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Ideal Candidates for Dental Crown Treatment

December 5, 2014

Filed under: Reston Cosmetic Dentistry,Reston Dentistry — Tags: , — tntadmin @ 7:47 pm

Young man with a straight, white, attractive smileWhen a tooth becomes injured, decayed, or generally damaged, there are several restorative dental treatments to consider. One restorative treatment that is commonly performed is the placement of dental crowns. Dental crowns restore and protect weak, damaged teeth in order to strengthen the tooth and restore comfortable oral function. Many of Dr. Wayne Myles’ Reston patients are dental crown candidates because this restorative treatment has such a wide range of applications. Below we discuss some of the many cases in which a dental crown may be a suitable dental treatment.


Dental Bridges Fill in Unsightly Gaps to Give Patients a Complete, Beautiful Smile

September 25, 2014

Attractive couple with full, healthy smilesThere are many dental problems that can negatively impact oral health and function, but perhaps none are more serious than adult tooth loss. Many people who have lost adult teeth are first bothered by the aesthetic effects that tooth loss has on the smile, but there are many health concerns to consider as well. Losing a tooth is like losing an important piece to a puzzle, the mouth is not complete without it. The functions of the mouth are compromised, the structure of the jaw becomes at risk, and surrounding teeth are left without proper support. Dental bridges can replace lost teeth so that the mouth is once again complete, allowing patients to regain confidence and a full range of oral functions. Below we discuss which of our Reston patients are dental bridge candidates.

Is a Dental Bridge Right for Me?

A dental bridge is a restorative treatment option that fills in gaps that have been left by missing teeth. While a dental bridge may fill in a gap of just a single tooth, or a larger gap of two or three consecutive teeth, in most cases a dental bridge is used when a patient is missing a small group of teeth from the same area of the mouth.

Traditionally, dental bridges are affixed to two dental crowns (one placed on the teeth on either side of the gap). However, if there is not a tooth on which a dental crown can be placed, dental bridges can be anchored by dental implants, which are surgically implanted to act as artificial tooth roots. With these two techniques available, dental bridges can work for just about any patient who has a single tooth or small set of teeth to replace. Because the success of treatment is largely dependent on good oral health, dental bridges should only be placed in those patients with healthy teeth and gums. If any dental problems are present, they should be addressed before dental bridge treatment.

Benefits of Dental Bridges

For those of our patients who are dental bridge candidates, the results of treatment are highly successful. Most patients find that, with a dental bridge in place, they benefit from the following advantages:

  • Improved speech
  • Greater comfort when chewing and eating
  • Renewed confidence

Alternate Treatments

Deciding whether a patient is an ideal candidate for a dental bridge is based largely on the number of teeth that have been lost. While a bridge can replace a single lost tooth, a dental crown that is supported by a dental implant is another option for treating the loss of one tooth. Similarly, while a bridge can replace a large group of teeth, if tooth loss is significant, Dr. Myles is more likely to recommend a full or partial set of dentures. These treatment options can be discussed at a consultation with Dr. Myles.

Schedule an Appointment

Tooth loss is not a problem to be ashamed of, but it is one that requires urgent attention. If you have experienced tooth loss, schedule an appointment to discuss your restorative treatment options. Dr. Wayne Myles can fill in gaps of missing teeth to create a smile that is beautiful and complete, while preserving the health and structure of the mouth. We look forward to hearing from you!

Dental Bridges: Crown-Supported or Implant-Supported?

July 31, 2014

Filed under: Reston Dentistry — Tags: , , , — tntadmin @ 8:47 pm

An older couple smiling outdoorsDr. Wayne Myles has helped countless patients throughout the greater Reston area who are missing teeth. One of the ways he's done this is through the use of dental bridges, which are a great option for people missing a few teeth in a row. A number of patients have asked about implant-supported dental bridges and crown-supported dental bridges, so let's take this opportunity to consider both.

About Dental Bridges

First things first, let's discuss dental bridges.

Dental bridges are appliances that are used to span the gap that is left behind when a person is missing teeth. This restores the appearance as well as the overall bite strength of a person's teeth.

Traditional dental bridges are removable and are held in place by bracing around the teeth adjacent to the tooth gap. The types of dental bridges we're looking at (implant-supported and crown-supported) are fixed and specially held in place by other means.

Implant Dentistry for Dental Bridge Support

Dental implants are artificial tooth roots that are surgically placed into a person's jawbone and gum tissue. When in place, dental implants offer a level of strength and stability that is comparable to natural tooth roots. The number of dental implants required to support a dental bridge will depend on the extent of the tooth loss that is experienced.

Ideal Candidates for Implant-Supported Dental Bridges

The best candidates for implant-supported dental bridges are people who are in good overall health and have sufficient jawbone and gum density in the area of the tooth gap. Good overall health is necessary since oral surgery is required to set the implants in place; patients who suffer from serious health problems will generally be poor candidates for any sort of surgical procedure.

In addition to the above, the dental implants process requires a months-long healing period. This ensures that the dental implants fuse with the living tissues of the mouth, It's important that patients have realistic expectations about the amount of time required for full recovery.

Dental Crowns for Bridge Support

Dental crowns are caps that fit over teeth in order to restore their strength and appearance. They can also be used to support a dental bridge as long as a patient has teeth bookending the tooth gap. In these instances, a special dental dental bridge is crafted that has crowns attached on each side of the appliance. The teeth that bookend the tooth gap are capped by these dental crowns to hold the dental bridge stable.

Ideal Candidates for Crown-Supported Dental Bridges

The best candidates for crown-supported dental bridges are people who have teeth adjacent to a tooth gap that are viable for receiving a dental crown. Realistic expectations of treatment are important to consider as well given the nature of the procedure.

Which option is right for me?

Though more invasive, implant-supported dental bridges tend to be more ideal since the dental implants are very sturdy and prevent gum recession and bone loss in the tooth gap. That said, the duration of treatment can be a downside for many patients.

Crown-supported dental bridges take less time to craft and the results are generally good. However, the dental crowns will require the removal of some tooth structure on your remaining teeth to place. In addition, this option will not address the bone loss and gum recession as dental implants would.

During your consultation, we will be able to go over all of these matters in much greater detail and help you make the best decisions for your needs.

Learn More About Advanced Dental Care

To learn more about dental bridges and your many options to consider when it comes to missing teeth, we encourage you to contact our advanced dental care center today. Dr. Wayne Myles looks forward to your visit and helping you make the best choices with regard to your dental health and wellness.

Are You a Candidate for Inlays or Onlays?

July 25, 2014

Filed under: Reston Dentistry — Tags: , , , — tntadmin @ 8:48 pm

Blonde-haired woman smiling broadly, revealing her healthy teeth, perhaps made whole again by inlays or onlaysModern dentistry has introduced numerous new innovations, in addition to many impressive variations of tried and true treatments. For instance, the traditional dental filling has been greatly improved upon with the advent of inlays, onlays, and tooth colored, “white” fillings. In the case of inlays and onlays, like so many other dental treatments, their widespread usage can be attributed to the evolution of medical grade porcelain.

At Smile by Myles in Reston, inlays and onlays candidates are provided with a full education about the benefits and possible risks associated with these restorations so that they can make informed, confident decisions regarding their dental care. Are you a good candidate for an inlay or an onlay? The only way to know for sure is to meet with Dr. Wayne Myles at his cosmetic and general dentistry practice for a one-on-one, confidential consultation.

What Are Inlays and Onlays?

Inlays are porcelain restorations that are custom crafted to fit within the cusps (i.e., the indented top surfaces) of the teeth to replace missing tooth matter, usually after it has been removed due to decay or trauma. Like inlays, onlays are custom crafted from high-quality porcelain; however, they are designed to cover the entire top portion of the tooth, including the cusps.

For both inlays and onlays, Dr. Myles makes impressions of the teeth to be treated after any necessary work has been done to remove any damaged portions. These impressions are used to create porcelain restorations that fit precisely into or onto the teeth to rebuild their structure and make them appear whole again.

Candidacy for Inlays and Onlays

If you are a candidate for a conventional filling, you are almost certainly a candidate for an inlay or an onlay, as well. Also known as indirect fillings, inlays and onlays are meant to serve the same exact function of metal fillings – without, of course, the metal.

In terms of candidacy, the most important criterion is that there must be a sufficient amount of natural tooth structure remaining to support an inlay or onlay. This is important to any filling; if the remaining tooth structure is not strong enough to support the filling, it will remain susceptible to further damage, even if it is otherwise essentially healthy.

In cases in which inlays and onlays are not viable options due to more extensive damage having been done to a tooth, patients are generally better suited to dental crowns. Unlike inlays and onlays, dental crowns cover the entire visible surface area of a tooth, providing reinforcement for the remaining healthy tooth matter and protecting it from further harm.

For patients who are good candidates for inlays and onlays, proper expectations must be established. As with any type of filling, patients should be willing to avoid sticky and crunchy foods as much as possible and to commit themselves to good oral hygiene regimens. While inlays and onlays can last for a decade or longer with proper maintenance, they will eventually need to be replaced, as well.

Learn More about Inlays and Onlays

To learn more about inlays and onlays, please contact Smiles by Myles today.

The Benefits of Porcelain Dental Crowns

April 5, 2014

The Benefits of Porcelain Dental CrownsThere are plenty of options out there for improving your overall dental health and wellness following a serious case of tooth decay or tooth damage. These days, Dr. Wayne Myles combines restorative and cosmetic techniques to achieve total wellness and the best possible aesthetic results. Restorative dental care is focused on improving overall health, while cosmetic dentistry allows you to have a smile that looks its very best.

One of the great advances in cosmetic and restorative care is porcelain dental crown treatment. Let's take a moment right now to consider the various advantages and benefits of porcelain dental crowns.

About Dental Crowns

Some basics first to consider. Dental crowns are caps that help protect and strengthen a damaged tooth. When in place, the dental crown will restore the ability of the tooth to bite and chew and also protect patients from further tooth pain and sensitivity.

The Porcelain Dental Crown Difference

Traditional dental crowns were often made of metal, which made them strong but also quite unsightly. By comparison, porcelain dental crowns are made entirely of tooth-colored porcelain that is color-matched to your teeth. There are some clear benefits to this difference.

Improved Aesthetics with Porcelain Dental Crowns

With porcelain dental crowns, the dental restoration blends in seamlessly with the rest of your teeth. When you smile, no one will be able to tell that you have a dental crown in place thanks to the natural appearance of the porcelain. This is why porcelain crowns are ideal for prominent teeth and front teeth.

Porcelain Crowns Offer Good Durability as a Restorative Option

Even though the dental crowns are made from porcelain, they are very strong and allow patients to bite and chew just as they normally would. This means patients can engage in normal activities without feel especially delicate with their teeth.

Alternatives to Porcelain Dental Crowns

While there are a number of health and aesthetic advantages to getting porcelain crowns, they may not be the ideal option for you and your needs.

Sometimes metal crowns will be best rather than porcelain crowns, though ideally these are used when patient needs crowns for molars and pre-molars. There are also dental crowns that have a metal core but are coated in tooth-colored porcelain, which combines the aesthetic and functional advantages of porcelain and metal crowns.

If you have suffered tooth damage or tooth decay that is not substantial enough to necessitate a dental crown, your best option for care will likely be an inlay or an onlay. For extreme tooth damage or tooth decay, the best option may be to extract the tooth and look into option for filling the tooth gap.

Making the Best Choices for You and Your Needs

The ideal dental crown for you and your needs will really depend on the tooth that needs to be restored, the location of the tooth along the dental arch, and also the nature of the teeth that are on the opposite dental arch. During your consultation with Dr. Myles, you will be able to learn about all of your options for care and which type of dental crown or other restorations may be most ideal for you.

Learn More About Advanced Dental Care

For more information about dental crowns and your many other options available for advanced dental care treatment, be sure to contact our Reston, VA cosmetic and restorative dentistry practice today. Our entire team looks forward to meeting you in person and helping you achieve the best possible health, wellness, and smile appearance.

Top Treatments for Tooth Decay

July 22, 2013

Filed under: Reston Dentistry — Tags: , , , , — tntadmin @ 9:50 pm

Top Treatments for Tooth DecayTooth decay is a very common dental health problem that is addressed on a daily basis at our practice. There are plenty of ways that we can address the loss of tooth structure and the restoration of overall dental health. When you meet with your cosmetic dentist, you will be able to go over these matters in greater detail.

In this post, we'd like to focus on the different sorts of treatments that may be used to address tooth decay. There's a whole lot more to it than just dental fillings, as you're about to find out.

About Tooth Decay and Its Causes

Tooth decay refers to the damage to overall tooth structure that occurs as a result of plaque build up on the teeth. The plaque is produced by the natural bacteria that occurs in the mouth. This bacteria eats food particles and creates the corrosive substance known as plaque.

Ideal Treatments for Tooth Decay

When it comes to treating tooth decay, the best option is always the most conservative one. Dentists always want their patients to maintain as much of their natural tooth structure as possible whenever possible. This proves to be best for the patient's dental health in the long run and allows them to avoid serious problems down the road.

With this in mind, let's look at the different dental restoration options from most conservative to most invasive. At the end of this brief list, we'll tell you what the best policy is when it comes to treating tooth decay.

Dental Fillings

One of the most common treatments for tooth decay, dental fillings are a restorative treatment that you've most likely heard of. In the past, metal dental fillings were the norm, though these days the use of composite/ceramic dental fillings is ideal for optimal care.

Inlays and Onlays

When dental fillings are not enough to address your tooth decay, then your cosmetic and restorative dentist will recommend the use of inlays and onlays. These are like larger versions of dental fillings, but they are able to restore more substantial sections of your tooth structure, such as the cusps (biting surfaces) of the teeth.

Dental Crowns

When tooth decay is very severe and inlays and onlays are no longer a good option for care, dental crowns are the best treatment to consider. These are caps that fit over the affected tooth in order to restore its strength, improve its appearance, and prevent discomfort and sensitivity associated with the tooth damage.

Prevention is Always the Best

It seems obvious, but we just can't state it enough: the best way to fight tooth decay is to make sure it doesn't happen. Preventative dentistry helps ensure that your dental health remains great for years and years to come. In order to prevent tooth decay, be sure to:

  • Brush your teeth at least twice a day
  • Floss every night
  • Visit your dentist for regular checkups twice a year

Ideally, you'll want to brush and floss after every meal in order to remove all food particles from the teeth.

Schedule an Appointment for Advanced Dental Care

If you would like to learn more about all of your options for restorative dental care, be sure to contact our Reston cosmetic dentistry center today. Our entire team looks forward to meeting you in person and helping you achieve excellent dental health in the process.

Teeth Grinding Treatments

July 8, 2013

Filed under: Reston Dentistry — Tags: , , — tntadmin @ 9:51 pm

Reston BruxismTeeth grinding can lead to major dental damage and should not go untreated. If you suffer from teeth grinding, cosmetic dentist Wayne Myles offers a number of treatment options that may be right for you.

Why Treat Teeth Grinding?

Teeth grinding, also called bruxism, is a common condition that can lead to serious dental problems like dental decay or even tooth loss. Prolonged teeth grinding is actually dangerous to overall health for a number of reasons, including:

  • Wears away tooth enamel: Tooth enamel is the hard, outer layer of the tooth, which protects against decay. Teeth grinding destroys the enamel and makes the teeth vulnerable to decay.
  • Loosened teeth and gum recession: Habitual teeth grinding can loosen the teeth within their sockets, leading to other dental problems like gum recession and tooth loss.
  • May result in tooth loss: Teeth grinding can lead to tooth loss if left untreated. Teeth grinding may lead to tooth loss either from decay (in which case extraction may be required) or from the loosening of the tooth root from the socket.
  • May fracture the teeth: Teeth grinding puts constant stress on the teeth, which can lead to fractures.
  • Cause or worsen TMD: Temporomandibular joint disorder, also known as TMD or TMJ, can be caused or worsened by teeth grinding.
  • Causes headaches, neck, and/or jaw pain: The constant strain teeth grinding puts on the jaw may result in constant dull headaches, neck pain, or jaw pain.
  • Results in sleep disturbances: Because most teeth grinding occurs while sleeping, many sufferers may have difficulty sleeping. Teeth grinding is often so loud it may also disturb the sleep of a partner.

Teeth Grinding Treatments

Teeth grinding is detrimental to both dental and general health and should not be left untreated. Fortunately there are preventative and restorative treatments available to alleviate the symptoms and repair the damage caused by teeth grinding.

  • Mouth Guards: Mouth guards, or splints, are one of the most effective treatments for teeth grinding. Mouth guards are custom-made devices that are worn during sleep to protect the teeth from the damage caused by teeth grinding.
  • Orthodontic Treatments: For some, teeth grinding is caused by poor alignment of the teeth. Orthodontics can be used to correct misalignment, thereby treating teeth grinding caused by a bad bite.
  • Stress Reducing Activities: Teeth grinding is sometimes caused by stress and anxiety. Practicing stress-reducing activities like meditation, yoga, and walking can help those with stress induced bruxism.
  • Porcelain Veneers: Porcelain veneers are a wonderful treatment to restore the appearance and strength of teeth damaged by grinding. Porcelain veneers are tooth-shaped shells that fit over the front surface of the teeth to restore the teeth to their former shape and protect the teeth from further damage.
  • Dental Crowns: Dental crowns are another option for treating teeth grinding. Dental crowns tooth-shaped caps that fit completely over damaged teeth. Dental crowns are perfect for treating fractured, decayed, or weakened teeth.
  • Dental Implants: Dental implants are a permanent solution to replace teeth lost due to teeth grinding. A dental implant is a screw-like metal post placed within the jaw, to which a dental restoration is attached. Dental restorations for dental implants include single dental crowns, dental bridges, or implant-supported dentures.

Schedule an Appointment

Don't let teeth grinding go untreated! Schedule an appointment with Dr. Myles today!

Popular Full Mouth Reconstruction Treatments

July 5, 2013

Popular Full Mouth Reconstruction TreatmentsWhen a person suffers from many serious dental health issues, it will require multiple treatments and involved therapy in order to improve and restore overall dental health. Thankfully this can be achieved quite easily through full mouth reconstruction therapy, which combines a number of restorative and cosmetic dentistry treatments in order to restore overall dental wellness.

What is a full mouth reconstruction?

A full mouth reconstruction is essentially a combination of multiple dental treatments. They are combined in such a way to address major dental problems first down to minor dental health issues. They are a great option for people suffering from tooth decay, tooth loss, gum disease, and other functional oral health problems.

Each Full Mouth Reconstruction is Customized to the Patient

No two patients are alike, and so no two full mouth reconstructions are identical either. Rather than taking a one-size-fits-all approach to overall dental wellness, a cosmetic and restorative dentist will tailor the treatment to meet the needs of the patient. Doing so will ensure that each guest at the practice achieves excellent dental health.

Below are some of the most common and popular full mouth reconstruction treatments.

Dental Fillings

A common treatment option for cavities and minor amounts of tooth decay, dental fillings are a staple of many dental care treatments and are relatively routine as far as dental restorations go.

Inlays and Onlays

When dental fillings are not enough to restore the tooth structure that's been damaged by decay or injury, inlays and onlays are the next best option. These dental restorations are similar to dental fillings in a number of ways, though they are larger and able to rebuild larger portions of a tooth.

Dental Crowns

When a tooth has suffered major damage or decay, the best option to save the tooth is to use a dental crown. Dental crowns are caps that fit over the damaged or decayed tooth, providing an aesthetically appealing cap while also restoring bite strength.

Dental Bridges

When patients are missing a tooth or a few teeth, dental bridges are a good option to consider. These sets of artificial teeth fill the gap left behind by a missing tooth. They are held in place by bracing around adjacent existing teeth.


When you are missing many teeth in a row, you may not have the necessary tooth structure remaining to support a dental bridge. In those cases, dentures will prove more ideal. Dentures are held in place by gripping onto a patient's remaining gumline and jaw structure.

Dental Implants

In order to provide the best possible hold of dental bridges and dentures, many patients turn to dental implants. These are artificial tooth roots that are surgically placed into the jawbone and gum tissue. When in place, dental implants provide a hold comparable to natural tooth roots.

Periodontal Care and Gum Disease Treatment

The gums are just as important to overall dental health as the teeth. For that reason, gum disease treatment is another common part of full mouth reconstruction therapies. These treatments will seek to get bacterial infection of the gums under control before restoring the gumline itself.

Schedule a Consultation for Full Mouth Reconstruction Treatment

For more information about full mouth reconstruction treatment and your many other options for achieving advanced dental wellness, we encourage you to contact our Reston cosmetic and restorative dentistry center today. Our entire team looks forward to meeting you in person and discussing these matters in greater detail.

Replacing Metal Fillings with Composite

February 21, 2013

Reston Dental FillingsFor many years, amalgam fillings were the standard in dentistry. While the potential health risks of having metal and mercury present in the mouth have long been debated, the fillings themselves did their jobs admirably well. They allowed millions of people around the world to preserve the healthy portions of their teeth after the removal of decayed and otherwise damaged tooth matter. While these metal fillings might not have been the most aesthetically pleasing restorations, they were certainly preferable to the loss of a tooth, not to mention the pain of further damage.

Fast forward to 2013.  Metal fillings, while still commonplace at many dental practices, are no longer the only restorative option. Modern composite fillings blend flawlessly in with the surrounding healthy tooth structure while allowing patients to avoid having conspicuous, unnatural-looking metal flashing every time they open their mouths. No longer do patients have to compromise aesthetics for their oral health.

But what about those patients who have been living for years, or even decades, with silver amalgam fillings? Fortunately, it is relatively easy to replace these outdated fillings with their tooth-colored counterparts. In fact, Reston cosmetic dentist Wayne Myles encourages his patients who have amalgam fillings to make the switch for the sake of their smiles and their oral and overall health.

If you have old metal fillings that you would like to have replaced with safe, natural-looking composite fillings, we encourage you to visit our cosmetic dentistry practice in Reston. Dental fillings made of safe, durable materials will help to make your smile healthier and more attractive.  For further information, contact Dr. Wayne Myles today.

Benefits of Replacing Metal Fillings with Composite Fillings

There are many benefits to replacing metal fillings with composite fillings. Composite fillings are:

  • Completely natural looking
  • Free of mercury and metal
  • As strong and durable as metal fillings
  • Less prone to contracting and expanding at certain temperatures than metal fillings
  • Able to withstand normal chewing pressure
  • Virtually undetectable to the naked eye

In certain cases, we may be able to replace your old metal restorative work with a custom-crafted, all-ceramic inlay or onlay. Inlays are customized to replace missing tooth matter within the cusps while onlays are designed to replace missing tooth matter that extends to the cusps.

At our practice in Reston, dental crowns made of the finest-grade porcelain are also available. In certain cases, it may be advisable to remove a metal filling and then cover the entire surface area of the tooth with a custom-crafted dental crown. This is particularly applicable if the tooth has become discolored or otherwise aesthetically flawed since the placement of the metal filling. Dr. Myles designs dental crowns so that they complement the surrounding natural teeth in terms of size, shape, color, and texture. The resulting crowns are virtually indistinguishable from the natural teeth.

Say Goodbye to Metal in Your Mouth

If you are interested in replacing your metal fillings with brand new, state-of-the-art restorations that restore both function and beauty to your mouth, please schedule an appointment at our Reston cosmetic dentistry practice today!

Have Questions? We’ve got the answers.