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Dental implants have changed the way both dentists and patients look at tooth loss. One of the major advantages of dental implants is their longevity. The more traditional treatments like dental bridges generally last anywhere between 10-15 years or so. While dentures can last longer but need constant adjustment. Dental implants with proper care can last a lifetime.

How To Care For Dental Implants?

Dental implants can fail for any number of reasons. The usual culprits can include periodontal disease, poor dental hygiene, and smoking. Dental implants are considered to be a failure if they show any movement at all. This movement can occur when the bone and gum tissues surrounding the dental implant break down.

Listed below are a few simple steps you can do to help protect the stability of your dental implants:

-See Your Dentist Regularly For Routine Examinations And Professional Cleanings.

-Maintain Dental Hygiene. This should include brushing at least twice a day and flossing at least once per day.

-Use An Antibacterial Moutwash. This will diminish the amount of harmful oral bacteria in the mouth.

Factors That Lead To Dental Implant Failure

-Failed Integration of Dental Implants - This occurs when the bone of the jaws does not grow and fuse between the threads of the dental implant. This fusion between the bone and dental implant is called osseointegration. If osseointegration does not occur, the dental implants will become loose, or come out completely. To reduce this risk, your implant dentist will evaluate the quality and quantity of the jaw bone prior to surgery. This will allow the implant dentist to only place dental implants in areas where there is an increased success rate. If osseointegration does not take place, the dental implants can be removed, and implant surgery can be tried again following complete healing of the area.

-Dental Infection (peri-implantitis) –  While rare, this is the most common complication of dental implant surgery. The surrounding bone and gums can get infected during or after the placement of the dental implants. This can happen due to poor surgical technique, a contaminated implant, poor healing ability (diabetic, smoker, osteoporosis medications). The most likely time for this to occur would be during the surgical placement of the dental implant into the bone. Implant infection is a condition referred to as peri-implantitis. Peri-implantitis is characterized by inflammation or swelling of the tissues surrounding the dental implant. Peri-implantitis can also show up as a secondary infection later on. It is a form of periodontal disease that can lead to inflammation, bone loss and implant failure if not treated quickly and properly. Although dental implant infections are usually caused by the presence of bacteria during or immediately after the oral surgery for the placement of the dental implants, an implant infection can occur months or even years after the dental implants are placed.

-Damage To Surrounding Tissues - Dental implant complications related with surgical errors affecting adjacent teeth, nerves or sinus are directly connected to the experience and skills of the implant dentist. An implant dentist with the proper skill and experience is able to identify potential problems by examining x-rays or CT scan (computer tomography), design the proper treatment plan (including ideal location and angle), and execute it properly without complications. Even with the most experienced implant dentist there is always a possibility of dental implant complications. It is important to note that with experience comes an understanding of what can happen. This is important because an experienced implant dentist will be able to easily handle any complications that might come up either at time of surgery or afterwards.

What About The Dental Restorations?

Following placement of your dental implants and proper healing your dentist will place a dental restoration on top of them. These restorations can include dental crowns, dental bridges, and dentures. These restorations will eventually wear down from the constant mechanical forces placed on them through biting and chewing. Fortunately, these dental restorations will last years before needing replacement.

Dental Implants Longevity Conclusion

It is important to note dental implants can be a complex procedure requiring the need for an experienced implant dentist.In order to ensure the best possible outcomes, you should always work with a highly skilled and experienced implant dentist who makes dental implants a primary focus of their practice. With regular dental care maintenance, your dental implants could and should last a lifetime.

Porcelain veneers have become a popular and attractive cosmetic dentistry procedure for many people around the world. Many more are interested but unsure what the procedure entails to improve their smile. Below you will find some of the most commonly asked questions regarding porcelain veneers.

What Are Porcelain Veneers?

Porcelain veneers are custom made wafer thin pieces of porcelain. Porcelain veneers are bonded to the front of your teeth giving the dentist the ability to change the color, shape, length, and size of your teeth. Porcelain veneers reflect light in a very natural way. For many, porcelain veneers are performed in multiples usually the front 2- 8 teeth. Some might only require one to correct a flawed tooth.

Who Is A Good Candidate For Porcelain Veneers?

Porcelain veneers are used to correct cosmetic issues with a person’s smile and made with a translucency that mimics natural teeth. Porcelain veneers are sometimes referred to as “instant orthodontics” for their ability to correct mildly crooked or small teeth. They also have the ability to close spaces between teeth (also called diastemas),restore chipped teeth, or even to change the color of teeth.

Many people are good candidates for porcelain veneers, however, patients with tooth decay, periodontal disease, heavy clenching, or severe misalignment of teeth are usually not good candidates.  Patients with a history of bruxism (tooth grinding) may end up cracking their veneers, although if you only grind at night you can wear a mouth guard to protect the porcelain veneers.

What Happens During The Porcelain Veneers Procedure?

Once you have decided that you want porcelain veneers your dentist will take study models of your teeth. The reason for this is that your dentist will be able to give you a mock up of what your teeth can look like when the porcelain veneers are in place. At this time you and your dentist can discuss the size, shape, and color of your new porcelain veneers. Once these models are approved, an appointment can be set up for the actual procedure. A small amount of tooth structure is usually removed from each teeth to prepare them but sometimes they can be done without preparation to the tooth. Local anesthesia is generally recommended if there will be tooth preparation to avoid any discomfort. Once the preparation of your teeth is completed, your dentist will take an impression of your teeth. This impression will be used by the dental laboratory to create your custom porcelain veneers. Once fabricated, you will return to have the porcelain veneers placed onto your teeth. Initially your dentist will place the veneers  to check that the color, shape, and size is as desired. If they meet both your expectations, the dentist will bond them to your teeth creating your new smile.

How Do I Care For My Porcelain Veneers?

Dental hygiene visits should continue as usual. Home care is more important than ever, brushing and flossing will help prevent decay around your veneers. Porcelain veneers are quite strong but it is possible to break or fracture them. The following activities should be avoided: breaking nuts with teeth, tearing open packages, biting and tearing it hard items, and ice chewing. A soft electric toothbrush such as a rotodent could be helpful in polishing them and keeping looking like new.

How Long Do Porcelain Veneers Last?

The longevity of porcelain veneers will vary by individual. The general rule is they last about 10-15 years although some can expect a longer lifespan for them. If a porcelain veneer chips, cracks, or shows any wear they can be replaced refreshing your smile.

Can I Stain My Porcelain Veneers By Drinking Wine?

No, porcelain veneers are resistant to coffee, tea, and wine stains. Once a patient selects their desired color, the veneers will stay this way, without color changes .

Are Porcelain Veneers Expensive?

Cost will vary depending upon where you go. The cost is generally reflective of the materials and lab used. Be wary of offices where the price seems too good to be true. You get what you pay for and using an inferior dental laboratory or an inexperienced cosmetic dentist might lower the cost but will lead to earlier failure of the porcelain veneers. Studies have shown that almost half of all cosmetic dentistry needs to be redone. Porcelain veneers require high quality dental materials as well as an experienced cosmetic dentist. If done properly you will enjoy your new smile for a long time.

Are Porcelain Veneers Covered By My Dental Insurance?

Generally, no, as porcelain veneers are considered a cosmetic procedure. Most insurance companies do not cover porcelain veneers.

Conclusion

Porcelain veneers can transform an ordinary smile to an extraordinary one. The information above should give everyone some information on what to expect if they are considering making changes to their smile. As always maintain regular dental examinations and professional cleanings to maintain your current and future smile.



Dental implants have evolved over time and become an ideal replacement for a lost tooth or teeth. The long term success rate of dental implants is well over 95%. What once was a product offered to very few has now become a mainstream dental care service available to most.

Options For Dental Implants

Depending on each, unique, individual person, each dental implants case will be personalized. Depending on how many teeth are missing as well as the available quantity and quality of bone present. Below are some of the situations where dental implants can replace lost teeth:

-Loss Of A Single Tooth. At one time, this meant wearing a removable appliance (commonly called a “flipper”) or removing natural tooth structure from surrounding teeth to create a fixed bridge of dental crowns. The flipper tends to be uncomfortable to wear and may affect speech. The 3 unit bridge compromises the support teeth by having them do the work of the lost tooth, and by making them more susceptible to decay. The long term success rate is lowered due to difficulties in cleaning under and around the bridge. A single tooth dental implant, when completed properly, will last a lifetime and function just like a natural tooth.

-Loss Of Multiple Teeth. When missing multiple teeth in a single area, dental implants can be used to form a fixed bridge. The beauty of this arrangement is stability and the ability not to affect the natural teeth in any way.

-Replacing All Teeth. In the past, the only way to restore function was to fabricate a removable denture. With dental implants, dentists have the ability to restore natural function and esthetics.

Complementary Procedures To Dental Implants

There are times when other dental procedures are necessary to successfully complete the placement of dental implants. These include:

-Sinus Lift. When you have a large sinus area that impinges on available bone depth, the sinus lift is a common surgical procedure. Sinus lifts are needed to elevate the sinus membrane and thicken a part of the upper jaw with a bone graft. This helps give  a dental implant enough bone depth to place it properly in the area you need it. Dental implants need a good quantity of bone along with good, dense quality of bone to succeed. The upper jaw is known to have poorer quantity and quality bone structure as opposed to the lower jaw. The maxillary sinus also plays a role in increasing difficulty in this area. Sinus augmentation can remedy these issues by raising the sinus floor and placing bone grafts in the area to aid in dental implant placement.

-Bone Grafting. When the bone is not 100% adequate for dental implant placement, dentists are able to add to it by performing a dental bone graft. A bone graft is the placement of bone or bone-like materials in the jaw to to build it up. This gives an excellent platform for dental implants. Modification of the bone in this fashion has been shown to improve both appearance and long term success of dental implants. Typically, dentists try to place implants at least as deeply into bone as the crown or tooth will be above the bone. This is called a 1:1 crown to root ratio. This ratio serves as a guide for bone grafting in most situations.

Can A Dental Implant Fail?

It is quite rare for a dental implant to fail but when it does the dental implant must be removed. Then re evaluated as to why the failure occurred and to see if a new dental implant may be placed. Some of the common reasons for dental implant failure include:

-Failed Integration of Dental Implants - This occurs when the bone does not grow and fuse between the threads of the implant. This fusion of bone to dental implant is called osseointegration. If this does not occur, the dental implants will not function properly,will become uncomfortable, become loose, or come out completely. To reduce this risk, your dental surgeon will evaluate the quality and density of the jaw bone prior to surgery. This will help to only place dental implants in areas where there is a highly predictable success rate. If osseointegration does not take place, the dental implants can be removed, and surgery can be attempted again once the area has fully healed.

-Infection –  This is the most common complication of dental implant surgery. The surrounding bone and gums can get infected during the surgical procedure. This can happen due to non-sterile technique, a contaminated implant, poor healing ability(diabetic, smoker, osteoporosis medications), or pre-existing infection. The most likely time for this to occur would be during the surgical placement of the dental implant into the bone. Implant infection can occur after placement as well. Poor hygiene, too much force placed on the implant, or excess cement can cause the support tissue to breakdown. Implant infection is a condition referred to as peri-implantitis. Peri-implantitis is characterized by inflammation or swelling of the tissues surrounding the implant area. Peri-implantitis can also present as a secondary infection later on is a form of periodontal disease that can lead to inflammation, bone loss and implant failure if not treated quickly and properly. Although implant infections are usually caused by the presence of bacteria during or immediately after the oral surgery for the placement of the dental implants, an implant infection can occur months or years after surgery.

-Post Surgical Bleeding - Some bleeding following surgery is normal and should be expected for about 1-2 days. Biting gently on a gauze pad placed over the surgery area for 30 minutes should normally stop the bleeding. Excessive bleeding is not normal and you should notify your dentist immediately if you have concerns about your dental implants.

-Damage To Surrounding Tissues - Dental implant complications related with surgical errors affecting adjacent teeth, nerves or sinus are directly correlated with the experience and skills of the dentist or surgeon. An experienced and skilled implant dentist is able to identify potential problems by examining x-rays or CT scan (computer tomography), design the proper surgical plan for ideal location and angle, and execute it successfully without complications. Even with the most skilled implant dentist there is always a possibility of dental implant complications. The complications can be limited by choosing an implant dentist with the skills and experience necessary to handle any complications if they arise.

-Rejection – An extremely rare complication for dental implants but it has been noted in the research literature. The dental implants can sometimes be viewed as a foreign body.

-Unusable Dental Implants – An implant that has successfully integrated with bone, but the area or extreme angle of placement deem it unrestorable.

Dental Implants Conclusion

Dental implants have been the solution for many. They come with risks but with proper treatment planning from a well qualified dentist they can be a successful tooth replacement for a lifetime of smiles.