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Posts for: January, 2014

By Dr. James M. Maragos, DDS, PC
January 30, 2014
Category: Dental Procedures
Tags: orthodontics   braces  
ExtraCareisRequiredWhenTreatingTeenagersWithLostTeeth

Permanent tooth loss at any age greatly affects long-term oral health. But because their jaw and facial structures are still developing, it’s particularly consequential for adolescents. Add to that any planned orthodontic treatment, and a little extra care is warranted when a teenager loses a tooth.

The biggest concern is potential bone loss caused by the missing tooth. Because the mouth structures are still developing, bone loss can be especially problematic for any future restorations of missing teeth. One of the best ways to slow or stop bone loss is to surgically insert bone-grafting material at the time of an extraction. Bone grafts act as scaffolds that the body builds natural bone upon; eventually the natural bone completely replaces the graft material.

When it comes to the matter of orthodontics, the treatment plan will be to either close the space so that future tooth replacement isn’t necessary or maintain the space for future tooth replacement. If the choice is the latter, the orthodontist will maintain enough space during installation of the braces for future replacement. In the meantime, the orthodontist can install temporary, color-matched tooth replacements within the braces to cover the gap. After the braces have been removed, artificial crowns may also be incorporated into the retainers for a more natural appearance until receiving a permanent replacement.

The best choice for that permanent replacement is a dental implant, a “stand-alone” system that encourages bone maintenance and doesn’t interfere or impact adjacent teeth. The only real question for adolescents is when to install the implants.

The mouth’s structural development doesn’t conclude until early adulthood: in males around ages 20, and in females typically a year or so earlier. Your dentist will evaluate your adolescent’s growth and development to determine if he or she is ahead or behind the growth curve. Natural teeth grow and develop along with the corresponding bone growth, but implants are artificial devices that don’t “grow” with the natural bone. It’s important, therefore, to postpone an implant installation until the jaw structure has fully developed — if done too early, the implant crown’s length won’t appear to be proportionally right (especially in relation to natural teeth) as the jaw continues to grow.

If you would like more information on dental implants for teenagers, 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 “Dental Implants for Teenagers.”


By Dr. James M. Maragos, DDS, PC
January 15, 2014
Category: Oral Health
TVWellnessGuruJillianMichaelsDiscussesBreakingHerTwoFrontTeeth

As America's toughest trainer on the hit television program The Biggest Loser, Jillian Michaels helped people learn that they hold the power to change. And if anyone knows about the power of changing oneself, it is Jillian Michaels. In her recent interview with Dear Doctor magazine, Jillian discusses her childhood, the trauma of being overweight as a teenager (5' 2" and 175 pounds), and the day her life forever changed when she started martial arts training at a gym. “I started training when I was 17 and always loved it but never thought it would end up being my career,” she said.

Jillian also reveals that when she was a child, she broke her two front teeth and had them repaired with crowns. She added, “Now, I generally wear a mouthguard if I am doing anything where my teeth have any chance of being knocked out.”

When it comes to replacing teeth that are broken or damaged from trauma, or teeth that are damaged because of dental decay, grinding habits, or acid erosion, crowns may be your best option. And because the tooth enamel is damaged, a bit more of it must be removed before we can place a crown. Generally speaking, we must remove about 2 millimeters of tooth structure to place a crown. Once the crown is placed, the tooth will always require a crown, as this is an irreversible procedure. However, the good news is that a crown not only mimics the look and feel of a natural tooth, but it is also the optimal long-term solution. On average, a crown last between 5 and 15 years and requires no special maintenance. In fact, you should treat your crown as you do your natural teeth, with a daily cleaning regimen of brushing and flossing and routine dental examinations and cleanings.

To learn more about crowns or other cosmetic procedures, contact us today to schedule an appointment so that we can conduct a thorough examination, discuss any questions you have as well as what treatment options will be best for you. Or to learn more about crowns now, you can continue reading the Dear Doctor magazine article “Porcelain Crowns & Veneers.” And to read the entire interview with Jillian Michaels, please see the article “Jillian Michaels.”




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James M. Maragos, D.D.S.

Dr. Maragos’ commitment to his community parallels his commitment to his profession. In 2007, he was elected to... 

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