Posts for: August, 2014

By Robert Rousseau DMD
August 29, 2014
Category: Dental Procedures
Tags: dental implants  
MajorBenefitsforToothReplacementWithDentalImplants

Perhaps you’ve heard a lot about dental implants, an increasingly popular tooth replacement system. Although they can be expensive (depending on the exact application) they have a number of important benefits that add value to your investment.

Here are four of those benefits that make dental implants one of the best tooth replacement options available:

Life-like Appearance. Like an automobile, an implant’s “engine” — the titanium post inserted into the jawbone — is covered by a stylish “body” — the visible crown, custom-made to look just like the natural tooth. Composed of porcelain ceramic or a similar translucent material, the implant crown is the key to not only restoring natural function in the mouth but also rejuvenating your smile.

Long-term Durability. Implants have been in use for over three decades (over 3 million placed since their introduction) and have built an impressive track record for durability. If properly cared for, it’s possible for dental implants to last for many years or even a lifetime. Compared with other restorations that may not last as long and lead to additional dental cost, the implant’s “return on investment” can be quite high.

Contribution to Bone Health. Most implants are made of surgical titanium, which has a strong affinity with bone. In time, bone cells will grow and fuse with the titanium. The result is not only a solid anchoring of the implant into the jaw, but also the preservation and possible re-growth of bone mass where it may have been lost.

Versatility. Although implants are often used as a single tooth replacement, they’re increasingly used in multiple-tooth replacements. A few strategically placed implants can permanently support a bridge (two or more teeth linked together), an arch (an entire set of upper or lower teeth), or as a foundational support for a removable denture, particularly the lower arch.

If you’ve experienced tooth loss, a preliminary dental examination will determine if you’re a potential candidate for dental implant replacement. If so, dental implants could be a way for you to not only restore lost function but also regain your smile.

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 Implants 101.”


WhatDentalDeviceDoesTVHostVannaWhiteKeeponherNightstand

Here's an interesting tidbit of information on Wheel of Fortune host Vanna White: like many people, she grinds her teeth at night. In a detailed interview with Dear Doctor magazine, Vanna explained how she had to replace a filling in a back tooth several times because of her grinding habit. Eventually, she had her dentist make her a nightguard to protect her famous smile.

“I really try to sleep with it every night,” Vanna told the magazine. “I try to keep it on my nightstand so when I go to bed, I remember to put it in. Or I will put it by my toothbrush so I can put it in after brushing my teeth at night.”

The habit of teeth grinding or clenching is often associated with stress and/or sleep deprivation. It is referred to as “parafunctional” (“para” – outside, “function” – normal), meaning it can generate biting forces well outside the normal range — perhaps 10 times normal. This excessive force can affect many areas of the oral system. Teeth may become worn, chipped or loose; jaw joints or muscles can go into spasm; and some grinders (or “bruxers” as they are also called) may even experience discomfort of the head, ears, neck or back. Many times, a person with a grinding habit does not become aware of it until it is pointed out by a sleep partner or dental professional.

Like Vanna White's dentist, we often recommend a nightguard to those with nocturnal bruxing habits. It is made of a very thin, wear-resistant plastic that fits over the biting surfaces of the upper teeth only. The lower teeth are then free to glide or skate over the guard, which prevents them from biting into the upper teeth. Some people wear their guards during the day if they tend to clench their teeth when under stress.

If you are concerned about teeth grinding or interested in learning more about nightguards, please contact us today to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Vanna White, please see “Vanna White.” Dear Doctor also has more on “Stress & Tooth Habits.”


By Robert Rousseau DMD
August 01, 2014
Category: Dental Procedures
Tags: dental implants  
DentalImplantSurgeryisaRoutineWorry-FreeProcedure

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.”