Posts for: June, 2014
Perhaps you've heard about dental implant surgery — or maybe you've been told you are a candidate for the procedure. You may already know that today, implants are the “gold standard” of tooth replacement options. It's no wonder why: They have a documented success rate of over 95%, and can last a lifetime. But if you're put off by the thought of implant surgery, then it may be reassuring to learn the following five facts.
1. The entire implant process is planned before surgery is done.
This usually involves taking radiographs (X-rays), and sometimes CT scans, as precision guides to implant placement. Before the minor surgical procedure begins, we have already examined the bite and the bone structure, and determined exactly where the implant will fit in. There should be no surprises during the surgery — which is only one phase of the implant process.
2. Implant surgery uses the highest-quality materials and state-of-the-art techniques.
The implant itself is fabricated of commercially pure titanium, or a titanium alloy. This metal has a unique property — it's capable of osseo-integration, which means it can actually fuse with bone. During the implant procedure, the bone is handled with utmost care: it's gently prepared to receive the implant, and cooled with water to prevent tissue damage. If you don't have enough of your own bone tissue to support an implant, it has even become routine to restore bone with grafting techniques.
3. The surgical procedure itself is generally painless.
Almost all implants are placed using local anesthesia — typically, a numbing shot. If you're especially anxious about the procedure, it's possible to be given sedatives or anti-anxiety medications beforehand. Of course, we will make sure you don't feel any pain before we begin! Some mild vibration is generally all that you may experience during the procedure, but it's very rarely a cause for concern.
4. There is little discomfort following the procedure.
On the day of surgery and perhaps the day after, a non-steroidal anti-inflammatory medication (NSAID) of the aspirin or ibuprofen family is usually all that's needed to control minor discomfort. You may also be given a prescription for antibiotics and/or a mouth rinse to aid healing.
5. The result: Natural-looking teeth that can last a lifetime.
Implants have become dentistry's premier option for replacing missing teeth. Their placement involves minimally-invasive techniques, and has a success rate higher than any other tooth replacement system. And, given proper care, they can last for the rest of your life. Could you ask for more?
If you have questions about dental implant surgery, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Dental Implants.”
Youth sports can be a positive life experience for your child or teenager. But there's also a risk of injury in many sporting activities, including to the teeth and mouth. An injury to the mouth, especially for a child or young adolescent whose teeth are still developing, can have a significant negative impact on their oral health.
When it comes to teeth or mouth injuries, the best preventive measure is for your child to wear an athletic mouthguard, especially for contact sports like football, hockey or soccer. But be warned: not all mouthguards are alike — and neither is their level of protection.
Mouthguards can be classified into three types. The first is known as “stock,” which is the least expensive and offers the least level of protection. They usually are available only in limited sizes (small, medium, large, etc.) and cannot be custom-fitted for the individual. This significantly lowers their protective ability, and thus we do not recommend these to our patients.
The next type is referred to as “boil and bite.” These mouthguards are made of a material called thermoplastic, which becomes pliable when heated. When first purchased, the guard is placed in boiling water until soft; the individual can then place them in the mouth and bite down or press the guard into the teeth until it hardens and forms to their palates. Although this type offers a better fit and more protection than stock mouthguards, it isn't the highest level of protection available.
That distinction goes to the last type — a custom mouthguard made by a dentist. Although the most expensive of the three, it offers the best fit and the highest level of protection. A well-made custom mouthguard is tear-resistant, fits comfortably, is easy to clean and doesn't restrict speaking and breathing. We recommend this guard as your best alternative for protecting your child athlete from tooth and mouth damage.
If you would like more information on the use of athletic mouthguards for young athletes, contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Mouthguards.”
If you are at all uncomfortable at the thought of getting a dental implant, you might be pleasantly surprised to learn the truth about these marvelous state-of-the-art tooth-replacement systems — and the special role of a relatively new device, the mini-implant. So, first, let's go over some basic facts.
What's a dental implant? Basically, it's just a replacement for the root part of the tooth, the part that lies beneath the gum line. It attaches to a crown, which is a replacement for the visible portion of the tooth. But instead of ceramics or metals, implants are made of titanium, which becomes fused to the surrounding bone. When complete, implants are much stronger and longer-lasting than other methods of tooth replacement, like bridgework and dentures.
Implants are presently regarded as the best way to replace missing teeth, with a success rate of over 95%. They also help prevent bone loss in the jaw, a major goal of modern dentistry. Having one put in is an office procedure that's generally accomplished with local anesthesia, and most patients experience only minor discomfort. Standard dental implants can be used to replace a single tooth, or multiple teeth. The mini-implant, which is just a miniature version of the same technology, is now playing an increasing role in many other phases of dentistry.
Why mini-implants? Because in several situations, this smaller and less expensive alternative offers a solution that's just as good — or better — than any other dental treatment. One area where mini-implants excel is in supporting lower jaw overdentures.
Many people find that lower dentures are far more troublesome than upper dentures. The movement of the tongue muscle, and the smaller area of surface contact (compared to the upper denture, which is supported by the palate) often results in a poor, loose fit, which leads to problems when eating or speaking. These problems can be solved by affixing a lower overdenture (an implant-retained denture) with just two mini-implants.
Not only do mini-implants help prevent bone loss, they also give the denture wearer increased stability, comfort, and confidence. And they do so at a price that's more economical than you might think. In some cases, the mini-implants can be placed in a single one-hour office visit, and your own denture can be modified to fit them — so you can go home and eat a steak that night!
Another area where mini-implants are finding increasing use is in orthodontics. Orthodontic appliances (commonly called braces) move teeth by exerting a light force on them, using a wire which is fixed to a solid anchor point. Traditionally, other teeth are used as anchors — but sometimes these teeth move as well! By using immovable mini-implants as the anchor points, the process is greatly simplified. Strategically placed mini-implants called TADS (temporary anchorage devices) can be used to correct both skeletal (jaw) position and dental (tooth) position problems.
Mini-implants may also be used in upper dentures and temporary bridgework.
If you would like more information about mini-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 articles “Implant Overdentures for the Lower Jaw,” “The Great Mini-Implant,” and “What are TADS?”