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You’ll Experience Little to No Discomfort During and After Implant Surgery

implant surgery.

You’ve decided to obtain dental implants for your missing teeth. It’s a good choice — they provide the closest restoration to the function and appearance of natural teeth. You will, however, need to undergo a surgical procedure to imbed the implants’ threaded titanium posts into supporting bone.

It’s understandable if you’re a little apprehensive about undergoing surgery. We’re here, though, to set your mind at ease: implantation is a relatively minor procedure carefully planned in advance. Most patients experience no discomfort during the procedure and very little afterward.

We begin by completely numbing the surgical site with a local anesthetic. If you have a high level of anxiety, we can also administer a sedative or similar medication to help you relax. We then access the underlying bone through a series of incisions that create a flap in the gum tissue that we’ll later suture closed.

It’s quite common to have prepared a surgical guide or template beforehand. The template placed in the mouth marks the exact site for a small channel (or hole) we create in the bone. We then incrementally increase the size of the hole by drilling until it matches precisely the implant’s size and shape. This takes time to avoid overheating and damaging the bone.

We then remove the implant from its sterile packaging and insert it into the opening. We’ll also take x-rays to ensure correct positioning, which is critical for achieving an attractive result. We then suture the gum flap in place using stitches that will eventually dissolve. The implant will then integrate with the bone for a few weeks to create a strong, durable hold before we continue with the restoration.

Most patients can manage any post-surgical discomfort with mild anti-inflammatory pain relievers like aspirin or ibuprofen, although we can prescribe something stronger if you need it. We may also prescribe a mouthrinse with an anti-bacterial agent like chlorhexidine for you to use while the gums are healing to reduce the risk of infection.

Implant surgery is part of a long process that will eventually result in regaining the function of your lost teeth. What’s more, undergoing this minor procedure will also help you regain something just as important — a beautiful smile.

If you would like more information on dental implant restoration, please contact us by calling (815) 741-1700 for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implant Surgery.”

A Smile Makeover Depends on Balancing Technique with Beauty

makeover.

“Redesigning” a smile is a lot like remodeling a house: the technicalities of construction must blend seamlessly with what is perceived as elegant and beautiful. The first aspect — the proper materials and techniques to achieve a sound restoration — is absolutely crucial. But the aesthetic is just as important for assuring the final restoration evokes beauty and style.

Balancing these two aspects of a smile makeover requires thoughtful intent and planning. What may be pleasing aesthetically may not be technically feasible; but what may be technically sound may not have that sought-after “curb appeal.”

You and your dentist must work together to achieve the successful blending of these two aspects. That’s why it’s important for you to have full confidence in your dentist: that he or she is both technically skilled and experienced in cosmetic procedures and artistically aware of what will look best aesthetically.

The first step in your makeover is a thorough dental examination to determine the overall state of your oral health. With this “bigger picture,” your dentist will have a better understanding of what’s possible and practical for you and your situation. The exam may also reveal problems that should be treated first before any cosmetic work.

From there, you must communicate clearly to your dentist what you perceive as wrong with your smile and what you would like to have changed. While there are general principles of beauty best followed, your dental work could hypothetically take different paths depending on your desires and expectations. You might prefer a more “sexy” look or one that’s “sophisticated.” Or perhaps you only want subtle changes that still retain features expressing your individuality.

Ultimately, though, your expectations must line up with reality. Much like your house contractor, your dentist will advise you on what’s both practical and possible. And with their experience in smile enhancement, they can also help you determine what will look most attractive given your facial structure and features.

With this preliminary planning, you can be confident as the work proceeds that the end of the project will be both exciting and satisfying. And just as with your newly renovated home, you’ll be more than happy to share your smile with others.

If you would like more information on enhancing your smile through cosmetic dentistry, please contact us by calling (815) 741-1700 for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Cosmetic Dentistry.”

Benefits of Seeing a Prosthodontist

prosthodontists.

What do architects and prosthodontists have in common? An architect designs buildings with both function and aesthetics in mind; a prosthodontist designs tooth restorations for optimal function and aesthetic appeal. In fact, prosthodontists are sometimes called “smile architects,” and are able to restore damaged or missing tooth and jaw structures with dentures, crowns, bridges, veneers, and other techniques.

Prosthodontics is one of the nine dental specialties recognized by the American Dental Association.  This specialty focuses on using oral prosthetics (artificial teeth, for example) to restore your smile in the most aesthetically pleasing way. The benefits of seeing a prosthodontist include:

Extensive training
After graduating from dental school, prosthodontists complete an additional 3-year program that provides in-depth training and clinical practice. Their training includes cosmetic dental procedures; diagnosis and treatment of TMJ/TMD (jaw-joint disorders) and sleep disorders; and facial reconstruction due to oral cancer, an accident or a deformity from birth.

Large-scale experience
Prosthodontists limit their practice to the restoration of teeth, gums and associated oral structures, and have extensive clinical experience in this area. Like other specialists, a prosthodontist is more likely to be familiar with state-of-the-art techniques and technology in this rapidly advancing field. Further, prosthodontists are in close communication with dental laboratory technicians to coordinate the best custom restoration for each patient.

Team leadership
Some oral health problems require multi-step procedures carried out by a team of dental professionals, including oral surgeons, periodontists, general dentists, laboratory technicians and dental hygienists. A prosthodontist is often the point person who devises an overall treatment plan and coordinates the sequence of procedures with the various health professionals.

Attention to aesthetics
In prosthodontics, oral function and cosmetic dentistry go hand in hand. Prosthodontists have a deep understanding of what goes into a beautiful, functional smile—and their clinical training and experience can help you get the best results from dental treatment.

Prosthodontists have special expertise in the treatment of missing or damaged teeth, complex problems that require full-mouth reconstruction, and many other restorative dental procedures. If you have any questions about the specialty, please contact us by calling (815) 741-1700 for a consultation.

Consider Bone Health When Deciding Between Implants and Dentures

bone.

Losing permanent teeth is never good — unlike primary teeth, no natural replacements wait in the wings. But the good news is you have a number of options for replacing them with life-like prosthetic (false) teeth.

Today’s premier choice is dental implants, preferred by dentists and patients alike for their durability and life-likeness. But because of their cost when replacing multiple teeth, many people opt for traditional dentures. And now dentures are easier to wear and maintain thanks to new, advanced materials and designs.

Still, there’s one major area where implants have the definite edge over dentures — long-term bone health. Older bone cells die and dissolve (resorb), replaced then by newly formed cells. Teeth help perpetuate this cycle through the forces generated when we chew that travel through the roots to stimulate the formation of new bone.

But because this stimulation through a tooth ends when it’s lost, new bone beneath the empty socket may not keep up with the resorption rate of older bone. As a result, you could lose as much as a quarter of normal bone width in just the first year after losing a tooth.

This bone loss will continue to accumulate even if you wear dentures, which can’t replicate the bone growth stimulation of natural teeth. What’s more, the constant pressure on the bony ridge of the gums can accelerate bone loss. Eventually, the firm, comfortable fit you first had with your dentures will become looser and less comfortable with the shrinking bone volume.

Implants, on the other hand, can stop bone loss and may even reverse it. This is because the titanium metal of an implant has a special affinity with bone cells that readily grow and adhere to it. This creates the anchorage responsible for the implant’s durability, but it’s also healthy for the bone.

Of course, this doesn’t have to be a binary choice between the two restorations thanks to a new hybrid advancement that combines implants with dentures. We can install as few as two implants to support a removable denture. You’ll enjoy greater stability, fit and durability with your dentures, while also improving bone health through the implants.

So before you decide on a dental restoration, be sure to discuss with us your implant options. Your oral health and appearance could benefit immensely.

If you would like more information on dental restoration, please contact us by calling (815) 741-1700 for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Hidden Consequences of Losing Teeth.”

There’s a Lot of Effort Behind the Scenes to Making Dentures Work for You

dentures.

For centuries, people who’ve lost all their teeth have worn dentures. Although materials in today’s dentures are more durable and attractive than those in past generations, the basic design remains the same — prosthetic (false) teeth set in a plastic or resin base made to resemble gum tissue.

If you’re thinking of obtaining dentures, don’t let their simplicity deceive you: a successful outcome depends on a high degree of planning and attention to detail customized to your mouth.

Our first step is to determine the best positioning for the prosthetic teeth. It’s not an “eyeball” guess — we make a number of calculations based on the shape and size of your jaws and facial features to determine the best settings within the resin base. These calculations help us answer a few important questions for determining design: how large should the teeth be? How far forward or back from the lip? How much space between the upper and lower teeth when the jaws are at rest?

We also can’t forget about the artificial gums created by the base. How much your gums show when you smile depends a lot on how much your upper lip rises. We must adjust the base size to accommodate your upper lip rise so that the most attractive amount of gum shows when you smile. We also want to match as close as possible the color and texture of your natural gum tissues.

There’s one other important aspect to manage: how your upper and lower dentures function together when you eat or speak. This means we must also factor your bite into the overall denture design. This may even continue after your dentures arrive: we may still need to adjust them while in your mouth to improve function and comfort.

Ill-fitting, dysfunctional and unattractive dentures can be distressing and embarrassing. But with careful planning and customization, we can help ensure your new dentures are attractive and comfortable to wear now and for years to come.

If you would like more information on removable dentures for teeth replacement, please contact us by calling (815) 741-1700 for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Removable Full Dentures.”

Braces Take Advantage of Teeth’s Natural Ability to Move

braces.

There are many new and exciting ways now to transform an unattractive smile into one you’ll be confident to display. But not all “smile makeover” techniques are new — one in particular has been around for generations: using braces to correct crooked teeth.

Braces have improved the smiles (and also dental health) for millions of people. But as commonplace this orthodontic treatment is, it wouldn’t work at all if a natural mechanism for moving teeth didn’t already exist. Braces “partner” with this mechanism to move teeth to better positions.

The jawbone doesn’t actually hold teeth in place — that’s the job of an elastic gum tissue between the teeth and bone called the periodontal ligament. Tiny fibers extending from the ligament attach to the teeth on one side and to the bone on the other. In addition to securing them, the dynamic, moldable nature of the ligament allows teeth to move incrementally in response to forces applied against them.

To us, the teeth feel quite stationary (if they don’t, that’s a problem!). That’s because there’s sufficient length of the tooth roots that are surrounded by bone, periodontal ligament and gum tissue. But when pressure is applied against the teeth, the periodontal ligament forms both osteoblasts (bone-forming cells) and osteoclasts (bone-resorbing cells) causing the bone to remodel. This allows the teeth to move to a new position.

Braces take advantage of this in a controlled manner. The orthodontist bonds brackets to the outside face of the teeth through which they pass a thin metal wire. They attach the ends of the wire to the brackets (braces), usually on the back teeth. By using the tension placed in the wire, the orthodontist can control the gradual movement of teeth to achieve proper function and aesthetics. The orthodontist continues to monitor the treatment progress, while making periodic adjustments to the tension.

It takes time, but through this marvelous interplay between nature and dental science you’ll gain a more healthy and beautiful smile.

If you would like more information on improving your smile with orthodontics, please contact us by calling (815) 741-1700 for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Moving Teeth with Orthodontics.”

Consider Clear Aligners Instead of Braces for Your Teen

clear aligners.

Your teenager is about to take a big step toward better health and a more attractive appearance — orthodontic treatment. You both know the benefits: better chewing function, lower risk of dental disease, and, of course, a straighter and more beautiful smile.

But your teen might also dread the next couple of years of wearing braces. And it’s hard to blame them: although they’re effective, wearing braces restricts eating certain snacks and foods, they require extra time and effort for brushing and flossing, and they’re often uncomfortable to wear. And of high importance to a teenager, they may feel embarrassed to wear them.

But over the last couple of decades a braces alternative has emerged: clear aligners. This form of bite correction requires fewer food restrictions, allows greater ease in hygiene, and is considered more attractive than braces. In fact, most observers won’t notice them when a wearer smiles.

Clear aligners are a series of clear plastic trays created by computer that are worn in a certain sequence. During wear each tray exerts pressure on the teeth to gradually move them in the desired direction. The patient wears a single tray for two weeks and then changes to the next tray in the sequence, which will be slightly different than the previous tray. At the end of the process, the teeth will have been moved to their new positions.

Clear aligners aren’t appropriate for all bite problems. When they are, though, they offer a couple of advantages over braces. Unlike braces, a wearer can remove the aligner to brush and floss their teeth or for rare, special or important social occasions. And, of course, their appearance makes them less likely to cause embarrassment while wearing them.

In recent years, design improvements have increased the kinds of bites aligners can be used to correct. For example, they now often include “power ridges,” tiny features that precisely control the amount and direction of pressure applied to the teeth. They’ve also become thinner and more comfortable to wear.

If you’re interested in clear aligners as a treatment option, talk with your orthodontist about whether your teen is a good candidate. If so, they could make orthodontic treatment for achieving a more attractive and healthy smile less of an ordeal.

If you would like more information on clear aligners as an orthodontic option, please contact us by calling (815) 741-1700 for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Clear Aligners for Teens.”

Recognizing the Symptoms of Oral Cancer Could Save Your Life

oral cancer.

Oral cancer isn’t picky: Its victims have included Motown singers and rock-n-roll guitarists, baseball players and film critics, one-half of TV’s “Odd Couple” and two U.S. Presidents. And while it’s still true that the majority of people who get it are older men who habitually smoke and drink, the fastest-growing group of new patients are young people of both sexes who don’t. That’s why it’s so important to learn about the early symptoms of oral cancer — and what better time to do so than in April, which is Oral Cancer Awareness Month?

First, some numbers: In the United States, around 50,000 people are newly diagnosed with oral cancer each year, and one person dies from the disease every hour of every day. Oral cancer is two times as common in men as it is in women, and has three major risk factors: the use of tobacco in any form; the habitual consumption of alcohol; and exposure to HPV-16, the sexually transmitted human papillomavirus. Its overall 5-year survival rate is just slightly above 50%. But if caught early, the odds of successful treatment are much better.

Dentists perform oral cancer screenings at routine exams. But it’s still a good idea to do a monthly self-exam for oral cancer at home. Here’s how:

  • First, get a hand-held mirror and a bright light. Remove any dentures or oral appliances, and then open wide.
  • You’re looking for white, red or discolored patches, persistent sores, or other abnormal features.
  • Examine your lips and gums, the lining of your mouth and cheeks, and your tongue.
  • Gently pull your tongue forward and pull lips away from teeth, so you can see them from all sides.
  • Feel all oral surfaces to check for any lumps, bumps or unusual masses.
  • Feel both sides of the neck and lower jaw for swellings or enlarged lymph nodes.
  • Be alert for chronic sore throat, hoarseness, or difficulty chewing, swallowing or speaking.

According to the Oral Cancer Foundation, the high mortality rate of this disease doesn’t stem from its being hard to diagnose: It results from the cancer not being discovered until it has reached a later stage, when it’s harder to treat. That’s why recognizing the warning signs are so important. While the same mild symptoms are often caused by benign (non- serious) conditions, it takes a medical professional (and possibly a biopsy or other test) to make a definite diagnosis. So if you notice something suspicious, don’t wait: tell us right away. It might just save your life.

If you have questions about oral cancer, please contact us by calling (815) 741-1700 for a consultation. You can learn more in the Dear Doctor magazine article Oral Cancer.

April is Oral Cancer Awareness Month

oral cancer.

This April marks the 14th observance of Oral Cancer Awareness Month. Yet there are still plenty of people who underestimate the seriousness of oral cancer, don’t know the warning signs, and are unsure where to get screening or treatment for this potentially deadly disease. It’s true that oral cancer doesn’t have as high a profile as some other cancers — but thanks to the efforts of educational foundations, medical professionals, and celebrities like actress Blythe Danner and baseball superstar Tony Gwynn (1960-2014), it significance is increasingly being recognized.

How common is oral cancer? According to the Oral Cancer Foundation, some 50,000 Americans will be diagnosed with this illness in the current year. Five years from now, slightly more than half of those people will still be alive. That’s one of the most troubling aspects of the disease: Its survival rate is much lower than that of more well-known cancers — like breast or cervical cancer, or Hodgkin’s lymphoma. A major reason for those discouraging odds is that oral cancer isn’t generally found until it has reached a later stage of development, when it’s harder to treat successfully.

That’s why early diagnosis of oral cancer is so important — and why it’s vital to become aware of possible warning signs of the disease. The first symptoms are often relatively minor:  a red or white patch or a sore on the tongue, lips or the inside of the mouth, that doesn’t go away within 14 days; an unusual lump or mass in the mouth or neck; or difficulty eating, speaking or swallowing. While these symptoms are common and most often benign, they can also indicate an early stage of oral cancer.

Fortunately, dentists are trained to recognize the early signs of oral cancer, and we can often identify possible signs of the disease in its initial stages. We perform oral cancer screenings at routine dental exams, but you can also come in for an examination any time you have a concern. The good news is that recent advances in diagnosing oral cancer offer the hope that more people will get appropriate, timely treatment for this potentially deadly disease.

If you have questions about oral cancer, please contact us by calling (815) 741-1700 for a consultation. Learn more about this topic by reading the Dear Doctor article Oral Cancer.

Dental Implants: a Durable, Life-Like Solution for your Tooth Loss

implant.

What’s so special about dental implants — and why should you consider one to replace a missing tooth?

Although they’ve only been widely available for thirty years, dental implants have climbed to the top of tooth replacement choices as the premier restorative option. Since their debut in the 1980s, dentists have placed over 3 million implants.

There’s one overriding reason for this popularity: in structure and form, dental implants are the closest replacement we have to a natural tooth. In fact, more than anything else an implant is a root replacement, the part of the tooth you don’t see.

The artificial root is a titanium post surgically imbedded into the jaw bone. Later we can attach a porcelain crown to it that looks just like a visible tooth. This breakthrough design enables implants to handle the normal biting forces generated in the mouth for many years.

There’s also an advantage in using titanium dental implants. Because bone cells have a special affinity to the metal, they will grow and attach to the implant over time. Not only does this strengthen the implant’s hold within the jaw, the added growth also helps deter bone loss, a common problem with missing teeth.

It’s this blend of strength and durability that gives implants the highest success rate for any tooth replacement option. Over 95% of implants placed attain the 10-year mark, and most will last for decades.

Dental implant treatment, however, may not be possible in every situation, particularly where significant bone loss has occurred. They’re also relatively expensive, although more cost-effective than other options over the long term.

Even so, implants can play an effective and varied role in a dental restoration. While single implants with attached crowns are the most common type of replacement, they can also play a supporting role with other restorative options. As few as two strategically placed implants can provide a more secure connection for removable dentures or fixed bridges.

You’ll need to first undergo a thorough dental examination to see if implants could work for you. From there, we’ll be happy to discuss your options for using this “best of the best” restoration to achieve a new, beautiful smile.

If you would like more information on dental implants, please contact us by calling (815) 741-1700 for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants 101.”