Posts for: June, 2019
With a 95-plus percent survival rate after ten years, dental implants are one of the most durable replacement restorations available. Implants can potentially last much longer than less expensive options, which could make them a less costly choice in the long run.
But although a rare occurrence, implants can and do fail—often in the first few months. And tobacco smokers in particular make up a sizeable portion of these failures.
The reasons stem from smoking’s effect on oral health. Inhaled smoke can actually burn the outer skin layers in the mouth and eventually damage the salivary glands, which can decrease saliva production. Among its functions, saliva provides enzymes to fight disease; it also protects tooth enamel from damaging acid attacks. A chronic “dry mouth,” on the other hand, increases the risk of disease.
The chemical nicotine in tobacco also causes problems because it constricts blood vessels in the mouth and skin. The resulting reduced blood flow inhibits the delivery of antibodies to diseased or wounded areas, and so dramatically slows the healing process. As a result, smokers can take longer than non-smokers to recover from diseases like tooth decay or periodontal (gum) disease, or heal after surgery.
Both the higher disease risk and slower healing can impact an implant’s ultimate success. Implant durability depends on the gradual integration between bone and the implant’s titanium metal post that naturally occurs after placement. But this crucial process can be stymied if an infection resistant to healing arises—a primary reason why smokers experience twice the number of implant failures as non-smokers.
So, what should you do if you’re a smoker and wish to consider implants?
First, for both your general and oral health, try to quit smoking before you undergo implant surgery. At the very least, stop smoking a week before implant surgery and for two weeks after to lower your infection risk. And you can further reduce your chances for failure by practicing diligent daily brushing and flossing and seeing your dentist regularly for cleanings and checkups.
It’s possible to have a successful experience with implants even if you do smoke. But kicking the habit will definitely improve your odds.
If you would like more information on 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 “Dental Implants & Smoking.”
Since as many as 26 percent of older U.S. adults have lost all their teeth, there are a large number Americans who wear full removable dentures, also known as false teeth. You may be one of them.
How much do you know about dentures? See if you can answer the following questions connected with lost teeth and dentures.
- Which word refers to the loss of all permanent teeth?
- What is the name given to the bone that surrounds, supports, and connects to your teeth?
- What tissue attaches the teeth to the bone that supports your teeth?
- Periodontal Ligament
- Periodontal Muscle
- Parietal Ligament
- Achilles Tendon
- When a person loses teeth, the stimulus that keeps the underlying bone healthy is also lost, and the bone resorbs or melts away. Pressure transmitted by dentures through the gums to the bone can accentuate this process, which is called
- None of the above
- A device that replaces a missing body part such as an arm or leg, eye, tooth or teeth is referred to as
- When teeth have to be extracted, bone loss can be minimized by bone grafting. Bone grafting materials are usually a sterile powdered form of
- Allograft (human tissue)
- Xenograft (animal tissue)
- Wearers of full dentures must re-learn to manipulate the jaw joints, ligaments, nerves, and muscles to work differently in order to speak, bite, and chew. The name for this system of interconnected body mechanisms, originating with the root words for “mouth” and “jaw,” is
- Boca biting
- None of the above
- A type of plastic that is artistically formed and colored to make prosthetic teeth and gums look natural is called
- methyl methacrylate
- beta barbital
- Success in denture wearing depends on
- The skill of the dentist
- The talent of the laboratory technician
- The willing collaboration of the patient
- All of the above
Answers: 1c, 2d, 3a, 4b, 5d, 6c, 7b, 8a, 9d. How well did you do? If you have additional questions about full removable dentures, don’t hesitate to ask us.
Fluoride is a critical weapon in the war against tooth decay. But this natural chemical proven to strengthen tooth enamel has also aroused suspicion over the years that it might cause health problems.
These suspicions have led to rigorous testing of fluoride's safety. And the verdict from decades of research? We've found only one verifiable side effect, a condition called enamel fluorosis. Caused by too much fluoride present in the body, enamel fluorosis produces white streaks and patches on teeth, and can develop into darker staining and pitting in extreme cases. But other than having an unattractive appearance, the teeth remain sound and healthy.
Fortunately, you can reduce the risk of fluorosis by limiting fluoride exposure to within recommended limits. Fluoride can show up in processed foods and other substances, but the two sources you should focus on most are oral hygiene products and fluoridated drinking water.
Dentists highly recommend using toothpaste with fluoride to fight tooth decay. But be careful how much your family uses, especially younger members. An infant only needs a slight smear of toothpaste on their brush for effective hygiene. At around age 2, you can increase the amount to about the size of a vegetable pea.
As to drinking water, most utilities add fluoride to their supply. If yours does, you can find out how much they add by calling them or visiting cdc.gov ("My Water's Fluoride"), where you can also learn more about recommended levels of fluoridation. If you think it's excessive, you can switch to water labeled "de-ionized," "purified," "demineralized," or "distilled," which contain little to no added fluoride.
Even if your fluoridated water is within recommended levels, you may wish to take extra precautions for infants nursing with formula. If possible, use "ready-to-feed" formula, which usually contains very low amounts of fluoride if any. If you're using the powdered form, use only water with the aforementioned labeling for mixing.
Before making any drastic changes that might affect your family's fluoride intake, consult with your dentist first. And be sure you're keeping up regular dental visits—your dentist may be able to detect any early signs of fluorosis before it becomes a bigger problem.
If you would like more information on maintaining the proper fluoride balance with your family, 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 “Tooth Development and Infant Formula.”