Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

All On 4 Dental Implants has become a very popular treatment option for many who have already lost their teeth or are on the verge of losing their teeth. It is often called “teeth in a day” because patients walk out of the dental office with a full complement of teeth following a few hours worth of treatment. Many understand the basic process of all on 4 dental implants but do not understand the planning and experience that goes into such a procedure.

All on 4 dental implants are ideal for patients who have either lost many of their top or bottom teeth or for those who are in the process of losing the teeth. This type of tooth loss can be brought on by many factors including age, genetics, trauma, and periodontal disease.

All On 4 Dental Implants Treatment Option

For many patients the convenience of the all on 4 dental implants procedure trumps the cost. The cost for all on 4 dental implants can be anywhere between $17,000 – $35,000 per arch. The convenience factor is, that almost all of the work is completed in one day. There are, of course, pre and post surgical follow up visits. So what are the exact steps in the all on 4 dental implants procedure?

Steps For All On 4 Dental Implants

Step 1

This visit comprises the initial consultation with your dentist. This visit builds the foundation for a successful all on 4 dental implants procedure. This visit comprises of the following:

-Pre operative pictures

-Impressions and bite registration. These will be used to create study models that will be sent to the dental laboratory in the fabrication of your custom dentures.

-Consultation with the surgeon. Radiographs and Cat scans to get a clear picture of where the anatomy is located for planning the surgical phase with dental implants.

-This first step will also include a discussion of how you want your final teeth to appear. Often times patients will bring pictures from when they were younger and had a full set of healthy teeth. This gives the dentist and dental laboratory a guide to use when fabricating a new set of teeth.

Step 2

Patient will arrive at the dental office the morning of the all on 4 dental implants procedure. This visit will include the following:

-Removal of any remaining teeth

-Placement of 4 dental implants.  These dental implants act as “pillars” to the bridge that supports the prosthetic teeth. The all on 4 dental implants process takes advantage of existing bone, even if scarce, avoiding having to use bone grafts. The posterior implants are substantially angled at approximately 45 degrees to avoid compromising the sinus cavity in the upper jaw and the nerve canal in the jaw.

-Insertion of temporary denture. The complete temporary denture is fabricated using the highest quality materials to look as natural as your own teeth. The denture is fixed to the implants immediately using screws. This allows the denture to be secure and comfortable to the patient.

Step 3

A few months later (usually 6 months), once complete healing and integration of the dental implants to the bone has taken place, a final complete denture is usually custom fabricated. This bridge typically consists of a metal framework. This allows for a stronger system, and usually has a few more back teeth.

What Is Recovery Like?

Though you may be sore from your dental procedure, most cases will not see a big limitation on daily activities. Though some patients are able to eat a light meal the same day, you may wish to wait until the following day to eat solid food. Some patients are even able to return to work the next day.

All On 4 Dental Implants Conclusion

For many, the all on 4 dental implants procedure has been a blessing. It has allowed many to have “teeth in a day” and given them the freedom to speak and chew again like when they were younger. It is important to note, choosing the right dentist and surgeon for this procedure is critical. There are many offering discount all on 4 dental implant procedures. The treatment planning, surgery, and fabrication of final denture requires training, skill, and knowledge. This includes fixing any problems that may arise during and after the process. Choosing the wrong dentist can create a lot of problems during and after the procedure. Choose wisely.

Autism -  a developmental disability that significantly affects communication (both verbal and non verbal) and social interaction, generally evident before age three, that adversely affects educational performance. Other characteristics often associated with autistic people are, engagement in repetitive activities and stereotyped movements, resistance to environmental change or change in daily routines, and unusual responses to sensory experiences.

-1 percent of the population of children in the U.S. ages 3-17 have an autism spectrum disorder.

-Prevalence is estimated at 1 in 88 births.

-1 to 1.5 million Americans live with an autism spectrum disorder.

Autistic patients, as well as patients with similar behavioral and possibly intellectual challenges,  present a unique challenge for dentists as well as parents. Most dental procedures  involve the use of bright lights, loud noises, and touching of a very sensitive part of the body.  Most people in general are uneasy, and apprehensive about dental treatment, imagine what it is like for an autistic child or adult.

Hypersensitivity to one’s environment is usually a hallmark trait for most autistic patients. This makes dental care even more challenging, as they may react adversely to the sensory overload. Autistic patients do not like change in their daily schedules, new noises, new people, or new activities. In the past, these challenges would lead to most dentists turning away such patients, but in modern dentistry this is no longer the case.  There are many dentists who have training to help them with the special challenges that come with autism.

Dental Issues For Autistic Patients

-Poor Dental Hygiene. While this is not isolated just to Autistic patients, the autistic population has an increased risk of poor maintenance.

-Increased Tooth Decay. Poor dental hygiene and tooth decay go hand in hand but for these patients there is increased risk due to many parents and caregivers use of candy as a reward for good behavior, and a common habit of pocketing of food in the cheek. The increased exposure to sugars, and leaving carbohydrates in direct contact with the tooth surface over prolonged periods an will lead to increase in tooth decay.

-Teeth Grinding or Bruxism. While many people suffer from this, we have seen a higher rate of autistic patients vs the general population exhibiting this behavior.

-Self Injury. Many autistic patients will bite or pick at their gums creating an issue dentally. A mouth guard might be recommended as long as the autistic patient can tolerate it.

-Medication related issues. Many autistic patients suffer from seizures and therefore take medication for it. These medicationscan lead to decreased saliva production which can lead to dry mouth and subsequent bad breath and tooth decay.

Techniques for Handling Autistic Patients in Dental Chair

1) Set up a Pre-Appointment Tour and Introduction. Parents should talk to the dentist ahead of time to let him/her know a bit about the child, including what helps to soothe and what is an easy set off for behaviors. Let the patient come to the office to tour the facilities and get a feel for the surroundings and the people there. Let them see the trays as well as touch everything that is safe for them to touch. This should include the x ray machine so they are familiar with it when they arrive for the actual appointment. Meeting the entire staff is very important as well.

2) Keep Initial Visit as short as possible. Make the first visit quick and as noninvasive as possible.

3) Always keep Communicating. The dentist and Hygienist needs to explain what is going to happen to the child directly, what instruments are going to be used, what it might feel like, and about how long it is going to take to finish. The child should feel free to ask questions, and be taught hand signals to let the dentist know if they need a break, or if they cannot tolerate any more.

4) Have Parents in Room if Needed. This one becomes a personal choice between parent or caregiver and dentist. Some patients do well with them in room and some do not. It is totally a case by case decision. Never be afraid of insisting that you be present during the dental appointment –  your child may require you to be there anyway. Make sure the dental staff is comfortable with this.

5) Possible use of General Anesthesia, Sedatives, restraints. More involved dental procedures like tooth extractions, dental fillings and even radiographs can be done under sedation or general anesthesia if the patient’s behavior is likely to create difficulty for the dentist or patient in providing safe dental care. Restraints sound scary to most, but autistic children, especially those with Aspergers are calmed by a tight pediwrap. Aspergers children often squeeze themselves in a hug or wear tight clothing to self soothe in an intense situation.

Conclusion For Autistic Patients Dental Care

Autistic patients are presented with challenges everyday of their lives so it is up to those around them to come up with solutions to make it as seamless as possible for them. The challenge is there, but it can be overcome with patience between dentist, patient, and parent/caregiver. With proper planning, dental care is possible to maintain autistic patients teeth and gums for a lifetime.

Dental implants have given dentists the ability to easily replace missing teeth to restore smiles to their natural appearance. For those needing more extensive tooth replacement, dentures have been the traditional option. Traditional dentures come with many compromises. These include poor fit, oral sores from ill fitting dentures, along with decreased ability to enjoy our favorite foods. Luckily, newer techniques have been developed that can remove those compromises and give you a natural looking and feeling smile. This newer technique is called all on 4 dental implants or all on 4 dentures. This technique allows for 4 dental implants to be placed in strategic locations to give support and stability to a denture.

All On 4 Dental Implant Procedure Explained

The All on 4 Dental Implants procedure was developed in the 1990′s by researchers at dental implant manufacturer Nobel Biocare. The all on 4 dental implants system has allowed for many patients who were not good candidates previously to suddenly have options for a fixed denture.

The All on 4 Dental Implants technique uses four (4) specially designed dental implants on the upper or lower or both.  The dental implants towards the back are placed on an angle to take optimal advantage of the patient’s existing bone structure. These specially designed dental implants have the ability to support the immediate fitting of replacement teeth. This treatment is attractive to those unhappy with wearing a removable denture or those in need of full upper and/or lower restorations. With the All on 4 dental implants procedure, qualified patients receive just four dental implants and a full set of new upper or lower replacement teeth in just one appointment. This can usually be done without the need for dental bone grafts.  The real attraction to the all on 4 dental implants procedure is how quickly permanent dental implants can be placed. This allows patients the ability to leave the same day with a denture that is fixed in place and stabilized by the dental implants.

Traditionally, the  approach to restoring a full arch of teeth (either upper or lower) usually involved dental bone grafts, six or more dental implants, and as much as 18 months of treatment. In that time, the patient would be wearing an interim denture while the dental bone grafts and dental implants heal and integrate into the bone. This can be very expensive, time consuming, and uncomfortable for a patient to continuously go back for treatment.

Benefits Of All On 4 Dental Implants

-Proven Procedure. The All On 4 Dental Implants procedure is more than a decade old with over a 98% success rate.

-Immediate Results. Patients experience a dramatic improvement in chewing ability, teeth stability and overall comfort immediately. Since the dentures are placed the same day as the dental implants, the benefits are almost immediate.

-Stability. Unlike traditional dentures, All-on-4 dentures supported by dental implants are not removable by the patient. Because they are secured by implants, they fit more securely and do not have the ability to shift around in the mouth like traditional dentures.

-Improve Cosmetic Appearance. Ability to restore your facial features and remove some wrinkles around the mouth.

-Minimal Recovery Time. The procedure generally requires minimal recovery time.

-Convenience. The All on 4 dental implants technique can usually be completed in a minimum of two visits. You will leave the office with a beautiful new smile on the same day!

-Ability To Enjoy All Foods. All-on-4 dentures restores full chewing functioning, so your diet is no longer limited by impaired chewing. An all on 4 denture will increase biting force by as much as 70% or more over a traditional removable denture.

-Maintain Existing Bone Levels. Dental implants help prevent further bone loss.

-Increased Confidence. Missing teeth can detract from a person’s self-confidence. In addition to improved quality of life, many patients find that restoring the aesthetics of their smile improves their self-esteem and makes them less self-conscious. You will have greater comfort and confidence when smiling, speaking, and eating. You will look better. You will feel better.

-Denture Adhesives Not Needed To Keep Denture In Place.

Conclusion

The All on 4 denture procedure can restore the quality of life for many. If you are unhappy with your current denture or think you might be a candidate, see your dentist for a thorough evaluation. This first step could lead to a new smile and new possibilities in life.

 

Diabetes (also called diabetes mellitus) is a chronic systemic disease which affects your body’s ability to process sugars in your food. As a result, a diabetic patient will have a high blood glucose (sugar) level which can cause a host of issues including problems with your eyes, nerves, kidneys, and heart. Diabetes can also lower your resistance to infection and can slow the healing process. Diabetes can also affect your oral health in many different ways.

Fast Facts About Diabetes

-Diabetes is a long-term condition that causes high blood sugar levels.

-Diabetes currently affects over 371 million people worldwide and is expected to affect over 550 million by the year 2030. In the United States, a new case of diabetes is diagnosed once every 30 seconds and more than 1.9 million new cases are diagnosed each year.

Types Of Diabetes

-Type 1 Diabetes – In this type, the body does not produce insulin. About 10% of all diabetes cases are type 1.

-Type 2 Diabetes – In this type, the body does not produce enough insulin for proper function. About 90% of all cases of diabetes worldwide are of this type.

-Gestational Diabetes – In this type, pregnant females are affected

Common Diabetes Symptoms

1) Frequent need to urinate (polyuria)

2) Intense thirst (polydipsia) and hunger (polyphagia)

3) Unexpalined weight gain

4) Unusual weight loss

5) Fatigue (tiredness)

6) Cuts and bruises that do not heal

7) Male sexual dysfunction

8) Numbness and tingling in hands and feet

-If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a normal life with little to no complications.

-Type 2 patients need to eat healthily, be physically active, and test their blood glucose. They may also need to take oral medication, and/or insulin to control blood glucose levels.

-As the risk of cardiovascular disease is much higher for a diabetic, it is crucial that blood pressure and cholesterol levels are monitored regularly.

-As smoking might have a serious effect on cardiovascular health, diabetics should stop smoking.

-Hypoglycemia – low blood glucose – can have a bad effect on the patient.

-Hyperglycemia – high blood glucose – can also have a bad effect on the patient.

How Is Your Dental Health Affected By Diabetes?

-Periodontal Disease. Diabetes reduces the body’s resistance to infection, diabetics have an increased risk for developing gingivitis (earliest and most treatable form of periodontal disease), an inflammation usually caused by the presence of bacteria in plaque. Plaque is the sticky film that accumulates on teeth both above and below the gum line. Without regular dental check-ups, periodontal disease may progress if left untreated. It also can cause inflammation and destruction of tissues surrounding and supporting teeth, gums, bone and fibers that hold the gums to the teeth. Research has shown that treating periodontal disease in people with diabetes can help improve blood sugar control.

-Burning Mouth SyndromeBurning mouth syndrome is a chronic burning in the mouth without an obvious cause. The discomfort can affect your tongue, gums, lips, inside of your cheeks, roof of your mouth or widespread areas of your oral cavity. Burning mouth syndrome appears suddenly and can be severe, as if you burned your mouth.

-Fungal infections (such as thrush and oral candidiasis). Since diabetes weakens your immune system, you may be prone to developing fungal infections. Symptoms include painful sores and difficulty swallowing. If you develop a fungal infection, it is important to see your dentist as soon as possible.

-Dry mouth (xerostomia). Uncontrolled diabetes can decrease salivary flow, which can result in dry mouth. Dry mouth can further lead to soreness, oral ulcers, oral infections, and increased incidence of tooth decay.

-Infection and delayed healing. People with uncontrolled diabetes do not heal quickly after oral surgery or other dental procedures because blood flow to the treatment site can be impaired.

Dental Care Tips For Diabetic Patients

-Maintain Good Blood Sugar Levels.

-Keep your healthcare team informed including your dentist.

-See your dentist regularly for dental hygiene visits as well as oral examinations. It is recommended that you visit your dentist and hygienist at least every 6 months. For many diabetic patients, it is advised that they go on a more frequent schedule to maintain proper oral health.

-Brush and Floss Daily. This is to prevent plaque build up and keep periodontal disease away. In fact, it is recommended that diabetic patients brush following every meal to ensure good dental hygiene.

-Denture wearers should remove their dentures and clean them daily. Do not sleep in them.

-If you smoke, talk to your doctor about ways to quit.

-Maintain regular visits to your diabetes doctor to ensure there are no conflicts between dental treatment and your general treatment.

-Remember that healing may take longer in people with diabetes. Follow your dentist‘s post-treatment instructions closely.

-Patients with diabetes with orthodontic appliances should contact their orthodontist immediately if a wire or bracket results in a cut to their tongue or mouth.

Conclusion

Diabetes can be a scary diagnosis but with proper monitoring and care it does not have to be. A well controlled diabetic can leave a very normal life and stay healthy for a long, long time. Dental care should never be compromised even for healthy individuals.