Our Blog

Do you have sensitivity of you teeth at the gumline?

September 17th, 2019

Do you have sensitivity of your teeth at the gumline? 

This is often due to gum recession which exposes an area of the tooth or teeth which is not meant to be exposed to the mouth. This area is covered by a thin layer of tooth (cementum) which is easily worn away with tooth brushing. As a result the tooth will become sensitive to almost anything which touches it.

If this is happening in your mouth the first thing you should do is:

  • Use a soft bristle toothbrush
  • Do not “scrub” your teeth use a gentle circular motion
  • A new product, Colgate Total, has been developed which was independently verified (not by the company which makes it) by the American Dental Association to be superior in relieving this sensitivity
  • As always check with your Dentist because the tooth or teeth may need restoration

What are the elements of a great smile?

August 15th, 2019

What are the elements of a great smile?

Dr. Michael Sebastian

We all know when we see a person smile that “wow” he or she has a great smile

or “ugh” that smile is unattractive

But do we know what makes up a great smile? What are the elements of a fantastic smile? Today we will discuss and break down these elements for your understanding.

The smile arch. This esthetic ideal means the upper front six teeth should form an arch which parallels the lower lip. A reverse smile arch or flat smile arch is not pleasing to the eye.

Notice upper front teeth form arch which parallels lower lip

Flat smile arch

Reverse smile arch

2. Show all the upper front teeth with a normal or relaxed smile.

3. The width of the smile- With a relaxed smile, the upper back teeth should be visible and no dark spaces between them and the cheeks should be present.

4. The upper midline (which is between the upper front teeth) should be centered in the philtrum of the upper lip.

This smile shows elements 2, 3 and 4

Don’t use the nose because the nose is often deviated from the facial midline. Studies have shown the upper midline can deviate 3mm from the centered position before it becomes unaesthetic. The upper midline doesn’t have to match the lower midline for esthetics.

Missing lower front tooth so upper and lower midlines can’t match

5. The proportions of the teeth both in length and width need to match each other and the size of the face. The upper front teeth are the widest, the teeth next to those are ¾ their width and the eye teeth are 9/10 their width.

6. The color should be light and even throughout the front teeth.

Front teeth are short due to wear. Color is too dark

Now teeth are normal width, length and color after treatment

Small teeth

After treatment to align and restore teeth to correct size

7. The gum levels should be as noted in photo with the front teeth gum level higher than the side front teeth by 1-2mm and the eye teeth the same height as the front teeth.

Gum levels not correct

After treatment to develop correct height of gums and width of teeth

8. The upper front teeth don’t overly protrude or retrude. They should position just in front of the lower front teeth with the teeth together.


 After treatment to correct protruded upper front teeth

Retruded upper front teeth

After treatment to correct upper front teeth retrusion

9. The edges of the teeth should be smooth

10. The gums should fill out the space between the teeth. No what we call “black triangles”.

               Rough edges and black triangle        


After treatment to align, correct black triangle and polish rough edges

Now, when you add all these elements up you get a fantastic smile which radiates confidence, beauty and health.

Let us “Build You” a better smile

Baking Soda Toothpastes

June 20th, 2019

I am asked Often about the use of Baking Soda toothpastes. Should they be used, are the safe, are they effective and are they better or worse than Other toothpastes. In today's blog we'll answer some of those questions.
What is baking soda toothpaste? It is toothpaste with the primary active ingredient of sodium bicarbonate.
Are they safe?
Yes, extensive research has Shown toothpastes containing baking soda to be safe. An interesting side note is patients swallow 5-7% of the toothpaste When brushing and  there are no negative effects here either even for patients on a low salt diet.
Are they effective?
Yes, they are effective at killing the bacteria which causes cavities. Patients who use these toothpastes have improved oral health including the teeth and gums.
Are they better or Worse than Other toothpastes?
The best reason to use baking soda toothpastes iS because Of their IOW abrasiveness and improved tooth Whitening. Most toothpastes now are very abrasive. Abrasiveness is good to clean Stain and Whiten but it also causes erosion Of the teeth. so if you are prone to erosion of your teeth then Baking Soda toothpaste is an excellent alternative because it also is excellent at whitening.
So yes, I Can recommend Baking Soda toothpaste because it is safe, kills the bugs,
reduces erosion and whitens.


Do I Have To Wait For The Dentist To Send My Child To The Orthodontist?

May 6th, 2019

Do I have to wait for the Dentist to send my child to the Orthodontist?

The simple answer to this question is NO. If you notice the permanent teeth are coming in crowded, with excessive space, the front teeth are protruded or retruded, the back or front upper teeth bite inside the lower teeth then you need to take your child to an Orthodontist.

You may assume the dentist is aware of these problems and that they will make the referral to an orthodontist but sometimes this does not occur. Dentists are often focused on the health of the teeth and gums. They look at how good the child’s brushing and flossing is and if there are cavities. They don’t often concentrate on how the teeth fit together (the bite). This is what Orthodontists specialize in doing.

The American Association of Orthodontics recommends a consultation with an Orthodontist at age 7. As most poor bites start at this age. By examining a child at this age, the Orthodontist can diagnose many potentially damaging bite and jaw development conditions before they cause major problems. If treatment is necessary at this critical stage, then results can be dramatic.

The other reason for an examination of children at this age is the detection of Sleep Disorder Breathing or SDB. It is often the precursor to Sleep Apnea. Using our diagnostic criteria and ultra-low dose CBCT radiography, we can learn if a child has an upper airway disorder (think narrow airway) which could affect their ability to get enough oxygen so their brains and bodies can develop to their maximum potential. We use this radiograph for our orthodontic purposes but can also use it for airway analysis so the child gets the additional benefit without any additional radiation! As parents, we all want to give our children the best chance for success and without a big upper airway that is not possible.

As you can see, there are many benefits to examining a child early. Not all children will need orthodontic treatment at this stage but you don’t want to miss the opportunity this age of development offers. You don’t want to be saying “I wish we had of”

At the orthodontic office of Dr. Michael Sebastian, we are here to guide your child and family through this critical stage of development.