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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.



Summer is finally here! As the weather begins to heat up, most of us spend more time participating in outdoor activities. Different activities like Tennis, horseback riding, basketball, and swimming. As we have all of this fun, there are a few precautions one should take to protect their oral health. Protecting yourself will make the summer safer and much more fun.

Summer Smile Protection Tips

1. Sports Mouthguards – As we do more physical activities, we need to think about our teeth, just like our skin needs protection from the sun, our teeth need protection from trauma. Approximately 40% of all sports related injuries involve the head, more precisely, the face.Having your dentist fabricate a custom made athletic mouthguard, will decrease your risk of tooth loss from trauma significantly. Research has also shown that these athletic mouthguards can also lower the risks of a concussion, as well as, enhance your athletic performance by helping maintain airway and more efficient breathing.

2. Sports Drinks – Sports drinks (like gatorade) have become extremely popular beverages even for non athletes, but they can also be damaging to our smiles. Most sport drinks contain a high content of sugar and are highly acidic. Consumption of too many sports drinks can lead to tooth decay and tooth enamel erosion. If you choose to drink sports drinks during activity, keep a limit on them, drink plain water in between, and practice proper oral hygiene to keep the acids and sugars from attacking your teeth. Remember, sport drinks are made to replace what your body loses during extreme sweating and exertion, they are not meant to be a beverage consumed with lunch. Use them properly and you will not suffer the damage that they can incur.

3. Drinking Water – Water is great for your body, skin,and your teeth. Choose pure water with no added flavors or carbonation and you will not have to worry about demineralizing your teeth, many of the additives can cause tooth enamel breakdown. Water can also help by flushing away food particles and bacteria, keeping your mouth clean and fresh. The simple act of drinking water helps to maintain oral hygiene.  Maintaining good oral hygiene also includes proper brushing, flossing, and use of an antibacterial mouthrinse. Following a good oral hygiene program should always include staying properly hydrated. The best part about water is you can drink it any time with no side effects. It is truly the perfect drink for your entire body.

4. Swimming and chlorineSwimming in your pool is a great way to exercise and spend time with your family and friends. The swimming pool contains chlorine, a very hazardous chemical, which can cause damage to your teeth even when levels are properly monitored.  Spending a lot of time in a pool with poorly maintained chemical levels can cause permanent damage to your teeth’s enamel. Water that is over chlorinated (such as many community pools) may cause tooth enamel erosion and  permanent staining of teeth. The tooth surface is directly affected by harsh chemicals, such as acid, causing the enamel to erode, thin, breakdown, and stain. When there are high levels of chlorine in the pool, the water becomes more acidic. Continuous exposure to acid can cause the damage to begin and subsequently progress.

5. Chewing Gum – Chewing a sugar free gum containing xylitol is a great way to protect your teeth. Gum chewing helps to increase the production of saliva in the mouth. Saliva helps keep the mouth neutral, or balanced. The addition of xylitol to the saliva helps this balance at another level.  Xylitol  cannot be converted to acids by oral bacteria, so it helps to maintain a proper alkaline/acid balance in your mouth. Chewing gum also helps satisfy your snacking desire, which may be a great way to decrease the intake of junk food snacks for you and your children.

Conclusion

We all look forward to Summer and enjoying the great weather. Now it is time to enjoy it fully, without suffering from it for the rest of the year. Be aware of the hazards, and be prepared for you and your family. Taking care of you and your family will make this the best summer yet!  Have a happy, healthy summer!



In today’s modern world, dentistry comes in all forms. How do you know which dentist is right for you and your growing family? There are various specialties in dentistry and many of them overlap between different populations of patients. This overlap is very pronounced between family dentists and pediatric dentists. If you have  children, do you choose a dentist for yourself and a different one for your children?

What Is Family Dentistry?

Family dentists are trained to treat patients of all ages. Family dentists care for your child’s baby teeth, older child’s mixed dentition, adult teeth, and senior dental care. Everyone in the family going to the same dentist can be quite convenient. A child can become easily acclimated to the family dentist by simply watching and modeling another family member. It is usually a very easy transition.

Family dentistry provides preventative dental care, such as regular professional cleanings and oral cancer screenings, and other basic dental care that may be needed. It is important to schedule regular appointments for checkups, so that your dentist can catch any problems before they require the care of a specialist like an oral surgeon or orthodontist. Specialists offer advanced services like treatment of difficult root canals, periodontal surgery, bone surgery, braces, etc. While specialists are still used routinely many of these procedures can be done at the family dental practice. Most dentists will also take x-rays of the teeth on a timely basis to examine for cavities, TMJ problems, diseased tissues, and infection. Your family dentist can fill the cavities, use dental sealants to help to prevent cavities, monitor growth and development to evaluate need for braces, tooth extractions, etc.

If you see your dentist every six months, you will be less likely to have severe breakdown and tooth loss. Your family dentist is trained to help you keep your teeth healthy and can even provide cosmetic dentistry services to keep your smile bright and healthy. Your dentist will educate you and give recommendations for brushing, flossing and rinsing to prevent plaque and tooth decay between appointments. Finding a family dentistry practice that your whole family is comfortable with can take a lot of stress out of making and keeping your regularly scheduled appointments with a variety of dentists.

What Is Pediatric Dentistry?

Where a family dentist will see patients from age 2 to 102, pediatric dentists only see patients from approximately 2 to 18 years old. The pediatric specialty is only related to a young population and does not offer many advanced services of dental care for permanent teeth. Root canals, crowns, impacted teeth, and braces are generally not treated by a pediatric specialist. Many of the services offered do overlap with the family dentist such as x-rays, exams , fillings, sealants, dental cleanings, tooth extractions, baby root canals/crowns, space maintaining appliances. The Pediatric dentists role is important for patients who need specialized care like children with disabilities, those that need sedation, children with severe, full mouth breakdown, and those with behavior issues.

Conclusion

When making the choice between a pediatric dentist and a family dentist, it comes down to you and your child’s comfort levels. Feeling scared or uncomfortable in the exam chair or being scared of the dentist can ruin a child’s confidence and create a situation of dental anxiety or dental phobia. A good dentist, whether family or pediatric, will understand your child’s needs, make the experience a good one, and give great dental treatment. You want a dentist who will  provide a smooth, positive experience so that the little patient is motivated to continue good oral hygiene habits and regular appointments. When she/he is older and has to make health decisions on his/her own, they should have learned to establish a rapport and ease with their dentist. Choose wisely, but realize that a pediatric dentist may or may not be the best choice for your little ones if you have a good family dentist now.

Most family dentists will be happy to see your child even just to meet them and bring them back to get comfortable with the office.If you already have a family dentist that is experienced and willing to take on young children, you may want to start out in this environment to save the the hassle of going between various offices. Selecting a dentist who will treat your child throughout his or her growth has its distinct advantages, and a steady knowledge of patient history is one of them.  Family dentistry is a good choice for many due to the ease of having everyone in the family treated by the same doctor or at least in the same office.

When making any decision for your family it is always best to be informed and have options. There are many dentists with varying personalities, abilities,and skill levels. Find the one that fits you best, and you and your family will be much happier with your choice!

With the economy stagnating, many people fore go dental examinations and professional cleanings to save money. The truth is it will cost you more in time, money, and

Cosmetic Dentist Marielaina Perrone DDS

Routine Dental Visits Can Save You Money!

discomfort in the long run. Preventive medicine, or rather preventive dentistry is better for our health, and finances .

What Can Happen Without Preventive Dentistry?

If you skip regular preventive dental visits you are very likely to be looking at a future of dental issues (with added expense) which can include tooth decay, tooth loss, periodontal disease, and even root canal therapy.

Periodontal Disease – In its earliest stages, periodontal disease is curable. This stage is called gingivitis. After periodontal disease progresses to an advanced stage (called periodontitis), it is only possible to manage the symptoms and keep it from progressing further. Regular dental care will help you prevent gingivitis from occurring so that you will not have to deal with periodontal disease progressing and causing a number of more costly procedures to manage it. Periodontal disease is very preventable with regular dental care. This is why regular dental care can save you money over the long haul. It is far cheaper, and less risky to your overall health to prevent periodontal disease than to treat it.

Tooth Decay/Root Canal Therapy – Tooth decay like periodontal disease is far easier to manage when diagnosed at the beginning stages. Once tooth decay progresses deep into the underlying layers of a tooth, it becomes much more difficult and costly to treat. If the tooth decay progresses far enough it will enter the pulp chamber and essentially create a dental infection inside the tooth. The only way to save the tooth at this point is to perform root canal therapy.

Tooth Loss – Not receiving regular dental care can lead to tooth loss. Replacing lost teeth with dental implants, bridges, or even dentures can be quite costly. Maintaining the teeth we have is far less costly than having them replaced by your dentist. Tooth loss also makes it difficult to chew healthy foods, and may make you opt for predominantly soft, high carb, low nutrition foods.

Average Cost of Dental Care

National Average for a routine dental visit – $80

National Average for a one surface dental filling – $135

National Average for a Molar Root Canal Therapy – $675

National Average for a PFM (porcelain fused to metal) Crown – $850

Cosmetic Dentist Marielaina Perrone DDSAs you can see it is far cheaper to visit the dentist every 6 months than to sporadically visit waiting for issues to arise. Visiting the dentist is not just about having a pretty smile, it is about maintaining both oral and systemic health. People who do not make brushing and flossing part of their daily routine end up in tons of pain later in life, have major dental work that needs to be done, and compromised health. Imagine what regular dentist visits could have done earlier on,to save them money, time, and discomfort.

A professional dental cleaning is a must because it is the only way to effectively remove tartar. Even if you brush and floss regularly, it is not enough. Tartar is an irritant , causes periodontal disease progression, is cosmetically unappealing, tartar also contains bacteria. Preventive dental care can significantly decrease the need for a mouthful of dental work. That can easily add up to thousands saved in the long run.

Conclusion

Perhaps one of the most important reasons to invest in regular dental exams and cleanings is that it has a positive impact on your overall health. Research has shown that there is a correlation between periodontal disease and systemic disease. These include heart disease, diabetes, and alzheimer’s disease. When the periodontal disease is present you are more likely to have other systemic effects develop over time.

For example, according to the American Academy of Periodontology, periodontal disease can have a domino effect on your health. The bacteria caused by periodontal disease can enter into your bloodstream and attach to your heart’s blood vessels, causing dangerous blood clots. Another scenario is, that the plaque buildup caused by periodontal disease can cause the heart’s blood vessels to swell.

Our health habits need to become a routine part of our lives. The cumulative effect of these habits increases the quality of our lives and keeps us healthy. Regular dental visits just like regular medical visits are an investment in our current and future health. Pass up the chances now and you will pay for it decades from now.