Oral Health During Pregnancy Tips

Pregnancy can be pretty daunting for new and existing mothers.  The body goes through some significant temporary changes and the status of your oral health is usually one of them.  Some of the common conditions that occur during pregnancy are the following

1.  Gum disease- During pregnancy, more attention than usual needs to be given to your teeth and gums.  Brushing twice daily, flossing once a day will keep gum disease at bay.  Pregnancy gingivitis (swollen easily bleeding gums) is very common, but regular home maintenance and two, maybe even three visits to your dentist office for a cleaning can help.  

2. Enamel erosion- Morning sickness which is common with pregnancy aside from causing the nausea, the acid if not buffered by rinsing with water or fluoride mouthwash can cause enamel to erode away.  

3.  Dry mouth- Be sure to drink plenty of water during pregnancy.  A dry mouth decreases your body's natural way of buffering and so it places you at higher risk for decay and erosion.  

In our practice, we recommend all women who are pregnant or trying to get pregnant to be on a three month recall, as there is research evidence linking periodontal disease and risk of complications with pregnancy.  If you are pregnant or trying to get pregnant and have more questions about oral health maintenance during these times, don't hesitate to reach our to the office at 310-929-7200 or you can email Dr. Lawrence at hello@siliconbeach.dental

Single Missing Tooth Replacement Options

Single Missing Tooth Replacement Options

Missing a tooth yet you are not ready for an implant?  We get it, there are many factors to getting a tooth replaced.  Cost being one of them.  What about a bridge you ask?  A bridge can be a great option however they are usually the most invasive option to replace a missing tooth.  The least invasive option is to have a denture that comes in an out, but those can be cumbersome as well.

So what other options you have?  You may want to ask your dentist about a Maryland bridge.  A maryland bridge can be a great option to replace a front tooth that requires very little or in this case, no drilling.  There is usually a wing attached to one or both sides of the replacement tooth and it is bonded to the adjacent teeth.  These can be great short or long term temporaries that allow for the spacing to be maintained between the teeth so you can always have the option to pursue an implant whenever you are ready.  Feel free to contact the office to see if you are an ideal candidate for this conservative, cost effective, yet esthetic missing single tooth replacement option.  

maryland bridge
missing tooth replacement with maryland bridge

We’ve Been Featured!!

We’ve Been Featured!!

We’re happy and proud to announce that our office has been selected for the national magazine Best Practice.  We are so thankful for our patients and the support we have had throughout our journey so far!  Feel free to download a link to the digital version of the magazine!

Bitcoin at the Dentist?

Bitcoin at the Dentist?

An exciting announcement from SiliconBeach.Dental!!!!

We will be one of the very first and few dental practices in Los Angeles to be accepting Bitcoin!

What is Bitcoin?

Bitcoin is a form of online payments that can occur only between a merchant and a customer.  These digital cyptocurrencies are stored in a “digital wallet”, and with these digital wallets bitcoins can be transferred.  

Why accept Bitcoin at SiliconBeach.Dental?

At SBD, we are all about challenging the status quo.  Bitcoin and other cryptocurrencies are to do the same.  With Bitcoin being a decentralized form of currency, transactions fees are extremely low if not free.  Bitcoin also is anonymous, although it has received a bad rep for some of its uses, it provides privacy and protection to third parties having access to personal financial data with traditional currency systems.  

 

http://money.cnn.com/infographic/technology/what-is-bitcoin/

The Test Drive

The Test Drive

Excellence in function and aesthetic dentistry is never achieved by accident.  It is with heavy planning in the form of data collecting, diagnosis and communication that leaves to highly predictable outcomes that helps us meet and exceed our patient’s aesthetic expectations. 

Whenever someone comes to our office as a new patient, your first visit is for data collection.  The goal of data collection consists of acquiring medical and dental information.  We obtain prior dental history, photograph your existing dental condition, check for oral cancer, establish caries risk, evaluate how the teeth come together, and the health of the periodontium (the gum and bone, supporting structures of the teeth). 

Aside from gathering clinical details, the most important data we collect is the needs and desires of our patients.   From there, we establish whether our office is the best solution for your needs.   Existing and new patients that have cosmetic needs will get the opportunity using photography and digital smile design to get a preview of any requested or proposed changes. 

So what is digital smile design?  Digital smile design utilizes your photographs, from there we can alter the teeth shape and color in accordance to your desires.  From there we can preview the proposed changes digitally.  After the patient signs off, we will then send molds of your teeth and the appropriate photographs to a ceramist who will then create in wax (diagnostic) the proposed changes.  Once we receive the diagnostic wax-up back, we will then do a test drive in the mouth, using temporary material you will get to evaluate the proposed changes while staying in a reversible state. 

The following video highlights the process of evaluation to diagnostic wax-up to the test drive. 

Composite Veneers

Composite Veneers

I commonly get asked by patients-- I want to change the shape and color of my teeth but I don't want my teeth shaved down or I'm on a budget.  In the past, dentistry may have been a bit more black and white, but there is a new grey area...maybe grey is the new black? 

Dental composites have been around since the 70's.  Prior to that, silver amalgam filings (and arguably up to recently) have been consider the gold standard.  Today, dental composites are much stronger, esthetic, and economical than before.  Dental composites when used correctly with the right situations, can be a very long lasting, esthetic, highly functional alternative to more costly materials.  In the following link, see how our practice is able to provide dental composites as an alternative to traditional porcelain veneers.  

Blending Art and Science

Blending Art and Science

In this photo, a preparation was scanned and a 3D model was printed.  The STereoLithography (STL) file was sent to two separate labs with two different price points.  Both labs were given the same amount of time to work on the restoration and each unit was tried on the same model to check for the accuracy of fit.  The results are clear as shown by the restorations on the right side--a high quality lab technician is irreplaceable, irrespective of the costs. 

In this photo, a preparation was scanned and a 3D model was printed.  The STereoLithography (STL) file was sent to two separate labs with two different price points.  Both labs were given the same amount of time to work on the restoration and each unit was tried on the same model to check for the accuracy of fit.  The results are clear as shown by the restorations on the right side--a high quality lab technician is irreplaceable, irrespective of the costs. 

At SiliconBeach.Dental, we are very proud and honored to work with such an amazing team of staff and network of specialists.  There is one team member that rarely gets the credit they deserve, our lab technicians.  In dentistry, crowns, veneers, dentures, and partials are made in a laboratory by a technician.  

A highly skilled lab technician is able to blend the eye of an artist with the precision of a scientist.  With the use of CAD/CAM technology, 3D Printing, digital scanning, 3D facial analysis, cloud computing and digital photography,  these artists can create restorations that truly mimic what nature had given us.

Thank you Makomic, Beverly Hills Dental Lab, and Ultimate Styles for helping me provide the best for our patients from Playa Vista, Culver City, Fox Hills, Ladera Heights, and many other neighborhoods within Silicon Beach.  

http://www.makomic.com/

http://www.beverlyhillsdentallab.com/

http://ultimate-dl.com/

Sincerely, 

Dr. Lawrence Fung, DDS

 

Whitening Traumatized Teeth

Do you have a front tooth that has turned dark over the years?  As we age, our teeth naturally become more yellow, and in some instances more grayish due to the natural wearing of enamel.  There are certain situations where a tooth can become dark very quickly, its cause being trauma or a root canal.   In a healthy tooth with a healthy pulp (the nerve), blood is cycled in and out.  In a tooth that has lost the vitality of the nerve, blood is no longer able to be cycled in and out and so the expired cells become to accumulate leading to the dark color. In the past, many would immediately restore these rather unaesthetic presentations with a conservative veneer or a crown.  In many situations, dependent on the amount of healthy tooth structure available, these are still the preferred methods of treatment for root canaled or traumatized teeth.  In situations where the teeth are preserved, the root canal treatment is done conservatively, then the treatment options to address color issues can be even more conservative.  In this situation, we have elected to whiten the tooth from within.  The process is as easy as two or three visits. The first visit is an evaluation after the tooth has been seen by an endodontist (a root canal specialist).  Once the tooth is determined healthy enough to proceed to bleaching or "restoring", can we begin the process.  For internal bleaching, we will make a small access hole without the need for anesthetic so we can place a special type of bleaching material.  Depending on how dark the tooth is, there may be a need to have multiple follow-up appointments to reapply the bleaching material inside the tooth.   Once the tooth color has become stable, we flush all of the bleaching material out, place a temporary and wait for 10 days before placing a final filling.  The reason we need to wait between flushing out the bleaching material and placing a filling is to allow for all of the bleaching material to stop oxidizing, as this can interfere with the adhesion of the bonding system.  If the bonding is unable to be at its maximum strength, we run the risk of decreasing the life of the restoration.  The following is a video of our latest case that outlines the steps involved.  Enjoy!  

Do you have a front tooth that has turned dark over the years?  As we age, our teeth naturally become more yellow, and in some instances more grayish due to the natural wearing of enamel.  There are certain situations where a tooth can become dark very quickly, its cause being trauma or a root canal.  

In a healthy tooth with a healthy pulp (the nerve), blood is cycled in and out.  In a tooth that has lost the vitality of the nerve, blood is no longer able to be cycled in and out and so the expired cells become to accumulate leading to the dark color.

In the past, many would immediately restore these rather unaesthetic presentations with a conservative veneer or a crown.  In many situations, dependent on the amount of healthy tooth structure available, these are still the preferred methods of treatment for root canaled or traumatized teeth.  In situations where the teeth are preserved, the root canal treatment is done conservatively, then the treatment options to address color issues can be even more conservative. 

In this situation, we have elected to whiten the tooth from within.  The process is as easy as two or three visits. The first visit is an evaluation after the tooth has been seen by an endodontist (a root canal specialist).  Once the tooth is determined healthy enough to proceed to bleaching or "restoring", can we begin the process.  For internal bleaching, we will make a small access hole without the need for anesthetic so we can place a special type of bleaching material.  Depending on how dark the tooth is, there may be a need to have multiple follow-up appointments to reapply the bleaching material inside the tooth.  

Once the tooth color has become stable, we flush all of the bleaching material out, place a temporary and wait for 10 days before placing a final filling.  The reason we need to wait between flushing out the bleaching material and placing a filling is to allow for all of the bleaching material to stop oxidizing, as this can interfere with the adhesion of the bonding system.  If the bonding is unable to be at its maximum strength, we run the risk of decreasing the life of the restoration.  The following is a video of our latest case that outlines the steps involved.  Enjoy!  


Minimally Invasive Cosmetic Options

Minimally Invasive Cosmetic Options

No longer is it necessary to remove more tooth structure than necessary to get an aesthetic result. In the earlier days of dentistry, due to limitations of materials and techniques, it was common for dentists to recommend multiple porcelain veneers or crowns in the front to fix simple shade and shape issues.  With better materials and a clearer understanding of how to use these new materials, no longer are such invasive solutions necessary.  While porcelain is a great material for crowns and veneers, teeth whitening and direct composite bonding can be a very aesthetic yet cost effective way to address your various cosmetic needs.  In this video, the steps to do a direct composite veneer are demonstrated.   Contact our office to make an appointment for a consultation to see if you are an ideal candidate for this minimally invasive procedure!  #smilesbd #hellobetter