Posts for tag: dental implants
You have a lot of options for replacing missing teeth, from state-of-the-art dental implants to affordable, but effective partial dentures. But if the teeth in question have been missing for a while, you may first have to undergo orthodontic treatment. Here's why.
While they may feel rigid and firm in the jawbone, teeth are actually held in place by periodontal (gum) ligaments. These elastic tissues lie between the teeth and the bone and attach to both with tiny filaments. This mechanism allows the teeth to incrementally move over time in response to biting pressures or other environmental factors.
When a tooth goes missing the teeth on either side of the space naturally move or "drift" into it to help close the gap. This natural occurrence can reduce the space for a restoration if it has gone on for some time. To make room for a new prosthetic (false) tooth, we may have to move the drifted teeth back to where they belong.
If you're thinking metal braces, that is an option—but not the only one. Clear aligners are another way to move teeth if the bite problem (malocclusion) isn't too severe. Aligners are a series of custom-made, clear, plastic trays worn over the teeth. The patient wears each tray, slightly smaller than the previous one in the series, for about two weeks before changing to the next one. The reduction in size gradually moves teeth to their intended target position.
Many adults prefer clear aligners because they're nearly invisible and don't stand out like metal braces. They're removable, so you can take them out for cleaning or for special occasions. And, we can also attach a prosthetic tooth to the tray that temporarily covers the missing tooth space.
Whichever orthodontic treatment you choose, once completed we can then proceed with restoration to permanently replace your missing teeth. While it can be a long process, the end result is a beautiful smile that could last for years to come.
If you would like more information on your dental restoration 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 article “Straightening a Smile before Replacing Lost Teeth.”
Placing a dental implant within the jawbone requires a surgical procedure. For most people it’s a relatively minor affair, but for some with certain health conditions it might be otherwise. Because of their condition they might have an increased risk for a bacterial infection afterward that could interfere with the implant’s integration with the bone and lead to possible failure.
To lower this risk, dentists for many years have routinely prescribed an antibiotic for patients considered at high-risk for infection to take before their implant surgery. But there’s been a lively debate among health practitioners about the true necessity for this practice and whether it’s worth the possible side effects that can accompany taking antibiotics.
While the practice still continues, current guidelines now recommend it for fewer health conditions. The American Dental Association (ADA) together with the American Heart Association (AHA) now recommend antibiotics only for surgical patients who have prosthetic heart valves, a history of infective endocarditis, a heart transplant or certain congenital heart conditions.
But patients with prosthetic joint replacements, who were once included in the recommendation for pre-surgical antibiotics, are no longer in that category. Even so, some orthopedic surgeons continue to recommend it for their joint replacement patients out of concern that a post-surgical infection could adversely affect their replaced joints.
But while these areas of disagreement about pre-surgical antibiotics still continue, a consensus may be emerging about a possible “sweet spot” in administering the therapy. Evidence from recent studies indicates just a small dose of antibiotics administered an hour before surgery may be sufficient to reduce the risk of infection-related implant failure with only minimal risk of side effects from the drug.
Because pre-surgical antibiotic therapy can be a complicated matter, it’s best that you discuss with both the physician caring for your health condition and your dentist about whether you should undergo this option to reduce the infection risk with your own implant surgery. Still, if all the factors surrounding your health indicate it, this antibiotic therapy might help you avoid losing an implant to infection.
If you would like more information on antibiotics before implant surgery, 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 “Implants & Antibiotics: Lowering Risk of Implant Failure.”
Probably a day doesn’t go by that you don’t encounter advertising for dental implants. And for good reason: implants have taken the world of dentistry by storm.
Since their inception over thirty years ago, implants have rocketed ahead of more conventional tooth replacements to become the premier choice among both dentists and patients. But what is an implant—and why are these state-of-the-art dental devices so popular?
Resemblance to natural teeth. More than any other type of dental restoration, dental implants mimic both the appearance and function of natural teeth. Just as teeth have two main parts—the roots beneath the gum surface and the visible crown—so implants have a similar construction. At their heart, implants are root replacements by way of a titanium metal post imbedded in the jawbone. To this we can permanently attach a life-like porcelain crown or even another form of restoration (more about that in a moment).
Durability. Implant materials and unique design foster a long-term success rate after ten years in the 95-plus percentile. They achieve this longevity primarily due to the use of titanium as the primary metal in the implant post. Because bone has an affinity for titanium, it will grow and adhere to the post over time to create a well-anchored hold. With proper maintenance and care implants can last for decades, making them a wise, cost-effective investment.
Added stability for other restorations. While most people associate implants with single tooth replacements, the technology has a much broader reach. For example, just a few strategically-placed implants can support a removable denture, giving this traditional restoration much more security and stability. What’s more, it can help stop bone loss, one of the main drawbacks of conventional dentures. In like fashion, implants can support a fixed bridge, eliminating the need to permanently alter adjacent teeth often used to support a conventional bridge.
With continuing advances, implant technology is becoming increasingly useful for a variety of restorative situations. Depending on your individual tooth-loss situation, dental implants could put the form and function back in your smile for many years to come.
If you would like more information on dental implant restorations, 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 Implants: Your Best Option for Replacing Teeth.”
Dental implants have become the standard for long-term tooth replacement. From mechanics to movie stars, people from all walks of life have discovered the advantages of replacing a missing tooth with an implant. Obviously, restoring your smile is a definite advantage, but an implant can also help to maintain the health of your jawbone and adjacent teeth.
The implant is a small, screw-like titanium post that is placed into your jawbone to function as the root part of the tooth. The living bone tissue will actually attach to the titanium post, fusing them together. This will not only provide a sturdy anchor for a natural-looking crown, but will provide stability for bridgework or dentures. You will then be able to smile, chew and talk as if all of your teeth are natural. The procedure will also help to stabilize the bone, reducing long-term bone loss that occurs when a missing tooth is not replaced.
At this point, if you are thinking that there must be a lot of pain involved, I have good news for you. There is very little pain involved after the procedure is completed and no pain at all during the procedure. Typically, it is a routine surgery that takes place in a dentist’s office under local anesthesia where the immediate area is numbed. If there is any apprehension at all about the procedure, we will offer alternative anesthesia or sedation options during the planning process.
To determine who will be a good candidate for the implant procedure, a plan must be in place to assure the success of the implant. Part of the plan includes:
- Reviewing your past medical and dental history. We must know your complete past and present medical history and medication use, since good health is essential. There are certain conditions and diseases that can affect the healing of an implant.
- Performing a comprehensive dental examination. An evaluation of your dental problems and needs will determine if implants are in your best interests. An assessment of the health and mass of the jawbone as well as the number and location of the implant(s) that are needed to restore your bite and smile back to health will also be determined.
When the implant procedure has been successfully completed, there is one more step. As with your natural teeth, preventive maintenance is crucial for long-term success. A daily routine of brushing and flossing along with regular professional dental cleanings and checkups will help ensure continued gum health and proper functioning of your implants.
If you are wondering whether dental implants are right for you, contact us for more information or schedule an appointment for a consultation. You can also learn more about dental implants by reading the Dear Doctor magazine articles “Dental Implants” and “Dental Implant Surgery.”
Since their introduction over thirty years ago, dental implants have become the most popular choice for dental restoration. Their large variety of shapes and sizes — a far cry from the limited choices of the 1980s — has only served to increase their popularity.
In recent years there's also been an expansion in their applicability. Most people recognize them as replacements for individual teeth — but they can do much more. They're now playing a pivotal role in other dental restorations or situations.
Here are 3 of those “cutting edge” ways implants could change your dental health and smile for the better.
Fixed bridgework. In a traditional bridge, prosthetic (false) teeth use the natural teeth on either side of the empty space for support. In this updated version, implants become the support base for the bridge. For example, a bridge as small as three crowns can be supported by two implants attached to the outside crowns of the bridge. Four to eight implants can support a bridge as large as an entire arch of teeth.
Over-dentures. In cases of significant bone loss, a full or partial denture may be a better option than a fixed bridge. Traditional dentures, though, can contribute to even more bone loss, which can cause the dentures to eventually lose their fit. Implants not only can help stop further bone loss but can also stimulate increased bone density. Two or more standard or mini-sized-sized implants can support a full or partial denture.
Orthodontics anchorage. People with missing teeth aren't the only ones who can benefit from implants. While most bite repairs only require the back teeth to provide anchorage for braces, certain complex bites may need a different point of anchorage. Orthodontists can create a more feasible anchorage point with an implant or a temporary anchorage device (TAD) imbedded in the jaw. This can help isolate teeth that need to be moved from those on the arch that don't.
If you would like more information about how dental implants could improve your dental health and appearance, 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 Implants: Your Best Option for Replacing Teeth.”