Posts for: February, 2019
You've seen the ads for obtaining a new tooth in one day with a dental implant. Those aren't exaggerated claims — you can leave the dental office the same day with a new tooth that looks and functions like the old one.
But the dramatic marketing aside, there is a bit more to the story. Same day tooth replacement isn't appropriate in every situation. And even when it is, there are risks for failure.
We can minimize those risks, however, by focusing on certain goals during the three distinct phases in the process: removing the natural tooth; placing the metal implant into the jawbone; and affixing the visible, crown.
It's crucial during tooth extraction that we avoid damaging the socket bone that will ultimately support the implant's titanium post. If the socket walls break down it could set up future gum recession or cause us to abort the implant procedure altogether that day.
When placing the implant, we want to focus on achieving a strong hold. Due to its special affinity with titanium, bone cells gradually grow and adhere to the post to firmly anchor the implant in time. But since we're immediately loading a crown rather than allowing the bone to fully integrate first, we need to ensure the implant has a secure hold from the get-go. We can only achieve this with precise placement based on careful examination and planning, as well as adequate bone.
Even so, the implant still needs to integrate with the bone for a lasting hold, and that takes time. Even with normal biting forces the implant risks damage during this integration period. That's why we place a temporary crown a little shorter than the surrounding teeth. Those adjacent teeth will take the brunt of the biting force and not the implant.
Once the bone has fully integrated, we'll replace the temporary crown with a permanent one the proper height proportional to the other teeth. Even with the temporary crown, though, you'll still have a life-like tooth the day we removed the older one.
The key to success is planning — first determining if you meet the criteria for a same-day implant and then mapping out and carefully executing each succeeding step. Doing this will ensure your same-day implant is a success from day one.
If you would like more information on same-day tooth replacement, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Same-Day Tooth Replacement with Dental Implants.”
Suffering from gum disease? If you have gum disease, your gum tissue may not respond to good oral hygiene and nonsurgical treatments. In that case, your dentist may recommend laser gum surgery. Laser surgery is a breakthrough in the treatment of gum disease. Dental Implant and Laser Surgical Specialists, which is located in Tustin, CA, and serving the Orange, Tustin, Santa Ana, and Irvine, CA, area, offers treatments for gum disease. Dr. Ramyar Elyassian is one of the finest dentists in Tustin, CA, serving the Orange, Tustin, Santa Ana, and Irvine, CA, area.
The Risks of Gum Disease
Periodontal disease, also called gum disease, is a serious gum infection. Untreated gum disease can destroy your gums, erode your jawbone, and lead to loss of teeth. Gum disease disease is also linked to many health problems such as diabetes, heart disease, heart attacks, stroke, and premature births. Gum disease has even been linked with dementia. Periodontal disease treatment can improve your health and lower these risks.
How Laser Surgery Works
Laser surgery removes diseased gum tissue through the use of laser light. After administering local anesthesia, a dentist places a fiber optic strand between the gum and tooth. Pulses of laser light destroys bacteria and sterilize the site. A second periodontal probe removes plaque buildup on the tooth through the use of high frequency vibrations. Lastly, the dentist makes a final pass with the fiber optic strand, causing a small blood clot to form. The blood clot will promote reattachment of the tooth and gum during the healing process.
Benefits of the Procedure
Laser surgery offers better clinical results while reducing the need for more invasive therapies. Laser surgery doesn’t cut into your gums like traditional gum surgery. Lasers eliminate the need for dental drills. This reduces the pressure and discomfort that patients feel. With minimal discomfort, you will feel more relaxed and less anxious during treatment. The procedure is safe for all patients, including those with chronic diseases.
Life After the Procedure
After the procedure, your dentist will give you a set of instructions for self care. You will only be allowed to eat certain foods and have to follow certain oral hygiene instructions. Follow-up visits to check for complications usually occur after one week, one month and three months after the procedure. The level of success can only be determined about a healing period between 9 and 12 months.
Say goodbye to gum disease for good! Call Dental Implant and Laser Surgical Specialists at (714) 730-3746 today to schedule an appointment in our office in Tustin, CA, and serving the Orange, Tustin, Santa Ana, and Irvine, CA, areas. We will help you heal your gum disease once and for all. You will experience exemplary service and state-of-the-art care at Dental Implant and Laser Surgical Specialists!
If you're over 30 your chances for developing periodontal (gum) disease are better than half. And it's not a minor matter—untreated gum disease can lead not only to tooth loss, but to an increased risk of cardiovascular disease and other inflammatory conditions.
Fortunately, we have effective ways to treat gum disease, even in advanced stages. But the best approach by far in avoiding a devastating outcome for your teeth is to prevent gum disease from developing in the first place.
It helps first to know how gum disease begins. The most common cause is dental plaque, a thin biofilm of food particles on tooth surfaces that harbors the bacteria that triggers the disease. If you keep your teeth clean of built-up plaque and tartar (calcified plaque) with daily brushing and flossing and regular dental cleanings, you'll minimize the growth of disease-causing bacteria.
If you don't practice effective oral hygiene, however, within a few days you could develop an initial infection called gingivitis. This form affects the outermost layers of the gums and triggers a defensive response from the body known as inflammation. Ordinarily, inflammation helps protect surrounding tissues from infection spread, but it can damage your gums if it becomes chronic. Your weakened gums may begin to detach from the teeth, forming voids filled with inflammation known as periodontal pockets. Eventually, the infection can spread to the supporting bone and lead to tooth loss.
In addition to a dedicated oral hygiene and dental care program, you should also be on the lookout for early signs of gingivitis. Infected gums can become red, swollen and tender to the touch. You may notice they bleed easily while brushing and flossing, or a foul taste or breath that won't go away even after brushing. And if some of your teeth feel loose or don't seem to bite together as they used to, this is a sign of advanced gum disease that deserves your dentist's immediate attention.
Practicing preventive hygiene is the best way to stop gum disease before it starts. But if gum disease does happen, catching it early can be a game-changer, both for your teeth and your smile.
If you would like more information on preventing and treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “How Gum Disease Gets Started.”
If you've noticed one of your teeth feeling loose, you're right to believe it's not a good thing. Loose permanent teeth are a sign of an underlying problem.
Periodontal (gum) disease is usually the culprit. Caused by bacterial plaque, a thin film of food particles, gum disease causes the tissues that support teeth to weaken and detach. While a tooth can become loose from too much biting force (primary occlusal trauma), it's more likely bone loss from gum disease has caused so much damage that even the forces from normal biting can trigger looseness.
A loose tooth must be treated or you may lose it altogether. If it's from gum disease, your treatment will have two phases.
In the first phase we need to stop the gum infection by removing plaque and calculus (hardened plaque deposits). Hand instruments known as scalers or ultrasonic equipment are usually sufficient for removing plaque and calculus around or just below the gum line. If the plaque extends deeper near or around the roots, we may need to consider surgical techniques to access these deeper deposits.
Once the infection is under control and the tissues have healed, we can then undertake the second phase: reducing biting forces by breaking clenching and grinding habits, doing a bite adjustment for advanced problems and securing loose teeth with splinting.
Although there are different types of splinting — both temporary and permanent — they all link loose teeth to adjacent secure teeth much like pickets in a fence. One way is to bond dental material to the outer enamel of all the teeth involved; a more permanent technique is to cut a small channel extending across all the teeth and bond a rigid metal splint within it.
To reduce biting forces on loose teeth, we might recommend wearing a bite guard to keep the teeth from generating excessive biting forces with each other. We may also recommend orthodontics to create a better bite or reshape the teeth's biting surfaces by grinding away small selected portions of tooth material so they generate less force.
Using the right combination of methods we can repair loose teeth and make them more secure. But time is of the essence: the sooner we begin treatment for a loose tooth, the better the outcome.
If you would like more information on treating loose teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treatment for Loose Teeth.”