shape between adjacent teeth and more symmetry across the midline. Each tooth has unique anatomic features, and a great smile captures these subtle differences!

To create this transformation, Dr. Kari Ann Hong prepared the patient's anterior teeth (from canine to canine) for dental crowns. Impressions were taken and sent to Opus One Dental Lab where six crowns were fashioned from Emax lithium disilicate material. Emax allows us to make hyper-realistic crowns that capture the translucency and shading of natural enamel while remaining resistant to fracture. The result is absolutely stunning! If you would like to know more about dental crowns, smile esthetics or cosmetic dentistry, please give our office a call!

Replace That Toothbrush!

Is your brush looking a little frayed? Its probably time to grab a new one! The ADA recommends replacing toothbrushes (or electric brush heads) every three to four months. Older brushes lose their ability to reach the fine areas of your mouth and harbor potentially harmful bacteria. If your brushes are wearing out sooner than the three month mark, it could be a sign of using too much pressure while brushing. Children's brushes will likely need more frequent replacement and should be monitored closely. 

We always recommend using a toothbrush with soft or extra soft bristles and a small head. Brushes with stiff bristles can actually do more damage than good and large heads make it difficult to navigate the narrow spaces in the back of the mouth. Also make sure you're pairing your new toothbrush with a fluoride toothpaste. Finally, if you plan on switching to a electric brush, make sure it has a pressure sensor and built in timer, along with readily available replacement heads. If you have any further questions about toothbrushes, oral hygiene or taking care of your teeth, please feel free to contact our office!

Welcome Dr. Tapp!

Please join Thousand Oaks Family Dentistry in welcoming Dr. Christine Tapp to our office.  Dr. Tapp grew up in Pennsylvania, where she attended Allentown College of St. Francis de Sales and earned a B.S. in Chemistry.  She moved to southern California for dental school and earned her doctorate in dentistry from the USC School of Dentistry in 2004. A year later she settled in the Conejo Valley and has worked with some of the finest dentists across Ventura County.

Dr. Tapp is a member of the American Dental Association, the California Dental Association, the Santa Barbara-Ventura County Dental Society, and has been selected to serve on the Peer Review Committee.  She is also a member of the Spears Study Club, and has taken hundreds of hours of continuing education with an emphasis on providing the highest quality conservative dental treatment.  In addition, she is dedicated to providing each patient with individualized care and service.  Outside the office, Dr. Tapp enjoys spending time with her four year old son, Evan. They love being active outdoors with friends and family.

Perfecting Incisors using Emax Crowns

One of the most common dental anomalies is underdeveloped lateral incisors. Often referred to as peg laterals, this condition typically presents as two lateral incisors that look smaller and mismatched when compared to the central incisors. For today's patient, Dr. Kari Ann Hong chose to correct the cosmetics of this smile using two beautiful Emax lithium disilicate crowns.

Since the incisors were already undersized, only a minimal amount of tooth structure had to be removed in fitting the crown. By working with Opus One Dental Lab a near perfect match was made to the natural central incisors. Notice the delicate translucency near the edges of the teeth and harmonious shape. We even captured the pronounced developmental grooves (called mamelons) on the central incisors. The result is a beautiful smile that looks more natural than the "before" shot!

If you would like to know more about the cosmetic services we offer at Thousand Oaks Family Dentistry and what we can do for your smile, please give our office a call!

Technology and Root Canals

If you need a root canal, chances are you will be referred to one of the wonderful endodontists in our specialist network. With today's advances in dental technology, root canals are quicker, safer and more predictable than ever before. In many instances, these new products and techniques have allowed specialists to save teeth that were one destined for extraction. Take a look!

For starters, a root canal is a procedure performed on a tooth with an active infection or dead nerves. An opening is made in the top of the tooth and the innermost layer, called the pulp chamber, is thoroughly cleaned. The nerve canals (which follow the length of the tooth roots) are cleaned and shaped as well and filled with a resilient rubber material. After the root canal is finished, you will typically have to return to our office to have a crown placed on the tooth. 

One of the most important aspects of dentistry is being able to properly visualize the problem you are trying to fix. This is particularly challenging in the field of root canals, where the root shape and location makes diagnosis and treatment difficult. Today, cone beam CT scans can make this process much more straight forward. In these images, tooth roots, nerve canals and possible fractures are visualized in three dimensions. The endodontist can then accurately predict how he will perform his procedure before starting. 

Another important advancement in visualization is the use of dental microscopes in endodontic offices. The canals within your teeth can be as small as half a millimeter and vary in location from tooth to tooth. The microscope allows for much more accurate treatment and minimizes the risk of missed canals.

In the actual treatment of root canals, many advances have been made in the art of cleaning out the inner tooth. Flexible metal files shape the canals with ease while ultrasonic cleaners eliminate any residual bacteria. New materials create a better seal between the rubber filler and tooth while fending off recurrent infections. All in all, the entire process is now much more streamlined.

These technologies have helped make performing the root canal easier, which in-turn makes the patient experience more enjoyable. At any endodontist's office, your comfort is the most important aspect of the treatment. If you would like to know more about root canals, why teeth need them and how they are performed, please give our office a call.

Grinding and Night Guards

For many patients, nighttime grinding and clenching cause a host of problems including broken crowns, worn down incisors and sore jaw muscles. These habits fall under the category of bruxism- the involuntary contraction and movement of the jaw muscles. 

In most instances, bruxism occurs at night when you sleep. It can also occur during daytime hours in periods of intense stress or concentration. Early signs of bruxism include sore jaw muscles, sensitive teeth and "scalloped" indentations on the sides of the tongue. Later indications include fractured enamel, blunted cusp tips and chipped porcelain on dental crowns. It is generally understood that bruxism is caused by stress and external triggers that activate automatic responses in the brainstem. As such, tackling the cause of bruxism involves a deeper investigation into stress, coping mechanisms and mental health. 

From a dental perspective, our office offers custom fitted night guards to protect against the effects of nighttime grinding and clenching. On top of preventing damage to the teeth, these appliances feature a completely level biting surface. This allows all the opposing teeth to contact the guard at the same time, increase comfort and preventing jaw fatigue. Night guards usually need two appointments- one for initial impressions and a followup to deliver and adjust the finished guard. 

Night guards represent only one of many protective and preventative services we offer. If you would like to know more about bruxism, night time grinding or how to prevent it please give our office a call. 

Get your teeth back in shape!

New year new you, right? If you're hitting the gym and shaping up as part of your new year's resolution, why not include your teeth in that plan? Here's a list of some of our favorite products and techniques for getting your oral health in peak performance.

Cut out the "slow" sugar- Are you a frequent snacker? Are you always sipping on a mocha or soda? These habits that involve consuming sugars and carbs over long periods of time are detrimental to your dental enamel health. Try to cut down on duration of consumption or switch to low/no sugar options like carrots, water or cheese (no crackers). Remember to rinse with water after every meal!

Get a mouth rinse that fits your needs- Most patients gravitate towards alcohol based mouth rinses like Listerine for the satisfying burn and promises of a healthier mouth. These types of rinses are great for patients with periodontal problems. However, many are at higher risk of developing cavities than periodontal disease and would not see much benefit from these products. For them, we would recommend a fluoride rinse like Act Fluoride or Carifree Ctx3 (available at our office). 

Go Electric- If you haven't tried an electric toothbrush yet, now is the time! They make brushing easier, more convenient and generally more enjoyable. Make sure to look for a product with a built in timer and pressure sensor. 

Brighten your smile- Not satisfied with the shade of your teeth? There are a number of awesome tooth whitening services and products available today. At our office, Dr. Kari Ann Hong offers both take-home bleach trays and in-office single visit whitening. If you are interested in trying an over-the-counter method, we recommend Crest Whitestrips and the like. 

Stick to the basics- Beyond any viral videos and secret techniques, brushing for two minutes with fluoride toothpaste twice a day and flossing daily is the hands down best way to keep on top of your oral hygiene. No other product, service or trick can match the efficacy of this regimen. Don't overcomplicate it!

Check in for your check ups- Regular dental exams and cleanings are crucial to your oral health. There is simply no substitute for the expertise of a dental hygienist and dentist in keeping your teeth in tip top shape. You'll save money too- catching small problems early on avoids the need for large fillings, crowns, extractions and other invasive procedures. 

We hope you found our list informative! If you have any questions or would like to schedule an appointment, please feel free to contact our office.

Case Presentation: Smile Improvement Using Crowns and Veneers

In dentistry, many small changes can add up to make a huge difference! Today's patient came to our office dissatisfied with the uneven appearance of their front teeth. Note how the left central incisor has a large chip while the two lateral incisors are very different shapes. Additionally, the teeth do not have a uniform color shade, causing the crown on the patient's right central incisor to stick out noticeably.

Dr. Kari Ann Hong used a combination of three new zirconia veneers and a full zirconia crown on the right central incisor to create a matching shape and color across all the anterior teeth. She also provided minimal recontouring to the gums around the right incisor to create a more symmetric gum line. The result is an undeniably more natural smile! If you would like to know about the services we offer and what Dr. Hong can do for your smile, please give our office a call!

Nitrous Oxide

For years, nitrous oxide has helped nervous patients relax and enjoy their experience at the dental office. Even with new medications and sedatives available today, nitrous proves to be one of the safest and most effective ways to ease dental anxiety. Read more on how and why nitrous is a fantastic supplement for many patient's fears!

Nitrous oxide is a sedative compound that is delivered via inhalation through a nose mask. For anxious patients, it provides mild amnesia and dulling of pain responses. At the same time, you are still conscious, aware and moving/breathing under your own power. While the exact mechanism in which it works is not fully understood, we do know that it works on the Brain and brainstem to stimulate receptors that cause drowsiness and sleep. Nitrous oxide is also eliminated from the body by exhalation, making it very safe for periodic use. In the unlikely event of being administered too much nitrous, simply breathing regular oxygen will quickly bring down the levels in your body. Patients leave the office with no lasting side effects and can return to work after their appointments. 

Because nitrous oxide is so safe, there are very few medical limitations on it's use. It is even safe for asthmatic patients, as the process of administering nitrous involves delivering a higher percentage of oxygen than ambient air. However, some people do not respond positively to nitrous and report anxiety or uncomfortable sensations. It is important to let us know if you have a history of poor reactions to sedatives and a complete list of the medications you are taking. If you have more questions about nitrous and how it is used at our office, please give us a call today!

Dental Questions: Who Places Dental Implants?

Implants represent a new shift in how dental offices can replace missing teeth. Never before have dentists been able to reproduce one or more teeth in a non-removable fashion without altering adjacent teeth. In the midst of this new treatment trend, many different general practices and specialists are placing implants. In this article, we hope to make sense of who offers implant surgeries and why they do so!

For starters, almost any licensed dentist can become trained to place implants. There is no specific requirement for a specialist to place them, and training programs are very common. As such, our office places implants on healthy, long standing patients in uncomplicated scenarios. We feel that any case beyond these parameters requires the expertise of a specialist.

Many times, an oral surgeon will place implants. They benefit from years of surgical training and managing medically complex patients. Most offices will offer various sedation options when providing the surgery. Periodontists also frequently perform implant treatment. Here, their specialized knowledge of gum tissue, bone characteristics and healing allows them to place implants in highly esthetic areas. They also typically offer sedation as a part of treatment. Other specialists, such as prosthodontists and endodontists may place implants on a case-by-case basis.

No matter who places your implant, know that your referral from Thousand Oaks Family Dentistry was made with the highest quality care in mind. We take surgical treatment very seriously and only refer patients to our trusted network of specialists. If you want to know more about implants and how they might improve your treatment options, please give our office a call!