Showing posts with label austin endodontics. Show all posts
Showing posts with label austin endodontics. Show all posts

Monday, September 19, 2016

How often should you brush your teeth? Oral hygiene 'dos and don'ts' explained by expert


Are we brushing our teeth frequently and for long enough? The British Dental Association has outlined the routine we should all get in to.

It's a habit which has been drummed into us from an early age, but the recent news flossing your teeth could be a waste of time has put the spotlight on oral hygiene.
When it comes to looking after our teeth, there are certain pieces of wisdom which we've incorporated into our routines.
But in the wake of the news about flossing, when it comes to oral hygiene, how much does your average person know about what we should be doing - and which habits do we need to ditch?
For example, how many of us know how long we SHOULD brush or teeth for and how often? And what are we doing wrong?
MirrorOnline spoke to the British Dental Association’s scientific adviser, Professor Damien Walmsley, who kindly put together this definitive list of "dos and don'ts."

How often?

"The best way to prevent tooth decay is to brush teeth twice daily with a fluoride toothpaste to remove plaque, limit the frequency, and amount of sugary food and drinks consumed in your diet, and see the dentist regularly.

 

Don'ts'

  • Brush for long enough – research indicates that people only brush for 45 seconds
  • Rinse the mouth after brushing – fluoride helps to prevent, control and even stop tooth decay – but rinsing the mouth out dilutes the concentration of fluoride, so SPIT, don’t rinse.
  • Brush too soon after eating – as enamel on teeth is softened after eating especially with sugary foods – it’s best to wait an hour before brushing which allows the tooth to harden up more.
  • Use a hard bristle toothbrush as this can damage the soft tissues in the gums.
  • Don't brush too hard – the bristles should lightly sweep the tooth.

 

'Dos'

  • Brush for at least two minutes, twice daily, with a fluoridated toothpaste
  • Brush last thing at night and at least on one other occasion
  • Use a small headed toothbrush with medium bristles.
  • Put a pea-sized blob of fluoride toothpaste on your toothbrush.
  • Brush along the gum line as well as the teeth themselves
  • Brush all surfaces of the teeth, including the outer, inner and chewing surfaces as well as the hard-to-reach back teeth and areas around fillings, crowns or other restorations.

If you have spaces between teeth, it is best to clean these with an interdental or single-tufted brush. Where the spaces between teeth are too tight to fit such a brush, use dental floss or tape
If you are unsure about the effectiveness of brushing, use disclosing tablets after brushing to highlight any areas you may have missed.
There is good evidence that a small-headed counter oscillating electric toothbrush helps in removing dental plaque but they must be used correctly and your dentist or hygienist will advise.

Plaque

Plaque is a sticky film of bacteria that covers your teeth and gums. It develops constantly and you clean it off every day when you brush your teeth. Certain harmful oral bacteria feed on the sugars you eat to create acids that destroy the tooth enamel.
Cavities are a bacterial infection created by acids, that cause your teeth to experience a hole in them.
The more sugar you eat, the more acid you will create in your mouth, and the more acidic attacks your teeth are exposed to, the higher the risk of developing tooth decay.

By: Zahra Mulroy, Mirror
http://www.mirror.co.uk/lifestyle/health/how-often-should-you-brush-8637066

If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:

North Austin on Hymeadow Drive: (512) 250-5012
Central Austin on Jollyville Road: (512) 346-8424
South Austin on William Cannon: (512) 445-5811

Wednesday, September 7, 2016

How Often Should You Change Your Toothbrush?



Every time we pass them along our teeth, we trust that our toothbrushes are handling business and getting rid of disease-causing plaque, which is full of bacteria. But if you're using an old toothbrush you’re not doing your mouth any favors. You see, while many of us know how important it is to take care of our teeth, we aren’t as diligent when it comes to taking care of our toothbrushes.

Toothbrushing plays an essential role in personal oral hygiene. However, if you’re brushing your teeth as often as you’re supposed to — twice a day, in the morning and right before bed — then the bristles on your toothbrush are becoming frayed and worn with each use faster than you realize. This isn’t a good thing since worn-out brushes won’t efficiently clean teeth and become less effective at fighting off decay.

“As your bristles start to fray, they are not actually getting in between your teeth. You may not be as efficient at brushing your teeth,” Dr. Jonathan Abenaim, dentist and clinical instructor at New York University, told Medical Daily. “There may be bacteria or a few particles left behind if you don’t have the right toothbrush.”

A frayed toothbrush can be an inconvenience, but the solution is simple: replace it. The American Dental Association recommends that consumers replace toothbrushes approximately every three to four months, or possibly sooner if you’ve been sick. It’s also important to note that you’re not just throwing away your toothbrush, but millions of bacteria.

One study from the University of Manchester in England found that the average toothbrush contains at least 10 million bacteria — including E. coli and Staph. When you think about it, this makes sense since at any given time there are about 100 to 200 oral bacteria species living in your mouth, most of which end up on a toothbrush after a single brushing. In fact, a new toothbrush can become contaminated with bacteria, viruses, and fungi (living in the mouth or from the external environment) after just 30 seconds of use. What’s more, these germs don’t just stay on the toothbrush, they can also be transmitted to other toothbrushes in the household, increasing the risk of infection with each use.

In other words, swapping out your toothbrush every three to four months is just as important as brushing twice a day and flossing when it comes to maintaining your oral health.



By: Jaleesa Baulkman
http://www.medicaldaily.com/how-often-should-you-change-your-toothbrush-bacteria-dental-care-385771

If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:
North Austin on Hymeadow Drive: (512) 250-5012
Central Austin on Jollyville Road: (512) 346-8424
South Austin on William Cannon: (512) 445-5811

Friday, September 2, 2016

10 Things You Should Know Before Going to the Dentist


Fortunately for parents and kids, there are ways to make the dentist appointment less stressful for everyone. Here are 10 things to know before visiting the dentist:

1. Find a dentist that suits you and your family. Seek recommendations or look online for reviews. Call ahead to ask if you can interview or speak with the dentist about any reservations you may have regarding your dentist appointment. If you are taking a child to the dentist, consider using a pediatric dentist.

2. Gather your dental records, x-rays, insurance information, and any other pertinent papers to bring with you to your appointment. If this is a child’s first appointment, consider letting them hand their records to the dentist themselves.

3. Know your water. Find out if your drinking water contains fluoride. If not, your doctor may suggest that you and your child use a fluoride mouth rinse in addition to regular brushing and flossing.

4. Write down any questions you may have, so you do not forget to leave without the answers you need. When taking children to their dentist appointment, encourage them to ask any questions they may have too.

5. Talk with your children about what they can expect to happen during their visit. Describe how their teeth will be cleaned and the dentist will check for cavities. Explaining the procedure beforehand may help to ease any nervousness and help them to feel more confident during their appointment.

6. Talk with your dentist. If your child is nervous about the visit, let your dentist and hygienist know. Some children may be nervous, while others may have difficulty sitting still, or even sensitivities to lights and sounds. Talk with the dental office beforehand to make sure they can accommodate your needs.

7. Practice full disclosure with both the dentist and the hygienist. It will be helpful to tell them about any health issues, even if you may not think it would be a concern during a regular dental appointment. Let the office know if there is a chance that you may be pregnant, if you or your child have any allergies (particularly to latex or medications), bleeding or clotting problems, or any other health issues. Women who are pregnant or nursing may need to avoid x-rays and certain dental procedures.

8. Request your favorite hygienist. If you find a hygienist who you or child respond well to, ask for that person’s name and have it added to your file. That way you can request that same hygienist for your next visit.

9. Remember to schedule your next appointment! (This is one sin that I am super guilty of committing, and then before I know it too much time has passed between appointments.) Dental exams are not merely to check for cavities. Your dentist will be looking for signs of decay, gum disease and even oral cancer, so do not skip an appointment simply because you or your child are not having any pain.

10. Keep proper dental care going all year long. According to the CDC, tooth decay affects children in the United States more than any other chronic infectious disease. Keep up with regular dental care, including brushing twice daily, flossing, and eating a healthy diet. You should also speak with your dentist about whether or not your child should be using a flouride mouth rinse. Encourage your children to take care of their teeth so they can avoid any issues in the future. The better you and your children care for your teeth between appointments, the more likely your appointments are to go smoothly.

By: Jessica Cohen, Babble
http://www.phillytrib.com/things-you-should-know-before-going-to-the-dentist/article_771dac6e-d24f-5c43-a0ae-0d28cc15eb4a.html

If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:

North Austin on Hymeadow Drive: (512) 250-5012
Central Austin on Jollyville Road: (512) 346-8424
South Austin on William Cannon: (512) 445-5811

Monday, August 29, 2016

Why You Need To Visit A Dentist Now?


I don’t have any reason to visit a dentist, my teeth are perfect and healthy!

That is what everyone says when being asked to visit a dentist. But really, it is not until you start having serious pains in your teeth before you consider visiting a dentist.
Here are four reasons why you should consider visiting a dental care clinic now:

#1. Correction of Wrong Dentition
Most of us grew up with having more than enough teeth in the mouth and we see it as a normal thing even though they overlap each other.
A dentist will help find corrective measures in helping your teeth have the best dentition you never thought you could have.

#2. Mouth Cleaning and Cleansing
Most people have tartar (an incrustation that forms on the teeth and gum) formed underneath their teeth and close to the gums.
These harbor lots of microorganisms that later affect the oral health. A dentist would notice the tartar and carry out what is called scaling and polishing to remove every traces of the tartar before it gets to its worse stage.

A dentist will help you to remove food remnants that hides between the teeth. Food remnants that hide in the teeth include remnants of meat, fish, vegetables and they keep decaying in between the tooth.
You don’t have to wait till it decays and destroy your oral health, visit a dentist who will help you floss the teeth with a waxy thread.

#3. Prevention and Control of Oral Diseases
A dentist takes note of everything that might lead to a chronic disease and takes care of before it gets out of the primary stage.
It is advisable to visit a dentist at least once in every three months. Being busy is not an excuse anymore, so just make time within that three months to see a dentist.

#4. Placing fillings or administering anesthetics
Dental fillings or restoration are used to fill in the cavities caused by tooth decay. Instead of removing the tooth after suffering a tooth decay, your dentist will help check what the possible solution to it might be so you get relieved of the pain as soon as possible.
It is either placed with fillings if the tooth is not decayed to a bad extent and might be extracted if the condition of the tooth is bad.

Is that all a dentist can do? Of course not.
A dentist can also help in diagnosing oral diseases, creating treatment plans to maintain or restore the oral health of patients, interpreting x-rays and diagnostic health, monitoring growth and development of the teeth and jaws.

Source: The Huffington Post
http://www.huffingtonpost.com/adeyemi-adetilewa/dental-care-why-you-need-_b_11707700.html
_________________________________________________________________________________
If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:

North Austin on Hymeadow Drive:  (512) 250-5012
Central Austin on Jollyville Road:  (512) 346-8424
South Austin on William Cannon:  (512) 445-5811

Monday, October 6, 2014

Dental Emergencies

Regular dental care helps prevent inconvenient dental emergencies. However, dental emergencies can and do occur. Listed here are some of the more common dental emergencies and what you can do until you can get to our office. A good rule of thumb: if it hurts, do NOT wait to make an appointment. We will be happy to see you as soon as possible.

Toothache/Sensitive Teeth
A toothache or a sensitive tooth can be caused by several different types of problems. At times, it is a sign of a dying nerve inside the tooth. Over-the-counter pain relief medication can temporarily relieve the pain. Contact us for an appointment as soon as you notice the problem. Slight pain, if left untreated, can progress into facial or oral swelling and severe pain. Commonly, tooth pain can be eliminated with endodontic treatment (root canal therapy).

A sensitive tooth may be due to exposed root, a leaking or defective filling, decay, a bite-related problem, or a dying nerve. See us as soon as possible for an evaluation. Click here to read our blog post about the 10 biggest causes of sensitive teeth.

Broken Tooth
Teeth with large fillings can easily break or fracture. Call us as soon as possible to have the tooth evaluated and restored. If the broken tooth is not treated, more serious problems can develop. Broken teeth may or may not be sensitive to air and temperature changes. Sensitivity and pain are not necessarily an indication of how badly the tooth is damaged.

Tooth Knocked Out
Place the tooth in water or a wet towel or cloth. Do not try to scrub or wash the tooth. Get the tooth and the patient to us immediately. The faster the tooth can be repositioned, the better the odds that the tooth can be saved. Time is crucial.

Object Stuck Between Teeth
Use dental floss to gently remove the object. Do not use sharp or pointed objects to push or pry the object from between your teeth. If the object does not come out easily, come to us for help.

Final or Provisional Crown/Bridge Falls Out
See us as soon as possible to have the crown recemented. If this is not possible, you can use a denture adhesive (Fixodent, for example) that can be purchased without a prescription. Place a small amount in the crown and reseat it. Do not try to force it into place. It should not be difficult to put into place. When you cannot put the crown in correctly, save it, and bring it with you to your appointment. We will do the cementation. The reason the crown came out may make it impossible for the dentist to recement the old crown. That decision will be made during your examination.

Broken Partial or Denture
Bring the partial or denture here for repair. Do not try to glue the plastic yourself. Do not use Crazy Glue or other similar materials.

Orthodontic Problems
If the appliance is loose, take the patient to the orthodontist. If a sharp wire is exposed, cover it with a piece of wax, gum, a small cotton ball - anything to keep the sharp end from poking into the soft tissues.

Swollen Gums
Swollen gums are a sign of an infection. The infection may be caused by a dying nerve inside the tooth or a periodontal (gum) problem. Rinse your mouth with warm salt water. See us as soon as possible. The swelling may or may not be accompanied by pain. Either way, it needs immediate attention.

Contact us to make an appointment
 

Wednesday, August 13, 2014

Drinking Coffee Accelerates Orthodontic Tooth Movement

What is orthodontic tooth movement?
A unique process where a solid object (tooth) is made to move through a solid medium (bone). Orthodontic tooth movement occurs due to the pressure that is transmitted to the clinical crown of the tooth, down to the root, and ultimately to the periodontal ligament (the tissue that attaches the tooth to the bone) and alveolar bone surrounding the root.

On the surface of the tooth in the direction where the tooth is being moved, the periodontal membrane is squeezed, resulting in compression of the periodontal fibers within the membrane. The bone surface contacting the periodontal membrane begins to resorb due to the activation of cells called osteoclasts.

On the surface of the root from which the tooth moves, the periodontal membrane becomes stretched. This activates cells called osteoblasts. These cells regenerate new alveolar bone in the area where the tooth was once located. That is why teeth may be slightly loose during orthodontic treatment. Once the movement has stopped, the ligaments are no longer stretched or squeezed and the bone regenerates and fills in around the periodontal ligament, causing the tooth to be more secure in the bone.

The following article shows that daily coffee consumption enhances orthodontic tooth movement, and consequently can shorten the duration in which patients have to wear braces.

The Study
Caffeine has been shown to affect bone metabolism through regulation of osteoclast, osteoblast, and calcium balance. This study investigated the effects of drinking coffee on orthodontic tooth movement (OTM). Drinking coffee, as a daily habit of many people, can be an effective accelerator of tooth movement with little side effects. Caffeine can break the calcium balance in bone tissue and directly inhibit the development of osteoblasts, leading to temporary decreased bone mineral density and consequently inducing faster orthodontic tooth movement.

Why is it important?
Developing new methods to enhance orthodontic tooth movement and shorten the duration of treatment has always been desired. However, to date, no therapies have been widely used in clinics. Much effect has been made to explore therapies to shorten the orthodontic treatment period with limited success. Daily coffee consumption may be a promising approach to enhance orthodontic tooth movement for its reversible effect on bone mineral density and calcium balance.

The setup
30 male Wistar rats were randomly divided into two groups:
  1. regular OTM = rO
  2. coffee + OTM = cO
At 5 weeks of age, the cO rats began receiving daily intragastric administration of coffee according to body weight.

At 13 weeks of age, the left maxillary first molar of the both groups was moved mesially with a nickel-titanium coil spring

After 3 weeks, the OTM amount was measured. 

How was it measured?
The alveolar bone mineral density (BMD) was analyzed with micro-computed tomography (uCT).
Immunohistochemical staining was done for TRAP and RANKL expression in the periodontium. The periodontal ligament (PDL) tissue model was established through 3D culturing human PDL cells in poly lactic-co-glycolic acid (PLGA) scaffolds.

What did they find?
Compared with rO, the cO rats had significantly larger tooth movement. Meanwhile, the cO had significantly lower alveolar BMD, indicated decreased bone mineralization. Moreover, in the compression periodontium, the cO had significantly more TRAP+ osteoclasts and higher RANKL expression, indicating increased osteoclastogenesis. 

Summary
This study found that drinking coffee accelerates OTM, probably through the effects of caffeine on osteoclastogenesis enhancement via RANKL elevation. This research was supported by the National Nature Science Foundation of China.

Click here to read the study.

Click on this link to read another study about how carbonated soft drinks DECREASES the rate of orthodontic tooth movement. "The role of soft drinks in decreasing tooth movement might be related to its effects on bone metabolism."

Wednesday, August 6, 2014

Crowns: An Overview

Why would I need a crown (cap)?
1. A tooth has been so badly damaged by decay or so heavily restored by fillings that it can only be saved with cast restoration
2. A tooth has been treated endodontically (root canal treatment). These teeth are almost always restored with a cast restoration because they have lost a great deal of tooth structure from fracture, decay, or the drilling process. These teeth are prone to fracture under normal and light chewing forces.
3. The tooth needs to be used as an abutment (anchor) for a bridge to replace missing teeth.
4. Grinding your teeth, an improper bite, age, fillings and tooth decay can all be contributing factors in the wearing down, cracking or breakage of your teeth. 

What are dental crowns?
Dental crowns cover the entire visible surface of your affected tooth and add strength, durability and tooth stability. Click here to learn about the difference between crowns, bridges, and implants.

What kinds of crowns are there?
Expect to pay more for porcelain crowns because they are usually more time-consuming than gold crowns. Porcelain, porcelain over metal and gold crowns average between $600 to $3100 each in total cost. The new reinforced resin or bonded all-porcelain type costs more than other types, require more skill from your dentist and the lab, and may exceed your insurance plan coverage for crowns.
  • Resin and Porcelain Crowns
    • The new reinforced resin or bonded all-porcelain type of crown as the nicest appearance. This crown can be made from pure ceramic or a new reinforced composite resin, and is almost indistinguishable from natural teeth. Thew new bonding technology involved provides an exceptional bond to your tooth. It is metal-free, and thus satisfies the needs of patients with metal sensitivities. When correcting your back teeth with bonding, the cosmetic dentist will perform a tooth colored onlay. This type of procedure is used to correct only those parts of the tooth that are in need. This is a metal-free procedure. 
    • Advantage: Porcelain crowns or new reinforced resin are considered to be the most aesthetically pleasing, as it is so easily matched in color to the surrounding teeth
    • Disadvantage: The thickness of the porcelain required for pleasing aesthetics also requires that more tooth structure needs to be removed. It is more difficult for your cosmetic dentist to get an ideal fit where your gum meets the crown. Gingival inflammation appears to be more common with porcelain crowns that gold crowns. All-porcelain crowns require a higher skill level from your dentist and lab.
  • Crowns Made of Gold
    • Gold crowns are appropriate when appearance is not a priority to you. The gold metal is extremely workable, making gold crowns a more precise fit than any other type. While there exists a slight possibility of chipping with porcelain crowns, gold crowns provide no such possibility.
    • Advantage: The preparation of a tooth for a gold crown is the simplest and least complicated preparation as there is minimal tooth structure removal with as much as possible of the healthy tooth structure remaining untouched. While porcelain is hard by comparison, it may cause wear on opposing teeth over the years where goal is not as likely to do so. Gold is also easier to fit to the area where the tooth and crown meet for a better fit. Gold is also a healthier environment for the gum tissue.
    • Disadvantage: The cosmetic aspect, unless it is being used in the back of your mouth
  • Porcelain and Metal Crowns
    • For a very natural appearance, porcelain fused to metal crowns are the answer. However, they have a metal substructure and require an opaque below the porcelain. This can make the translucency of natural teeth difficult to replicate. Occasionally, a darker line will be visible at the edge of the crown, near to your gum when it recedes with age. 
    • Advantage: Porcelain fused-to-metal crowns have a very natural appearance
    • Disadvantage: They have a metal substructure and require an opaque below the porcelain. This can make the translucency of natural teeth difficult to replicate. Occasionally a darker line will be visible at the edge of the crown, near to your gum when it recedes with age
  • Types of Porcelain
    • There are two types of porcelain - felspathic and pressed ceramic porcelains. The felspathic type is the original method that has been around for 20 years. Ceramist in a dental lab bakes porcelain onto tin foil and then heats it in an oven. The Ceramist is able to create tints and opaques inside the porcelain to give the natural look we seek.
    • Pressed ceramic is created from a single ingot. The single ingot is milled in one piece to create the desired shape. The stains and opaques are applied only to the surface of the porcelain to give a natural look.
How do I choose a color for the dental crowns - how white should it be?
Whiten your natural teeth to either the level of whiteness you want or to the brightest they can be. Your cosmetic dentist will then have the crowns made to that color. Teeth are of course not monochromatic, so typically more than one color is used to used a very natural look. This color variation is critical in avoiding fake or artificial looking teeth. It is the internal contrast of colors that help create vitality. The internal play of light on the porcelain in the restoration helps to create this vitality. Surface texture is also very important, and helps to break up light reflections and make the crown look more natural.

There is no one standard system in the dental field to measure and determine tooth color. The most often heard about, however, is the Vita shade guide. This guide divides tooth color into four basic shade ranges:

A (reddish brown)
B (reddish yellow)
C (gray)
D (reddish gray)

In the A range, there are five level of darkness. Ranges B, C, and D, each have four levels.

Not all of your teeth are the same natural color. Usually your eye teeth tend to be darker than the others, your front teeth are typically the whitest, and molars tend to be a shade between the two. The goal for everyone is to achieve their individual optimum whiteness while still looking natural.

Most dentists will show you a shade chart for your to pick from. Keep in mind, with a good cosmetic dentist, this is merely a starting point. Other considerations when determining the color of crowns for each patient are your complexion, hair color, the color of your natural teeth and even your eye color.

What is the procedure?
- Preparing (drilling) the tooth in an appropriate fashion for the type of crown chosen
- Making impressions of the prepared tooth, opposing teeth, and the occlusal (bite) relationships
- Selecting a shade for tooth-colored crowns
- Fabricating a provisional restoration that will remain in place while the crown is being constructed
- Cementing or bonding the completed crown into position. If the work to be done is extensive, there may also be several appointments needed for preliminary seating (try-in) of the crowns or castings

What do I need to do BEFORE I get the crown?
It is important for the ultimate success of the crown(s) that you understand and can perform thorough plaque removal. You should immediately begin following the oral self-care instructions that you have been given. It will make the procedure more comfortable and efficient, and the resulting restorations will look better. Final impressions cannot be taken until the gum tissue is healthy. Crown lengthening is an oral surgery treatment that involves removing excess gum tissue around the upper teeth to make them look longer. Your cooperation is appreciated and necessary.

What do I need to do AFTER I get the crown?
As is true with your natural teeth and especially with teeth that have been restored with any dental material, you should avoid chewing on excessively hard or sticky foods after the crowns have been cemented. It is especially important not to bite down on hard foods with just one tooth. The porcelain material can fracture from the metal substructure under extreme forces. Anything you chew that could break a natural tooth could break a crown!

Be sure to brush and floss daily as instructed. We also advise using a fluoride mouthrinse as part of your daily routine. Please be sure to return for your regular examinations and prophylaxis (cleaning) appointments at the time intervals we suggest.

After observing these types of procedures for many years, we note that the gingiva (gums) can recede from the crown margins and the surrounding tooth structure may become visible. This recession usually takes place over a period of several years and may require restoration replacements or a periodontal plastic surgery procedure to correct it.

We expect that you will receive many years of service from the cast restoration.

If you have any questions about crowns and bridges, call our office and ask or set up an appointment. We have 3 convenient locations around Austin.


Tuesday, August 5, 2014

Splinting Teeth

Healthy Teeth Are Strong and Steady
In their normal state, teeth surrounded by healthy supporting structures exhibit very little mobility. Mobility can be defined in this case as movement of the teeth. Pushing on the teeth with dental instruments may cause the tooth to be deflected slightly from the "at rest" position, but this movement will be very, very slight.

Why Teeth May Need To Be Splinted
When the supporting bone is compromised and affected by periodontal disease, the teeth will show more mobility. If the tooth or teeth are subjected to trauma, they can be loosened in their sockets. Bruxing and grinding habits can also loosen teeth.

Teeth that are not too severely damaged by trauma will return to their former stability. Temporary splinting of the loosened teeth to each other or to other undamaged teeth may be required.

If the mobility is caused by clenching or grinding of the teeth, adjustment of the bite (occlusion) and the fabrication of a protective antigrinding/bruxing appliance may be indicated. In this case, no splinting of the teeth would be required.

The most common reason for splinting teeth is mobility cause by periodontal disease. The teeth show more movement as the bone support for the teeth diminishes. Multi-rooted teeth (molars) often show less mobility than single-rooted teeth with the same amount of bone loss. But the need for treatment is just as important. The more mobile the teeth, the more damage has been done, and the more splinting will be necessary.




The Splinting Procedure
Fixing periodontal disease
The first step in elimination of tooth mobility is to begin to correct the periodontal problem. If the teeth are mobile, the periodontal problem is probably advanced and the corrective measures could be both involved and time-consuming. Splinting may be started immediately. It involves attaching the mobile and perhaps non-mobile teeth together with a wire, acrylic, or a combination of the two. Attaching the teeth together gives them all more strength. Splinting has a limited life expectancy and must be repaired or replaced periodically. There is often a fee separate from the initial splinting fee associated with these procedures. You will be informed as to what your particular condition requires for short- and long-term therapy.

A more extensive form involves splinting the teeth together with cast and cemented restorations - crowns, bridges, bonded metal retainers, etc. This type of splinting will last much longer and is more expensive. The purpose is the same as that of external splinting - to attach the mobile teeth together so that they derive more strength and move less.

Teeth that are splinted will also require different and more involved brushing and flossing on your part. We will demonstrate these procedures for you.

Fees
Costs for splinting procedures vary greatly. It will depend on the number of teeth to be splinted, severity of the mobility, prognosis of the teeth, and the type of splinting selected.

If you have any questions about splinting teeth, please feel free to ask us.