Posts for: November, 2019
If you've thought the ads for a “new tooth in one day” seemed too good to be true, we have…sort of good news. You can get a new “tooth” in one visit, but only if your dental situation allows it.
The restoration in question is a dental implant, a metal post (usually titanium) surgically imbedded into the jawbone. They're especially durable because bone cells naturally grow and adhere to an implant's titanium surface, a process called osseointegration. Over time this process creates a strong bond between implant and bone.
Usually, we allow a few weeks for the implant to fully integrate with the bone before attaching the visible crown. With “tooth in one day,” though, we attach a crown at the same time as we install the implant, albeit a temporary crown. It's more aesthetic than functional, designed to avoid biting forces that could damage the implant while it integrates with the bone. When that process finishes, we'll install a permanent porcelain crown.
The health of your supporting bone and other structures will largely determine whether or not you're a candidate for this “tooth in one day” procedure. Your bone must be sufficiently healthy, as well as the gums surrounding the implant and the tooth's bony socket.
If, on the other hand, you have significant bone loss, gum recession or socket damage, we may first need to deal with these, usually by grafting tissue to the affected areas to stimulate new growth. Your implant, much less a temporary crown, will likely have to wait until the affected tissues have healed.
The bone can also be healthy enough for implant placement, but might still need time to integrate with the implant before attaching any crown. Instead, we would suture the gums over the implant to protect it, then expose and attach a permanent crown to the implant a few weeks later.
Obtaining even a temporary crown the same day as your implant can do wonders for your appearance. A more important goal, though, is a new tooth that you can enjoy for many, many years. To achieve that may mean waiting a little longer for your new beautiful smile.
If you would like more information on restoring missing teeth with dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Implant Timelines for Replacing Missing Teeth.”
Currently, one-third of Americans are either diabetic or have prediabetic symptoms. Caused by an imbalance in blood sugar levels, diabetes can complicate and increase the risk for other inflammatory conditions like heart disease and that includes another disease typified by inflammation: periodontal (gum) disease.
Each November, dentists join other healthcare professionals in commemorating American Diabetes Month. Besides making people aware of the widespread impact of diabetes, it's also a chance to highlight ways to manage the disease and promote better health for your body overall, including your gums.
If you have diabetes (or your doctor is concerned you may develop it), here's what you should know to keep it from harming your gum health.
Keep your diabetes under control. The adverse effects of diabetes on the body, including the gums, can be minimized through medication, good dietary habits and exercise. Because of its chronic nature, though, managing diabetes should become a permanent part of your daily life. But it's essential to keep symptoms under control to protect your gums from infection.
Practice daily oral hygiene. Gum disease can occur with anyone, not just those with diabetes. A few days without proper oral hygiene to remove bacterial plaque is all it takes to trigger an infection. So be sure you're brushing and flossing each day, as well as having routine professional dental cleanings at least every six months.
See us at the first sign of gum problems. If you notice your gums are reddened, swollen or bleeding after brushing and flossing, see us as soon as possible. If it is gum disease, the sooner we begin treatment, the less likely the infection will cause extensive damage—including tooth loss. It's also possible to have gum disease but not have any symptoms initially. That's why it's important to see us on a regular basis to check your gum health.
Keep your healthcare providers informed. Some studies seem to indicate that if you have both diabetes and gum disease, treating one condition could help improve symptoms with the other. Be sure both the dentist treating your gum disease and the physician managing your diabetes know about the other condition. It may be possible to adjust and coordinate treatment to get the most benefit for both.
Living with diabetes is a challenge, especially if you're also dealing with gum disease. Keeping your diabetes under control and caring for your teeth and gums can help make that challenge easier.
If you would like more information about protecting your dental health while managing diabetes, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Diabetes and Periodontal Disease” and “Gum Disease and Systemic Health.”