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Implant-SupportedTeethaNewOptionforPatientsWithTotalToothLoss

At one time people who had lost all their teeth faced a grim future. With no feasible alternative, their tooth loss severely limited their ability to eat or speak. Their appearance suffered too, not only from the missing teeth but from bone loss in their facial structure.

We’ve come a long way since then — today, it’s possible to restore complete tooth loss with a permanent set of implant-supported teeth. Unlike other options like removable dentures, implantation can stop and even reverse bone loss caused by missing teeth. And because it now only takes a few strategically-placed implants to support an entire fixed bridge of teeth, the implant option is more affordable than ever.

In essence, implants are tooth root replacement systems. The titanium post that is surgically placed within the jawbone is osseophilic (“bone-loving”), which means bone will grow and adhere to it in a few weeks to further secure it in place. A dental restoration — a single crown (the visible portion of the tooth) or an entire bridge or arch — is then cemented or screwed to the implant.

While dental implants for single teeth normally require full bone integration before the permanent crown is set, it’s often possible for an implant-supported bridge of many teeth to be set at the same time as implantation. The bridge is attached to four or more implants that support the bridge like the legs of a stool; the teeth within the bridge also act to support each other. Both of these factors help to evenly distribute the biting force, which reduces the risk of crown failure before complete bone integration. You would still need to limit yourself to a soft food diet for 6-8 weeks while the bone integration takes place, but the procedure is essentially completed when you leave the dentist’s office.

As marvelous as the possibilities are with implant restorations, it still requires a great deal of planning and artistry from a team of dental professionals to realize a successful outcome. But working together, you and your team can achieve what wasn’t possible even a few years ago: a complete set of life-like, fully functional implant-supported teeth — and a new smile to boot!

If you would like more information on implant-supported teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “New Teeth in One Day.”

By Gregory J. Gauthier DDS, LLC
May 02, 2014
Category: Oral Health
Tags: oral health   oral hygiene  
OralIrrigationforCleaningBetweentheTeeth

Does anyone truly enjoy flossing their teeth? We can’t rule it out — but for most of us, flossing is something we do because we understand how very important it is to our oral hygiene. Yet there are some for whom flossing is a much greater challenge — for example, people with limited mobility, or those who are wearing braces. Is there any alternative to flossing that offers these people the same health benefits?

Perhaps — but before we discuss the options, let’s remember why flossing is so important. The number one enemy of your oral health is plaque: a sticky, bacteria-rich film that builds up on the surface of your teeth every day. Flossing is an effective means of removing plaque from the tiny spaces in between the teeth — the places a regular brush can’t reach. Left alone, plaque builds up into a hardened layer called tartar or calculus, which generally requires a professional cleaning with special dental tools to remove. Both plaque and tartar are the major causes of tooth decay and gum disease.

If you are unable to remove plaque via regular flossing, a tool called an oral irrigator may help. Sometimes called a “water flosser” or “pick,” this device is designed to squirt a pulsing jet of high-pressure water through a hand-held wand. Special tips may be also available for use with braces or dental implants.

Since these devices first became widely available in the 1960s, they have been the subject of many studies. The general conclusion from the research has been that water irrigators can be helpful in controlling plaque — particularly in people who would otherwise have trouble doing so. For example, a 2008 study showed that orthodontic patients who used an irrigator with a special tip after brushing normally were able to remove five times as much plaque as those who used brushing alone.

Oral irrigators aren’t just for use in the home. Many dental offices use similar devices for special treatments that can help control gum disease. Of course, in that case, the professional-grade tool is handled by a specially trained dental hygienist, dentist, or periodontist — and it’s part of a procedure that may also involve other manual or power instruments, plus special cleaning solutions.

So does it make sense to use an oral irrigator instead of flossing? For most people, flossing is probably the best way to ensure that you remove as much plaque as possible. But if for some reason you aren’t able to floss effectively, using an oral irrigator offers some well-documented benefits. Why not ask us the next time you come in? We can help you decide which method is right for you, and even demonstrate the most effective techniques for plaque removal.

If you would like more information about oral irrigators, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Cleaning Between Your Teeth: How Water Flossing Can Help.”

By Gregory J. Gauthier DDS, LLC
April 24, 2014
Category: Oral Health
Tags: oral health   nutrition  
HerbalSupplementsDoYouHavetoTellYourDentist

If you’ve come in to our office lately, chances are you’ve been asked to fill out a form or answer a question about what medications — both prescription and non-prescription — you are currently using. Of course, if you’re taking a blood-pressure drug or a pill to help control your cholesterol, you wouldn’t hesitate to put it on the list. But how about those vitamins and herbal supplements you take — do you really have to list those too?

The answer is a definite yes — and some of the reasons why may surprise you. Did you know that many “natural” dietary supplements can have potentially serious interactions with other drugs you may be prescribed? For example, herbal preparations made from the plant called St. John’s Wort are often used by people seeking relief from depression or anxiety. However, the active chemical compounds in this herb can interfere with some anesthetic drugs, and may make it harder for you to recover from the effects of anesthesia. Ginkgo biloba and some other commonly used herbs have a similar effect.

Even some vitamins have the potential to cause negative interactions. Large doses of Vitamin E, for example, can increase the risk of internal bleeding in people who are taking blood thinners or non-steroidal anti-inflammatory medications (NSAIDS), such as aspirin and ibuprofen. These medications are commonly prescribed for pain relief after minor dental procedures.

Does that mean you have to stop taking vitamins and herbal supplements if you may need a dental or medical procedure? Not necessarily. Vitamins are indeed vital to your health, and a deficiency in one or more of these important substances can result in serious diseases — like scurvy, which formerly plagued sailors lacking access to fresh fruits and vegetables. If you’ve been told you have a vitamin deficiency, taking vitamin pills is a must.

But the best way to get the proper amount of vitamins is through a healthy, well-balanced diet rich in fruits, vegetables, and whole grains. Not only does consuming these foods give you the most “natural” source of vitamins — it also provides you with other essential micronutrients and fiber, and it is low in fat and cholesterol.

No nutritional supplement is a substitute for a healthy diet — and that’s something we’d like everyone to remember. We’d also like to remind you to tell us about ALL the medications and supplements you’re taking, especially if you’re going to have a procedure. Giving us complete information will help ensure that you’ll remain as healthy and safe as possible.

If you have questions about dietary supplements, nutrition and your teeth, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine article “Vitamins & Dietary Supplements: What Every Consumer Should Know.”

By Gregory J. Gauthier DDS, LLC
April 09, 2014
Category: Dental Procedures
LeAnnRimesDentalDramaEmergencyRootCanal

Singer LeAnn Rimes was forced to cancel a string of performances recently, as a more pressing engagement came up: a late-night meeting with her endodontist. It turned out that the country-pop star needed some emergency dental work performed while she was on tour. But her die-hard fans needn't have felt left out — Rimes faithfully tweeted each stage of her dental treatment.

The trouble began before she was scheduled to play a show in Ohio. “Waiting on the endodontist to meet me and do a nighttime root canal,” she informed her twitter followers. Instead of performing, Rimes was advised to spend the next few days resting after the emergency treatment. “Happy Friday! I'll be spending mine in bed,” she tweeted after the previous evening's procedure. The following Monday, Rimes returned to the dentist's chair for follow-up treatment.

It turned out that the singer had been battling dental pain for months. “I am so disappointed that I can't make it to my fans tonight.” Rimes explained in a statement. “I had wanted to give them the show they deserved and only wish this tooth pain held out a little longer.”

If there's a moral to this story, it's this: If you have tooth pain, don't wait to see a dentist. Call us right away!

A feeling of constant pain and pressure in your mouth is a clear indication that you may need a root canal. Another telltale symptom is sharp pain when you bite down on food, or lingering pain after eating something hot or cold. Not every symptom is as clear-cut, however — the only way to know for sure whether you need treatment is to come in for an evaluation.

Pain in your teeth or gums may be a symptom of a serious condition. Even if the pain goes away temporarily, an underlying infection generally does not. If a treatment such as root canal therapy is needed, the sooner it is obtained, the better you'll feel. And remember, root canal treatment doesn't cause tooth pain — it relieves it!

If you have any concerns about tooth pain, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “I'd Rather Have a Root Canal” and “Signs and Symptoms of a Future Root Canal.”

By Gregory J. Gauthier DDS, LLC
April 01, 2014
Category: Oral Health
Tags: dental hygiene   braces   orthodontics  
MaintainingGoodOralHygieneWhileWearingBraces

Taking care of your teeth is a lifetime commitment, if you want your teeth to last a lifetime. But it can be especially challenging if you're wearing traditional metal braces. With a little extra attention, though, you can reduce the risk of dental disease during orthodontic treatment.

The goal of oral hygiene is to remove biofilm, a layer of leftover food particles called plaque that is a haven for disease-causing bacteria. Orthodontic braces make access more difficult for performing oral hygiene. A little extra effort and attention, though, can make a big difference.

First, be sure you're eating a healthy diet and avoiding unhealthy snacks (especially those high in carbohydrates) between meals; this will discourage the growth of bacteria in the mouth. You should also limit your intake of sodas, sports or energy drinks since their high acidity contributes to tooth enamel erosion.

Although more difficult for someone wearing braces, brushing is still essential to good hygiene. Begin by holding a soft, multi-tufted bristle brush at a 45-degree angle, and then brush the surface area between the gum and the braces all the way around. Return to your starting point and brush the area from the braces to the edge of the top of the teeth in the same direction. Be sure you do this for both the upper and lower jaw and on both the cheek and tongue side.

Flossing is also more difficult, but not impossible. Instead of conventional floss thread, you can use special floss threaders, small interdential brushes, or an irrigation device that sprays pressurized water to remove food particles between teeth.

Above all, it's important to keep up regular office visits with us. In addition to monitoring overall dental health, we can also apply or recommend additional fluoride products to help strengthen teeth or prescribe antibacterial rinses to reduce the mouth's bacterial level.

Keeping up a good daily hygiene regimen and regular checkups will ensure that the smile you gain from wearing braces is healthy as well as beautiful.

If you would like more information on oral hygiene while undergoing orthodontic treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”





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