While dental implants can eliminate many problems associated with missing teeth and give you back your smile, they are not for everyone. If implants interest you, make sure you understand their pros and cons.

What Are Dental Implants?

Dental implants offer an alternative to removable dentures and bridges. They replace the roots of teeth with a screw into the jawbone that supports a fake tooth or crown. Getting implants requires dental surgery, which takes about 90 minutes to complete. This can be completed with local anesthesia only, but many patients prefer additional sedation therapy such as I.V. Sedation, oral sedation, or nitrous oxide sedation. The process is not over in just one appointment. You typically need multiple dental visits over 4-12 months depending on multiple factors. Your dental implant surgeon and a restorative dentist should give you a plan outlining the timing of appointments as well as special instructions during the healing phase.

The decision to get dental implants requires careful consideration and a discussion with your dentist. Here are the pros and cons of dental implants:

Advantages of Dental Implants

One advantage significant to many patients is that most dental implants look natural. The crown that attaches to the screw going into the jawbone mimics a real tooth. Besides improving your smile, dental implants can solve other cosmetic issues, like collapsed cheeks, crooked teeth, and sagging skin.

Dental implants do not just look like natural teeth; they also function like so. The crown attached to the implant allows you to chew and drink with the ease you might not get from dentures or bridges. You may also see improvements in how you talk because the air passing through your mouth when speaking will not be affected by any holes or gaps.

Perhaps more important than aesthetics is that implants are durable, especially the titanium kind. With a success rate of over 97% for 10 years, implants last a long time. Even after 15 years, the success rate of dental implants can be as high as 94%. In contrast, dental bridges need replacing every 5-15 years.

Replacing lost teeth with implants helps keep your remaining teeth in place. Gaps can cause the other teeth to shift around to make up for the space, becoming misaligned. This often results in a compromised appearance and eating difficulties.

Dental implants are also helpful in preventing bone loss. When you lose a natural tooth, the empty tooth socket and that section of the jawbone no longer have a purpose. Because there’s no more pressure from the lost tooth, the body eventually breaks down and absorbs some of that bone. Evidence shows that an implant preserves that part of the bone, slowing the absorption rate.

Alternatives to implants are dentures and dental bridges, typically less expensive but not permanent. Also, compared to dentures and bridges, implants tend to look and feel more natural, require less daily care, are more comfortable when chewing, and last longer.

Drawbacks of Dental Implants

For some people, the most significant disadvantage of implants is the cost. They can be more expensive than other options, and dental insurance might not cover them. The price for just one dental implant can be around $5,000. Fees are region specific and can vary from dentist to dentist based on experience and reputation. There can also be additional expenses for extracting a tooth or placing a bone graft. If you replace all your teeth with a full mouth of implants, your bill can go up to $50,000-$100,000.

Implants require dental surgery, which can be intimidating to many anxious patients. As previously stated, the process can take up to 12 months and requires multiple appointments. As with any dental surgery, getting implants poses some risks, including infection, potential implant failure, early stages of receding gums, bleeding, nerve and tissue damage, and adverse reactions to anesthesia. However, all these risks are rare, and most people find the advantages of dental implant therapy far outweighs the risk.

Another con is that dental implant surgery is not for everyone. To be a good candidate for the procedure, you must be in relatively good dental and overall health. A blood clot disorder, uncontrolled diabetes, or metabolic bone disease may make ineligible. You also should not have implant surgery if you smoke heavily or are undergoing cancer treatment.

Finally, even if you go through with the procedure, a dental implant might not take if you are experiencing stages of receding gums. The gums are crucial in supporting teeth and their roots, or screws in the case of implants. Any receding gum stages may compromise the stability of implants and increase their chance of failure. Gum recession can also interfere with proper maintenance, making cleaning in and around the implants difficult. Patients at risk due to gum disease are advised to have gum disease treated and under control prior to dental implant therapy.

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Despite its prevalence, gum recession is a condition that warrants attention. It’s usually a sign of gum disease, which could worsen and progress to more serious issues if you leave it untreated. To protect yourself against gum recession, it is important to understand its causes, the stages of receding gums, and how to treat and prevent it.

What Causes Gum Recession?

Receding gums pull away from the teeth and expose parts of the tooth roots that should be covered. Preventing gum recession requires an awareness of gum disease, one of the most common causes of tooth loss. If your gums look red and swollen or bleed when you brush or floss, you could have gum disease, contributing to gum recession. There are several causes of receding gums:

• Aggressive or rough brushing
• Bacteria
• Certain medications
• Grinding or clenching teeth
• Hormonal changes
• Insufficient dental care
• Poor oral hygiene
• Tobacco use
• Trauma to the mouth

Although common, gum recession occurs gradually, and many people may not realize they have it. You may first notice tooth sensitivity or that some of your teeth look longer than they used to. Although gum recession may take weeks or months, factors like brushing too hard can speed up the process.

Addressing gum recession is crucial to oral health because mild sensitivity could progress to more severe problems, including bone loss and other non-dental health conditions.

What Do the Receding Gums Stages Look Like?

Healthy Gums

Healthy gums are typically pink, firm, and wholly attached to the teeth to provide support. If your gums do not have these characteristics, you are likely experiencing one of four stages of gum recession:

Gingivitis

Gingivitis, the earliest of the receding gum stages, develops from bacteria and plaque accumulation. Although you may not notice any recession immediately, you may feel some tooth sensitivity. During the early stages of receding gums, common symptoms of gingivitis include

• Bad breath or a metallic taste
• Bleeding of gums after brushing or flossing
• Increased spacing between teeth
• Swollen gums

Proper oral hygiene that includes daily flossing and brushing at least two times each day can stave off receding gums, assuming you include regular dental check-ups as part of your oral health regimen. Although there might not be any detectable discomfort, diagnosing gingivitis at this stage is critical to stopping gum recession before it becomes periodontitis.

Early Periodontitis

Early periodontitis is typically the phase that follows gingivitis. During this stage, the gums have become more inflamed, separating from the teeth and forming periodontal “pockets.” When food, plaque, and bacteria collect in these pockets, an infection can set in below the gum line and make the pockets bigger.

Early periodontitis also marks the beginning of bone weakening and loss and decreased immunity against infection. You may also have more pain when flossing or brushing, increased sensitivity, and bad breath.

Moderate Periodontitis

The inflammation and discomfort you previously experienced will likely worsen during moderate periodontitis. The advanced gum recession also includes more bone loss and the loosening, shifting, or loss of teeth due to the spread of plaque and bacteria. You will also notice that your gums are more swollen and may produce a discharge that tastes bad.

Advanced Periodontitis

Tooth loss is most likely to occur during advanced periodontitis. Painful abscesses also characterize this stage due to the infection spreading beneath the gums. The teeth that do remain are probably loose or about to come out because they do not have enough strong bone and tissue to keep them in place.

Talking, eating, or drinking can become painful and uncomfortable during advanced periodontitis. Without the proper dental care, you also become more susceptible to other health conditions:

• Arthritis
• Some forms of cancer
• Diabetes
• Heart attack

Treating Gum Recession

Prevention is the best form of treatment for receding gums. It helps to schedule regular dental check-ups, brush and floss daily, and continually check your teeth and gums for early signs of gum disease or other changes. You can also prevent gum recession by eating a healthy diet and avoiding tobacco products.

Unfortunately, any gum tissue you lose during recession cannot grow back. However, catching gum disease early makes it easier to keep it from progressing. If your dentist detects early signs of gum recession or gingivitis during a routine visit, they will recommend treatment to meet your dental health needs. They also might need you to schedule more frequent dental visits.

For any signs of periodontitis, your dentist may recommend surgery if preventive care, professional cleaning, or antibiotics do not improve your condition. One common intervention is scaling and root planing, which involves using a curette or surgical scraping tool to remove the plaque and tartar below the gum line. After scaling, the dentist uses root planing to smooth the roots so that the gums will reattach.

Your dentist may also perform flap surgery to lift the gums back for easier cleaning before suturing them back together. If you have already reached advanced periodontitis or suffered extensive bone and tissue damage, you may need bone grafting or gum grafting to restore damaged or lost tissue.

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We explore gum grafting and how it can restore a patient’s oral health. We also discuss the timing of gum grafting and when other procedures are more effective in treating advanced gum recession.

What Is Gum Grafting and When Would I Need It?

Gum grafting is a technique that covers exposed tooth roots and surfaces and revives existing gum tissue. Most dentists or periodontists perform three types of gum grafting. One is a sub-epithelial connective-tissue graft, which uses a piece of tissue below the surface of the skin located on the roof of the mouth. Free-gingival grafts utilize the outermost layer of the mouth roof, and pedicle grafts utilize the gum tissue next to the receding area.

Gum grafting typically occurs with local anesthesia and takes less than an hour. The procedure is relatively painless, and patients need little time to recover. Patients with more severe gun recession may need more than one appointment.

Gum grafting is a treatment for many cases of gum recession, when the gum tissue gradually moves away from the tooth, exposing more of the root and other surfaces. The most common culprit of gum recession is poor oral hygiene resulting in periodontal disease. Other contributors to receding gums include:

• Grinding teeth (awake or asleep)
• Injury to the gums
• Excessive toothbrushing (stiff brush or heavy hand)
• Misalignment in one’s bite
• Medication induced recession
• Malnutrition
• Eating disorders (i.e. anorexia or bulimia)
• Smoking
• Chewing tabacco
• Genetic predisposition (family trait)

Gum recession is more than just an aesthetic problem. Left untreated, it can leave a person more vulnerable to cavities, tooth sensitivity, decay, and even tooth loss. If a thorough professional cleaning does not solve the problem, it may be time to consider gum grafting.

When Is It Too Late for Gum Grafting?

When does gum grafting work for gum recession? If your dentist recommends gum grafting, it is essential to have the procedure done as soon as possible. Doing so will likely prevent further recession and help you avoid more serious oral health issues later.

Given your circumstances and oral health, your dentist may be able to determine at what point gum grafting would be successful, for example, if your gums show minimal damage or bone loss. If the damage to your gums is too extensive, the procedure may not solve your problem, or the odds of successful gingival graft may be diminished.

There is no hard and fast cut-off point when gum grafting is no longer viable. However, a gum graft may fail in advanced cases where the loss of gums and bone is significant or if too much of the root is exposed. Alternatively, your dentist may recommend removing and replacing the teeth with dental implants. Even in cases where implant therapy is indicated, a gum graft may still be necessary to provide adequate tissue for a successful dental implant.

If your gum recession is advanced and you proceed with grafting, there is a slight chance of complications, such as pain, swelling, infection, and/or failure to heal properly resulting in a failed graft. Failures or complications are rare if an experienced surgeon is performing the procedure and you are a healthy candidate for gum grafting. It’s also very important to follow all post-op and pre-op instructions to get the best results from your gum grafting procedure.

If you do experience a gum graft may failure, it may be indicated by a section of white tissue that becomes separated. This signifies that the grafted section is no longer getting enough blood and is dying. You might also experience a fever of over 101 degrees Fahrenheit or see pus at the surgical site.

Contact your dentist or periodontist immediately for emergency care for any complications or symptoms of gum graft failure.

Is Gum Grafting the Right Option for Me?

Your dentist or periodontist can help you decide if gum grafting can restore your gums and teeth. During an initial exam, they will assess the amount of your gum recession and consider the underlying causes to determine if a gum graft is the appropriate course of action.

Before the procedure, your dentist will review all the steps with you and answer your questions. Be sure to ask about what you will require for aftercare and the follow-up appointment about a week after the graft.

During recovery, stick with cold and soft foods like soft- or hard-boiled eggs, yogurt, cottage cheese, gelatin, and soft-cooked vegetables. Healing should occur in one or two weeks, after which you can resume regular brushing and flossing. However, the grafted tissue may take about a month to heal completely.

The post When Is It Too Late for Gum Grafting? appeared first on Sarasota Dentistry.

Is periodontitis contagious? There is research suggesting that it can spread from person to person through saliva. With over 47% of adults having some form of periodontal disease, it is important to understand periodontitis and the conditions that increase its likelihood of spreading.

What Is Periodontitis?

Gum diseases vary from mild gum inflammation to more severe stages that involve damaged soft tissues and bone, ultimately leading to tooth loss. The earliest stage is gingivitis, when a bacterial infection develops from a buildup of plaque, the sticky substance that accumulates on teeth even with regular brushing.

With early gum disease, the gums can be tender, swollen, and red. These reactions are the result of the body’s immune system attacking the bacteria to protect against an infection. If you identify gingivitis early enough, you may be able to prevent some or all of the damage.

Gingivitis that goes untreated typically evolves into periodontal disease, which not only infects the gums but also starts to break down the connective tissues and bone. This is all the result of the body trying to protect itself against a foreign body stuck in the gums like a splinter in your skin. Unfortunately, that tarter, also known as calculus, which is cemented to the tooth now makes the tooth the target. If the calculus isn’t removed from the tooth, it may result in bone loss, tooth mobility and eventual loss of the tooth/teeth. Periodontal infections are also common with more advanced forms of severe periodontitis. The immune system plays a huge roll in the progression of gum disease. Factors that affect the immune system include: stress (both physical and emotional), diet, health, age, weight, and medications.

You may have periodontal disease if you experience any of these symptoms:

• Bleeding when brushing or flossing, or red on your toothbrush bristles
• Changes in how your teeth fit together when you bite down
• Dark red or purple gums
• Gums that bleed easily or are tender or swollen
• Pain when chewing
• Persistent bad breath
• Pus between gums and teeth
• Receding gums
• Spaces that look like black triangles between teeth
• Teeth that are loose or falling out

While gum disease is not curable, treatments are available, depending on its severity. If you experience any of the symptoms of periodontal disease, see your dentist as soon as possible.

Is Periodontal Disease Contagious?

You may wonder “Can gum disease spread to another person?” While you are probably safe with brief, casual contact, long-term behaviors like kissing could increase another person’s risk for periodontal disease. You should also be wary of family settings where people share food and utensils or cough and sneeze near each other. Family members may also share some of the same habits such as diet and oral hygiene which can be significant factors contributing to the gum disease progression.

Researchers are still studying the extent to which periodontitis is contagious. Children whose parents have advanced gum disease are at greater risk for developing it, as are spouses and romantic partners. However, being in close contact that involves the exchange of saliva or bacteria does not automatically mean that you will develop periodontal disease.

Preventing the Spread of Bacteria Causing Gum Disease

Anyone can adopt behaviors that help prevent or control periodontal disease. The most effective prevention method is brushing and flossing daily to eliminate the bacteria that lead to gum disease. You should also schedule a dental check-up once or twice a year for a professional cleaning and to diagnose any early signs of gingivitis or other issues.

If you do develop gum disease, its progression depends to a large extent on your oral hygiene habits. Keeping the bacteria at bay or treating gum disease early may reduce the risk of spreading gingivitis or periodontal disease through saliva exchange.

Reducing the risk of infection among other family members or romantic partners requires good oral hygiene and treatment in more severe cases. If you need treatment, it is best to avoid kissing or other close contact until after recovery from your dental procedure.

Treating Periodontitis

If you have any symptoms of periodontal disease, seeing a dentist right away is crucial. After a thorough exam, they can recommend the best treatment for you.

If you have mild gum disease, you might be a good candidate for scaling and root planing. This procedure is like professional cleaning, but it extends to below the gums to remove plaque, tarter and/or calculus unreachable by a toothbrush or floss.

During scaling and root planing, the dental hygienist cleans or scales the tarter and then smooths (planes) the root surfaces to prevent new bacteria from accumulating. You may need a second appointment for the treatment to be effective, and you will likely receive local anesthesia. Once the tarter is removed and root is smoothed, it is critical to keep those surfaces clean with daily oral hygiene and regularly scheduled professional cleanings. This is a case where prevention is the best medicine.

Your dentist may recommend flap surgery if your gum disease is more advanced. During flap surgery, the dentist lifts back the gums to remove the tartar and plaque. After cleaning, the dentist sews the gums back together so that they close around the tooth.

Bone or gum grafting may be the best approach if you have bone or tissue damage. Grafting usually involves taking healthy bone or tissue from another part of the mouth and placing it where it can regenerate and replace the damaged parts.

To maintain the benefits of periodontal treatment, you must continue your oral hygiene to keep your gum disease under control. Although there is no cure for periodontitis, a reduction in the condition is possible with continued dental care and healthy dental habits at home. Even after successful treatment, you need life-long care to prevent the recurrence of infection and reduce the risk of spreading it to others.

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Dental implants are a popular way to replace missing teeth and restore your smile. More importantly, getting implants can help you avoid serious dental problems later.

What Are Dental Implants?

Dental implants are prosthetics that a dentist surgically attaches to the jawbone to hold dental restorations in place. An implant has a titanium (sometimes ceramic) screw resembling a root, which has a specialized surface that the bone fuses with over a 3-4 month healing time. This intimate connection between the dental implant and the bone is referred to as osseointegration. Once osseointegration is established, a dental restoration can be fabricated using a connector or abutment that holds the artificial tooth, bridge, or crown in place.

Although only 6% of people in the United States have implants, experts estimate that figure to grow to 23% by 2026. You also might not know dental implants can last a lifetime with proper care. However, the crown, bridge, or dentures on top may need replacement every 7-15 years. Those numbers can vary greatly depending on the technician, doctor and choice of materials selected for the dental restoration.

Different Types of Dental Implants

Patients considering dental implants should consult their dentist about the different dental implant types, including their pros and cons. The type of implant a dentist recommends depends on factors such as the number of missing teeth and the causes of tooth loss.

Endosteal Implant

Endosteal implants are the most common type, usually consisting of small, threaded titanium posts screwing into the jawbone – these are commonly termed “root form implants”. The new tooth (crown or bridge) attaches to the top part of the implant by way of a connector or abutment. Dental implants are commonly referred to a singular item when in fact they are three items: implant, abutment and crown or bridge (dental restoration). Some dentists are able to provide all the three services to complete a tooth replacement in one office while some other dentists prefer to refer to a specialist for the surgical or restorative aspects of the dental implant replacement. Endosteal implants are suitable for patients with removable dentures, missing teeth replacement, or as replacement for bridges. To be a viable candidate for endosteal implants, a patient must have good oral health and enough healthy gum tissue and jawbone.

Subperiosteal Implant

Subperiosteal implants may be ideal for patients without enough healthy jawbones to support endosteal implants. The dentist places this implant on top of the jawbone and under the gum, adequately holding it in place. This can be a wonderful service for some patients but it requires a very specialized lab working closely with a dental surgeon. Unfortunately, there are few of these teams left offering this service.

People who cannot wear traditional dentures might find subperiosteal implants ideal. However, as with endosteal implants, these implants are not suitable for people with poor dental health. Also, a patient still needs enough jawbone for this type of implant to be viable.

Mini Dental Implant

Mini dental implants are ideal for patients unable to get the traditional kind. While conventional implant screws consist of two pieces up to 5 mm in diameter, mini dental implants use only one screw that has a diameter of 3 mm or less. Some patients opt for these implants because they are less surgically invasive, and do not require as much jaw bone width. Typically, more mini dental implants are necessary to support a dental restoration vs. traditional root form dental implants. Additionally, mini dental implants are much more restrictive when it comes to a final dental restoration. They are typically reserved for supporting dentures and not crowns or bridges.

However, mini dental implants would not be ideal for patients wanting a permanent solution because they are only temporary. Also, they are not recommended for all types of tooth loss.

Zirconia Implant

Dentists began using Zirconia implants in the United States in 2007. Like titanium, Zirconia is biocompatible with the natural bone and gum tissue. This means the bone can grow around the implant forming a rigid connection with the body – known as osseointegration. Once integrated in 3-4 months, the implant is restored with a dental restoration such as a crown, bridge, or implant retained denture (full arch restoration).

While most titanium implants have two parts, most Zirconia implant have only one, giving dentists less control when placing them. There are some two-piece zirconia implants on the market, but they have not yet passed the test of time regarding durability. Another potential disadvantage of these implants is the cost per implant. Also, additional expenses are associated with materials, the procedure, mapping, and aftercare check-ups, bringing the per-implant cost to between $3,000 and $7,000. Many factors need to be considered to get an accurate estimation of fees, please consult a dental team to discuss your particular needs.

Zygomatic Implant

Zygomatic implants get their name from the cheekbone, into which the dentist inserts them. These implants only replace the teeth in the upper jaw, which can includes an entire upper arch of teeth.

Dentists can usually place zygomatic implants immediately. This type of implant can be an alternative for patients with insufficient jawbones or individuals who have had unsuccessful attempts at traditional implants or the bone grafts they often require. People with tooth loss in the lower jaw must explore additional tooth implant options such as subperiosteal implants or a ridge augmentation with bone grafting.

Same-Day Implant

Most patients who receive traditional dental implants usually have to go through months of visits and procedures. This wait typically includes getting temporary crowns while waiting for the permanent ones that come with the implants. In contrast, same-day dental implants are placed immediately after tooth extraction. It still constitutes an immediate implant if it goes in up to two weeks afterward.

Patients getting same-day or immediate dental implants undergo a single surgery, which means less pain and a much shorter recovery. Also, same-day dental implants can preserve gum tissue and bone, which may resulting in an enhanced esthetic result. In some cases, immediate dental implants can be restored with temporary crowns or bridges. While in other cases, they must be allowed to heal for 3-4 months prior to fabrication of a final dental restoration. It all depends on the patient specific factors and the stability of the dental implant upon insertion.

Patients trying to avoid multiple dental visits, wearing traditional dentures, or having a drawn-out recovery might opt for all-on-4 or full-arch immediate implants. As the name implies, all-on-4 implants consist of four dental implants supporting a full arch of teeth. Another term commonly used is all-on-X where “X” is the number of implants needed to restore the arch. The immediate teeth are usually acrylic teeth such as a denture or computer designed acrylic PMMA material. Either way, a strict soft food diet must be maintained for 3 months following immediately loaded all-on-4 implants. After healing, a final full arch implant restoration is fabricated. The final restoration can be made of either metal reinforced acrylic or porcelain. Porcelain is generally more durable than acrylic if done correctly.

All-on-4 implants can replace upper teeth, lower teeth, or both. Implantation requires a minor surgery, which involves inserting a small titanium screw to which the dentist attaches a denture or bridge. Patients needing between six and 10 implants or additional bone grafting after extraction should consider other options such as ridge augmentation and second stage implant surgery.

Blade Implant

Blade implants were among the first types used in North America, but dentists rarely recommend them today. To place blade implants, a dentist creates a tunnel(slot) in the bone, into which they press the blade, with the support or prong for the crown sticking out.

Blade implants are strong and hold well under stress. They provide the most function in the back of the mouth, which requires significant biting and chewing. However, other implants are more advantageous because they are root-based. Also, the failure rate for blade implants is higher when the dentist lacks adequate experience and knowledge of ideal candidates for the procedure.

Dental Implant Considerations

Regardless of which type of implant a patient chooses, they should expect some discomfort, swelling, bleeding, and bruising after the procedure. A dentist can prescribe pain medication to help make the patient more comfortable during recovery. Also, sedation dentistry is usually well accepted for dental implant procedures.

With proper dental hygiene and care, dental implants can last a lifetime. Healthy habits like flossing and twice-daily brushing can preserve their look and survival rate. Follow-up visits with a general dentist or periodontist can contribute to recovery and help address complications early.

The post Types of Dental Implants appeared first on Sarasota Dentistry.

What Is an Implant Overdenture?

An overdenture is a denture that fits over, and his held in place, buy either natural teeth, teeth roots and/or dental implants. These differ from implant bridges or hybrid dentures because they are removable. Dentists sometimes use these devices when they can save some implants or natural teeth to preserve the jawbone supporting and stabilizing the dentures.

Dr. Carl Misch classified two types of overdentures: RP-1 and RP-2. RP-1 overdentures are removable overdentures which are completely supported by implants. RP-2 overdentures are removable overdentures which are partially supported by implants/teeth and partially supported by soft tissue or gums. Here are three of the most common overdentures used today:

• Implant-supported bar overdentures require 3-6 implants inserted into the upper and/or lower jawbones. Each arch/jaw has a precisely fabricated bar permanently fastened to the implants. The overdenture then fits precisely over the bar to establish a snug adaptation to the jaw that is secure during rest and function of the mouth. Dentists and patients generally opt for this type to improve bone strength and keep the existing bone to prevent further weakening or corrosion, as well as, the better fit of a removable prosthesis. This is an example of an RP-1 overdenture.
• Implant-supported partial overdenture suite some patients who need a partial denture because they miss only a few teeth. Patients can remove these prosthetics, but they might not always be comfortable to wear because they can push against adjacent teeth and gums. This is an example of an RP-2 overdenture.
• Implant-supported ball overdentures contain ball-shaped struts or braces that connect the dentures to the implants. Compared to traditional dentures, this construction provides more functionality and stability. However, compared to the bar overdenture, they move more easily and require added maintenance. This is another example of the RP-2 overdenture.

The difference between regular dentures vs. overdentures can seem minimal regarding appearance and function. Like traditional dentures, the purpose of overdentures is to replace some or all of your teeth. Otherwise, most overdentures have added retention gained by remaining teeth or dental implants, therefore, cannot easily become loose like regular ones. Also, they tend to cost more, but they are more effective than conventional dentures at preventing bone deterioration and providing more comfortable chewing.

Implant Overdenture Procedure

As with any dental surgery, the first step to any overdenture implant procedure is to consult your dentist to determine whether you are a good candidate. Your dentist will carry out a thorough examination and ask about your dental and medical history. They will also take photographs and impressions to fit your teeth and bones properly. These images will also reveal the need for bone grafting or other supplemental surgeries. When talking with your dentist, discuss your budget and ask questions.

During implant placement, you will receive a local anesthetic. Additionally, you may desire oral or I. V. sedation for added comfort. After you are numb, the dentist screws the implants into the jaw bone, sometimes using 3-D imaging to know precisely where to place the implants. The surgery concludes with stitches to close the incisions.

Post-procedure care is essential for osseointegration, during which the bone grows around the implants to secure them. This healing process usually requires 3-6 months. After recovery, you will return to the dentist, who will verify the implants are stable and prepare them for impressions.

Now the dentist will take digital scans or make traditional impressions of your teeth and dental implants to send to a lab. Then, a lab technician will take your impressions and create your overdenture.

Once the overdenture comes back from the lab, the dentist will fit it in, making any necessary adjustments. A good fit means that the overdentures are stable and do not hurt when inserting, removing or using the prosthesis. The dentist will also provide instructions on cleaning and caring for your new prosthetic.

How Much Does an Overdenture Cost?

The cost of implant overdentures typically varies by procedure, the number of implants needed, and the specialist who places them. In general, they are more expensive than traditional dentures. Each implant can cost $2,000-$5,000, and patients can expect to pay $25,000 and up for one overdenture arch. The need for additional bone grafting must also be considered when factoring costs.

Pros and Cons of Overdentures

Patients choosing implant overdentures can enjoy their numerous benefits. For example, they allow for eating, talking, or sneezing without the possibility that dentures will slip or fall out. Although, still removable they are a wonderful remedy for missing teeth. Stable and secure overdentures can increase the wearer’s confidence and help them retain a more youthful look. More importantly, they help preserve the jawbone from further deterioration.

Despite their benefits, implant overdentures are not for everyone. They can be cost-prohibitive for some patients. Also, the procedure might not be successful if the patient does not have an adequate amount of jawbone to support the necessary implants.

Patients can turn to alternatives like removable dentures when cost and bone issues make implant overdentures unattainable. The traditional versions can provide comfort and give the wearer a more natural appearance. Another option is the partial denture, which restores function and prevents nearby teeth from moving because of tooth gaps or spaces. Finally, patients who want permanent prosthetics can opt for dental implant bridges which are by far the most superior option for permanent replacement of missing teeth. These permanent implant bridges are also referred to as full arch dental implants or implant hybrid dentures. These are considered the ultimate tooth replacement option since they are permanent replacement teeth which are never removed by the patient.

If you are considering implant overdentures, schedule a consultation with your dentist to learn about the different types, benefits, and risks. Your dentist will also recommend the best overdentures based on your budget and dental needs. They will also answer your questions and work with you to develop a treatment plan.

The post What Are Implant Overdentures, and are They Right for Me? appeared first on Sarasota Dentistry.

What Does It Mean to Have Crowded Teeth?

Occlusion refers to the positioning of teeth and how well the top and bottom teeth fit together. People with a perfect bite have normal occlusion. This means that the bottom and top teeth fit in the grooves of their opposites and that the upper teeth fit slightly over the bottom set.

Patients with crowded teeth, also known as malocclusion, suffer from misalignment, which can occur as an overbite, underbite, or overlapping of teeth. Crowding of teeth can be mild, such as when an anterior (front) tooth is rotated slightly. Moderate cases occur when two or three anterior teeth overlap. The most severe types of crowding happen when most of the teeth in the top or bottom row overlay one another.

What Causes Crowded Teeth?

Many causes exist for crowded teeth, one of the most common being genetics. For example, smaller jaws run in some families, which can leave little room for permanent teeth to grow. Congenital disabilities like a cleft palate can also contribute to overcrowding.

Malocclusion can result from dental abnormalities like having extra, lost, or impacted teeth. Also, jaw problems like tumors, dislocations, or fractures can lead to crowding, as can dental procedure errors, such as improperly placing a crown or filling.

Crowding of teeth can stem from issues during childhood, such as thumb sucking, too much pacifier use, or tongue thrusting. Also, losing a baby or primary tooth too soon can allow other teeth to move into the space, making it more difficult for permanent teeth to emerge properly. Conversely, baby teeth that loosen but remain for too long can also cause overcrowding.

The Risks of Having Crowded Teeth

Malocclusion usually poses more than just aesthetic challenges. Crowded teeth can alter a person’s facial profile. They can also make biting or chewing food and closed-mouth breathing difficult. Some people with misaligned teeth develop speech problems like a lisp, or they can accidentally bite their lips, tongue, or cheek.

Crowding of teeth can interfere with dental hygiene and health. Misaligned teeth are harder to brush and floss. People with moderate to severe cases tend to develop more cavities, tooth decay, gum disease, and other problems. When oral health diminishes over time, other conditions like heart disease and immunity deficiencies can develop.

How to Fix Crowded Teeth

Most people not blessed with a perfect bite have options for treating mild, moderate, or severe teeth crowding. A dentist can suggest the best course of action, given the patient’s health history and severity of their malocclusion.

Retainers

Retainers can be effective in treating very mild cases of crowded teeth. Retainers cannot straighten teeth but can apply enough pressure to move them more into alignment.

Braces

Braces are the most common treatment for crowded teeth in children, but adults also opt for them. Traditional braces, which are typically affordable, involve gold or silver brackets glued to the teeth to correct mild and severe crowding, jaw problems, and other issues. The dentist also attaches small rubber bands that link between the brackets. Patients can also choose ceramic braces consisting of enamel-colored brackets instead of metal.

Clear Aligners

Clear aligners like Invisalign are invisible orthodontics or clear braces that function like retainers. Instead of having brackets glued to the teeth, patients wear removable clear braces that they should wear at least 22 hours per day. In-office treatments like Invisalign are about as affordable as traditional braces but require regular maintenance.

A common concern with patients is knowing how long aligners like Invisalign take for crowded teeth. Most patients need 24 sets of trays, each including one for the top and bottom teeth, and they need to wear each set for two or three weeks before progressing to the next set. The entire treatment lasts 48-72 weeks.

Veneers, Crowns, Implants, & Bridges

For patients with moderate teeth crowding, a dentist might recommend dental veneers, thin, tooth-colored shells customized to fit over the top of original teeth. Before attaching the veneers, the dentist has to remove some of the original enamel. Although veneers require fewer dental appointments, they are typically more expensive than traditional and clear braces.

For some patients that have a lot of fillings or decay in their crooked teeth, a dental crown is more appropriate than a veneer to straighten teeth. If one or more teeth are missing in a crowded mouth, dental implants or bridges may also be used to replace missing teeth in the process of straightening a smile.

Regardless of the treatment you choose, fixing crowded teeth safely and effectively requires in-office dental care. Over-the-counter or at-home treatments that promise results are generally ineffective and could cause additional dental problems. Individuals concerned about their crowded teeth should consult a dentist to understand the severity of their condition and learn about the best treatment options.

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What Are Black Triangles in Teeth?

Black triangles in teeth are also called open gingival embrasures, which mean spaces or gaps that usually have a triangular appearance. These spaces often occur because there is insufficient gum tissue to fill them in. About two-thirds of adults have some form of these black triangles.

Not all gaps signify a problem. Some people naturally have slight or moderate spaces between their teeth. However, recent gaps that seem to widen over time need attention. Besides being unsightly, black triangles can catch bacteria and food, leading to cavities and other dental problems.

What Causes Black Triangles in Teeth?

Black triangles between teeth form for several reasons. The cause can often determine the seriousness of the dental issue and inform proper treatment.

Forceful Dental Hygiene

There can be too much of a good thing, such as brushing too hard and using too much force when brushing or flossing. Such habits can damage the gums, creating gaps and contributing to gum disease. This is rarely the cause, but patients commonly think this is what the cause is. They then start to slack on the dental hygiene which may actually lead to bigger problems.

Bone Loss

Conditions like osteoporosis and gum disease can lead to the loss of bone at the tooth’s base. You also tend to experience gum recession when you lose bone, often causing black triangles. It is important to brush, floss and proxy brush daily to minimize recession caused by gum disease

Tooth Shape

The shape of your teeth can play a role in the likelihood of developing black triangles. Rectangular teeth that are equal in width at the bottom and top might not be as susceptible as incisors, typically narrower near the gums. Teeth with a more triangular shape are more likely to develop gaps at the gum line.

Gum Recession

Gum recession often results from gum disease, causing the gums to recede or thin out, leaving empty spaces. Smoking and age are other causes of recession, contributing to black triangles in teeth, increased plaque, cavities, and tooth decay.

Prior Orthodontic Care

Having had braces or other forms of orthodontic care might cause small gaps because of tooth repositioning. Also, parts of braces like bands or other orthodontic components can damage the gums. Adults with braces are 22%-36% more likely to develop black triangles, depending on the placement of the braces.

If I Have Black Triangles, How Do I Get Rid of Them?

If you start to see black triangles developing, do not despair. Fortunately, there are a number of techniques available to fix black triangles in your teeth and improve your smile.

Regular and Moderate Dental Hygiene

Regular and proper dental hygiene is usually the easiest way to prevent black triangles between your teeth. The American Dental Association (ADA) recommends flossing every day and brushing twice daily to maintain the health and look of your teeth. Moreover, you should floss and brush carefully and avoid hurting your gums. If the black triangles are mild and you have healthy gums, improving your dental routine might strengthen your gums and reduce the gaps.

Braces

If your black triangles are the result of some teeth being crooked or out of place, you might ask your dentist about braces. This treatment might help close those gaps. As with many orthodontic procedures, braces take time to work, and you will need some patience to see the results you want.

Bonding

An option that does not require surgery is bonding, which involves filling in the gaps with composite resin. Your dentist can decide whether to use pink, tooth-colored, or a combination of both to close the spaces. Depending on the patient’s needs, this procedure can take weeks or months of appointments because the dentist applies the resin in thin layers to create a more natural look. This gradual process also gives the gums enough time to heal and adapt.

Veneers

Many patients opt for veneers to correct various dental problems, including black triangles. With veneers, the dentist applies a thin layer of ceramic porcelain to the tooth’s surface to alter its shape, size, or color. More specifically, a dentist can use veneers to shorten or lengthen teeth or fill in gaps between teeth.

Bioclear

As an alternative to veneers and is a state-of-the-art composite resin bonding, Bioclear is a viable solution to fix teeth that are broken, chipped, damaged from grinding, or stained. This procedure is also appropriate for correcting spaces and black triangles. Using the Bioclear matrix system, a dentist slips thin, anatomically correct, mylar sheets under the gum line and around the teeth. They then inject a liquid composite into the sheets to build a new tooth surface. After the resin hardens, the dentist shapes the teeth to look beautiful and free of any black triangles.

Gum Grafts

Patients with black triangles resulting from severe gun recession might consider gum grafting, which a periodontist performs. During the surgery, the periodontist removes a small amount of tissue from the roof of the mouth and grafts it over the receding sections of the gums. Some patients might also need bone grafts if bone loss has occurred.

Hyaluronic Acid Treatment

For less severe black triangles, hyaluronic acid injections can rebuild lost gum tissue. More research needs to be done to confirm its long-term effects. However, this procedure is less painful than most corrective surgeries and generally takes less recovery time.

How Can I Prevent Black Triangles?

The best cure for black triangles is prevention. Daily brushing and flossing improve mild cases of black triangles, and they prevent them from developing in the first place.

Despite your best efforts, consult your dentist if you start to see black triangles forming. Early detection and intervention can prevent a mild problem from progressing, requiring more drastic remedies.

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Few people can maintain their original teeth whiteness without some form of treatment or intervention. Most individuals experience tooth discoloration over the years. The accumulation of some stains and yellowing is generally inevitable.

Many safe teeth whitening options exist. While some over-the-counter treatments can be less expensive, they are usually not as effective or as comfortable as what you get at the dentist’s office. Understanding the causes of tooth discoloration and the costs associated with teeth whitening can help you decide how to treat your discoloration.
Table of Contents

• Causes of Tooth Discoloration
• Professional Teeth Whitening Cost
• Benefits of Teeth Whitening at the Dentist

Causes of Tooth Discoloration

For most people, tooth staining is a fact of life. This is because your teeth contain holes and grooves that absorb color from what you eat and drink. When this coloring builds up over time, darkening, yellowing, or white spots on your teeth often result.

There are three types of teeth staining, one of which is extrinsic, which primarily affects the enamel or surface of the tooth. Coffee, dark sodas and teas, red wine, and dark fruits can leave stains on tooth enamel, but they tend to be easier to remove.

People can also develop intrinsic staining, which occurs inside the tooth. Intrinsic discoloration typically results in a grayish appearance, and it is usually impervious to over-the-counter (OTC) whitening products. This discoloration can come from tooth decay, certain medications like antibiotics, consuming too much fluoride, or injury to the tooth. Also, some people are genetically predisposed to intrinsic staining.

Finally, tooth discoloration usually happens as we age. The older we get, the more the enamel wears away, showing more of the dentin, which is the inner, softer part of the tooth. This dentin exposure creates a yellow look.

Professional Teeth Whitening Cost

Teeth whitening solutions vary significantly by cost, delivery method, and results. At the most basic level, you can purchase mouthwash and toothpaste that offer whitening benefits. Such products cost $5-15 dollars, contain minimal amounts of peroxide, and pose a relatively low risk for people with sensitive teeth and gums. However, whitening toothpaste and mouthwash might not yield the long-term effect you desire.

You might also consider whitening strips, another type of OTC remedy. A package of strips can cost $30-100 and contain 5-15% peroxide. Simply place the strips over your bottom and top teeth and remove them after about 30 minutes. While they can yield noticeable results, some people are sensitive to the strips, which can be challenging to keep in place.

Other patients opt for LED kits, which you only need to use a few times a month. They cost between $50 and $300, and they offer the non-invasive use of LED light to remove more persistent stains. However, while LED kits provide relatively quick results, they can also cause moderate sensitivity in teeth. Also, scientific studies have found the LED light isn’t necessary.

Professional teeth whitening is also available for people who have stubborn stains or want quicker and longer-lasting results. Most professional procedures use more peroxide than at-home versions, which can cause temporary sensitivity. Dental whitening can cost $400-$1,000 but requires fewer treatments.

Many dentists offer KöR teeth whitening, a safer alternative to professional teeth bleaching and lasers, which can aggravate sensitive teeth and gums. KöR deals with discoloration by restoring oxygen in teeth. Also, unlike most tray-based gel treatments at the dentist, KöR contains peroxide that remains constantly refrigerated from shipment to application. Keeping the peroxide cool prevents it from deteriorating, making it a more effective teeth whitening treatment.

With KöR Whitening, there are four whitening plans the doctor will prescribe based on the type of stains present in the teeth.  The basic plan is a KöR Home which is an at home system that can be used day (9% Hydrogen Peroxide) or night (16% Carbemide Peroxide). The next step us is KöR Max which adds an in-office application following the at home whitening (34% Hydremide Peroxide). Even more powerful is the KöR Ultra which adds an in-office treatment (13% Hydremide Peroxide) before at the at home application and another in-office application (34% Hydremide Peroxide) following the at home whitening. The final KöR system has been specially designed to treat deep tetracycline staining in the teeth. This is KöR Ultra-T which starts with in-office (13% Hydremide) followed by 6- weeks of at-home whitening and finalized with in-office treatment (34% Hydremide Peroxide). Each professional whitening treatment requires maintenance. Some will perform maintenance whitening one or twice a month some may do 1-5 treatments every 3 months. Others may perform maintenance teeth whitening once per week or once per year. Maintenance cycles vary greatly depending on the patients diet and teeth reactivity.

Benefits of Teeth Whitening at the Dentist

As previously mentioned, teeth whitening in the dentist’s office can aggravate tooth sensitivity in some patients. However, this effect is typically moderate and temporary. Also, professional whitening has advantages over OTC at-home treatments. In-office procedures are safe and cause virtually no damage to teeth and gums. Also, bleaching and other whitening options use carbamide peroxide or hydrogen peroxide to remove more difficult stains.

Another benefit of professional whitening is that it typically offers faster results. Most patients see enhanced whitening just one hour after their in-office treatment. In addition, the improved appearance lasts longer than OTC alternatives.

Also, OTC treatments are not customizable, meaning that they offer a one-size-fits-all approach. On the contrary, patients can receive professional whitening that fits their preferences and specific dental needs.

Professional teeth whitening benefits can be cost-prohibitive for some patients. Most dental insurance plans do not cover in-office teeth whitening and other types of cosmetic dentistry because they are not medically necessary procedures like root canals, cavity fillings, or crowns. However, patients wishing to pursue professional teeth whitening might ask their dentists about payment plans that can make whitening more affordable. Teeth whitening is by far the most affordable form of cosmetic dentistry and can render fabulous results if done correctly.

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