New Port Richey and Trinity, FL Dentist
James C. Lewis, DMD
4101 Little Rd
New Port Richey, FL 34655
(727) 372-7887
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4101 Little Road
New Port Richey, FL 34655

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Posts for: December, 2014

By James C. Lewis, DMD
December 29, 2014
Category: Dental Procedures
Tags: orthodontics   tads  
TADsContributetoGreaterPrecisionDuringOrthodonticTreatment

The field of orthodontics continues to progress with new and innovative techniques. One such innovation is known as a TAD — Temporary Anchorage Device. Best described as “mini-implants,” TADs provide orthodontists with more precise control over the movement and positioning of certain teeth that could reduce treatment time.

Braces, the most common form of orthodontic device, are small brackets affixed to the outside of the teeth. We thread small flexible wires through the brackets which in turn apply gentle pressure to the teeth. This puts pressure on the periodontal ligament, an elastic tissue that holds the teeth in place to the jawbone. The ligament has small fibers that insert into the teeth and are held there by a substance called cementum. The pressure on the ligament causes it to form new bone, ligament and cementum as it moves into the new desired position.

Of course, each orthodontic case is different. The best outcome for some patients is to move only certain teeth, while minimizing movement on others. This involves a concept in orthodontics known as “anchorage,” a planned circumstance where certain teeth or groups of teeth are immobilized (or “anchored”) to prevent movement.

TADs do just that — they are, in effect, mini-screws or implants temporarily placed in the jaw bone to inhibit movement of a specific tooth or group of teeth, while not interfering with the movement of the misaligned teeth. These tiny devices are typically installed using only local anesthesia to numb the general location of their placement, and then removed when orthodontic treatment is completed.

TADs are part of an overall strategy to correct poor bite and teeth misalignment in the most precise and efficient way possible. They require planning, sometimes through consultation with different dental disciplines, to assure that their placement won’t damage nerves, sinuses or other vital structures. Their use, though, could help shorten treatment time with braces, and help contribute to the best possible outcome — a new smile.

If you would like more information on transitional mini implants, 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 “What are TADs?


By James C. Lewis, DMD
December 19, 2014
Category: Dental Procedures
BillRancicsSmileHelpsClosetheDeal

Can having a great smile help land you a high-level business position, a TV show, and a bride? Maybe — at least if you go by the example of Bill Rancic.

The 42-year-old Chicago native is well known as the first winner of NBC-TV's The Apprentice, a reality show where contestants vied for a job with Donald Trump's organization. Shortly after his selection as Trump's newest hire, Rancic met his future wife, Giuliana, when she interviewed him for E! News. Flash forward a few years, and the couple is now hosting their own reality TV show on Style network.

So how much has Bill's winning smile helped?

“I think a great smile says a lot about a person — especially in our professions,” Bill recently said in an interview with Dear Doctor magazine. He also mentioned that having a few cosmetic dental treatments helped him close the deal.

As a child, Bill wore braces to correct an overbite. For both kids and adults, orthodontic treatment is often the first step toward getting the smile of your dreams. The practice of orthodontics has changed dramatically in the past 20 years and there are now a number of choices available in lieu of traditional metal braces.

Not Your Father's Braces
For those who need to maintain a “professional” image, tooth-colored braces offer a less noticeable way to straighten your teeth. Lingual braces are another option that's suitable in some situations. These are truly invisible: bonded on the tongue side of the teeth, they can't be seen from the front.

Or, you may be able to forego braces altogether and use a series of clear plastic aligners to gradually bring your teeth into alignment. Not only are these difficult to notice, but they can be completely removed for short periods of time — at important board meetings, for example.

Red-Carpet Tooth Whitening
More recently, Rancic had tooth whitening treatments. Depending on the degree of lightening needed, these can range from custom-fitted bleaching trays that you wear at home under the supervision of a dentist, to in-office whitening treatments that work in far less time. Both can be effective in lightening your teeth by six shades or more.

But if you need the ultimate in whitening, veneers may be the best option. These are fingernail-thin coatings, made of pearly-white porcelain or composite material, that are placed directly on the tooth surfaces. Realistic and durable, they can provide a “Hollywood white” smile that's ready for the red carpet.

Did Bill's cosmetic dental work really improve his life? We can't say for sure — but as his wife Giuliana recently told Dear Doctor, “First impressions are very important, and having a beautiful smile will help anyone make a great impact on others.” So perhaps it worked on her!

If you would like more information on how cosmetic dental treatments can improve your smile, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Important Teeth Whitening Questions Answered.”


By Dr. James Lewis
December 18, 2014
Category: Uncategorized
Tags: Untagged
Patients often come to Dr. James Lewis asking about their options for New Port Richey clear braces. They want a way to straighten their teeth without having to wear unattractive metal braces. There are a few different treatments available that help minimize the appearance of braces during an orthodontic treatment.
 
Ceramic “Clear” Braces
Though they aren’t 100% clear, ceramic braces significantly lessen the appearance of braces when you’re going through an orthodontic treatment. Ceramic material is similar to plastic and looks clear, sort of like little bits of a plastic tumbler glass. Although the wire tighteners may be designed with metal colors, the brackets are relatively clear compared to traditional braces.
 
Lingual Braces
Another way to fix the teeth with “clear” braces is to ask New Port Richey clear braces Dr. Lewis about lingual braces. With linguals, the brackets are placed on the back of the teeth so that they aren’t visible to the rest of the world. They work the same as traditional braces -- they have to be tightened at each appointment until the desired position is achieved. This type of treatment is usually only recommended for patients with very minor orthodontic issues.
 
Invisalign
The most modern and popular way to straighten the teeth with clear braces is Invisalign. Invisalign uses clear plastic trays to adjust the positioning of your teeth -- each month or so you have to switch to a new tray. The process of repositioning the teeth using these invisible braces is usually shorter than the time required for metal or ceramic braces. 
 
Which Clear Braces Option Is Best for You?
If you need orthodontic adjustments but you’re concerned about the way your teeth will look during the treatment, contact New Port Richey clear braces Dr. Lewis to ask about the various options for clear braces. Appointments can be scheduled online at http://www.drjamesclewis.com or by calling the office directly at (727) 372-7887.

By James C. Lewis, DMD
December 04, 2014
Category: Dental Procedures
Tags: wisdom teeth  
ExtractingWisdomTeethNowMayPreventDentalProblemsLater

The reason for extracting a tooth may be all too obvious — the tooth is too decayed or damaged to attempt saving. The reason for extracting a wisdom tooth, on the other hand, may not be so apparent: from the perspective of pain or reduced function, you may not notice a thing. Our recommendation to remove a wisdom tooth is based primarily on what may be occurring out of view below the gum line and its potential threat to adjacent teeth.

Teeth grow and develop below the gum line in the jaw, and then push their way through the gums as they appear in the mouth (eruption). After a normal eruption, the enamel-covered crown is visible above the gum line; the remaining tooth root (about two-thirds of the tooth’s length) resides below the gum line. Because wisdom teeth, or third molars, erupt rather late between ages 17 and 25, they may lack the room to erupt properly due to crowding from other teeth that have already erupted. This can cause the wisdom tooth not to erupt fully through the gums, leaving the crown trapped below the gum line, a condition known as impaction. For the tooth, impaction increases the chances of infection, cyst formation and gum disease around it.

An impacted wisdom tooth can also cause problems for the adjacent teeth as well. The impacted tooth may begin to press against the roots of other teeth; the resulting pressure can damage the other roots, increasing the risk for disease or future tooth loss. A person may not even know they have this problem since there’s often little to no noticeable pain or symptoms.

It may seem counterintuitive, but the best time to remove a wisdom tooth is when it’s not causing immediate problems. There will be, however, signs found during examination (particularly x-rays or CT scan) that future problems are in the making. By extracting an impacted wisdom tooth at the appropriate time, we can avoid more serious problems in the future and improve oral health.

If you would like more information on wisdom teeth and your oral health, 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 “Removing Wisdom Teeth.”




Dentist New Port Richey FL James Lewis DMD

James Lewis, DMD

Dr. James Lewis prides himself on establishing personal relationships with his patients so he can help make their dreams of having a beautiful, healthy smile come true...

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