OC Beauty & Health - Bulletin Board

OC Beauty & Health

Consultants

Ismail El Sherif, DDS,
BDS,MSc, Ph.D.
Cosmetic Dental Surgery

Kelly Gallego, MD
Cosmetic Plastic Surgery

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Dental:

u Crowns and bite:
I recently have had a lot of dental work done (six crowns and a bridge). Since my dental work has started and even more so lately, my jaws muscles seem to ache almost constantly. My rear teeth were worn down from decay but enough was left for the dentist to give me crowns for my rear teeth. Could my pain be caused by a readjustment of my bite due to having new teeth (crowns) as opposed to old bite which was different for years due to my teeth being decayed and worn down? I have pain every day and my dentist has not been much help.

ANSWER::
There is a minor discrepancy in your bite that may have helped trigger this response. Clearly your muscles are hyperactive as a result of increased movement. If the situation does not resolve itself, go back to your dentist and ask him to check if there might be some bite adjustment he can make.

Additionally, a night guard - which is a nighttime appliance used to prevent your symptoms - might be in the cards for you. If everything fails, go see either a periodontist or prosthodontist. Both are specialists that should be able to help you resolve your issues.

u What is Occlusion or bite?

ANSWER:
Occlusion is how your teeth come together when you close your jaw. Your Occlusion is influenced by three primary components: (1) teeth, (2) nerves and muscles, and (3) bones. Another factor, which can affect the way your teeth come together, is your posture.

Take note of the fact that when you tilt your head back and bite, your teeth will hit differently than when you tilt your head forward. The same rule applies when you are lying down on your side. Your lower jaw will shift to one side. We now need to define ideal Occlusion or bite. I'm going to attempt to explain this by describing some functional terms.

Centric Occlusion:
Centric Occlusion is the term used to define the habitual position of closure. In other words, the position your teeth are in when you repeatedly bite.
In an ideal centric Occlusion all the teeth are in proper contact. The teeth are not in cross bite, there is no under bite or over bite.

Cosmetic Plastic Surgery:

u What are the right questions to ask a plastic cosmetic surgeon?

ANSWER:

What state is the doctor licensed to practice surgery?
Is the doctor board certified? With which board? The doctor should be certified by the American Board of Plastic Surgery.
What training did the surgeon have after medical school? Was it plastic surgery?
How many surgeries of this type does the doctor perform each year?
How many years has the doctor performed this type of surgery?
What hospital can the doctor admit patients or work in? You’ll want to know in case of an emergency. You can also check with the hospital for the surgeon’s credentials.
If the doctor operates in his or her office or ambulatory health care facility, is it accredited? Check with the American Association for Accreditation of Ambulatory Surgery Facilities or Accreditation Association for Ambulatory Health Care, Inc. to find out. It can mean a higher standard of care.
Does the doctor have life-saving equipment and monitoring devices?
Who administers the anesthesia? Ideally, this person is a board-certified anesthesiologist or certified registered nurse anesthetist.
What are the risks of the procedure? How often do they happen? What does the doctor do if they happen?
What is the expected recovery for the procedure you're having?
Check with the state medical board for complaints or malpractice suits against the doctor.

u Where can I find information about a plastic surgeon?

ANSWER:

American Society of Plastic Surgeons (ASPS)/ The American Board of Plastic Surgery (ABPS) All of the surgeons listed through this service are ASPS members who are board-certified by the American Board of Plastic Surgery. They have graduated from an accredited medical school and completed at least five years of surgical residency, usually three years of general surgery and two years of plastic surgery .

Phone : 888-4PLASTIC

Internet : www.plasticsurgery.org/find_a_plastic_surgeon