If your teeth are badly damaged from decay or facial trauma, or if you have several missing teeth, your dentist may recommend removable prosthodontics to solve your dental problems. Periodontitis (advanced gum disease), bone loss or serious tooth decay can leave you as a poor candidate for restorative options such as dental crowns, dental bridges or dental implants. Removable prosthodontics can restore your smile so that it looks and functions as it should and can restore your confidence as you eat, smile and laugh.
Just hearing the word “dentures” might give you pause, reminding you of your older relatives, but achievements in dental restorative therapies enable your dentist to craft a removable prosthodontic for you that will not only look, but will feel like your natural smile.
Removable prosthodontics include:
- Partial dentures correct gaps when only a few of your natural teeth are missing. A partial denture may be the best choice if your remaining teeth aren’t strong enough to support a dental bridge.
- Overdentures provide restorations when one or more of your natural teeth are in place in an arch – typically two teeth for a bottom overdenture and four teeth for an upper overdenture.
- Immediate dentures are put in place following an extraction, allowing the bone and gums to recover following an extraction procedure. They prevent the adjacent teeth from collapsing upon the empty space and affecting your bite.
- Complete dentures are for edentulous patients (patients with no teeth at all) and are designed to replace all of the teeth in one or both arches of your mouth, restoring your smile and your ability to eat and speak clearly.
Because of advancements in materials and techniques, many dentures can be mistaken for natural teeth. Only you – and your prosthodontist – will know your secret. Talk to your prosthodontist today to see what removable prosthodontics can do for you. Don’t wait to begin enjoying your life with your new, healthy smile.
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If you are dealing with ongoing tooth pain, you may be too fearful to go to the dentist to find out what’s going on. It’s important that you do, however, as you may need root canal therapy. Your dentist will need to evaluate you to see if that procedure is necessary, and will closely examine several factors: the signs the dentist can see personally, the results of any tests performed during your visit, and the symptoms you have been experiencing with the problematic tooth.
Your dentist may observe:
- A tooth that is discolored
- X-rays that reveal a tooth problem
- A fistulous tract, or persistent or recurring gum pimple
Additional testing done by your dentist:
- X-rays provide an extremely clear picture of the health of the tooth
- Thermal testing can evaluate sensitivity through a careful application of hot or cold temperatures
- Percussion testing evaluates pain response through gentle tapping
You may have been noticing:
- A broken or cracked tooth obviously decayed or damaged
- A discolored tooth, especially a grey tooth
- A “bubble” in your gums, like a pimple. It may or may not have ruptured, leaking pus that smells or tastes awful
- Pain that shoots out from one tooth to your jaw or ear, leading to earache symptoms
- Pain that prevents you from living your life without painkillers
- Pain, sensitivity or swelling on one certain tooth
- Extreme sensitivity to hot or cold liquids that lingers and is very painful
In some cases, an infected tooth that requires a root canal treatment has no symptoms at all that could be discerned by you. Only a dental professional can confirm the need to undergo root canal therapies. If you are experiencing pain that disrupts your life, talk to your dentist or endodontist immediately. Root canal treatments are designed to relieve the pain you’re experiencing now and to restore your tooth to full form and function. Don’t wait to get your life and smile back!
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Most of the time, the idea of dentures brings to mind elderly people who are missing a mouthful of teeth. The truth is that dentures are not just for old folks, but for people of all ages who have lost teeth for some reason. Gum disease, tooth decay, and trauma from an accident are all common reasons for tooth loss. There is no need to suffer through life with gaps in your smile, when you can opt for dentures to restore both appearance and function.
The main reasons that many people consider getting dentures include:
- Eating – your teeth help you to chew and eat food. Dentures serve the same purpose, allowing you to eat a normal diet without having to stick only to soft foods or liquids.
- Speaking – when the gaps in your smile have been filled, your ability to speak more clearly and easily is improved.
- Smiling – replacing missing teeth gives you back your self-confidence to smile and laugh again. You will be proud of your new smile and be willing to display it more often. Also, your cheeks will have a fuller look and your appearance may look younger.
When you get dentures, expect that it may take some time to get used to them. They may feel strange at first, and you should be patient while you learn to talk and eat with them. Time will help you adjust to the dentures, but if discomfort lingers you should visit your dentist to make sure the fit is correct and no adjustments are necessary.
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Due to the increased interest in cosmetic dentistry, many family dentists are becoming trained to offer more extensive procedures and treatments geared to improve the appearance of your smile. Many of these treatments are quick and painless, and can offer almost instant results. Some of the cosmetic dentistry options offered by your family dentist may include:
- Professional teeth whitening to improve the color and brightness of dark, dingy, or discolored teeth
- Placement of dental veneers to improve the look of gapped, stained, or crooked teeth
- Replacement of old or unattractive metal fillings with more natural, tooth-colored materials
- Placement of crowns and bridges to repair and replace missing or severely damaged teeth
- Correction of small spaces or gaps between teeth by bonding with tooth-colored composite resin
- Insertion of dental implants to replace missing teeth
- Straightening of teeth and correction of bite problems with braces or Invisalign
Because your family dentist is already aware of your family’s dental history, it will be simple to recommend treatment plans. With this knowledge, your dentist can also quickly and expertly assess if you or other members of your family are suitable candidates for the procedures you are seeking. Your family dentist can perform all the same services as both a pediatric dentist and a general dentist, and will be able to address the cosmetic dental concerns of every member of your family. Family dentists can provide advice as to which procedures are age appropriate and give guidelines for when treatment is recommended.
If anyone in your family is not pleased with the appearance of their teeth, consult first with your family dentist to find out what cosmetic dental procedures and treatments are offered to improve the quality of their smile.
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Veneers are a great solution for many people who are unhappy with their smiles and want a permanent improvement. These thin porcelain shells are bonded to the surface of teeth to make the smile more appealing. You and your dentist can choose the shade you prefer, and a minimal amount of preparation is required before attaching the veneers.
Many kinds of problems disappear with dental veneers. Some of the common reasons that people choose veneers include:
- tooth discoloration or staining
- crooked teeth
- worn teeth
- too much gums visible
- uneven teeth
- misshapen teeth
- bite problems
- overly sensitive teeth
No matter what flaws you might be getting dental veneers to hide, these restorations offer a number of advantages:
- Your real teeth may look unhealthy and damaged, but covering them with veneers gives them a healthy glow of a well-cared-for smile.
- Veneers look very natural, because the porcelain material is translucent and offers a glassy appearance.
- Porcelain resists stains so your smile will stay as white and bright as the day you got the veneers.
- Veneers last anywhere from ten years to a lifetime, depending on the quality of the application and your proper maintenance of them afterwards.
- There is no special care required other than your usual brushing and flossing routine.
- Veneers can increase your self-esteem, since you can feel confident that your smile is the best it’s ever been.
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While minor gum recession can be treated by your dentist with deep cleaning and antibiotics, serious gum recession can only be treated with oral surgery. A loss of bone and gum pockets that are very deep require gum surgery to address the pain and damage left by acute gum recession.
Three treatments are used primarily in the treatment of serious gum recession, in order of invasiveness: pocket depth reduction, regeneration, and soft tissue graft. Pocket depth reduction involves a deep cleaning of the affected area. The periodontist folds the gum tissue back and utilizes tooth scaling and root planing to remove any tartar and plaque built up around the tooth. Once the gum pockets are clean, the surgeon pulls the gum tissue gently around the tooth, eliminating the deep pockets altogether or significantly reducing their depth.
Regeneration utilizes a similar treatment to pocket depth reduction, but it also addresses any bone loss that occurred due to acute gum recession. In this process, a regenerative agent such as graft tissue, membranes or tissue stimulating proteins is added to the affected area. The gum tissue is then tucked into place and stitched down. Over time, the regenerative agent will work to rebuild lost bone and tissue, leaving healthy and thriving tissue behind.
The most common soft tissue graft is taken from the patient’s own mouth, either by removing tissue from the roof of the mouth or from the gum tissue near the affected tooth. The healthy gum tissue is placed in the affected area, over the exposed tooth root, protecting it from infection and damage.
To prevent the need for oral surgery to address your receding gums, have good oral hygiene habits. Brush, floss and see your dentist twice a year for checkups and professional cleanings. Talk to your dentist if you have any other questions about how to reverse or prevent gum recession.
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