Craig S. Karriker, DMD, P.A.- 400 South Granard Street, Gaffney, SC 29341, (864) 487-0710

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By Craig S. Karriker, DMD, PA
September 28, 2020
Category: Dental Procedures
ImproveYourSmileWithTheseDentalEnhancements

In case you missed it, September is Self-Improvement Month. Don't fret if you weren't aware—we're not sure how the ninth month acquired this celebration of positive human development either. But as long as we're celebrating, do something good for yourself—like improving your smile.

If this doesn't seem like a lofty enough self-improvement goal, remember this: There's much more to a smile than its looks. Smiles “speak” a social language, allowing us to wordlessly communicate acceptance, happiness, or even sympathy. A smile is a valuable part of beginning and maintaining relationships, be they familial, social or professional.

So why not go all out and enhance your smile during Self-Improvement Month? To that end, here are a few options:

Teeth whitening. Maybe your teeth are a little yellowed. If you have mild to moderate enamel staining, consider undergoing a professional whitening procedure. We use a safe but effective solution to give you just the level of brightness you want. And with proper maintenance and occasional touch-ups, you can have a brighter smile for years.

Bonding, veneers or crowns. If your teeth have chips, heavy discolorations or other mild to moderate defects, we can offer a variety of solutions. We can bond special dental materials to repair slight defects that make a tooth look good as new. For moderate flaws, heavy staining or slight gaps, we can bond a custom-made veneer to the front of teeth to hide these imperfections. We can also cap teeth with natural-looking crowns to cover larger disfigurements.

Orthodontics. Misaligned teeth can detract from an otherwise attractive smile. Orthodontics can help—and as long as you're in good oral and general health, you can undergo bite correction at any age. Braces aren't your only option: Removable clear aligners are nearly invisible to others, and because they're removable, they make it easier to keep your teeth clean.

Dental implants. Missing teeth can definitely dim a smile. And while there are a number of restoration options, dental implants are one of the top choices. Implants not only look and feel lifelike, they're exceedingly durable. Although they may be more expensive up-front, they have been shown to last longer and tend to require less maintenance than other restorations. Dental implants are a worthwhile investment in a long-term smile.

Cosmetic enhancements like teeth whitening or bonding may require only one or two visits, while other options like orthodontics or implants can take much longer. But you can still get the ball rolling now. Make an appointment this month for a full dental exam and consultation to start your journey toward improving your smile.

If you would like more information about enhancing your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Cosmetic Dentistry: A Time for Change.”

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By Craig S. Karriker, DMD, PA
February 06, 2020
Category: Dental Procedures
RemovingOneorMoreTeethCouldImproveOrthodonticOutcomes

Moving teeth through orthodontics may involve more than simply wearing braces. There are many bite conditions that require extra measures before, during or after traditional orthodontic treatment to improve the outcome.

One such measure is extracting one or more teeth. Whether or not we should will depend on the causes behind a patient's poor dental bite.

Here, then, are 4 situations where tooth extraction before orthodontics might be necessary.

Crowding. This happens when the jaw isn't large enough to accommodate all the teeth coming in. As a result, later erupting teeth could erupt out of position. We can often prevent this in younger children with space maintainers or a palatal expander, a device which helps widen the jaw. Where crowding has already occurred, though, it may be necessary to remove selected teeth first to open up jaw space for desired tooth movement.

Impacted teeth. Sometimes an incoming tooth becomes blocked and remains partially or fully submerged beneath the gums. Special orthodontic hardware can often be used to pull an impacted tooth down where it should be, but not always. It may be better to remove the impacted tooth completely, as well as its matching tooth on the other side of the jaw to maintain smile balance before orthodontically correcting the bite.

Front teeth protrusion. This bite problem involves front teeth that stick out at a more horizontal angle. Orthodontics can return the teeth to their proper alignment, but other teeth may be blocking that movement. To open up space for movement, it may be necessary to remove one or more of these obstructing teeth.

Congenitally missing teeth. The absence of permanent teeth that failed to develop can disrupt dental appearance and function, especially if they're near the front of the mouth. They're often replaced with a dental implant or other type of restoration. If only one tooth is missing, though, another option would be to remove the similar tooth on the other side of the jaw, and then close any resulting gaps with braces.

Extracting teeth in these and other situations can help improve the chances of a successful orthodontic outcome. The key is to accurately assess the bite condition and plan accordingly.

If you would like more information on orthodontic options, 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 “Removing Teeth for Orthodontic Treatment.”

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By Craig S. Karriker, DMD, PA
February 11, 2019
Category: Dental Procedures
YoumayNeedOrthodonticTreatmentBeforeObtainingImplants

You have a lot of options for replacing missing teeth, from state-of-the-art dental implants to affordable, but effective partial dentures. But if the teeth in question have been missing for a while, you may first have to undergo orthodontic treatment. Here's why.

While they may feel rigid and firm in the jawbone, teeth are actually held in place by periodontal (gum) ligaments. These elastic tissues lie between the teeth and the bone and attach to both with tiny filaments. This mechanism allows the teeth to incrementally move over time in response to biting pressures or other environmental factors.

When a tooth goes missing the teeth on either side of the space naturally move or "drift" into it to help close the gap. This natural occurrence can reduce the space for a restoration if it has gone on for some time. To make room for a new prosthetic (false) tooth, we may have to move the drifted teeth back to where they belong.

If you're thinking metal braces, that is an option—but not the only one. Clear aligners are another way to move teeth if the bite problem (malocclusion) isn't too severe. Aligners are a series of custom-made, clear, plastic trays worn over the teeth. The patient wears each tray, slightly smaller than the previous one in the series, for about two weeks before changing to the next one. The reduction in size gradually moves teeth to their intended target position.

Many adults prefer clear aligners because they're nearly invisible and don't stand out like metal braces. They're removable, so you can take them out for cleaning or for special occasions. And, we can also attach a prosthetic tooth to the tray that temporarily covers the missing tooth space.

Whichever orthodontic treatment you choose, once completed we can then proceed with restoration to permanently replace your missing teeth. While it can be a long process, the end result is a beautiful smile that could last for years to come.

If you would like more information on your dental restoration options, 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 “Straightening a Smile before Replacing Lost Teeth.”

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By Craig S. Karriker, DMD, PA
November 16, 2017
Category: Oral Health
EffectiveOralHygieneisKeytoDiseasePreventionWhileWearingBraces

While braces are a tried and true method for achieving a more attractive smile, they may also give rise to problems with dental disease. This is because their hardware — the brackets and bands that serve as tracks for the tensioning wires — make it more difficult to access the tooth and gum surfaces to clean away plaque. This thin film of food remnant may then become a haven for bacteria that cause gum disease or tooth decay.

One of the more common conditions to occur while wearing braces is gingivitis. This is an initial inflammation of the gum tissues caused by bacterial plaque that hasn’t been removed by brushing or flossing. As the inflammation grows unchecked, the infection could advance deeper into the tissues to become a more serious form of gum disease that threatens the survival of affected teeth.

Difficult as it may be for those wearing braces, the best way to avoid gingivitis is through more thorough oral hygiene practices. Fortunately, there are many hygiene products that can help you get around many of the access difficulties posed by braces. Smaller toothbrushes known as interproximal brushes and floss threaders, small aids that thread dental floss under braces wires, can access the spaces between teeth more readily than conventional brushes or floss. Water flossers (which use water under pressure to remove plaque between teeth) and motorized toothbrushes can further increase efficiency. We can also reduce bacterial growth in the mouth if need be with prescription-strength antibacterial mouthrinses.

If, however, gingivitis or gum overgrowth (another common occurrence during orthodontic treatment) continues to be a problem, we may need to take other actions including surgery. In extreme cases, the braces may need to be removed to adequately treat the gums and allow them time to heal before proceeding with orthodontics.

Extra care with daily hygiene and regular dental checkups and cleanings in addition to your orthodontic visits will help keep gum problems at bay while you’re wearing braces. Taking this extra care will stop or minimize the effect of disease as you continue on to the ultimate goal of your orthodontic treatment — a more beautiful smile.

If you would like more information on dental care during orthodontic treatment, please contact us or schedule an appointment for a consultation.

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By Craig S. Karriker, DMD, PA
July 25, 2017
Category: Dental Procedures
WatchforTheseDevelopingBiteProblemswithYourChildsTeeth

You may not always be able to tell if your child's bite isn't developing properly.  That's why you should have them undergo an orthodontic evaluation around age 6 to uncover any emerging problems with tooth misalignment.

Still, there are some visible signs all's not well with their bite. As the primary (baby) teeth give way, the permanent teeth erupt sequentially around ages 6 to 8. As they come in, you should notice that each tooth fits uniformly next to each other without excessive gaps or, on the other end of the spectrum, not crowded together in crooked fashion. Upper teeth should also fit slightly over the lower teeth when the jaws are shut.

If their teeth appearance deviates from these norms, they may have a bite problem. Here are 4 abnormalities you should watch for.

Underbite or deep bite. As we mentioned, the front teeth should cover the lower teeth with the jaws shut. In an underbite, the reverse happens — the lower teeth are in front of the upper teeth. It's also a problem if the upper teeth cover the lower teeth too much (often referred to as “deeply”).

Open bite. This occurs when there's a gap between the upper and lower front teeth while the jaws are shut together. One possible cause is late thumb sucking, which can put undue pressure on the front teeth and cause them to develop too far forward while forcing the bottom front teeth further backwards.

Crossbites. This kind of bite occurs when some of the teeth don't fit properly over their counterparts, while others do. Crossbites can occur anywhere in the mouth, for example the upper front teeth fitting behind the lower front teeth while the back teeth overlap normally, or the reverse (front normal, back abnormal).

Misalignments and Abnormal Eruptions. Sometimes upper teeth may align too far forward, a situation known as protrusion. Conversely, lower teeth (or the jaw itself) may come in too far back (retrusion). Because a primary tooth might be out of position or not lost in the proper sequence, a permanent tooth might noticeably erupt out of its proper position.

If you notice any of these situations with your child's teeth see your dentist or orthodontist soon for a full examination. If caught early, we may be able to take action that will lessen or even eliminate the problem.

If you would like more information on treating bite problems, please contact us or schedule an appointment for a consultation.

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