Dental implantation is the premier option for tooth replacement available today. While acquiring dental implants does involve a surgical procedure, don’t let that deter you — with proper preparation the procedure is relatively minor and routine.
Implants are root replacements inserted directly into the jawbone to which a life-like, artificial crown is secured (strategically placed implants can also support fixed bridges or removable dentures). They’re typically made of titanium, which is osseophilic or “bone-loving”: bone will grow and adhere to the implant over a few weeks time.
Pre-planning can help minimize discomfort during and after the implantation procedure. We first conduct a radiographic examination of the site with x-rays or CT imaging; this enables us to assess the site’s bone quality and quantity. We can also create a surgical guide from the imaging to pinpoint the precise location for an implant to ensure a successful outcome.
Before beginning the procedure, we numb the area with a local anesthesia (we can also administer a sedative or other relaxation medication if you’re experiencing mild apprehension). The procedure often begins by creating a flap opening in the gum tissue with a few small incisions to access the bone. Using the surgical guide, we then begin a drilling sequence into the bone that progressively increases the size of the hole until it precisely matches the size and shape of the implant.
When the site preparation is complete, we remove the implant from its sterile packaging (which minimizes the chance of infection) and immediately insert it into the prepared site. We verify proper positioning with more x-rays and then suture the flap opening of the gum tissue back into place.
Thanks to both the pre-planning and care taken during surgery, you should only experience minimal discomfort. While narcotic pain relievers like codeine or hydrocodone may be prescribed, most often non-steroidal anti-inflammatory drugs like aspirin or ibuprofen are all that’s needed. We may also prescribe an anti-bacterial mouthrinse (with chlorhexidine) to assist healing.
In just a few weeks your custom-made restorations will be attached to the implants. It’s the completion of a long but not difficult journey; the resulting smile transformation, though, can last for many years to come.
If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implant Surgery.”
If you’re in the habit of making New Year’s resolutions, perhaps you’ve made familiar promises like losing weight, running a 5k race or joining a gym. How about this one: “I resolve this year to take better care of my teeth.” Better yet, you needn’t wait for the next January 1st — you can begin better oral hygiene habits today.
Although maybe not as glamorous as other self-improvement habits, oral hygiene still promises huge benefits not only for your teeth and gums, but also for your general health and possibly your wallet. Daily brushing and flossing reduces your risk of tooth decay and periodontal (gum) disease, which can in turn reduce your long-term dental care costs. Besides, clean teeth just look better!
If brushing your teeth hasn’t been a regular habit for you, here are a few tips to get you on the right track:
Pick the right brush. For most people, a soft bristled, multi-tufted toothbrush is the best choice. If you’re not sure what kind of brush to use, ask us for recommendations.
Look for the basics in toothpaste. Store shelves are filled with toothpastes promising everything from teeth whitening to tartar control. Just be sure of two things: that the product contains fluoride (proven to reduce the risk of tooth decay) and it has the American Dental Association’s Seal of Approval. If you have sensitive teeth, ask us about toothpaste options that address this or other special situations.
Easy does it with the technique. Over-vigorous brushing can harm your teeth’s enamel and cause gum recession. Hold the brush handle between your fingertips with no more pressure than you would hold a pencil. Position the brush-head at the gum line at about a 45-degree angle and gently clean all your tooth surfaces. If you’re trying this approach for the first time, the task should take about two minutes.
Visit your dentist twice a year to keep on track. Think of your dental healthcare team as your “personal trainers” in oral hygiene. Besides monitoring your overall dental health and removing hard to reach plaque through semi-annual cleanings, they’ll also coach you on your new lifetime habit of better oral hygiene.
If you would like more information on oral hygiene, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Oral Hygiene.”
If you’re considering tooth whitening, you may be torn between using a home product and undergoing a professional application in our office. Here’s a brief comparison of both approaches to help you in your decision process.
It helps first to know what we’re trying to correct — that dull, discolored tooth stain. Tooth staining comes in two varieties: intrinsic, which occurs deep within the tooth and can be caused by aging, old root canal treatments, tetracycline antibiotic use or excessive fluoride intake during childhood development; or extrinsic, which occurs mainly on the tooth surface and is caused by substances like coffee, tea, wine or tobacco. Intrinsic stains can only be treated through an in-office procedure — the comparison we’re making between home and professional whitening refers only to extrinsic staining.
Whitening, then, is the use of a chemical agent to bleach those stains. The majority of both home and professional products use hydrogen peroxide or carbamide peroxide (which also contains hydrogen peroxide) as its primary bleaching agent. Depending on the application, either of these chemicals can effectively bleach extrinsically stained teeth. The two approaches differ, however, in the strength of the bleaching agent: home products usually contain a 10% or less concentration, while professional solutions usually contain between 15% and 35%. As a result, the home application takes longer than a dentist’s treatment to achieve desired results — two to three weeks as opposed to one or two office visits.
Whichever option you choose, remember teeth whitening isn’t a permanent solution. The brightness will fade over time — six months to a year if you restrict foods and habits that stain teeth. You can also receive a touch-up once or twice a year to help extend brightness.
There’s also a middle of the road option — you can use a home application with guidance from our office. It’s also a good idea to visit us for an examination beforehand — we can then advise you on what options will work for your particular type of staining and teeth condition.
If you would like more information on teeth whitening options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Teeth Whitening” and “Tooth Staining.”
As our profession advances, we dental professionals continue to find the biggest factor for successful outcomes is an informed patient. The more you know about your own teeth and gums, the greater your chance for a healthy outcome.
Regular dental care is fundamental to becoming informed. Your regular office visits and cleanings are an opportunity for us to “get real” — for you to learn the unvarnished truth about your dental issues and the reasons why you need to consider some options regarding your oral health. We also need to be just as realistic about what can or can’t be done to improve your situation and the cost involved.
The best way to approach this is to develop a plan based on managing risk. Risk is essentially weighing anything we may potentially lose against the solutions for not losing it. In dentistry, we look at risk in four basic areas: periodontal, the threats to structures like gums, ligaments and bone that support the teeth; biomechanical, the threats to the structural integrity of teeth such as decay, enamel erosion or fracture; functional, problems that can arise with how the teeth, muscles and jaw joints work together; and aesthetic, the impact of all these threats to the outward appearance of your smile.
Once we know the risks you’re facing, we then determine the best treatment approach for managing the risk based on costs and potential outcomes. For example, if you’re diagnosed with gum disease, you’re at risk for losing supporting bone and, ultimately, the affected teeth. Our primary goal is to prevent that loss from occurring through plaque and calculus removal that slow or stop the disease and allow affected tissues to heal. But if the disease has advanced and you’ve already experienced bone or even tooth loss, we may then need to modify our treatment goal by including gum surgery or tooth replacement options like dental implants.
Using a risk management approach helps us identify what needs to be treated and the most reasonable and achievable options for treating it. The foundation for this approach is prevention — stopping problems before they start or progress. Developing and maintaining this kind of action plan will help reduce your ultimate costs — emotional, social and financial.
If you would like more information on dental treatment planning, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Successful Dental Treatment.”
Q: What exactly is cosmetic tooth bonding?
A: Cosmetic bonding is a process in which your dentist uses specially formulated tooth-colored material to repair minor defects on the surface of your teeth. The bonding material itself is a type of composite resin — a tough, translucent mixture of plastic and glass components that mimics the pearly-white appearance of your teeth to a high degree. The material also bonds (links up) so well with the natural tooth structure that this relatively simple and inexpensive treatment can last for a number of years.
Q: What types of defects can tooth bonding repair?
A: Bonding can be used to remedy several different kinds of flaws in your smile. Small chips, cracks and areas of discoloration can be easily treated via cosmetic bonding. It can even be used to fix minor spacing irregularities. Best of all, because composite resin is available in various shades to match the natural color of your teeth, it’s almost impossible to tell which tooth has been treated.
Q: What are the pluses and minuses of cosmetic bonding?
A: Bonding is a procedure that can be done right in the dental office, without involving a laboratory — that’s why it is typically an easy, cost-effective treatment that can be accomplished in a single visit. It’s a great solution for restoring minor flaws that don’t extend very far into the tooth’s structure. It’s also ideal for teenagers, who may have to wait until they stop growing before getting a more permanent restoration. But bonding normally isn’t as long-lasting as some other restoration techniques, such as veneers or crowns. However, with proper care, a bonded tooth can keep looking good for years.
Q: What is the bonding procedure like?
A: Bonding is a minimally invasive, reversible treatment that normally causes little or no discomfort. The tooth being treated is first thoroughly cleaned, and then “etched” with a gel that microscopically roughens its surface. Next, the gel is rinsed off, and liquid composite resin (in a shade chosen to match the tooth) is painted on with a brush. Then, the bonding material is cured (hardened) using a special light. After it has cured, another layer may be applied; this process can be repeated several times to build up a thicker coating. Finally, a dental instrument is used to shape the built-up material into its final, pleasing form.
Q: Do bonded teeth require special care?
A: Not really… but like all teeth, they should be brushed and flossed daily, and professionally cleaned at the dental office twice a year. Bonded teeth can also become stained from tobacco use, red wine and coffee — but unlike regular teeth, bonded teeth can’t be lightened. So if you’re considering tooth-whitening treatments, have them done before your teeth are bonded.
If you have questions about whether cosmetic bonding could help your smile look its best, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Artistic Repair Of Front Teeth With Composite Resin.”
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