What’s involved in getting a dental implant?

Dental implants are increasingly popular as a way to replace missing or damaged teeth.

Their great advantage is that they look natural and feel secure helping you to restore your smile and eat more easily.

Implants are an ideal solution for many people but they are not an option for everyone.

Placing implants requires some surgery so patients must be in good health, have healthy gums and have adequate bone to support the implant.

They must also be committed to taking action to maintain their oral hygiene and to visiting the dentist regularly.

The process for placing implants is as follows:

First, surgery is performed to place the anchor. This can take up to several hours. Following the surgery, you may need to wait up to six months for the bone to grow around the anchor and firmly hold it in place. Sometimes follow up surgery is required to attach a post to connect the anchor to the replacement teeth. Alternatively, the anchor and post may already be attached and are placed at the same time.

After the gums have had several weeks to heal, the next step is to fit specially-made artificial teeth to the post portion of the anchor. This can take a few weeks to complete as several fittings may be required.

Implant surgery can be done either in a dental office or in a hospital, depending upon a number of factors. A local or general anesthetic may be used. Usually pain medications and, when necessary, antibiotics are prescribed.

After your implants are fitted, your dentist will give you tips and advice on maintaining your oral hygiene.

Your dentist can help you decide whether you would be a good candidate for implants.

How removable partial dentures can help you

Removable partial dentures usually involve replacement teeth attached to plastic bases, connected by metal framework.

They attach to your natural teeth with metal clasps or precision attachments’. Precision attachments generally look better than metal clasps and are nearly invisible.

Crowns may be required on your natural teeth to improve the fit of a removable partial denture.

When you first get a partial denture, it may feel awkward or bulky. But you will gradually get used to wearing it.

It will also take a bit of practice to get used to inserting and removing the denture. It should fit into place easily and you should never force it.

Your dentist may suggest that you wear your partial denture all the time at first. While it will be uncomfortable for a while, it will help you identify if any parts of the denture need adjustment.

After making adjustments, your dentist will probably recommend that you take the denture out of your mouth before going to bed and replace it in the morning.

With a denture, eating should become a more pleasant experience compared to having missing teeth.

But, initially, you’ll need to eat soft foods cut into small pieces. And avoid foods that are extremely sticky or hard.

Some people with missing teeth find it hard to speak clearly so wearing a partial denture may help. However, you’ll probably need to practice certain words at first to get completely comfortable.

While it can take a little geting used to initially, a partial denture can help you enjoy your food with less worries.

What to do if you have problems with your dentist

Choosing the right dentist for your needs is an important part of giving yourself the best oral health possible.

Sometimes you may find that things are not working out for the best and it’s important to take steps to resolve any problems rather than just put off your dental care.

First, talk to your dentist about any concerns. They will probably be able to accommodate your needs if you tell them what you are looking for.

In some situations, you may feel that you want to look around at alternative options – maybe there are other dentists who meet your needs better, taking into account factors such as location, office hours, fees and emergency arrangements.

If you are comparing fees, ask for estimates on full-mouth x-rays and a preventive dental visit that includes an oral exam and tooth cleaning.

If you have any doubts about treatment your dentist has recommended, it may be a good idea to set your mind at rest by getting a second opinion from another dentist.

However, even in the best dentist-patient relationship, problems can sometimes occur. If your dentist is not able to resolve your concerns, you can contact your state or local dental association.

They have established systems of peer review that provide an impartial and easy way to resolving misunderstandings regarding the appropriateness or quality of care.

If you are not completely satisfied with the dental treatment you are getting, it’s important to take steps to put it right – whether you sort it out with your own dentist or find another one.

How scaling and planing can help clean your teeth properly

Dental plaque is a film that builds up on your teeth and, if it is not removed through good oral hygiene, it can lead to tooth decay and gum problems.

Over time it can ultimately form a hard, rough sediment known as dental tartar or calculus, which attracts further plaque buildup.

Calculus has to be removed by a trained professional such as a hygienist or dentist.

They may do this by manual tooth scaling or using an ultrasonic device.

If the buildup is light or moderate, the dentist or hygienist may use manual scaling instruments of various shapes and sizes.

If the buildup of tartar and stains is heavy, an ultrasonic cleaner may be used. This may be followed by hand scaling.

Build up of plaque can cause inflammation of the gums leading to breakdown of the connection between the teeth and the supporting structures.

Root planing is a procedure to treat gum disease by thoroughly scaling the roots of teeth to establish a smooth, calculus-free surface.

This treatment may require local anesthesia to prevent pain. Thorough periodontal scaling customarily involves several dental visits

If conditions are more advanced, surgery may be needed for complete debridement of the roots to arrest the disease process.

Some people tend to have more buildup of calculus than others and some may be more prone to periodontal inflammation or the development of tooth decay.

It’s therefore important to follow your hygienist’s advivce on how often to return for regular cleanings – even if your insurance only covers two a year.

Dental plaque – what it is and how to avoid it

You’ve probably heard people talking about plaque and maybe you’ve some idea of what it is.

But it’s useful to know a bit more about it so that you can do what’s necessary to minimize the risks.

Plaque is a sticky film of bacteria that forms on teeth and gums.

When you’ve eaten a meal or snack, the bacteria in plaque release acids that attack tooth enamel. When this happens regularly, the enamel can weaken. This eventually leads to tooth decay.

The food we eat often causes plaque bacteria to produce acids. So, if you eat a lot of snacks, your teeth may be suffering acid attacks all day.

If you don’t remove the plaque through effective daily brushing and cleaning between the teeth, it can eventually harden into calculus or tartar.

Another effect of plaque is that it also produces substances that irritate the gums, making them red and tender or causing them to bleed easily.

If you want to prevent tooth decay and gum disease, make sure you have a balanced diet and avoid having too many snacks between meals.

When you feel like a snack, go for foods such as raw vegetables, plain yogurt, cheese or a piece of fruit.

Tips for people with difficulty handling a toothbrush

There are many people who find it difficult to look after their dental health properly because they have problems handling a toothbrush.

This can be due to a severe physical disability or simply basic dexterity problems.

There are a few simple steps you can take to make it easier for people who find it difficult to hold on to a toothbrush or dental floss.

Here are some simple ‘home remedies’:

– Use a wide elastic band to attach the brush to the hand

– Enlarge the brush handle with a sponge, rubber ball or bicycle handle grip

– Wind an elastic bandage or adhesive tape around the handle

– Lengthen the handle with a piece of wood or plastic such as a ruler, popsicle stick or tongue depressor

– Tie floss into a loop for easier handling

– Use an electric toothbrush or commercial floss holder

Your dentist will be able to provide specific guidance and further tips for people who need an easier way to handle a toothbrush and floss.

How sedation and general anesthesia can make your visit to the dentist easier

While local anesthetics are often used in dental treatment, there is sometimes a need for anti-anxiety agents – such as nitrous oxide – or sedatives to help people relax during dental visits.

Dentists may use these agents to induce “minimal or moderate sedation”.

In this case, the patient reaches a relaxed state during treatment but can respond to speech or touch.

Sedatives can be administered before, during or after dental procedures by mouth, inhalation or injection.

More complex treatments may require drugs that can induce “deep sedation”.

This reduces consciousness and causes a loss of feeling which helps to reduce both pain and anxiety.

Sometimes patients undergo “general anesthesia” where the drugs lead to a temporary loss of consciousness.

A dentist may recommend deep sedation or general anesthesia for certain procedures with children or with adults who have severe anxiety or for people who have difficulty controlling their movements.

While these techniques to control pain and anxiety are used to treat tens of millions of patients safely every year, it’s important that you let your dentist know anything that might affect your ability to benefit from them for example, tell them about any illnesses or health conditions, whether you are taking any medications and if you’ve had any problems with allergic reactions to medications.

Solving the problem of bad breath

Bad breath – which is also known as halitosis – is a worrying problem that can also be embarrassing.

But there’s no need to put up with it. If you suffer from bad breath, your dentist will be able to suggest a range of solutions.

Your dentist will be able to spot problems such as gum disease, dry mouth or other disorders. That’s why it’s important to maintain good oral hygiene, schedule regular visits to the dentist and have professional cleaning.

Make sure you brush your teeth twice a day and clean between your teeth each day using floss or interdental cleaners. Don’t forget to brush your tongue, too!

If your dental check up shows that your mouth is healthy, your dentist may refer you to your family physician as sometimes bad breath can be a sign of other health problems.

If the odor is due to periodontal (gum) disease, sometimes professional periodontal cleaning is needed to remove the bacteria and plaque that accumulate. And your dentist may recommend a special antimicrobial mouth rinse.

Keeping your mouth healthy and stopping periodontal disease are essential to reducing bad breath.

So make sure you schedule regular dental visits for a professional cleaning and checkup.

Making the most of your smile

Your smile is a major factor in the impression people get when they meet you.

And the good news is that you now don’t have to settle for a smile spoiled by stained, chipped, or misshapen teeth.

Advances in dental treatment mean there is a wide range of choices to help you get the smile that you want. Here are some of the options:
– Tooth whitening (bleaching) can help brighten teeth that have become discolored or stained. It can be done in the dental office or with a system the dentist can give you to use at home
– Bonding improves the appearance of teeth that have become chipped, broken, cracked or stained. This is done by bonding tooth-colored materials to the tooth surface
– Enamel shaping involves modifying teeth to improve their appearance by removing or contouring enamel
– Veneers are thin custom-made shells of tooth-colored materials designed to cover the front side of teeth. They are used to treat spaces between teeth and teeth that are chipped, stained or poorly shaped.
– Braces may be needed if teeth are crooked, crowded or do not meet properly – and not just for kids

Even small changes can have a big impact on your smile and so make a huge difference to how you look and how you feel about yourself.

If you’d like an even better smile, your dentist will be able to give you information about the options available.

The secrets of brushing and flossing your teeth effectively

Though many of us say we brush our teeth regularly, you get the best results by making sure you brush properly.

Here are the steps you should follow:

First, place the toothbrush at a 45-degree angle to your gums.

Then, move the brush back and forth gently in short (tooth-wide) strokes.

Brush the outer tooth surfaces, the inner tooth surfaces, and the chewing surfaces of the teeth.

Use the “toe” of the brush to clean the inside surfaces of the front teeth, using a gentle up-and-down stroke.

Finally, brush your tongue to remove bacteria and freshen your breath.

As well as brushing your teeth, you should floss them every day. Here’s how to floss for best results.

Break off about 18 inches of floss and wind most of it around one of your middle fingers.

Then wind the remaining floss around the same finger on the opposite hand. This finger will take up the floss as it becomes dirty.

Hold the floss tightly between your thumbs and forefingers.

Guide the floss between your teeth using a gentle rubbing motion. Never snap the floss into the gums.

When the floss reaches the gum line, curve it into a C shape against one tooth. Gently slide it into the space between the gum and the tooth.

Hold the floss tightly against the tooth. Gently rub the side of the tooth, moving the floss away from the gum with up and down motions.

Repeat this method on the rest of your teeth.

Don’t forget the back side of your last tooth.

If you have difficulty handling dental floss, consider other types of interdental cleaner such as special brushes, picks or sticks.

Your dentist or hygienist will be able to give your further tips on how to brush and floss for best results.

Why to look for the ADA Seal of Acceptance

When buying dental products, it’s a good idea to look out for the American Dental Association (ADA) Seal of Acceptance.

The first Seal of Acceptance was awarded in 1931 and it’s regarded as an important symbol of a dental product’s safety and effectiveness.

Although the Seal program is strictly voluntary, approximately 100 companies participate in it and they commit significant resources to testing their products in clinical and laboratory conditions.

More than 300 consumer dental products carry the Seal of Acceptance. These include toothpaste, dental floss, manual and electric toothbrushes, mouth rinse and chewing gum.

You can get more information about the seal and how it is awarded for specific products at http://www.ada.org/ada/seal/

This site also contains links to the most current lists of accepted consumer products.

The power of panoramic x-rays

X-rays are extremely valuable for helping dentists identify issues that may not show up on normal oral examination.

The three most common types of dental X-rays are the bitewing, periapical and panoramic X-rays.

Panoramic X-rays give a broad overview of the entire mouth – supplying information about the teeth, upper and lower jawbone, sinuses, and other hard and soft tissues of the head and neck.

Unlike other X-rays, where the film is placed inside the patient’s mouth, the panoramic film is contained in a machine that moves around the patient’s head. So they are very easy to use.

Panoramic X-rays are often used to check wisdom teeth but they will also reveal deep cavities and gum disease. They are also useful to help patients with past or present jaw problems or those who require full or partial removable dentures, dental implants, or braces.

They can also be valuable in assisting people who are suspected of having oral cancer or have had recent trauma to the face or teeth.

Panoramic X-rays play an important role in thorough dental examinations and are recommended at least every five years or so for most patients.

Common questions about dental insurance

Understanding what’s covered by your dental insurance is an important part of making sure you get the best oral care possible.

Here are some common questions that arise when people want to understand their cover better.

– If treatment my dentist recommends is not covered by my insurance, does that mean it’s not necessary?

Some plans make exclusions such as sealants, pre-existing conditions, adult orthodontics, and specialist referrals. This depends on your dental plan and you should not let the level of cover determine whether you need treatment.

– My dental benefit will only pay for a large filling but my dentist recommends I get a crown. Which should I choose?

Some plans will only cover the least expensive solution but it may not be the best option for your needs. You should decide based on your health needs and not on your insurance cover.

– My dental plan says it will pay 100 percent for checkups and cleanings but the insurance company says I owe for part of the dentist’s charge. How can this be?

Some plans provide cover based on a “customary fee” for each procedure. So, if your dentist’s fee is higher, your benefit will be based on a percentage of the customary fee instead of your dentist’s fee. Although these limits are called “customary,” they may not accurately reflect the fees that dentists charge in your area.

– Will my plan cover the care my family will need?
If your employer offers more than one plan, check the exclusions and limitations of the coverage as well as looking at the general benefits. It’s a good idea to discuss your family’s likely needs with your dentist before choosing a plan.

The plan document should specify who is eligible for coverage under the plan.

Plans offered by the same provider or employer can vary according to the contracts involved so your dentist will not be able to answer specific questions about your benefit or predict what the coverage for a particular procedure will be.

If you have specific questions about coverage, talk to your plan provider.

Things to look out for during pregnancy

Every woman wants to maintain their own health during pregnancy and to take whatever steps are necessary to give the baby the best possible start.

There are a few factors in your oral health to look out for during this time.

One consideration is that it’s common for pregnant women to have the urge to eat between meals. The risk is that frequent snacking on carbohydrate-containing foods can encourage tooth decay.

Bacteria in your mouth called plaque can convert the sugar and starch in your mouth into an acid that attacks tooth enamel. After repeated attacks, tooth decay can result.

So, when you need a snack, try to choose foods that are nutritious for you and your baby such as raw fruits and vegetables and dairy products.

During pregnancy, your body’s hormone levels rise considerably. Gum problems, such as gingivitis, are especially common during the second to eighth months of pregnancy. They may cause red, puffy or tender gums that bleed when you brush.

This is an exaggerated response to plaque caused by higher levels of progesterone in your system. Your dentist may recommend more frequent cleanings at some stages to help you avoid problems.

Occasionally overgrowths of gum tissue, called “pregnancy tumors,” appear on the gums during the second trimester. These localized growths or swellings are usually found between the teeth and are thought to be related to excess plaque.

They bleed easily and are often surgically removed after the baby is born.

Studies indicate that pregnant women who have severe periodontal (gum) disease may be at increased risk for pre-term delivery, which in turn increases the risk of having a low-birth-weight baby.

So it’s particularly important to maintain good oral health during pregnancy. Make sure you clean your teeth carefully and visit your dentist regularly.

What to expect when having a tooth extracted

The process of having a tooth extracted may seem worrying but you’ll find it much easier if you know what to expect on the day and afterwards.

Your dentist will make the process as comfortable as possible for you by numbing the area around the tooth to be extracted.

In most cases, a small amount of bleeding is quite normal and your dentist will advise you what process to follow to allow healing as quickly as possible.

Generally, you should avoid anything that might prevent normal healing.

For example, it’s best not to smoke, rinse your mouth vigorously or drink through a straw for 24 hours afterwards as these could delay healing.

For the first few days, if you need to rinse your mouth, do it gently. If you are suffering pain or swelling, apply a cold cloth or an ice bag.

If necessary, your dentist will recommend something for any pain.

At the beginning, don’t clean around the socket where the tooth has been removed but you should brush and floss the other teeth as usual.

Modern procedures make having an extraction and the follow-up more comfortable than ever before.

What to do if you have problems with your dentist

Choosing the right dentist for your needs is an important part of giving yourself the best oral health possible.

Sometimes you may find that things are not working out for the best and it’s important to take steps to resolve any problems rather than just put off your dental care.

First, talk to your dentist about any concerns. They will probably be able to accommodate your needs if you tell them what you are looking for.

In some situations, you may feel that you want to look around at alternative options – maybe there are other dentists who meet your needs better, taking into account factors such as location, office hours, fees and emergency arrangements.

If you are comparing fees, ask for estimates on full-mouth x-rays and a preventive dental visit that includes an oral exam and tooth cleaning.

If you have any doubts about treatment your dentist has recommended, it may be a good idea to set your mind at rest by getting a second opinion from another dentist.

However, even in the best dentist-patient relationship, problems can sometimes occur. If your dentist is not able to resolve your concerns, you can contact your state or local dental association.

They have established systems of peer review that provide an impartial and easy way to resolving misunderstandings regarding the appropriateness or quality of care.

If you are not completely satisfied with the dental treatment you are getting, it’s important to take steps to put it right – whether you sort it out with your own dentist or find another one.

Taking care of your teeth and gums during pregnancy

Your oral health is an important part of your overall health and this is never more true than during pregnancy.

Good oral health habits not only help prevent oral problems during pregnancy, they also help the health of your unborn child.

What you eat during your pregnancy affects the development of your unborn child – including teeth.

Eating a balanced diet is necessary to provide the correct amounts of nutrients to nourish both you and your child.

Your baby’s teeth begin to develop between the third and sixth month of pregnancy, so it is important that you receive sufficient nutrients – especially calcium, protein, phosphorous, and vitamins A, C, and D.

There is a common myth that calcium is lost from the mother’s teeth during pregnancy.

In fact, the calcium your baby needs is provided by your diet, not by your teeth. If your diet does not provide enough calcium, your body will provide this mineral from stores in your bones.

If you have an adequate intake of dairy products – the main source of calcium – or take any supplements your obstetrician recommends – this will help you get the calcium you need.

To help prevent tooth decay and periodontal disease, brush your teeth thoroughly twice a day with fluoride toothpaste to remove plaque. Be sure to clean between your teeth daily with floss or interdental cleaners.

Make regular visits to your dentist during your pregnancy to ensure the best possible health for you and your baby.

Why dry mouth can be a problem and what to do about it

Your saliva plays an important role in your oral health and reduced saliva flow can lead to health problems.

Reduced saliva flow can lead to a dry mouth and this is a common problem among older adults.

It can be caused by various medical disorders and is often a side effect of medications such as antihistamines, decongestants, pain killers and diuretics.

Dry mouth can be associated with various problems such as a constant sore throat, burning sensation, problems speaking, difficulty swallowing, hoarseness or dry nasal passages.

Drying irritates the soft tissues in the mouth, which can make them inflamed and more susceptible to infection. Without the cleansing effects of saliva, tooth decay and other oral health problems become more common.

So, if dry mouth is not treated, it can damage your teeth.

Without adequate saliva to lubricate your mouth, wash away food, and neutralize the acids produced by plaque, extensive decay can occur.

Your dentist can recommend various methods to restore moisture. Sugar-free candy or gum stimulates saliva flow, and moisture can be replaced by using artificial saliva and oral rinses.

Preventing tooth decay in babies and infants

The habits of good dental care should begin as early as possible and it’s important to take steps to avoid problems with infants and children.

Children need strong, healthy teeth to chew their food and baby teeth also keep a space in the jaw for the adult teeth.

If a baby tooth is lost too early, the teeth beside it may drift into the empty space. So, when it’s time for the adult teeth to come in, there may not be enough room. This can make the teeth crooked or crowded.

The name given to decay in infants and children is baby bottle tooth decay.

It can destroy the teeth and most often occurs in the upper front teeth – though other teeth may also be affected.

Decay can happen when sweetened liquids are given to an infant and are then left clinging to their teeth for long periods. Many sweet liquids cause problems, including milk, formula and fruit juice.

What happens is that bacteria in the mouth use these sugars as food and then produce acids that attack the teeth.

It’s not just what you put in your child’s bottle that causes decay, but how often. Giving your child a bottle of sweetened liquid many times a day isn’t a good idea.

Here are some tips to avoid baby bottle tooth decay in your children:
– After each feeding, wipe the baby’s gums with a clean gauze pad. Begin brushing your child’s teeth when the first tooth erupts. Clean and massage gums in areas that remain toothless, and begin flossing when all the baby teeth have erupted, usually by age 2 or 2.
– Never allow your child to fall asleep with a bottle containing milk, formula, fruit juice or sweetened liquids.
– If your child needs a comforter between regular feedings, at night, or during naps, give them a clean pacifier recommended by your dentist or physician. Never give your child a pacifier dipped in any sweet liquid.
– Avoid filling your child’s bottle with liquids such as sugar water and soft drinks.
– If your local water supply does not contain fluoride (a substance that helps prevent tooth decay), ask your dentist how your child should get it.

Start dental visits by the child’s first birthday and make visits regularly.

If you think your child has dental problems, take the child to the dentist as soon as possible.

Making living with dentures easy and comfortable

Your dentures were made to fit you precisely and, if they are cared for properly, they do not change shape.

But you may sometimes find that they can become loose due to natural changes in the gums and bone supporting them. As the jawbone begins to shrink, so do the gums.

If you find your dentures no longer fit properly, see your dentist as soon as possible so adjustments can be made.

Trying to change the fit of your dentures yourself can damage them and make them unrepairable so this would be a costly experiment!

Ill-fitting dentures repaired at home can also irritate the gums, tongue and cheeks.

In an emergency, you could use denture adhesives to keep the dentures stable until you are able to see the dentist.

Even if you no longer have your natural teeth, it’s still important to see your dentist regularly for an oral examination.

The dentist will examine your mouth to check for any problem with the gum ridges, the tongue and the joints of the jaw, as well as screen for oral cancer.

For a variety of reasons, many older adults are more susceptible to oral diseases, including oral cancer. About 95 percent of all cancers are found in people over age 40. However, many of these cancers are treatable if detected early.

Oral tissues are also checked for signs of other diseases that can first manifest themselves in the mouth.

Living with dentures can be comfortable if you continue to care for your oral hygiene and make regular visits to your dentist for a checkup.