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Serving Las Vegas and Henderson, Nevada since 1999.

Many of us never think of the possibility of a dental emergency until it is upon us. One of the most critical aspects of choosing a dentist should be their emergency dental care policy. Will the dentist be available after hours to answer questions or to open the office? Will my family be prepared in case of a dental emergency? Do we know what number to call?

Fortunately, many dentists choose to give their patients 24/7 access via cell phone to at least give advice or prescribe medicine after hours. While others will even open the office after hours when needed. There are also, many who choose to use an answering service or not be available at all for an after hours dental emergency.

Common Dental Emergencies

-Chipped or broken teeth. This dental emergency may or may not be a painful event or it may be only cosmetic depending on the severity of the chip or break. Teeth can fracture or crack in all manner of ways and can create a true dental emergency. Your emergency dentist will be available to relieve pain and also restore your tooth to its natural form and function.

-Knocked-Out Tooth (also called a tooth avulsion). This occurs from direct trauma. Timing is everything!  The key here is to re-implant the tooth as soon as possible to give it the best chance for success over the long term. If it hasn’t fallen out completely, try pushing it immediately back in, your dentist can do any necessary tweaking. Retrieve the tooth, hold it by the crown or head (the part that is usually exposed in the mouth), do not touch the root. Rinse off the tooth root with water if it’s dirty. Do not scrub it or remove any attached tissue fragments. If possible, try to put the tooth back in place. Make sure it’s facing the right way. Never force it into the socket. If it’s not possible to reinsert the tooth in the socket, put the tooth in a small container of milk (or cup of water that contains a pinch of table salt, if milk is not available) or a product containing cell growth medium, such as Save-a-Tooth. Leave the rest to your emergency dentist.

-Toothaches/Infection. This can happen when tooth decay invades the nerve of the tooth, trauma causes the tooth to die, or periodontal disease is left untreated. The bacteria in the mouth invade the tooth and surrounding bone. This causes the body to respond, which leads to the swelling, pain, and infection. If left untreated this can be a life threatening situation. Call your dentist immediately for this dental emergency.

-Objects caught between teeth. This dental emergency may seem minor but it can be quite uncomfortable and scary. A dentist has the proper tools to remove any and all foreign objects in between teeth.

-Lost Dental Filling. This dental emergency usually occurs when there is tooth decay present in or around the restoration. The bond between dental material and the tooth will break down causing the restoration to break loose. Depending on how large the restoration is this can cause quite a bit of pain and discomfort.

-Broken Braces And Wires. This may seem like a minor dental emergency but a broken bracket or wire can be very uncomfortable and can even cause trauma to the oral tissues. Contact your dentist for advice in your particular situation.

Dental Emergency Conclusion

An emergency dentist that is available 24/7 is an important asset to have for you and your family. You never know when a dental emergency will arise and don’t you want the peace of mind to know your family is protected? Not all dentists make themselves available after hours for a dental emergency so it is important to ask your dentist if they will come to your rescue in the event of a dental emergency.

Dental Implants were not always such a mainstream fixture in dentistry. There was a time when dental implants were for all practical purposes experiments in seeing what worked and what did not. In the last 15 years we have really entered a new age with dental implants being almost routine in their nature now. Most dentists cannot imagine a day without them anymore as a treatment for our patients.

Dental Implants are an artificial tooth root that a dentist, periodontist, or oral surgeon inserts into your jawbone to hold a replacement tooth or teeth(bridge). Dental implants are the perfect option for people with good oral health maintenance who are missing one tooth or multiple teeth due to periodontal disease, via trauma, or some other reason.

Dental Implants use the most modern materials that dentistry has to offer. Years and years of research have gone into the dental implants in use today. Dental implants are much more tooth friendly than traditional bridgework. Dental implants do not rely on neighboring teeth for support nor do the neighboring teeth need to be prepared to be part of the bridgework.

With optimal conditions and in the hands of a skilled dentist, dental implants can look as natural as your own teeth. Only you and your dentist would ever know you even have one. This gives patients the utmost in self confidence giving them the ability to broadly smile as well as eat as they choose. People missing teeth are generally self conscious about their smile and appearance. Following successful placement and restoration, dental implant patients can expect them to last a lifetime if they maintain good oral hygiene.

Modern dental implants can play a few roles in tooth or teeth replacement. These include:

-Replacement of one or more teeth without affecting the neighboring teeth.
-Act as support for a bridge. This will eliminate the need for a removable partial denture.
-Provide support and stability for a denture. Attaching a denture over dental implants make the denture more secure and comfortable. This is also called an implant supported overdenture.

Dental Implants and their advantages over Traditional Dentistry

-Cosmetics. When done properly dental implants will look and feel like your own teeth. Another plus is that since dental implants are placed directly in bone they prevent bone loss and gingival recession that happens over time in areas where teeth are missing. No one but you and your dentist will ever know you have a dental implant.

-Dental Implants allow conservation of tooth structure. Dental implants allow the dentist to save your adjacent teeth from preparations. A traditional bridge requires the preparation of neighboring teeth. Utilizing dental implants is a long term benefit to the patients dental health by saving their natural tooth structure.

-Self Confidence. The wonder of dental implants is that they allow patients to talk and eat full of self confidence. Dental implants offer security and freedom.

implant dentistry

Dental implants Diagram

-Highly Predictable. Dental implants have had a long track record of a very high success rate. Due to this they are an excellent option for tooth replacement.

Treatment

Any treatment for dental implants begins with a thorough examination to develop a proper treatment plan.  Without a good game plan the treatment will be doomed to fail.

As mentioned earlier, dental implants are ideal in the following situations:

-Single tooth replacement. Dental implants are an ideal option for patients with the quantity and quality of bone necessary to hold an implant. The dental implant will allow you to maintain the natural tooth structure of adjacent teeth while replacing a lost tooth.

-Multiple teeth replacement. Dental implants are also ideal in this situation. If you are missing several teeth, implant supported bridges can replace them. Dental implants will replace both your lost natural teeth and some of the roots.

-Replacing all your teeth. If you are missing all of your teeth, an implant supported full bridge or full denture (also called an implant overdenture) can replace them. This renders traditional dentures to the curb as dental implants used in this fashion will be more stable allowing patients to eat and talk as if they have their own natural teeth.

In some cases, patients will need help to allow for placement of dental implants. Luckily, modern dentistry has developed a few procedures to “help” patients along. These include:

-Sinus Augmentation.  Dental implants need a good quantity of bone along with good quality of that 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.

-Ridge Modification. When the bone is not 100% adequate for dental implant placement, dentists are able to make it perfect by performing a dental bone graft. A bone graft is the placement of bone in the jaw to to build it up. This gives an excellent platform for dental implants. Ridge modification has been shown to improve both appearance and long term success of dental implants.

Expectations of patient

Following placement of implants and restoration with crowns or dentures, patients can expect a life long restoration that will be stable and cosmetic. Just because these products are man made does not mean oral hygiene should be forgotten and neglected. Dental hygiene must be maintained at a high level if the patient wants to ensure these restorations last. Follow up dental visits are required just as if you had your own natural teeth. If dental implants are well taken care of the patient should expect them to last a lifetime!

Dental Implants have become one of the most popular, and predictable procedures for tooth replacement offered in dentistry. They have been proven to be safe and successful for long term replacement of missing teeth. Dental implants are an artificial tooth root (usually made of titanium) that a periodontist or oral surgeon places into your jaw to support restorations that resemble a tooth or group of teeth. What can dental implants do? They can replace a single tooth, be support for a bridge, or as support for a denture (making it more comfortable and secure).

Dental implants are an ideal option for people in generally good oral health who have lost a tooth or teeth due to periodontal disease, injury, or any other reason. Dental implants are actually more tooth saving than traditional crowns and bridges, since dental implants do not cut down healthy teeth or rely on adjacent teeth for support.

Sufficient bone is needed to support the dental implants, and the best candidates have healthy gum tissues that are free of periodontal disease. Dental implants are intimately connected with the underlying bone and gum tissues in the mouth. So, proper oral hygiene is necessary for long term success. With technique and material advances, dental bone grafts are now more successful than ever and can be used to augment your natural bone. Be upfront with your dentist regarding health issues. There is an increased risk of failure in patients who smoke. For this reason, dental implants are frequently placed only after a patient has stopped smoking.

Dental Implants

Dental Implants

Dental implant success is related to surgeon’s skill, quality and quantity of the bone available at the site, and the patient’s oral hygiene maintenance. Failure of dental implants is usually due to the failure of the implant to osseointegrate (fuse with bone) correctly, or vice-versa. It is considered a failure if it is lost, mobile or shows marked bone loss around the implant. Dental implants are not susceptible to dental caries but they can develop a condition called Peri-implantitis. This is an inflammatory condition of the gingival tissue and/or bone around the implant which may result in bone loss and eventual loss of the implant. It is usually associated with chronic infection. Peri-implantitis is more likely to occur in heavy smokers, patients with diabetes, patients with poor oral hygiene and cases where the gingival around the implant is thin.

More rarely, dental implants may fail because of poor surgical placement, not having enough bone healing prior to restoring with a crown or may be overloaded initially, causing failure to integrate. If smoking and positioning problems exist prior to implant surgery, dentists often recommend to patients that implants may not be the best option.Then they will recommend a bridge or a partial denture to replace the missing tooth.

Once restored, dental implants are very natural looking and the patient will not feel any difference after it is healed. You may even forget you ever lost a tooth in the first place. A person’s self esteem is definitely affected by his/her smile. Perhaps you hide your smile because of spaces from missing teeth.  Maybe your dentures don’t feel secure.  Perhaps you have difficulty chewing. If you are missing one or more teeth and would like to smile, speak and eat again with comfort  and confidence, there is good news!  Dental implants are teeth that can look and feel just like your own! Under proper conditions dental implants can last a lifetime.  Long-term studies continue to show improving success rates for dental implants.

If you have lost a tooth or are facing tooth loss, you might wonder…….

Can I get dental implants? Ask your dentist, more often than not, the answer is yes!

 

Are You a Candidate For Dental Implants?
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A gingival graft is the name given for any of a number of surgical periodontal procedures whose goal is to cover an area of exposed tooth root surface with grafted oral tissue from another source. Other names for this procedure are gum graft or periodontal cosmetic surgery. Gum recession is a process in which the margin of gingival tissue that surrounds the teeth wears away in a direction toward the end of the root, exposing more of the tooth. This can cause damage to supporting bone. It is a common dental problem (Studies have shown about 75% of americans have some form of periodontal disease) that often goes unnoticed until it becomes more severe.

Most people are not even aware that their gum tissue has receded since it is such a slow,gradual process. However, over time, an exposed tooth root can not only look ugly, but it can also cause tooth sensitivity. Tooth loss can occur eventually if the gingival tissue is not restored. To repair the damage and prevent further dental problems, a gingival graft may be needed. There are a few goals the dentist and patient are looking for when recommending or performing this surgery. They include:

1)Prevention of further root exposure.

2)To decrease or eliminate tooth sensitivity by covering the root area that was previously uncovered.

Gingival Graft

Gingival Graft – Before and After

3)Decrease the possible incidence of root caries as the root is no longer exposed.

4)Improved aesthetics. This is especially true of teeth that are shown during smiling.

A gingival graft is very effective in solving the problem at hand but there is no guarantee that gum problems won’t develop again. However, with regular dental checkups and careful at home maintenance, serious damage requiring further surgery can be prevented. Other ways to prevent periodontal disease include:

*Brush your teeth twice a day with a fluoride toothpaste. I recommend an electric toothbrush like the Rotadent.

*Floss daily.

*Maintain the schedule recommended by your dentist in regards to hygiene appointments. Usually a 6month recall schedule is the norm but it can more often depending on your situation. Ask your dentist what the best schedule is for you.

*Eat a well balanced and healthy diet.

*Do not smoke.