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10/15/2018 12:28:00 PM

Dr. Do's article of "The effects of Mandibular Position on Airway and TMD" has been published under the monthly tips. If you wish to discuss how we can correct narrow airways or obstructive sleep apnea (OSA) with orthodontics, do not hesitate to give us a call.







10/9/2018 8:00:00 AM

The International Association for Orthodontics has chosen Dr.Do's article :The Effects of Mandibular Position on Airway and TMD" as their October monthly tip. This case report highlights the relationship between temporomandibular joint disorder and how it negatively affects the airway opening. TMD has been shown to also have a link with obstructive sleep apnea, which incidentally is also related to a narrow airway. Unfortunately, many clinicians treat OSA with palliative treatment such as a CPAP, and ignore curing the true origin of OSA which is the narrow airway and TMD.



9/18/2018 11:16:00 AM

It's hard to imagine that something simple such as straightening teeth can affect the entire body. This 45 year old patient has had two upper premolar teeth removed in preparation for braces in her teens. The removal of the teeth created space and then the orthodontist pulled back her upper teeth to bite with her lower teeth. This "trapped" the jaw into a retruded position and decreased her airway. The decreased airway has led to obstructive sleep apnea and TMD symptoms which have gotten progressively worse. The proper treatment should have been not to extract any teeth and instead allow the jaw to come forward to meet the upper teeth. Braces would then be applied to make sure the bite is correct once the jaw is comfortable at this position.





9/8/2018 9:26:00 AM

An under bite is difficult to treat with braces or even surgery. However, Dr. Do can correct this problem without the need for invasive treatment. This is usually viewed as a cosmetic problem, and most cosmetic dentists are not trained for this protocol. Dentists that can use braces are usually trained to remove teeth from the lower jaw to fix this problem, but that can lead to another set of complications with your TMJ. We are fortunate at Manoa Dental that Dr. Do is trained in all three disciplines of orthodontic, TMJ, and cosmetic dentistry at one location.



8/28/2018 8:54:00 AM

The common misconception is that braces are only for kids. The reality couldn't be farther from the truth. Braces can solve many bite and cosmetic problems that numerous adults have developed as they got older. Sometimes a second treatment of braces are needed to correct problems, such as TMJ disorder or a bad bite, from the initial treatment. Invisalign is a frequently requested treatment and can fix many of these problems as well. Dr. Do has trained extensively to diagnose and treat many of the disorders.



8/3/2018 2:56:00 PM

Invisalign treatment is a great cosmetic procedure that can correct many types of problems such as crowding of teeth. The procedure also requires some enamel removal on the sides of teeth called inter-proximal reduction (IPR) to gain space in order to alleviate crowding. It's critical when the dentist that performs this procedure is able to maintain the shape of the teeth to achieve a great result. In this case, the dentist performed IPR for Invisalign but removed too much tooth structure during the treatment. The conclusion of the case resulted in straight teeth, but with abnormal shapes, especially between the two front incisors which created a gap. This gap can be corrected with cosmetic dentistry such as bonding or veneers. 


 



7/17/2018 3:21:00 PM

Orthodontics used to be known for their metal braces that anyone could see when you smiled. Technology and materials have improved to the point where we can say goodbye to the metal and welcome to tooth-colored braces. They are made of ceramic which is similar to tooth-colored crowns. Ceramic braces can be used in nearly all the same cases as metal braces and are much less likely to draw any attention.




7/13/2018 12:33:00 PM

Do you have hard bumps on the tongue side of your teeth? They may be behind the teeth on your lower jaw, or in the center of the roof of your mouth. These are called Tori are are a sign of trauma due to a bad bite. Tori are made of bone and are enlarged growths that help to brace the teeth during traumatic forces. These forces are usually grinding or clenching due to the lower and upper jaws not properly aligned and in harmony with facial muscles.






7/5/2018 7:42:00 AM

We hope everyone had a wonderful Fourth of July holiday! Holidays and moments in your life when your meet someone for the first time or the one-hundredth time can leave a lasting impact on your life and their memory of you. That's why it's always great to show your best smile. A terrific smile will leave an enduring impression on whoever it may be, whenever it may be. Cosmetic dentistry can create that photogenic smile that you always wanted. It's painless compared to plastic surgery and improves your health as well!



6/27/2018 4:19:00 PM

The procedure to place an implant is really not that difficult. It is actually taught at weekend courses throughout the country. The most critical part of an implant procedure is not the day of the surgery, but the diagnosis and planning that occurs before the patient is even given the appointment for surgery. Factors such as how the teeth bite together, what is the quality of the bone, is the patient a grinder, and many others determine the longevity of an implant. The surgery to place the implant has a >95% success rate. Although as soon as the crown is placed on the implant, the long-term success rate drops because the tooth is actually in use for eating. This x-ray is an example of poor treatment planning by not evaluating how the bite together. Over prolonged use the existing bad bite prior to surgery has created micro-movements of the left implant, which has caused bone resorption. Eventually it will lose more bone until it becomes loose and infected. Once that implant is lost, the same problem will start to affect the remaining implants.





6/22/2018 9:34:00 AM

When patients think of cosmetic dentistry, you may first think of veneers, bonding, or whitening among other procedures. For the unfortunate patients that need full mouth rehabilitation, dentures may be their only solution. However, dentures in combination with implants have proven to be a successful formula that would not make you miss your original teeth in the end. Implants provide reliable support for a denture that will enormously improve the lives of many traditional denture patients. It can restore your chewing strength to nearly pre-denture levels and is an incredible improvement over historical denture treatment.



6/20/2018 2:46:00 PM

Implants have become the highest standard of care to replace a missing tooth. Although, if you still have a tooth with a poor prognosis, it is also advantageous to consider removing it and placing an implant. The long-term success of implants have reached the point where it is a more reliable and safe procedure than trying to nurse a failing tooth. Especially if the tooth in question deteriorates, it may reduce the available bone for the future implant. At this point, you endanger the future implant procedure by not having enough bone, and may need a bone graft. This second procedure adds delay and finances to your treatment plan when it would have been prudent to consider removing the offending tooth to begin with.



6/18/2018 4:03:00 PM

A new treatment called Invisalign has become increasingly popular as an alternative to traditional braces. It uses clear trays that are changed every two weeks to move teeth. It's not a replacement for braces in certain cases, but can be useful for many patients. It's also great in combination with many cosmetic dentistry procedures.



6/13/2018 10:45:00 AM

Teeth whitening is a well known procedure of cosmetic dentistry that most people can enjoy comfortably. It has increased in popularity over the last 20 years and is safe as well as reliable. In-office whitening is great to jump start the process in conjunction with a home kit to bring out the sparkle in your smile. A home kit is perfect for occasional touch-ups throughout the year as well. However, a thorough exam is necessary before treatment to ensure that there are not any oral health concerns prior to whitening.



6/12/2018 3:31:00 PM

Did you know that there are studies to prove that women tend to have teeth shaped differently from men? Female teeth usually have more rounded edges and are not as wide. Male teeth are more wide and broader with noticeable defined angles. We often have patients that ask if we can fix their smile to fit these descriptions. It can be done easily with cosmetic dentistry. Sometimes it may only involve reshaping teeth without anesthesia. Other times it can require bonding, veneers, or other options. 



6/11/2018 3:43:00 PM

In a beautiful painting, it's not a single color of paint that matters. It is the combination of all the colors in harmony with each other that makes a painting described as art. The same philosophy applies to cosmetic dentistry. It may not always be just the chipped, or oddly shaped, or dark tooth that needs to be fixed. There are cases when the best results can only be achieved when treating the adjacent teeth as well to create the most natural appearance.







6/9/2018 11:12:00 AM

Although a routine checkup may not be seem important, it provides the best predictor when something might be starting to become a problem. A cavity usually takes at least three weeks before it will be evident on an x-ray. Once it does, it commonly indicates that the cavity is larger in your mouth, since an x-ray is only a 2-dimensional picture of a 3-dimensional cavity. Routine  appointments every six months reduces the chances that a simple cavity normally fixed with a filling, would turn into a root canal and crown problem.



6/4/2018 7:34:00 AM

Cosmetic bonding is available for correcting teeth that don't quite have the shape to fit a nice smile. In this example, a patient has misshaped peg-lateral incisors that initially developed this way. A no-anesthesia, bonding procedure was able to correct her appearance in one visit. Bonding is a safe, non-invasive way to correct many problems since it doesn't remove any tooth structure.




6/1/2018 9:41:00 AM

Not all cosmetic dentistry requires a full mouth reconstruction to achieve a great result. Sometimes a simple problem can be corrected with a simple procedure. This patient was unhappy with a space between his teeth and the previous bonding had recently fractured. This procedure was completed in one appointment and without anesthesia.





5/30/2018 11:08:00 AM

The American Academy of Cosmetic Dentistry (AACD) is the most prestigious organization that focuses on the art and science of comprehensive cosmetic dentistry. The accreditation process is extremely detailed and rigorous to ensure that this honor is only awarded to the most deserving. Cosmetic dentistry is the discipline that involves procedures such as veneers, bonding, porcelain crowns, and aesthetic gum shaping. Most details are measured down to less than 1/10 of a millimeter to ensure a perfect smile.



5/21/2018 3:23:00 PM

Cosmetic dentistry is a wonderful field of dentistry that makes everyone smile when treatment is finished. The doctor is happy with the results of their artistry by creating the perfect smile. The patient is ecstatic with a life-transforming smile. It's positive effect of a patient's self-esteem is limitless. However, the long-term success of treatment is dependent on the function of the TMJ, orofacial muscles, and jaw relationship to each other. A successful case should not be based solely on appearance at the final appointment, but years later.



5/21/2018 3:20:00 PM

Gaps between teeth can easily be solved with cosmetic dentistry. There are many options to choose from which include porcelain veneers, no-prep Lumineers, minimal-prep Lumineers, and cosmetic bonding to name a few. Anesthesia is normally not even required for these procedures, which makes it painless and more comfortable that you could imagine.  A free consult is always available to discuss your options.





5/12/2018 10:59:00 AM

Almost every celebration of life involves food. As we age, it becomes one of the few joys that we can cherish. Although health issues may limit or curb our diets, the ability to chew should not be a concern when our muscles start to lose strength, or our brain doesn't respond as quick as we would like. Losing the ability to chew also affects what we can eat and how much we can eat. Dentistry has transformed to a point where we can provide teeth for everyone, even to the extent of replacing your original set of teeth without losing any strength or function. We are always happy to consult and discuss your options for cosmetic dentistry, TMJ disorders, or full mouth rehabilitation/restoration.





5/9/2018 1:24:00 PM

Dr.Do has created another great smile with porcelain veneers. In only 2 appointments, Dr. Do was able to transform his smile! If you have any questions about how cosmetic dentistry can help you, call to schedule your consult today.






5/8/2018 9:26:00 AM

Here is an excellent video about why early treatment is so vital. Facial development and airway are crucial factors for orthodontics to be successful. Once facial features are developed, there will be adequate jaw space to straighten teeth without extractions and minimal chance of relapse later in life.



https://www.youtube.com/watch?v=VvqndYJRniI




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