Historically speaking, implants are a recent blip on the centuries-long march of dental progress. But few innovations in dentistry can match the impact of implants in its short history on dental function and appearance.
Dental implant therapy has already established itself as a restoration game-changer. But it also continues to improve, thanks to a number of emerging technologies. As a result, implant restorations are far more secure and life-like than ever before.
Here are 3 examples of state-of-the-art technologies that continue to improve this premier dental restoration.
CT/CBCT scanning. Functional and attractive implants depend on precise placement. But various anatomical structures like nerves or sinuses often interfere with placement, so it's important to locate these potential obstructions during the planning phase. To do so, we're increasingly turning to computed tomography (CT). This form of x-ray diagnostics is the assembly of hundreds of images of a jaw location into a three-dimensional model. This gives us a much better view of what lies beneath the gums.
Digital-enhanced planning. Implant success also depends on careful planning. And, it isn't a one-sided affair: The patient's input is just as important as the dentist's expertise. To aid in that process, many dentists are using digital technology to produce a virtual image of a patient's current dental state and what their teeth may look like after dental implants. This type of imaging also allows consideration of a variety of options, including different sized implants and positions, before finalizing the final surgical plan.
Custom surgical guides. To transfer the final plan details to the actual implant procedure, we often create a physical surgical guide placed in the mouth that marks the precise locations for drilling. We can now produce these guides with 3-D printing, a process that uses computer software to produce or "print" a physical object. In this case, the 3-D printer creates a more accurate surgical guide based on the exact contours of a patient's dental arch that's more precise than conventional guides.
Obtaining a dental implant is a highly refined process. And, with the aid of other advances in dental technology, it continues to provide increasing value to patients.
If you would like more information on restoring 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 “How Technology Aids Dental Implant Therapy.”
Dental accidents do happen, especially among active tweens and teens. When it does, saving traumatized teeth becomes priority one. It's especially important for these younger age groups whose developing dental structures depend on having a jaw-full of permanent teeth.
But because their permanent teeth are still developing, it's often more difficult to treat them than fully grown teeth. That's because the standard treatment—root canal therapy—isn't advisable for an immature tooth.
During a root canal, a dentist removes the diseased or traumatized tissues inside the pulp and root canals, and subsequently fills the empty spaces to prevent further infection. It's safe to do this, even though we remove much of the pulp's nerve and blood vessel tissue in the process, because these tissues aren't as critical to a fully matured tooth.
But these tissues within the pulp are quite important to a tooth still under development—they help the tooth form strong roots and a normal layer of dentin. Their absence could stunt further growth and lead to future problems with the tooth.
For that and other reasons, we avoid a traditional root canal therapy in immature teeth as much as possible, opting instead for techniques that leave the pulp as intact as possible. The approach we use depends on the condition of the pulp after an injury.
For injuries where the pulp remains unexposed and undamaged within the dentin layer, we might remove as much of the damaged tooth structure as possible, while leaving a small portion of dentin around the pulp. We would then apply an antibacterial agent to this remaining dentin to protect the pulp from infection, and fill the tooth.
If an injury exposes the pulp and partially damages it, we might fully remove any damaged tissues and apply a material to the exposed pulp to stimulate new dentin growth. If successful, the dentin around the pulp will regenerate to restore protective coverage.
The methods we use will depend on the degree of damage to the tooth and pulp tissues, a traditional root canal serving as a last resort. Our aim is to not only save the tooth now, but also give it the best chance for long-term survival.
If you would like more information on dental injury care for children, 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 “Saving New Permanent Teeth After Injury.”
One of the easiest ways to upgrade your smile is to have your teeth whitened. In just one dental visit, whitening could transform your teeth from dull and dingy to bright and gleaming. And with a little care and occasional touch-ups, your new and improved smile could last for years.
But perhaps you're not one to rush into things—particularly when it may affect your health—and you'd first like to know more about this popular dental procedure. Here, then, are answers to a few frequently asked questions about teeth whitening to help you decide if it's right for you.
Is it safe? Although whitening solutions use a bleaching agent like hydrogen peroxide, it's only a small percentage of the total mixture. As long as you use the solution as directed by the manufacturer, whitening your teeth won't pose any harm to your teeth.
Do I need a dentist? There are several effective bleaching products available for whitening your teeth at home. But because it's usually a stronger solution used by a professional, whitening may not take as long to realize results, and the effect may last longer. A professional whitening might also help you achieve your desired level of whiteness better than a home kit.
Are there side effects? Your teeth may become sensitive right after whitening, especially if you already have sensitive teeth. To reduce this possibility, you might begin brushing with a desensitizing toothpaste a couple of weeks prior to your whitening session, as well as reduce your frequency of subsequent whitening procedures.
Any reason to avoid whitening? If your teeth are short or you have a gummy smile, whiter teeth may not be as attractive. You may also have internal discoloration, something teeth whitening can't change. And if you have dental work, you may wind up with natural teeth that are brighter than an adjacent veneer or crown. Your dentist can better advise you after a thorough dental exam.
To get the answer to other questions you may have, or to find out if whitening is right for you, consult with your dentist. If you are a good candidate, though, teeth whitening could very well change your smile—and your life.
If you would like more information on teeth whitening, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Important Teeth Whitening Questions…Answered!”
It's been a rough year for all of us, but especially for Simon Cowell. The famous entrepreneur and brutally honest talent judge on American Idol and America's Got Talent underwent emergency back surgery in August after an accident on a new electric bike. But the good news is he's well on his way to recovery—and well enough in October to undergo another, less-stressful, procedure: a smile makeover with dental veneers.
This latest trip to the dentist wasn't Cowell's first experience with the popular restoration, wanting this time to update his smile to more closely resemble what he had when he was younger. He even brought along some older photos for reference.
Veneers aren't exclusive to celebrities like Simon Cowell, as thousands of people who get them every year can attest. These thin wafers of porcelain bonded to teeth can mask a wide range of defects, from chips, wear or discoloration to slight tooth gaps or misalignments. And every veneer is custom-made to match an individual patient's dental dimensions and coloring.
If you're thinking about a smile upgrade, here are a few reasons to consider dental veneers.
More bang for your buck. Compared to other transformative cosmetic options, veneers are relatively affordable, with the cost dependent largely on the extent of your dental needs. Still, dental veneers are an investment that can give long-lasting yields of a more attractive smile and even a completely new look.
Little to no tooth alteration. In most veneer cases, we need only remove a small amount of enamel so the veneers don't appear bulky (the alteration is permanent, though, so you'll need a veneer on the tooth from then on). It's also possible to get “no-prep” veneers requiring little to no alteration.
Durable and long-lasting. Continuing improvements in porcelain and other dental ceramics have led to stronger forms that can better withstand the biting forces your teeth encounter every day. Although you'll still need to be careful biting into hard items, your veneers can last for several years.
Easy to maintain. Veneer cleaning and maintenance is much the same as with natural teeth—daily brushing and flossing, and regular dental cleanings and checkups. Outside of that, you'll need to watch what you chomp down on: Veneers are strong, but not indestructible, and they can break.
As Simon Cowell knows, getting veneers isn't difficult. It starts with an initial visit so we can evaluate your dental health and needs. From there, we can present options on how to update your smile.
If you would like more information about dental veneers, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers” and “No-Prep Porcelain Veneers.”
If you're of a certain age, there's a good chance you've had your third molars—wisdom teeth—removed. At one time, extracting these particular teeth was a common practice, even if they hadn't shown any signs or symptoms of disease or dysfunction. But now, if you have a son or daughter coming of age, your dentist may recommend leaving theirs right where they are.
So, what's changed?
Wisdom teeth have longed been viewed as problematic. As the last of the permanent teeth, they often erupt on a jaw already crowded with other teeth. This can cause them to come in out of position—or not at all, remaining partially or totally submerged (impacted) beneath the gums.
Misaligned teeth are more difficult to keep clean of bacterial plaque, which in turn raises the risk of tooth decay or gum disease. Impacted teeth can put pressure on the roots of neighboring teeth, which further increases the risk for disease or bite problems.
To avoid these common problems associated with wisdom teeth, dentists often remove them as a preemptive measure. Given their size and possible root complexity, this is no small matter: Removing them usually requires oral surgery, making wisdom teeth extraction one of the top oral surgical procedures performed each year.
Today, however, many dentists are taking a more nuanced approach to wisdom teeth. While they still recommend removal for those displaying signs of disease or other problems, they may advise leaving them in place if the teeth are healthy, not interfering with their neighbors, and not affecting bite development.
That's not necessarily a final decision, especially with younger patients. The dentist will continue to monitor the wisdom teeth for any emerging disease or problems, and may put extraction back on the table if the situation merits it.
The key is to consider each patient and their dental needs regarding wisdom teeth on an individual basis. If warranted, removing the wisdom teeth may still be warranted if will help prevent disease, keep bite development on track and optimize oral health overall.
If you would like more information on wisdom 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 “Wisdom Teeth: Coming of Age May Come With a Dilemma.”
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