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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More than half of adults in the United States have some form of gum disease, also called periodontal disease. Some individuals have inflamed gums, while others suffer from damage to tissues and tooth-supporting bone. If left untreated for too long, periodontal disease will result in tooth loss.

Maintaining dental health makes it easier to ward off other conditions like diabetes and heart disease. Preventing or treating periodontal disease can help protect teeth and gums for a lifetime.

Table of Contents

• Symptoms of Gingivitis and Periodontal Disease
• How Long Can Teeth Last with Periodontal Disease?
• Risk Factors For Developing Periodontal Disease
• Options for Reversing Periodontal Disease

Symptoms of Gingivitis and Periodontal Disease

Healthy gums are pink and firm, and brushing or flossing should not make them bleed. Every day, the teeth accumulate a hard-to-see film called plaque, which contains bacteria. Without proper brushing, this plaque-related bacteria remain on the teeth and can irritate and inflame the gums. Periodontal disease begins at the gums and can progressively affect the supportive tissues and bone.

Gingivitis can occur from bacteria build-up and is the mildest and earliest stage of periodontal disease. It causes symptoms like persistent bad breath, gum redness and swelling, painful chewing, tooth sensitivity, and gum recession that makes teeth appear longer. Gingivitis also makes gum bleed easily. Patients can often reverse early phases of gingivitis with daily brushing and flossing, antiseptic mouthwash, and regular dental cleanings.

Although gingivitis is considered a non-destructive form of periodontal disease, it can progress if it remains untreated. Over time, the accumulated plaque turns into tartar, which only professional cleaning can remove. If tartar builds up below the gum line, it can cause the gums to separate from teeth. The disease can move to the underlying bone and lead to further damage.

Teeth with Periodontitis

Periodontitis is a more advanced stage of periodontal disease. It occurs when gingivitis goes untreated and infection sets in. It can cause tooth loss, painful chewing, further separation of gums from teeth, bleeding gums, and other health problems. Eventually, periodontitis can break down the gums, connective tissues, and bones supporting the teeth.

Compared to the signs of gingivitis, symptoms of periodontitis can seem more severe. Indications include shifting or loosening of teeth, changes in how teeth come together when biting, pus between teeth and gums, as well as bleeding, and changes in how partial dentures fit.

How Long Can Teeth Last with Periodontal Disease?

Gingivitis can start small and seem unnoticeable at first, but it can manifest as gum inflammation and other uncomfortable symptoms. Over time Stress is a major factor in susceptibility to periodontal disease due to it’s ability to suppress the immune system. Age or disease may also, patients may experience widening pockets between the gums and teeth and destruction of the bone underneath. Although each patient is different, advanced and untreated periodontitis can eventually lead to tooth loss.

Loss of teeth is just one complication of periodontal disease. The damage-causing bacteria can also enter the blood via the gums and affect other body parts. There is a connection between periodontitis and other health conditions like diabetes, coronary artery disease, and respiratory disease.

What Are Risk Factors For Developing Periodontal Disease

• Stress – Probably the most important risk factor. It can be physical stress such as teeth grinding or emotional stress that affects the body’s immune defenses.
• Smoking or Chewing Tabacco – Major Risk Factor
• Poor Oral Hygiene
• Systemic Disease: Such as Diabetes or Immunocompromising Disease
• Malnutrition
• Pregnancy
• Cancer Therapy
• Medication
• Obesity

Options for Reversing Periodontal Disease

So can you reverse periodontal disease? Patients with milder cases of gingivitis can learn how to reverse periodontal disease with proper oral hygiene at home. If gingivitis does not go away or develops into periodontitis, some form of dental intervention will likely be necessary.

Some treatments include initial care by a dentist and follow-up treatment at home. For instance, a dentist might recommend scaling and root planing. Scaling involves removing the tartar below the gum line and root planing smooths over the roots’ surfaces so that the gums can reattach to the teeth. This dual procedure removes bacterial deposits and allows the gums to heal. Depending on the extent of the damage, scaling and root planing may require more than one dental appointment. Patients might need follow-up visits to monitor and treat reoccurrences.

Some patients with advanced periodontitis might need the help of a dentist who knows how to shrink gum pockets. Surgical pocket reduction or flap surgery removes tartar from the gaps. The surgeon also lifts the gums to clean thoroughly underneath them before suturing them. This procedure reduces or eliminates the pockets and prevents future infections. When insufficient amounts of the gums exist, a dental surgeon can perform a gum graft to regenerate the missing tissue.

Surgery cannot repair some advanced periodontitis cases, which is when tooth loss usually occurs. In such cases, patients can opt for dental implants to restore their smiles and everyday functions like talking and eating. Implants look natural and can last a lifetime with proper at-home care and regular dental check-ups.

In addition to surgery, prescription medication can provide relief and treat advanced periodontitis. A dentist can deliver antibiotic or antimicrobial medicine to target the bacteria and slow the progression of periodontal disease.

Although many individuals can learn how to reverse gum disease, the best treatment is prevention. Maintaining a consistent routine of daily flossing and twice-daily brushing with an electric toothbrush can go a long way toward preventing periodontal disease and subsequent tooth loss. Individuals might also incorporate regular rinsing with an antiseptic mouthwash. Eating a healthy diet and getting regular dental check-ups should also be part of an oral hygiene regimen.

The post How Long Can You Keep Your Teeth with Periodontal Disease? appeared first on Sarasota Dentistry.

If you have a dental crown, you should know what to do in case it becomes chipped or broken. Crowns are very strong, and often last for a lifetime. But an accident can happen at any time, and a chipped or broken crown can sometimes be a dental emergency.

Table of Contents

• How can a crown break?
• What should you do if you have a broken crown?
• What happens if a crown breaks?
• Is a broken crown a dental emergency?
• Can you repair a broken crown?
• How much does it cost to fix a broken crown?
• How do you take care of crowns so they last a long time?

How Can a Crown Break?

Because dental crowns are very strong, they typically won’t break on their own, although normal wear and tear over the course of several years can wear them down. A broken crown is often the result of an injury, such as falling or getting hit in the face with a ball. Grinding your teeth or biting down on something hard can also chip or break a crown.

What Are Crowns Made Of?

Crowns are typically made of porcelain. In some cases, they may be made of porcelain fused to metal or gold, or may be made entirely of gold.

Newer crowns are made from state-of-the-art materials to make them even stronger, such as porcelain fused with zirconia, full contour zirconia, lithium disilicate, or hybrid zirconia composite. Porcelain crowns are designed to look and function just like regular teeth and therefore should last for a long time barring any injuries, accidents, or more commonly, recurrent tooth decay.

What Should You Do If You Have a Broken Crown?

If you’ve broken a crown, you will likely know right away. Sometimes, a break or a chip can be minor and won’t cause any discomfort. Even if it isn’t causing pain, you should call your dentist’s office immediately. Let them know how the accident happened and how your tooth feels. They will help you determine if immediate action is required and how you should proceed.

If your dentist’s office is closed and you’re in pain, call an emergency dentist.

What Happens If a Crown Breaks?

The severity of the break or chip will determine what needs to happen next. A crown that is badly broken or missing could cause pain if the tooth underneath has a living pulp. Broken crowns in the back of the mouth can cause discomfort, especially when eating. You may also experience some sensitivity to hot and cold foods. A crown that is chipped or broken may be jagged and cause irritation to the tongue or surrounding tissue. If you notice your broken tooth is starting to cut your tongue when speaking, you need immediate attention since the pain will continue to worsen causing a major ulceration.

If possible, examine the affected area. If you can’t see the tooth, ask someone else to examine it and take pictures. See if you can determine if pieces of the crown are missing or dislodged. If it’s loose, you may be able to pull it off to prevent swallowing it.

If you are bleeding from a mouth injury, rinse your mouth with warm water and use gauze to apply pressure to the area.

If you are unable to see a dentist the same day, you can use dental cement or dental temporary material, which is available at most drugstores, to protect the affected tooth until your appointment. Dental wax or chewing gum can also work to protect your tongue from a sharp or broken crown.

Is a Broken Crown a Dental Emergency?

A broken crown may be a dental emergency if it is causing severe pain or irritation. In many cases, you may need to wait a day or two for an appointment to repair the tooth. Your dentist’s office will be able to tell you if you need to be seen right away depending on the state of the tooth.

Can You Repair a Broken Crown?

Depending on how much of the crown is damaged, it may be possible to repair it. If all or part of it has come off, save the crown to take to your dentist’s office. Your dentist will be able to determine if a repair is feasible.

If your crown has a small chip, some dentists may be able to repair it with resin. In cases of a severe chip or crack, you may need a new crown. Resin repairs are usually a temporary and crown replacement is usually the proper solution. Another alternative for small cracks or chipped crowns can be to file the crown, smooth it and polish it. This may be a temporary or permanent alternative depending on how it looks and feels.

In some cases, if it isn’t possible to repair or replace the crown, your dentist may recommend other options, such as extraction of the tooth and a dental implant.

How Much Does It Cost to Fix a Broken Crown?

The cost to fix a broken crown will depend on the severity of the damage and whether the crown can be repaired. Your dentist will likely need to examine the tooth in order to provide you with an accurate estimate. Cost is generally dependent on the experience of the dentist, quality of the materials, guarantee, and reputation of the dental provider.

How Do You Take Care of Crowns So They Last a Long Time?

Accidents such as getting hit in the face aren’t always avoidable, but to protect your crown, avoid biting down on anything hard or using your teeth for purposes other than eating, such as opening bottle tops. If you grind your teeth at night, ask your dentist about wearing a mouth guard while you sleep to protect your crown and the rest of your teeth.

Take care of your crown the same way you take care of the rest of your teeth: practice good oral hygiene by brushing at least twice a day, and floss regularly to remove bacteria.

At Sarasota Dentistry, we use dental crowns made from state-of-the-art materials to provide our clients with the highest degree of strength and durability possible. In addition to lab fabricated crowns, Sarasota Dentistry also offers same-day CEREC crowns from their in-office dental lab. Same-day CEREC crowns are wonderful for those patients that do not have time to wait weeks with a temporary crown. Contact our office to learn more or schedule an appointment.

The post What to Do If You Have a Chipped or Broken Crown appeared first on Sarasota Dentistry.

Flexible partial dentures are an ideal solution for those who want to replace missing teeth while also enhancing their smiles. Flexible partial dentures can restore the appearance and functionality of real teeth and offer unique features that rival those of traditional dentures. While these restorations can be a good alternative to missing teeth, they still fall short when compared to dental implants.

Table of Contents

• What are Flexible Partial Dentures?
• What Are Flexible Partial Dentures Made Of?
• How Much Do Flexible Partial Dentures Cost?
• How Long Do Flexible Partial Dentures Last?
• Pros of Flexible Partial Dentures
• Cons of Flexible Partial Dentures
• Flexible Partial Dentures vs Traditional Dentures

Here’s more about flexible partial dentures and how to determine whether this dental solution is right for you.

What Are Flexible Partial Dentures?

Flexible partial dentures are dentures made from softer, more flexible materials than traditional dentures. These dentures are designed to look and function like real, natural teeth, and can replace teeth from the same area of the mouth that may have been lost due to an accident, injury, or gum disease. Flexible partial dentures may be removed at any time and are sometimes used for only a short period prior to dental implant surgery.

What Are Flexible Partial Dentures Made Of?

Flexible partial dentures are made with thermoplastic materials such as nylon that are far more flexible than the porcelain, resin, and chrome cobalt metal materials typically used to make traditional dentures. The flexibility of these partial dentures makes them fit much more comfortably. Flexible partials are also much more cosmetically pleasing since they do not have the ugly metal clasps that are generally found on traditional cast chrome partial dentures. Thermoplastic materials can be heated and molded into flexible denture bases that are customized for each patient. The nylon materials used to make flexible partial dentures also look realistic and natural, and can effectively help dentures stay in place without causing discomfort.

Are Flexible Partial Dentures Right for You?

Ideal candidates for flexible partial dentures are those who are missing two or more teeth from the same area of the mouth and who want a more comfortable alternative to traditional dentures. Flexible partial dentures are also ideal for those who want a less invasive treatment than dental implants, or who are allergic to the materials used to make traditional dentures. A review published in the IOSR Journal of Dental and Medical Sciences states that patients with tilted teeth may also benefit more from flexible partial dentures than from traditional dentures due to their easy insertion and flexibility.

Warning: flexible partials dentures are not a good solution if you have loose teeth or teeth with a poor prognosis for success. You can’t add teeth to a flexible partial denture. If you or your dentist feels you may lose additional teeth soon, you should consider a traditional acrylic denture which may also be termed “transitional partial denture” or “temporary partial denture”. These types of partial can have partial denture teeth added if a natural tooth must be removed. They are not as comfortable but can be more practical iin some cases.

If you are not sure whether flexible partial dentures are right for you, a dentist can perform an evaluation and talk with you in more detail about the pros and cons associated with this treatment option.

How Much Do Flexible Partial Dentures Cost?

The cost of flexible partial dentures will vary from one patient to the next based on factors such as the number of teeth being replaced, the brand of dentures being used, and whether the procedure is being combined with other treatments such as tooth extraction. Your dentist can give you a more accurate estimate of the cost of flexible partial dentures after reviewing your insurance benefits and discussing your available payment options. Quality flexible partials generally cost a bit more than standard partials and the dental team providing the service is critical to ensure you receive a comfortable fitting flexible partial denture.

How Long Do Flexible Partial Dentures Last?

Flexible partial dentures can last for many years with the proper care, and often last longer than traditional dentures due to being made from flexible materials that make them less prone to breakage. Flexible partial dentures should be cleaned daily and soaked in denture cleanser solution overnight to prevent bacteria buildup. Your dentist can recommend other effective ways to care for flexible partial dentures to ensure they last as long as possible.

Pros of Flexible Partial Dentures

There are several advantages and pros to using flexible partial dentures, including durability, a custom fit, and comfort. According to a study published in Contemporary Clinical Dentistry, 100% of the 18 participants with traditional dentures who switched to flexible partial dentures preferred the latter option and said they improved their quality of life.

Flexible partial dentures also look more natural than traditional dentures and cover receded gums to improve the appearance of the gumline. These dentures can be manufactured relatively quickly compared with other tooth replacement options, which makes this treatment appealing to those who need temporary teeth prior to getting dental implants.

Cons of Flexible Partial Dentures

Flexible partial dentures are highly convenient, comfortable, and user-friendly, and come with very few cons. One potential disadvantage to using flexible partial dentures is the need to brush and clean them every day due to possible bacteria buildup. However, traditional dentures must also be cleaned daily to prevent bacteria buildup and to maintain their quality and functionality. The biggest disadvantage is the inability to repair or replace teeth on the flexible partial dentures. In the event you need to have a tooth extracted or a tooth breaks on the partial denture, you need to have a new flexible partial denture fabricated to replace the old one.

Flexible Partial Dentures vs Traditional Dentures

The purpose of dentures is to use functional, real-looking teeth to fill in spaces where two or more natural teeth are missing from the same section of the mouth. The main difference between flexible partial dentures and traditional dentures is that flexible partial dentures are made with a flexible thermoplastic material and fit comfortably in the mouth without requiring metal clasps to keep them secured in place. Traditional dentures are made from rigid materials that are more prone to breaking and consist of a set of teeth attached to a pink acrylic base that is secured to the gums using metal clasps or frames.

Flexible Partial Dentures vs Dental Implants

Dental implants are non-removable replacement teeth that are implanted surgically into the jaw and designed to look and function like real, natural teeth. Dental implants can be maintained and cared for with regular brushing and flossing just like real teeth and tend to last longer than dentures. In comparison, flexible partial dentures sit on the gums and must be removed daily for cleaning and maintenance. Dentures may require you to avoid certain foods and drinks to prolong their lifespan but are often far less costly than dental implants and less invasive as they do not involve surgery. While dental implants cost more, they are also more comfortable, more like real teeth, and they help to preserve natural jaw structure for years to come. You cannot say this if you are wearing a partial denture as bone loss continues to occur on the dental ridge with missing teeth. Another alternative that could be considered is an implant-retained partial denture.

Sarasota Dentistry is state-of-the-art facility offering General, Cosmetic and Implant Dentistry in Sarasota, FL. Please call us at 941-929-7645 to schedule a consultation. We can help you make a decision which dental restorative solution is right for you.

The post What Are Flexible Partial Dentures? appeared first on Sarasota Dentistry.

Tooth wear tends to become more prevalent with age. Worn-down teeth can lead to various cosmetic and oral health problems such as yellowed teeth, tooth sensitivity, gaps between teeth, and jaw aches. However, many treatment options are available for tooth wear that can improve your smile and reduce any pain or discomfort associated with worn-down teeth.

Results from a 2009 study published in the International Journal of Prosthodontics found that the percentage of adults with severe tooth wear increases from 3% at the age of 20 to 17% at the age of 70. However, many other factors can contribute to tooth wear earlier in life, such as teeth grinding, physical abrasion, and acidic foods and beverages.

Table of Contents

• What Causes Your Teeth to Wear Down
  • Bruxism
  • Abrasion
  • Exposure to Acids
  • Certain Teeth-Whitening Treatments
• What Problems Are Caused by Worn-Down Teeth?
  • Yellowed Teeth
  • See-Through Teeth
  • Tooth Sensitivity
  • Headaches and Jaw Aches
  • Gaps, Spaces and Loose Teeth
• How Do I Stop my Teeth from Wearing Down
• What are Treatment Options for Worn Down Teeth?
  • Dental Bonding
  • Porcelain Veneers
  • Porcelain Crowns

Here is a closer look at how to fix worn-down teeth, common causes, and prevention and treatment options that may be available from your dentist.

What Causes Your Teeth to Wear Down?

Worn-down teeth can be caused by one or several factors. Your dentist will ask you a series of questions during your appointment in an effort to identify the root cause of your worn-down teeth. This will help both you and your dentist develop prevention strategies and determine the best treatment solution.

The following are common causes of worn-down teeth.

Bruxism

Bruxism is the medical term for clenching or grinding teeth. It can happen anytime during the day or at night, though bruxism during sleep is often more difficult to manage and control. According to results from a 2016 study published in Sleep, bruxism during sleep affects an estimated 8.6% of the general population.

Bruxism can be caused by a wide range of factors, including stress, anxiety, diet, posture, and misaligned teeth. Common symptoms of bruxism are headache, pain or soreness in the jaw, insomnia, eating disorders, earache, and depression. When left untreated, bruxism can cause tooth damage and temporomandibular joint and muscle disorders, which are disorders that affect the chewing muscles and joints that connect the lower jaw to the skull.

What type of damage occurs as a result of teeth grinding? Teeth that grind together can cause friction, which gradually rubs away the enamel. Additionally, clenching the jaw can cause tiny cracks in tooth enamel. Over time, as tooth enamel wears away, teeth can become more sensitive to hot and cold foods and beverages, and more susceptible to rot and decay. As the back teeth wear down, the front teeth hit harder leading to excessive wear, loosening teeth and spaces or gaps between the front teeth.

Abrasion

Using your teeth as a tool to open packaging, or frequently chewing on hard nonfood items such as fingernails, pens, and pencils, can also wear down teeth. These behaviors cause physical abrasion that can wear down enamel, similar to how sandpaper wears down wood.

Physical abrasion can also occur when you brush your teeth roughly using a toothbrush with hard or stiff bristles. Many dentists recommend using toothbrushes with softer bristles to reduce physical abrasion and prevent the erosion of tooth enamel.

Exposure to Acids

Tooth wear can occur with regular exposure to acids such as that from vomit and certain foods and beverages. The American Dental Association reports that dental erosion and tooth wear caused by acids affects an estimated 45.9% of children and 80% of adults in the United States.

Acids from vomit, foods, and beverages can weaken tooth enamel that wears away easily when brushing teeth, chewing hard foods, or grinding teeth. Sodas, sugary drinks, coffee, tomatoes, and citrus fruits are often highly acidic. Health conditions associated with frequent vomiting such as anorexia, bulimia, and substance use disorders can also expose teeth to high amounts of acid.

Certain Teeth-Whitening Treatments

Studies have demonstrated that aggressive teeth-whitening treatments can wear away enamel and contribute to worn-down teeth. However, teeth whitening can be effective and safe for teeth when performed by an experienced dentist. If you are interested in brightening your teeth, ask your dentist about in-office whitening treatments that will not erode enamel.

What Problems Are Caused by Worn-Down Teeth?

Worn-down teeth can cause aesthetic problems and serious oral health issues that require professional dental treatment.

The following are problems commonly associated with worn-down teeth.

Yellowed Teeth

Tooth enamel is white; however, the layer of your teeth below enamel—known as dentin—is yellow. Your teeth may gradually become more yellow as the enamel on top of dentin wears away due to bruxism, abrasion, or a diet high in acidic foods.

See-Through Teeth

“Why are my teeth see-through?” is a common question many patients ask their dentists. Factors that contribute to see-through teeth are aggressive bleaching and whitening treatments, acid erosion, and celiac disease—the latter of which is associated with poor development of tooth enamel.

Tooth Sensitivity

When the enamel on your teeth is worn away, the nerve endings in dentin are exposed to every substance you put in your mouth. Worn-down teeth can make you extremely sensitive to certain foods and drinks, and may even cause pain when brushing your teeth.

Headaches and Jaw Aches

Teeth that become worn down can lead to alignment problems with your bite and jaw to cause strain, headaches, and jaw aches. You may also tend to bite harder or chew differently to compensate for problems with tooth alignment.

Gaps, Spaces and Loose Teeth

When the back teeth wear down and become shorter, the consequences to the front teeth can be devastating. It is termed, secondary occlusal trauma and it can lead to loosening of the front teeth, bone loss, gaps between the teeth and even tooth loss.

How Do I Stop My Teeth from Wearing Down?

The key to preventing your teeth from wearing down is to identify the root cause behind why they are being worn down in the first place and to manage it appropriately. For instance, if your teeth are worn down due to consuming high amounts of acidic foods and beverages, you can make changes to your diet to reduce your intake of these foods.

If you suffer from bruxism and have been grinding your teeth, solutions include wearing a mouth guard at night while you sleep, avoiding alcohol and caffeine, and practicing stress management. If you have bruxism, your dentist can give you additional tips on how to stop grinding your teeth.

What Are Treatment Options for Worn-Down Teeth?

There are several treatment approaches for worn-down teeth, including dental veneers and crowns. Certain dental products can help strengthen and repair your enamel to reduce discomfort, pain, and future dental problems. Tooth enamel cannot be naturally regenerated; however, enamel can be remineralized with specialized toothpaste and treatments but only if enamel still exists.

How can you tell whether your enamel is gone? Yellowed teeth, tooth sensitivity, and changes in tooth shape are the most common signs of worn-down enamel and teeth.

Your dentist can perform a thorough examination of your mouth and recommend the best treatments for restoring and fixing worn-down teeth. If you have bruxism, your dentist can discuss your options for teeth grinding damage repair.

Below are common dental procedures for worn-down teeth.

Dental Bonding

Dental bonding is a procedure in which a tooth-colored composite material is applied to the surface of teeth to cover worn surfaces and improve the appearance of teeth. Bonding may also reduce tooth sensitivity and address problems with bite alignment. Your dentist may recommend dental bonding if you have minor to moderate enamel erosion in isolated spots.

Porcelain Veneers

Porcelain veneers are thin layers of porcelain that are bonded to the surface of teeth to improve their colors, shapes, and sizes cosmetically. Veneers can also strengthen the surface of teeth to reduce sensitivity and make them less susceptible to damage and discoloration.

Porcelain Crowns

If you have several teeth that are severely worn, your dentist may recommend covering those teeth with porcelain crowns. A porcelain crown can cover an entire tooth to prevent cracks in enamel from spreading and protect the tooth from additional damage.

If your teeth are showing signs of enamel damage, contact Sarasota Dentistry at (941) 929-7645 to make an appointment as soon as possible. Sarasota Dentistry offers general dentistry services, cosmetic dentistry services, and dental implants for those who want to restore their smiles and improve their oral health. Our staff will perform an evaluation and recommend the best treatments for you based on your dental needs.

Sources:

International Journal of Prosthodontics

Sleep Bruxism-Tooth Grinding Prevalence, Characteristics and Familial Aggregation: A Large Cross-Sectional Survey and Polysomnographic Validation

Bruxism: MedlinePlus Medical Encyclopedia

American Dental Association: Erosive Tooth Wear

Tooth Whitening: What We Now Know

The post How to Fix Worn-Down Teeth appeared first on Sarasota Dentistry.

A dental implant via a bone graft is one of the most common solutions for filling a space caused by a missing tooth. However, one small issue can come up that can put a wrinkle in the whole procedure: whether or not you have enough bone. Many dental surgeons recommend getting a dental implant immediately after you lose a tooth (although within the next six months is also acceptable) in order to prevent bone loss. Bone loss can complicate the dental implant process, and depending on the severity of it will require a bone graft.

Table of Contents

• What Causes Dental Bone Loss?
• Option #1: Bone Graft Using your own bone
• Option #2: Bone Graft using donated bone
• Option #3: Bone graft using animal bone
• Option #4: Bone graft using synthetic bone
• Other Options
• How do I know if I have enough bone for a dental implant?

“What do I do if I don’t have enough bone for a dental implant?” is a common question for those concerned for their smiles. Luckily, several solutions are available to you that Dr. Hank Michael and Sarasota Dentistry can offer you to put your mind at ease and restore your smile. We’re going to explain the reasons for why bone loss occurs as well as present the bone grafting options that are available to you if you do not currently have enough bone for a dental implant.

What causes dental bone loss?

When you lose a tooth to gum disease, cavities, injury, or any other reason, the bone in the now-empty area will begin to erode. Your body will begin to reabsorb bone cells in a process known as resorption, which leads to bone loss only in the area with the missing tooth (the bone in the rest of your jaw will stay intact). This bone loss becomes problematic for a dental implant, as there may not be enough bone to set the implant.

With a dental implant, your body perceives that the root of a tooth is now present, and will halt the resorption process that leads to bone loss. From this, you can see that getting dental implants soon after losing a tooth is incredibly important to avoid bone loss and streamline the implant procedure.

Exploring your options for dental implants with bone loss

So, what can you do? What are the possible solutions if you have bone loss and want dental implants? As stated before, a bone graft is commonly performed prior to receiving a dental implant in cases where patients lack sufficient bone to create suitable scaffolding for the implants. Simply put, a bone graft is “adding” or “grafting” bone into the existing bone of your jaw area to create said scaffolding and, in some cases, provide bone reformation. Depending on a number of factors, including the amount of bone loss that has occurred, your personal preferences, and your unique situation, Sarasota Dentistry may employ one of four different types of bone grafts to aid in the dental implant process.

Option #1: Bone graft using your own bone

The first option available to you is a bone graft using bone from your own body, also called an autogenous bone graft or autograft. We believe autografts to be the best source of bone for a bone graft, as it is using living tissue from the same body with the cells intact. These cells are able to transform into bone-forming cells, which helps restore and heal the area. Typically, we use bone from the chin (called the “ramus”) or from the back parts of the jaw for autogenous bone grafts. These are nonessential, secondary sites that are able to provide the bone used for bone grafts that make up bone loss.

One important consideration to this first option is that an autograft requires invasive surgery. This can create a more complicated procedure, which may not be ideal. For a type of bone graft that does not require surgically removing bone from secondary sites, we present another option.

Option #2: Bone graft using donated bone

Using an allograft, which is a bone graft using donated human bone from a different source other than yourself, is another option available to you if you do not have enough bone. Allograft bone is processed in several ways. At Sarasota Dentistry, we use bone allograft that has been demineralized and freeze-dried, which has allowed the material to retain its cell-forming properties while remaining free of disease transmissions (our sources have been free of disease transmissions for over thirty years). Like autografts, allografts stimulate the cells to allow bone formation and wound healing. The key differences between the two are that an allograft does not require as much surgery and therefore the recovery time can be quicker.

Still, you may have reservations for using allograft bone for your dental implants. If you do not like the idea of using human bone that is donated and is not from your own body for your bone graft, there are a couple more options that you can consider.

Option #3: Bone graft using animal bone

Bone grafts are possible using bone from non-human sources. These are called xenografts, and they use the bone, typically from cows, to fill in gaps created from bone loss. Xenografts have several advantages and disadvantages over human-based dental bone graft options like autografts and allografts. Because the bone is from a different species, xenografts require more time to heal, and the bone formation is typically weaker than when using human bone. However, xenograft bone is able to be harvested in large amounts — there is no question whether there will be enough bone for a bone graft when using a xenograft, as might be the case with allografts and autografts.

There is one more dental bone graft option beyond autografts, allografts, and xenografts that may allow you to have enough bone for dental implants, and that is going the synthetic route.

Option #4: Bone graft using synthetic bone

Advancements in technology have changed the means that patients can receive bone graft dental implants. A number of synthetic materials have been developed that allow patients to receive dental implants using man-made bone graft matrices. These materials perform the same scaffolding function as the other bone grafts.

Oftentimes, using synthetic bone is not ideal in comparison to the other bone graft types. This is because synthetic bone is man-made, and it lacks the genetic stimulation that autografts and allografts have that allows cells to form and regenerate bone. Similar to xenografts, synthetic bone grafts have weaker structures compared to the other natural types. However, with synthetic bone grafts, there is no risk of disease transmission from natural bone sources.

Other options

The common types of dental bone grafts that we have listed above may not be for everyone. However, other options are available for patients seeking dental implants. A sinus lift, also called sinus augmentation, is one such option.

A sinus lift procedure involves increasing the height of the upper jaw, “lifting” it so that there is enough room for a bone graft to be placed in the areas containing the molars and premolars. Similar to autografts, the bone used for this process can be taken from autogenous, allogeneic, or xenograft sources.

Although dental implants using bone grafts, sinus lifts, and other procedures have been the norm for decades, we are sure to see new advancements impact the way these processes are carried out. With new implant technologies and materials being developed all of the time, it is an exciting time for the dental industry, and a fortunate time for patients.

How do I know if I have enough bone for a dental implant?

The simple answer: Visit Dr. Hank Michael at Sarasota Dentistry! It is not easy to tell if you have enough bone for a dental implant just at a glance. X-rays can reveal the severity of bone loss that has occurred after your tooth was extracted, as well as if a bone graft is necessary. Additionally, a personal consultation can explore the options available to you to determine which bone graft is right for your needs.

Dr. Hank Michael and Sarasota Dentistry offer the following types of dental implants:

● Single tooth dental implants
● Multiple teeth dental implants
● Titanium dental implants
● Zirconia dental implants
● Full arch dental implants
● Immediate dental implants
● Implant-retained removal dentures

You’ll notice that you have multiple procedures to choose from in order to fix a missing tooth. Titanium dental implants are lightweight, strong, and reliable, and have been a popular choice for decades by dentists all over the world. Titanium dental implants have a 95% success rate. Another option are Zirconia dental implants, which are a metal-free, crystal material. Although relatively new to the scene, they are proving an increasingly popular option for patients wishing to keep metal out of their mouths.

Everyone’s mouth is different, as are the reasons for needing dental implants. If gum disease or injury has created a missing tooth in your smile, dental implants are a highly successful solution to repairing what has been lost. We are proud to offer a range of options to allow patients to find a solution that meets their unique needs while providing them with a beautiful smile that lasts for decades. Call today at (941) 929-7645 to set up an appointment with Sarasota Dentistry. Get the dental implant process started and restore your smile to its bright, normal state!

The post Too Much Loss for Dental Implants? Bone Grafts may be a Solution appeared first on Sarasota Dentistry.

Comprehensive List of Foods To Eat After Dental Surgery, Implants, or Wisdom Teeth Extractions

1. 1. Applesauce
   2. Avocado
   3. Baby Food
   4. Baked Beans – mashed if necessary
   5. Black Beans – mashed if necessary
   6. Baked Apples
   7. Bananas
   8. Biscuits – flakey, soft or soaked to become soft
   9. Broccoli – steamed soft
   10. Broth
   11. Butternut Squash – cooked soft
   12. Carnation Instant Breakfast Drinks
   13. Carrots -steamed soft
   14. Casseroles
   15. Cheese
   16. Cheesecake
   17. Clams and Clam Chowder

1. 1. Cold Cereal – soaked in milk until soft
   2. Cottage Cheese
   3. Cake
   4. Canned Peas
   5. Crab Cakes
   6. Cranberry Sauce
   7. Cream
   8. Cream of wheat – maybe a little to grainy depending on the type of dental surgery.
   9. Crème Brule
   10. Cupcake

1. Custard
2. Doughnuts
3. Ensure
4. Eggs (poached, fried or scrambled)
5. Egg Nog
6. Egg Noodles
7. Egg Salad
8. Fettuccine
9. Fish
10. Frozen Yogurt
11. Fruit Juice
12. Fruit Smoothies
13. Fruit – soft or grind
14. Gravy
15. Grits – Maybe a little too grainy depending to the type of dental surgery.
16. Ground Turkey
17. Ground Beef/Pork
18. Ground Chicken
19. Guacamole
20. Humus
21. Ice cream
22. Jell-O
23. Juice vegetable
24. Kefir
25. Key Lime Pie
26. Macaroni and cheese
27. Malt-0-meal
28. Mangos
29. Mascarpone Cheese – Consider using it with soft scones (beat 1 (3 oz of cheese, 1 tsp powdered sugar, and 1 cup heavy whipping cream)
30. Mashed potatoes
31. Matzo Ball Soup
32. Meatloaf
33. Meatballs
34. Melons (Very Ripe)
35. Milk Shake – Avoid using a straw
36. Miso Soup
37. Mousse
38. Muffins
39. Oatmeal
40. pancakes
41. Pasta – cooked very soft
42. Pies
43. Polenta
44. Pot roast with vegetables – cooked to falling apart
45. Probiotics
46. Protein Powder – can be added to any liquid meal for added energy and healing
47. Pudding
48. Ramen Noodles
49. Refried Beans
50. Ricotta cheese
51. Risotto
52. Rice
53. Sandwich Meats
54. Scrambled Eggs
55. Sherbet
56. Smoothies
57. Soft bread – soak in soup
58. Souffle
59. 
60. Soup
61. Sour Cream
62. Spaghetti
63. Spinach
64. Steamed Vegetables
65. Stew
66. Sweet Potatoes
67. Tapioca Pudding
68. Tea
69. Tofu
70. Tuna Salad
71. Waffles
72. Yellow Squash
73. Yogurt

Foods To Avoid Following Dental Surgery, Implants or Wisdom Teeth Extractions

• Tomatos or tomato sauce – acidic and may burn or cause pain immediately after dental surgery
• Orange Juice – be cautious with OJ or any other acidic juices. They may cause burning or pain if ingested too soon after dental surgery.
• Seeds – anything seedy may get stuck in a surgery site and cause discomfort or get infected.
• Cracked Pepper – much like a seed this can get lodged and cause pain.
• Popcorn – the corn hulls can become lodged
• Spicy Foods – may lead to pain and discomfort
• Crunchy or Difficult to Chew Foods – these foods may interfere with the blood clotting following dental surgery
• Over-the-counter Mouth Rinse – it’s not a food but patients commonly use mouth rinses such as Listerine or Scope following a dental surgery and it significantly interferes with healing so it’s worth mentioning. Dentists will usually prescribe a safe mouth rinse, such as Chlorhexadine Gluconate (Peridex), flowing dental surgery.

Sarasota Dentistry Provides General, Cosmetic and Implant Dentistry in Sarasota, FL

Dr. Michael has been practicing dentistry and performing dental surgery and dental implants in his home town of Sarasota since 2001. Dr. Michael and his team are committed to providing patients with the very best dental care and educating them on how to preserve their smile… especially after dental surgery. If you are a patient of Sarasota Dentistry and are having any questions regarding what you should be eating after dental surgery, please call the office at 941-929-7645 or email us today.

The post 99 Foods To Eat After Dental Surgery, Implants, or Wisdom Teeth Extractions appeared first on Sarasota Dentistry.

What is an Immediate Dental Implant?

An immediate dental implant is a dental implant that is placed in the jawbone immediately after a dental tooth extraction. It is usually placed at the same visit as the dental extraction but it can be done within two weeks after the dental tooth extraction and still be considered an immediate dental implant. If a crown or dental bridge is placed on an immediate dental implant to restore the tooth, this is considered immediate loading. Immediate loading of an immediate dental implant is the most favorable option for any patient.

Table of Contents

• Benefits of an Immediate Dental Implant
  • Key Advantages
• Safety of Immediate Dental Implants
• Immediate Dental Implant Procedure
• Dentists That Perform Immediate Dental Implants

What is the Benefit of an Immediate Dental Implant?

If you have ever gone to the dentist to find out you are going to lose a tooth, it’s a heart wrenching thought, especially if it’s going to be one of your front teeth. The dentist gives you a list of options: a denture, a flipper, a partial denture, a bridge, or an Essix retainer to replace the tooth temporarily until the extraction site heals. Then he tells you, you will need to wait 3-4 months prior to placing a dental implant or a permanent bridge. And then he tells you it will be another 4 months after a dental implant placement before you can have a permanent implant crown placed on the implant. All of this time you are wearing a removable partial denture, a temporary bridge, or you have a missing tooth. Now imagine you get oral or I.V. Sedation, the tooth is removed, an immediate dental implant is carefully inserted into the extraction site and restored with a temporary crown. All in one visit!

Key Advantages to an Immediate Dental Implant:

• Fixed tooth replacement that looks as good or better than the extracted tooth
• One dental surgery and no stitches
• Helps preserve gum tissue
• No removable partial dentures or missing teeth
• No need to unnecessarily crown teeth for a bridge
• Less painful

Is an Immediate Dental Implant Safe?

Dental CT – Safely Plan Dental Implants

Absolutely! Immediate dental implants, when done properly are extremely safe. Like any other dental procedure, there are inherent risks. Fortunately, they are few and far between and easily treated if complications do arise. Proper planning with 3-D X-ray technology is critical along with an experienced dentist that has performed this procedure many times before. Proper post-operative care and diet will ensure successful healing. Patients are instructed to not bite down on the newly implanted tooth for 3-4 months. It is important to remember the implant to bone connection doesn’t get stronger by the day. It actually gets weaker for the first 6 weeks and then the connection gets stronger by the day.

What is the Procedure for an Immediate Dental Implant?

Immediate dental implants are generally necessary due to a non-restorable fracture of a tooth. In some cases, there may be infection associated with the cracked or fractured tooth. The procedure begins with an exam, 2-D and 3-D x-rays. A diagnosis is made and treatment options are discussed. An immediate dental implant is the treatment of choice.

Pre-Surgical Appointment – A pre-surgical appointment is made to review the patient’s health condition as well as review all medications. Sedation options are discussed and planned – oral vs. IV sedation. Antibiotics, pain medication, sedatives, anti-inflammatories and mouth wash are prescribed with instructions on how and when to take medications. Sedation and pain medicine are optional and most procedures won’t require pain medicine. Any pre-operative study models that are needed are taken.

Dental Implant Surgery Day – The patient is generally well sedated with either oral or IV sedation. Just like any other procedure, topical anesthetic is applied prior to local anesthesia administration (i.e. Novocaine). Additional impressions of the teeth are taken if necessary prior to the tooth extraction. The cracked, fractured or hopeless tooth is removed very carefully to minimize any damage to any surrounding bone. The extraction socket is inspected and cleaned carefully to make sure no infected tissue remains. The dental implant site is prepared and the dental implant is placed with a relatively high torque value to ensure initial implant stability. If the torque value is high enough, an immediate dental restoration (crown) may be attached to the dental implant. This is the part you just don’t know until you get there. If the torque value is low, a healing abutment is placed and Plan B is the alternative. Plan B usually means some sort of removable partial, bonded temporary or dental bridge is made to replace the tooth temporarily. Assuming the implant is stable, an abutment is placed and temporary crown is fabricated. Prior to cementing the crown, additional bone grafting may be necessary to fill the voids between the dental implant and the remainder of the extraction socket. In addition, a membrane, soft-tissue graft or platelet graft (PRGF) may be used to protect the bone graft. Finally, the temporary crown is temporarily cemented and adjusted to make sure IT IS NOT TOUCHING ANY OF THE OPPOSING TEETH when you bite and grind. Now you are on your way home to take a nice nap. Patients don’t usually remember much about this visit due to the effects of the sedation medication.

Post-Operative Check up – 2 weeks after surgery, patients return for a quick follow-up exam. They also make their appointment to have the permanent restoration fabricated in 14 more weeks. Doctors with CEREC have the ability to fabricate the permanent dental implant crown in a single visit.

Permanent Implant Crown Fabrication – Some dentists will take an impression for the crown to be fabricated at a dental lab and some will utilize CEREC “single visit crown”. It may be necessary to fabricate a custom abutment which could add another visit to both a dental lab crown or a CEREC crown. Either way, you are looking at a max of 5 months vs. 9 months if an immediate dental implant isn’t placed at the time of extraction.

What Kind of Dentist does Immediate Dental Implants?

General dentists, oral surgeons, and periodontists are generally the dentists that place dental implants. However, general dentists and prosthodontists are the only ones that restore dental implants. There are a handful of general dentists and prosthodontists that both place and restore dental implants – these are the ones you want to look for when you want to take advantage of an immediately restored immediate dental implant. These guys can remove the tooth and replace it with a dental implant, abutment and crown in a couple of hours. You don’t even realize you lost a tooth. It looks exactly like your natural tooth or better, and it doesn’t hurt.

by Hank D. Michael, DMD at Sarasota Dentistry | General, Cosmetic, and Implant Dentistry

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At Sarasota Dentistry, we consider this a true dental emergency and encourage our patients to come in right away so that we can fix the sharp tooth. Calling your dentist for an appointment right away is the best option. But, if you are away or you can not reach the dentist’s office, there are some at-home remedies to get you out of pain until you can visit your dentist. First, let’s look at how a dentist may fix a sharp broken tooth:

In-Office remedies for a chipped or broken tooth causing pain to your tongue

• Smooth the sharp area with a dental bur and polish
• Repair the cracked filling, crown, or tooth with tooth colored bonding
• Repair the cracked filling, crown, or tooth with a new dental crown or onlay
• Place a temporary sedative filling to provide comfort until you can return to have permanent work done
• A severely cracked or broken tooth could require removal of the tooth and placement of a dental implant or dental bridge

Now that we know how dentists fix broken teeth, what can you do to fix a broken tooth at home? It’s a great question. Here are some of Sarasota Dentistry’s best tips for how to fix a cracked tooth at home while waiting to get to the dentist:

At-Home remedies for a sharp broken or chipped tooth cutting your tongue

• Try to see your dentist first: don’t put a Dremel tool in your mouth! Note that anything you put in your mouth could be swallowed or aspirated (inhaled) so be careful!
• Go to your local drug store and ask for temporary filling material. One brand is Dentemp dental filling and cap repair material. Mix as directed and apply to chipped area forming a smooth surface to your tongue. The drug store also sells a temporary crown material if you loose or chip a large portion of your crown or filling. This comes in handy if it is a front tooth – chipped, broken, or missing front teeth can be very embarrassing!
• Wax is another temporary solution. If you ever had braces, you have used orthodontic wax around sharp wires and brackets. This was may be available at your local drugstore.
• Anything that sticks to the tooth could be a temporary solution. Chewing gum placed over the fractured area has worked well as a temporary solution for many patients.
• Some have also tried to file or smooth their tooth. This is a risky proposition and not recommended. Definitely not a good idea if you feel any pain. A nail file is usually the instrument of choice. Diamond coated abrasive surface may work most efficiently. Don’t bother with an Emery board. Tooth enamel is very hard and requires either a sharp carbide blade or diamond surface to cut and smooth.
• Limit the amount of talking and chewing until the broken tooth is patched or repaired in order to minimize the long-term pain.
• Pain pills and numbing gel will only mask the pain and allow the soft tissue ulceration to worsen.

Visit Sarasota Dentistry to fix your sharp, chipped, or broken tooth.

Call the dental offices of Sarasota Dentistry to schedule an appointment with Dr. Hank Michael at (941) 929-7645 or e-mail us today!

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