Appointment Request

Walk-In emergencies welcome!



Dr. Sheela Neral, DDS & Associates

38215 W 10 Mile Rd, Suite #5
Farmington Hills, MI 48335
(248) 888-0364


43060 Mound Rd.
Sterling Heights, MI 48314
(586) 268-1040

Follow Us Online:

Find Us

38215 W 10 Mile Rd, Suite #5, Farmington Hills, MI 48335

Map & Directions


Posts for: April, 2014

By Dr. Sheela Neral, DDS, PC
April 17, 2014
Category: Dental Procedures

What if you had orthodontic treatments to enhance your smile — and nobody knew about it until it was all done?

That (almost) happened to British singer, cover girl and television personality Cheryl Cole. Since her big break in 2002, on the British reality show Popstars: The Rivals, Cole has had a successful music career, taken turns judging both the British and American versions of The X Factor, and graced the covers of fashion magazines like Elle and Harpers Bazaar.

And somewhere along the way, Cole wore an orthodontic appliance. It very nearly went undetected… until a colleague spilled the beans. That’s when Cole was forced to divulge her secret: For a period of time, she had been wearing clear aligners on her teeth. Until her frenemy’s revelation, only a few people knew — but when you compare the before-and-after pictures, the difference in her smile is clear.

So what exactly are clear aligners? Essentially, they consist of a series of thin plastic trays that are worn over the teeth for 22 hours each day. The trays are custom-made from a computerized model of an individual’s mouth. Each tray is designed to move the teeth a small amount, and each is worn for two weeks before moving on to the next in the series. When the whole series is complete, the teeth will have shifted into their new (and better aligned) positions.

Besides being virtually unnoticeable, aligners are easy to remove. This makes it easy to keep the teeth clean — and can come in handy for important occasions (like cover-photo shoots and acceptance speeches). But don’t remove them too frequently, or they won’t work as planned. If that’s a possibility (with teens, for example), aligners are available with “compliance indicators” to ensure they’re being worn as often as they should be. They can also be made with special tabs to hold a place for teeth that haven’t fully erupted (come in) yet — another feature that’s handy for teens.

So if you need orthodontic work but prefer to stay “under the radar,” ask us whether clear aligners could be right for you. Cheryl Cole did… and the results gave her something more to smile about.

If you would like more information on clear aligners, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Clear Orthodontic Aligners” and “Clear Aligners for Teenagers.”

By Dr. Sheela Neral, DDS, PC
April 05, 2014
Category: Oral Health
Gum disease does not only happen to the elderly—it can happen at any age.  Many U.S. adults currently have some form of gum disease ranging from simple gum inflammation to serious damage of the tissue and bone supporting your teeth.  Gum disease is a serious issue, with health implications worsening as the condition develops, allowing it to spread to other areas of your body.  Gum disease originates in the gums, where infections form from harmful bacteria and other matter left behind from eating.  In many cases, gum disease can go unnoticed for months until damage is severe.  By visiting our Sterling Heights, MI dentist, we can help you keep your teeth by protecting yourself from the development of gum disease.

What is Gum Disease?

Also known as periodontal disease, gum disease is an inflammatory condition affecting the tissues surrounding a tooth, which is the leading cause of tooth loss.  Once gum disease sets in, the toxins that are produced by the bacteria damage your teeth’s connective tissue and bone.  This can eventually destroy them and bring forth tooth loss. 
Some common signs of gum disease include:
  • ·Bleeding gums during brushing or otherwise
  • ·Sensitive, red or swollen gums
  • ·Bad breath
  • ·Teeth that are loose or appear to have shifted
There are a number of causes of gum disease, which can be corrected and controlled.  One cause of gum disease includes improper dental hygiene.  If plaque is not properly removed through daily dental hygiene practices and regular professional dental cleaning, bacteria may set in and cause gingivitis, the earliest sign of gum disease.   Other causes of gum disease include organic changes in the mouth, medical conditions, saliva flow inhibitors and poor functional habits, such as teeth grinding.

Prevention and Treatment

Untreated gingivitis will usually progress into more serious stages of gum disease, which cause irreversible bone loss and potential tooth loss.  Prevention is essential in the maintenance of your smile.  The best way to prevent gum disease is to maintain good oral hygiene by brushing at least twice a day, flossing daily, visiting Dr. Sheela Neral, our Sterling Heights dentist, for regular checkups and maintaining a proper, nutritious diet.
Choosing the proper toothbrush is important in prevention as well.  Softer brushes are less likely to injure your gums, and electric toothbrushes often encourage better brushing habits.  Remember not to brush too vigorously, though.  Brushing too long or too hard can do more harm than good. 
Regular dental exams with Dr. Neral are necessary to remove tartar and to detect early signs of gum disease, but your own dental health regimen also plays a major role in preventing the build-up and progression of tartar.  Some preventative steps you can take at home to keep your teeth healthy include:
  • · Brush your teeth twice a day
  • · Floss daily to remove plaque
  • · Eat a well-balanced diet
  • ·Use a mouth rinse in conjunction with brushing and flossing
  • ·Avoid cigarettes and chewing tobacco
When gum disease is detected in its earliest stages, it is extremely manageable and reversible.  If you are experiencing bleeding white brushing or any other symptoms of gum disease, contact Dr. Sheela Neral, our dentist in Sterling Heights, for further examination.  Remember, early diagnosis and prevention are key in the maintenance of your smile.

By Dr. Sheela Neral, DDS, PC
April 02, 2014
Category: Dental Procedures

If you are considering having your teeth straightened, for cosmetic or other reasons, the idea of using clear aligners rather than traditional braces may be appealing.

Here are the answers to some frequently asked questions about clear aligners.

What are clear aligners?
Clear aligners are clear removable custom fitted “trays” that gradually straighten teeth. Used sequentially, each individual tray is slightly different from the one before and is worn every day for two weeks before going on to the next one in the series. This slowly moves your teeth to a new position.

How are they made?
The trays are computer-generated, based on impressions and models of your mouth combined with the knowledge of growth, development of teeth and jaws, and most importantly how and why teeth move.

How long does this treatment take?
By wearing clear aligners for at least 20 hours per day for two weeks before changing to the next tray in the sequence, treatment time can range from six months to two years depending on your individual situation.

Can children wear clear aligners?
Clear aligners are generally used for adults who have all their teeth and when jaw growth is complete, but can be used for younger people depending upon the extent and severity of their situation.

What situations can clear aligners be used for?
Clear aligners can realign or straighten teeth, close mild spaces, treat elongated teeth and tip teeth into better position. They are usually recommended for correcting mild to moderate crowding of teeth, particularly if your back teeth already fit together properly.

When are clear aligners probably not the right choice?
If you have a bad bite (your back teeth do not fit together well), or if you have a severe overbite or underbite, traditional braces are probably a better choice for treatment. If your teeth are severely crowded, or if your situation is complex, clear aligners will probably not be the right treatment choice.

How do you decide whether clear aligners are right for you?
An orthodontic assessment of your individual situation must be performed by our office.

What is considered in the assessment?
The assessment includes specialized x-rays of your teeth, jaws and skull, along with photos, impressions, and models of your bite.

For more information about clear aligners vs. traditional braces, make an appointment with us for a consultation and an examination of your own situation. You can learn more by reading the Dear Doctor magazine article “Clear Orthodontic Aligners: An Alternative for Adult Orthodontics.”