Posts for: February, 2019
Dental implant technology has advanced at such an astounding rate in recent years that you can now walk into a dentist's office with a problem tooth and out the same day with a new one. Unfortunately, not all dental situations allow for this possibility.
For example, you might be considering an implant many years after losing a tooth. But there's a potential problem: there might not be enough supporting bone. While an implant might still be possible, inadequate bone complicates the matter.
Because implants are essentially tooth root replacements, they require a certain amount of bone for stability and the best attractive outcome. As a general rule, implants need to be surrounded by at least 1.5-2.0 millimeters of healthy bone to support an implant. But you might not have enough if your tooth has been missing for awhile, regardless if you have or haven't worn dentures or other restorations.
That's because bone has a life cycle in which older cells die and newer ones form to take their place. As we chew or bite, the force generated travels up through the teeth to the bone to stimulate this new growth. Without a tooth the bone doesn't receive this stimulus, which can slow the growth rate. Over time the affected bone can lose its volume and density.
If we find you've experienced loss to the point your bone won't support an implant, that doesn't automatically mean this popular restoration is out of the picture. But it will require us first performing a procedure known as augmentation or bone grafting to help rejuvenate some of the lost bone.
With grafting, we place processed bone grafting material in the jaw through a minor surgical procedure to form a scaffold for new bone to grow upon. After several months this can result in several millimeters of new growth maintaining the width of the underlying bone, which in turn may be able to support an implant.
Bone grafting is quite common, often performed at the same time as tooth extraction if there's going to be a time lag before installing an implant. Even if performed later, though, it can successfully rejuvenate lost bone and make it possible for you to take advantage of durable, life-like implants.
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 after Previous Tooth Loss.”
Even though an implant is now as close to life-like as modern dentistry can produce, it won’t surpass the function of your own natural tooth. That’s not to say implants are an inferior choice—in fact, it’s often the best one if a tooth is beyond reasonable repair. But first, let’s consider saving your existing tooth.
We first need to know why your tooth is diseased—more than likely either from tooth decay or periodontal (gum) disease. Although different, these infections both begin with bacteria and can eventually lead to tooth loss.
While your mouth is teeming with millions of harmless bacteria, a few strains that live in dental plaque (a thin biofilm on your teeth) can cause disease. As they proliferate—feeding mostly on leftover sugar—they produce acid, which can erode the protective enamel on teeth. This can create cavities, which must be cleared of decayed material and filled.
Sometimes, though, the decay spreads deep within the pulp and through the root canals putting the tooth in danger. We may be able to save it, though, with a root canal treatment. In this common procedure we access the pulp chamber and clean out all the diseased or dead tissue. We then fill the empty chamber and root canals with a gutta percha filling and then seal the tooth. We later cap the tooth with a crown to further protect it.
Dental plaque can also give rise to a gum infection that triggers chronic inflammation. The inflammation can cause the gums to weaken and detach from the teeth to form large, infection-filled voids called periodontal pockets. This could lead to bone deterioration, further loosening the tooth’s hold.
But we can effectively treat gum disease by removing the plaque, which is fueling the infection. We normally do this with special hand instruments, but may also need to use surgical measures for more advanced cases. After plaque removal the inflammation subsides, giving the tissues a chance to heal and strengthen. We may also need to provide further assistance to these tissues to regenerate through gum or bone grafting.
These efforts can be quite involved, but if successful they could give your tooth another lease on life. And that could be a much better outcome for your dental health.
If you would like more information on the best treatment choices for your dental health, 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 “Save a Tooth or Get an Implant?”
Taking care of your teeth is a life-long endeavor. And like any other aspect of healthcare, it can be costly — from regular dental visits and cleanings to more expensive treatments and procedures for protecting and preserving your teeth.
But what if you’re limited in your financial ability — does that mean your dental health has to suffer? Not necessarily — if you’re careful to adopt and follow an effective strategy for oral care.
Here, then, are 3 considerations you should keep in mind as you develop your dental care strategy and action plan.
Practice thorough, daily oral hygiene. Many of the potential dental problems people face are the result of not practicing or not properly performing oral hygiene — daily brushing and flossing along with semi-annual dental visits for cleanings and checkups. The aim is to remove bacterial plaque, the sticky film that adheres to teeth after we eat, and keep it from building up on tooth surfaces. Removing plaque reduces your chances of developing the two major dental diseases caused by it, tooth decay and periodontal (gum) disease, which could result in additional treatment costs. However, even with excellent oral hygiene you’ll still form tartar (hardened plaque deposits) on your teeth, so professional cleanings are also a must.
Take care of the rest of your health. Your teeth and gums aren’t islands unto themselves — your oral health is heavily influenced by other conditions in the body, especially systemic diseases like diabetes or cardiovascular disease. So, be sure you’re eating a nutritious diet, follow an exercise plan and see your physician regularly to monitor your health. Your teeth, as well as the rest of your body, will be healthier for it.
Work out treatment plans with us to fit your finances. Unfortunately, there’s no guarantee your teeth and gums won’t need advanced care sometime in your life, even with proper hygiene and diet. If you’re in need of extensive treatment or you feel you need to enhance your smile, talk with us. We’ll be glad to discuss your options, and work out both a treatment and financial plan that fits your needs and budget.
If you would like more information on oral care with financial limitations, 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 “Finances and Dental Care.”