Dentist - Kenosha
3600 80th Street
Kenosha, WI 53142
P:262-697-5444, F:262-694-1650
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Posts for: January, 2022

By Josephine Chianello Berman, D.D.S.
January 30, 2022
Category: Oral Health
Tags: oral health   pregnancy  
MaintainYourDentalCareDuringPregnancyForYouandYourBaby

Hearing the words, "You're going to have a baby," can change your life—as surely as the next nine months can too. Although an exciting time, pregnancy can be hectic with many things concerning you and your baby's health competing for your attention.

Be sure, then, that you include dental care on your short list of health priorities. It may seem tempting to "put things off" regarding your teeth and gums. But there are good reasons to keep up your dental care—for you and your baby.

For you: a higher risk of dental disease. Hormonal changes during pregnancy can trigger outcomes that increase your dental disease risk. For one, you may encounter cravings that include carbohydrates like sugar. Bacteria feed on sugar, which can cause both tooth decay and gum disease. This change in hormones can also trigger a form of gum disease called pregnancy gingivitis.

For your baby: dental-related complications. Some studies show evidence that a mother's oral bacteria can pass through the placenta and affect the baby. This may in turn spark an inflammatory response in the mother's body, creating potential complications during pregnancy. Other research points to what could result: Women with diseased gums are more likely to deliver premature or underweight babies than those with healthy gums.

Fortunately, you can minimize dental disease during pregnancy and protect both you and your baby.

  • Keep up regular dental cleanings and checkups during pregnancy;
  • Limit consumption of sweets and other sugary foods;
  • Brush and floss every day to remove dental plaque, which feeds bacteria;
  • See your dentist at the first sign of swollen, painful or bleeding gums;  
  • And, inform your dentist that you're pregnant—it could affect your treatment plan.

Although it's wise to put off dental work of a cosmetic or elective nature, you shouldn't postpone essential procedures. Both the American Dental Association and the American Congress of Obstetricians and Gynecologists approve of pregnant women undergoing therapeutic dental work.

Dental care during pregnancy shouldn't be an option. Maintaining your oral health could help you and your baby avoid unpleasant complications.

If you would like more information on dental care during pregnancy, 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 Care During Pregnancy.”


By Josephine Chianello Berman, D.D.S.
January 20, 2022
Category: Dental Procedures
Tags: celebrity smiles   crown  
WhatChrissyTeigensInaugurationNightCapMishapCouldMeanForYou

Inauguration night is usually a lavish, Washington, D.C., affair with hundreds attending inaugural balls throughout the city. And when you're an A-List celebrity whose husband is a headliner at one of the events, it's sure to be a memorable night. As it was for super model Chrissy Teigen—but for a slightly different reason. During the festivities in January, Teigen lost a tooth.

Actually, it was a crown, but once she told a Twitter follower that she loved it “like he was a real tooth.” The incident happened while she was snacking on a Fruit Roll-Up (those sticky devils!), and for a while there, husband and performer John Legend had to yield center stage to the forlorn cap.

But here's something to consider: If not for the roll-up (and Teigen's tweets on the accident) all of us except Teigen, her dentist and her inner circle, would never have known she had a capped tooth. That's because today's porcelain crowns are altogether life-like. You don't have to sacrifice appearance to protect a tooth, especially one that's visible when you smile (in the “Smile Zone”).

It wasn't always like that. Although there have been tooth-colored materials for decades, they weren't as durable as the crown of choice for most of the 20th Century, one made of metal. But while gold or silver crowns held up well against the daily grind of biting forces, their metallic appearance was anything but tooth-like.

Later, dentists developed a hybrid of sorts—a metal crown fused within a tooth-colored porcelain shell. These PFM (porcelain-fused-to-metal) crowns offered both strength and a life-like appearance. They were so effective on both counts that PFMs were the most widely used crowns by dentists until the early 2000s.

But PFMs today make up only 40% of currently placed crowns, down from a high of 83% in 2005. What dethroned them? The all-ceramic porcelain crown—but composed of different materials from years past. Today's all-ceramic crowns are made of more durable materials like lithium disilicate or zirconium oxide (the strongest known porcelain) that make them nearly as strong as metal or PFM crowns.

What's more, coupled with advanced techniques to produce them, all-ceramic crowns are incredibly life-like. You may still need a traditional crown on a back tooth where biting forces are much higher and visibility isn't an issue. But for a tooth in the “Smile Zone”, an all-ceramic crown is more than suitable.

If you need a new crown (hopefully not by way of a sticky snack) or you want to upgrade your existing dental work, see us for a complete exam. A modern all-ceramic crown can protect your tooth and enhance your smile.

If you would like more information about crowns or other kinds of dental work, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Porcelain Crowns & Veneers.”


By Josephine Chianello Berman, D.D.S.
January 10, 2022
Category: Dental Procedures
3WaystoCorrectaSmileWithMissingIncisors

In the classic holiday film, It's a Wonderful Life, George Bailey sees what life would be like if he'd never been born. In a variation on the theme, imagine your life if your teeth had never formed.

That's actually a reality for some—they're born without teeth, albeit usually only one or two. But even then, they're often more susceptible to problems with their bite, speech development and nutrition.

And if their missing teeth affects their appearance, their self-image could also take a hit. In particular, the maxillary lateral incisors on either side of the central incisors (those in the very front) can create an odd smile if missing.

Fortunately, we can correct the problem of missing lateral incisors with three possible solutions. The first is canine substitution, involving the pair of pointed teeth next in line to the missing incisors. In effect, we use orthodontic appliances like braces to move them toward the frontmost teeth and close the missing teeth gap.

It's a minimally invasive way to improve smile appearance. But because of their size and sharp edges, it's often necessary to alter the canines, perhaps even crown them. Some people may also need gum surgery to "blend" the gums with the repositioned teeth.

A second method is a fixed bridge, a series of fused crowns. Those in the middle replace the missing teeth, while those on the ends are bonded to the natural teeth on either side of the gap to support the bridge.

Bridges can function well for many years, but it does require permanently altering the supporting teeth for crowning. An alternative Maryland or bonded bridge doesn't require this alteration, but it's also less durable than a traditional bridge.

Finally, we could replace the missing teeth with dental implants, a titanium post imbedded into the jawbone with an attached life-like crown. An implant tooth can last for decades, and don't require alterations to other teeth. However, they're not suitable for younger patients who are still undergoing jaw development—a temporary restoration may thus be in order until the jaw matures.

Being born without certain teeth is something you can't do anything about. But you can change how it affects your appearance and life with one of these options for a new smile.

If you would like more information on correcting a smile with missing teeth, 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 “When Permanent Teeth Don't Grow.”