Implants, Crowns, and Bridges vs. Natural Teeth

Nothing can replace the natural teeth you were born with for chewing and function. However, very few people go through life without having teeth filled, crowns (caps) placed, or bridges and implants used to replace missing teeth. Crowns, bridges, and implants are the best answer and closest to your natural teeth, but they are not the same as healthy, natural teeth.

Crowns

Crowns are used to reconstruct a single tooth broken down by dental decay. Crowns are made of ceramic, resin, porcelain, porcelain plus metal, or resin plus metal materials. They are bonded or cemented onto the prepared tooth and cannot easily be removed from the tooth once placed. If the tooth was in good alignment before the crown was prepared, the crown will be in good alignment. If the tooth was misaligned before the crown, sometimes the crown may be made to obtain a more ideal shape and position. It is cleaned and flossed just like a natural tooth and is most like real teeth.

Bridges

Bridges are crowns that are attached together, suspending the crown portion of a false tooth in or over the space left by the missing tooth. A bridge can be used to replace one or several teeth. Sometimes a bridge is used to splint loose teeth together in order to make the teeth more stable. Bridges are usually made of metal covered with either porcelain or resin. Some of the newer bridges are made of all resin or all ceramic materials. They are cemented or bonded onto the existing prepared teeth and are not easily removed once placed. The bridge teeth can be brushed the same as natural teeth, but since they are attached together, must be flossed differently by using a floss threader or other device.

The teeth are generally the same shape as natural teeth. However, if the existing teeth (abutments) that are used to anchor the bridge have moved from their original position because a tooth or teeth have been missing for years, the added tooth (pontic) may be longer or shorter than the tooth that it is replacing. With a bridge, the false tooth will most often butt up against the soft tissue ridge where the removed tooth was.

The shape of the tongue side of the false tooth varies. It is usually smaller on the tongue side and completely fills the space. Food will have more of a tendency to collect in this area, so you must be prepared to clean it. If the missing tooth has been gone a long time, the ridge may have shrunk considerably, and the pontic tooth will be longer that the teeth on either side. If this is the case, there are several periodontal procedures that can be done prior to the construction of the bridge. These procedures will build up the tissue to its former height. The more your mouth has changed from its normal state, the harder it is to make new teeth look and feel natural.

Implant Crowns

Implant crowns are used to replace single or multiple missing teeth. They are either cemented or screwed-retained onto an implant fixture. The crowns are made of porcelain or resin and metal. But they have some significant differences from the natural teeth they replace. Teeth are supported by a root or roots that are irregular in shape. Implants are round. The cross-sectional of the implant will never match that of the tooth it is replacing. A multirooted tooth may be replaced by a single implant, so the manner in which an implant crown comes out of the soft tissue ridge will appear different from a natural tooth. There will be more space between the implant root and the adjacent teeth. Implant crowns are often cemented with temporary cement. This allows the dentist to easily take off the crown and evaluate how the implant is doing. Crowns on teeth are usually cemented with a final cement. Implant-supported crowns are wonderful, but not the same as natural teeth with crowns. Be prepared for some differences. Expect more maintenance on your part and in the dental office with crowns, bridges, and implants.

Smokers take note: There is a heightened risk of dental implant failures among smokers—as much as 20% greater failure rate!

6 Of The Most Common Dental Problems, Fixed!

Smile! There’s good news from the world of dentistry: Older American are keeping their teeth longer than ever before and the average number of teeth people retain into old age is increasing, says Judith Ann Jones, DDS, a spokesman on elder care for the American Dental Association and director of The Center for Clinical Research at the Boston University Goldman School of Dental Medicine.
But Jones is not all smiles. As people keep their teeth longer, there are more problems that are likely to arise, which is why keeping up with regular dental visits is so important. Here are the most common problems, and what you can do about them:

Tooth Decay

Yes, people over 50 can get cavities. You can get them on the surfaces of teeth that have never been a problem before, but you can also get them around old fillings or at the root of your tooth. “As you age, the root of your tooth becomes softer and sometimes more exposed,” Jones explains.
The Fix: Fluoride is not just for kids, Jones says. “Fluoride is one of the 10 most important health measures developed in the 20th century.” Almost 80 percent of people in the United States have fluorinated water, but if you don’t, you should probably add a daily fluoride rinse to your brushing habit. Or ask your doctor about a stronger fluoride prescription gel. If you are starting to get cavities, even if your water has fluoride, consider a fluoride rinse. Ask your dentist if that’s right for you.

Dry Mouth

Saliva protects us against tooth decay. But if you’re not producing it, your teeth may be at risk. The calcium and phosphate present in saliva prevent demineralization of your teeth, Jones says. How do you know if you have dry mouth? You’ll have a sticky feeling in your mouth, trouble swallowing, dry throat, and dry, cracked lips. You may notice a metallic taste in your mouth or persistent bad breath. You may or may not feel thirsty. Dry mouth is often caused by medications, and as people age, they take more medications. It can also result from smoking or from a blow to the head that somehow damages the salivary glands.
The Fix: If you have dry mouth, you should try to stimulate saliva production. Jones says some people just sip water all day while others find that chewing sugar-free xylitol candies or gum helps. Your dentist may prescribe a prescription saliva substitute or recommend over-the-counter formulations for you to try.

Gum Disease

If your gums are swollen, red, or bleed easily, you’ve got gingivitis, an early form of gum disease that can progress and be dangerous. Untreated gingivitis often becomes periodontitis, which is when the gum pulls away from the tooth and creates pockets which can become infected. If this condition develops and continues unchecked, it could cause the loss of bones in your jaw and eventually, the loss of the teeth themselves.
The Fix: The best fix for this condition is regular dentist visits, Jones says. You may need to visit your dentist more frequently so that your teeth can be cleaned and your gums treated for the condition. People who don’t have good access to dental care are more likely to have gum disease, Jones says.

Oral Cancer

More than 43,000 Americans will be diagnosed with oral cancers this year, and more than 8,000 will die from it, according to The Oral Cancer Foundation. Oral cancer incidence definitely increases as you get older, Jones says, and is very often linked to smoking and heavy alcohol use. Recently, the number of cases has risen because doctors have discovered that the Human Papilloma Virus also can cause oral cancer.
The Fix: Only about half of people who develop oral cancer survive the disease, Jones says. The best hope for survival is to discover it at its earliest stages—in which case there is an 80 percent chance of surviving for five years. Your dental exam should include a check for oral cancer. Your dentist will hold your tongue and check the soft tissue in your mouth as well as your throat and jaw. If he or she does not, find another dentist, Jones says.

Tooth Crowding

Are you noticing that food is getting stuck in new places in your mouth? Or that the overlapping tooth that was cute in your teens now seems to be overlapping even more? You’re not imagining it. As you age, your teeth shift, according to Lee W. Graber, D.D.S., M.S., M.S., Ph.D., Past President of the American Association of Orthodontists. And that can be problematic, not because you’ll look different, but because it can make your teeth more difficult to clean, leading to more decay. It’s also of concern because misaligned teeth can lead to teeth erosion and damage to the supporting tissue and bone, Graber says. Add to that the tendency of older adults to have periodontal disease, and you could end up losing your teeth even faster.
The Fix: If your teeth have really shifted, you could see an orthodontist, who may fit you with a retainer, spacer, or even braces. This may not be necessary, but you should discuss with your dentist whether your teeth are shifting at your regular check up. If they are, it may mean only that you need to go to the dentist more regularly for more frequent cleanings.

Grinding and Clenching

This is not a habit that begins late in life, but it’s one whose effects might be most pronounced as you age. If you tend to grind your teeth or to clench them in your sleep, you may grind through the enamel to the dentin, which can cause pain and decay. Also, if you have crowns or bridges in your mouth, they may be damaged by such habits.
The Fix: Your dentist can give you a night guard, a small mouth piece that will protect your teeth while you sleep—and protect your investment in the dentistry that’s already there, Jones says.

By: Andrea  Atkins, The Huffington Post
http://www.huffingtonpost.com/entry/6-of-the-most-common-dental-problems-fixed_us_58346501e4b099512f84b510

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

5 Sneaky Dental Issues That Might Mean Big Trouble

You know all about the importance of brushing your teeth, as well as your kids' teeth. But the benefits aren't limited to your pearly whites. "Many physicians and dentists consider the mouth to be a window into the general health of the patient," says Scott Froum, D.D.S., a board-certified periodontist based in New York City. Our experts Dr. Froum and Sally Cram, D.D.S., a dentist and spokesperson for the American Dental Association, broke down five tooth-, gum- and tongue-related issues that could mean you've got a much bigger problem on your hands:

1. Consistent bad breath

Aside from scaring away friends and family, your not-so-minty-fresh breath could be an early sign of gum disease, says Dr. Cram. Gum disease is particularly sneaky because it doesn't cause pain in its early stages, so most people who have it may not realize it until lots o' damage has already been done. Luckily, it doesn't involve some torturous procedure to reverse. Just put a little more time and effort into brushing and flossing daily.

2. Red, swollen or bleeding gums

If your gums continue to swell or bleed despite your best brushing and flossing efforts, our experts say there's a possibility you could be dealing with diabetes. So, if your pesky gum problems persist and you're noticing other diabetes symptoms like extreme thirst or hunger, fatigue or blurry vision, go see your doc ASAP.

3. Stubborn tongue pain

Obviously if you down hot soup too fast or bite your tongue it's going to be a little sore, but prolonged pain in the tongue or throat (more than two weeks) is one of the most common early signs of oral cancer, says Dr. Cram. Next steps: Monitor those symptoms and look out for any sores, lumps or lesions that won't disappear. Pass that two week mark and to the doctor you go.

4. Spots or sores out of the blue

If clusters of tiny white spots have started popping up around your lower molars — womp, womp — you might have a viral infection in your near future, Dr. Froum says. Called "Koplik spots," these little sores have developed a reputation as a highly predictive sign of measles. Tack on other symptoms like a fever, cough or runny nose, and you may be a few days away from that itchy measles rash. (Alas, you guessed it, a doctor's visit is required.)

5. Hefty tooth discoloration

As tempted as you might be to blame yellow teeth on your coffee addiction, you might be looking at the wrong culprit: If your teeth have turned a shade of black or brown, it could mean you're dealing with some deep-rooted tooth decay, Dr. Froum says. The solve: You might need to get a cavity filled — or (shudder) undergo a root canal treatment.

 

By: Heather Finn, Good Housekeeping
http://www.goodhousekeeping.com/health/wellness/a40559/common-dental-problems/

 

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

6 Ways to Ease Your Child’s Anxiety at The Dentist

"It's time to go to the dentist," are seven words no adult or child wants to hear. While these are not words most people like to hear they are words you need to hear if you care about your smile. Sadly, many children are terrified by even the thought of going to the dentist. May officials have often encouraged the use of sedation dentistry even amongst small kids to help them deal with the nerves associated with visiting the dentist which has led to a widespread debate on if children should be allowed to take in such drug. Despite the debate one thing remains in order to keep healthy teeth your children must go to the dentist here are just a few ways you can help calm your toddler when it's time to go to the dentist:

Speak Positive Words

When it comes to going to the dentist it is terrifying for both children and adults. In order to eliminate anxiety before going to the dentist it is important that you let your child know that the visit will be an exciting one versus telling them they should be afraid.

Embrace Brushing Teeth at Home

It is recommended that you begin brushing your child's teeth once they start growing in. This not only encourages overall healthy teeth but it also helps children get used to having something on their teeth so that they are not paralyzed by fear when their first trip to the dentist arrives.

Start with a Pediatric Dentist

Pediatric dentists specialize in only children's teeth which may be the best bet for your little one as they get used to visiting the dentist. Not only is a pediatric dentist an expert in pediatric tooth care but he is also an expert in making sure your child does not have a full blown while getting take care of.

Play Pretend

Kids love playing pretend and using it as a tactic in overcoming fear will make playing pretend so much better. Set up a play date a few days before your child visits the dentist and have his or her room set up like a dentist office. Pretend to be the dentist and let them be the patient as you explore their teeth and gums. Your child is sure to love this game and most of all you are prepping them for their visits in a few days.

Don't Bribe Your Child

When taking your child to the dentist the last thing you want to do is bribe your child with things such as candy or other sweet treats. Bribing your child with sweets would be counterintuitive to what the dentists does for the teeth. It is best to simply calm your child's nerves. If you must bribe your child bribe them with stickers and or other fun activities.

Avoid Words that Promote Fear

Using the words "pain." "shot" or even "doctor" can be frightening for small children so try not to let your child know that they are going to see a doctor. Instead, share with them that they are going to see someone who cares about how strong their teeth and gums are. Using less fearful words could also help with decreasing anxiety.

By: Stephanie R. Caudle
http://www.huffingtonpost.com/stephanie-r-caudle/6-ways-to-ease-your-child_b_11549086.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

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
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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

Scaling and Root Planing

What is scaling?
Scaling is a periodontal dental procedure in which plaque and calculus are removed from the tooth both above (supragingival) and below (subgingival) the gum (gingiva). 

What is root planing?
Root planing is a procedure in which diseased or altered portions of the root surface, the cementum, and dentin are removed and the resulting new surface is made smooth and clean. The more altered and damaged the root surface has been from calculus (tartar) accumulation, the more the need for root planing.

Why is it necessary?
The purpose of scaling and root planing is to remove all debris from the teeth. Any item that can cause inflammation of the gum tissue must be eliminated. The root surface must be made as smooth as possible. Irregularities in the root surface can contribute to gum inflammation. Irregularities are sites for bacteria and plaque buildup. The bacteria and the toxins they produce in the plaque are held against the tooth by the calculus. In this way, plaque and calculus on the teeth have been positively linked to gum disease.

What is the procedure like?
Depending on the severity of your particular periodontal problem, scaling and root planing may be the definitive treatment and no further procedures will be required. In many cases scaling and root planing are only a necessary part of the overall therapy. It is a demanding procedure. It requires much more time than the familiar adult prophylaxis (cleaning). It is usually done in multiple appointments, treating a quarter, half mouth, or your full mouth at each appointment. In this office we find that most patients are most comfortable if the area to be treated during the root planing procedure is anesthetized with a local anesthetic.

Recare
The scaling and root planing may have to be repeated in the future. It is customary to place the patient on a 3- to 4-month hygiene recare schedule. Scientific evidence clearly shows that for individuals who have demonstrated a predisposition to periodontal disease, an interval of 6 months is too long. We will determine the appropriate interval for you. As your situation changes, there may be changes in the length of these intervals as well.

What happens after treatment?
Other than the teeth being somewhat sensitive after the scaling and root planing procedure, there is little postoperative discomfort. The sensitivity will diminish with time. If you have been diagnosed as having severe periodontal infection, the sensitivity may remain for quite some time and further procedures may be needed to eliminate sensitivity. Although many procedures in dentistry can be considered elective, we consider scaling and root planing to be a necessity for your dental health.

Post-procedure Tips:

• If therapeutic prophylaxis has been completed because your gingival (gum) tissue showed signs of infection and inflammation, and if you had significant calculus (tartar) buildup:

• You may notice that your teeth feel different where the calculus was removed. The soft tissues may be sensitive or sore for approximately one day as they begin to heal. You may find that taking an over-the-counter pain reliever (aspirin, ibuprofen, etc.) will help during this 24-hour period. You may also rinse your mouth every few hours with warm salt water. Make sure that you brush and floss your teeth during this time period as you have been instructed. be gentle, because the brushed areas may be sore, but be thorough! You do not want to have the periodontal infection begin again.
• If scaling and root planing, or other more involved periodontal procedures has been completed:

• You can expected your gingival (gum) tissues to be quite sore. This is normal when the gum tissues have been infected and inflamed for some time. The more severely they have been affected, the more discomfort you can expect. This soreness should go away very quickly. You may rinse with warm salt water every few hours until the soreness is gone.
• If scaling and root planing has been completed:

• You may also notice that the teeth have become sensitive to temperature changes after the scaling and root planing. This sensation frequently occurs when the surfaces of the roots of your teeth have been cleaned. Removal of the debris covering the roots and attached to the roots leaves the roots open to temperature stimulus. If the problem persists, please let us know.
• When you examine your gums closely in a mirror, you will also observe that the color, texture, and position of your periodontal tissues will undergo a change as the healing takes place. The swollen, reddened gum tissue will shrink, become more firm, and return to a healthy pink color. Watch for these welcome signs of improvement and be encouraged by the healing process.
• Please do not forget to brush, floss, and use other periodontal cleaning aids as you have been taught. It is important that you begin establishing proper oral self-care habits immediately. If you find that the recently treated areas are sensitive to the brushing and flossing, be gentle - but be thorough! With proper technique you cannot damage the teeth or gingival tissues.
• Brush after ever meal with a fluoride-containing toothpaste. Rinse with a fluoride-containing mouthrinse once each day.

Preventing Recurrence
Once scaling and root planing has been completed, it is most important for you to practice the brushing and flossing techniques in which you will be instructed. If we have recommended any additional periodontal aids, you must use them, too. Your cooperation is vital if the procedures are to be successful. To remain disease-free, you will need to remain constant in your oral self-care regimen.

If you have any questions about scaling and root planing, please feel free schedule a comprehensive dental exam with our office at 512-250-5012.