Posts for category: Dental Procedures
Dental implants are among the most popular tooth replacements with their high success rate, durability and life-like beauty. But obtaining them is a process that requires commitment, planning, and coordination — it takes a team.
Your general dentist is often the first team member you’ll encounter: because they’re most familiar with your mouth’s condition the implant discussion naturally begins here. They can help you determine if you’re a good candidate for implants, such as if you have sufficient bone mass at the intended site or if you have dental disease that must be treated first. They’ll also continue monitoring your general dental health throughout the process.
Your general dentist may also have the special training for surgically placing implants. If not, he or she may refer you to your next team member: an oral surgeon or periodontist skilled in implantation procedures. This step first requires careful planning, including developing a surgical guide for precise placement of the implant. These specialists may also contribute to other aspects of the implant process such as tooth extraction or bone grafting.
A few weeks after surgery bone will have grown and adhered to the implant to form a solid bond. It’s time for you to go back to your dentist who will work in conjunction with another member of your team, a dental lab technician. Together, your dentist and laboratory technician will guide the development, manufacture and placement of the implant’s life-like porcelain crown. The technician will take their specifications from the surgeon and your general dentist and, with his or her skill and artistry, form a crown that will blend well in color and shape with the rest of your teeth.
We also can’t forget another important team member: you. Without your input, especially in the early planning stages, your expectations for a more attractive smile might not be met. The rest of your implant team depends on you communicating your desires and wishes to balance with the technical requirements they must achieve.
The process for dental implants can take months. But with the coordinated efforts of your implant team you’ll be able to enjoy results — renewed function and a more attractive smile — that could last for decades.
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.”
Before we discuss cosmetic options for transforming your smile, and before any preparations for treatment, there’s one question that needs to be answered: What do you want to be different about your smile?
There’s a common misconception that cosmetic changes to the teeth and gums — a “smile makeover” — is primarily a technical achievement based on rigid principles of beauty. Patients believe they must defer to their dentists for what will look best. But that’s not the entire picture: what’s often lost in the understanding is that it’s your smile — the smile at the end of the process you must be comfortable showing with confidence.
In this regard, there are two types of patients, with no right or wrong view — simply what a patient perceives as the smile they want. Some want the “perfect” smile — the greatest level of regularity between teeth shape, size and alignment and the maximum level of brightness. Others are more comfortable with a “natural” smile, a more subtle look with just enough change to create something new and different. The latter may even desire a less than perfect look that doesn’t “fix” all their imperfections — the ones they believe give their face “character.”
Knowing to which side you lean is important at the outset. It’s then important for you to communicate those expectations with us. While we’re focused on the technical aspects of treatment — tooth length, the lineup of teeth with other facial features or the gum-to-lip distance — only you can express what’s going to be a beautiful yet comfortable smile for you. By meshing the technical requirements with your personal desires, we’re able to formulate a makeover plan that fits you.
It all begins with a comprehensive examination to determine the exact health state of your mouth, and it may be necessary to first perform dental work to improve it. From there we can discuss what is and isn’t possible to change the appearance of your teeth and gums. In the end, we want the same result as you — a beautiful smile you’re happy and confident to show the world.
If you would like more information on smile makeovers, 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 “Great Expectations: Is what you get what you want?”
Achieving a more attractive smile is often a big investment. And, like other big investments, it’s always advantageous to have the opportunity to “try it out” beforehand — especially something as visible and public as your smile.
We’ve come a long way in giving people ways to preview their smiles before the permanent restoration is in place. Computer imaging is one of the more effective ways of doing this. But what if you could actually see for yourself in a mirror rather than on a computer monitor or printed page what your new smile will look like? Now you can with a “trial smile.”
To create a trial smile, we temporarily apply composite resin, a tooth-colored dental material, directly to your teeth. We can shape and sculpt the resin to mimic the effects of veneers, crowns or other dental work proposed to create your new smile. Not only will you be able to see your smile as it will appear, you’ll also be able to get a sense of the texture and depth of the new dental work, something you can’t quite capture with two-dimensional computer imaging. And while you won’t be able to wear the trial smile home, we can certainly take photos for you to show friends and family for their opinion.
Trial smiles are also beneficial in helping us plan your smile makeover. By viewing how you interact with your new look — facial expressions, speech and, of course, smiling — we can fine tune the amount of tooth preparation necessary, as well as the color, shape and texture of the permanent restorations.
Incorporating a trial smile into your treatment will involve an additional expense, but only as a relatively small part of your overall treatment cost. But the benefit it can bring in helping us achieve a smile that’s both attractive and satisfying to you is well worth the cost. “Trying out” your smile ahead of time can give you added peace of mind that your new look is just what you expected.
If you would like more information on trial smiles and other restoration previews, 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 “Testing Your Smile Makeover.”
Everyone has to face the music at some time — even John Lydon, former lead singer of The Sex Pistols, arguably England’s best known punk rock band. The 59-year old musician was once better known by his stage name, Johnny Rotten — a brash reference to the visibly degraded state of his teeth. But in the decades since his band broke up, Lydon’s lifelong deficiency in dental hygiene had begun to cause him serious problems.
In recent years, Lydon has had several dental surgeries — including one to resolve two serious abscesses in his mouth, which left him with stitches in his gums and a temporary speech impediment. Photos show that he also had missing teeth, which, sources say, he opted to replace with dental implants.
For Lydon (and many others in the same situation) that’s likely to be an excellent choice. Dental implants are the gold standard for tooth replacement today, for some very good reasons. The most natural-looking of all tooth replacements, implants also have a higher success rate than any other method: over 95 percent. They can be used to replace one tooth, several teeth, or an entire arch (top or bottom row) of teeth. And with only routine care, they can last for the rest of your life.
Like natural teeth, dental implants get support from the bone in your jaw. The implant itself — a screw-like titanium post — is inserted into the jaw in a minor surgical operation. The lifelike, visible part of the tooth — the crown — is attached to the implant by a sturdy connector called an abutment. In time, the titanium metal of the implant actually becomes fused with the living bone tissue. This not only provides a solid anchorage for the prosthetic, but it also prevents bone loss at the site of the missing tooth — which is something neither bridgework nor dentures can do.
It’s true that implants may have a higher initial cost than other tooth replacement methods; in the long run, however, they may prove more economical. Over time, the cost of repeated dental treatments and periodic replacement of shorter-lived tooth restorations (not to mention lost time and discomfort) can easily exceed the expense of implants.
That’s a lesson John Lydon has learned. “A lot of ill health came from neglecting my teeth,” he told a newspaper reporter. “I felt sick all the time, and I decided to do something about it… I’ve had all kinds of abscesses, jaw surgery. It costs money and is very painful. So Johnny says: ‘Get your brush!’”
We couldn’t agree more. But if brushing isn’t enough, it may be time to consider dental implants. If you would like more information about dental implants, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implants” and “Save a Tooth or Get an Implant?”
The mark of a great dental restoration is that you can’t see it. It’s there in plain sight, but others observing your new and improved smile can’t tell the difference between the restoration and your natural teeth. Everything looks, well, natural.
That’s the great advantage of dental porcelain. A dental technician with technical skill and artistic flair can form this inorganic, ceramic material into a life-like replica of your tooth, with a shape and color that blends in with the rest of your teeth. And because of its strength properties, porcelain restorations can hold up to the normal chewing and biting forces in your mouth, as long as you use prudence when biting down on hard substances.
Porcelain is also highly adaptable to different kinds of restorations. For natural teeth still viable but no longer attractive, porcelain can be the main ingredient in two very popular and effective restorations, the veneer and the crown. Although the porcelain material is the same for both, their construction and application are quite different.
Veneers are very thin laminated layers of dental porcelain custom-colored and shaped for bonding to the outer visible portion of a tooth. They’re a great solution for relatively decay-free teeth that have minor to moderate defects like chipping, slight misalignment or heavy staining. They often require some permanent removal of tooth enamel to ensure their appearance isn’t too bulky, but causes minimal impact to the tooth.
Crowns, on the other hand, are complete tooth replicas that are bonded in place over an existing tooth like a cap. They’re a good choice for teeth in which the root and inner layers are still viable, but the tooth has been significantly damaged by decay or trauma. They’re also useful as a protective cover for teeth that have undergone root canal treatment. But unlike the minimal impact of veneers, crowns require significant tooth alterations to accommodate them.
In either case, though, the end result is much the same: both crowns and veneers can be fashioned to precisely mimic the shape, color and texture of natural teeth. In skillful hands, these porcelain restorations can transform your smile for the better and no one but you and your dentist will ever need to know.
If you would like more information on porcelain restorations, 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 “Porcelain Crowns & Veneers.”