You've lost some teeth, and now you have to decide how to replace them. A fixed bridge or a partial denture are certainly good options. But the best choice today that dentistry has to offer is dental implants.
Implants have exploded in popularity among both dentists and patients, offering exceptional quality in life-likeness and durability. But they do have one drawback that might cause you to hesitate in choosing them: They're usually more expensive than other common tooth replacement systems, even more so if you're replacing each individual missing tooth with an implant.
But before you pass on them for something more affordable, take another look at dental implants. Here are 4 reasons why implants could be the wiser option for tooth replacement.
Life-like and functional. Other restorations can effectively mimic the appearance of real teeth, and they're reasonably functional. But implants score at the top in both categories because they replace more of the tooth—not just the crown, but the tooth root as well.
Bone friendly. Other restorations can't stop the gradual bone loss often caused by missing teeth, and dentures in particular can accelerate it. But implants are made of titanium, a bio-compatible metal that's also bone-friendly—bone cells readily grow and adhere to its surface. This accumulated growth around the implant site helps slow or stop bone loss.
Long-term savings. The integration of bone and implant creates a durable hold that can last for several years, possibly outlasting other restorations in the same situation. Taking into account all the costs—installation, maintenance and possible replacement—that can occur over the life of a restoration, implants could actually cost less in the long run.
Versatile. Implants can be used for more than single tooth replacements—they can be incorporated with other restorations like bridges or dentures to provide better support. Marrying implants with traditional tooth replacement systems can be less costly than implants individually while enhancing benefits like durability and bone strength.
Dental implants may not be right for everyone, particularly those who've experienced advanced bone loss. But if a thorough dental exam shows you're a good candidate, dental implants could be well worth the investment in your health and appearance.
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.”
“Personalize Your Plate” is the theme for this year's National Nutrition Month in March, sponsored by the Academy of Nutrition and Dietetics. It means there isn't a single diet for all of us: We're each unique with differing body types and tastes, and our diets need to be unique as well. Still, though, you'll want to be sure to include basic nutrients that are generally good for all of us—including for our teeth.
As you “personalize” your daily diet, be sure it includes dental-friendly vitamins and minerals. Here are some of the more important ones that contribute to strong and healthy teeth, and the kinds of foods in which you'll find them.
Vitamin D. This vitamin is a key element for growing and maintaining healthy teeth and bone, mainly by helping the body absorb calcium. You'll find vitamin D in milk, eggs or fatty fish—and you'll also gain a little strolling outdoors in the sunshine!
Vitamin E. As an antioxidant, vitamin E helps the body fight free radical molecules that contribute to cancer development, including oral cancer. You'll find vitamin E naturally in seeds and nuts (and derivative cooking oils), wheat germ and whole grains.
Calcium. When included with vitamin D and phosphorus, calcium is an important “construction material” for building strong teeth and bones. You'll find calcium in dairy products like milk and cheese as well as greens, legumes and tofu.
Phosphorus. Eighty-five percent of the body's phosphorus, a companion mineral to calcium, is found in teeth and bones, where it helps to keep them strong and healthy. You'll find this important mineral in meats, milk and eggs.
Magnesium. This mineral helps mineralize teeth and bones, giving them strength and protection against disease. You can get magnesium by eating nuts, legumes, whole grains, dark leafy greens, seafood and—if you limit the added sugar content—chocolate.
Fluoride. Most people are familiar with fluoride added to drinking water or toothpaste to strengthen tooth enamel against tooth decay, but the mineral also occurs naturally in some foods. You can obtain low amounts of fluoride in seafood and black or green tea.
One last thing! While we're promoting foods that you should eat for healthier teeth, there's also one you'll want to cut back on: processed sugar. This carbohydrate is a major factor in oral bacterial growth that causes tooth decay and gum disease. So, eating foods low in sugar and high in these key vitamins and minerals will help ensure your teeth stay healthy.
If you would like more information about the importance of nutrition in dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Nutrition: Its Role in General & Oral Health.”
Narcotics have long played an important role in easing severe pain caused by disease, trauma or treatment. Healthcare professionals, including dentists, continue to prescribe them as a matter of course.
But narcotics are also addictive and can be dangerous if abused. Although addictions often arise from using illegal drugs like heroin, they can begin with prescriptive narcotics like morphine or oxycodone that were initially used by patients for legitimate reasons.
As a result, many healthcare providers are looking for alternatives to narcotics and new protocols for pain management. This has led to an emerging approach among dentists to use non-addictive non-steroidal anti-inflammatory drugs (NSAIDs) as their first choice for pain management, reserving narcotics for more acute situations.
Routinely used by the public to reduce mild to moderate pain, NSAIDs like acetaminophen, ibuprofen or aspirin have also been found to be effective for managing pain after many dental procedures or minor surgeries. NSAIDs also have fewer side effects than narcotics, and most can be obtained without a prescription.
Dentists have also found that alternating ibuprofen and acetaminophen can greatly increase the pain relief effect. As such, they can be used for many more after-care situations for which narcotics would have been previously prescribed. Using combined usage, dentists can further limit the use of narcotics to only the most severe pain situations.
Research from the early 2010s backs up this new approach. A study published in the Journal of the American Dental Association (JADA) concluded that patients receiving this combined ibuprofen/acetaminophen usage fared better than those only receiving either one individually. The method could also match the relief power of narcotics in after care for a wide range of procedures.
The NSAID approach is growing in popularity, but it hasn't yet displaced the first-line use of narcotics by dental professionals. The hesitancy to adopt the newer approach is fueled as much by patients, who worry it won't be as adequate as narcotics to manage their pain after dental work, as with dentists.
But as more patients experience effective results after dental work with NSAIDs alone, the new approach should gain even more momentum. And in the end, it promises to be a safer way to manage pain.
If you would like more information on dental pain management, 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 “Are Opioids (Narcotics) the Best Way to Manage Dental Pain?”
Dorit Kemsley isn't shy. Best known to fans as an outspoken and sometimes outrageous cast member of the reality show Real Housewives of Beverly Hills, Kemsley is never reticent about “mixing it up” with fellow castmates or their significant others. Recently, though, she confessed to something that left her less than confident: her smile.
Kemsley has been self-conscious about her smile because her teeth looked noticeably short, worn down from an unconscious habit of grinding her teeth. Although teeth grinding is more common among children (who normally grow out of it by adolescence), it can persist into adulthood, usually from difficulties managing high stress (a likely component in the fashion designer/reality show star's busy life).
Stress-induced teeth grinding can occur during waking hours or, more likely, during deep sleep. The accumulating, long-term effects from the habit can lead not only to worn teeth but to weakened gum support, a high risk of tooth fracture or jaw pain and dysfunction.
So, how do you know if you grind your teeth, especially if it's only happening at night? Typical signs include sore jaws after awaking from sleep, increased tooth pain or sensitivity or, like Kemsley, a noticeable difference in your tooth length. Your family or sleeping partner may also complain about the “skin-crawling” noise you make during the night.
There are ways to lessen the effects of teeth grinding. The first step is to have us verify the underlying cause for the habit. If it's tension from stress, then you might reduce the habit's occurrences by learning better stress management or relaxation techniques through individual counseling, group support or biofeedback therapy. We can also fit you with a mouth guard to wear at night or through the day that reduces the force generated during teeth grinding.
And if you've already experienced accelerated tooth wear like Kemsley with a resultant “small teeth” smile, you might pursue the same solution as the RHOBH star: dental veneers. These thin, life-like wafers of porcelain are custom-made to mask imperfections like chips, staining, slight tooth gaps and, yes, worn teeth.
Veneers are often less expensive and invasive than other cosmetic techniques, yet they can have a transformative effect, as Kemsley's Instagram followers have seen. In conjunction with other dental treatments needed to repair any underlying damage caused by a grinding habit, veneers are an effective fix for the smile you present to the world.
If you suspect you may have a grinding habit, see us for a complete examination. From there, we'll help you protect your teeth and your smile.
If you think periodontal (gum) disease is something that only happens to the other guy (or gal), you might want to reconsider. Roughly half of adults over age 30—and nearly three-quarters over 65—have had some form of gum disease.
Gum disease isn't some minor inconvenience: If not treated early, a gum infection could lead to bone and tooth loss. Because it's inflammatory in nature, it may also impact the rest of your health, making you more susceptible to diabetes, heart disease or stroke.
Gum disease mainly begins with dental plaque, a thin film of food particles on tooth surfaces. Plaque's most notable feature, though, is as a haven for oral bacteria that can infect the gums. These bacteria use plaque as a food source, which in turn fuels their multiplication. So, the greater the plaque buildup, the higher your risk for a gum infection.
The best way to lower that risk is to reduce the population of bacteria that cause gum disease. You can do this by keeping plaque from building up by brushing and flossing every day. It's important for this to be a daily habit—missing a few days of brushing and flossing is enough for an infection to occur.
You can further reduce your disease risk by having us clean your teeth regularly. Even if you're highly proficient with daily hygiene, it's still possible to miss some plaque deposits, which can calcify over time and turn into a hardened form called tartar (or calculus). Tartar is nearly impossible to remove with brushing and flossing, but can be with special dental tools and techniques.
Even with the most diligent care, there's still a minimal risk for gum disease, especially as you get older. So, always be on the lookout for red, swollen or bleeding gums. If you see anything abnormal like this, see us as soon as possible. The sooner we diagnose and begin treating a gum infection, the better your chances it won't ultimately harm your dental health.
If you would like more information on the prevention and treatment of gum disease, 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 “How Gum Disease Gets Started.”
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