Category Archives: Teeth Crowding

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.

Which Cosmetic Dental Procedure Will Improve Your Smile? | Indianapolis Dentist

teeth whitening

When the time comes for a new smile, there are loads of procedures available to repair whatever condition your smile is in. All you need to get started is a dental appointment. Once you’re there, you can discuss the various dental procedures available to you depending on your particular case. Here are the common cosmetic procedures and how they can improve your smile.

Teeth whitening. Everyone’s teeth get discolored or stained from time to time. Teeth whitening, or bleaching, can be done in a dentist’s office or at home with a system dispensed by the dentist.

Bonding. Life is full of accidental mishaps, sometimes those mishaps mess up our teeth. Bonding can improve the appearance of teeth that are chipped, broken, cracked, stained, or gapped by bonding tooth-colored materials to the tooth surface, making them nearly impossible to distinguish.

Veneers. Another variation of the bonding technique are veneers. These are thin, custom-made porcelain shells that cover the front of the teeth to disguise discoloration or imperfections.

Tooth reshaping. This procedure changes the actual look of your teeth by modifying or removing enamel, completely changing the look of your tooth. Tooth reshaping (also known as dental contouring) is often combined with bonding.

Crown lengthening. Sometimes it isn’t the teeth that are the issue, it’s the gums. This “gummy” smile or an uneven gum line can be fixed by removing excess gum tissue, exposing more of the tooth’s crown to give the appearance of longer teeth.

Smile makeovers. Deciding your smile needs an entire makeover involves a comprehensive assessment of the overall appearance of the teeth and smile. Typically, several cosmetic dentistry procedures are required to overhaul the look of a patient’s smile, but the results will be staggering.

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 It’s too Crowded | Indianapolis Dentist

There is nothing more uncomfortable than being stuck in a crowd. It’s hot, it makes you feel helpless and chances are someone has bad breath. The same goes for teeth. Teeth crowding is the lack of space for all the teeth to fit normally within the jaws, causing the teeth to become twisted or displaced.

One of the common causes of tooth crowding is natural occurrence – so called mesial drift phenomenon, where your front teeth drift slowly to the center of the mouth. In the past, some dentists believed this was caused by the presence of wisdom teeth, crowding the front teeth from the rear of the mouth, though in reality many of the problems are due to simple insufficient space for the number of teeth as adults grow. Beyond mesial drift, other potential causes – such as weakened support due to periodontal disease, thumb sucking, and tongue thrusting – can also influence teeth to move in directions that are undesirable, leading to misalignment and crowding issues. We see many adult patients who had relatively straight teeth as teenagers coming to correct new crowding that has developed, especially in the lower front teeth.

Many see crowding as a cosmetic problem, the reality is that poorly aligned teeth are at an increased risk for periodontal disease, decay, and the patient is more likely to suffer from TMJ (jaw-joint) problems, as their irregular bite may cause strain on their jaw over time. For these reasons, fixing alignment should be considered more than simply a cosmetic procedure – correcting the alignment allows the patient to have better access to brush and floss, and their bite will be more level.

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.

It Shouldn’t Be Like Pulling Teeth | Indianapolis Dentist

Have you ever heard the phrase “it’s like pulling teeth”? It is generally used to describe something unfun. And if you think about it, they’re right – having a tooth pulled is no fun. But there are lots of reason a tooth needs to be pulled.

Your dentist may recommend extraction if you tooth is…

  • Seriously damaged, either due to injury or decay, and cannot be saved
  • A wisdom tooth (third molar), it may cause crowding, alignment problems, pain, or infection
  • Blocking another tooth from coming in
  • A baby tooth that didn’t fall out in time
  • Causing crowding, a dentist or orthodontist may recommend removing some teeth to allow braces to better adjust the remaining teeth
  • Infected, or 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, where oral surgeons often perform surgical extractions. Simple extractions 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; pulling teeth today isn’t as painful as the saying makes it out to be.

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.

Teeth Crowding Solutions | Indianapolis Cosmetic Dentist

woman smileMany people have – or believe they have – problems with their teeth crowding that goes untreated. Crowding can be caused by a number of different factors, and knowing the actual cause may impact the treatment options. 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 size or number of teeth to available jaw size.

One of the common causes of tooth crowding is natural occurrence – so called mesial drift phenomenon, where your front teeth drift slowly to the center of the mouth. In the past, some dentists believed this was caused by the presence of wisdom teeth, crowding the front teeth from the rear of the mouth, though in reality many of the problems are due to simple insufficient space for the number of teeth as adults grow.  Beyond mesial drift, other potential causes – such as weakened support due to periodontal disease, thumb sucking, and tongue thrusting – can also influence teeth to move in directions that are undesirable, leading to misalignment and crowding issues. We see many adult patients who had relatively straight teeth as teenagers coming to correct new crowding that has developed, especially in the lower front teeth. It is still not completely understood why this happens, but we do know that presence of the wisdom teeth are not usually directly related.

Many see crowding as a cosmetic problem, the reality is that poorly aligned teeth are at an increased risk for periodontal disease, decay, and the patient is more likely to suffer from TMJ (jaw-joint) problems, as their irregular bite may cause strain on their jaw over time. For these reasons, fixing alignment should be considered more than simply a cosmetic procedure – correcting the alignment allows the patient to have better access to brush and floss, and their bite will be more level.

If you notice crowding in your front teeth, make a point of asking Dr. Kirtley about options during your next regular checkup. There are a number of treatments available, and treating the crowding early can help prevent more serious problems from developing in the future. Even if your concerns are simply cosmetic, we can work with you to ensure that your teeth will have the best chance for minimal movement in the future.

For more information on tooth crowding and to make an appointment call, Dr. Kirtley at 317-841-1111 or visit his website dentalimplantsinindianapolis.com 

Dr. Kirtley gladly welcomes patients from Spring Hill, Beech Grove and Warren Park.