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Julie M. Gillis, DDS, PC Blog

Should I Have Surgery to Remove My Tori?

April 27, 2017

Filed under: Tori or Dental Tori — Tags: — Dr Gillis @ 6:05 pm

Should I Have Surgery to Remove My Tori?

Tori are extra bone that is present on the upper or lower jaw that may or may not require surgery.  Many people do not even know that they have tori!  Once the tori are ‘discovered’ they may cause concerns.  Because they tend to grow very slowly, they can often go unnoticed by people that have them.  Often it is a dentist who is the first to point out the presence of the tori.  This blog will show a couple examples of upper and lower tori and the surgical removal of a tori.

Tori on the upper jaw. Most common location is on the middle of the palate or roof of the mouth.

Tori on the upper jaw. Most common location is on the middle of the palate or roof of the mouth.

Tori on the lower jaw. Most common location is on the tongue side, or lingual side, of the jaw.

Tori on the lower jaw. Most common location is on the tongue side, or lingual side, of the jaw.

Tori have the following characteristics:

  • Very firm lump due to the underlying bone
  • Very slow growing
  • Painless except when bumped
  • Usually of unknown origin

 

 

 

Tori may interfere with dental appliances in which case they must be removed or the appliance modified to fit around the tori.  A partial denture is used to replace missing teeth.  If the partial denture covers the tori and the tori continues to grow, the partial may not fit as well over time.  If a major portion of a dental appliance covers a tori it may not be able to be modified sufficiently to allow continued wear of the appliance.

Tori may be present on one side of the jaw only like this one that is seen on the lower right on the tongue side of the teeth.

Tori may be present on one side of the jaw only like this one that is seen on the lower right on the tongue side of the teeth.

This tori is present on the lip side or buccal side of the teeth.

This tori is present on the lip side or buccal side of the teeth.

 

Surgery usually is completed in the office of an oral surgeon.  You can often sleep though this surgery if desired.  Prior to completing surgery to remove a tori, you should have a three dimensional xray taken of your jaws to determine the safety of completing the surgery.

 

Palatal Tori before removal

Palatal Tori before removal

Same area after removal of palatal tori.

Same area after removal of palatal tori.

Shown are before and after images of a palatal tori that was removed by an oral surgeon for patient comfort.

Our office will refer you to the office of an oral surgeon familiar with this procedure.  It is in your best interest to achieve the best result possible!

Porcelain Veneer Treatment for Bulimia and/or Severe Wear

February 28, 2017

Filed under: Porcelain Veneers — Tags: , — Dr Gillis @ 7:22 am

Porcelain Veneer Treatment for Bulimia and/or Severe Wear

Severe wear and erosion of anterior teeth makes these teeth look very small.

Severe wear and erosion of anterior teeth makes these teeth look very small.

Can porcelain veneers be used as treatment for bulimia and severe wear?

Absolutely!  The tooth destruction due to the acid from bulimia or anorexia nervosa or severe wear from any other cause should be addressed before any permanent treatment is comopleted.  You want the treatment to last!  If tooth wear is due to acid in any form or due to bad habits such as clenching and grinding your teeth and this underlying cause of the wear is not addressed the problem will continue.  Beautiful porcelain restorations are not any harder than natural enamel and the same problems could occur all over again.

Beauty and length is returned to the teeth with porcelain veneers.

Beauty and length is returned to the teeth with porcelain veneers treatment.

This blog does not address correcting the destructive habits of bulemia or excessive wear of the teeth.  If this is one of your concerns ask your dentist or medical doctor for help.  They will probably have recommendations to end these destructive habits!  The goal here is just to show what can be achieved with porcelain veneer treatment.  Maybe this very positive result will help someone suffering from the disfiguration in a smile that can result from these habits.

Porcelain veneer treatment has returned this beautiful smile!

Porcelain veneer treatment has returned this beautiful smile!

Note the short teeth in the before photos shown here and the improvement in the overall smile.  You can sense the personal confidence of the patient receiving treatment porcelain veneer treatment!  Our office would be happy to offer treatment options for improving your smile!  Treatment plans should be flexible to meet your needs.  Dr. Julie Gillis and her talented team have been restoring smiles and restoring health for many years.  We look forward to hearing from you and seeing you in our Grand Junction, Colorado office.  Please call our office at (970) 242-3635 for more information!

 

Caring For and Enhancing Your Smile

Julie M Gillis DDS, PC

 

I’ve been told that I am tongue tied. What is that?

February 21, 2017

Filed under: Dental Health,Diode Laser — Tags: , , — Dr Gillis @ 7:00 am

I’ve been told that I am Tongue Tied.  What is that?

Strong lingual frenum (see white tissue at the tip of the tongue) keeps the tongue from moving normally. She can't stick her tongue out at her brother!

Strong lingual frenum (see white tissue at the tip of the tongue) keeps the tongue from moving normally. She can’t stick her tongue out at her brother!

See blog photos under tongue

Now she can stick her tongue out at her brother and better enjoy an ice cream cone!

Now she can stick her tongue out at her brother and better enjoy an ice cream cone!

What does it mean to be tongue tied?  And is this a condition that requires treatment?

When your dentist or physician says that you are tongue tied it is a descriptive term that means that the ligament that holds the tongue to the floor or bottom of your mouth is attached very close to the lower anterior teeth.  The more correct term for this is ankyloglossia.

Possible concerns of being tongue tied:

  • Difficulty nursing as an infant
  • Difficulties with speech especially the pronunciation of certain sounds that require the tongue to position in a way that is not possible due to the extra attachment
  • Difficulty licking something off your lips
  • It may be more difficult to lick an ice-cream cone
  • Difficulty sticking your tongue out at your brother when needed!

 

Being tongue tied is usually not a problem.  Sometimes babies that are tongue tied have difficulty nursing because their tongue does not have a lot of freedom of movement.  If this is a concern, a small surgery is performed to remove this attachment so the tongue can move more freely.  It is also possible to have speech difficulties depending on the location of the attachment.  You may have trouble with “S” “F” and “Th” sounds.

The strong attachment (lingual frenum) that created the condition of being 'tongue-tied' was comfortably treated with a diode laser.

The strong attachment (lingual frenum) that created the condition of being ‘tongue-tied’ was comfortably treated with a diode laser.

One way to tell if you are tongue tied is to open your mouth wide and, without closing, try to touch the top of your mouth or your palate with the tip of your tongue.  In our office, we often diagnose tongue tied in patients who never knew that their tongue moved any differently than anyone else’s.  If there is a concern, we might offer to complete a conservative surgery with a diode laser that will free this attachment and offer improve tongue mobility.  The surgery is completed with local anesthetic and the recovery is swift.  There is little to no bleeding involved – which is one of the many things we love about the diode laser.

 

Dr. Julie Gillis and her dental team in Grand Junction, Colorado provide the highest quality dental treatment in a clean, caring and comfortable environment.  We appreciate the opportunity to serve you.

Yours for better dental health,

Julie Gillis DDS

Restoring Teeth/Restoring Smiles

Porcelain Partial Crowns Close Gaps in Your Smile!

February 10, 2017

Filed under: Missing Tooth or Teeth,Smile Makeover,Uncategorized — Tags: — Dr Gillis @ 7:30 am

Would you like to close the gaps in your smile with Porcelain Partial Crowns, veneers, or bridges?  Many would like to do this but they could use more information!

This blog reviews one method for closing gaps between teeth with Porcelain Partial Crowns and Bridges.  Porcelain partial crowns are described as well as the benefits of this treatment.

Our patient did not like the gaps present between her teeth or the missing lower tooth. Porcelain partial crowns, veneers and a bridge were the answer.

Our patient did not like the gaps present between her teeth or the missing lower tooth. Porcelain partial crowns, veneers and a bridge were the answer.

The restored smile is much more pleasing and natural looking.

The restored smile is much more pleasing and natural looking.

 

If you are one of many people with gaps in your smile, I hope this blog has some good information for you!  Our office has been using the wonders of porcelain veneers, porcelain crowns or partial crowns and bridges to close spaces for years.  We often see people who have missing teeth or who have teeth that just don’t seem big enough to fill the space available st that even though they have the correct number of teeth, there are still gaps between the teeth.

We work with a high quality dental laboratory that has been completing porcelain restorations for years.  Our dental laboratory technician is accredited with the American Academy of Cosmetic Dentistry (AACD).  Please wee our web site at www.juliegillisdds.com for more information on the accreditation process and what that means for our patients.  Dr. Julie Gillis is also accredited with the AACD.

Our patient did not like the gaps present between her teeth or the missing lower tooth. Porcelain partial crowns, veneers and a bridge were the answer.

Our patient did not like the gaps present between her teeth or the missing lower tooth. Porcelain partial crowns, veneers and a bridge were the answer.

Porcelain partial crowns are very esthetic and natural looking.

Porcelain partial crowns are very esthetic and natural looking.

What are porcelain partial crowns and bridges?

Porcelain is stacked or pressed on a model of your tooth to create an ideal form and color.  Because porcelain restorations have improved significantly, a talented dentist and laboratory technician team can create restorations that mimic tooth structure.  If the porcelain material is applied in layers, the lab technician may use 10 – 20 layers or more to create the shape, form and color that is required along with any special characteristics that are present in the natural dentition that you want to duplicate.  Gone should be the days when it was obvious if someone has had dental work!

Our patient did not like the gaps present between her teeth or the missing lower tooth.

Our patient did not like the gaps present between her teeth or the missing lower tooth.

Our patient did not like the gaps present between her teeth or the missing lower tooth. Porcelain partial crowns, veneers and a bridge were the answer for this beautiful and healthy smile!

Porcelain partial crowns, veneers and a bridge were the answer for this beautiful and healthy smile!

You should not be able to look at someone’s teeth and know that they have had dental work done to create their beautiful smile!  Porcelain partial crowns and bridges should look very natural in all areas of your mouth.  They must also be easy for you to clean so that you can make your new restorations last as long as possible.  The goal is to conserve as much of your teeth as possible, while creating ideal restorations.  Technically, a porcelain veneer covers just the front of the tooth.  When we are adding width and length to the tooth, the porcelain will need to wrap the sides and the top (incisal edge) of the tooth.  This becomes a porcelain partial veneer.  When there is enough of your own tooth wrapped with porcelain, the correct term would be a porcelain crown or cap.

When porcelain crowns span a gap between teeth and are joined together with one or more artificial porcelain crowns between them, you have a porcelain bridge similar to the one shown here.  There is a limit to the length of span that two teeth should support as this puts extra stress on the supporting teeth.

Our office would be happy to offer a consult to review is porcelain partial crowns or bridges are right for you!  We are in Mesa County, Colorado.  Please visit our Facebook page at Julie M Gillis DDS to see some of our cases!  Or visit our website at www.juliegillisdds.com for more information.

Yours for better dental health,
Julie Gillis DDS
Restoring Teeth/Restoring Smiles

What is Disclosing Solution or Caries Detecting Dye?

February 1, 2017

Filed under: Cavities and Dental Decay,Fillings — Tags: — Dr Gillis @ 7:00 am

What is Disclosing Solution or Caries Detecting Dye?

This blog describes the use of disclosing solution which is the same as caries detecting dye and shows photos of caries detecting dye used during tooth preparation.

Cavity between teeth shows up on an x-ray as a dark shadow.

Cavity between teeth shows up on an x-ray as a dark shadow.

The decay is removed and the tooth looks pretty good. Time to test with disclosing solution!

The decay is removed and the tooth looks pretty good. Time to test with disclosing solution!

 

 

 

 

 

 

 

 

If your dentist is using disclosing solution or caries detecting dye that means they care about you and they care about your teeth!  Caries detecting dye or solution is like disclosing solution.  Both are composed of a liquid die that will stain bacteria and bacterial byproducts.

Disclosing solution or caries detecting dye is used by dentists and dental hygienists for the following reasons:

  • To show you where bacteria are sticking to your teeth
  • To improve your brushing techniques
  • To evaluate if there is decay on your teeth
  • To be conservative in tooth preparation by removing all the decay and leaving healthy tooth structure

You can see why these things would be good for you!  The photos included here illustrate the treatment of a cavity that occurred in the ‘flossing zone’ between two teeth.  The dentist has removed the obvious decay and shaped the tooth so that a tooth-colored restoration can be placed.  Dark, stained areas of decay have been removed.  The tooth looks ready to restore but it isn’t.  Now is the time to paint on the caries detecting dye! 

Disclosing solution or caries detecting dye is painted over the prepared cavity.

Disclosing solution or caries detecting dye is painted over the prepared cavity.

Disclosing solution or caries detecting dye is painted over the prepared cavity and then rinsed away. Remaining dye shows remaining decay!

Disclosing solution or caries detecting dye is painted over the prepared cavity and then rinsed away. Remaining dye shows remaining decay!

 The dye comes in several colors.  Red is the most common.  The dye is painted onto the cavity preparation and allowed to remain a couple seconds.  The excess dye is rinsed away and any stain that remains indicates the presence of bacteria or bacterial byproducts.  This is carefully removed by your dentist.  Since tooth-colored fillings or restorations bond to your tooth there is no longer a need to cut in undercuts to help hold fillings in.  Your dentist will want to be conservative in tooth preparation by removing all the decay and leaving healthy tooth structure.

The tooth is restored to ideal contours knowing that all decay has been carefully removed.

The tooth is restored to ideal contours knowing that all decay has been carefully removed.

In our office, we may paint on the dye several times.  Each time removing just the areas where decay remains and saving as much tooth as possible.  This is just one of the many ways we would like our teeth to be treated and so that is the way we treat our patient’s teeth!  Please call our office if you have any questions or concerns.  We would love to see you!

Yours for better dental health,

                 Julie Gillis DDS, PC

     Restoring Teeth/Restoring Smiles

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1190 Bookcliff Ave. Suite 201, Grand Junction, CO 81501 USA
Julie M Gillis DDS Grand Junction, CO cosmetic, general, & restorative dentist. (970) 242-3635 (970) 242-8479 jgillis@juliegillisdds.com