Archive for the ‘dentures’ Category

Things to Remember About Dental Implants

Wednesday, April 29th, 2009

Dental implants possess many advantages over dentures or a bridge. It would not be grandiloquent to say that dental implants are a better solution to overcome the problem of missing teeth. With dental implants, you get natural and good look. The reason behind this is that dental implants integrate into the structure of your bone. As a result, none can easily realize that your teeth are result of dental implantation. Dental implants do not do any altercation to the quality of your bordering teeth to prop the implant. During dental implants, prosthodontists try their level best to leave your most of the teeth untouched.

If we put a glance over the history of dental implants so it is evinced that the success rate of dental implants is amazingly high as a result, dental implants are highly preferred. After dental implants you are enabled to eat, speak comfortably, this as a whole add to your confidence.There are many kinds of doing dental implants, which depend upon the state of the implant site. One quick method can be completed in one single day, and can be done if the tooth is replaced in a healthy gum over good bone. Grafting or growing new bone is considered very complex and can take up to half an hour or more. An implant is fixed to the jawbone that usually takes three to six months to get fully fused. After successful completion of this process, a post, known as an abutment, is put in the implant. In case patients are having fragile bone structure then prosthodontist apply the most complicated dental implant procedures.

In such case adequate time must be provided, so that bone may heal up fully, no doubt, this can make the process procrastinated. There are two types of dental implants in vogue today. First, one is known as Endosteal and second one is known as Subperiosteal. Endosteal is one of the most popular kinds of dental implants. That generally includes screws, cylinders or blades surgically placed into the jawbone. Endosteal is commonly used as an option for patients who are with detachable dentures. Second type of dental implant known as subperiosteal, which basically means on the bone. This type is applicable for those patients who find it difficult to put on traditional dentures.

Anupam Agnihotri
http://www.articlesbase.com/health-articles/-things-to-remember-about-dental-implants-75900.html

Before you Sit Down at the “family Table” you Better Take a Look at your Family Tree

Wednesday, April 29th, 2009

It never ceases to amaze me how we can believe that an actor/actress on a commercial is really the character he or she portrayed on a sit-com. I was watching T.V. the other night and Roseanne Barr was doing a commercial on Nick@Nite talking about the importance of having dinner at the â??family table.â? So the commercial flashed back to her and John Goodman on a Roseanne episode sitting at the dinner table engaged in an argument which was supposed to be funny to the viewer. The point of the commercial was that it doesnâ??t matter what goes on at the family table as long as you have one. As a kid we had a family table; it was a war zone. Iâ??m sure that many people can relate to my family table, and I am sick of calling it that too. (What is this new term â??family table- anyway?) In my house, the family table was more like the family zoo. It didnâ??t really dawn on me how crazy it was until my sister started dating, and she would bring one of her boyfriends home for dinner. The poor guy would sit there and watch as my father cooled a baked potato. You know, the way everyone does it. Take the potato out of the skin with a fork and hold it about two feet in the air for about 15 seconds and stare at the steam. Then wave it up and down like a magic wand 4 or 5 times until you think it is cool. We all knew it was still hot. He would start to eat it, and then he would leave his mouth half open while he sucked air in to try to cool it. You see, my father was a short order cook when he was younger, and he was also a mess sergeant in the army. I guess he thought that made him some sort of chef. He always complained about my motherâ??s cooking. She wasnâ??t very open to his comments either which led to the battle lines being drawn between the two of them. My dad also watched his diet; his dinners consisted of a small piece of protein, a vegetable, a potato, and a slice of bread. My mother consistently made those meals for him every night for dinner. But she always fed my two sisters and me the good stuff; you know, all starch and no protein. That really got to him. The question he always asked was, â??Why are you feeding them that?â? I tell you, he was purely disgusted by the meals we ate. My father didnâ??t want me to get fat, but I did. I never knew when he was going to make another negative comment about my diet. One night I ate about a pound of macaroni and meat sauce and a loaf of Italian bread for dinner while he had his standard sparse dinner. He didnâ??t say one word to me about what I was eating; he just watched. It was almost fun eating dinner with him. I was surprised, but very relieved that he had let me eat my delicious dinner in peace without making one negative comment about my unhealthy dinner. About two hours later I sneezed. I said, â??I think Iâ??m getting a cold.â? That was a mistake. He couldnâ??t wait to jump on that. He said, â??Well that stuff you ate for dinner tonight, you could catch anything from that, and you gobbled it up like dog food.â? My father, the general, won that battle after all. He got me.

There were many little idiosyncrasies he had. One day he picked up the butter dish at the dinner table, and he found a hair in it. A riot nearly broke out. He walked away from the dinner table thinking that it might be a pubic hair. He wore dentures that were out of his mouth every waking minute that he wasnâ??t eating or working. They usually fell out of his mouth when he started to yell. Thatâ??s when he would rip them out of his mouth so he could finish his tirade. Before he came to the table his teeth had to be brushed, cleaned, and rinsed for about 10 minutes. My mother would call him to dinner really early so he would have time to get his dentures polished up. She knew he hated cold food and didnâ??t want to listen to him complain. One night he was going through his denture ritual spit shining his teeth for an unusually long time. My mother must have called him to the table for 20 minutes. He finally sat down, took three bites of food, and looked at me and said, â??Cold.â? My mother went nuts because she had done everything humanly possible to get him to the table while the food was still hot. He proceeded to laugh at her outburst which predictably ended in another battle. This time, the general had the land mine perfectly placed and she stepped on it.

Diet was always on my fatherâ??s mind. One evening, my sister was leaving for a friendâ??s house at the dinner hour. My father said to her, â??Arenâ??t you going to eat dinner with us?â? She said, â??No, I â??m eating at Carolâ??s house.â? He said, â??Oh you are.â? After she left he looked at me and said, â??Sheâ??ll eat those greasy foods over there and have fat legs like Carol.â? Lucky for her. She got out before the general decided to open fire.

My oldest sister left home and moved to New York when she was 21 years old. I just canâ??t imagine why. She would come back to visit once a month or so. My sister had the ability to eat fast, and I mean really fast, like she was going to the electric chair. My father, on the other hand, was the slowest eater on the planet. She would be finishing eating and he would just be getting started. When she was done eating she got up and started to clear the table and do the dishes. In a small kitchen the strong smell of Lux Liquid started to become really noticeable. Not to mention my sisterâ??s soapy hands clearing the table were leaving soap suds behind – you guessed it – on my fatherâ??s food. War, this meant war. My sister didnâ??t have a chance to surrender and throw up the white flag. She was blown right out of the house and back to Brooklyn Heights.

The Family Table is a popular new term that is supposed to mean that dinner time is where families should be talking, and building strong relationships. This is a good idea. But in my case because of my fatherâ??s personality and food related phobias, our â??family tableâ? was not the place this could happen. Remember, you donâ??t need the family table to talk to your kids. You can talk to your kids in the family car. I love spending time with my own kids. I donâ??t have to be at a dinner table. Weâ??re all too fat anyway. Donâ??t get me wrong. I think itâ??s great that we have dinner together and chat and enjoy each otherâ??s company, but not because Roseanne says I should, but because it is something thatâ??s fun. Society always tries to hook some gimmick to things that occurred years ago in a very natural way. In my case my father had more conversations with me in the car than he did at the dinner table. We always went on long car rides and having conversation was a very natural thing to do. I have more conversations with my kids in the car and while we are working on projects than I do at the dinner table. Try talking to your kids without food in your mouth. They might hear what youâ??re saying a little better.

for more about Jim Burnshttp://behavioralmanagement.com/

James Burns
http://www.articlesbase.com/relationships-articles/before-you-sit-down-at-the-family-table-you-better-take-a-look-at-your-family-tree-220267.html

A Career in Dentistry Pulling Teeth

Wednesday, April 29th, 2009

Dentistry is the art and science of prevention, diagnosis, and treatment of conditions, diseases, and disorders of the oral cavity, the maxillofacial region, and its associated structures as it relates to human beings. A dentist is a doctor qualified to practice dentistry. In most countries, several years of training in a university (usually 4-8) and some practical experience working with actual patients’ dentition are required to become a qualified dentist. The patron saint of dentists is Saint Apollonia, martyred in Alexandria by having all her teeth violently extracted.

General Dental Practice includes most examination, diagnosis, treatment planning, treatment, and prevention of disease. The dentist frequently uses X-rays and other equipment to ensure correct diagnosis and treatment planning. Treatment may include filling cavities, removing the nerves of teeth, treating diseases of the gums, removing teeth, and replacing lost teeth with Bridges and Dentures (Dental Plates). Anesthesia is often used in any treatment that might cause pain.

Teeth may be filled with Gold, Silver, Amalgam, or Cements, and with fused Porcelain Inlays. Dentists treat diseases of the mouth and gums such as trench mouth and Periodontitis. An important part of general dental practice is preventive dentistry. If a dentist examines a patient’s teeth at regular intervals, a disease may be detected and treated before it becomes serious. Dentists also demonstrate proper methods of brushing and flossing the teeth. They may advise their patients about what food to eat or to avoid for good dental health. Dentists may also treat teeth with Fluorides or other substances to prevent decay.

In the United States, dentists earn either a D.D.S. (Doctor of Dental Surgery) or D.M.D.(Doctor of Dental Medicine) degree. There is no difference in the training for either degree. The degrees are equivalent, and recognized equally by all state boards of dentistry.

There are 56 Accredited Dental schools in the United States requiring 4 years of post graduate study (except for one unique 3 year program at the University of the Pacific)[14]. Most applicants to dental school have attained at least a B.S. or B.A. degree, however, a small percentage are admitted after only fulfilling specific prerequisite courses. So unlike many other countries, it can take more than 8 years to become a dentist.

(List of dental schools in the United States) The degrees D.D.S. and D.M.D. require equivalent education and are identical in every way. The difference relates to the history involved in the division of medicine and surgery in medical practice. There has been a recent movement to include a 5th year of education that focuses on purely practical training in the clinical setting. In at least one state, a state dental license can be received without taking the licensing exam (State Board Exam) upon completing this additional year of training.

Dentists are licensed and regulated by the state in which they practice. The license is only valid in the issuing state and is non-transferable. There are many cooperative agreements between states that allow recognition of another state’s license so as to procure a license either via “licensure by credentials” or “licensure by reciprocity.”

A dentist may go on for further training in a dental specialty which requires an additional 1 to 7 years of post-doctoral training. There are 9 recognized dental specialties. They are Endodontics(root canal treatment), Oral and Maxillofacial Pathology, Oral and Maxillofacial Radiology, Pediatric Dentistry, Periodontics(gums), Prosthodontics (complicated dental reconstruction), Orthodontics(braces), Oral and Maxillofacial Surgery(tooth removal and surgery of the oral and related structures), and Dental Public Health.

There is no specialty in esthetic dentistry or implantology, and no additional training is required for a dentist to make the claim of being an esthetic or cosmetic dentist. Dentists are forbidden to claim that they are specialists in areas of practice in which there is no recognized specialty. They may limit their practices to a single area of dentistry, and claim that their practice is limited to that area.

Any general dentist may perform those procedures designated within the enumerated specialties if they deem themselves competent. Many general dentists train in certain aspects of the above specialties such as the placement and restoration of dental implants, advanced prosthodontics and endodontics, and have limited or heavily focused their practices to these areas. When a general dentist performs any procedure that falls within the realm of a specialty, they are expected to perform with the same level of expertise as a certified specialist and are legally held to such standards with respect to any issues of malpractice.

There are nine dental specialties recognized by the American Dental Association and require 2-6 years of residency training after dental school.

The specialties are Dental Public Health (study of dental epidemiology and social health policies), Endodontics (root canal therapy), Oral and Maxillofacial Pathology (study, diagnosis, and often the treatment of oral and maxillofacial related diseases), Oral and Maxillofacial Radiology (study and radiologic interpretation of oral and maxillofacial diseases), Oral and Maxillofacial Surgery (extractions and facial surgery), Orthodontics and Dentofacial Orthopaedics (straightening of teeth), Pedodontics (pediatric dentistry; i.e. dentistry for children), Periodontics (treatment of gum disease), Prosthodontics (replacement of missing facial anatomy by prostheses such as dentures, bridges and implants).

Specialists in these fields are designated registrable (U.S. “Board Eligible”) and warrant exclusive titles such as orthodontist, oral surgeon, pedodontist, periodontist, or prosthodontist upon satisfying certain local (U.S. “Board Certified”) registry requirements.

Two other post-graduate formal advanced education programs: General Practice Residency (advanced clinical and didactic training with intense hospital experience) and Advanced Education in General Dentistry (advanced training in clinical dentistry) recognized by the ADA do not lead to specialization.

Other dental education exists where no post-graduate formal university training is required: cosmetic dentistry, dental implant, temporo-mandibular joint therapy. These usually require the attendance of one or more continuing education courses that typically last for one to several days. There are restrictions on allowing these dentists to call themselves specialists in these fields. The specialist titles are registrable titles and controlled by the local dental licensing bodies.

Forensic odontology consists of the gathering and use of dental evidence in law. This may be performed by any dentist with experience or training in this field. The function of the forensic dentist is primarily documentation and verification of identity.

Geriatric dentistry or geriodontics is the delivery of dental care to older adults involving the diagnosis, prevention, and treatment of problems associated with normal aging and age-related diseases as part of an interdisciplinary team with other health care professionals.

Josh Stone
http://www.articlesbase.com/careers-articles/a-career-in-dentistry-pulling-teeth-86528.html

The Future of Dentist Choosing a Dental Career

Wednesday, April 29th, 2009

Employment of dentists is projected to grow about average for all occupations through 2014. Although employment growth will provide some job opportunities, most jobs will result from the need to replace the large number of dentists expected to retire. Job prospects should be good as new dentists take over established practices or start their own.

Demand for dental care should grow substantially through 2014. A large number of people will need complicated dental work, such as bridges. In addition, elderly people are more likely to retain their teeth than were their predecessors, so they will require much more care than in the past. The younger generation will continue to need preventive checkups despite treatments such as fluoridation of the water supply, which decreases the incidence of tooth decay. However, employment of dentists is not expected to grow as rapidly as the demand for dental services. As their practices expand, dentists are likely to hire more dental hygienists and dental assistants to handle routine services.

Dentists will increasingly provide care and instruction aimed at preventing the loss of teeth, rather than simply providing treatments such as fillings. Improvements in dental technology also will allow dentists to offer more effective and less painful treatment to their patients.

Dentists diagnose, prevent, and treat problems with teeth or mouth tissue. They remove decay, fill cavities, examine x rays, place protective plastic sealants on children’s teeth, straighten teeth, and repair fractured teeth. They also perform corrective surgery on gums and supporting bones to treat gum diseases. Dentists extract teeth and make models and measurements for dentures to replace missing teeth. They provide instruction on diet, brushing, flossing, the use of fluorides, and other aspects of dental care. They also administer anesthetics and write prescriptions for antibiotics and other medications.

Dentists use a variety of equipment, including x-ray machines; drills; and instruments such as mouth mirrors, probes, forceps, brushes, and scalpels. They wear masks, gloves, and safety glasses to protect themselves and their patients from infectious diseases.

Dentists in private practice oversee a variety of administrative tasks, including bookkeeping and buying equipment and supplies. They may employ and supervise dental hygienists, dental assistants, dental laboratory technicians, and receptionists.

Most dentists are general practitioners, handling a variety of dental needs. Other dentists practice in any of nine specialty areas. Orthodontists, the largest group of specialists, straighten teeth by applying pressure to the teeth with braces or retainers.

The next largest group, oral and maxillofacial surgeons, operates on the mouth and jaws. The remainder may specialize as pediatric dentists (focusing on dentistry for children); periodontists (treating gums and bone supporting the teeth); prosthodontists (replacing missing teeth with permanent fixtures, such as crowns and bridges, or with removable fixtures such as dentures); endodontists (performing root canal therapy); public health dentists (promoting good dental health and preventing dental diseases within the community); oral pathologists (studying oral diseases); or oral and maxillofacial radiologists (diagnosing diseases in the head and neck through the use of imaging technologies).

Dental hygienists remove soft and hard deposits from teeth, teach patients how to practice good oral hygiene, and provide other preventive dental care.

Dental assistants perform a variety of patient care, office, and laboratory duties. They make patients as comfortable as possible in the dental chair, prepare them for treatment, and obtain their dental records.

When patients require a special appliance to chew and speak well, their health care providers send requests to dental laboratory technicians.

After fabrication, medical appliance technicians test devices for proper alignment, movement, and stability using meters and alignment fixtures. They also may fit the appliance on the patient and adjust them as necessary. Over time the appliance will wear down, so technicians must repair and maintain the device.

Most dentists work 4 or 5 days a week. Some work evenings and weekends to meet their patients’ needs. Most full-time dentists work between 35 and 40 hours a week, but others work more. Initially, dentists may work more hours as they establish their practice. Experienced dentists often work fewer hours. Many continue in part-time practice well beyond the usual retirement age.

Most dentists are solo practitioners, meaning that they own their own businesses and work alone or with a small staff. Some dentists have partners, and a few work for other dentists as associate dentists.

Dentistry requires diagnostic ability and manual skills. Dentists should have good visual memory, excellent judgment regarding space and shape, a high degree of manual dexterity, and scientific ability. Good business sense, self-discipline, and good communication skills are helpful for success in private practice. High school and college students who want to become dentists should take courses in biology, chemistry, physics, health, and mathematics.

Dental schools require a minimum of 2 years of college-level predental education, regardless of the major chosen. However, most dental students have at least a bachelor’s degree. Predental education emphasizes coursework in science, and many applicants to dental school major in a science such as biology or chemistry, while other applicants major in another subject and take many science courses as well. A few applicants are accepted to dental school after 2 or 3 years of college and complete their bachelor’s degree while attending dental school.

All dental schools require applicants to take the Dental Admissions Test (DAT). When selecting students, schools consider scores earned on the DAT, applicants’ grade point averages, and information gathered through recommendations and interviews.

Dental school usually lasts 4 academic years. Studies begin with classroom instruction and laboratory work in basic sciences, including anatomy, microbiology, biochemistry, and physiology. Beginning courses in clinical sciences, including laboratory techniques, also are provided at this time. During the last 2 years, students treat patients, usually in dental clinics, under the supervision of licensed dentists. Some dental school graduates work for established dentists as associates for 1 to 2 years to gain experience and save money to equip an office of their own. Most dental school graduates, however, purchase an established practice or open a new one immediately after graduation.

Josh Stone
http://www.articlesbase.com/careers-articles/the-future-of-dentist-choosing-a-dental-career-91184.html

Do You Have Gum Disease?

Wednesday, April 29th, 2009

Gum disease has been deemed a silent epidemic. It can rob a person of his teeth. But how much do you really know about this disease? Can it be stopped or prevented? I believe the answer is yes in many cases, but not all.

Most people are woefully unaware that they even have gum disease, that is until the situation becomes critical. So how do you know if you have gum disease? The best way to be sure is to get a diagnosis from your dentist.

However, if your gums bleed upon brushing or flossing, there is a good possibility that you have gum disease. Some people don’t care if they have it or not. But I think they would care if they lost some or all of their teeth. Who would want to deal with dentures or implants if they didn’t have to?

I spoke to a dental student recently and she told me that people actually come to the clinic and ask for all of their teeth to be pulled. They don’t want to spend the time it takes to clean them properly. The problem is that even if someone has that done, they still have to take care of the dentures and the gum tissue around implants still needs to be cared for. So not much is resolved by having all of one’s teeth pulled.

There is a rare two percent of the population that is virtually immune to gum disease. If true, that would mean that the other 98% of us are prone. Official quotes say that something like 75% of people over the age of 35 have gingivitis or gum disease. My guess is that the number may be higher.

Wouldn’t it be wonderful if there was a fairly simple solution to get rid of gum disease?
Let me tell you my story. One day, seemingly out of the blue my hygienist wanted me to sign a paper that stated that it was not the dental office’s fault if I lost my teeth. I was a little shocked. But the truth is, this situation didn’t develop overnight. Just like I mentioned before, it took years for gum disease to progress to that point.

I didn’t know that a little occasional bleeding while brushing or flossing was not normal. In fact, many people think that way. The truth is that it is not considered normal for your gums to bleed while brushing or flossing.

Once I did my research, I found a few simple tools that helped me to eliminate gingivitis for good. When I went back to the dentist’s office they were amazed. The last time I went, the hygienist said that there was no bleeding during probing. That is a good sign for the health of my gums.

What I discovered during my research is something that everyone should know about. That is why I created the Gingivitis Killer website.

As a side note: For overall health and fitness I prefer the easy, gentle but powerful exercises of Falun Dafa. You can learn more about them at the FalunDafa.org website.

If you have or think you might have something as serious as gum disease, visit your dentist for diagnosis and treatment. Stop gum disease and keep your teeth for the long haul.

David Snape
http://www.articlesbase.com/medicine-articles/do-you-have-gum-disease-131065.html

Oral Yeast Infection – Thrush

Wednesday, April 29th, 2009

An oral yeast infection in the mouth of infants and adults is called â??thrush.â? It is usually caused by the tiny yeast called Candida albicans. It appears as thick white lacy patches that can form anywhere inside the mouth, including the tongue or palate.

If the white patches are scraped away, the area underneath will be red and may bleed. Occasionally, an oral yeast infection can cause the tongue to be red without a white coating.

Newborn babies, adult denture users, and people with endocrine disorders such as diabetes or hypothyroidism are the most at risk for oral yeast infections. Older adults often experience thrush under their dentures.

In AIDS patients, an infection called esophagitis may form in the upper digestive tract, and can be a serious health threat for these patients. This is an infection very similar to thrush, but it extends down from the mouth into the esophagus and stomach.

Thrush can be very painful and this can make it difficult to eat and drink, which can lead to dehydration. Any child that goes without drinking liquids for more than 12 hours should be taken to the doctor. The same care should be taken for elderly adults. Anyone with a compromised immune system must see a doctor immediately if they see the symptoms of an oral yeast infection.

Treating Oral Yeast Infections

Oral yeast infections are usually treated with antibiotics that require a prescription. Most symptoms go away soon after beginning an antifungal medication, and if the infection is mild enough, it may even go away on its own.

Your doctor may be able to diagnose thrush by taking a look, but if in doubt sheâ??ll take a scrape from the infected area in the mouth and send it to the lab.

Oral infections that look a lot like thrush can be caused by other things – including the early stages of cancer. That makes a qualified diagnosis that much more important.

The first step in treatment will be to get rid of the yeast, and this is usually done with prescription antifungal medication in a form that can be sucked or as a liquid that is held in the mouth before swallowing. Medications that may be prescribed include nystatin (Mycostatin) and fluconazole (Diflucan).

If the infection spreads because your immune system has been compromised, your doctor will use a systemic treatment that is taken orally or intravenously, and treat the infection very aggressively.

According to the Mayo Clinic, some oral yeast infections require no medical treatment at all because they go away on their own. For instance, healthy toddlers may get thrush after being treated with antibiotics. Your childâ??s doctor may suggest that you add unsweetened yogurt to your childâ??s diet because yogurt contains beneficial bacteria. If this doesn’t help, your childâ??s doctor will prescribe an antifungal medication.

Healthy adults can also try eating yogurt, or take a dietary supplement that includes the good bacteria called acidophilus. This may restore the microbial balance, but if it doesnâ??t work a prescription will be needed.

The second step in treating oral yeast infections is to correct any condition that may have caused it. Dentures will need to be treated to destroy the fungus and ill-fitting dentures may need to be repaired or replaced. If the patient is diabetic, an adjustment may be needed in the diabetic medications that are being taken.

Since a high-sugar diet is known to cause oral yeast infections, a change in diet should always be considered in addition to any other treatment for thrush.

If an infant who is breast feeding gets thrush, the mother will also be treated to keep the infection from being passed back and forth between mother and child.

Jonni Good
http://www.articlesbase.com/health-articles/oral-yeast-infection-thrush-95222.html

Cosmetic Dentistry Procedure – Dental Implants

Wednesday, April 29th, 2009

Implants are bridges that are permanently anchored into the jaw. Because there is always a perfect fit, dental implants are almost the same as having your natural teeth back again. To qualify for implants, you’ll need healthy oral tissues and jawbone ridges that are in good shape. If you’re suffering from tooth loss, talk with a dentist about whether implants are an option for you.

If you are missing one or more teeth, you’ll want replacements that are as natural as possible. If dentures don’t work for you, you may consider dental implants. Unlike dentures, which can be removed, implants are permanently anchored into the jaw itself.

Usually dentists feel you are a good candidate for implants if you have jawbone ridges that are in good shape and healthy oral tissues. When the implant device is inserted into the jaw, a chemical and mechanical bond is formed. The jawbone actually grows into the implant.

With implants, dentists can get you a perfect fit, and they will look and feel as good as (or better than!) your original teeth.

A dental implant is a titanium metal replacement for a root of a tooth that is surgically implanted in the jawbone.

As the body heals for approximately two to six months after the surgery, the bone around the implant fuses to the implant through a process called osseointegration.

After the healing phase is complete, the implants are used to anchor crowns, bridges, or dentures.

Dental implants are the most natural replacement for a missing tooth

At the dental office they begin with a thorough evaluation of the patient’s medical and dental history, and a full clinical examination of the entire mouth and missing tooth area. The clinical exam should also include specific X-rays.

After assessing the patient, a comprehensive treatment plan can be devised. From that point, implants are surgically placed in the jawbone under local anesthesia.

The length of the healing time is based on the quality and quantity of bone, as well as the type of implant placed. After adequate healing is allowed to occur, the implant can be used to support a crown, bridge, or dentureYes, several types are available. The American Dental Association considers both the endosteal and the subperiosteal implants to be acceptable.

An important factor for selection is to determine whether your jawbone can adequately support the implant. Most dental implants placed today are endosteal root form fixtures (similar to a man-made tooth root).

When getting dental implants, you should select a dentist or dental team with in-depth knowledge and prior experience with all aspects of the treatment.

It is also important to know that implant treatment consists of two components: a surgical phase and a restorative phase.

Traditionally, a dental surgeon, like an oral surgeon or a periodontist, performs the surgical component. A general dentist, or prosthodontist and laboratory technician performs the restorative component. However, as implant dentistry has become more sophisticated, sometimes a dentist who specializes in restorative dentistry conducts the entire procedure.

Dave Stringham
http://www.articlesbase.com/health-articles/cosmetic-dentistry-procedure-dental-implants-248375.html

The Aesthetically Perfect Smile

Wednesday, April 29th, 2009

The “Hollywood Smile”

The “Hollywood Smile” is a media ideal dating back to the early 1900â??s. Teeth were in such disrepair that people would not smile for photographs. The only smiles seen were created in published media as cartoons. Artists depicted teeth as solid white areas with the upper and lower teeth separated by a curved line following the lower lip. The curved line created an image of the front teeth being the longest and every tooth gets shorter all the way to the corners of the mouth.

Today, the “Hollywood Smile” is an improved media ideal. The lips are filled with very white teeth that block out darkness in the back of the mouth. Incising edges of top teeth follow the line of the lower lip coming within a millimeter of contact. Two front teeth are most prominent with adjacent teeth appearing sequentially smaller from the front teeth to the corners of the mouth creating perspective. Ideally, each tooth looks one sixteenth smaller than the adjacent tooth in front of it. There is symmetry of tooth color, shape and position right side to left side of the midline.

A masculine smile has square teeth. Incising edges of top teeth follows a straighter line. A feminine smile has rounded teeth. Incising edges of top teeth follows the lower lip line closer creating more curvature.

The Natural Smile

Natural smiles are seen everyday. Teeth fill the space between the lips and block out darkness in the back of the mouth. They are shades that blend with skin tones. Incising edges of top teeth follow the line of the lower lip, however, the two lateral incisors adjacent to the front teeth are shorter. The eyeteeth appear longer. Two front teeth are most prominent with adjacent teeth appearing sequentially smaller from the front teeth to the corners of the mouth creating perspective. Ideally, each tooth looks one sixteenth smaller than the adjacent tooth in front of it. There is symmetry of tooth color, shape and position right side to left side of the midline, however variation creates a natural appearance. Development and aging of teeth alters these relationships.

Natural smiles often have rotated, tilted, crowded, or spaced teeth. There is wear of outer and biting surfaces, gum recession and root exposure, chips, cracks or cavities. The four front incisors are the same color, the eyeteeth darker and the bicuspids and molars slightly lighter. Each tooth has great color variation over its surface. Teeth have a relatively translucent enamel shell with yellow dentin under it. As enamel thins and shows through yellow dentin, the tooth looks more yellow as occurs in the third of the tooth closest to the gums. Areas where dentin is not behind enamel as occurs between teeth and along the biting edge, appear dark gray because the translucent enamel allows darkness of the back of the mouth to show through.

The back of the mouth is a dark space as no light enters. Incorrect tooth position, tooth loss, malformed teeth, and loss of tooth structure from trauma or cavities create spaces that show the darkness of the back of the mouth.

Perception Esthetics

Perception esthetics recognizes that various smile designs and tooth defects are used to produce natural-looking smiles, and that a dentist’s perception of a patient results in a final smile design that fits the individual. Defining patient esthetic values and appreciation levels is essential to patient satisfaction.Without proper assessment, final smile design becomes the artistic interpretation of the dentist, which may or may not be acceptable to the patient. A dentist who does not understand perception esthetics produces the same smile for every patient, within the bounds of physical or financial limitations. The perfect smile, based on the â??Golden Ruleâ? of esthetic dentistry can be ideal for a 20-year-old patient but not ideal for an older patient. Table 1 lists the types of imperfections that need to be evaluated to ensure patient satisfaction.

Restoration goals must be balanced with limitations of ideals and limitations of treatment. Limitations of ideals include general traits (cultural, physical, and personality limitations), detailed inspection, and visual perception. Limitations of treatment include patient and dentist limitations. Patient limitations include physical, psychological, and financial limitations. Dentist limitations include artistic, perceptive, and technical ability (i.e., material and laboratory limitations).”

Tooth and Smile Defects

Tooth defects that affect smile esthetics include color, shape and position. Correctionsof unacceptable defects improve smiles. Inclusion of acceptable defects creates a natural smile. Aesthetics is an art and consequently, beauty is a personal preference and defining a patientâ??s preferences is critical.

Treatment

Treatment goals must be realistic based on limitations of ideals and limitations of treatment. Perception Aesthetics is a concept I published in the Journal of Esthetic Dentistry in the 1990â??s. Perception Aesthetics review all factors that define realistic expectations for treatment goals.

Aesthetic Recontouring

Aesthetic recontouring is the process of selectively remodeling teeth to affect their shape, position, length, and contours. Youthful, feminine smiles are typically characterized by rounded edges. In a more masculine smile or one characteristic of an older individual, flat worn surfaces are more prominent. Significant generalized changes are possible when treating front teeth visible in the patient’s smile. Ideally, recontouring is confined to enamel and results in teeth of proper proportion. Significant changes are possible when treating front teeth visible in the patient’s smile.

Teeth Whitening

Bleaching lightens teeth by removing stain caught in microscopic holes within enamel. The active ingredient in most of the whitening agents iscarbamide peroxide, also known as urea peroxide; when water contacts this white crystal, the release of hydrogen peroxide lightens the teeth. Bleaching is successful in at least 90 percent of patients, though it may not be an option for everyone. Consider tooth bleaching if your teeth are darkened from age, coffee, tea or smoking. Teeth darkened with the color of yellow, brown or orange respond better to lightening. Other types of gray stains caused by fluorosis, smoking or tetracycline are lightened, but results are not as dramatic. Every case is different. Typically, there is a multiple-shade improvement as seen on a dentist’s shade guide. If you have very sensitive teeth, or teeth with worn enamel, your dentist may discourage bleaching. Existing restorations such as crowns and fillings do not change color.

The dentist or hygienist will make impressions of your teeth to fabricate a bleaching appliance for you. The appliance is custom made for your mouth. Along with the appliance, you’ll receive the bleaching materials and you’ll be given instructions on how to wear the appliance. Some bleaching systems recommend bleaching your teeth from one to four hours a day. Generally this type of system requires three to six weeks to complete. Other systems recommend bleaching at night while you sleep. This type of system usually requires only 10-14 days to complete.

Lightness should last from one to five years, depending on your personal habits such as smoking and drinking coffee and tea. At this point you may choose to get a touch up. This procedure may not be as costly because you can probably still use the same appliance.

The retreatment time also is much shorter than the original treatment time. Several studies, during the past ten years, have proven bleaching to be safe and effective. The American Dental Association has granted its seal of approval to some tooth bleaching products. Some patients may experience slight gum irritation or tooth sensitivity, which will resolve when the treatment ends.

Composite Fillings – Front Teeth

A composite resin is a tooth-colored plastic mixture filled with glass. Composites are not only used to restore decayed areas, but are also used for cosmetic improvements of the smile by changing the color of the teeth or reshaping disfigured teeth.

In order to bond a filling material to your tooth, it is first necessary to remove decay, prepare the tooth and then to condition the enamel and dentin. Once conditioned, a thin resin is applied which bonds to the etched surface. The bond strength of these fillings is incredible.

Following preparation, the dentist places the composite in layers, using a light specialized to harden each layer. When the process is finished, the dentist will shape the composite to fit the tooth. The dentist then polishes the composite to prevent staining and early wear. Bonding increases the strength of these restorations far beyond those of only a short time ago.

Composites bond to the tooth to support the remaining tooth structure, which helps to prevent breakage and insulate the tooth from excessive temperature changes. After receiving a composite, a patient may experience post-operative sensitivity.Also, the shade of the composite can change slightly if the patient drinks tea, coffee or other staining foods. The dentist can put a clear plastic coating over the composite to prevent the color from changing if a patient is particularly concerned about tooth color.

Composites tend to wear out in larger cavities, although they hold up well in small cavities. After placement, you may chew right away. The light instantly hardens these fillings. Your teeth may experience some degree of temperature sensitivity for a few days to a week. If it does not disappear within that period of time, contact your dentist.

These light cured composites are extremely cosmetic and most often bonded into place in one appointment. They are often referred to as â??bonding.â? Studies have shown that composites last 7-10 years.

In the past, teeth were most commonly repaired with silicate or acrylic restorations. Thanks to advances in modern dental materials and techniques, teeth can be restored with a more aesthetic and natural appearance. There are different types of cosmetic fillings currently available. The type used will depend on the location of the tooth and the amount of tooth structure that needs to be repaired.

White Composites – Back Teeth

A composite resin is a tooth-colored plastic mixture filled with glass. In the past, dental composites were confined to the front teeth because they were not strong enough to withstand the pressure and wear generated by the back teeth.

Following preparation, the dentist places the composite in layers, using a light specialized to harden each layer. When the process is finished, the dentist will shape the composite to fit the tooth. The dentist then polishes the composite to prevent staining and early wear. It takes the dentist about 10-20 minutes longer to place a composite than a silver filling. Placement time depends on the size and location of the cavity and the larger the size, the longer it will take.

The average cost of posterior composites is about one-and-a-half to two times the price of a silver filling. Most dental insurance plans cover the cost of the composite up to the price of a silver filling, with the patient paying the difference. As composites continue to improve, insurance companies are more likely to increase their coverage of composites.

Esthetics are one of the main advantages, since dentists can blend shades to create a color nearly identical to that of the actual tooth. Composites bond to the tooth to support the remaining tooth structure, which helps to prevent breakage, minimize leakage and insulate the tooth from excessive temperature changes.

After receiving a composite, a patient may experience post-operative sensitivity. Also, the shade of the composite can change slightly if the patient drinks tea, coffee or other staining foods. Composites tend to wear out sooner than silver fillings in larger cavities, although they hold up as well in small cavities. Studies have shown that composites last 7-10 years, which is comparable to silver fillings except in very large restorations, where silver fillings last longer than composites.

In the past, teeth were most commonly repaired with amalgam (silver) fillings or gold restorations. Thanks to advances in modern dental materials and techniques, teeth can be restored with a more aesthetic and natural appearance. There are different types of cosmetic fillings currently available. The type used will depend on the location of the tooth and the amount of tooth structure that needs to be repaired.

The other type of â??white fillingsâ? are called Composite or Porcelain Inlays and Onlays. These fillings are usually placed in back teeth when esthetics is of utmost concern. In order to increase their strength and longevity, they are fabricated in the laboratory and then bonded into position in the office. This is a two visit procedure rather than the one visit required to place a direct composite filling. However, when it comes to strength and cosmetics, the extra time and expense is well worth it! I hope that you now understand a little bit more about white fillings.

Porcelain Veneers

Porcelain veneers are thin shells of ceramic material, which are bonded to the front of teeth. They can be the ideal choice for improving the appearance of the front teeth. Porcelain veneers are placed to mask discolorations, to close spaces, to brighten teeth, to straighten teeth, and to repair broken tooth structure. Highly resistant to permanent staining from coffee, tea, or even cigarette smoking, the wafer-thin porcelain veneers can achieve a tenacious bond to the tooth, resulting in an esthetically pleasing naturalness that is unsurpassed by other restorative options.

Porcelain veneers are an excellent alternative to crowns or fillings in many situations. They provide a conservative approach to changing a tooth’s color, size, shape or position. Porcelain veneers can mask undesirable defects, such as teeth stained by tetracycline, by an injury, or as a result of a root canal procedure, and are ideal for masking discolored fillings in front teeth. Patients with gaps between their front teeth or teeth that are chipped or worn may consider porcelain veneers. Generally, veneers will last for many years, and the technique has shown remarkable longevity when properly performed.

Patients may need several appointments for the entire procedure including diagnosis and treatment planning, preparation, and bonding. It’s critical that you take an active role in the smile design. Spend time in the decision-making and planning of the smile. Understand the corrective limitations of the procedure to correct tooth defects, color or position.

The preparation appointment will take from one to several hours. To prepare the teeth for the porcelain veneers, the teeth are lightly reduced to allow for the small added thickness of the veneer. Usually, about a half a millimeter of the tooth is removed, which may require a local anesthetic. At this appointment, a mold is taken of the teeth, which is sent to the laboratory for the fabrication of the veneers. This can take about one to three weeks. If the teeth are too unsightly a temporary veneer can be placed, at an additional cost.

Bonding of veneers will take about one or two hours. First, the dentist places the veneers with water or glycerine on the teeth to check their fit and get a sense of the shade or color.While the veneers are resting on your teeth, view the esthetic results, and pay particular attention to the color.At this point, the color of the veneers can still be adjusted with the shade of the cement to be used. The color cannot be altered after veneers are cemented. To apply the veneer, the tooth is cleansed with specific chemicals to achieve a bond. Once a special cement is sandwiched between the veneer and tooth, a visible light beam initiates the release of a catalyst to harden the cement.

All porcelain restorations are called veneers when they cover only the front of teeth. They are crowns when they cover all surfaces of teeth. Restorations are three quarter crowns when they do not cover the surface of teeth toward the tongue. It is often difficult to distinguish one type of restoration from another and therefore, it is easier to call them bonded porcelain restorations.

Crowns – Front and Back Teeth

Crowns are used to support a tooth when there isn’t enough of the tooth remaining, protect weak teeth from fracturing, restore fractured teeth, or cover badly shaped or discolored teeth. A crown is a restoration that covers a tooth like a thimble to restore it to its normal shape and size while improving strength and appearance of a tooth. Crowns are necessary when a tooth is generally broken down and fillings won’t solve the problem. If a tooth is cracked, a crown holds the tooth together to seal the cracks so the damage doesn’t get worse.

To prepare the tooth for a crown, it is reduced so the crown can fit over it. An impression of teeth and gums is made and sent to the lab for the crown fabrication. A temporary crown is fitted over the tooth until the permanent crown is made. On the next visit, the dentist removes the temporary crown and cements the permanent crown onto the tooth.

Crowns require more tooth structure removal, hence, they cover more of the tooth than veneers. Crowns are customarily indicated for teeth that have sustained significant loss of structure. Crowns are made from various materials including plastics, porcelains and metals or combinations of these.

The dentist’s main goal is to create crowns that look like natural teeth. To achieve a certain look, a number of factors are considered, such as the color, bite, shape, and length of your natural teeth. When the procedure is complete, your teeth will not only be stronger, but they may be more attractive.

Crowns should last approximately 12 years. However, with good oral hygiene and supervision most crowns will last for a much longer period of time. Some damaging habits like grinding your teeth, chewing ice, or fingernail biting may cause this period of time to decrease significantly.

To prevent damaging or fracturing the crowns, avoid chewing hard foods, ice or other hard objects. You also want to avoid teeth grinding. Besides visiting your dentist and brushing twice a day, cleaning between your teeth is vital with crowns. Floss is important to remove plaque from the crown area where the gum meets the tooth. Plaque in that area can cause dental decay and gum disease.

Replacing Missing Teeth

Fixed Bridges and Implants

A fixed bridge replaces missing teeth. Teeth on either side of the space are prepared for crowns. Crowns are joined together so crowns on either side can support the missing teeth in the middle.

Implants, usually made of titanium metal similar to that used in pins to join fractured bones, are permanent replacements for missing teeth. Part of the implant acts as the root of a tooth and supports a section that extends above the gums. Replacement teeth may be permanently fixed to the sections above the gums, like fixed bridges, or can be removable similar to overdentures.

Partial Dentures

Partial dentures replace missing teeth supported by gums and remaining teeth. Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored resin bases, which are connected by a metal framework. Removable partial dentures attach to your natural teeth with rests, guide planes and metal clasps. The metal clasps often shows when smiling. A denture helps you to properly chew food, improve speech and prevent a sagging face by providing support for lips and cheeks.A full denture is held in by suction so function is compromised.

An overdenture is a denture that uses precision dental attachments to hold the denture down. The overdenture attachment can be placed in tooth roots that have been saved, or placed onto dental implants that have been placed to receive them. When proper smile design principals are applied to dentures, they can look very natural. Indeed, most denture patients want more imperfections in their denture teeth so they look more natural.

Full Dentures

There is a substantial difference between full dentures and your own teeth since it is only suction which holds a full denture in place.

Dentures may move or come loose when the tongue, lips, cheeks and muscles push against it. Good impressions provide an accurate fit and seal around the edges. Retention and stabilization can be aided by the shape of bone and firmness of gums which make it more difficult to break the suction.

It is difficult to predict how a patient will adapt to dentures.A stable, retentive denture increases success, but people must adapt psychologically and learn techniques of functioning with a denture. Speech patterns must be relearned and chewing efficiency may be dramatically reduced. For these reasons, full dentures are the last resort of dentistry.

There are two alternatives to full dentures: overdentures and implants. Occasionally weak teeth can be used to stabilize dentures. Teeth reduced in height are much stronger because forces are closer to the gums reducing the force generated on their roots.

Overdentures are dentures which fit over weak teeth reduced in height after root canals. In addition, precision attachments can be placed in these teeth and dentures for added retention. Retaining roots will also help maintain bone height which might recede if roots were not there.

Dental Implants

Often, implants are preferred over fixed bridges because natural adjacent teeth are not damaged making their long term prognosis better. A dental implant is an artificial tooth root that is osteointegrated (bone joins to it) into your jaw. Permanent replacement teeth are joined to implants appearing and functioning like your own teeth. Often, implants are preferred over fixed bridges because natural adjacent teeth are not damaged making their long term prognosis better.

The modern day implant has been done for over forty years with great success. The jaw must have enough bone to place implants and a patient should be in good health. Diabetes, smoking, and other systemic diseases can limit implant success. Proper brushing, flossing and maintenance procedures are critical to maintaining gum and bone health that support implants.

If teeth are extracted, bone must fill the space where the tooth was prior to placing an implant. Healing can be six months or more before bone is dense enough to accept an implant. Placing the implant is a surgical procedure done with just local anesthesia.

Healing of bone into the implant requires three to six months and after the implant is exposed through the gums, restoration can take an additional three to eight weeks.

Since implants involve surgery and are more involved, they cost more than traditional bridge work. However, some dental procedures and portions of the restoration may be covered by dental and medical insurance policies. Your dentist can help you with this process.

Paul Chalifoux
http://www.articlesbase.com/wellness-articles/the-aesthetically-perfect-smile-122937.html

Dental Implants Are They Right For You?

Wednesday, April 29th, 2009

Dental implants today are made from titanium, because the titanium mixes with the live cells in the mouth and do not cause any adverse reactions. Dental implants can vary in price. They can be reasonable or highly priced depending on which dentist you choose to get your implants from. They are either a screw in type that screws directly into the Jaw bone or the type that rests on the gum line of the mouth.

It is up to you to decide between getting implants or partial or full dentures made for yourself. Compare not only price but quality too. Other things to consider are that implants are permanently in your mouth, where as dentures need to be taken out and clean on a daily basis. There is usually a very wide price gap between the implants and dentures. I personally prefer to use dentures at this point in my life. Right now I have a lot of my original teeth, and only need a partial venture to replace for molars that have been pulled from my mouth by the dentist. As I age, eyewear undoubtedly lose more teeth and it will become practical to have implants done.

For some young people, the loss of many of their teeth can be caused by disease and by accident. It is then time to decide on dental implants or a full set of dentures. I personally am disabled from the United States Navy invest my dental work is free of charge. Even though my dental work is free of charge, I must follow VA standards for the type of denture offered. I have never been offered implants. So I do not know if the Veterans Administration will supply those. If I select that route. This is something I will be checking into, because dental implants can last a long time and are not parts take care of.

There is so much information concerning dental implants that I could not possibly cover everything in this short article. I am giving you a basis on which to research the pros and cons of dentures versus implants.

The Internet is a great place to research implants and learn of the pros, cons, and prices of dental implants. Be sure to research the options carefully, because this is a decision you may have to live with for a long time. Dental implants are the wave of the future and are here today.

Keith Londrie
http://www.articlesbase.com/health-articles/dental-implants-are-they-right-for-you-108574.html

Cosmetic Dentistry, Dentures Designed For That Natural Looking Smile

Wednesday, April 29th, 2009

If you are looking for a relatively easy solution to replace your missing death, regain your confidence and give you a smile that makes you look and feel good again then tale a look at how cosmetic dentures have moved on in recent years.

Dentures are removable prosthetic devices which are designed to replace all or some of your teeth. Dentures don’t just improve appearance and personal confidence but provide facial support and have a working function in that they restore people’s ability to chew certain foods. It has been said that dentures are the dental industries answer to a face lift!

With an increased interest in cosmetic dentistry, denture technology has significantly moved on in recent years with dentures being designed for comfort and natural appearance. Current technology enables dentists to provide you with dentures that actually blend in with your features taking on the appearance of your natural teeth.

Long gone are the days when dentures are seen as belonging to someone who has passed their sell by date. New and exciting cosmetic dentistry advancements means that your dentist can provide you with natural teeth that everyone will think are your own. Dentures now fulfil their intended function enabling you to enjoy your food, be proud of your smile and remain blissfully unaware that you are sporting false teeth.

Cosmetic dentistry now enables you to design and choose your dentures alongside your dentist, making you feel part of the whole process and helping you to contribute towards your final perfect smile. You can now wear your dentures with pride safe in the knowledge that you look and feel good.

I doubt few people will disagree that despite recent denture advancements dentures still take some getting used to with initial speech issue to overcome (very short term) and the possibility of mouth irritation and sores (normally being as a result of poor denture hygiene).

However, unlike some other cosmetic dentistry procedures, dentures are suitable for most people although there are some instances where your dentist may advise an alternative route with one being if you lack saliva as a result of a dry mouth.

When you first loose your teeth you will be provided with immediate dentures which will help you through those early months when shrinkage and changes in your bone structure and gums will occur. Your main denture plates will be created approximately 9-15 months after your teeth have been extracted and the relatively stable structure of your bone and gums can be used to create the mould.

It can sometimes prove difficult to keep lower jaw dentures in place in which case your dentist may advise the use of mini implants to help keep your denture in place. Mini implants are much less invasive as full tooth implants and can usually be placed into the jaw within an hour allowing you to walk out with your dentures safely snapped into place.

Don’t make the mistake of many and assume that dentures last for life. Even if you have a full plate you will still need dental care. Cosmetic dentures aren’t designed to last for ever and the American Dental Association recommends that you replace your dentures every 4 – 7 years. Dentures wear out and can become loose and ill fitting. Old dentures can cause gum irritation, facial pain, reduced ability to chew, digestive problems and in some instance can cause pre-cancerous mouth and gum lesions. If you have worn the same dentures for a long period of time your denture problems can’t always be completely fixed so always go down the safe route and get your dentures checked on a regular basis.

Unlike some other cosmetic dentistry procedures your new dentures should be covered by your dental insurance. The cost of dentures is significantly less than many other cosmetic dentistry procedures with the prosthetic plates costing as little as $500 with an upper limit of around $2,000 – $3,000. In addition to the cost of the denture you will also have to pay your dental fees which are likely to range between $400 and $1200 per plate.

Terry Ross
http://www.articlesbase.com/advice-articles/cosmetic-dentistry-dentures-designed-for-that-natural-looking-smile-53893.html