R. Jason Pavelka, DDS, MD, PC

Dentist - Plano

5800 Coit Road, Suite 400,,Plano, TX 75023

(972) 985-1300

Posts for category: Dental Procedures

IronChefCatCoraSharesaSecretofHerBrightSmileToothWhitening

When asked about her dazzling white smile, Cat Cora, the first female iron chef on the hit television series Iron Chef America, freely admits to maintaining the brightness of her smile with professional whitening sessions.

“With what I do, whitening your teeth is like getting your hair done, your nails done and everything else you have to do to be on television,” Cat recently told Dear Doctor magazine. However, she does have her limits. “I want my teeth to be white and healthy looking — but not stark white or looking like they could glow in the dark,” she said with a laugh.

Cat's perceptions and experiences with tooth whitening may accurately describe Hollywood, but through the power of media, celebrities and their respective fan bases, having attractive white teeth has become a goal for most people. This is because white teeth are subconsciously associated with youth and virility.

Here in the dental office, we can use professional-strength “power bleaching” to whiten teeth several shades in a single visit. To prevent irritation to the area surrounding the teeth being treated, we isolate the gums and skin of the mouth with a protective gel or a rubber barrier known as a dental dam. After the whitening solution is placed on the teeth, the process may be supplemented by heat or a light source to activate or enhance peroxide release.

For bleaching teeth at home, our office can make custom-fitted bleaching trays that you fill with a gel form of carbamide peroxide. Sometimes this whitening gel can cause a temporary tooth sensitivity to hot and cold, but this normally lasts for no more than four days after you stop bleaching your teeth.

To learn more about tooth whitening, you can continue reading the Dear Doctor magazine article “Teeth Whitening.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss what treatment options will be best for you. And to read the entire interview with Cat Cora, please see the article “Cat Cora.”

By R. Jason Pavelka, DDS, MD, PC
December 30, 2013
Category: Dental Procedures
ChoosingtheBestPathtoWhiterTeeth

Teeth whitening is an extremely popular remedy for a lackluster smile, and with good reason: It works! So what's the best way to whiten teeth? We recommend in-office whitening treatments or at-home bleaching with custom-made flexible plastic trays. Either of these techniques will give you faster results than over-the-counter products while giving us the opportunity to monitor your individual response to the whitening process.

In-office whitening can produce dramatic results in just one visit. The bleaching solutions used in this process are the strongest available, so we will take precautions to protect your gums before we start. We will then brush the bleach onto your teeth and leave it there for about an hour. Once the session is finished and the bleach is rinsed from your teeth, you will be delighted by the results! If you want your teeth to reach their maximum brightness, a second treatment can be scheduled.

At-home bleaching with custom-made flexible plastic trays is also very effective, though you will bear a greater responsibility for sticking to the treatment regimen. We will first make a mold of your teeth that will be used to fabricate the bleaching trays. When the trays are ready, we will provide a prescription-strength bleaching solution in gel form. We will show you how to line the trays with the gel and then fit them over your teeth. You will generally need to repeat the bleaching process daily for about an hour until your desired results are achieved — usually about two weeks.

Both methods above have advantages over OTC (over-the-counter) whitening products. The most important is that we can verify that your tooth discoloration is purely a cosmetic problem and not the result of an infection or other dental problem requiring treatment. Also, we can monitor your reaction to the whitening process and make adjustments as needed. Finally, we are always available for any questions that come up before, during or after bleaching.

If you are interested in learning more about teeth whitening, please contact us today to schedule an appointment for a consultation. For more information on teeth whitening, please see the Dear Doctor magazine articles “Important Teeth Whitening Questions Answered” and “Tooth Whitening Safety Tips.”

By R. Jason Pavelka, DDS, MD, PC
November 11, 2013
Category: Dental Procedures
CaughtEarlyCross-BitescanbeCorrectedWithPalatalExpanders

There’s more to orthodontics than simply moving teeth. Especially with children and adolescents, we also want to guide the development of the entire facial structure to solve certain types of malocclusions (poor bites).

One such concern involves the upper jaw and palate (roof of the mouth), known collectively as the maxilla. In some individuals, the maxilla is narrower than normal. This causes the upper teeth to fit abnormally inside the lower teeth when occluding or “biting down” and is known as a cross-bite. A cross-bite may restrict the amount of space for your teeth to erupt (appear in the mouth) in proper alignment. It can be so severe the individual may have to shift the jaw to one side to completely bite down.

If a cross-bite is caught early, there’s a non-surgical treatment to widen the maxilla and help prevent upper teeth misalignment. But there’s a limited time window of opportunity: this is because the maxilla is actually formed by two bones with a seam that runs down the middle of the palate. The two bones will eventually fuse, usually at the beginning of puberty; until then there’s a slight separation.

Before the bones fuse, we can use a palatal expander to widen this seam and encourage permanent bone growth in the resulting gap. The expander is made of two metal halves joined in the middle by a small screw device that fits between the teeth. You or your child turns the screw a very small amount once or twice a day with a special key and the action pushes the maxilla outward on either side: the slight tension created stimulates bone growth. Over time, the new bone will have added width to the maxilla and eliminated the cross-bite.

While it’s possible to correct this after the maxilla fuses, it will require surgery to separate the bones. The palatal expander helps us correct the problem in the most non-invasive way possible, but it must be done before puberty. Discovering this type of malocclusion early is one of many reasons why regular dental visits should be an important part of your child’s healthcare.

If you would like more information on palatal extenders, 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 “Palatal Expanders.”