Posts for: April, 2014
One of the great benefits that patients with implants enjoy is their imperviousness to decay: unlike a natural tooth, bacteria have no effect on the materials in an implant’s construction. That doesn’t mean, however, you can become lax in your hygiene habits — although the implants may not be susceptible to disease, the surrounding gum tissue and bone are. If those tissues become infected you could start to lose the implant attachment and, as it progresses, the implant itself.
In fact, the gum tissue that surrounds the implant may be more susceptible to infection than those around natural teeth. Teeth maintain a connection with the jawbone through the periodontal ligament. Besides securing the tooth, the gum tissue has fibrous attachments to the tooth to help the gum tissue endure a lot of wear and tear and resist the invasion of bacteria and food particles. Implants are anchored directly into the jawbone (where bone eventually grows and attaches to the titanium implant surface) and don’t develop an attachment with the ligament. Implants, therefore, don’t have the benefit of resistance to bacteria and food particles that natural teeth receive through these fibrous attachments.
As a result, patients with implants need to establish a conscientious habit of effective oral hygiene. Daily removal of bacterial plaque from teeth surfaces through brushing and flossing (and semi-annual office cleanings and checkups) greatly reduce the risk of infection and subsequent inflammation. It’s also important to monitor the condition of your gums, especially around implants. If you begin to notice bleeding, red or swollen gums, or other signs of possible gum disease, you should contact us as soon as possible for an assessment.
Proper care for implants and their supporting tissues is just as necessary, and perhaps more so, than it is for natural teeth. By providing that care, you’ll help ensure years of effective service from your implants.
If you would like more information on hygiene practices with implants, 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 “Infections Around Implants.”
We all know Madonna, Seal, David Letterman, Anna Paquin and Michael Strahan (of the talk show Kelly and Michael). What do all of these celebrities have in common? Each has a “signature gap” between their front teeth. Given that they have been in the public eye for quite some time, it's not likely that these famous faces will choose to change their well-known smile. In fact, Michael Strahan has publically stated that he will never close his gap.
However, it is not uncommon for people to desire to fix a small gap in their teeth, particularly in advance of important events, such as weddings. Often times, fixing this small gap requires relatively simple orthodontic movements or tooth straightening. Since the teeth don't have to be moved very far, we can usually use simple appliances to correct the issue within a few months.
In order for us to determine your course of treatment, you'll need to make an appointment with our office for a thorough examination. When we examine you, we'll be looking for a number of items that will affect our treatment recommendation:
- Is there enough room to close the space without creating other bite problems?
- Are the roots of the teeth in reasonably good position to allow for minor tooth movement to close the space? X-rays will be required to make a proper assessment.
- Is there an involuntary tongue habit that has pushed the teeth forward and created the gap? If so, this could be difficult to fix quickly.
- Are the surrounding gum tissues and bone healthy?
Based on our assessment and your individual needs, we may recommend one of the following options:
- Clear retainers, a computer-generated series of clear retainers customized for your bite to move the teeth
- Removable orthodontic retainers to which we will attach small springs or elastics to facilitate the minor tooth movement
- Traditional fixed orthodontic appliances (most commonly known as braces), small metal or clear brackets bonded to your teeth through which tiny wires are used to move the teeth
Regardless of the method we choose, once your teeth have moved into the new position, it is important for you to remember that they must be kept in this position until the bone stabilizes around the teeth. We may therefore advise you to wear a retainer for a few months to a few years, depending on your situation.
If you would like more information about orthodontic treatments, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Minor Tooth Movement.”