Archive for the Uncategorized Category

New Home For Dr. Duke!!

Posted in Uncategorized on September 10, 2015 by dukeslc

Finally I have found a new home.  I am now in the beautiful city of Bountiful!  I have partnered with Dr. James Keddington as he is taking more time away from the practice to teach at the University of Utah Dental School.  It is a small intimate practice that has wonderful patients and I am so excited to be here.  Please call if there is anything we can do for you.  The address of the practice is 1480 Orchard Dr., Bountiful, UT  84010; and the phone number is 801-298-2241.  Would love to hear from you!!

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Where’s Dr. Duke?

Posted in Uncategorized on July 23, 2014 by dukeslc

I wanted to let everyone know that I am now at Jordan Landing Dental Care in South Jordan. As most of you know, I sold my practice to ISmile nearly 2 years ago, and I have decided to move on from that experience. I found that I was unable to provide the quality of care for my patients that I had done in the past. I realize that I am some distance from the downtown area, but if I can be of assistance to anyone, my telephone number is 801-280-7001, and my address is 7611 Jordan Landing Blvd., West Jordan, UT, 84084. I am also looking for a site in the South Davis area to build a new practice, so I will keep everyone informed as that progresses. Thank you for your interest and feel free to call me at my new office!!

Five Rules for Great Dental Hygiene

Posted in Dental Hygiene, Uncategorized with tags , , , , on June 16, 2011 by dukeslc

Maintaining your dental health is important for more reasons than you might think. Nobody wants the pain associated with cavities and infection, but poor dental health affects not only your mouth, but the health of your entire body. Here are five suggestions from Dental Designs of Salt Lake City, Utah for maintaining good dental hygiene.

Brush. The first and most fundamental rule for sound dental health is to brush your teeth. Minimally, you should brush twice a day, morning and night; but optimally, you should brush three times a day. When you purchase a toothbrush and toothpaste, look for the ADA (American Dental Association) stamp. The ADA has certain standards that assure minimum quality for dental products. By choosing ADA approved dental products, you can be assured that you are getting the quality your teeth require. When you brush your teeth, visualize every surface of your teeth, top and bottom, including the nooks and crevices and your gums. Brush in a gentle, circular motion, moving slowly across all of the surfaces and crevices you visualize to ensure that your brushing action is reaching and thoroughly cleaning all the surfaces and nooks and crannies in and around your teeth where bacteria exist.

Floss. After brushing, the most important habit for maintaining the best dental health is flossing. While you may brush thoroughly and regularly, nothing beats flossing for removing plaque and other remaining bacteria that lingers on your teeth, in between your teeth, or on your gums. Also, flossing helps prevent gum diseases, which if unchecked can lead to much more serious health issues. To help you floss more thoroughly, look for floss that has a waxed coating. This helps the floss move through your teeth more easily. Floss every day.

Mouth Rinsing. The third rule for great dental health is to rinse out your mouth with either water or mouthwash after meals when you can’t brush. Swishing or gargling water or mouthwash after meals helps to remove food debris and other bacteria that is likely to remain after the meal. Food debris and bacteria cause an acid to form on your teeth that causes plaque and eats away at enamel. If plaque is not removed it can turn to tartar. Once plaque has turned to tartar only a dentist can get it off. The rinsing action minimizes the build up of plaque in your mouth.

Fluoride. The fourth rule for maintaining good dental health is to rinse your mouth with mouthwash that contains fluoride. Fluoride strengthens the enamel on your teeth, and the harder the enamel on your teeth is, the tougher it is for plaque to stick and for acid to eat through it.

Dental Check-up. The fifth rule for great dental health is to see your dentist on a regular basis. Usually dentists like you to come in every 6 months for a cleaning. Going to the dentist every six months is important for your dental health because they will do a detailed check up of all your teeth. Your dentist will also clean off any tartar build up that has occurred. Getting all of the tartar off of your teeth is crucial for avoiding gum disease.

To learn more about dental hygeine, contact Dental Designs of Salt Lake City or Call us at 801-355-2202.

Invisalign

Posted in Uncategorized on February 8, 2011 by dukeslc

If you are considering Invisalign braces in Salt Lake City, here is some information that will help you more fully understand how Invisalign works, and what the advantages and disadvantages are. Hundreds of thousands of successful Invisalign treatments have been performed. It’s a good option and a serious alternative to traditional metal braces.

Below is an explanation of the advantages and disadvantages of Invisalign orthodontia. If you have other questions you need answered or if you are interested in a free initial consultation, you may contact Dr. David Duke of Dental Designs of Salt Lake City, Utah at 801-355-2202.

Invisalign Advantages

The most obvious advantage of the treatment is cosmetic: the Invisalign aligners are completely transparent, which makes them far more difficult to detect than traditional wire and bracket braces. This makes the method particularly popular among adults who want to straighten their teeth without the look of traditional metal braces, which are commonly worn by children and adolescents. In addition, the aligners are marketed as being more comfortable than braces. Due to the removable nature of the device, food can be consumed without the encumbrance of metallic braces.

Clinically, aligners avoid many of the side effects of traditional fixed appliances; for example, the effects on the gums and supporting tissues. Almost all types of orthodontic treatment will cause the roots of teeth to shorten for most patients, and demineralization or tooth decay occurs in up to 50% of patients because they cannot be removed for eating and cleaning, and because they prevent accurate x-rays from being taken.

With Invisalign, patients “graduate” to a new set of aligners in their treatment series approximately every two weeks. The aligners give less force per week and less pain than do fixed appliances (traditional metal braces). Fixed appliances are adjusted approximately every six weeks and apply greater forces.

Aligners should be removed to eat, drink, to clean the teeth, or to have them checked by the clinician. Because you remove the aligners, you are not limited to what you eat, which is not the case with traditional metal braces. Computerized treatment planning is necessary as part of the Invisalign protocol. As with other forms of orthodontic treatments that incorporate a computerized plan, this allows the prospective patient to actually visualize the projected smile design. The patient will also learn how long the treatment is likely to take, and they can compare different plans and make a more educated decision about whether or not to use Invisalign.

Invisalign treatments have been claimed to be quicker than traditional orthodontics. A large-scale study of 408 patients with traditional appliances in Indiana took an average of 35.92 months with a maximum of 96 months, while Invisalign took between 12–18 months.

Invisalign Disadvantages

As with all orthodontic treatment options, Invisalign also has potential disadvantages. The very fact that the aligners are removable means they are not continually correcting the teeth. Traditional fixed braces correct constantly; yet Invisalign braces are largely dependent on a patient’s habits and their consistency in wearing the aligners. The success of the Invisalign aligners is based on a patient’s commitment to wear the aligners for a minimum of 20–22 hours per day, and only removing them when they are eating, drinking, or brushing their teeth.

The system is also somewhat expensive, as conceded by the Align Company, and can be more expensive than traditional wire and bracket systems. The aligners must be removed before eating, which might be perceived as an advantage or disadvantage, depending upon the person. The aligners and the teeth should be cleaned before re-inserting them afterwards.

Certain teeth are slightly problematic for Invisalign aligners to rotate. Some lower premolars have a rounded shape, which can make it difficult for the aligners to grasp and apply a rotational force to the tooth. Teeth grinding or clenching during the day or while sleeping can sometimes damage the aligners. In practice, however, this problem is very rare and a new aligner can be ordered. Also, similar to traditional metal braces, aligners may cause a slight lisp at the beginning of treatment, but this usually disappears as the patient becomes used to the treatment.

The aligners are constructed of implantable-grade polyurethane, and the Align company acknowledges that with a few patients there may be cases of allergic and toxic sensitivity reactions to Invisalign. There have also been a few reports of minor symptoms such as sore throat, cough, and nausea.

Treatment

Invisalign treatment begins with a dentist or orthodontist taking dental impressions, x-rays and photographs of the patient’s teeth. These impressions and photographs are sent to Align Technology. The impressions are put through a CT scan and a computer creates a three-dimensional model. Technicians then individualize the teeth in the computer model and move them to their final position as prescribed by the dentist or orthodontist. Custom Align software then simulates the movement of the teeth in stages. The orthodontist reviews the simulation online via a web browser and approves or modifies the treatment. Once approved, a plastic resin aligner is manufactured for each stage of the computer simulation and shipped to the doctor.

Average treatment time is about one year, again depending on the complexity of the treatment. Simple treatments (minor crowding, minor spacing) may be as short as twenty weeks—this is known as the “Invisalign Express” program. Although the aligners are removable, they must be worn at least 20 to 22 hours per day to avoid delaying the treatment process. If they are not worn consistently, treatment time will increase.

After the regular aligner or braces treatment is complete, retainers composed of a similar plastic material are usually required to be worn, at least at night.

The final position of the teeth is not completely determined by the last aligner. If the patient wants to change the end position because the actual position is not optimal, new aligners are ordered, which are usually included in the originally quoted cost, called a ‘Refinement.’

Periodontal Disease in Children

Posted in Dental, Uncategorized with tags , , , , , , on August 10, 2010 by dukeslc

Many people think of periodontal disease as an adult problem. However, studies indicate that nearly all children and adolescents have gingivitis, the first stage of periodontal disease. Advanced forms of periodontal disease are more rare in children than adults, but can occur.

Types of periodontal diseases in children

Chronic gingivitis is common in children. It usually causes gum tissue to swell, turn red and bleed easily. Gingivitis is both preventable and treatable with a regular routine of brushing, flossing and professional dental care. However, left untreated, it can eventually advance to more serious forms of periodontal disease.

Aggressive periodontitis can affect young people who are otherwise healthy. Localized aggressive periodontitis is found in teenagers and young adults and mainly affects the first molars and incisors. It is characterized by the severe loss of alveolar bone, and ironically, patients generally form very little dental plaque or calculus.

Generalized aggressive periodontitis may begin around puberty and involve the entire mouth. It is marked by inflammation of the gums and heavy accumulations of plaque and calculus. Eventually it can cause the teeth to become loose.

Periodontitis associated with systemic disease occurs in children and adolescents as it does in adults. Conditions that make children more susceptible to periodontal disease include:

For example, in a survey of 263 Type I diabetics, 11 to 18 years of age, 10 percent had overt periodontitis.

Periodontal Disease Runs in the Family

Periodontal disease may be passed from parents to children and between couples. Researchers suggest that the bacteria which causes periodontal disease may be passed from one person to another though saliva. This means that the common contact of saliva in families puts children and couples at risk for contracting the periodontal disease of another family member.

Genetics may also play a major role in the onset and severity of periodontal disease. Researchers found that Up to 30% of the population may be genetically susceptible to developing severe periodontal disease. Therefore, if one family member has periodontal disease, it is a good idea for all family members to see a dental professional for a periodontal disease screening.

Adolescence and oral care

Evidence shows that periodontal disease may increase during adolescence due to lack of motivation to practice oral hygiene. Children who maintain good oral health habits up until the teen years are more likely to continue brushing and flossing than children who were not taught proper oral care.

Hormonal changes related to puberty can put teens at greater risk for getting periodontal disease. During puberty, an increased level of sex hormones, such as progesterone and possibly estrogen, cause increased blood circulation to the gums. This may cause an increase in the gum’s sensitivity and lead to a greater reaction to any irritation, including food particles and plaque. During this time, the gums may become swollen, turn red and feel tender.

As a teen progresses through puberty, the tendency for the gums to swell in response to irritants will lessen. However, during puberty, it is very important to follow a good at-home oral hygiene regimen, including regular brushing and flossing, and regular dental care. In some cases, a dental professional may recommend periodontal therapy to help prevent damage to the tissues and bone surrounding the teeth.

Advice for parents

Early diagnosis is important for successful treatment of periodontal diseases. Therefore, it is important that children receive a periodontal examination as part of their routine dental visits. Be aware that if your child has an advanced form of periodontal disease, this may be an early sign of systemic disease. A general medical evaluation should be considered for children who exhibit severe periodontitis, especially if it appears resistant to therapy.

Many medications can dry out the mouth or pose other threats to oral health. Be sure to tell your dental professional about any medications your family members are taking.

Monitor your family to see if anyone has the habit of teeth grinding. Grinding can increase the risk of developing periodontal disease, in addition to causing cracked or chipped teeth. Dentists can make custom-fitted night bite guards to prevent teeth grinding at night.

Researchers suggest periodontal disease can pass through saliva. This means that the common contact of saliva in families may put children and couples at risk for contracting the periodontal disease of another family member. If one family member has periodontal disease, all family members should see a dental professional for a periodontal evaluation.

The most important preventive step against periodontal disease is to establish good oral health habits with your child. There are basic preventive steps to help your child maintain good oral health:

  • Establish good oral health habits early. When your child is 12 months old, you can begin using toothpaste when brushing his or her teeth. However, only use a pea-sized portion on the brush and press it into the bristles so your child won’t eat it. And, when the gaps between your child’s teeth close, it’s important to start flossing.
  • Serve as a good role model by practicing good oral health care habits yourself.
  • Schedule regular dental visits for family checkups, periodontal evaluations and cleanings.
  • Check your child’s mouth for the signs of periodontal disease, including bleeding gums, swollen and bright red gums, gums that are receding away from the teeth and bad breath.

If your child currently has poor oral health habits, work with your child to change these now. It’s much easier to modify these habits in a child than in an adult. Since your child models behavior after you, it follows that you should serve as a positive role model in your oral hygiene habits. A healthy smile, good breath and strong teeth all contribute to a young person’s sense of personal appearance, as well as confidence and self-esteem. Make sure to bring your child in for their regular 6 month cleaning and exam, where periodontal disease can be prevented and caught early. Call our Salt Lake City Dental Office to make an appointment or check out our website for more information.

Smile Designs for Porcelain Veneers

Posted in Cosmetic, Dental, Smile Designs, Uncategorized, Veneers with tags , , , on August 7, 2010 by dukeslc

When we talk about “smile design”, what are we talking about.  There are many aspects of a smile beside teeth.   There are so many variables as to what creates a beautiful smile.  What is beautiful to one person, may not be to another; which is a good thing, or we would all look alike.  For instance, in parts of Africa and South America, it is considered beautiful to file the front teeth into points.  So the “cosmetic dentist” of the tribe, or witch doctor, help to file the teeth using knives, files, and rocks to chip and shape the teeth. 

Of course we don’t resort to those measures, but there is some reshaping done to achieve the looks that we desire.  Using “smile guides” we can choose over 30,000 different ways that a cosmetic dentist can create a new smile.  One of the most popular guides is one developed by Dr. William Dickerson, the founder of the prestigious Las Vegas Institute for Advanced Dental Studies.  I have had the privilage of studing there for the past seven years under his tutelage.  I have designed thousands of smiles using veneers and porcelain crowns to acheive the look we wanted.  Each smile style is a combination of the teeth shapes for the front six teeth.  For example, the four front teeth (incisors) could be either square at the corners, square at one corner and rounded at the other, or rounded at both corners. Similarly, the cuspids or eye teeth (third tooth back) could be pointed, rounded or flat. Combining these different shapes each produces a uniquely different smile style. Please note, this smile library below is only to choose the basic shape of the front six teeth, and in no way reflect the color, length, surface texture or translucency that the porcelain veneers or crowns will have. Those other things are addressed in other aspects of smile design and choosing the best combination for your “sensational new smile”.

Dickerson catalog

For most females, the “Enhanced” smile style is one of our most popular designs. Note that the second teeth from the center are a little shorter than the front teeth. This is a youthful effect we call “the gull wing” that really looks nice on females. The “Hollywood” style above is a little more “toothy” and works well for males and especially those wanting to show off a little more teeth. The “Oval” style might look best on someone with a very round face. Notice how very round the edges of the four front teeth are? The “Aggressive” style has tooth edges that are flat almost straight across. We use it mostly for men and it simulates someone who might be a bit older and have a habit of grinding his teeth. The “Youthful” style simulates the shape of unworn teeth that might be seen in a 14 year old. Although many adults like this name because they think it might give them the illusion of being significantly younger, we almost always utilize this design in much younger individuals. The “Mature” style has squarish edges on the four front teeth and is another design that we frequently use for men. The “Softened” style is a very popular design that we use for those wanting their smile to help make them appear a little younger than their years. It is my preference to use smile designs that have the cuspids (also called canines, the third teeth back on each side) that are slightly round, not flat (too old looking) or pointed (too aggressive looking). It is important that both the patient and cosmetic dentist actively discuss the different smile styles at the beginning of the smile makeover process. Using our technique called “the trial smile” we’re able to make provisional veneers or crowns so that our patient can “test drive” their new smile prior to making any final decision regarding the smile design for their final porcelain veneers or porcelain crowns.

Call our Salt Lake City Dental Office today for a free consultation or check out our website for more information.

Dental Veneers: The Procedure

Posted in Cosmetic, Dental, Uncategorized, Veneers with tags , , , , , , , on August 5, 2010 by dukeslc

Actual Patient, Porcelain Veneers

1st Step: Dr. David Duke offers FREE Consultations to everyone interested in dental veneers. Every patient must have an exam and discuss their cosmetic preferences with the Dentist. The oral health of the patient and any malocclusion (crowding and incorrect bite) must be addressed before veneers will be recommended. An impression is taken of the upper and lower teeth and the lab will fabricate a wax model of the future veneers. The patient will be able to choose the style of veneer desired from our photo examples. 

How many Dental Veneers do I need?

Many patients are interested in placing a veneer on one or two teeth to improve their appearance. While this can be done, we highly recommend placing veneers on each tooth seen when you smile. Some people have smaller mouths and may only have 4 or 6 teeth visible when smiling or talking. Others may have a “Julia Roberts” smile and need 6 to 10 veneers made. We use the best labs in Salt Lake City, Utah and we make our veneers as natural looking as the patient desires.

2nd Step: The patient will return to review and revise the wax model of the veneers.  This is absolutely necessary to review with the patient because it provides a physical, visual example of the final result.  Wax-ups, as they are called, provide the patient with a chance to review and change any part of the veneer that they don’t like. The size, shape, length, texture, or color will all be considered and the patient will be able to make educated decisions for their permanent veneers. 

3rd Step: Once the look of the veneers is chosen, the patient will return for the veneer preparation visit. The Dentist will slightly reduce the chosen teeth and take the final impression for the lab. Temporary veneers are made in the office to replicate the permanent veneers. The patient will wear these for a few days while the lab creates the permanent veneers.

Note: Some patients may require Laser Gum Recontouring.  When preparing for veneers, the gumline can be moved or re-shaped to prevent a “gummy smile” and the veneers will be made to sit perfectly along the gumline. We use a very gentle laser that promotes quick healing and little to no discomfort.

Actual Patient, Porcelain Veneers

4th Step: The temporary veneers are gently removed, the tooth is cleaned from any cement, and the Permanent Veneers are placed on the teeth with permanent cement. Any slight or small adjustments will be made by the dentist to ensure correct bite and esthetics of the teeth.

We welcome you to visit our office, meet our Dentist and Team members, and enjoy freshly baked cookies. Our FREE Consultations allow patients to discuss all treatment options with the Dentist and help us understand your unique desires. Feel free to check out our website for before and after photos and more information. At your convenience, call our Salt Lake City Dental Office at 801-355-2202 to schedule an appointment. We look forward to meeting you!