Posts for: January, 2013
Even with all the medical know-how we possess at the dawn of the 21st century, complete tooth loss is still a big problem. In this country, more than a quarter of all adults between ages 65 and 74 have lost all of their teeth. For these individuals, removable full dentures are often still used as an affordable and effective way to replace missing teeth.
Success with dentures originates from a collaboration among dentist, laboratory technician, and, of course, the denture-wearer. Creating false teeth that look natural is as much an art as it is a science. We take a number of steps to make sure you will get the best results. These include:
- Positioning the teeth. Using facial landmarks and photographs of how you used to look before your teeth were lost helps us determine where to place each tooth and how the upper and lower teeth should line up in relation to each other. For example, we will consider what size the teeth should be; how close to the lip they should be; and how much space should exist between the upper and lower teeth when they are at rest.
- Simulating natural gums. If you are someone with a “high lip dynamic” (a lot of gum shows when you smile), it is particularly important to simulate real gum tissue in a set of full dentures. Fortunately, there are many colors and textures available to create a realistic effect. Again, photographs can be helpful in achieving this.
- Balancing the bite. We must make sure that your upper and lower dentures come together in a way that facilitates normal biting, chewing, and speech.
As a denture wearer, you will need to visit our office regularly to make sure the gum tissue and bone upon which your dentures rest stay healthy. It's common to see a gradual loss of bone in people who wear dentures at a rate that varies from person to person. This bone loss can affect the fit of your dentures and lead to other health problems, which we can address if we are monitoring you on an ongoing basis.
If you have any questions about dentures, please contact us or schedule an appointment for a consultation. You can learn more about this topic by reading the Dear Doctor magazine article “Removable Full Dentures.”
If you wake yourself by snoring or have been told by others that you snore, you should share this fact with us during your next visit. Why? Many people are shocked to learn that their dentist is a vital resource for treating snoring and Obstructive Sleep Apnea (OSA), a condition that occurs when the upper airway (back of your throat) is blocked or obstructed causing significant airflow disruption or even no airflow whatsoever for 10 seconds or more.
Self Test For Sleep Apnea
While your responses to the following questions are not a diagnosis for OSA, they can be warning signs that you may have OSA or another condition that is impacting your sleep.
- Are you a loud habitual snorer?
- Has anyone ever witnessed you holding your breath, gasping for air or even choking while asleep?
- Do you regularly feel un-refreshed or tired even after waking from eight or more hours of sleep?
- Do you find yourself easily falling asleep throughout your day at work or at home?
- Do you suffer from poor concentration or judgment, memory loss, irritability and/or depression from lack of sleep?
- Are you 15 pounds over the normal weight range for your height and/or does you neck measure more than 17 inches around if you are male and 16 inches if you are female?
If you answered, “yes” to any of the above questions, you should share your responses to all of these questions with both your physician and us so that you can receive a thorough examination to address your sleep concerns. And if you are diagnosed with OSA, we can help with specific oral treatment options that may work best for you.
Since the dawn of man, periodontal (gum) disease has impacted humans. And while dental health has dramatically improved over the generations, the facts are still clear Ã¢Â€Â” millions of Americans are suffering from gum disease and probably do not even know that they have a problem. This is because periodontal disease most often starts without any symptoms or ones that most people tend to discount or ignore.
Stage 1: Gingivitis. The first stage of gum disease is inflammation of the gingiva (gums) without bone loss. While nearly all people will develop gingivitis in the absence of good oral hygiene, only 10 to 15% of them will go on to develop more advanced stages of the disease.
Stage 2: Early periodontitis. With this stage, gingivitis progresses into the deeper periodontal structures — the tissues that attach the teeth to the bone resulting in early or beginning bone loss. About 10% of the population develops full-blown periodontitis with progressive bone loss.
Stage 3: Moderate periodontitis. The third stage of gum disease results in moderate bone loss (20 to 50%) of root surfaces of the teeth due to continued destruction of the surrounding tissues and bone. Periodontal disease is “cyclical” — it goes in cycles with bursts of activity, followed by a period in which the body tries to recover. This is called chronic inflammation, or frustrated healing.
Stage 4: Advanced periodontitis. With the final stage of gum disease, there is severe bone loss (50 to 85%) from the tooth's root. This stage includes looseness of teeth, moving teeth, abscess formation with red, swollen and painful gums. The end results — eating and even smiling is difficult and uncomfortable, and you could lose all your teeth.
You can learn more about gum disease in the Dear Doctor article, “Understanding Gum Disease.”
Have We Described Your Mouth?
If any of the above stages sounds like we are talking about your mouth, contact us today to schedule a consultation, discuss your questions and receive a thorough exam. If addressed promptly and with commitment to following your treatment plan, your mouth can return to good oral health.
Tongue and lip piercing is a growing popular trend for some young people and adults; however, did you know that they could wreak havoc on oral health? In fact, some people soon discover that before they can even enjoy their new piercing they are faced with issues ranging from bleeding and infection to nerve damage. Tongues and lips are highly vascular — that means they have lots of blood vessels that can bleed easily and are not always easy to stop once they start bleeding. Many tongue and lip bolts can initiate problems such as tooth sensitivity, gum disease and recession, chipped teeth and more. In addition, not all tattoo parlors and tattooists are properly licensed to do piercings. Therefore, sterile techniques are not always guaranteed if they do not come under the scrutiny government agencies. Unfortunately, these potential concerns are rarely discussed prior to receiving a piercing.
So what can be done if you already have a tongue or lip piercing?
If you already have piercings, it is critical that they are closely monitored by your health professionals to make sure they are not doing damage. It is also important that you have routine dental exams to ensure that you do not have any silent problems causing issues that you haven't noticed. However, your best option is to consider removing these oral piercings. The good news is that most often the hole in your tongue or lip may heal itself; otherwise, a minor corrective surgery may be required.
A note of warning: Before you contemplate a piercing, get as much information as you can about them and the person who will do them. This includes asking about their risks, benefits and better alternatives. And then think twice to make sure they will not become permanent and negative reminders of temporary emotions!