Posts for category: Dental Procedures

NotEnoughBoneSupportforanImplantHeresaWaytoRebuildIt

Due to financial circumstances, people often have a lost tooth restored with a removable partial denture, an effective appliance that restores function and a degree of aesthetic appearance. Later, though, they may want to improve both function and appearance with a dental implant.

If this describes you, you’re making a great choice. Dental implants are the closest technology we have to a natural tooth. But there may be a roadblock to your implant, especially if a long time has passed since your tooth loss—there may not be enough bone at the site to place an implant.

The heart of an implant is a titanium metal post surgically imbedded in the jawbone. The titanium naturally attracts bone cells, which grow and adhere to it to form a solid hold that can support a porcelain crown or other restorations like bridges or dentures. But to achieve a natural appearance it’s important that the implant is placed in the right location. To achieve that requires adequate bone.

But there may not be adequate bone if the tooth has been missing for a while. The forces generated when we chew travel through the teeth to the jawbone, which stimulates bone growth. If that stimulus is absent because of a missing tooth, new bone cells may not replace older ones at a healthy rate and the total bone volume begins to diminish. A denture can’t compensate and, in fact, accelerates bone loss.

But there may be a solution: bone grafting. With this procedure we place a donor bone graft into the area of bone deficiency some time before implant surgery. The graft serves as a scaffold for new bone cells to grow upon. Hopefully, this will produce enough healthy bone to support an implant. If the bone deficiency is minor, we may place the implant and the bone graft at the same time.

If you have experienced bone loss, we must first determine the amount of bone at the missing tooth site and whether grafting is a viable option. Bone grafting postpones your implant, but the delay will be worth the wait if we’re successful. With increased bone volume you’ll be able to obtain a new tooth that’s superior to your current restoration.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation.

CharlizeTheronBackinActionAfterDentalSurgery

When they’re introducing a new movie, actors often take a moment to pay tribute to the people who helped make it happen — like, you know, their dentists. At least that’s what Charlize Theron did at the premiere of her new spy thriller, Atomic Blonde.

"I just want to take a quick moment to thank my dentists," she told a Los Angeles audience as they waited for the film to roll. "I don’t even know if they’re here, but I just want to say thank you."

Why did the starring actress/producer give a shout-out to her dental team? It seems she trained and fought so hard in the action sequences that she actually cracked two teeth!

“I had severe tooth pain, which I never had in my entire life,” Theron told an interviewer from Variety. At first, she thought it was a cavity — but later, she found out it was more serious: One tooth needed a root canal, and the other had to be extracted and replaced with a dental implant — but first, a bone grafting procedure was needed. “I had to put a donor bone in [the jaw] to heal,” she noted, “and then I had another surgery to put a metal screw in there.”

Although it might sound like the kind of treatment only an action hero would need, bone grafting is now a routine part of many dental implant procedures. The reason is that without a sufficient volume of good-quality bone, implant placement is difficult or impossible. That’s because the screw-like implant must be firmly joined with the jawbone, so it can support the replacement tooth.

Fortunately, dentists have a way to help your body build new bone: A relatively small amount of bone material can be placed in the missing tooth’s socket in a procedure called bone grafting. This may come from your own body or, more likely, it may be processed bone material from a laboratory. The donor material can be from a human, animal or synthetic source, but because of stringent processing techniques, the material is safe for human use. Once it is put in place your body takes over, using the grafted material as a scaffold on which to build new bone cells. If jawbone volume is insufficient for implants, it can often be restored to a viable point in a few months.

Better yet, when grafting material is placed in the tooth socket immediately after extraction, it can keep most of the bone loss from occurring in the first place, enabling an implant to be placed as soon as possible — even before the end of a movie’s shooting schedule.

Will Atomic Blonde prove to be an action-movie classic? Only time will tell. But one thing’s for sure: When Charlize Theron walks down the red carpet, she won’t have to worry about a gap in her smile.

If you have questions about bone grafting or dental implants, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Immediate Dental Implant.”

3WaysYouCanHelpYourChildFeelatHomeattheDentist

As a parent you want your child to have the best possible start in life. One of the greatest gifts you can provide them is a positive experience in dental care—especially visiting the dentist.

Unfortunately, not all children are so lucky. Visiting the dentist for them is foreign and forbidding; it leaves such a negative impression they may avoid the dentist later in life even when faced with acute problems.

It doesn’t have to be like that. Here are 3 ways you can help your child have a great experience at the dentist.

Start dental visits early. The best time to begin dental visits is before your child’s first birthday as their teeth begin to erupt. Dental diseases like tooth decay can begin as early as two months so it’s vital to detect any problems as soon as possible. Establishing an early relationship with your child’s dentist benefits you too with helpful tips and advice from them on dental care at home. And, children visiting the dentist early are more likely to become accustomed to it as a routine part of life, and more likely to continue the habit on their own.

Find the right dentist. The right dental practice can make all the difference in the world for your child’s comfort level. Parents often choose a pediatric dentist who specializes not only in dental care for children and adolescents but in how to engage with them and put them at ease. The key, though, is to find a dentist and staff who work well with children and understand how to make them feel at home in their office.

Display a positive attitude. You’ve probably already noticed how your child picks up on your feelings in different situations—which often affect how they feel and act too. So be sure when you visit the dentist with them you have a positive, proactive attitude, ready to partner with their provider in treatment and prevention measures. And above all display a calm and relaxed manner: your child will be more apt to follow your cue and relax too.

If you would like more information on providing great dental care for your child, 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 “Taking the Stress out of Dentistry for Kids.”

LookingGoodfortheHolidays

The holidays are a time for getting together with family and friends from near and far. The memories you make at these joyful celebrations are the ones you’ll treasure forever, but it can be hard to show good cheer if you’re not happy with the way your teeth look. If you’re keeping that grin under wraps, we may be able to perk up your smile with some quick and economical in-office treatments.

A professional teeth cleaning is one of the best values in dental care. In just minutes, we can remove the buildup of hardened tartar that can make your teeth look dull and yellowed. Tartar can also lead to tooth decay and gum disease—two kinds of trouble you don’t need! While you’re in the office, you will also have a thorough exam that could prevent minor issues like small cavities and bleeding gums from becoming more serious dental problems. When you leave, your teeth will look and feel sparkly clean.

If your smile doesn’t look as bright as you’d like, ask about teeth whitening treatments. In-office whitening is a safe and effective way to lighten your teeth up to 10 shades in a single visit! If you have more time, you can get similar results from a take-home kit that we can provide—one that’s custom-made just for you.

Are chips or cracks making your teeth look less than perfect? Cosmetic bonding could be the answer. Translucent, tooth-colored bonding material can be applied to your teeth to repair minor cracks, chips or spacing irregularities. This in-office procedure usually requires just one visit and can make a dramatic difference in your smile.

So as holiday celebrations draw near, why not give yourself a reason to smile? Contact us or schedule an appointment for a consultation to see if professional teeth cleaning, teeth whitening or cosmetic bonding could give your smile some holiday sparkle! You can also learn more by reading the Dear Doctor magazine article “Important Teeth Whitening Questions Answered.”

NeilPatrickHarrisWhattheOscarsHostTreasuresMost

A few days before the Oscars, Vanity Fair magazine asked Academy Awards host Neil Patrick Harris to name his most treasured possession. Was it his Tony award statuette for best leading actor in a musical? His star on the Hollywood Walk of Fame? The stethoscope he wore while playing teenaged doctor Doogie Howser on TV? No, as it turns out, the 41-year-old actor’s most treasured possession is… his wisdom teeth. Yes, you read that correctly. “Oddly, I still have my four wisdom teeth,” Harris said. “I refuse to let them go or I’ll lose my wise parts.”

How odd is it for a 41-year-old to have wisdom teeth? Actually, not that odd at all. While it is true that wisdom teeth are often removed, there’s no one-size-fits-all approach to this. It all depends on whether they are causing problems now, or are likely to cause problems in the future.

The trouble wisdom teeth cause is related to the fact that they are the last molars to come in, and that molars are large in size. By the time wisdom teeth appear between the ages of 17 and 21, there often is not enough room for them in the jaw. Sometimes it’s because you may have inherited a jaw size that’s too small for your tooth size; and generally speaking, the size of the human jaw has evolved to become smaller over time.

If room is lacking, the adjacent molar (that came in earlier) can interfere with the path of eruption — causing the wisdom tooth to come in at an odd angle. The wisdom tooth can hit up against that other tooth, possibly causing pain or damaging the adjacent tooth. This is known as “impaction.” Sometimes the wisdom tooth breaks only partway through the gum tissue, leaving a space beneath the gum line that’s almost impossible to clean, causing infection. A serious oral infection can jeopardize the survival of teeth, and even spread to other parts of the body.

If a wisdom tooth is impacted, will you know it? Not necessarily. A tooth can be impacted without causing pain. But we can see the position of your wisdom teeth on a dental x-ray and help you make an informed decision as to whether they should stay or go. If removal is the best course of action, rest assured that this procedure is completely routine and that your comfort and safety is our highest priority. If there is no great risk to keeping them, as Neil Patrick Harris has done, we can simply continue to monitor their condition at your regular dental checkups. It will be particularly important to make sure you are reaching those teeth with your brush and floss, and that you keep to your schedule of regular professional cleanings at the dental office. All healthy teeth are indeed worth treasuring.

If you would like more information about wisdom teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”



Family & Cosmetic Dentistry
443 State Street
Hamburg, PA 19526
(610) 562-7615

Archive: