Dr. Rosamina De La Rosa
21 Summit Street
Parsippany, NJ 07054
973-257-0707

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Posts for: March, 2014

By Rosamina De La Rosa DDS, FAGD, PA
March 25, 2014
Category: Dental Procedures
TheMaterialGirlandtheTrueBloodStarFlauntDistinctiveSmiles

One’s a singer who made her name playing New York clubs in the 1980’s before catapulting to international pop stardom; the other’s an actress from New Zealand who, in 1994, at the age of 11, became the second-youngest person ever to win an Academy Award. Both remain at the top of the A-list today. What other feature do Madonna and Anna Paquin have in common?

You guessed it — it’s their teeth. Both have a small but noticeable gap between their two front teeth, known as a diastema. This condition is relatively common, and it’s normally easy to treat — if that’s something you’d like to do. But wait a moment… In certain African countries, this kind of smile is considered a sign of fertility; in France, they call it “dents du bonheur” (lucky teeth); some other cultures consider the gap a predictor of future wealth. So if you’ve already made this look work for you, there’s no need to change it — even if you might need other cosmetic dental work.

The “perfectly imperfect” smile has become an increasingly popular option for people having veneers, cosmetic bonding, or even dental implants. Some trend-watchers have even noted a pushback against the ideal of a completely even, flawless, Hollywood-white smile. Does that create a problem at the dentist’s office?

Absolutely not! We call the process of figuring out how your teeth should look “smile design” — and it’s as much an art as a science. When we’re just beginning to design your smile, we look at a number of features — including the size, shape, color and alignment of your teeth, the position of your lips, the amount of gums exposed, and the relationship between your smile and your other facial features. We’re also listening carefully to you: what you like and don’t like about your smile, how you think it could be improved… and what should stay just the way it is.

Of course, before doing any cosmetic work, we will always perform a complete dental exam to detect any underlying condition and determine what treatments are best. Then, we will work with you to help you get the smile you’ve always wanted. Not sure exactly how it will look when it’s all done? Ask us for a preview — from computer-generated pictures to actual 3-D models, we can show you how your new smile will enhance your appearance.

So if your smile needs a little help to look its best — but you still want it to be uniquely yours — maybe now is the time to come in and see us. If you would like more information on smile design, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor articles “The Impact of a Smile Makeover” and “Beautiful Smiles by Design.”


TeethWhiteningSafetyDependsontheRightProductUsedintheRightway

Tooth whitening procedures and products have become increasingly popular over the last two decades. There are two main sources of application: professional procedures performed in a dentist’s office; and over-the-counter products for performing whitening applications at home. While there are pros and cons to both approaches, neither type poses a significant health risk — that is, if you match the correct product to the type of staining you have, and it’s applied according to the manufacturer’s instructions.

Although whitening treatments may differ in formula and strength, almost all use hydrogen peroxide as the bleaching agent, usually contained in carbamide peroxide which splits into hydrogen peroxide and urea upon activation. After many studies, there’s a strong consensus that hydrogen peroxide used at the levels found in whitening products doesn’t cause any harm to the body, including as a precursor to cancer.

But as the 16th Century Swiss physician Paracelsus once noted, “All substances are poisons… The right dose differentiates a poison from a remedy.” This is true of the chemicals that make up whitening products — they’re safe unless they’re overused. Going beyond their directions for use could lead to tooth enamel damage.

Further caution is also in order for teenagers using whitening products. Although they may have their permanent teeth (although younger teens may still have some primary teeth), the enamel layer is still developing and can be more vulnerable to damage from whitening chemicals than for adults.

The best approach for both a professional or home whitening procedure is to first seek consultation from our office. If nothing else, you should at least undergo a dental examination to identify the true cause of your teeth’s staining or discoloration. If the discoloration originates within the tooth, home applications and many professional treatments will not help if they bleach the outer surface only. We can also advise you on the proper application and dosage for a chosen product.

Using the right whitening product and in an appropriate manner will reduce the risk of injury to your teeth and overall health. And, the end result can be a brighter, more vibrant smile.

If you would like more information on tooth whitening, 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 “Tooth Whitening Safety Tips.”