Posts for: June, 2014

By Randall J. Bartoe, DDS, PLC
June 27, 2014
Category: Dental Procedures
FrequentlyAskedQuestionsAboutTooth-ColoredFillings

Are tooth-colored fillings safer than silver fillings?
No. Both are considered safe based on the most reliable and up-to-date scientific evidence. Still, tooth-colored fillings do have some definite advantages. Not only do they blend in with your smile far better than “silver” (dental amalgam) fillings, but they often require less removal of healthy tooth structure. That’s because in order to fill a tooth with amalgam, it is necessary to create indentations in the tooth called “undercuts” to hold the amalgam in; this requires the removal of some healthy tooth material. With a tooth-colored filling, we need only remove the decayed part of the tooth to place the filling.

Are there any disadvantages?
Yes, tooth-colored fillings don’t always wear as well as metal fillings — particularly on back molars where they are subjected to the most stress from chewing. They are also more expensive and less likely to be fully reimbursed under dental insurance plans.

Are there different types of tooth-colored fillings?
Yes, three different choices of tooth-colored fillings are available:

  • Composite — This mixture of plastic and glass is the most common type of tooth-colored filling. Newer materials can hold up almost as long as amalgam fillings and look very natural, though they can stain over time just as natural teeth do.
  • Porcelain — High-tech dental ceramics are considered the most aesthetic choice of filling material. They don’t stain as composites can, but their relatively high glass content can make them more brittle and prone to breakage. They may be more expensive than composites.
  • Glass Ionomer — Made of acrylic and glass powders, these inexpensive, translucent fillings blend in acceptably well with natural teeth and have the advantage of releasing small amounts of fluoride to help prevent decay. However, they generally don’t last as long as other restorative materials.

We would be happy to offer guidance on which choice would be best in your own unique situation.

If you have any questions about tooth-colored fillings, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “The Natural Beauty of Tooth-Colored Fillings.”


By Randall J. Bartoe, DDS, PLC
June 12, 2014
Category: Dental Procedures
MatthewLewisAdultOrthodontics

If you haven't seen a recent picture of Matthew Lewis, the actor who played Neville Longbottom in all eight Harry Potter movies, you may be in for a surprise: It seems the plump, awkward teenager from Gryffindor has been magically transformed into a post-Hogwarts hunk. What kind of wizardry did it take to change his memorably snarled teeth into a leading man's sparkly smile? The kind skilled cosmetic dentists perform every day!

While special effects created some of the character's dental disarray, the actor's own teeth were far from perfect. And, as Lewis recently noted, the film studio urged him to postpone cosmetic dental work until the movies were all done. “It was something I'd always wanted to do, but it would have meant me wearing a brace for two years,” he told an interviewer with the Yorkshire Evening Post. “Warner Brothers said if I put it off until we'd finished filming they'd pay for it — and they did.”

There are plenty of people, like the twenty-something actor, who put off orthodontic treatment until after their teen years. If you're wondering whether there's still time to get orthodontic work done, then take heart — it's never too late to straighten your teeth!

Today, an estimated twenty percent of orthodontic patients are adults. Compliance with the orthodontic program (meaning thorough regular brushing and flossing, wearing elastics, etc.) is often less of an issue with adults than with teens. Plus, there are some options that can help ensure your orthodontic appliances will fit in with a more mature image.

One is colorless braces. In this system, the brackets (the parts that are bonded to the front teeth and hold the archwire) are made of a clear ceramic material that blends in with the tooth's natural color. This makes them hard to see unless you look closely. Inconspicuous yet effective, clear braces have been the first choice of many celebrities, such as Tom Cruise and Faith Hill... and lots of “regular” adults too.

Another option is lingual braces. These are truly invisible, because they attach behind the teeth (on the tongue side) instead of in front. They work just like the standard braces, and they're appropriate in many situations. However their cost is higher, and the space they occupy in the mouth may take the wearer a bit of time to get used to.

A third option is clear aligners. Unlike braces, which aren't normally removed until orthodontic treatment is nearly complete, clear aligners are easily removable. They consist of a series of transparent trays made of special plastic, which are worn over the teeth 22 hours per day. Each tray in the series is worn for a few weeks, and each moves the teeth a small amount; all together, they can accomplish a big change.

Aligners work well for correcting mild to moderate malocclusion (bite problems). Plus, you can temporarily remove them for important social occasions. But best of all, they're virtually undetectable — so whether or not you play the role of a wizard in the movies, you won't need a magic spell to make them invisible!

Which option is right for you? That's something we would be happy to discuss. If you would like more information about adult orthodontic treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Orthodontics for the Older Adult.”


By Randall J. Bartoe, DDS, PLC
June 11, 2014
Category: None
Tags: Untagged

Welcome to the Blog of Randall J. Bartoe, DDS, PLC

Whether you are an existing patient or searching for a dentist in the Dearborn, MI area, we’re excited you are here. With the dental industry advancing, we recognize the importance of keeping our patients and visitors up to date with all of the new and exciting things taking place in our practice.

As we move forward with our blog, we hope to promote dental awareness as a vital part of your healthy lifestyle. Here you will find a variety of articles and topics including dental news, advancements in dental technology and treatments, practical oral health advice and updates from our practice. 

We hope you find our blog to be helpful, engaging and informational to ensure your best dental health. 

As always, feel free to contact our Randall J. Bartoe, DDS, PLC office with any dental questions or concerns.

-- Randall J. Bartoe, DDS, PLC