Healthy Smile

Orthodontics for Adults

November 21st, 2023

Many people think that orthodontics can only be done during childhood or as a young adult, however that is not the case!  Adult orthodontics can be more straightforward since there is no growth to adapt to during the orthodontic treatment.   It is also more common for adults to utilize Clear Aligners for their orthodontic treatment due to the increased comfort and esthetics compared to band and wire orthodontics.

There are many reasons why adults choose to pursue orthodontic treatment.  One would be to improve the esthetics of your smile.  Straight teeth can create a wider and more youthful smile that you can be proud of showing off!  Adult orthodontics can also be used to correct relapse after having orthodontics as a child. Many times, retainers get lost or are not worn long term and the teeth can begin to move back to their original position. Adult orthodontics can help correct those movements and establish a more ideal tooth position. Another benefit of adult orthodontics is to aid in correcting wear and creating a more supportive bite so that your teeth will not wear down as quickly.   As our lives as adults gets more stressful, there is a tendency to clench and grind your teeth, which leads to tooth movement and tooth wear.

To get the best outcome, it is important that you share your goals with Dr Dyras or Dr Bedro, so that we can plan out your case to achieve those goals. If you chose to do Clear Aligner Therapy, like Invisalign, it is imperative that the trays are worn consistently, all day and night. The trays are only removed to eat, and then replaced after each meal. We recommend that you have sugar free gum with you to remove any food from your teeth prior to placing the trays back in.

Clear aligners have been a game changer for adult orthodontic treatment. You can get the straight teeth you have always wanted with out having the unsightly wires and brackets that many of us had to deal with as children.  We work with each one of our patients to identify the most efficient, comfortable, and cost-effective way to achieve the goals that you have for your smile, and adult orthodontics is an option that many people chose to achieve those goals.


October 19th, 2023

Bridges are one of the available options to replace a missing tooth. When you have a missing tooth that has healthy teeth on either side of it, a bridge can be fabricated to “bridge” the two teeth with a fake tooth in the middle. The two adjacent teeth are prepared the same way they would be for a crown, and the bridge is cemented on them, so the replacement does not need to be removed.

Bridges are a permanent tooth replacement option that is a good alternative when implants are not ideal. Generally, the costs of a bridge and implant are similar, so we encourage patients to choose the replacement that will suit their individual needs the best. An example where a bridge would be a better option would be if you are prone to gum disease, as gum disease can affect implants. Another example would be if the adjacent teeth need crowns anyways, the bridge would fix both issues of replacing the missing tooth and creating a crown for the neighbor tooth.

The procedure for creating a bridge is very similar to preparing a tooth for a crown. The two teeth supporting the bridge are shaped to fit under a typical crown, then the teeth are scanned and a temporary bridge is placed. The dental lab will fabricate the bridge to fit your teeth and send it to our office to be delivered a few weeks later. Our dentists will then cement the bridge on the supporting teeth the same way a crown is cemented.

Caring for a bridge is just like any other tooth, however flossing can be more complicated. Because the teeth are bridged together, floss must be threaded under the bridge to keep the area clean from food debris or plaque buildup. Many of our patients prefer to use a Waterpik to clean around their bridges, as it will do just as good of a job as threading floss and is much easier to use.

Our go-to material for dental bridges is high strength Zirconia, the same that is used for most crowns. It is a very strong material that can stand up to biting forces without breaking, but will also minimize wearing down of the teeth on the opposite arch. For our anterior bridges we prefer to use Emax, a lithium disilicate glass-ceramic that provides excellent esthetics while still providing the strength needed to chew. In some long span bridges, we will use porcelain fused to metal for its high strength, however it is avoided as the porcelain tends to chip off over time.

Our office makes sure to have conversations with our patients so you know what your tooth replacement options are and will review the pros and cons for each option depending on your unique situation. If you have missing teeth that you would like replaced, please call our office today to see if a bridge is right for you!

Root Canals

July 26th, 2023

Root canal treatment has a bad reputation due to the pain that people tend to associate with them.  When a root canal is needed, it is usually because the tooth is infected and painful.  The procedure itself tends to be just long and boring, not nearly as painful as the infection prior. I usually tell my patients that if they get bored during the procedure, that usually means everything is going well!

In most cases, teeth only need root canals when a tooth becomes infected.  Bacteria that cause cavities can enter the nerve space when the cavity gets too close to the nerve.  That is not the only reason for getting a root canal, however. Sometimes teeth can be traumatized due to an accident or injury to the tooth, causing the nerve to die.  Over time, teeth that have dead nerves will turn grey and unesthetic.  In those cases, the tooth can get a root canal so that the tooth can be bleached back to its natural tooth color.

Signs that a tooth needs a root canal include pain, swelling or a change in color of the tooth. When our teeth become infected, the nerve tends to swell. This is just like any infection in our body, but there is no room for it to swell since the tooth is in hard bone.  The swelling creates an intense pressure pain in the tooth.  The infection will start eating away at the bone around the tooth and create an abscess.  Many times, once an abscess forms the pain will subside, as the infection will be able to drain and the pressure is released. However, the infection is still there and it is important to get it addressed quickly so the infection does not spread further. As the nerve dies, it can also cause spontaneous pain.  The tooth may hurt out of nowhere, even when you are not eating, and may wake you from sleep.

When a root canal is performed, the tooth is numbed up first so that you can be comfortable during the procedure.  The infection is then removed from the tooth, it is cleaned thoroughly and the area of infection is sealed off so that bacteria cannot reenter the tooth. In most cases a crown will be needed as well to improve the structural integrity of the tooth and prevent it from breaking, especially with teeth further back in the mouth.

Before your root canal appointment, it is important to take any antibiotics that were prescribed.  Please call us if you experience any significant swelling prior to your appointment so it can be addressed prior. After your appointment, it is common to have pain that should resolve within 24 hours.  Generally, it is easily controlled with over-the-counter pain medications like Tylenol and/or Motrin.

We do everything possible to make sure that your treatment is as comfortable as possible at Dyras Dental. If you have questions about root canal procedures or think you may have an infected tooth, please call today so we can help!


May 23rd, 2023

Invisalign is a clear aligner system that can achieve many of the same movements as traditional wire and bracket orthodontics, while being more comfortable and less obvious that you are undergoing treatment. Each tray moves your teeth up to 0.25mm using pressure applied by the tray, creating a comfortable and consistent movement that can achieve your esthetic smile goals.

There are many benefits to Invisalign treatment over traditional braces. Because Invisalign trays are planned out digitally before you even begin treatment, there is less pain involved as the movements are much more controlled. Invisalign trays can also be removed so that you can still enjoy your favorite foods during treatment. No wires means no pokey metal ends and more comfortable lips and cheeks!

The time that Invisalign can take ranges from a few months to a few years, depending on how much movement is needed. Generally, Invisalign patients whose changes focus more on esthetics and do not need to move molars or create bite changes will take 6-8 months. More complex movements and malalignments usually take 1.5-2 years. We generally see patients every 6 weeks to ensure that the teeth are following the trays properly. Some patients will need to be evaluated more often or less often; we generally decide based on your unique needs.

The most successful Invisalign patients are those who wear the trays daily and only remove them to eat. Invisalign recommends that the trays be worn 22 hours a day, giving you just enough time to eat and get the trays back in. We recommend having sugar free chewing gum with you to remove food particles from your teeth after a meal prior to replacing the trays if brushing your teeth is not convenient.

There are some movements that are difficult to achieve with Invisalign that are better treated with band and wire orthodontics. This includes patients with unerupted teeth, significant intrusion movements, or arch size discrepancies, as well as others.

Schedule an exam with one of our doctors today to see if Invisalign is right for you!

This last week was Dental Hygienist Appreciation Week!

April 14th, 2023

Our practice is incredibly fortunate to have 3 highly trained and knowledgeable hygienists who help our patients smile bright! Christa and Madeline have been with us since 2015 and Chelsea joined us in 2017. They all enjoy getting to know each of our patients individually and helping them maintain a healthy and confident smile. In 2021 we also added Shirley as a Hygiene assistant. She has been instrumental in getting our patients seated in a timely manner, taking photographs and radiographs, and helping your hygiene visit flow smoothly.

Our hygienists do so much more than “just a cleaning” for our patient family! At each visit, our patients are screened for oral cancer. Our hygienists will also evaluate you for signs of periodontal disease, and screen you for signs of decay, wear, and cracks in your teeth. You can be confident that any issues will be identified early at your hygiene visit. This gives us the opportunity to create a solution that is much less invasive than waiting until you are having pain or discomfort. Our hygiene team has done a great job at integrating photos into our visits as well, so that our patients have the opportunity to see what we see.

Next time you are in our office, tell your hygienist thanks for all they do!

February is Children’s Dental Health Month!

February 22nd, 2023

Children ideally should start seeing the dentist at age 1 or when they get their first tooth. Not much will be done at these first visits, other than introducing them to the environment of the dental office and discussing dental care and recommendations with their parents. Generally kids will have their first cleaning around 3 years of age, depending on what they can tolerate.

Children should start using toothpaste as soon as they develop a tooth. There are various baby-friendly toothpastes that will help keep your kiddos smile bright and shiny. Kids toothpastes will list what ages they are meant for; generally, they are grouped by either 0-3 years or 3+years of age. It is best to find a flavor and brand that your child enjoys and be consistent with brushing their teeth every morning and night so it becomes part of their routine. If your child is independent and wants to brush their teeth by themselves, encourage it! Once they have finished, then it will be the adults turn to make sure all of the teeth were brushed properly. Children do not have the manual dexterity to properly brush their teeth until they are able to tie their shoelaces, so make sure you still assist until then.

Infants need oral care too! Before baby gets their first tooth, it is important to wipe out their mouth with a damp gauze or soft wash cloth to help prevent thrush and keep their mouth clean. This should be done after every feeding, or at least twice a day if it is not feasible to clean their mouth every time they eat. We know that infants sometimes need to eat nearly all day when they have growth spurts, and cleaning every time is not going to happen! In these cases, twice a day will suffice.

It is important to instill regular oral care habits in our children so that they will carry this skill into their adult lives. Children who receive regular oral care have a much lower risk of developing decay or tooth infections. Regular visits to your dental office at Dyras Dental will create the opportunity for us to catch problems before they turn into more serious issues. It is true that an ounce of prevention is worth a pound of cure!

Our office sees children regularly for routine care. We put a priority on making sure that our treatments are safe and on managing apprehensive kids properly so that our youngest patients can receive safe and compassionate care. If your child is not able to tolerate routine care due to negative past experiences or more advanced treatment needs, we work with various local pediatric offices that can help them safely get the care they need. We enjoy working with children as we have seen that it helps set them up for a lifetime of dental health!

We love meeting new patients and kiddos! We look forward to seeing you at your next visit at Dyras Dental!

601 S Grand Ave, Lansing, MI 48933 (517) 485-1900
Monday — Thursday 8:00am to 5:30pm Friday: CLOSED
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