Posts for category: Dental Procedures
Don’t let decay, old fillings or cracks keep you from having the healthy smile you deserve.
Even though cavities can be prevented with the proper care, this common problem can happen to anyone no matter how hard they seem to work to keep their smile clean. In fact, about 92 percent of adults between the ages of 20 to 64 have had cavities and about 26 percent have untreated decay. If you are suffering from minor to more moderate tooth decay, then find out how your Honolulu dentist could help repair your smile.
What are inlay and onlays?
These dental restorations are used to fix decayed or cracked back teeth. They also offer a more conservative option over the common dental crown. They repair and restore teeth that have suffered decay or other structural damage, improving both the function and aesthetic of the tooth. Inlays and onlays are often recommended if the extent of the damage is so much that a filling won’t be enough, but there is still enough healthy enamel that a dental crown is unnecessary.
Inlays are similar to fillings, as they cover damage to the chewing surfaces of the tooth. Onlays are often used in cases of more extensive damage to the cusps and sides of teeth.
What does getting an inlay or onlay entail?
After the decay has been removed, inlays and onlays are usually created in a dental lab before they are placed on your tooth. This makes them a bit different from dental fillings, which are molded onto your tooth in the dentist’s chair.
The first step is to take impressions of your tooth to then send to the lab to fabricate your inlay or onlay. These restorations can be made from gold, composite or porcelain, depending on the look you want to achieve. Once they are fabricated, we will cement them into place during your second visit.
What are the benefits of inlays and onlays?
One of the major benefits of getting inlays or onlays is that they are resilient and strong, lasting up to 30 years with the proper care and maintenance. They also increase the strength of a tooth by up to 75 percent, improving the tooth’s lifespan and preventing other dental restorations from being required.
If you are dealing with dental decay, then it’s time you did something about it. The longer you let decay affect your smile the worse it will be. Nip this problem in the bud now by scheduling an appointment with your Honolulu dentist, Dr. Jonathan C. Okabe, DDS at Okabe Dental Arts.
Rock star Steven Tyler fell and broke his two front teeth while on tour with his band Aerosmith not long ago. But Tyler was back on stage the very next day, thanks to modern dental implant technology.
Dental implants are the most optimal tooth replacement system in use today. The reason we say “system” is because replacing teeth with implants involves two, or sometimes three, components: the implant itself, which replaces the root-part of the tooth; the dental crown that sits on top of it to replace the part of the tooth that's visible in the mouth; and a connecting piece placed in between the implant and crown, known as an abutment.
The implant itself, made of titanium, is placed directly into the jawbone with a minor surgical procedure. Titanium has the unique ability to fuse to bone, creating a very strong connection. An implant provides virtually the same function as a natural tooth root, including stabilizing the bone underneath and preventing its loss — something that naturally occurs when a tooth is lost.
This fusion process takes a period of weeks, which is why the implant needs time to heal before a permanent crown is attached. One reason for early implant failure is “loading” them with biting forces too soon. But in experienced hands, implants are extremely successful. Documented research and clinical studies indicate success rates of over 95% — which is higher than any other tooth replacement option. Once integrated and functional, implants can last a lifetime. That's why, though they are a bit more expensive initially than other tooth-replacement options, they are more cost-effective in the long term.
Of course, another advantage of implants is that they look and feel completely natural. Just ask Steven Tyler!
If you would like more information about dental implants, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Dental Implants.” Dear Doctor also has more on “The Hidden Consequences of Losing Teeth.”
“Smile, and the world smiles with you,” the old saying goes. For people who are afraid to smile because they don't like how their smile looks, the twenty-first century offers a myriad of solutions. Smiling shows your teeth in their various shapes, colors, and sizes, your gums and gum line, your tooth alignment, spacing, and bite all in relation to the rest of your face. Any of these can now be improved.
Through the knowledge, skills, and combined experience of our dental team, it is now possible to make teeth whiter, brighter, and more evenly aligned, to alter tooth shape and size, and to make the teeth and gum line more proportionally balanced. Here are some options for cosmetic dentistry:
- Polish. Remove unwanted stains on outside tooth surfaces by having your teeth polished.
- Teeth Whitening. If teeth are stained or have just lost their luster, whitening is a safe and effective way to lighten a smile.
- Porcelain veneers. Applying a thin layer of dental porcelain restorative material to replace stained or damaged tooth enamel can truly change a smile.
- Porcelain crowns. If teeth are damaged by decay or trauma, porcelain crowns can replace the parts of the teeth that show above the gum line.
- Orthodontics. For teeth that are not in their correct and functional position, a variety of orthodontic techniques can be used including traditional braces, clear aligners and moreâto improve crooked teeth or a malaligned bite.
- Dental implants. Nothing ruins a smile more than missing teeth. Entire teeth can be replaced, including the roots and the crowns, using dental implants. These are exact replicas of the natural teeth and can be made to match their neighbors exactly.
Tooth whitening procedures and products have become increasingly popular over the last two decades. There are two main sources of application: professional procedures performed in a dentist’s office; and over-the-counter products for performing whitening applications at home. While there are pros and cons to both approaches, neither type poses a significant health risk — that is, if you match the correct product to the type of staining you have, and it’s applied according to the manufacturer’s instructions.
Although whitening treatments may differ in formula and strength, almost all use hydrogen peroxide as the bleaching agent, usually contained in carbamide peroxide which splits into hydrogen peroxide and urea upon activation. After many studies, there’s a strong consensus that hydrogen peroxide used at the levels found in whitening products doesn’t cause any harm to the body, including as a precursor to cancer.
But as the 16th Century Swiss physician Paracelsus once noted, “All substances are poisons… The right dose differentiates a poison from a remedy.” This is true of the chemicals that make up whitening products — they’re safe unless they’re overused. Going beyond their directions for use could lead to tooth enamel damage.
Further caution is also in order for teenagers using whitening products. Although they may have their permanent teeth (although younger teens may still have some primary teeth), the enamel layer is still developing and can be more vulnerable to damage from whitening chemicals than for adults.
The best approach for both a professional or home whitening procedure is to first seek consultation from our office. If nothing else, you should at least undergo a dental examination to identify the true cause of your teeth’s staining or discoloration. If the discoloration originates within the tooth, home applications and many professional treatments will not help if they bleach the outer surface only. We can also advise you on the proper application and dosage for a chosen product.
Using the right whitening product and in an appropriate manner will reduce the risk of injury to your teeth and overall health. And, the end result can be a brighter, more vibrant smile.
If you would like more information on tooth whitening, 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 “Tooth Whitening Safety Tips.”
With their durability, versatility and life-likeness, there’s no doubt dental implants have revolutionized teeth replacement. If you’re considering dental implants, however, there are some issues that could impact how and when you receive implants, or if you should consider another type of restoration.
Cost. Dental implants are initially more expensive than other tooth restorations, especially for multiple tooth replacement. However, be sure you consider the projected cost over the long-term, not just installation costs. Because of their durability, implants can last decades with little maintenance cost. In the long run, you may actually pay more for dental care with other types of restorations.
Bone health. Dental implants depend on a certain amount of bone to properly situate them for the best crown placement. If you’ve experienced extensive bone loss, however, there may not be enough to support the implant. This can often be overcome with grafting — immediately after extraction, at the time of implantation or a few months before implantation — to encourage bone growth. In some cases, though, bone loss may be so extensive you may need to consider an alternative restoration.
Gum Health. While implants themselves are impervious to infection, they’re supported by gum and bone tissues that can be affected. Infected tissues around an implant could eventually detach and lead to implant failure. If you have periodontal (gum) disease, we must first bring it under control and render your gums infection-free before installing implants. It’s also important to maintain effective oral hygiene and regular dental cleanings and checkups for optimum implant health.
Complications from osteoporosis. People with osteoporosis — in which the bones lose bone density and are more prone to fracture — are often treated with drugs known as bisphosphonates. In less than 1% of cases of long-term use, a patient may develop osteonecrosis in which the bone in the jaw may lose its vitality and die. As with bone loss, this condition could make implant placement difficult or impractical. Most dentists recommend stopping treatment of bisphosphonates for about three months before implant surgery.
If you have any of these issues or other complications with your oral health, be sure to discuss those with us before considering dental implants. With proper planning and care, most of these difficulties can be overcome for a successful outcome.
If you would like more information on pre-existing conditions that may affect 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 articles “Osteoporosis & Dental Implants” and “Infections around Implants.”