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Monthly Archives

February 2015

Feb 27

Pacifiers and toddlers’ teeth development

By Pediatric Dentist

What age is too old for a pacifier? When will sucking a pacifier start to affect the development of your child’s teeth?

Before age 2, any effects that a pacifier has on mouth or tooth development will be corrected within six months. After age 2, there is reason for concern.

Prolonged thumb sucking and pacifier use affects the development of the mouth, roof of mouth, and teeth. Teeth can erupt partially, or be misaligned. Lip and facial muscle formation can be impaired. Speech and language problems may develop. Additionally, your child may develop frequent earaches and ear infections.

Some experts encourage gradually your child from pacifier use around 18-months old. If you find that your child is not interested in a pacifier, or if it falls out of his or her mouth, don’t encourage use of it. Avoid putting sugar or sugary substances on a pacifier. It will promote tooth decay.

Activities, music, games, toys, or other comforts may distract your child from pacifier use. Dramatically forcing a child to stop pacifier use can be stressful for the child. If your child is at an age where pacifier use may be harm his or her oral health, and you need help getting your child to break the habit, speak with your pediatric dentist.

This post is sponsored by the dentists of Naperville Dental Specialists.

Feb 24

When a sinus lift is needed for dental implants

By Dental Implants, Sinus Lift

A sinus lift is also known as sinus augmentation or elevation. It is required when the sinus cavity enlarges due to bone shrinkage that occurs when upper back teeth are missing. As the jawbone shrinks, the sinuses grow and consume more space. Also, as we age, sinuses grow in volume.

The procedure raises the sinus floor, and bone grafting, or augmentation, provides the bone density required to support dental implants. The bone is added below the sinus cavity, but it does not cause sinus, speech, or intonation problems. Your implant surgeon will explain which technique will be used to raise the sinus cavity.

Autogenous, or your own bone tissue, provides the best results and the fastest healing period. Bone can be also obtained from human cadaver tissue banks, animal bone tissue banks, or synthetic tissue. All sources are regulated for sanitation and safety. Your implant dentist will explain your options, and what to expect from each of them.

After the grafting is completed, there is generally a four to twelve month healing period—depending on your case and the source of the bone tissue—after which dental implants can be placed. The strong, dense bone will support dental implants and ensure they will last. At times, the augmentation and dental implant placement can be completed as one procedure, but enough stable bone must be present.

After the bone heals around the implants, a dental crown will be secured to the implant. Your implants will feel and function like natural teeth.

The sinus lift, or augmentation, has been safely used for decades. The results are predictable. The procedure increases your chances of having successful implant placement and retention. Most patients experience only minimal discomfort with the procedure.

If you require dental implants in the area where upper back teeth were located, your implant dentist will determine if you have adequate bone density. Examination and diagnostic studies will help your implant dentist make the determination. If a sinus elevation is required, your options will be explained.

This post is sponsored by Naperville implant dentist and board-certified prosthodontist Dr. Anthony LaVacca.

Feb 21
my-wife-has-no-upper-teeth-blog

My wife has no upper teeth and her face is sagging

By Dental Implants, Dentures, Facial Collapse

My wife is only 57 yrs old and she has full upper dentures. I am watching her go through periods of deep depression as we both notice that her face is starting to sag. She is very active and very conscious about her appearance. Unfortunate circumstances in life led to loss of most of her teeth and dentures were recommended 6 years ago. I will do what I have to so she can get her confidence back. Will dental implants help her face regain its shape? Thanks Tomas

Tomas – The first step is for your wife to receive an evaluation from a skilled implant dentist who will determine if she is a candidate for dental implants. Your wife’s medical history needs to be reviewed and diagnostic studies are needed.

Teeth are necessary to stimulate jawbone growth and retention. The jawbone supports teeth and facial muscles and tissue, including the cheeks, chin, and lips. When your teeth are missing and facial sagging occurs, it means that jawbone shrinkage has started. When dentures rest on the jawbone, it accelerates shrinkage. Individual dental implants or implant-supported dentures can help.

Dental implants help preserve jawbone. But they also require sufficient jawbone density to support them. When bone grafting is needed there are several options.

  • Autograft – This process harvests your own bone tissue. Depending on where you have adequate bone density that can be used for grafting, the bone can be harvested from the back of your jaw, or from your chin, shin, or hip. This is the safest, most effective means of grafting.
  • Allograft – The source is human cadaver bone from a reputable tissue bank. Donors are screened for infectious disease, and the tissue is thoroughly processed and sterilized. There are risks though, which are similar to the risks of blood transfusion.
  • Xenograft – Bone tissue is provided from an animal. Commonly, cow bone is used. Tissue banks screen the tissue for safety.
  • Alloplast – There are various types of synthetic bone tissue available. Based on your needs and current research, the implant surgeon will determine what is best for your case.

We recommend that you and your wife schedule a few consultations with skilled prosthodontists. A prosthodontist has two years of post-graduate training specific to the replacement and restoration of teeth. Prepare questions for the consultation and take notes to compare the options and risks explained by each specialist. Your preparation will help you and your wife make an informed decision about her oral health.

This post is sponsored by Naperville board-certified prosthodontist Dr. Anthony LaVacca.

Feb 17

How many implants are needed for a lower denture?

By Dental Implants, Dentures

Surveys indicate that 80% of patients who have a lower denture are not happy with they way it fits or functions. A mandibular denture can lift when you speak or chew, or cause pain in the molar areas.

Although as few as two implants can be used to stabilize the denture, the number of recommended implants may vary, depending on the issues you are experiencing.

  • Dentures that lift when you speak or chew – This problem can occur due to lack of jawbone density or insufficient seal of the denture against your jawbone. Often, two dental implants between the premolar and canine area are sufficient. Your implant dentist will ensure proper spacing of the implants to prevent the denture from tipping and coming off the implants.

  • Burning or sharp pain when you bite – As the jawbone shrinks due to missing teeth, the tooth nerves can slowly move to the bone ridge. Sensitivity commonly occurs in the nerves in the area where premolar teeth existed. Biting puts pressure on the nerves and causes radiating pain.

    In this case, stabilizing the denture with implants is not enough. The tooth nerves need to be alleviated of the pressure that the denture is placing on them. At least four dental implants will be needed to accomplish this. Careful planning and placement is required to ensure there are adequate bone density, ideal placement, and no pressure on the nerves. Some dentists recommend a bar-retained denture. The customized bar will extend over the nerve-sensitive area and alleviate your pain. Some patients hesitate to receive a bar-retained denture because it is more expensive than receiving implants alone.

Finding a skilled implant dentist is important to the success of stabilizing your denture and addressing the cause of your slippage or pain. We recommend that you seek two or three opinions from experienced prosthodontists. An examination and diagnostic studies are required to determine the best treatment options for your case. In advance of your consultations, prepare questions and compare notes. If you need financing or a payment plan, you can ask each prosthodontist about his or her financial arrangements.

This post is sponsored by Naperville board-certified prosthodontist Dr. Anthony LaVacca.

Feb 13

If an abutment is broken will I have to get a new dental implant?

By Dental Implants, Prosthodontist

I’ve had problems with the crown on an implant for about 8 months. I went to 2 implant dentists and the second one found that the abutment is broken. He said that it will be hard to get off the implant. It scares me that he is finding it challenging. I am also worried that I might have to get a new implant. If an abutment is broken, will I have to get a new implant? Thanks. Alexander

 

Alexander – An abutment is used to support a dental appliance. It is attached to a dental implant to support a crown. It is also used to support a fixed dental bridge or a removable partial denture.

Abutments can be made of titanium, stainless steel, gold, or zirconia ceramic. After your jawbone fuses to the implant, the abutment is usually screwed into the implant. Time is allowed for the gum to heal around the abutment, after which a dental crown is attached to it. At times, the abutment is placed on the same day that the dental implant is received.

A broken abutment can be time-consuming to remove and replace. The process requires the skill of an experienced prosthodontist. A variety of dental tools, including ultrasonic implants tools, a bur, or screw removal tools can be used to loosen the abutment. The implant specialist must calmly and carefully ensure that the dental implant is not harmed in the process.

Be certain that the dentist you choose to remove and replace the abutment is skilled in addressing dental implant complications. It may be beneficial to get the opinion of a third implant dentist. The abutment will be examined, and your options will be discussed. A prosthodontist can give you an estimate of how long it will take to remove and replace the abutment, and let you know if and how your dental implant will be affected.

This post is sponsored by Naperville board-certified prosthodontist Dr. Anthony LaVacca.

Feb 04

How does a night guard work?

By Bruxism, General Dentistry

Bruxism, or teeth grinding, usually occurs during sleep. Eight to ten percent of adults grind their teeth, and about one-third of parents report that their children grind their teeth.

Stress, anxiety, sleep disorders, or a misaligned bite can cause bruxism. Regular teeth grinding can cause jaw pain, facial pain, neck pain, earaches, headaches, toothaches, and damage your teeth. A customized night guard from a dentist can help.

What is a night guard?

A customized, dental night guard is an oral appliance made of dental acrylic. The night guard repositions your jaw to prevent teeth grinding. A customized night guard is lightweight—lighter than over-the-counter products—and more comfortable, because it is designed to precisely fit your teeth and mouth.

A night guard should be worn regularly, so if it doesn’t fit properly—as with over-the-counter appliances—it can cause problems with your bite and jaw.

How do you get a night guard?

You may know that you grind your teeth. But your dental hygienist or dentist may notice signs of wear on your teeth, or bulging on the sides of your teeth. Your dentist will recommend a night guard. If you choose to receive one, impressions of your teeth will be taken to ensure a proper fit.

Your dentist will send the impressions to a laboratory to make the night guard. You will return to the dentist to ensure that the appliance fits properly. Adjustments can be made to ensure proper fit, or the night guard may be returned to the laboratory to be re-made.

Your dental hygienist will give you instructions on how to wear and clean the night guard. As you wear it, you will likely notice that you have less neck pain, jaw pain, and facial pain, and fewer headaches.

If you have dental insurance, it may provide some coverage for a night guard. Contact your dental insurance company, or your dentist to find out the details for your plan.

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

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