Cosmetic Dentistry

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Cosmetic Dentistry Oceanside CA

Introduction

Even a subtle change in your smile helps you to project an image of self-confidence and high personal esteem. When you feel good about yourself, it shows in your appearance.

Today's advanced techniques and materials can make a real difference. The skill, experience, and commitment of our practice — using a unique combination of science and artistry — can literally redesign your smile.

The dentists at (Morelia Dental Inc.) can now correct a wide variety of so-called "permanent" dental problems:

Missing teeth, gaps between teeth, general bite dysfunction
Chipped, cracked, or worn teeth
Unsightly, stained, or washed-out fillings
Permanently stained or discolored teeth
Crooked or crowded teeth

Dental Fillings Oceanside CA

We are a mercury-free practice. However, many people still have silver/mercury fillings in their mouths from years past. These fillings are not particularly pleasing to the eye, and we know that by unavoidable design, silver/mercury fillings ultimately result in a weaker tooth structure. Porcelain inlays and tooth-colored restorations (onlays) create fillings that are not only beautiful (or unnoticeable), but also add strength to weakened teeth. These restorations are aesthetically pleasing and very strong thanks to new bonding technologies.

Disadvantages Of Silver Fillings

Silver fillings have many drawbacks. The edges of the silver filling can wear down, become weak or break. This results in the tooth not being protected and creates an environment where cavities get started once again. With age, the metal of a silver filling expands, contracts, and can split.

Silver fillings contain 50 percent mercury. They can corrode, leak, and cause stains on your teeth and gums.

Fortunately, silver fillings can safely be replaced with tooth-colored restorations.

Advantages of Tooth-Colored Restorations

There are many advantages to tooth-colored restorations. Resin onlays are bonded to the teeth creating a tight, superior fit to the natural tooth. Such restorations can be used in instances where much of the tooth structure has been lost. The tooth remains intact and stronger.

Since the resin used in tooth-colored restorations contain fluoride this can help prevent decay. The resin wears like natural teeth and does not require placement at the gum line, which is healthier for your gums!

The result is a beautiful smile!

Replacing Silver Fillings With A Tooth-Colored Restoration

You can have your silver fillings replaced with tooth-colored restorations (onlays). This process requires two appointments.

Your First Appointment

The old filling is removed and any additional decay.
An impression is made of your teeth. A model of your teeth is made and sent to the lab.
A temporary onlay is placed on the tooth.

At The Lab

A resin is carefully placed into the model of your teeth. It is then designed to look like your natural tooth.

Your Second Appointment

The temporary onlay is removed.
A conditioning gel is placed on your tooth to prepare it for the new onlay.
Bonding cement is placed on the tooth and a high intensity light bonds the resin to the tooth.
The tooth is then polished.

Your teeth are restored to a natural look and feel, they are stronger and the tooth is protected!

Sealants Oceanside CA

Highly effective in preventing decay on the biting surfaces of your chewing teeth, sealants are a simple procedure in which a tooth-colored acrylic "coating" is painted onto the surface of the tooth. This effectively "seals" the deep grooves acting as a barrier, protecting enamel from plaque and acids.

Sealants protect the depressions and grooves of your teeth from food particles and plaque that brushing and flossing can't reach.

Easy to apply, sealants take only a few minutes to seal each tooth. Sealants hold up well under the force of normal chewing and can last several years before a reapplication is needed.

Children and adults can benefit from sealants in the fight against tooth decay.

Porcelain Veneers Oceanside CA

What Are Porcelain Veneers?

Porcelain veneers are thin shells of ceramic that bond directly to the front and top surfaces of the teeth. They are an ideal choice for improving your smile and have become increasingly popular due to their simplicity and versatility. With veneers as an alternative, there is no reason to put up with gaps between your teeth, teeth that are stained, badly shaped, or crooked. A veneer placed on top of your teeth can correct these maladies, simply and quickly and help you achieve a beautiful smile!

Will They Look Like Normal Teeth?

When bonded to the teeth, the ultra-thin porcelain veneers are virtually undetectable and highly resistant to coffee, tea, or even cigarette stains. For strength and appearance, their resemblance to healthy, white tooth enamel is unsurpassed by other restorative options. Because they are thin, light can shine through them and they take on the natural color of the underlying tooth.

How Durable Are Porcelain Veneers?

With proper care, porcelain veneers will brighten your smile for well over a decade.

Dr. Oliveros will ensure that your veneers are crafted from the highest quality porcelains and are bonded with the most advanced and proven materials available.

The Procedure

This procedure will require three appointments:

Diagnosis and treatment planning
Preparation
Bonding

Diagnosis & Treatment Planning

You will want to take an active role in planning your smile design. Dr. Oliveros will review the corrective limitations of this procedure and help you plan your new smile.

Preparation

The second appointment will take one to two hours. Although the porcelain veneer is very thin, the teeth are lightly buffed to allow for the added thickness. Approximately one half of a millimeter of tooth is removed. This may require little or no local anesthesia.

Then a mold is taken of the teeth and sent to the lab for fabrication. In some cases, temporary veneer will be placed at this time. The permanent veneer should be ready in approximately one to two weeks.

Bonding

At the time of your third appointment, Dr. Oliveros will first place the veneer on your teeth with water or glycerin to check the fit and color. At this point, the color of the veneer can still be adjusted by the shade of the cement used to adhere it. Once the color is determined and the veneer is ready to be applied, the tooth is cleaned with specific chemicals to achieve a bond. A special cement is placed between the teeth and the veneer and a visible light beam is used to harden the cement. This appointment takes approximately one to two hours.

Care & Follow-Up

Brush and floss daily. Return for a follow-up visit after one to two weeks.

Maintenance Of Your New Veneers

Brush and floss as you normally would. Don't be afraid that you will damage your veneers by doing so. Non-abrasive toothpaste is recommended. A good home care regimen will insure the best aesthetic success of your veneer.

You may experience some sensitivity to hot and cold after placement of your veneer. This is due to the amount of enamel left on the tooth after preparation. Sensitivity is totally normal and should dissipate in one to two weeks. If sensitivity persists, please call the office.

If you are a known clencher (bruxer), please be sure to let us know. Dr. Oliveros may recommend a soft nightguard for you to wear to minimize stress placed upon your teeth while you sleep.

We hope that your new veneers fulfill your esthetic goal. With proper home care and scheduled visits, they are sure to provide you with a beautiful smile for years to come.

Inlays/Onlays Oeanside CA

When over half of the tooth's biting surface is damaged, a dentist will often use an inlay or onlay.

What Are Inlays & Onlays?

Inlays and onlays can be made of porcelain, gold, or composite resin. These pieces are bonded to the damaged area of the tooth. An inlay (which is similar to a filling) is used inside the cusp tips of the tooth. An onlay is a more substantial reconstruction, similar to the inlay, but extending out over one or more of the cusps of the tooth.

Traditionally, gold has been the material of choice for inlays and onlays. In recent years, however, porcelain has become increasingly popular due to its strength and color that can potentially match the natural color of your teeth.

How Are They Applied?

Inlays and onlays require two appointments to complete the procedure. During the first visit, the filling being replaced or the damaged or decaying area of the tooth is removed, and the tooth is prepared for the inlay or onlay. To ensure proper fit and bite, an impression of the tooth will be taken and sent to a lab for fabrication. Dr. Oliveros will then apply a temporary sealant on the tooth and schedule the next appointment.

At the second appointment, the temporary sealant is removed. Dr. Oliveros will then make sure that the inlay or onlay fits correctly. If the fit is satisfactory, the inlay or onlay will be bonded to the tooth with a strong resin and polished to a smooth finish.

Considerations

Traditional fillings can reduce the strength of a natural tooth by up to 50 percent. As an alternative, since inlays and onlays are bonded directly onto the tooth using special high-strength resins, they can actually increase the strength of a tooth by up to 75 percent. As a result, they can last from 10 to 30 years. In some cases where the damage to the tooth is not extensive enough to merit an entire crown, onlays can provide a very good alternative.

Dental Bonding Oceanside CA

An alternative to porcelain veneers, bonding can be used as a restorative procedure for teeth that are chipped, cracked, discolored, or misarranged,.

How Does It Work?

The tooth is prepared for the procedure by lightly etching the surface and applying a bonding liquid. Once the liquid sets, a plastic resin is applied and sculpted into the desired shape by the dentist. Once set, the resin is trimmed, smoothed, and polished to a natural appearance.

Considerations

The bonding procedure can often be completed in a single office visit, and can significantly improve the appearance of a tooth. However, since the plastic resin used is not as strong as your natural tooth enamel, it is more likely to stain, chip, or break than natural teeth. Bonding typically lasts three to five years before repair is needed.

Dental Implants Oceanside CA

Dental implants are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that their teeth appear natural and that their facial contours will be preserved. The implants themselves are tiny titanium posts that are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, implants can help preserve facial structure, preventing the bone deterioration that occurs when teeth are missing.

Dental implants are changing the way people live! With dental implants, people are rediscovering the comfort and confidence to eat, speak, laugh, and enjoy life.

If, like many others, you feel implant dentistry is the choice for you, we ask that you undergo a dental/radiographic examination and health history. During these consultation visits, your specific needs and considerations will be addressed by Dr. Oliveros or by a specialist (an oral and maxillofacial surgeon or periodontist) suggested by our practice. Your questions and concerns are important to us. Out team will work with you very closely to help make your procedure a success.

Procedure

Having a Dental Implant surgery is an important decision which needs to be taking care under the most extremely secure conditions, with every single procedure, Dr. Oliveros, takes his profession seriously, definitely patient is a the most important part of the procedure, reason why having a CT Scan before performing a surgery is a priority.

Dental implants are metal anchors that act as tooth root substitutes. They are surgically placed into the jawbone. Small posts are then attached to the implant which protrude through the gums. These posts provide stable anchors for artificial replacement teeth.

For most patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. For the first three to six months following surgery, the implants are beneath the surface of the gums gradually bonding with the jawbone. You should be able to wear temporary dentures and eat a soft diet during this time. At the same time, our office designs the final bridgework or denture, which will ultimately improve both function and aesthetics.

After the implant has bonded to the jawbone, the second phase begins. Dr. Oliveros will uncover the implants and attach a small healing collar. Then, Dr. Oliveros will be able to begin making your new teeth. An impression must be taken. Following this, posts or attachments can be connected to the implants. The teeth replacements are then made over the posts or attachments. The entire procedure usually takes six to eight months. Most patients do not experience any disruption in their daily life.

Tooth Extractions Oceanside CA

You and Dr. Oliveros may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed. Others may have advanced periodontal disease or are broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth) or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, Dr. Oliveros will discuss alternatives to extractions as well replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jawbone, and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction, please let us know right away.

Sectioning A Tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can't expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Care

Bleeding

Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 30 minutes can control this.

Blood Clots That Form In The Empty Socket

This is an important part of the healing process and you must be careful not to dislodge the clot.

Avoid rinsing or spitting for 24 hours after the extraction.
Avoid use of a straw, smoking, or drinking hot liquids.

Swelling

If swelling occurs, you can place ice on your face for ten minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

Pain & Medications

If you experience pain, you might use non-prescription pain relief medications such as acetaminophen or ibuprofen.

Eating

For most extractions, make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Brushing & Cleaning

After the extraction, avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the extraction site.

Beginning 24 hours after the extraction, you can rinse with salt water (one teaspoon salt in a cup of warm water) after meals and before bed.

Dry Socket

Dry socket is when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged and the healing is significantly delayed.

Following the postoperative extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain that usually doesn't appear until three to four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

Dr. Oliveros will apply a medicated dressing to the dry socket to soothe the pain.

Healing

After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However after 1- 2 weeks you should no longer notice any inconvenience.

Replacing Teeth With

Dental Implants
Bridges

Teeth Whitening Oceanside CA

Having a beautiful smile may be even easier than you think. Many people achieve the look they've been dreaming of with our simple "bleaching" procedure.

It's safe, quick, and inexpensive. Just let us know at any appointment if you would like to begin bleaching. You can lighten only your upper teeth or both the upper and lower, depending on how much of each shows when you talk and smile.

In only a day or two your custom bleach splints will be ready for you. We provide you with a special bleaching agent that you put into the clear, nearly invisible splints. With only a few hours of wear per day, our special bleaching agent bubbles stains right out of your enamel in a very short time without altering tooth structure or existing dental work in any way. When your teeth reach the brightness you want, only occasional treatment is needed to maintain your new smile. We'll want to take "after" photos at your next appointment.

Dental bleaching can be used to correct many tooth discolorations. These discolorations may have been caused by staining, aging, or chemical damage to teeth. Using the latest in bleaching technology, we can offer a safe method for creating a beautiful, "brilliant" smile. In cases of extreme tooth discoloration, crowns, or veneers may be the only choice. However, because of the low cost of bleaching treatments, bleaching is nearly always worth a try.

Key Benefits

Corrects brown, yellow, and mottled tooth staining
Works on people of all ages.
Is a near permanent solution for a "dull" smile, restoring brightness, and bringing a smile alive.

How Is It Done?

An impression is taken to make a specialized "mouthguard" or "stent" to hold the bleach against the teeth. The material is used each night for about three to four hours for a week or two, after which significant whitening will occur. In some cases, the change is nothing short of brilliant. For confidence in appearance, bleaching technology offers improvements in yellowing, aging, or stained teeth. For very severely stained teeth, crowns, or veneers may be more appropriate.

Considerations

Over-the-counter bleaching agents are available at drug stores and pharmacies; however, since these products can harm the gums and teeth, it's better to use products that our practice recommends.

Dental Bridges Oceanside CA

All of your teeth play an important role in speaking, chewing, and maintaining proper alignment of other teeth. Tooth loss doesn't necessarily have to occur as you age. But if you do lose teeth, they must be replaced to maintain proper function of your mouth. Fortunately, there are options for correcting tooth loss.

Options

A bridge — a device used to replace missing teeth — attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges) or they can be removable.

Fixed bridges are applied by either placing crowns on the abutment teeth or by bonding the artificial teeth directly to the abutment teeth. Removable bridges are attached to the teeth with metal clasps or by precision attachments.

If you're missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it's difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance.

What Is A Bridge/Fixed Partial Denture?

A bridge (fixed partial denture) is a device that fills the gap where teeth are absent. Fixed bridges are bonded into place and can only be removed by a dental professional. Removable bridges, as the name implies, can be taken out and cleaned. Fixed bridges offer more stability than their removable counterparts.

Why Do I Need A Bridge?

Oral functionality and appearance are important reasons for wearing a bridge. A bridge helps support your lips and cheeks. The loss of a back tooth may cause your mouth to sink and your face to look older.

Dental health is the most important reason for a bridge. Teeth were designed to complement each other. Unusual stresses are placed on the gums and other oral tissues when teeth are missing, causing a number of potentially harmful disorders.

Increased risk of gum disease has proven to be one of the worst side effects of missing teeth and can be minimized with a bridge.

Missing teeth can cause speech disorders as they are used to make many of the sounds we use to speak clearly.

How Is A Bridge Attached?

The attachment procedure usually takes two or three appointments to complete. At the first appointment, Dr. Oliveros will prepare the teeth on either side of the gap by removing a portion of the enamel and dentin.

Since the bridge must be fabricated very precisely to ensure correct bite and to match the opposing tooth, impressions of the teeth are taken and sent to the lab where the bridge will be constructed.

Fixed bridges are typically cemented to the natural teeth next to the space left by the missing tooth. A pontic (false tooth) replaces the lost tooth. Crowns, which are cemented onto the natural teeth, provide support for the bridge.

What Materials Are Used?

Bridges can be constructed from gold alloys, non-precious alloys, porcelain, or a combination of these materials. Porcelain is often bonded to either a precious or non-precious metal.

How Do I Take Care Of My Bridge?

A strict regimen of brushing and flossing will keep the bridge and surrounding teeth clean. This is of critical importance since the bridge relies on the neighboring teeth for support.

Dental Crowns Oceanside CA

Most dentistry looks like dentistry. Our goal is to provide dentistry that is undetectable. We replace existing crowns and fillings with restorations that look and feel like your natural teeth.

Where damage to a person's teeth is extreme and apparently beyond repair, we can use porcelain or porcelain "pasted-on gold" crowns to make the smile appear "as new". This is an extremely reliable technique for repairing the most severe dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. We are renowned for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long-lasting correction of major dental problems. It is usual for these treatments to last for 20 to 30 years, which is as close to permanent as dental treatment can get.

How Long Does It Take?

Fitting a crown requires at least two office visits. Initially, we will remove decay, shape the tooth, and fit it with a temporary crown of either plastic or metal.

On the subsequent visit, we will remove the temporary crown, and then fit and adjust the final crown. Finally, we will cement the crown into place and you have a new beautiful looking tooth.

Key Benefits

Replaces missing teeth
Offers support to misshapen teeth or badly broken teeth
Looks completely natural
Fixes "smile" and functional chewing problems.

What Is The Capability Of A Crown?

Crown and bridgework is a very reliable solution for major dental problems caused through accidents, diseases, or wear and tear. Major problems can usually be corrected using these techniques. Materials used in these repairs are either high-grade porcelain or porcelain bonded to gold. The higher strength of the porcelain and gold materials is recommended to treat the most serious of dental problems. Where accidental damage has occurred resulting in lost teeth, or teeth have broken away through excessive wear, or as the result of old fillings breaking, crowns and/or bridges can be used as a long-term solution.

Many people have unexplained pain from filled back teeth that is usually due to hairline cracks in the chewing part of the tooth. Placing crowns on these teeth relieves the pain and allows a return of full dental function for these teeth. In front teeth, older fillings can both weaken the teeth and cause appearance problems due to staining or chipping. Porcelain crowns and bridges are suitable in cases where porcelain veneers are not. In teeth with root canal fillings, crowns can prevent breakage.

Orthodontics Oceanside CA

Treatment Information

"We want you to smile,
Don't hide your smile."

Introduction

Common Orthodontic Corrections in Adults and Children

Orthodontics is the specialty of dentistry focused on the diagnosis and treatment of dental and associated facial irregularities. The results of orthodontic treatment can be dramatic — beautiful smiles, improved dental health and an enhanced quality of life for many people of all ages. Orthodontic problems, which can result from genetic and environmental factors, must be diagnosed before treatment begins. Proper diagnosis involves taking photographs, x-rays, and dental impressions, which enable our practice to make informative decisions about the form of treatment necessary.

Treatment typically lasts from 6 to 30 months, depending on age and the severity of the orthodontic problem. Outstanding results are also dependent on maximizing the coordination of care between you and our practice. We are committed to delivering the best possible service in order for you to achieve your orthodontic objectives.

Treatment Timing

Dr. Cabrera provides orthodontic treatment for adults, adolescents and children. We follow the guidelines established by the American Association of Orthodontists by recommending that an orthodontic evaluation take place at age 7 for all children. This early evaluation can help to determine the best time to begin any necessary treatment.

Many progressive treatments are now available for patients 7 to 11 years of age, that provide significant benefits, especially when jaw irregularities are present. These treatments may also prevent certain conditions from worsening. Treating children with these types of problems during their growth stages allows our practice to achieve results that may not be possible when face and jaw bones have fully developed. This early treatment can simplify or eliminate additional treatment for the child.

Crossbite Treatment Oceanside CA

Crossbite can occur in the front and/or the sides of the mouth. One or more upper teeth bite on the inside of the lower teeth. This can occur with a single tooth or multiple teeth. Early correction of crossbite is recommended.

Crossbite should be corrected because it can:

cause premature wear of the teeth
cause gum disease including bone loss
cause asymmetrical development of the jaws
cause dysfunctional chewing patterns
make your smile less attractive

How can a crossbite be orthodontically corrected?

If there is a single tooth crossbite, the tooth can be moved with braces into the correct position. In some cases, a retainer can be utilized. With multiple teeth in crossbite, the arch needs to be expanded with braces or other intra-oral appliances.

Openbite Treatment Oceanside CA

Openbite is an insufficient vertical overlap of the teeth. It is caused by oral habits such as tongue thrust, digit sucking or when the jaws don't grow evenly. Timing of treatment is critical to the overall success of the therapy.

How can an openbite be orthodontically corrected?

Openbite can be corrected through growth modification of the jaws using braces, extrusion of the front and anterior teeth and in some cases surgical correction of the jaws. Also breaking oral habits, such as digit sucking, will facilitate the correction of an openbite.

Overbite Treatment Oceanside CA

Class II Overbite

Overbite occurs when the upper front teeth protrude over the lower front teeth. Generally there is no contact between the upper and lower front teeth. Often you cannot see the lower incisors. Overbite is due to a disproportionate amount of eruption of front teeth or over development of the bone that supports the teeth and a front to back discrepancy in the growth of the upper or lower jaw (Class II Relationship). Overbite is also known as a deep bite. Overbite should be corrected because it can:

cause improper functioning of your front teeth
result in the lower front teeth biting into the gum tissue of the upper palate leading to tissue problems.
unusual wear of the lower front teeth
cause jaw or joint problems
make your smile less attractive

How can an overbite be orthodontically corrected?

Overbite can be corrected through moving the front teeth up and/or bringing the back teeth together, which will "open" the bite so the teeth are properly aligned and the deep bite is eliminated.

Overjet Treatment Oceanside CA

Class II Overjet

Overjet is also known as protrusion. In this case, the lower teeth are too far behind the upper front teeth. This can be caused by an improper alignment of the molars (Class II Relationship), a skeletal imbalance of the upper and lower jaw; flared upper incisors, missing lower teeth or a combination of all the above. In addition, oral habits such as thumb sucking, finger sucking or tongue thrusting can exacerbate the condition.

Overjet should be corrected because it can:

prevent proper functioning of the front teeth
lead to premature wear
make your smile less attractive

How can overjet be orthodontically corrected?

Overjet can be corrected through growth modification using a functional appliance and/or elastics to reduce the skeletal imbalance or extraction of teeth.

Underbite Treatment Oceanside CA

Class III Underbite

The lower teeth protrude past the front teeth. An underbite is usually caused by undergrowth of the upper jaw, overgrowth of the lower jaw, or a combination of the two (Class III Relationship). Underbite can also be caused by flared upper incisors, missing lower teeth or a combination of all the above. Early correction of underbite is recommended.

Underbite should be corrected because it can:

prevent proper functioning of the front teeth or molars which can lead to premature wear of the teeth
cause chewing or eating problems
cause jaw or joint problems
make your smile less attractive

How can an underbite be orthodontically corrected?

Underbite can be corrected through growth modification of the jaws, extraction of teeth and in some cases, surgical correction of the jaws.

Impacted Teeth Oceanside CA

Impactions can be caused by improper positioning of the developing tooth bud. This can cause the tooth to fail to erupt into the mouth. Impactions can also be caused by early loss of primary teeth or crowding of teeth. Wisdom teeth are the most commonly impacted teeth. Canines and premolars can also be impacted.

This problem should be corrected because it can:

cause damage to the root structure of adjacent teeth

interfere with the sinus cavity
leave unwanted spaces
lead to improper functioning of the teeth
cause premature wear of the teeth
case asymmetric alignment of the teeth

How can impacted teeth be orthodontically corrected?

Usually the impacted tooth is exposed over the course of a few months and brought into the correct position of the mouth. Correction of impacted teeth may involve a minor surgical procedure performed by an oral surgeon working closely with our practice. This will allow us to then guide eruption of the impacted tooth into proper position.

Missing teeth

Missing teeth is the absence of a tooth or teeth that should normally be present. This can be caused by trauma or lack of development.

This problem should be corrected because it can:

cause improper functioning of teeth
cause premature wear of teeth
cause asymmetric alignment of the teeth
make your smile less attractive

How can missing teeth be orthodontically corrected?

Depending upon the situation, the space can be closed with braces or opened for tooth replacement. A bridge or dental implant are restorative options if a space is created.

Crowding of the Teeth

Crowding is the lack of space for all the teeth to fit normally within the jaws. The teeth may be twisted or displaced. Crowding occurs when there is disharmony in the tooth to jaw size relationship or when the teeth are larger than the available space. Crowding can be caused by improper eruption of teeth and early or late loss of primary teeth.

Crowding should be corrected because it can:

prevent proper cleaning of all the surfaces of your teeth
cause dental decay
increase the chances of gum disease
prevent proper functioning of teeth
make your smile less attractive

How can crowding be orthodontically corrected?

Extra space can be created by expansion of the arches or extraction of teeth. Once space is created, braces will eliminate crowding and align the teeth. Correction of crowding can help prevent dental decay and periodontal disease by improving the ability to remove plaque from the teeth.

Spacing of the Teeth

Spacing (the opposite of crowding), is an excess of space for your teeth which results in gaps between your teeth. This generally occurs when the teeth are smaller than the available space. Spacing can also be caused by protrusive teeth, missing teeth, impacted teeth or abnormal tissue attachments to the gums.

Spacing should be corrected because it can:

result in gum problems due to the lack of protection by the teeth
prevent proper functioning of the teeth
make your smile less attractive

How can spacing of the teeth be orthodontically corrected?

The spaces can be closed by moving the teeth together and properly aligning them within the arch.

Classification of Face and Teeth

Classification of Teeth

The classification of bites are broken up into three main categories: Class I, II, and III.

Class 1: Class I is a normal relationship between the upper teeth, lower teeth and jaws or balanced bite.

Class II: Class II is where the lower first molar is posterior (or more towards the back of the mouth) than the upper first molar. In this abnormal relationship, the upper front teeth and jaw project further forward than the lower teeth and jaw. There is a convex appearance in profile with a receding chin and lower lip. Class II problems can be due to insufficient growth of the lower jaw, an over growth of the upper jaw or a combination of the two. In many cases, Class II problems are genetically inherited and can be aggravated by environmental factors such as finger sucking. Class II problems are treated via growth redirection to bring the upper teeth, lower teeth and jaws into harmony.

Class III: Class III is where the lower first molar is anterior (or more towards the front of the mouth) than the upper first molar. In this abnormal relationship, the lower teeth and jaw project further forward than the upper teeth and jaws. There is a concave appearance in profile with a prominent chin. Class III problems are usually due to an overgrowth in the lower jaw, undergrowth of the upper jaw or a combination of the two. Like Class II problems, they can be genetically inherited.

Classification of Face

It is not sufficient to categorize orthodontic malocclusions on the basis of a classification of the teeth alone. The relationship with other craniofacial structures must also be taken into consideration.

Class 1: Maxillary-Mandibular Dental Protrusion — teeth: This is an example of a dental malocclusion that may require the removal of teeth for correction.
Maxillary-Mandibular Dental Retrusion — teeth: This is an example of a dental malocclusion that may be treated with expansion rather than removing teeth.

Class 2: Maxillary Dental Protrusion — teeth: This malocclusion may require the removal of teeth.
Mandibular Retrognathism — jaws: The lower jawbone has not grown as much as the upper jaw. This example of a Class II malocclusion demonstrates the need for early growth guidance.

Maxillary Dental Protrusion — teeth
Mandibular Retrognathism — jaws
These Class malocclusions are more difficult to treat due to the skeletal disharmony and may require orthognathic surgery in conjunction with orthodontic treatment.

Class 3: Mandibular Dental Protrusion — teeth: The lower teeth are too far in front of the upper teeth. This malocclusion is treated with orthodontic procedures which may require the extraction of teeth due to the dental protrusion.

Mandibular Prognathism — jaws: The lower jaw bone has outgrown the upper jaw. This malocclusion is more difficult to treat due to the skeletal disharmony and may require orthognathic surgery in conjunction with orthodontic treatment.

Braces Oceanside CA

How do braces straighten crooked teeth?

"Make Your Smile
BRIGHT and COLORFULL!"

Braces use constant, gentle pressure, which over time, move teeth into their proper positions. Your braces are at work every moment of your orthodontic treatment. The two main components of your braces are: the brackets that are placed on your teeth and the main archwire that connects them. The bracket is a piece of shaped metal or ceramic that we affix to each tooth. The archwire is bent to reflect your "ideal" bite. In other words, it reflects the way we want you to look after treatment.

The wire threads through the brackets and, as the wire tries to return to its original shape, it applies pressure to move your teeth. Picture your tooth resting in your jaw bone. With pressure on one side from the archwire, the bone on the other side gives way. The tooth moves. New bone grows in behind.

Attached to your braces, elastics (rubber bands) exert the proper force that creates the right amount of pressure to move teeth. In order for this force to remain constant, elastics must be worn all the time and changed every day.

Different Types of Braces

Metal braces are the most popular with kids and teenagers. They love using different colors of ligature ties. These braces are much smaller than ever before.

Gold braces are the newest addition to our line of brackets. They are stainless steel braces coated with 24 karat gold. They have the strength of metal, but blend in with the color of the teeth much better. That is because most teeth have a natural yellow tint. Quite often, we will put ceramic braces on the top teeth and gold braces on the bottom.

Translucent clear ceramic braces are the most popular with adults. You have to be very close to someone to be able to see them. Yet, because they are a ceramic material, they are more fragile.

Headgear

Orthodontic headgear is a very important part of the treatment for some patients. Headgear creates forces that guide the growth of the face and jaws. It also is used to move teeth into better positions or to prevent teeth from moving.

Maintaining constant use of your headgear will achieve the best results. If instructions on usage are not followed, treatment will take longer and our treatment plan may have to change.

Always be careful when removing your headgear. If the headgear is removed carelessly, the part that fits in your mouth and attaches to your teeth could injure your lips, cheeks, face and possibly your eyes.
Never remove the headgear until the straps have been disconnected.
Never lift the headgear over your face.
Never wear the headgear when running or playing sports.

Take your headgear with you to every appointment. If it becomes soiled, Dr. Cabrera will tell you how it should be cleaned.

Your teeth may be tender for the first few days of wearing your headgear. This tenderness will disappear as you adjust to the new pressures.

Let Dr. Cabrera know if you continue to be uncomfortable for more than a few days. Wearing headgear is necessary for your treatment. Follow the instructions exactly, and you will complete your treatment without any changes in your treatment plan.

Removable Appliances

Removable appliances, unlike conventional braces, are used to retain teeth in their corrected positions and in some cases, to influence growth of the jaws in order to effect changes in facial structure. In addition, they are often used before and in conjunction with fixed appliances.

Removable appliances are not utilized to treat all orthodontic problems. It takes skill, and experience to recognize conditions that will respond favorably to removable appliances. Timing of such therapy also is very important.

Although removable appliances can easily be taken out by the patient, there may be a tendency not to wear them as we have prescribed. This means your teeth, jaws and muscles may move back toward their original positions.

Removable appliances require care. Although you may notice an effect on eating and speaking along with an increase in the flow of saliva, you will eventually adjust to the appliance.

Orthodontic Retainers Oceanside CA

Once the active period is completed, your braces are removed. The next step is called retention. Retainers are utilized to hold your teeth in their new positions until your bone, gums, and muscles adapt to the new teeth positions. You must wear your retainer as instructed, otherwise your teeth may move toward their original positions and the benefit of wearing your braces will be lost.

Dr. Cabrera will determine how long you need to wear your retainer. Time varies with each patient. Some people may need retainers for an extended period of time in order to eliminate shifting of the teeth. In some cases, permanent retention may be necessary.
The retention period is an important part of your overall treatment and should not be neglected!

Remember, wear them in your mouth, not in your pocket. Retainers work when you follow our instructions.

Clean your retainers! After meals, clean all parts of the retainer with a brush.

Handle your retainers with care. Retainers are easy to lose. If you take your retainers out, always place them in your retainer case for safety. Click here for more information on caring for your retainers.

Frequently Asked Questions

Questions from the patient

How do I know if my child is in need of orthodontic treatment?

It is usually difficult for you to determine if treatment is necessary because there are many problems that can occur even though the front teeth look straight. Also, there are some problems that look intimidating and complex which will resolve on their own. Asking your general dentist is good reference, but we are your best resource since orthodontics is all we do. Our initial exam is complimentary and we would be more than happy to see your child and make any recommendations necessary.

What are the early symptoms of orthodontic problems?

Although determining if treatment is necessary is difficult for you to assess, the following symptoms may help in prompting you to seek our orthodontic advice.

Ask your child to open their mouth, and let you look at their teeth. If you see any signs of crooked teeth, gaps between your child's teeth or overlapping teeth, your child may need orthodontic treatment.

Ask your child to bite all the way down, but keeping their lips open so you can see their teeth. Do the front top teeth line up with the bottom? Do the top teeth protrude out away from the bottom teeth? Do the top front teeth cover more than 50% of the bottom teeth? Are the top teeth behind the bottom teeth? All these are indicators for potential orthodontic treatment.

Look at the alignment of your child's jaw. Does the jaw shift off center when your child bites down? If you see any misalignment or shifting of the jaw, your child may have a skeletal problem, which requires early orthodontic intervention.

These are only some of the obvious symptoms of orthodontic problems.

What age should my child be seen by an orthodontist?

The American Association of Orthodontists recommends that your child be evaluated by age 7. Early detection of some orthodontic problems is important in order to take early corrective action and avoid more difficult treatment later.

Can you be too old for braces?

No, age is not a factor, only the health of your gums and bone which support your teeth. About 25% of our orthodontic patients are adults and that number is still growing!

Will it hurt?

Orthodontic treatment has improved dramatically. As a rule, braces make your teeth sore for a few days, but it is not painful. This annoyance can be relieved with an over-the-counter pain reliever. Today's braces are smaller, more comfortable and use technology that reduces the discomfort. We use the latest in miniature braces and the highest quality of orthodontic materials in order to reduce discomfort and treatment time.

Can I still have braces if I have missing teeth ?

Yes. When teeth are missing, adjacent teeth will drift into the empty space. This will cause a functional, esthetic or periodontal problem. Orthodontic treatment will correct and prevent these problems and will also provide proper alignment for your dentist to replace the missing teeth.

Questions about the treatment

What is Phase I (Interceptive Treatment) and Phase II treatment?

Phase I or Interceptive Treatment usually starts while the child has most of their baby teeth and a few of their permanent front incisors. This stage in development is usually about the age of 7. The goal of Phase I treatment is to intercept a moderate or severe orthodontic problem early in order to reduce or eliminate it. These problems include skeletal dysplasia, crossbites and crowding. Phase I treatment takes advantage of the early growth spurt and turns a difficult orthodontic problem into a more manageable one. This helps reduce the need for extractions or surgery and delivers better long term results and treatment options. Most Phase I patients require a Phase II treatment in order to achieve an ideal bite.

Phase II treatment usually occurs a number of years later. Usually we are waiting for 12-16 more permanent teeth to erupt before Phase II begins. This most commonly occurs at the age of 12 or 13. The goal of Phase II treatment is to achieve an ideal occlusion with all of the permanent teeth.

What is Full or Comprehensive Orthodontic Treatment?

This is another name for orthodontic treatment in the permanent dentition at any age. It is more commonly used when a Phase I treatment was not performed.

Does everyone need a Phase I treatment?

Absolutely not! Only certain bites require early intervention. All others can wait until most if not all their permanent teeth erupt.

Can I wait on Phase I/Interceptive Orthodontic Treatment until my child is older?

This is not recommended. If your child needs Phase I treatment this usually means that he has a difficult problem that requires attention now. If no orthodontic action is taken, treatment options become limited, more difficult, and the long-term stability may be compromised. In addition, it may lead to extractions, oral surgery and increased costs.

What is the length or duration of orthodontic treatment?

Braces may be on between 6 months to 30 months, or longer depending on the age of the patient, the severity of the problem, the patient's cooperation, and the degree of movement possible.

What are extraction and non-extraction therapy, and what are the advantages and disadvantages of each?

Extraction therapy is a technique where some teeth are removed to make room for the other teeth in your child's mouth. This is in contrast to non-extraction therapy where one expands a patients' jaw and shave down some teeth to make everything fit.