Imagine a center brick in a brick wall that begins to crumble. It makes sense that removing the brick and leaving the space open will eventually weaken the entire wall. To preserve the strength of the wall, the brick should be repaired or quickly replaced.
In the natural design of your “bite,” the upper teeth and lower teeth work in unison. Each one serves as a support to the others around it. For example, a tooth helps to keep those on either side in their proper positions as well as the one above or below to its proper height.
Once the process of tooth loss begins, whether a tooth is removed due to infection, decay, an overload of fillings, a crack, or an injury, its presence (above and below the gum line) is still important to other teeth. Just like a brick wall, lack of its support will result in other teeth becoming more vulnerable to tilting, turning, and so on.
There is a misconception that removing a tooth rather than trying to save it will be the cheapest option. There is a domino effect that results, including the potential for continued tooth loss of neighboring teeth. People are often unaware of the long-term effects of leaving an open space.
When we are unable to save teeth, we recommend replacement options. This, ideally, occurs with a dental implant. Dental implants are advised because they are held in the jaw bone, just as natural tooth roots. This foundation restores the same, dependable foundation for biting and chewing. It also helps to preserve the bone mass of the supporting structures of remaining teeth.
Dental implants recreate stimulation to the jaw bones that secure tooth roots. Without this, the bone begins to shrink in height and width. This occurs in a ‘melting away’ of bone mass through a process known as resorption. This begins the domino effect
Bone loss in one area affects the supportive foundation of adjacent teeth. This causes neighboring teeth to become vulnerable as their supportive structure declines. These teeth have a higher risk for being the next to be lost as a result. Thus, one open space leads to another, and so on, and so on.
Too, people are often unaware that a denture or partial actually accelerates the process of resorption. While these appliances may recreate the presence of teeth above the gum line, what is occurring below is very different. The pressure of these appliances on the ‘ridge’ that once supported tooth roots speeds up the rate of bone loss.
When a patient is interested in dental implants, tired of the frustrations associated with dentures and partial dentures, the amount of bone mass they have remaining is a guiding factor in my recommendations. Why?
Like teeth, a dental implant is dependent on a solid foundation. Without sufficient bone mass, the size of an implanted “core” can’t be adequately supported. Too, a lower jaw bone has a nerve that runs vertically through it. An implant cannot be placed in its proximity or eventual removal will be necessary.
By the same token, the upper jaw must be to a certain mass to sufficiently support dental implants. When an implant is placed in shallow bone, the sinus cavity can be too close to the implanted site. There is a risk that the implanted portion will work its way into that proximity. Again, removal can be eventually needed if this occurs.
This is why it is so important to select an implant dentist carefully. When he or she is fully trained in the diagnosis (selection of the best type) and placement of ALL implant systems, your results have a greater potential to provide you with a lifetime of confident eating and smiling. However, a dentist trained in only one or two implant systems is limited in their recommendations. You could end up making an investment that fails to fully achieve your needs and goals that another type may have been better suited to provide.
With decades of advancements in implant dentistry, there have been refinements to the implant systems available. There are now a number of types to select from, each designed to accommodate specific needs and preferences. When shallow bone mass exists, however, one particular type has proven to be beneficial and effective.
While it was once necessary to rebuild bone mass through bone grafting or applying bone rebuilding materials, the All on 4 Dental Implant system can eliminate that need. Through an elongated design and placement at unique angles at strategic points, patients who have experienced severe bone loss can even enjoy the benefits of dental implants.
Using only four implants to support a full upper or lower arch of teeth, All-On-4 also lowers treatment costs since implant fees are based on the number of implants placed, While helping to curtail treatment fees, the teeth attached to All-On-4 implants are non-removable (“fixed”). This means you don’t have to take your teeth out of your mouth to clean them. You brush and floss them just as your would natural teeth!
Best of all, All On Four can effectively manage the forces of biting and chewing. They support a full arch of replacement teeth that restore the ability to eat the foods you love again, laugh with confidence, and wake up with a fabulous smile!
To discuss the All-On-4 process or any tooth replacement options, call 843-871-6351 or tap here for a no-charge consultation. During this time I’ll answer your questions, discuss treatment fees, and what to expect during the treatment process. While you’re here, we can also have you meet with our financial coordinator who will explain easy payment plans that are interest-free with no down payment required.
Take charge of your smile by preventing tooth loss through thorough hygiene at home and regular dental check ups. However, if you’ve found yourself in dentures and desire a better way to eat, smile, and be confident with others, the consultation appointment is a good way to understand the options that are available to you.Read More
When it comes to replacing missing teeth these days, a number of adults make the decision to go forward with dental implants. However, dental implants are not always a preferred choice for individuals facing tooth replacement, nor advisable for some.
For example, the health of some individuals may hold potential problems when it comes to implant success. This is true for people undergoing cancer treatment or who take certain medications for osteoporosis. For some of these patients, the risks may be too high.
Additionally, some mouths are too small for implant placement at proper depths or angles. For instance, if a back tooth needs replacing and the bone mass is minimal, even bone rebuilding procedures may fail to overcome the challenge of the best positioning.
Although our office offers advanced skills and training in the diagnosis and placement of dental implants, rest assured that we also have advanced training and skills in other methods to replace teeth.
Our patients also have access to many features and advanced technology that optimize comfort, speed healing time, and minimize treatment time. Some procedures can be completed in just two visits.
In addition to dental implants, options to replace missing teeth include…
Full Dentures – A Full Denture is typically removable and replaces all teeth as well as the foundation of gums that may have diminished over time. New denture wearers need time to get accustomed to their new teeth because even the best fitting denture can feel awkward at first. Some have difficulty eating for several days and may notice a slight change in facial appearance, increased salivary flow, or minor speech difficulty. However, once the patient has adjusted to this new feel, a denture can be worn comfortably and function with stability.
Replacing a tooth is a big decision, and affects a large number of adults. It is estimated that over 69 percent of Americans between the ages of 35 and 44 years have at least one missing tooth.
It is also highly important to replace a missing tooth.
The arrangement of teeth is a balanced support system that provides proper support and stability. Not replacing a tooth can trigger a domino effect of continual oral challenges. Typical problems include drifting, shifting, and an increased risk of gum disease and decay.
In a normal, healthy mouth, there is a natural balance of alignment. Each tooth has three or four companion teeth. These include adjacent teeth on either side as well as the upper or lower teeth that meet them. Upper and lower teeth must work harmoniously to provide comfortable chewing function.
When a tooth is lost, the proper position of neighboring teeth is at risk. When teeth shift or tilt, it can lead to chipped, broken or fractured teeth. Eventually, this can cause problems with the TMJ (jaw joints), which may lead to headaches, migraines, worn teeth, and clenching or grinding during sleep.
Not replacing a tooth also places others at higher risks for being lost. Statistics show that a neighboring tooth is the most likely be lost next when subjected to the same conditions. With each tooth lost, the problems are magnified and the cycle of tooth loss continues. And, so do the associated decisions, costs, and treatment time for replacement.
For many reasons, we recommend dental implants whenever practical and desirable to the patient. According to the American Dental Association (ADA) five million implants are placed in the U.S. each year. They restore dependable biting and chewing, have a nearly 98 percent success rate, and are designed to last a lifetime (making them an excellent investment).
Still, we understand an implant is not the preferred or most practical choice for every patient. Once our patients know the options recommended for their needs, we respect the wishes of each and are committed to the best outcome for each.
If you need to replace missing teeth or an existing appliance, let’s discuss your options during a no-charge consultation appointment. During this time, I’ll explain the advantages and challenges of each and the procedures involved. Call 843-871-6351.
While you’re here, we can also have our Insurance Coordinator and Financial Coordinator meet with you to determine easy payment plans according to your needs.Read More
It is a misconception that losing natural teeth is a normal part of the aging process. Although previous generations may have assumed that tooth loss (and ending up in dentures or partials) was natural for adults as they grew older, we know today that this is far from true – and certainly not desirable.
When teeth are missing in a smile, it compromises its appearance, often causing people to feel self-conscious when smiling. Yet, the repercussions of missing teeth go far beyond esthetic. It is now known that dental challenges caused by missing teeth can lead to a long list of problems.
The space left by missing teeth needs to be filled to avoid teeth drifting. Drifting teeth can lead to:
• Compromised chewing efficiency
• The tooth above or below the missing tooth growing too long
• Neighboring teeth moving out of alignment
• More challenges with food accumulation, accelerating bacteria growth
• Uneven chewing patterns, which strains jaw joints and can lead to worn teeth, tooth fractures and chips, clenching and grinding, and headaches
• Loss of jaw bone mass in the extracted area
• Facial changes and biting/chewing problems in the area of tooth loss
• Increased risk of tongue biting
Periodontal (gum) disease is the nation’s leading cause of adult tooth loss. Yet, it is easily preventable with simple measures applied on a daily basis. Twice daily brushing, daily flossing and twice-a-year dental visits can greatly reduce the risks of gum disease and subsequent tooth loss.
Those most at risk for tooth loss with the highest susceptibility to gum disease are:
• Males over the age of 35
• Adults who fail to have professional dental care
• Not brushing teeth
• Having diabetes, high blood pressure or rheumatoid arthritis (RA)
Additionally, teeth most commonly lost due to gum disease are in the front of the mouth rather than back teeth. Health issues such as diabetes and arthritis can also make you more vulnerable to developing gum disease.
When a tooth is lost, it is imperative that it be replaced as soon as possible. We recommend dental implants because they restore the look and feel of a natural tooth. Dental implants also recreate the presence of a tooth root in the jaw bone. This helps halt bone loss, protects your facial structure, and preserves the natural alignment of your bite.
Missing natural teeth? We offer many tooth replacement options to restore the look, feel and function of a natural-looking, confident smile. Call 843-871-6351 or tap here to schedule a free consultation to discuss the choices that may be best for your individual needs.Read More
The definition of “Seniors” has changed rather drastically over the past several decades. No longer deemed the inactive, rocking chair adult, today’s seniors are active — in sports, socially involved, and still learning and participating. And, their numbers are a force to be reckoned with.
According to the U.S. Census, “baby boomers” (Americans born 1956 – 1964), are the fastest growing age group in the U.S. Currently, 14.5 percent of the nation’s population are ages 65 and over. By the year 2029, the over-65 population is estimated to be 20 percent. (https://www.census.gov/newsroom/press-releases/2017/cb17-100.html)
It is also estimated that one out of every four 65-year-olds will live past the age of 90, and one out of 10 will live beyond the age of 95. (https://www.ssa.gov/planners/lifeexpectancy.html)
One contributing factor to this trend has to do with their determination to stay active and involved. This is one of the reasons why dental implants are so appealing when an individual is faced with tooth loss.
Whereas aging adults were once associated with dentures soaking in a glass by the bathroom sink, today’s senior prefers the stability and confidence of dental implants.
But, how old is too old for dental implants?
It is a common misconception that an individual is beyond the age for dental implants. As long as one’s periodontal (gum) health is good, there is actually no age limit on having a successful outcome when it comes to dental implants.
For seniors who may have experienced loss of multiple teeth, dental implants offer a successful solution for all adults. Too, they not only replace missing teeth, they resolve the many frustrations commonly associated with removable teeth such as dentures and partials.
Quite frankly, any age can expect a successful outcome when the implants are properly selected, placed and maintained. The failure rate is actually very low, with dental implants enjoying one of the highest of all implant-in-bone success rates – up to 98 percent.
However, like anything that is not a natural part of the body, there are issues that can complicate implant success, including:
While there are risks, the many advantages of dental implants far outnumber any downside. Dental implants add to everyday pleasures, including the enhanced ability to taste, bite and chew a diet of healthy, delicious foods. The stability of dental implants also restores confidence in social settings, allowing you to speak and laugh without worry.
Dental implants also halt the process of bone loss, helping the jaw bones retain a full, healthy shape. This prevents changes in facial appearance that can be aging far beyond one’s actual years.
The best way to fully understand the risks involved is through a no-charge consultation. Call 843-871-6351 or tap here to schedule. During this time, we can discuss the implant type that may be best for your needs as well as treatment time and costs. If comfort is a concern for you, we can also discuss sedation options, including oral and I.V. sedation (twilight sleep).Read More
Through decades of research and findings from countless studies, there is no doubt that your oral health plays an integral part of your overall health. Not only does oral bacteria overload lead to tender, bleeding gums, it causes cavities, bad breath and some serious health problems far beyond the mouth.
Studies have shown that oral bacteria of gum disease can enter the bloodstream. Once bloodborne, it can cause inflammatory reactions that have been associated with a long list of diseases and health conditions. These include stroke, heart disease, preterm babies, diabetes, arthritis, and some cancers.
Still, with all these findings, it’s perplexing that nearly half of American adults have some level of periodontal (gum) disease. I believe the problem lies in the fact that gum disease can begin – and even exist to a certain extent – without obvious symptoms.
To help our readers be in a better position to avoid (or respond promptly to) gum disease, I hope the following Q&A will help in your appreciation of good oral health:
What is gum disease? Gum disease is also known as periodontal disease. It forms from accumulated oral bacteria. Like any infection (which is bacteria that is straining the capability of the immune system), it causes redness, tenderness, and swelling. Because it is hidden inside the mouth, gum disease is easier to ignore than if the same were to occur on a skinned knee. Early-stage gum disease causes the gums to bleed when brushing, tender gums, and frequent bad breath. As it progresses, gums swell and turn red. The gums loosen their grip around the base of teeth. Eventually, persistent bad breath occurs and may be accompanied by pus pockets that form on gum tissues. As the bacteria eats away at the structures that support tooth roots, the need for tooth removal can occur.
Why should I worry about gum disease? As if the discomfort, bad breath, and rotten teeth weren’t enough, many people are unaware that gum disease is the nation’s leading cause of adult tooth loss. When a tooth is lost, it creates a domino effect that can lead to more tooth loss. Replacing teeth can be expensive. For some tooth replacement options, it typically causes bone resorption. This is when the jaw bones that once supported natural tooth roots begin to shrink in mass. A thinning jaw bone is what causes a denture or partial to slip or rub uncomfortably on tender gum tissues. (Dental implants, fortunately, mimic the presence of tooth roots. This halts the process of resorption.) Additionally, as mentioned prior, gum disease bacteria can enter the bloodstream and contribute to a number of serious, even deadly, health problems.
How do I prevent gum disease? Although I’d like to say that twice-daily brushing and daily flossing is sufficient, that’s only part of the equation. It is necessary to keep the mouth moist. Aging and the side effect of many medications can be very drying to the mouth. This mean that oral bacteria are not being washed away efficiently. Also, American diets are full of sugar. Sugar is especially challenging in the mouth, triggering acids that can damage almost immediately. Too, just over 52 percent of the adult population visit the dentist every six months. According to the American Dental Association (ADA), over 20 percent (in 2014) stated they only saw a dentist every “few years.” (https://www.ada.org/en/science-research/health-policy-institute/dental-statistics/patients) Your dental check-ups are structured to remove built up oral bacteria that has hardened on teeth (known as tartar, or calculus). Seeing your dentist every six months helps you to prevent, or greatly minimize, the risks associated with gum disease.
As a dentist in Summerville, I’ve been pleased to offer a “dental home” where our patients know we will treat them thoroughly, respectfully, and with gentle hands. We keep our fees affordable so all individuals can enjoy the benefits and confidence of a healthy smile.
If you suspect you have gum disease or have not had a dental cleaning in over six months, call 843-871-6351 to schedule an appointment. If preferred, ask to begin with a no-charge consultation appointment. During this time, we’ll discuss your unique needs and how we can assist you in achieving the smile you desire.Read More
When most people think about a dental implant, they envision a replacement tooth that is held by the jaw bone. This is correct since Dental implants are unlike replacement teeth supported by neighboring teeth (as in crown-&-bridge) or a denture that is contoured to fit the ‘ridge’ where tooth roots were once held.
However, a dental implant is not one piece, but actually made up of three parts. The first part is the implanted portion. This piece is similar to a hollow screw that is positioned in the jaw bone beneath the gum tissues. This is your tooth root replacement. This piece is designed to recreate the presence of a tooth root, which is beneficial for the bone that supports it as well as the replacement teeth that will be attached to it.
Once placed, the bone begins to grow around the implant, securing it in place. This process takes approximately 3-4 months and is known as “osseo-integration.” During this phase, patients are able to wear temporary teeth (or often, their existing denture or partial) comfortably.
The second and third components of dental implants are referred to as the abutment and the restoration. These are typically placed in the same appointment. After the phase of osseo-integration is complete, an opening is made in the gum tissue over each implant site. Into the implant, a post is secured and a replacement tooth (or bridge) is then attached to the post.
With the implant held by the jaw bone and the replacement tooth secured to the implanted portion, the look, feel and function of real teeth is restored. This means that your implants will have the same foundation as that of natural teeth so you can enjoy dependable biting and chewing strength and stability.
When more than one tooth is missing in the same area, a bridge of two or more teeth can often be attached to one implant. For those missing all upper and/or lower teeth, a full arch of teeth can often be secured to 4 to 8 strategically-placed implants. This is an appealing option for people who are missing all of their upper or lower teeth and want to replace the discomfort and frustrations of a ‘rocky’ denture.
This option also minimizes the expenses associated with dental implant treatment. Because the cost for dental implants is largely based on the number of implants placed, attaching a bridge of teeth or securing a full arch can translate into a tremendous savings.
In our office, we utilize advanced CEREC 3D technology to create single crowns, bridges, and even full arches of replacement teeth. These ‘restorations’ are made of beautiful ceramic that is natural-looking and durable. This also saves you a tremendous amount of time by eliminating waiting time for a dental lab. Additionally, there is no need for a second appointment for a dental lab’s final teeth to be placed.
In addition to restoring the ability to eat and chew securely and comfortably, dental implants help to halt bone resorption that occurs when tooth roots are no longer present in the jaw bone.
What is this?
Without the presence of tooth roots, the bone lacks necessary stimulation that helps to maintain its mass. Dental implants recreate this stimulation, preserving the bone’s height and mass.
In addition to placing neighboring teeth at risk, bone loss can create changes in facial appearance that are aging far beyond one’s actual years. These changes include deep wrinkles around the mouth, a pointed chin, jowls that form from detached facial muscles, and a mouth that appears collapsed into the face.
There are many types of Dental Implants, each designed to accommodate individual needs and preferences. We offer a free Consultation that allows interested adults to learn the types best for them and have their questions answered thoroughly.
During this time, we can also discuss affordable payment plans. These can break your treatment costs into easy monthly payments, often with no interest charged and no down payment required.
Call 843-871-6351 to schedule your no-charge appointment.Read More
For many reasons, dental implants have become the preferred tooth replacement option among today’s adults. They are the closest thing to natural teeth, even mimicking the stimulation needed to the jaw bone to halt the process of bone loss (known as resorption).
Yet, some people forgo this ‘preferred’ method for replacing teeth, most often due to cost. And, to make matters worse, some dental insurances do not provide coverage for dental implants, deeming them as ‘elective.’
Is it elective to be able to bite and chew foods that comprise a healthy diet? Is it elective to feel confident on the job or in social settings? Is it elective to have a smile that is as close to ‘worry-free’ as a smile can be?
Although we are doubtful that insurance companies will adjust their stance anytime soon, we would like to state that dental implants are not the costly treatment they are often perceived to be. In fact, when you look at the overall treatment expense and compare them to other tooth replacement options, you’ll see that dental implants are the wisest investment you can make. Here’s why:
One of the greatest benefits of dental implants is their longevity. Once dental implants are placed and the final teeth attached, your investment (with proper maintenance) should last your lifetime. Their longevity can be credited, primarily, to their construction.
Dental implants are made from the strongest metal known to man – titanium. This material, developed by NASA, was found to be highly compatible with living bone. This means that the body won’t reject it. Even better, the bone where titanium is placed will actually grow around it. This secures the implant in your jaw bone, giving it the same, dependable foundation as natural teeth once had.
Another marker of dental implant value is the ‘one-&-done’ factor. Teeth that are attached to implants do not experience cavities, will never need a root canal, and won’t create problems for neighboring teeth.
Dental implants may seem to be a more costly than crown-&-bridge combinations. However, unlike crown & bridge, dental implants do not reply on neighboring teeth to support replacement teeth. Dental implants use the same, sturdy foundation — the jaw bone — that natural teeth have.
And, because the crown-&-bridges process requires the crowning of neighboring teeth on each side, future costs can include root canals, crown repair, bridge replacement, etc.
As mentioned prior, the process of bone loss due to missing tooth roots can create a number of problems. Resorption impacts the health of existing teeth and weakens the strength of the jaw bone.
As bone loss continues, it can lead to changes in facial appearance that are aging far beyond one’s actual years. These include deep wrinkles around the mouth, jowls that form when facial muscles detach from the shrinking jaw bone, a pointed chin, and a mouth that appears collapsed into the face.
Dental implants halt this process of bone loss.
When you also factor in the quality of your result, including how long dental implants last and how well they’ll hold up over time, they are a true bargain. The cost, over the long term, provides your hard-earned dollars with the best outcome for long-term savings. Plus, the ability to eat the foods you love and laugh without worry is priceless.
If you are considering dental implants or any tooth replacement option, call 843-871-6351 to schedule a no cost, no obligation consultation. During this time, I’ll explain options best for you and answer your questions so you can determine how you wish to proceed.Read More
I can’t imagine that any adult over the age of 30 wants to look older than they are. Most of us are hoping to go into our elder years with people saying, “Oh, you certainly don’t look your age! I would have guessed you no more than age xx.” (preferably 10 or more years less than we really are!)
Mere flattery or not, we love to hear that we are aging well. And, American adults are willing to invest heavily in keeping a more-youthful look. According to a 2015 article published in Markets & Trends entitled, “U.S. Skin Care Market to Reach Nearly $11 Billion in 2018,” they estimate nearly $11 billion will be spend on skin care in the U.S. this year. (http://www.gcimagazine.com/marketstrends/segments/skincare/US-Skin-Care-Market-to-Reach-Nearly-11-Million-in-2018-311287121.html)
While we slather on expensive creams and color our hair, an unfamiliar factor (to many) that contributes to the appearance of more years than we’re due is the decline in jaw bone mass from tooth loss.
Ever heard the term ‘granny look?’ Although this is the extreme of a shrinking jaw bone, it is pretty descriptive when it comes to an aged appearance that no one wants. It conjures up an image of an older woman who has a pointed chin, deep wrinkles around the mouth, and a mouth that seems collapsed into the face.
This all occurs when the jaw bones that supported natural teeth no longer have tooth roots to provide stimulation. When the roots are removed, the jaw bone doesn’t receive the nourishment and stimulation needed. Without this, they slowly begin to shrink. This process is known as resorption.
As the bone shrinks from a missing tooth or teeth, neighboring teeth are at higher risk. Due to various factors, the next tooth to be lost is typically one that is adjacent to a missing tooth.
Bone loss is not always obvious for people who wear dentures or partial dentures. They tend to look in the mirror when their denture is in place, which plumps up the face. However, it is what’s taking place below the gums that causes changes in facial appearance. These changes will only become more severe with time.
Bone loss contributes to deep wrinkles that form around the mouth with the corners of the mouth turning downward, even in a smile. As it continues, the mouth appears to collapse into the face and jowls form from the detachment of facial muscles.
For those who wear dentures or partials, the pressure this places on the ‘ridge’ actually accelerates the rate of resorption. This is the gum-covered arch that the denture or partial rests upon. For those who sleep in these appliances, the 24/7 pressure speeds the rate of resorption even more.
As resorption continues, the gum ridge begins to flatten as it’s foundation shrinks. Denture wearers often first notice bone loss when their denture begins to move while eating. Eventually, even denture adhesives are unable to prevent uncomfortable rubbing or slips while eating. Speaking and laughing also becomes overshadowed by the fear of embarrassing moments.
Because dental Implants recreate stimulation to the jaw bones that support them, they are able to halt the rate of bone loss. Additionally, because they are placed in bone, just as tooth roots were once, they provide the same dependable foundation of natural teeth.
Dental implant systems have also evolved so they are able to accommodate specific needs. For example, some types can be placed in adults who have experienced severe bone loss. The All-On-4 implant system requires only minimal bone to adequately support a full arch of teeth on just four implants.
Regardless of the implant type selected, a dentist who is trained and experienced in all implant types is your best choice for a successful result. In our office, our patients know their implant treatment is backed by advanced training in all implant types with both oral and I.V. sedation (twilight sleep) available.
Using the cutting edge technology of CEREC 3D, we are also able to create replacement teeth at the same appointment our patients are having their implants placed. This eliminates waiting for a dental lab to create your final restoration (replacement teeth) and a second appointment to place them. It also cuts numbing requirements in half.
Dental Implants restore biting and chewing comfort as well as the ability to speak and laugh confidently. Call 843-871-6351 to schedule a free, private consultation. During this time, I’ll make recommendations based upon your specific needs and goals. We can also discuss treatment costs and easy payment options.Read More
After years of wearing a denture, many people realize the fit is not as dependable as when it was first made. It begins to slip while chewing and also rub sore spots on tender gum tissues.
The reason for this is due to bone loss. When natural tooth roots no longer exist in the upper or lower jaw, the bone begins to shrink, or ‘resorb.’ Resorption is also the reason a once-secure fitting denture feels less and less so after each year.
Most people are not aware that wearing a denture places pressure on the jaw bones, which speeds up the process of bone loss. For those who sleep in their dentures, the rate is accelerated even more.
Initially, after a denture is first made, patients may be advised to wear it 24/7 until becoming used to its presence in the mouth. However, after an adjustment period, you should remove it before bedtime. Studies have also shown that people who sleep in their denture have a higher risk for pneumonia. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541085/)
For people who do everything possible to care for their dentures, however, there is no way to prevent bone resorption. In addition to the looser fit with each passing year, changes to facial appearance will begin to take place.
These changes include deep wrinkles that form around the mouth, having the corners of the mouth turn downward (even while smiling), a more pointed chin, having a mouth that seems collapsed into the face, and jowls that form as facial muscles detach from bone structures.
A temporary fix to loose dentures is a reline. This reshapes the gum base portion to fit the less prominent contours of a declining gum ‘ridge’ to which it was originally fitted. Yet, the problems will reappear as bone loss continues.
In the past, people who had experienced severe bone loss were required to first have a bone graft, often using a piece of hip bone to rebuild the jaw bone where implants were to be placed. As dental techniques advanced, bone rebuilding materials were developed that could regenerate bone mass, preventing the need for the more-involved surgical grafting procedure.
Fortunately, in 1998, a new dental implant system was introduced that enabled implant placement in even severely resorbed bone mass. All-On-4 dental implants relied on specially designed implants placed at unique angles. This technique evenly distributed the load among four implants.
There were additional advantages to the All On Four system. First, the procedure itself was less complex than traditional implant placement, making it possible for the patient to recover quickly. Too, teeth could be attached immediately after placement. So, not only could the patient walk out of the dentist’s office and meet a friend following the procedure, they could enjoy lunch together!
For many, the best advantage of all is in the lower cost as compared to many other implants systems. Because only 4 dental implants are needed to support a full upper or lower arch of teeth, treatment costs are typically quite lower than traditional implant types.
While All On 4 dental implants won’t work for every individual who is missing teeth, they are a beneficial option for a number of patients who wish to be rid of a bothersome denture. If you’re one, call 843-871-6351 to schedule a free, no obligation consultation.Read More
Remember when your sister (or you!) used to roll her hair and sit under a hair dryer on Saturday afternoons? The process often required hours for washing, rolling and drying to get ready for ‘date night.’
Of course, today’s females have it much easier. Blow dryers, heated rollers and flat irons have made the process much more efficient and with excellent results.
Times have certainly changed. Today’s technology has simplified the process for many things. We no longer have to stand by a stove, waiting for water to boil when a microwave oven can ‘zap’ it to a boil in a couple of minutes.
Dentistry has also simplified some once-laboring procedures to what is now much more time efficient, more comfortable, and affordable. The 3D computerized technology of CEREC is a highly-advanced method for creating custom-made crowns (caps) in a single visit.
Let’s revisit the ‘old’ method for crowning a tooth. First, the tooth had to be reshaped so the ‘cap’ could fit over it. Then, a mold of the tooth was made so a dental lab could create a ‘final’ crown according to the dentist’s instructions of shape, size and shade.
Because it would take several weeks for the dental lab to make the crown and have it back to the dental office, a ‘temporary’ was placed. This gave the patient a fake tooth that would protect the remaining tooth structure while enabling some ability to eat.
The reason drug stores sell a dental paste that is specially made to replace temporaries is because they can come off fairly easily during this wait time. The adhesive that is used to attach a temporary to a tooth is designed for easily detachment. This lighter adhesive prevents damage to the remaining tooth structure when the temporary is removed.
However, as many individuals find, it doesn’t take much chewing to dislodge a temporary. And, as Murphy’s Law would have it, these instances seem to occur on a weekend more often than not.
But let’s say your temporary holds until the dental lab has the final crown delivered to the dentist’s office. You must return for a second appointment for the placement process and go through another numbing. The final crown is placed, proper shade matching is verified, and your bite is checked.
Although rare, the dental lab may have gotten the shade wrong or failed to follow the dentist’s instructions for crown height, for example. Guess what? Back to the temporary as the process begins again. Another crown, another appointment, another numbing, etc.
CEREC 3D has eliminated much of this process by providing in-office technology the dentist can oversee. In just one visit, your tooth is prepared, a custom crown is created, and securely placed. No wearing a temporary. No second appointment. No second numbing. You walk out with a beautiful, durable crown that has the look, feel and function of a natural tooth!
As a CEREC Mentor, I help other dentists learn the proper utilization of the technology. The latest advancements also enable me to create bridges, partials and dental implant ‘restorations’ (replacement teeth). All of this saves the patient greatly in the time spent in a dental chair — something that is especially appealing for those with busy schedules or who feel anxious at dental visits.
Crowns are needed when a tooth is holding too much ‘filling’ material or has cracks or fractures. Crowning teeth helps to protect the remaining tooth structure and tooth roots that are invaluable to maintaining a healthy jaw bone. Keeping your natural teeth also helps protect the life of neighboring natural teeth.
If a crown has been recommended for you, consider the ease and quick process of CEREC technology. Call 843-871-6351 to learn more or ask for a free consultation appointment.Read More
A new vehicle is a major investment. It is a purchase that you must be able to rely on for years. However, the choice of a vehicle is not only to get us from place to place, it is to provide a positive experience each time we’re behind the wheel.
Car and truck dealers know that purchasing a vehicle, even a used one, requires a sizeable investment. Thus, they offer financing options with monthly payments stretched over a period of time. This means that, for most, they can afford to make the payments while enjoying the pleasure of the vehicle.
When a patient considers the many advantages of dental implants, typically, the only hesitation to proceed with treatment lies in the cost. Because many insurance companies deem dental implants as an elective procedure, getting coverage is not always available.
I suppose they look at dental implants in a similar fashion as Lasik, which corrects common eye problems such as myopia, hyperopia, and astigmatism. While the surgery can restore many to 20-20 vision, insurance companies see this as elective, although they often provide benefits for eye glasses. Why? Well, the reason is pretty clear — $$$.
Yet, a large percentage of people who wear eye glasses don’t like wearing them. They can be uncomfortable, inconvenient and frustrating. The lenses are easily smudged with the simplest touch and, for things like being in the shower or for many sports, they are either useless or in the way.
This is why over 600,000 people opt for Lasik each year, knowing the expense will largely be out-of-pocket. They choose to make the investment because the advantages of NOT wearing glasses is worth it.
This is also why so many adults choose dental implants over other tooth replacement options. They advantages are endless, including:
• Dental implants are positioned in the jaw bone, just as natural tooth roots. This provides a secure, dependable foundation for replacement teeth.
• Dental implants restore the ability to bite and chew foods comfortably.
• Dental implants do not move when eating, eliminating worries over embarrassing slips.
• Dental implants restore stimulation to the bone where they are held. This halts bone loss that can cause changes in facial appearance and ‘slippery’ dentures.
• Dental implants are designed to last a lifetime, making them a ‘one and done’ investment.
• Dental implants will never decay, require a root canal or break.
• Dental implants enhance confidence in social settings, enabling you to enjoy smiling and laughing with others.
• Dental implants come in many shapes and sizes, each designed to accommodate specific needs.
• Dental implants are safe and one of the most successful of all implant-in-bone procedures.
• Dental implants can provide teeth that you brush in your mouth and a smile you’ll never ‘take out.’
Implant systems vary, with most being able to hold more than one tooth. For example, one implant can support a bridge of several teeth while several strategically-placed implants can support a full arch of teeth. Because the fees for implant treatment are largely based on the number of implants placed, this means that the costs for treatment may be less than you realize.
Having many years of experience in the diagnosis and placement of dental implants, I can determine which implant system may work best for you. We offer several easy payment options that break treatment fees into affordable monthly amounts, most requiring no down payment and interest-free.
In our office, I also provide both oral and I.V. sedation (‘twilight sleep’) for optimal comfort and relaxation during your procedure. With every visit, my staff and I make comfort a high priority. We take great pride in helping once fearful patients to overcome their fears through a relationship of trust, knowing their needs are respected.
To fully consider dental implants for your individual needs and goals, schedule a no-charge consultation. This is a private conversation in a room removed from the clinical side of the office. During this time, I’ll answer your questions and explain the process of the implant systems best for you.
Call 843-871-6351 to schedule your consultation appointment. I look forward to meeting you!
For people who have health insurance, the first of the year resets a new year of benefits. In addition to annual physicals, many plans cover annual or periodic screenings, such as skin cancer exams or pap smears.
As you fill your calendar with these appointments, you may want to read up on some recent research that shows how your oral health relates to a number of serious health problems, including some cancers.
Research has shown that periodontitis (advanced stage of periodontal disease) causes the release of inflammatory components, enzymes and growth factors that have been associated with cancer development.
One particular study of over 48,000 American males between the ages of 40 and 75 showed that those who had a history of periodontal disease had a 14% higher risk of cancer than those without the disease. This was after taking into account risk factors such as smoking and diet.
For example, findings of one study published in the journal Cancer Epidemiology, Biomarkers & Prevention revealed that post-menopausal women with a history of periodontal disease had a 30% or higher risk of some cancers.
The study showed that a history of periodontal (gum) disease increased the risk of pancreatic cancer by 54 percent, lung cancer by 36 percent, a 49 percent higher risk of kidney cancer, and a 30 percent higher risk of blood cancers (including leukemia and lymphoma).
In the study, even non-smokers with gum disease had a 35 percent higher risk of blood cancers as well as a 21 percent increased risk for cancer overall. (See Women’s Health Initiative: https://www.nhlbi.nih.gov/science/womens-health-initiative-whi)
Another study conducted in China revealed that people who have gum disease have a higher risk of developing lung cancer. The study included over 321,000 adults, also citing that findings showed that this risk is even greater for people who drink, smoke, or have diabetes. The research also found that women with gum disease were more likely to develop lung cancer than men with periodontal disease.
The correlation seems to originate with how certain oral bacteria are involved in the development of cancerous cells in the lungs. Another study showed that the successful treatment of periodontal disease could significantly lower the risk of lung cancer. (http://www.dentistrytoday.com/news/industrynews/item/1056-periodontal-disease-increases-lung-cancer-risks?highlight=WyJjYW5jZXIiLCJjYW5jZXInIiwiY2FuY2VyJ3MiLCJ3b21lbiIsIndvbWVuJ3MiLCJjYW5jZXIgd29tZW4iXQ==)
According to the American Cancer Society, lung cancer is the nation’s leading cause of cancer death in men and women, outnumbering deaths due to colon, breast, and prostate cancers combined.
An article in Oncology Nurse Advisor (http://www.oncologynurseadvisor.com/headlines/periodontal-disease-prostate-cancer-inflammation-lower-risk/article/412935/) shared the results of a study on men with high PSA levels who also had periodontitis (advanced gum disease). After treatment for their gum disease, nearly all showed significant improvement of their PSA levels.
For decades, research has continuously revealed links between the bacteria of periodontal disease and serious health problems. By entering the bloodstream through weakened tissues in the mouth, the infectious bacteria of gum disease can trigger problems elsewhere in the body by activating systemic inflammation associated with a number of harmful reactions.
Periodontal disease is an inflammatory disease, capable of destroying teeth, gums and the bone structures that support tooth roots. Gum disease will not go away without treatment with early treatment, being the leading cause of adult tooth loss.
Know the symptoms associated with gum disease, including swollen and tender gums that bleed when brushing, receded gums that expose sensitive tooth roots, persistent bad breath, gums that turn red in color, pus pockets that form on gums and teeth that loosen.
Having symptoms of gum disease? Call 843-871-6351 for a free consultation. Here, you’ll find patients are treated respectfully and with a gentle touch for all procedures. We have a reputation for providing skilled, ethical care, making appropriate treatment recommendations based upon the unique needs of each patient.
Make your oral health a priority this year and every year. Your smile and you overall health depend on it!Read More
I saw a bumper sticker a while back that said, “Growing old is not for sissies!” How true! But it got me thinking about the aging process and how many adults over age 65 are missing teeth. For denture wearers, they could have their own bumper sticker: “Wearing dentures is no piece of cake!”
As a dentist, I see how people struggle with dentures. While some individuals are fine with their current denture, most would love to turn back the hands of time and take measures to prevent tooth loss in the first place.
Contrary to popular belief, losing teeth in ‘old age’ is not a normal part of the aging process. Older adults tend to lose teeth for several reasons. Having a dry mouth contributes to gum disease, which is the leading cause of adult tooth loss. And, gum disease that has been present for years can finally emerge with a vengeance as one grows older.
A study shared by the National Institute of Dental & Craniofacial Research states that seniors over the age of 65 have fewer than 19 remaining teeth. Over 27 percent in this age group have no remaining natural teeth at all. (https://www.nidcr.nih.gov/DataStatistics/FindDataByTopic/ToothLoss/ToothLossSeniors65andOlder.htm)
When an individual has all their upper and/or lower teeth removed, most opt to have a denture custom-made to restore their ability to speak and eat. For most new denture wearers, it takes time to get used to the feel of an appliance in their mouth. Eventually, however, eating and speaking again with a new denture is more comfortable – for the time being.
What occurs when tooth roots are removed is a process referred to as resorption. This is a ‘melting away’ of jaw bone mass in areas where natural tooth roots were once supported. Without the presence of tooth roots to nurture the jaw bone, the bone simply decreases in width and depth.
The denture that was made when your teeth were first removed was designed to conform to the unique contours of your ‘gum ridge.’ This is the raised arch where tooth roots were once held. The ridge is actually a protrusion of your upper or lower jaw bone that is covered with gum tissue.
As the bone shrinks, this ridge flattens. This means that a denture formed to wrap the contours of your gum ridge won’t have the same shaped surface to hold it a few years later. This is typically when people start to rely on denture pastes and adhesives more often than before.
Biting and chewing with a denture that moves can be uncomfortable, rubbing sore spots on tender gum tissues. Small seeds or food particles, such as nut pieces, can become trapped under the denture and pierce tender gums. As the denture moves unpredictably when eating, it can also cause embarrassing moments.
Eating out with friends or attending social gatherings where food is a centerpiece can create anxiety for denture wearers. Fearing a slip or having dentures ‘click’ while speaking is so worrisome that some people begin to decline invitations. Because studies have shown that social interaction is a healthy part of the aging process, becoming less social because of a loose denture can lead to a decline in overall health.
One study conducted by the Population Research Center at University of Texas (Austin) found that “older adults who maintain high levels of social activity or ramp up their social life as they age might be protected from increases in physical and cognitive issues over time.” (http://www.cfah.org/hbns/2011/socially-active-older-adults-have-slower-rates-of-health-declines).
Eventually, eating with a loose denture becomes so difficult that many people switch to soft foods that dissolve easily in the mouth. Unfortunately, these foods also lack much in the way of nutrition and fiber that fresh fruits, vegetables and meats provide.
When dentures continue to slip and be undependable, relines can be done as a temporary fix. This process re-contours the denture to the current height of the gum ridge. However, because the gum ridge will continue to flatten, the same process as before — more denture adhesive, difficulty chewing, etc. — will simply repeat itself.
One reason so many denture and partial wearers are choosing Dental Implants has to do with the frustrations brought on by resorption. Dental Implants recreate the presence of tooth roots in the jaw, putting a halt to the process of bone loss. Because implants are held by the jaw bone, they provide the same, secure foundation for biting and chewing as your natural teeth once had.
Another bonus of Dental Implants is their longevity. With proper selection, placement and care, they are designed to last a lifetime. And their success rate is exceptional, higher than any other implant-in-bone type, including knees and hip joints.
There are many types of dental implants, each designed to accommodate various needs, including severe bone loss. Some systems, such as the ‘All-On-4,’ are affordable and hold non-removable teeth. Easy monthly payment plans are also available, most are interest-free with no down payment.
Struggling with a denture that moves or causes embarrassment? Begin with a no-charge consultation. Call 843-871-6351.
When an individual is missing natural teeth or facing the removal of a tooth (or teeth), I take time to help the patient understand his or her options for replacement as well as why replacement is needed (even when missing a back tooth that is not visible in a smile).
Like the legs of a table or wheels on a car, each tooth plays a role in proper alignment. When a tooth is missing, the tooth above (or below) will grow longer since it does not have an opposing force to help keep it in place. By the same token, the teeth on either side of the open area will begin to tilt out of their positions.
This misalignment leads to a number of problems, including chipped, cracked, broken and fractured teeth. Improperly aligned teeth also contribute to a misaligned bite that places stress or strain on the jaw joints, which is commonly referred to as TMJ disorder.
The TMJ (temporo-mandibular joints) hinge the lower jaw to the skull. When properly functioning, the joints rotate harmoniously every time the mouth opens, while chewing or speaking and even during swallowing.
Misaligned teeth transfer stress and strain to the the jaw joints. This can lead to night-time clenching and grinding, worn teeth, frequent headaches, migraines, dizziness, ear ringing and sore jaw joints.
Obviously, there is a domino effect when lost teeth are not replaced. At the same time, people who wear dentures or partial dentures may encounter an entirely different set of challenges.
When teeth are missing, the jaw bone that once supported their roots begins to shrink. This process is known as resorption. When the bone resorbs, it declines in height and mass. This reduced mass of bone creates a vulnerable foundation for remaining natural teeth. Statistics show that the next tooth you’re most likely to lose is one adjacent to a missing tooth.
Unbeknownst to many people, wearing dentures or partials actually contributes to the rate of bone loss. The pressure these appliances place on the bone speeds up the process of resorption. For those who sleep in their dentures, bone loss occurs at an even faster rate.
When the bone declines in mass, the denture or partial will eventually begin to slip or rub uncomfortable spots on tender gum tissues. This is because the appliance is custom-designed to the unique contours of an individual’s gum ridge. As the gum ridge flattens due to resorption, the fit becomes less and less secure. Over time, even denture pastes and adhesives will do little to hold the appliance in place.
We recommend dental implants for a number of reasons. The main advantage is how dental implants restore natural biting and chewing ability without requiring the support of neighboring teeth (as with some partials and crown-&-bridge combinations).
Additionally, dental implants are designed to last a lifetime. They will not experience decay, require root canals or cause damage to neighboring teeth. And, because they recreate the presence of tooth roots in the jaw bone, bone loss is halted.
When it comes to dental implants, the only obstacle for some people is cost. Although the fees associated with implants are all ‘up front,’ the problems experienced with dentures and partials that require future expense will not creep up and need continual upkeep.
Dental implants are one of the most successful implant-in-bone procedures, with a nearly 97 percent success rate. When you place your treatment in the hands of an experienced dentist who is trained in all types of implants, you optimize your potential for a successful outcome. He or she can choose the type that is truly best for your individual needs.
In our office, we combine experience, skills and comfort. We offer oral and I.V. sedation and use advanced technology to maximize comfort and precision placement. Here, safety and comfort are priorities with our entire team and our track record is exceptional.
To discuss your individual needs, call 843-871-6351. We will be happy to make recommendations and discuss easy payment plans that require no down payment and are interest-free.Read More
Today’s dentistry offers many options for replacing teeth. And, with modern techniques, materials and technology, tooth replacement can create a natural look, feel and function.
In our office, we utilize advanced technology that can save patients time, enhance comfort and create an exceptional look and feel for virtually every need.
When it comes to replacing teeth, patients have many choices with a wide range of fees associated with each. Yet, like anything, having dentistry done for a ‘bargain rate’ means corners were cut somewhere. This typically results in compromises, sacrificing longevity, function and overall satisfaction.
Replacing a tooth (or teeth) is no place to go ‘cheap.’ Choose an option that is the very best for a reasonable cost. Choose your dentist carefully, according to skills and experience. If the treatment fee is beyond your means, ask about payment plans. In many cases, these help patients finance their treatment for no down payment with no interest charged. This way, you can enjoy the benefits of treatment while making monthly payments that fit your budget.
Today, the preferred tooth replacement option is a Dental Implant. Dental Implants restore a natural biting strength and stability since the implanted portion is anchored by the jaw bone, just as natural tooth roots. After placement, we use the advanced technology CEREC 3D, which creates replacement teeth from a computerized image. While you comfortably relax, the replacement crowns (or ‘restorations’) are created and ready to attach to the implanted portion. The teeth created by CEREC provide an optimal look, feel and function with exceptional longevity. The attached teeth will not move when eating, will not slip when speaking or laughing or cause uncomfortable rubbing on tender gums. And, because implants do not rely on neighboring teeth for support, otherwise healthy, natural teeth do not require crowning to serve as supports to replacement teeth. However, with Dental Implants, the best advantage of all is their lifespan. Dental Implants are designed to last your lifetime, making them an exceptional investment.
Crown-&-Bridge combinations are a familiar means of replacing one or several teeth in one area. However, a bridge can be placed only when it is bordered by natural teeth on each side. These adjacent teeth are crowned so they can support the bridge on each side. Today’s bridges are made of porcelain and designed to blend beautifully with adjacent teeth. In our office, we use CEREC 3D technology to create porcelain crowns and bridges in a single visit, which eliminates the wait time needed by a dental lab. No second numbing! No second visit! No wearing temporaries! With CEREC technology, you can leave your appointment with your final porcelain crowns and bridge ready for you to enjoy.
In our office, a partial denture also can be placed in a single visit. A ‘partial’ replaces several teeth and is secured to existing natural teeth. A partial consists of teeth on a base, which is contoured to fit the unique shape of your gums and blend attractively with natural teeth and gums.
For those who are missing all upper or lower teeth, a ‘full arch’ denture is the preference of some patients. Full dentures restore the look of a full smile with comfortable chewing and speaking ability. While not as ideal as Dental Implants, dentures offer a more affordable way to enjoy confidence when smiling, eating and laughing. Relines can be done should the denture begin to slip (due to decline in jaw bone mass, known as ‘resorption’).
Our goal is to create an ideal result for the tooth replacement option you prefer and to provide each patient with an outcome that makes them smile! If you are missing teeth, replacing them is vital. Missing teeth can lead to problems associated with bite misalignment and contribute to further tooth loss as well.
Call 843-871-6351 to arrange a no-charge, no obligation consultation appointment. During this time, I’ll discuss the options that are recommended for you according to your preferences. Our financial coordinator can also discuss payment options, if desired.Read More