Welcome to Aesthetic Dental Clinique, Diane I. Hines, DDS

Opening Hours : M-Th 9am - 7pm
  Contact : Southfield 248-358-4000 | Detroit 313-533-6500


Osteoporosis and the Teeth - Aesthetic Dental Clinique

A Look at Osteoporosis and the Teeth

When it comes to osteoporosis and the teeth, the link between the two was once widely misunderstood. But today, we have a clearer understanding of the human skeletal system and how it works in tandem with your teeth and every other part of the body. 

Osteoporosis is a medical condition in which the bones become brittle and fragile from loss of tissue, typically as a result of hormonal changes, or deficiency of calcium or vitamin D. Nearly 53 million people have osteoporosis or are susceptible to the condition due to low bones mass, according to the National Institutes of Health. Older men and women are especially at risk for osteoporosis as the natural aging process can cause bones to become less dense and more vulnerable to injury. But osteoporosis isn’t just about the leg and hip bones as commonly perceived; it also affects the bones in your mouth that support your teeth and the tissues around your teeth.

Osteoporosis and the Teeth

Studies show that there is a link between osteoporosis and bone loss of the jaw, which helps to keep your teeth in place. When the density of the jawbones decreases, tooth loss can occur, which is a common condition among older patients. In particular, older women with osteoporosis are three times more likely to experience the loss of a tooth than those without the condition. Osteoporosis and low density of the jawbone may also cause some challenges with dentures, making them loose or poor fitting.

Your dentist is a great first line of defense against worsening low bone density conditions. Common oral concerns that may point to low bone density throughout the body include receding gums, loose or ill-fitting dentures, and loose teeth.

Bone Disease Prevention Plan

What’s the best way to protect yourself from low bone density? Lead a healthy lifestyle that caters to your bones to keep them vital and strong.

  1. Intake the daily recommended value of calcium and vitamin D to protect the bones.
  2. Stay active! Adopt a fitness plan that includes walking, jogging, weight training, or even dancing.
  3. Refrain from smoking and drinking alcohol.
  4. See your dentist regularly and discuss any concerns about detached or receding gums, loose teeth, or poor-fitting dentures.

Do you have more questions about osteoporosis and teeth? Want to know how to protect yourself against bone disease? Let’s talk about a game plan to keep your teeth and bones healthy and strong at any age.

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Teeth Whitening - Aesthetic Dental Cliniqye

Types of Teeth Whitening

As one of the most sought-after dental treatments, teeth whitening enhances the teeth and the smile. Teeth whitening methods help to lighten the shade of your teeth while removing stains and correcting discoloration. For some, the lackluster color of teeth may be the result of smoking or drinking dark-colored beverages like tea, coffee, and red wine. Plus, as we age, the enamel of our teeth thins and the dentin darkens, making the teeth less bright and less white.

Enhancing the appearance of your teeth is an easy cosmetic option that, for many, inspires confidence and a higher propensity to smile. However, a common misconception is that teeth whitening can be done in one setting. In many cases, you will need to repeat the whitening process to maintain the brilliance of color. There are two main categories of teeth whitening that you should consider.

Vital Teeth Whitening

Vital whitening is the more common method for teeth whitening, which includes a gel with a hydrogen peroxide active ingredient to help lighten the teeth. You can try this method at home or with your dentist. However, a dentist can use a more powerful whitening substance that may have more desirable results. Also, a dentist can use a specialized light that activates the whitening substance to help the bleaching process set in quicker. On the other hand, many patients turn to at-home whitening toothpaste that can help alleviate staining.

Non-Vital Whitening

In some cases, vital whitening may not be a suitable option. This is especially true for patients who have had a root canal treatments–the staining may show through from tooth’s interior. To reach the stain, your dentist may need to lighten the tooth from the inside using a whitening agent and a temporary filling. This type of treatment can take several days to complete, and a repeated treatment may be necessary.

With any type of whitening, talk to your dentist first to find out what method is best for you. Be careful not to irritate the gums or over treat the teeth and destroy the enamel. Also, teeth sensitivity is a common, short-term side effect of teeth whitening. Pregnant women should refrain from whitening until after giving birth. The effects whitening can have on a fetus are not widely known.

Have more questions about teeth whitening? Do you want to enhance your smile? Give us a call to discuss your teeth whitening options!

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Oral Health for Kids

Oral Health for Kids

It’s no secret that teaching about oral health for kids early on can save lots of time and energy. When we invest in teaching our kids how to maintain great dental hygiene practices, we give them the confidence to live happy and healthy in other areas of life, too.

Though setting a routine teeth-brushing time every morning and night may seem like a simple act, it resonates as an important part of the day that should never be skipped. As you help your children take care of their teeth, talk to them about the pitfalls of sugar, cavities, brushing, flossing, and other important aspects of cleaning the mouth.

How to Prevent Cavities

First and foremost, help your kids reduce their chances of getting cavities by brushing twice daily and flossing to remove plaque and other food debris. It’s also important to eat a balanced meal and go easy on the sugar and acidic substances (such a soda) to avoid cavities and plaque build-up on the teeth and gums. Keep up a consistent routine and take your children to visit the dentist regularly for examinations.

Brushing the Right Way

Though brushing is important, it means very little to your overall oral health if not done properly. So teach your children how to brush the correct way, and supervise until they are able to do it solo.

  1. Squeeze a pea-size amount of toothpaste on a soft-bristle toothbrush. Never allow your children to swallow toothpaste.
  2. Gently brush the inner surface of each tooth; this is the region where plaque builds up quickly. With a back and forth motion, clean behind the front teeth (top and bottom).
  3. Angle the brush along the outer gum line and clean the outer surface of each tooth.
  4. Brush the chewing surfaces of the teeth.
  5. Don’t forget to brush the tongue!
Get Flossy

Age 4 is an ideal age to start flossing your children’s teeth to remove food particles and plaque between the teeth that you can’t reach while brushing. By age 8, your little one should be well equipped to floss independently.

Secret to Great Oral Health for Kids

A balanced diet is a must for children. Eating more healthy, whole foods and cutting out too many starchy, sugary snacks can help keep the teeth strong and resistant to decay. Ensure that your family is getting the proper range of vitamins and minerals to maintain a healthy diet–this includes a good source of calcium.

Seal the Deal

Many parents invest in dental sealants to avoid cavities caused by trapped food and bacteria. Dentists apply dental sealants to permanent molars, where cavities are prone to form. Speak with your dentist to see if dental sealants are right for your child.

Do you still have questions about oral health for kids? Let’s talk about it! Schedule an appointment for you and your “mini-me,” and let’s get on the road to a healthy, brilliant smile.

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Pregnancy and Oral Health

Pregnancy and Oral Health

Pregnant women should be diligent about maintaining an effective health routine to avoid pregnancy and oral health problems that could lead to complications of the pregnancy. Some studies suggest that there is a connection between gum disease and premature and underweight births. It’s possible that gum disease may cause heightened levels of fluid that could induce early labor.

To have a healthy pregnancy, be sure to give your teeth and gums the special care that they deserve. Brush and floss regularly, choose healthy food options and visit the dentist regularly to avoid issues that may come with pregnancy. Also, be aware that certain medications are not safe for pregnant women and will not be prescribed (e.g., x-rays, anesthetics, painkillers, and antibiotics).

Pregnancy and Oral Health Issues

Studies prove it is common for pregnant women to experience pregnancy gingivitis, the buildup of dental plaque on the teeth that agitates the gums. Signs of gingivitis include red, inflamed and bleeding gums. Elevated hormone levels that cause the gums to react negatively to plague are to blame for pregnancy gingivitis. During pregnancy, be sure to clean the teeth and the gum line and trade the sweet treats for wholesome foods, like fruit and veggies.

When to Visit the Dentist

It’s a good idea to schedule your appointment with a dentist between the 4th and 6th months of pregnancy. Above all else, let your dentist know if you’re pregnant so that you can receive specialized care. Also, disclose any pertinent health concerns about your pregnancy and oral health with your dentist. Relevant information includes stress, past miscarriages and drugs you’re taking. There may be cause for your dentist to consult your primary care physician before beginning any treatment courses.

Have any concerns or questions about your pregnancy and oral health? Schedule your next appointment for a full consultation with Dr. Hines.

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Types of Fillings - Aesthetic Dental Clinique

Types of Fillings: Amalgam & Composite

When it comes to the types of fillings for your teeth and cavities (also known as caries), there are several options that will do the trick. But before you plug that cavity, let’s talk about the most common dental filling options.

First, what exactly is a filling?

A filling is a restorative substance that blocks off the area where decay once formed within a tooth. Dentists will add a filling to a tooth only after removing the decay and cleaning out the affected area. It’s important to close off spaces with a filling where bacteria can reside to prevent future decay of the teeth. Common filling materials used by dentists including the more widely known materials: composite resin (which resembles the natural color of teeth) and an amalgam (silver) filling.

Types of Fillings: Composite Resin Fillings

Composite resins, made of a plastic material, are typically similar in color to the natural tint of your teeth, making this type of filling a popular choice for patients. However, composite resin may not be a practical choice for large fillings as they may be more prone to chipping over an extended period of time. Also, staining from coffee, tea, or tobacco is possible with this type of composite material.

Types of Fillings: Amalgam Fillings

Amalgam fillings are made of silver and a combination of metals (mercury, copper, tin, and occasionally zinc) that dentist have used to treat and fill cavities for more than 150 years. Amalgam fillings are inexpensive and more resistant to wear and tear. Since amalgam comprises durable materials, this type of filling tends to be stronger and less likely to break than other options. However, because of the dark coloring of the silver material, amalgam fillings may be more noticeable than composite resins. Thus, amalgam is not typically used on more visible teeth, such as the front teeth.

It’s not always easy to know if you need to have a tooth restored and filled. Not every cavity will give you noticeable signs (tooth pain or sensitivity). In other cases, the need for a filling is a no-brainer. So if you think you may need a filling, check with your dentist first to examine the troubled tooth. A comprehensive dental examination will help you to get the right filling for your unique situation. Have more questions about dental fillings? Give us a call!

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Sinus Infection Tooth Pain

‘Tis the Season for Sinus Infections

Ever had sinus infection tooth pain? Well, it’s absolutely no fun. Every year, the cold season comes with a vengeance causing nasal congestion and sinus infections (sinusitis) all at once. But how exactly do the sinuses have anything to do with tooth pain? It’s simple.

Tooth Pain and Sinus Infection Correlation

Your sinuses are located in various places throughout the skull. However, most people only experience irritation to the maxillary sinus which connects to your nose. So, when congestion hits and creates a buildup of pressure in the sinus, some people may experience a dull pain in the upper posterior (back) teeth.

sinus infection tooth painIn adults, the maxillary sinuses become enlarged with age. And once we reach the late 30’s to early 40s, the sinuses have begun to enlarge so much that they can reach the roots of the back teeth. Since every tooth has a nerve and blood vessels that enter through its roots, an enlarged sinus that encroaches on this space can cause uncomfortable pain. When the sinus experiences a pressure build-up, this pressure affects the nerves of the teeth which can translate into an aching sensation. Persistent and recurrent pain can also cause the teeth to feel more sensitive to cold or hot foods and drinks. Although this does not constitute a toothache, it can certainly disrupt anyone’s day.

Sinus Infection Tooth Pain Relief

To treat this type of sinus-triggered tooth pain, it’s best to prevent the sinus pressure from building in the first place. Sometimes, there’s just nothing you can do to stop sinus pressure from happening. However, in many cases, you can turn to over-the-counter decongestant tablets or sprays for relief. If tooth pain caused by pressure buildup already exists, then it can take several days for the pressure to go down.

If pain persists even after the sinus pressure dissipates or you experience sharp pain in the teeth, contact your dentist right away for a thorough examination. Also, if the dull pain seems to only affect one tooth and not multiple teeth, we could be dealing with a totally different dental issue as this type of pain is likely not caused by sinus pressure and may require more extensive treatment.

Have more questions about sinus-related tooth pain? Let us know!

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Periodontal Diseases

Dental Issues and Periodontal Diseases

In the United States, 47.2% of adults aged 30 years and older have some form of periodontal disease and 70.1% of adults over 65-years-old also have the condition, according to the Centers for Disease Control and PreventionPeriodontal diseases are infections that affect the area surrounding the teeth (e.g., the gums, cementum, ligaments, and bones). Poor oral hygiene is often the cause of periodontal diseases, which weaken the structure supporting your teeth.

What Causes Periodontal Diseases?

Simply, periodontal diseases are caused by bacteria that live within dental plaque. As the body tries to fight bacteria, the immune system releases cells that damage the areas surrounding your teeth. As a result, gums become swollen, they bleed, and signs of gingivitis may become apparent.

Gingivitis is the earliest stage of periodontal disease, while more severe stages of periodontal diseases can damage the tissue surrounding your teeth. In this case, if gingivitis is not treated promptly, it can morph into periodontitis, or inflammation that surrounds the tooth, causing the gums to pull away from the teeth and form infected pockets (or spaces). Severe damage from a periodontal disease can also make the teeth so loose that extraction is necessary.

To prevent periodontal disease, maintain a dedicated oral cleaning routine every day and visit your dentist at least every six months. However, if you have an existing periodontal disease, you should visit your dentist for examinations and cleanings more frequently. Though bacteria and plaque are the main reasons that fuel periodontal diseases, there are several various factors that can cause the condition. So be vigilant in taking care of your teeth and gum.

How to Prevent Periodontal Diseases

Here are some things you can do to help prevent the disease:

  • Avoid smoking. Smoking increases tartar buildup and bacteria on the teeth that can lead to a periodontal disease. Quitting smoking can help manage and treat disease more successfully.
  • Try not to grind, grit, or clench the teeth. While these bad habits won’t cause periodontal disease alone, they can make it easier for the gums to become inflamed and more susceptible to disease.
  • Regulate your hormones. Hormonal changes in the body due to puberty, pregnancy, or menopause can also create changes in the mouth and increase the risk for periodontal diseases.
  • Relieve stress. Since stress can weaken the immune system, it makes it hard for your body to fight off infections, especially a periodontal disease.
  • Improve nutrition. Balanced nutrition is imperative to quality overall health, including a properly functioning immune system and healthy teeth and gums.

Periodontal diseases are also connected to other general health issues including heart disease, stroke, premature births, diabetes, and respiratory disease. Researchers continue to study the correlation between periodontal disease and these life-threatening health conditions.

Are you experiencing bad breath, swollen or bleeding gums, loose teeth, or receding gums? If so, you could be showing signs of a periodontal disease. See your dentist right away to further assess the problem and create a treatment plan for your situation. If you have questions about this condition, give us a call at Aesthetic Dental Clinique to schedule your consultation.

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Lower Dentures with Implants

Lower Dentures with Implants

Last week, we explored dentures as a viable treatment option for missing teeth. This week, we’re digging in deeper to understand lower dentures with implants and how they can also be a sufficient solution. So what’s the big difference between a standard denture and an implant-supported denture? That later receives enhanced stability from the implant and a standard denture sits over the gums and does not attach to an implant.

This form of treatment is typical for patients who are missing all teeth in the jaw but still have sufficient bone to support implants. Lower dentures with implants include attachments that snap onto the implant’s attachments. The attachments make it possible for you to remove the denture daily for cleaning, which is highly recommended. Just like standard dentures, you should never sleep in your implant-supported dentures.

Typically, implant-support dentures are created for the lower jaw to provide more support than a regular denture, which can be unstable in this area of the mouth. Also, a standard denture for the upper jaw is typically sturdy enough on its own and may not require the extra support of an implant.

The Process: Lower Dentures with Implants

The process of implantation is straightforward. However, you will need two surgeries to complete the procedure successfully. Here’s what you can expect:

  1. Schedule an initial consultation with a dentist who has advanced training in implant placement and restoration. During this examination, your dentist will go over your related medical history, order x-rays, and, in some cases, request a CT scan of your mouth to examine your sinuses and nerves. Testing will ensure that any implant placement does not cause damage to your body. 
  2. Your dentist will make you a complete denture to replace any missing teeth if you aren’t already wearing one. This temporary denture helps your dentist decide on the best placement of the teeth in the final version.
  3. During the first surgery, your dentist will place the implant in the jawbone. After the procedure, you’ll want to avoid pressure to the implant. For lower dentures, you’ll need to wait about 4 months before you schedule the next surgery, and give your body time to fuse the implant and the jawbone.
  4. Before the second surgery, your dentist will confirm if the implant-bone fusion was successful. At this time, the dentist will take new x-rays to get a closer look at the implant. In the final surgery, your dentist will place a healing collar on the head of each implant. The healing collar will promote proper healing of the gum tissue. After 2 weeks, your dentist will replace the healing collars with regular abutments.
  5. Depending on whether you needed a new denture, you’ll wait 5-7 months to try on your dentures with the implants. During this stage, your dentist will take necessary steps to ensure the fit is just right for you.
  6. Once your dentist develops the dentures, you’ll want to manage them well and create a routine cleaning process every day. You will need to clean your denture attachments every 6-12 months to avoid wear and tear.

Have more questions about lower dentures with implants? Give us a call to schedule your next visit at Aesthetic Dental Clinique, conveniently located in Southfield, Michigan, and Detroit, Michigan.

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about dentures

What You Should Know About Dentures

Dentures are a common dental treatment for missing teeth, mainly because over 36 million Americans have lost all teeth and more than 120 million people are missing at least one tooth, according to the American College of Prosthodontists. As a customized means to replace missing teeth, dentures can be placed in and taken out of the mouth as needed. With modern technology, dentures replicate the look and feel of natural teeth, though they may never feel exactly like natural teeth. Dentures can improve the smile by maintaining the vitality of facial muscles and help improve comfortability with eating and speaking. Below are several frequently asked questions about dentures to help you better understand this treatment option.

About Dentures: What are the different types?

There are two kinds of dentures–full and partial dentures. The type of dentures you will need depends on how many teeth are missing. With full dentures, all the remaining natural teeth are removed, and the tissue must heal before the dentures can be placed. During the healing process (usually a few months) you will be without teeth. On the other hand, partial dentures replace some, not all of the teeth. For partial dentures, a metal framework attaches to your natural teeth to provide a removable alternative to full dentures.

Do I need dentures?

Losing teeth is an issue that affects people of all ages, especially when tooth decay or gum disease is the cause. However, with proper dental care, a low-sugar diet, and routine teeth cleanings, some people can go their whole lives without needing dentures. To assess your need for dentures, we’ll need to conduct a comprehensive dental examination to learn more about your condition.

What should I know about dentures and keeping them clean?

Dentures require proper cleaning to keep them in top shape. Follow these best practices to provide the best care for your dentures:

  • Always handle your dentures gently.
  • Use a soft toothbrush when cleaning.
  • Remove dentures and rinse them after meals.
  • Brush your dentures once daily (at minimum).
  • Soak dentures overnight in a mild soaking solution and rinse thoroughly before returning them to your mouth.
  • Visit your dentist regularly to examine the condition of your dentures.

Due to typical wear and tear, you may need to have your dentures relined, reconfigured, or rebased over time. Because the mouth naturally changes as we age, these changes may cause dentures to loosen, which can negatively impact the gums and cause discomfort. Have your dentures checked at least once each year to ensure that there are no significant changes to the fit. With intentional care for your dentures, you can have a healthy, beautiful smile!

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diabetes and gum disease

The Connection Between Diabetes and Gum Disease

More than 30.3 million people in the United States have diabetes, according to The Centers for Disease Control and Prevention. As it pertains to dental health, periodontal disease is a common complication of this serious health condition. Diabetes and gum disease are significant health concerns that affect the whole body.

The Diabetes and Gum Disease Connection

In general, diabetes interferes with the body’s ability to process and regulate sugar. Type I and Type II diabetes lead to high blood sugar levels, which can create issues associated with other essential body parts, including kidneys, heart, eyes, nerves, and teeth.

Unmanaged blood sugar levels may trigger a spike in glucose levels in the saliva, which in turn gives bacteria a habitat to attack healthy gums. People with insufficiently managed diabetes are more prone to dental issues, including infections of the gums and the bones in the mouth. In this case, an infection can reduce the supply of blood and oxygen to the gums. Thus, suppressed blood supply makes it more challenging to fight infection. When you’re more susceptible to infection, like someone with diabetes, you are also less equipped to fight off the bacteria that leads to tooth decayHowever, the relationship between diabetes and gum disease is a two-way street. Gum disease can cause an increase in blood sugar making diabetes more challenging to manage.

Protecting Yourself from Diabetes and Gum Disease

If you’re living with diabetes, visit a dentist often for routine deep cleanings. In addition to maintaining optimal oral hygiene, adhere to some of the following best practices to keep a healthy smile:

  • Manage your blood sugar levels with prescribed medications and a healthy diet.
  • If applicable, clean your dentures every day.
  • Brush twice daily, and try using a soft bristle toothbrush to avoid scrapes and abrasions.
  • Floss daily.
  • Live a smoke-free lifestyle.
  • Visit the dentist for routine examinations.


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