Category Archives: Teeth

How Does a Patient Know What Will Look Good in Cosmetic Dentistry? | Indianapolis Dentist

For a patient, it is a big decision to have cosmetic dentistry done to enhance his or her smile. It can take years off the face, increase confidence and improve the overall oral health of the patient. But it is not inexpensive. How does a patient decide to move forward? It can be very risky to believe that the dentist has the same taste in what the patient think looks good. We all have preferences, and maybe there are some ideas that the patient doesn’t have words to describe. What if the patient has a photograph of a smile from a magazine that she likes and she wants that look for her smile? Clinical parameters might dictate certain aspects of the restorations that don’t allow for the design that the patient has in mind. So many things can be difficult to communicate in dentistry, because the patient doesn’t have the dental knowledge or vocabulary to rely on. And before/after pictures of other people don’t do much for the patient’s imagination because it is another person’s face!

Here’s an idea!  Why not use cosmetic imaging with Envision A Smile? By taking photographs of the patient’s face, smile and side view, the new smile can be designed with all things considered: the clinical parameters, the patients desires, and the practitioners desires. Voila! Now, the patient can relax because she knows that the dentist knows and understands what she likes.  The approximate shade of the teeth can be shown in different levels of brightness and small changes like the shape of the incisal (biting) edge of the front teeth. And the patient can go home with photos of the proposed treatment.  THIS is how a patient can decide if cosmetic dentistry is for them! Now it is only down to the cost of treatment and with the photos in hand, she already knows she wants it.

Envision A Smile helps the patient and the dentist because communication is everything, and pictures are worth a thousand words. Once the treatment is accepted by the patient, the dentist takes molds to send to the laboratory along with Envision A Smile’s imaged views so the lab can follow the design. Although it would be impossible for the final outcome to be ‘exactly the same as the imaged views’ (because the photos are only 2 dimensional) the outcome will be very much the same as the imaged views.

Envision A Smile offers a cosmetic imaging software or a service for imaging.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Why Are You Leaving Your Baby Tooth Under Your Pillow? | Indianapolis Dentist

One of the first rites of passage as a child is losing your first tooth. Not only is it fun to wiggle it around, but tiny humans missing a tooth are officially turning into big kids. The bonus is learning that you tuck it under your pillow for a special surprise from the Tooth Fairy.

But where did this tiny dental nymph come from? Some believe that the story begins with a fairy living under a tree’s roots near a riverbank. One of her favorite things to do was to collect the little objects people lost that washed up on the shore. These tiny treasures were not only toys, but she could also feel the memories associated with it.

The one treasure she always wanted but never washed ashore was a child’s tooth. To her, there was nothing happier than a child about to lose their first tooth and she wanted one very badly.

One day, a little girl found our little fairy while playing with her friends. When the fairy noticed she had a loose tooth, she asked if she could have it. The little girl said yes and that she would put it under her pillow as soon as it fell out.

The fairy couldn’t wait for the little girl’s gift, but then she thought, “Oh, no! She’s going to give me her tooth. I need a gift in return!” So, she rummages through her trinkets and finds a coin.

The next morning, the little girl wakes up and finds the coin gift left by the little fairy, so she tells her friends at school to try it and thus, the Tooth Fairy was created. Happy National Tooth Fairy Day!

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

The ABCs of Tooth Extractions | Indianapolis Dentist

There’s a classic idiom in the English language that compares unpleasant, difficult tasks to pulling teeth. Known as dental extraction, pulling teeth is recommended in situations in which you’ve likely developed a toothache and it hurt enough to visit the dentist. And while it isn’t our idea of a fun day, dental extractions have come a long way, and you shouldn’t have a bad feeling about getting one. Here are some of the reasons your tooth needs to be extracted:

  • Seriously damaged teeth, either due to injury or decay, unable to be saved
  • A wisdom tooth (third molar) that may cause crowding, alignment problems, pain, or infection
  • Teeth blocking another tooth from coming in
  • Baby tooth that didn’t fall out in time
  • Crowded teeth may require removal to allow braces to better adjust the remaining teeth
  • Infected teeth that could potentially be an infection source in high-risk patients such as those undergoing organ transplants or cancer treatment

Extractions typically fall into one of two classes – simple and surgical. Dentists often perform simple extractions, which generally involve a single tooth that is visible in the mouth, with clear alignment – after numbing the area with local anesthetic, the tooth will be loosened using an instrument known as an elevator, and then pulled with an instrument known as forceps. For surgical removal, the surgeon may use local anesthetic, moderate sedation, or general anesthesia, and likely use a combination of tools and techniques to remove teeth that may be difficult to see (or still within the gums).

If your dentist recommends an extraction, it’s likely that you have a potentially serious problem. While it’s unlikely you’ll celebrate the news, you need not fear – there are worse problems to have than pulling teeth.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

All Is Not Lost if You Lose a Tooth | Indianapolis Dentist

For most of us, losing a tooth can be a nerve-wracking experience. Not only do you have every reason to panic because you were likely in an accident of some sort, but there is no need to fret if you think your smile is doomed. Because hockey players may consider a lost tooth a badge of honor, but it is possible to re-implant a knocked-out adult tooth. A severed root experiences damage to blood vessels and tissue, but the ligaments connecting the tooth to the bone can be re-formed. The key to a successful reimplantation is how the missing tooth is stored and for how long.

Assuming you can find the tooth, avoid scraping off any dirt particles, as you risk damaging the root further. Instead, rinse it gently with a saline solution while carefully handling it by the crown. If possible, place the tooth back in its original socket, or store it in a small container with saline or milk. Milk – containing proteins, sugar, and antibacterial substances—provides the ideal environment for a lost tooth. As an added bonus, the sugars in milk help feed cells, which need to remain alive and growing in the short term.

Don’t have access to any of the above? Don’t panic. Your cheek will work well for storage in the interim; just be careful not to swallow your precious cargo.

Placing pressure on the gums will also help to reduce the bleeding and pain as you are en route to the dentist. Depending on the damage, a successful reimplanted tooth can heal significantly in three to four weeks and become fully repaired within two months.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

When Eating Ice Cream Begins to Hurt Your Teeth | Indianapolis Dentist

If you’ve ever experienced a sharp and annoying pain in your teeth whenever you indulge in the wonderful frozen treats this summery weather can provide? No one wants to hear that they can’t have ice cream or iced tea because their teeth are too sensitive. So, what causes this cruel summertime malady?

Loss of tooth enamel, which leaves the dentin exposed, is the main reason why tooth sensitivity occurs. This may happen if you’ve been using a hard-bristled toothbrush instead of a soft one, as it may wear away as the abrasion can wear away the tooth enamel. However, it can also be the result of frequent consumption of acidic foods or gum recession.

It is important to take note, however, that the sharp pain when exposed to hot and cold food and beverages is not always caused by tooth sensitivity. Sometimes, it may be because of the following:

  • A cracked, chipped or fractured tooth
  • Dental caries
  • Constant grinding or clenching of the teeth, or a condition known as bruxism
  • A broken restoration that’s been leaking
  • A side effect of certain teeth whitening procedures, namely tooth bleaching

In order to find out if your teeth are indeed sensitive, talk to your dentist. Be sure to describe your symptoms in detail, like when the pain first started or anything you’ve done for the pain. Using your descriptions, the dentist will try to find out the possible cause of your sensitivity, and once finished, the dentist will then treat the underlying cause. The treatment will usually vary, depending on the case.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Smile Makeovers Will Change Your Life | Indianapolis Dentist

They say that first impressions last, and few, if any, makes more of an impression than your smile. This is why it’s important that your smile make as good of an impression as it can. If you are, however, like most people, you’ve likely dreamt of having a better-looking smile, one that’s straighter, and preferably, whiter. To get that smile, a process known as a smile makeover may just be what you need.

A smile makeover is a process whose main goal is to improve the appearance of the smile through a combination of various cosmetic dentistry treatments or procedures. The list of treatments includes, but are not limited to, dental veneers, composite bonding, tooth implants and teeth whitening. It is similar to a full mouth reconstruction where multiple procedures are involved. However, the two differ in that a smile makeover is elective, while a full mouth reconstruction is necessary.

More than being a cosmetic procedure, though, a smile makeover carries a lot of functional and health benefits as well. Cosmetic dental treatments alone are expensive enough, which makes it safe to say that a series of such treatments is bound to cost a lot.

But it is worth it? If you’re perfectly content with what you have, then good for you. However, if you’re like many others whose personal and professional life is and has been suffering because of how much trouble they have smiling, then you may want to really consider getting a smile makeover treatment.

Yes, a smile makeover is expensive, but as long as you see your smile as something that you’ll own and wear for the rest of your life, it is a worthy investment for a lifetime of smiles.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

What Is Cosmetic Dentistry? | Indianapolis Dentist

cosmetic dentistry

We know that the dentist will keep our smiles healthy, but they are also here to improve your smile through the use of cosmetic dentistry. But what exactly is cosmetic dentistry and how does it benefit you and your smile? Let’s take a second to break down the various procedures and how they can improve your smile. Common cosmetic procedures include the following:

  • Composite white fillings repair cavities without having silver filling in the mouth. Existing metal fillings can be replaced with modern white resin
  • Bonding uses composite resin to help change the size, shape, or color of teeth. Because it attaches to teeth in the same way that composite fillings attach, bonding can be used to fix chips on visible front teeth.
  • Teeth that are discolored or stained can be whitened – either in the office or using take-home trays
  • Veneers are a thin layer of porcelain on top of the tooth that can be used to change tooth shape, size, or color.
  • Crowns can be used as a cap on top of teeth damaged by cracks or decay
  • Orthodontics – either traditional or Invisalign – can be used to permanently straighten teeth.
  • Gum tissue can be surgically altered – either added via grafts to help with recession, or removed to create a more appealing tooth length
  • For missing, broken, or severely damaged teeth, full implants can be used to provide a replacement tooth

Because modern dentists have implants as a final catchall, virtually any problem can be solved given enough time and room in the patient’s budget. However, your dentist will be able to guide you through the process, creating a treatment plan that maps the various procedures and prioritizes them for maximum effectiveness.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

The Ten Most Wanted List of Dental Damages

Let’s face it – we all want a nice shiny set of pearly whites to show off to the world. They are the first thing most strangers see upon meeting, so many of us hold a smile in very high regard. Unfortunately, there are lots of reasons our teeth may not be the brightest at all times. This is when we give our dentist a jingle for a nice dental cleaning / whitening procedure.

In many cases, discolored or damaged teeth are the result of our own bad habits. Bad habits like smoking or dietary issues can lead to our teeth beginning to turn a bit dingy after a while, other problems are caused by chemicals that entered teeth during childhood. Everything we do to or with our mouths can have an impact on our teeth, and not in a good way. Poor habits, like biting your pencil, can all do small damages to our teeth. These are the top ten dental culprits:

  • Drinking tea. Hot or cold, tea stains teeth more than any other kind of drink.
  • Smoking, because tobacco yellows teeth.
  • Drinking coffee; it stains the teeth.
  • Drinking red wine; it stains the teeth.
  • Consuming too many soft drinks, which leave sugars on teeth that can create cavities.
  • Eating highly acidic foods, including starchy snacks such as potato chips and tortilla chips. They can drive enamel-busting acids deep into teeth, breaking the teeth down.
  • Ingesting too much fluoride during childhood, which can actually damage teeth.
  • Treating childhood diseases with antibiotics, such as Tetracycline, that can discolor teeth.
  • Chewing ice or your nails; it cracks teeth.
  • Grinding teeth; habitual grinding damages teeth.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

When You Become Too Sensitive | Indianapolis Dentist

If you’ve been experiencing jarring sharp pain when you eat or drink hot or even cold foods, or even surprisingly during your oral care routine. You know it’s not something to ignore but what is it? Chances are you’re developing sensitive teeth. Luckily, this is very treatable.

What causes a tooth or teeth to become sensitive? Well, there are a variety of answers here. As we age, so do our teeth. With age the enamel on your teeth can wear, leaving your tooth roots exposed. This, of course, can cause those jolting pains with tempered food and drink, even when cold air hits the tooth. This is the most likely case or why you’re experiencing the tooth pain. But there can be other reasons, such as:

  • Overbrushing
  • Cracked or chipped teeth
  • Teeth grinding
  • Gum disease
  • Tooth whitening

Your dental professional has a solution for all of the above conditions. Depending on the cause and severity of your sensitivity, you will benefit from professional treatment. There are a variety of treatments from simple solutions to oral surgery. Sensitive teeth solutions include:

  • Desensitizing toothpaste
  • Desensitizing or bonding
  • Surgical gum graft
  • Root canal

See your dentist at the first sign of sensitivity. But worry not, oftentimes the early stages can be easily treated. If you wait to get treatment, you often end up with a bigger problem that is more difficult to treat. Many times, sensitive teeth can be treated with a good cleaning and use of a special toothpaste.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.

Do We Really Need to Floss? | Indianapolis Dentist

We all know we’re supposed to floss daily but let’s be honest – most of us don’t. It just always feels like an unnecessary thing to do. But are you sure it’s unnecessary? You may not think so offhand, but then why do you make sure to do it before your appointments? Yes, we are sure you dread when you’re sitting in the dentist’s chair and they ask, ‘How often do you floss?’ While you’re calculating in your head how much you floss and whether or not you should fib to the dentist about your flossing habits, let’s go over why it’s so important to floss daily. After all, taking care of our teeth is important if we want to keep them for as long as we possibly can.

Better than brushing alone. A toothbrush works to removing plaque with its bristles. Brushing alone has one big drawback: A toothbrush’s bristles can’t adequately clean between the teeth or under the gums. That’s where floss comes in, to get in those tiny spaces between your teeth to get the grime out your toothbrush can’t reach.

Protects your gums. Where the gums and teeth meet are where flossing plays its major role. Particles of food can get lodged here, and plaque in this area will harden over time to form tartar, that your dentist will remove with a scraper. Tartar buildup can lead to gingivitis.

Helps prevent other diseases. Gum disease can have effects that go beyond discolored teeth, discomfort and bad breath. Research has shown that the bacteria in an unhealthy mouth can harm the rest of the body, leading to heart disease, diabetes and respiratory illness.

Visit Dr. Kirtley today and schedule an appointment to maintain a healthy smile.  Call 317-841-1111 or www.smilesbygeorge.com.

Dr. George Kirtley proudly serves Indianapolis and all surrounding areas.