It’s estimated that 125 million Americans are missing at least one tooth. If you are one of them, you may be considering dental implants for tooth replacement. We think it’s important for you to know what factors make a person a good candidate for such a procedure. Here are a few things to consider.
Most People Are Good Candidates. Dental implants can replace one, several, or all of your teeth. They can be used in place of bridges or dentures. Good candidates have healthy gums and are old enough so that their jawbone has stopped growing. You should also have enough bone to support and anchor the implants. Even if you have lost bone in your jaw, however, you may still be a good candidate for implants. In fact, dental implants may be recommended to prevent further bone loss. In these situations, bone can actually be rebuilt with grafting procedures as part of the implant process.
Evaluation. Successful implantation starts with a thorough evaluation of your jaw, teeth, mouth and overall health. You will receive a mouth X-ray and possibly a Computed Tomography (CT) scan. This will help us identify areas of bone loss and carefully see the shape of your sinuses and nerve location to make accurate assessments for your treatment. We will also do a thorough medical evaluation, as your overall health and history plays a big role in how well your implant will heal and fuse to the bone.
People At Risk of Poor Outcomes. Uncontrolled diabetes, cancer, radiation to the jaws, smoking, alcoholism, or uncontrolled gum disease are all risk factors that can adversely affect your outcome. You may still be a good candidate with one of these diseases, but we’ll want to thoroughly assess your situation and work with you and your doctor to increase your overall health and functioning. People who take certain medications, such as steroids or drugs that suppress the immune system may not be suitable candidates, either. And people with certain habits, such as people who severely grind or clench their teeth may put too much pressure on the implants, causing long term damage.
Overall, dental implants have a very high rate of success and patients tell us how happy they are with the outcome. If you are considering implants, we can complete a careful examination to determine what options are best suited for you. Call us today to make that appointment!
Many people think that a painful tooth means they need a root canal treatment. While that is sometimes true, it’s not always the case. In fact, there are many other reasons that teeth can hurt!
Here, we offer a guide to some common types of tooth pain and what that pain may be trying to tell you:
Sensitivity to hot and cold foods:
If the pain is short-lived, you probably do not have a serious problem, but more likely a loose filling or a small amount of gum recession that has resulted in root surface exposure. Use sensitive teeth toothpaste and a soft brush with an up and down motion. If this doesn’t help after a week or so, give us a call.
Heat sensitivity after an appointment:
Some types of dental work can inflame the pulp inside your teeth, causing sensitivity for several weeks. If it lasts longer than that, let us know.
Sharp pain when biting:
Sometimes sharp pain can be caused by a loose filling, other times it may signal that there is a crack in your tooth. Either of these scenarios requires evaluation by a professional, so please give us a call.
Pain/Sensitivity lasting longer than 30 seconds:
Often this means that the pulp (innermost part of your tooth) has been damaged. Without intervention, you may lose this tooth so it is important to call us to find out if you may need root canal treatment.
Frequent, dull aching in the jaw.
This can happen when excessive grinding of the teeth happens (bruxism), or it could even be a sign of a sinus headache or infection. Please call us for more information.
Severe pain, pressure or swelling of the gums:
This may mean that you have an abscessed, infected tooth that may have spread to other tissues in the mouth. This is a serious situation that requires an immediate call to our office for instructions.
In our practice, we hear many great questions about periodontal disease and gums in general. So, to help educate our patients better, we have compiled a list of the most frequently asked questions for you here:
Q: Is periodontal disease contagious?
A: Yes and no. The disease, which is an inflammatory response to bacteria under the gums, itself is not contagious. However, that bacteria can be spread through saliva, which could in turn cause periodontal disease in another person. To be safe, don’t share utensils or toothbrushes in your house.
Q: Can children get periodontal disease?
A: No. Periodontal disease has only very rarely been found in children and adolescents. However, it’s never too soon to adopt good healthy gum habits! Teach your kids to brush twice and floss once every day.
Q: Do I need antibiotics to get rid of the bacteria?
A: Possibly. A number of factors go into our determination about whether a patient needs topical antibiotic treatment after a periodontal cleaning. If you do need it, it will be applied under the gums during treatment.
Q: Are diabetes and periodontal disease related?
A: Yes, periodontal disease is a common complication of diabetes, most likely because diabetes makes a person more prone to infection. New evidence also shows that good perio health may have a positive effect on blood sugar levels as well!
Q: What about heart disease?
A: This is less clear, however several studies have shown that gum disease may increase the risk of heart disease as well.
As always, we are here to help. If you have additional questions that don’t appear on this list, give us a call!
Can drinking coffee really help prevent oral cancer? What about different types of foods? Numerous studies have been published that claim certain foods and drinks can prevent oral cancer but when it comes to a disease that will affect 43,250 people this year, it’s important to get the facts.
Oral cancer, also referred to as mouth or head and neck cancer, occurs when there is a problem with the lifecycle of a normal, healthy cell. Cells are supposed to grow and divide into new cells as your body needs them but when this process goes wrong, your body over produces cells. These extra cells can cause a tumor to form. Depending on the type of cells in the tumor, it could be cancerous or benign.
Some studies may say they have proof that a specific food or drink helps to prevent mouth cancer but in reality the best way to prevent the disease is to avoid certain risk factors like smoking and drinking. Drinking in excess accompanied by smoking makes you highly susceptible to the disease and should be avoided.
Most oral cancers start in the tongue in what are called the flat cells and they can spread to other parts of the body if they aren’t caught early (in doctor lingo, cancer of these flat cells is called squamous cell carcinoma). Interestingly, when these oral cancer cells spread to other parts of the body such as the lungs, they are still considered oral cancer cells rather than lung cancer cells. Where these abnormal cancer cells begin is what they will always be referred to as, regardless of where they spread.
Doctors still don’t know why one person gets oral cancer while another person does not, but it is important to note that oral cancer is NOT contagious. Avoiding risk factors and eating healthy is key to preventing oral cancer. Make sure to visit us regularly so we can check for signs of oral cancer!
Regular oral pathology exams are extremely important when it comes to preventing head and neck cancer. When you visit us make sure to ask about the exam if you haven’t had one before or have noticed anything strange on the inside of your mouth. It’s also good to perform an oral pathology check on yourself from time to time. Let’s go over how to do an at-home check and what you should be looking out for.
Step 1: Know what you’re looking for. Oral cancer signs include:
- A difference in color in one particular area
- A change in texture
- Lumps of any kind (especially if it’s something you haven’t noticed before)
Step 2: Take a bright light such as a flashlight and while looking in a mirror, check the following:
- Cheek walls
- Top and bottom of mouth
- Back of throat
If you notice any of the above signs, give us a call immediately to schedule an appointment. It’s also beneficial to perform an extra-oral screening. When performing an extra-oral exam on yourself, you want to feel for any lumps or bumps. Here are the steps for doing this exam at home:
Step 1: Place your hands on the back of each side of your jaw under your ears. Open and close your jaw while feeling for any bumps.
Step 2: With your hands in the same position work your way down your neck.
Step 3: Turn your head to the right and feel your left side-neck muscles. Turn your head left and feel your right side neck muscles.
Step 4: Grab your gullet and swallow.
Step 5: Put your chin down and with your palms facing away from you feel the underside of your jaw with your fingers.
We hope we don’t have to see you in the office if you’ve discovered something wrong but we are here to help. We can catch the early signs of oral cancer! If you feel anything strange, call us to schedule an appointment.
What’s involved in a dental implant? Do they hurt? Can anyone get them? There are a lot of questions surrounding dental implants but one thing is certain; they’ve been reconstructing smiles for over 35 years with amazing results. But what’s the fuss surrounding dental implants and are they really worth it? Lets answer some question to help you decide for yourself.
Can anyone get a dental implant? Anyone who is healthy enough to get a dental implant can get one as long as they have enough bone to hold the implant. This is where bone grafting comes in for those who have been told their jawbone won’t hold an implant. Keeping up with regular oral hygiene is also an important factor and heavy smokers may be told it’s not a safe option.
What exactly is a dental implant? A dental implant replaces your tooth root with a metal rod. It provides a solid structure on which to place a new tooth that is made to match your real teeth. Dental implants not only improve the overall look of your smile but they’re durable, convenient, and easy to take care of.
What are the steps to getting a dental implant? As your doctor, we will want to develop an individualized treatment plan that focuses on your specific needs. Once we have agreed on a treatment plan, the next step will be the placement of the implant in your jaw. The implant is made of titanium and once placed the jawbone will actually begin to grow around it. In about six to twelve weeks the implant will have completely bonded to your jaw and it will be time to attach a small post that connects your new tooth to the implant. We create a mold of your bite that allows us to create your new tooth. This replacement tooth is then attached to the post and the implant process is complete!
Lastly, how painful are dental implants and are they difficult to take care of? Most patients have said they experienced very little discomfort when receiving their implant. Many have even said the process is much less painful than a tooth extraction. Mild pain that may occur for a few days after you receive your implant can be treated with over-the-counter pain medication. Dental implants require the same care as your real teeth but generally they are much easier to clean and you don’t have to worry about cavities.
We hope this answers some of the questions surrounding dental implants. If you’re missing a tooth or teeth, give us a call to ask more about the procedure. We’ve seen many patients leave happy and comfortable with their improved smile!
Traditionally, the methods used for periodontal treatment included scaling and root planing, a way of physically removing plaque and tarter deposits beneath the gum line. We now have, however, an additional tool for treating periodontal disease: the laser.
Laser treatment for gum disease is the use of laser light energy to vaporize bacteria and infected tissue in a deepened gum pocket. During the procedure, topical local anesthetic is provided.
It is important to note, however, that laser gum therapy is not usually prescribed as a treatment alone. Most often it is used in conjunction with scaling and root planing. You may be wondering, “What benefits does laser treatment provide that are not afforded by traditional periodontal therapies?”
Here are the five top reasons why we recommend laser periodontal treatment to our patients when it is an appropriate treatment option:
- Less pain = less anesthesia. Because laser treatment is less invasive, it tends to cause less discomfort. This means that usually, the only pain blocker needed is a simple topical anesthetic.
- Sterilization: Simply put, lasers sterilize the treatment site as they work and leave a sterile wound behind when finished, reducing the risk of further infection.
- Minimal Bleeding: A bonus for anyone, especially those taking blood thinners, laser gum therapy causes less bleeding than scaling and root planing.
- Less Swelling: The less invasive nature of laser therapy equates to less swelling in patients.
- Almost No Post-op Pain: Because swelling is minimized, we send you home with less discomfort.
Ask us how we can help you take good care of your gums with a combination of laser and traditional periodontal therapies.
Over the last decade, at-home tooth whitening systems have become more abundant, more varied, and more affordable. A quick walk through your local drug store is all you need to do to know that there is an endless supply of teeth bleaching treatments that you can do at home to achieve a whiter smile.
You may be wondering, “If it’s so easy to access these products in a store, why would I want to spend the time and money to have my teeth whitened in my dentist’s office?”
Here are the top five reasons that we recommend that you come see us first if you are interested in whitening your smile:
- Whiter whitening: Over the counter bleaching products can only contain 10% peroxide, while our in-office treatments can contain 25-40% peroxide, offering a whiter white!
- Quicker: The higher concentration of peroxide combined with other safety and acceleration tools like lasers allow us to whiten your teeth much more quickly than can be done at home.
- Fewer Side Effects: At home, some people experience damage to the tooth or surrounding gum area when whitening their teeth, causing pain or sensitivity. By contrast, in the office, we have access to preventative tools that can protect your gums and teeth from damage from bleaching.
- Always Examine First! It is always wise to have an oral exam prior to your whitening procedure, as we can detect potential problems, areas that are prone to sensitivity, and even help you choose your best path to a whiter smile.
- Best of Both Worlds: If you still want to try at-home treatments, give us a call. We can send you home with approved whitening treatments to give you the protection, convenience and the whiter smile that you desire.
Some patients come to us loving their smile but wanting just a little bit more in terms of aesthetics. To perfect an already great smile, we may suggest porcelain veneers. Porcelain veneers are often our go-to tool to correct minor imperfections on the surface of teeth or spacing issues.
Here are some frequently asked questions and answers about veneers:
Q: Are veneers heavy or thick? Will I feel them in my mouth?
A: No, in fact veneers are thinner than a fingernail, once they are in place you won’t even know they are there!
Q: How long do they last?
A: Properly installed, veneers can last from 10-20 years. A great investment for an enhanced smile!
Q: How are they attached? Can they fall off?
A: Veneers are attached to your tooth with a very strong bonding compound. They do not fall off and provide years of durable use.
Q: Do veneers look like natural teeth?
A: Porcelain is the perfect material to copy tooth enamel, as it is incorporates luster, shine and translucence to look just like your natural teeth.
Q: What if the surrounding teeth are a different color?
A: Generally what we recommend is that we use a whiter shade of porcelain for the veneer and perform tooth whitening in conjunction with the veneer process to give you a perfect match throughout your mouth.
Q: Do veneers stain?
A: No, porcelain veneers do not stain, even over time.
If you want to take your smile from “okay” to “stunning”, ask us if veneers are a good option for you!
One of the most important jobs we have in our practice is to examine, monitor and diagnose head and neck pathology in our patients. What we are really looking for is any sign of oral cancer. Each year, about 42,000 Americans are newly diagnosed with oral cancer. Unfortunately, more than 8,000 of those people will die from the disease because too often it is caught in a late, incurable stage.
To help you stay healthy and educated about your oral health needs, we have compiled a list of the most important things you should know about oral cancer:
- Oral cancer affects more than just the mouth. Any cancer in the mouth, lips, throat or back of the mouth is considered oral cancer.
- Since 90% of oral cancers begin in the surface area of the mouth, tongue and lips, we recommend regular self-exams.
- Largest risk factors: Not surprisingly, tobacco and alcohol use top the list of biggest risk factors for oral cancer.
- Other risk factors: Human papilloma virus (HPV), pre-cancerous oral lesion, betel quid use (common in Asia), excessive UV/sun exposure, certain drugs and genetic syndromes.
- To diagnose oral cancer, we will examine the mouth and neck, ask about your risk factors, and possibly order biopsies and imaging of the head (CT, MRI, etc).
- Pain is not associated with cancer in its early stages. Usually pain does not occur until the cancer has progressed to a later stage.
- The most common oral cancer symptoms warrant a call to our office. They include: sores that don’t heal, lumps inside the mouth, white or red patches on soft tissues in the mouth, bleeding, pain when swallowing or chewing, numbness, difficulty moving the jaw or tongue, lumps in the neck, hoarseness, and more.
Don’t hesitate to us if you are experiencing any of these symptoms of oral cancer.
We will be accepting appointments for Saturday: January 24, February 28, March 14 and April 18 8:30-1:00 Call our office to schedule 813.888.9004