All-on-4 Dental Implants vs. Dentures

If you need to replace an entire upper or lower arch of absent teeth, or even both of them, you have alternatives. You may choose All-on-4 dental implants, in which the titanium implants anchor a prosthetic arch of teeth, or conventional dentures. Patients who choose All-on-4 dental implants will be treated by an oral surgeon, while denture wearers may get their appliances from a general dentist or a specialist in prosthodontics. Here’s a side-by-side comparison of the two options in a number of characteristics: Stability:  Dental implants are much more secure than dental adhesives, so in this aspect, All-on-4 dental implants outperform the alternative. Implant-supported dentures will not slip out of place. In comparison, dentures require dental adhesives to stay in place, and those adhesives may fail. Longevity: Dental implants become a permanent part of the mouth’s structure. They also prevent the jawbone erosion that occurs when the teeth’s roots…

What does recovery involve with wisdom teeth extraction?

Although this is a routine procedure, wisdom teeth extraction is a serious proposition for patients. While the recovery period is relatively short, patients still need to be prepared for some downtime, and they need to know what steps to take to ensure an uneventful recovery. Discomfort and swelling are common symptoms after a wisdom teeth extraction, and they’ll resolve over time. You may also notice a small amount of ongoing bleeding immediately after the procedure. If this goes on for more than 24 hours, contact your oral surgeon. It’s important to work with your oral surgeon to develop a plan for your aftercare and to be prepared for symptoms that may occur and indicate a problem. Patients can apply an ice pack during the first 24 hours after surgery then switch to a source of damp heat, such as a warm, wet washcloth, for the next two or three days.…

What is Orthognathic Surgery?

The smile is made up of components other than teeth. An attractive smile requires aligned teeth, proportional gums and jaws that fit together properly. Misaligned jaws are not only unattractive, but they can also compromise the joint’s ability to chew and cause discomfort for patients. Patients with various types of malocclusions can benefit from jaw surgery known as orthognathic surgery. This category of procedures repositions the upper and/or lower jaws and may also involve the chin. The goal of orthognathic surgery is to improve the way the jaws fit together. This type of surgery may be recommended in cases of TMJ disorders or sleep apnea that has not responded to more conservative interventions. Orthognathic surgery may involve collaboration between an oral surgeon and orthodontist. The orthodontist will begin to bring the teeth into the proper positions, and the surgeon will step in at some point during that process to work…

Crown Lengthening: Purpose and Procedure

Crown lengthening is a type of oral surgery that reduces the amount of a patient’s gum tissue and exposes more of the patient’s tooth material. This procedure can be used in a number of circumstances. Some patients pursue crown lengthening for purely aesthetic reasons, such as eliminating a “gummy smile,” while others may need the surgery to uncover enough tooth material to support a restoration, such as a crown or filling. Crown lengthening may also be needed in cases of broken or severely decayed teeth in which there is minimal remaining tooth material below the gumline.  In performing oral surgery, such as crown lengthening, small incisions are made in the gums to pull tissue away from the tooth’s roots. Sometimes, it will be necessary for the surgeon to remove bone material surrounding the roots, as well, in order to achieve the desired appearance. After all the necessary tissue has been…

When is a gum graft recommended?

The gums are important to the well-being and appearance of the smile. When attacked by the bacteria in the mouth, the gums can begin to recede, compromising oral health and the smile’s aesthetics. Receding gums also may expose the tooth’s root, making the teeth more sensitive. In other cases, a patient may be dissatisfied with a natural gumline that is unusually high, exposing more of the teeth’s surfaces than is desired. An oral surgeon can treat gum tissue that is too thin. These scenarios are appropriate for an intervention known as a gum graft. This procedure, which can be performed by an oral surgeon, takes soft tissue from elsewhere in the mouth and places it to the graft site. This is known as a free gingival graft. When the teeth’s roots are exposed, the surgeon may also use a subepithelial connective tissue graft. In this case, tissue is removed beneath…

Don’t wait too long to extract a damaged tooth

In dentistry, saving teeth is a top priority. The commitment to saving natural teeth is demonstrated by a strong emphasis on the prevention of dental disease. When the teeth have been compromised by tooth decay, trauma, or periodontal disease, the second line of defense is restorative dentistry. By restoring and strengthening as much of the natural tooth structure as possible, you can continue to enjoy the benefits of a full, healthy smile. Unfortunately, there are times when a tooth has been so badly damaged that it can no longer be restored. In fact, a severely damaged tooth can become a liability to your health and to your remaining teeth, forcing you to consider tooth extraction as the only feasible treatment option. If your damaged tooth is causing pain or discomfort, tooth extraction is typically an easy decision. When pain is not a factor, when the damaged tooth is towards the…

Training and Education Received by Oral and Maxillofacial Surgeons

How many dentists does it take to remove a cyst in the jaw, perform facial reconstructive surgery, remove wisdom teeth, and place a dental implant? When the dentist is an oral surgeon, the answer is one. After completing the requirements to earn a degree in general dentistry, a dentist can pursue advanced training and education in order to be licensed as an oral and maxillofacial surgeon. With the additional coursework and clinical experience, a dental surgeon can provide a high level of specialized care. Following dental school, rigorous coursework and a hospital-based surgical residency program help to prepare dentists for the treatment of numerous conditions of the head, neck, mouth, jaw, and face. Traumatic injuries, cancer management, problematic wisdom teeth, deformities of the jaw and jaw joint, and even cosmetic services can all be performed by that hand of a highly skilled professional. Gaining hands-on experience in the areas of…

Dental Implants: Will my new teeth look natural?

With dental implants, the possibilities for your new smile are virtually endless. Though the basic concept for the foundation of most dental implants is the same, the final outcome can be customized to reflect your unique personality and individual needs. Ultimately, the end result of the implant process is a single tooth or a full set of teeth that look beautifully natural. A beautiful and successful dental implant begins with a thorough clinical examination. Your oral surgeon will utilize digital imaging to gather information about the underlying bone at the location of the proposed implant. Even the position of the neighboring teeth will be evaluated in order to ensure that there is sufficient space for your new artificial tooth and root. The health of the surrounding gum tissue will also be carefully considered to ensure that proper healing can take place.  As the implant is placed into the bone, precise…

Detriment of not diagnosing and treating wisdom teeth impactions

Of all of the teeth in the mouth, the wisdom teeth are the most likely to become impacted, or trapped in the bone or gum tissue. The wisdom teeth, also known as the third molars, are the largest teeth in the mouth, and the jaws of modern humans often are too small to accommodate them. When the wisdom teeth fail to erupt properly, a number of problems can result. Impacted wisdom teeth are more prone to infection than other teeth, and they can develop abscesses and tumors. Impacted third molars also can be very uncomfortable. Even if the wisdom teeth do erupt, they can crowd the other teeth, rendering years of orthodontic treatment totally useless. Wisdom teeth can also damage neighboring teeth and make them more susceptible to decay. To avoid these problems, patients should have their wisdom teeth extracted by an oral surgeon by age 25. Younger patients face…

Options for Denture Wearers

In the past, patients who needed dentures had to settle for traditional appliances held in place by adhesives that were often ineffective. A newer approach, known as All-on-4, can give these denture wearers some relief. This technique uses four dental implants to secure the prosthetic arch, eliminating many of the problems associated with conventional dentures. Four dental implants are placed in the jawbone by an oral surgeon. Because they are made of titanium, the implants fuse with the bone in the months following placement. Patients are fitted with a temporary prosthetic arch on the day of the surgery, and after the healing process is complete, they return to receive a stronger, permanent denture.  The structural nature of the implants and their ability to fuse with the bone, replacing the roots of the absent teeth, prevents the jawbone resorption that typically occurs in edentulous (toothless) patients. With All-on-4, the implants are…