Posts for: December, 2013
Did you ever think a dentist might suggest that you have a bone graft performed as part of a standard tooth replacement procedure? Believe it or not, it's now a routine treatment — and it's not as complicated as you may think. Welcome to 21st Century dentistry!
If you're thinking about getting a tooth implant — an attractive, strong and long-lasting option for tooth replacement — here are four things you should know about bone grafting.
A bone graft may be needed prior to placing a dental implant.
One major reason why dental implants work so well as replacements for natural teeth is that they actually become fused to the underlying bone. This system offers superior durability, and a host of other advantages. Unfortunately, when a tooth is lost, the surrounding bone often begins to disappear (resorb) as well. In that case, it may be necessary to rebuild some of the bone structure before an implant can be placed effectively.
Bone regeneration for tooth implants is a routine procedure.
When it's needed, bone grafting has become a standard practice in periodontal and oral surgery. It is often performed prior to (or, occasionally, at the same time as) placing a dental implant. The grafting procedure itself can be done in the office, using local anesthesia (numbing shots, like those used for a filling) or conscious sedation (“twilight sleep”) to relieve anxiety.
The process may use a variety of high-tech materials.
The small amount of bone grafting material you need may come from a variety of sources, including human, animal or synthetic materials. Before it is used, all grafting material is processed to make it completely safe. In addition to the grafting material itself, special “guided bone regeneration” membranes and other biologically active substances may be used to promote and enhance healing.
Bone regeneration lets your body rebuild itself.
Your body uses most bone grafting materials as a scaffold or frame, over which it is able to grow its own new bone tissue. In time, the natural process of bone regeneration replaces the graft material with new bone. As we now know, maintaining sufficient bone tissue around the teeth is a crucial part of keeping up your oral health. That's why today when a tooth is going to be extracted (removed), often a bone graft will be placed at the time of extraction to preserve as much bone as possible.
Are you considering dental implants for tooth replacement, and wondering whether you may need bone grafting? Come in and talk to us! With our up-to-date training and clinical experience, we can answer your questions, and present the treatment options that are best in your individual situation.
If you would like more information about bone grafting, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine article “Can Dentists Rebuild Bone?”
Maria Menounos, an independent filmmaker, actress, and co-host of daily entertainment news program Extra, learned at an early age about the importance of maintaining good general and dental health when her father, Constantinos, a Greek immigrant, was diagnosed with type 1 diabetes. As a result, her parents made sure the family consumed a diet filled with fresh fruits and vegetables, many of which they produced themselves. Maria and her family also consumed little-to-no junk food.
Menounos is still committed to helping those with diabetes. In fact, because she saw first hand the power of communication in the lives of diabetes patients and their families, Menounos is an avid ambassador for the American Diabetes Association.
Maria's experience with diabetes is one that she shares with millions of people worldwide. And if you or someone you care about is suffering from this disease, it's important to be aware of the connection between diabetes and oral health. Recent research has shown a link between two chronic inflammatory conditions: periodontal (gum) disease and diabetes. Evidence consistently reveals that diabetes is a risk factor for increased severity of periodontal disease and conversely, periodontitis is a risk factor for worsening blood glucose control in patients with diabetes and may also increase the risk of diabetic complications. Periodontal inflammation is also associated with an elevated systemic (general body) inflammatory state and an increased risk of major cardiovascular (“cardio” – heart; “vascular” – blood vessel) events such as heart attack, stroke, adverse pregnancy outcomes (e.g., low birth weight and preterm births) and altered blood sugar control in people with diabetes.
If you are interested in learning more about periodontal disease, you can continue reading the Dear Doctor magazine article “Diabetes & Periodontal Disease.” Or, if you are diabetic and fear you may have periodontal disease, you can contact us today to schedule an appointment so that we can conduct a thorough examination. During this private consultation, we will also discuss any questions you have as well as what treatment options will be best for you. And to read the entire interview with Maria, please see the Dear Doctor magazine article “Maria Menounos.”
If you have lost your natural teeth, you may already have heard that dental implants are the best option for tooth replacement. Unlike removable dentures or bridgework, implants actually fuse to your jawbone — providing lifetime support for a full set of great-looking replacement teeth. But you may not know that for many people without teeth, it’s possible to receive an entire set of new implant teeth in just one surgical appointment!
Here are the steps:
Initial Consultation — We will assess your existing condition with the help of x-ray imaging. CT scans allow us to see the jawbone in three dimensions, which is particularly helpful for planning implant treatment. These scans provide critical information about anatomical structures such as bone, sinuses and nerves, and help us determine the ideal location for the implants as we design your new smile.
Implant Surgery — The surgery to place implants is actually minor and routine. If you need to have any failing teeth removed, we will do that first. Depending on the quality of your tooth-supporting bone, you may need as few as four or, at most, eight implants in each jaw (upper and lower) to replace all of your teeth.
Temporary Teeth — If the bone in your jaw is healthy and strong enough, we can immediately attach temporary acrylic replacement teeth to the implants so that you can leave the office with teeth the same day as your implant surgery! Once you have fully healed, we will replace your temporary teeth with permanent ones.
Healing — During the first 6-8 weeks after surgery, you”ll need to go easy on the new teeth, avoiding chewy or tough foods so that the implants remain stationary as they complete the process of fusing to your jawbone. People generally have little postoperative discomfort after surgery and begin functioning with their new temporary teeth almost immediately.
A Revitalized Smile — When we are satisfied that your implants have successfully fused to the jawbone, we will remove your temporary teeth and replace them with your permanent ones. These are generally made of stronger, more durable materials and fit the healed gum tissues more precisely. They should feel just like your own teeth. In fact, neither you nor anyone else should be able to tell that they are replacement teeth!
If you would like to learn more about replacing all of your missing teeth with dental implants, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “New Teeth in One Day.”