We’ve come a long way in our ability to restore missing teeth. Today’s top choice is dental implants, prized not only for their close resemblance to real teeth but also their durability.
The rise of implants, though, hasn’t put older restorative methods out to pasture—many continue to offer patients a viable and affordable choice for tooth replacement. One example is the removable partial denture (RPD).
Once quite common, RPDs’ popularity has only slightly diminished with the advent of implants. They’re a fair option in terms of dental function and appearance, and much less expensive than implants or fixed bridges.
Similar to a full denture—a removable appliance that replaces all the teeth on a dental arch—a RPD can replace multiple missing teeth in a variety of configurations. A traditional RPD is usually constructed of vitallium, a lightweight but strong metal alloy, which allows for a very thin and comfortable frame. It’s covered in a gum-colored resin or plastic with prosthetic (false) teeth precisely set at the missing teeth’s locations. The appliance stays in place through a series of clasps that attach to the remaining teeth.
Each RPD is custom-made to fit a patient’s mouth contours and the locations and patterns of the missing teeth. The top design goal for each individual RPD is to minimize any rocking movement during chewing; achieving that goal will depend not only on how many teeth are missing and where, but also what type of teeth are being replaced. For example, teeth missing from the back would require a different support design than teeth missing from the side or front.
RPDs’ biggest benefits are comfortable fit, effective dental function and good appearance. However, their means of attachment can create difficulties keeping remaining teeth clean of disease-causing bacterial plaque. Furthermore, an ill-fitting or unstable RPD could damage or even loosen natural teeth. It’s therefore essential for wearers to diligently practice daily hygiene (including cleaning the RPD) and undergo regular fit monitoring with their dentist.
Even with these constraints, a RPD can do an acceptable job providing dental function. What’s more, it can definitely improve your smile.
If you would like more information on options for dental restoration, 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 “Removable Partial Dentures: Still a Viable Tooth-Replacement Alternative.”
A loose permanent tooth is not a good thing—and not something you should put off having examined. That’s because a loose tooth could soon become a lost tooth.
How we treat it depends on its underlying cause, which could be one of two types. One is primary occlusal trauma, meaning the affected tooth has experienced accidental trauma or higher biting forces than it normally encounters. This usually happens because of teeth grinding habits.
It could also be secondary occlusal trauma. Unlike primary trauma where the supporting gums and bone may be reasonably healthy, secondary trauma occurs because these structures have been severely damaged by periodontal (gum) disease. As the gums begin to detach from a tooth and its underlying bone deteriorates, even normal biting forces can loosen it.
If gum disease is present, our first priority is to bring it under control. We do this primarily by removing all dental plaque (a thin film of bacteria and food particles that triggers the infection and sustains it) and calculus or tartar (calcified plaque). This can take several sessions and, in the case of deep infection, may require a surgical procedure.
On the other hand, if teeth grinding is the primary cause, we’ll focus on minimizing the habit and its effects. One way is to create a custom-fitted guard worn to prevent upper and lower teeth from making solid contact. You may also need to improve your management of stress—another factor in teeth grinding—through medication, therapy or biofeedback.
In either case, improved periodontal health will help the gums naturally regain their strong attachment with help, if necessary, from gum tissue or bone grafting surgery. But this healing process can take time, so we may need to secure a loose tooth in the interim by splinting it to neighboring stable teeth. This usually requires bonding rigid material or metal across the back of all involved teeth or in a channel cut along the teeth’s biting surfaces. In this way the more stable teeth support the loose one.
Splinting may be temporary as the mouth heals from disease or trauma and the teeth regain their stability. In some cases, though, it may be permanent. Either way, dealing promptly with a loose tooth can help ensure it’ll survive—so see your dentist as soon as possible.
If you would like more information on treating loose 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 “Treatment for Loose Teeth.”
At the first-ever Players Weekend in August 2017, Major League Baseball players wore jerseys with their nicknames on the back. One player — Cleveland Indians shortstop, Francisco Lindor — picked the perfect moniker to express his cheerful, fun-loving nature: “Mr. Smile.” And Lindor gave fans plenty to smile about when he belted a 2-run homer into the stands while wearing his new jersey!
Lindor has explained that he believes smiling is an important part of connecting with fans and teammates alike: “I’ve never been a fan of the guy that makes a great play and then acts like he’s done it 10,000 times — smile, man! We’ve got to enjoy the game.”
We think Lindor is right: Smiling is a great way to generate good will. And it feels great too… as long as you have a smile that’s healthy, and that looks as good as you want it to. But what if you don’t? Here are some things we can do at the dental office to help you enjoy smiling again:
Routine Professional Cleanings & Exams. This is a great place to start on the road toward a healthy, beautiful smile. Even if you are conscientious about brushing and flossing at home, you won’t be able to remove all of the disease-causing dental plaque that can hide beneath the gum line, especially if it has hardened into tartar, but we can do it easily in the office. Then, after a thorough dental exam, we can identify any problems that may be affecting your ability to smile freely, such as tooth decay, gum disease, or cosmetic dental issues.
Cosmetic Dental Treatments. If your oral health is good but your smile is not as bright as you’d like it to be, we can discuss a number of cosmetic dental treatments that can help. These range from conservative procedures such as professional teeth whitening and bonding to more dramatic procedures like porcelain veneers or crowns.
Tooth Replacement. Many people hide their smiles because they are embarrassed by a gap from a missing tooth. That’s a shame, because there are several excellent tooth-replacement options in a variety of price ranges. These include partial and full dentures, bridgework, and dental implants. So don’t let a missing tooth stop you from being Mr. (or Ms.) Smile!
If you’d like more information about oral health or cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Beautiful Smiles by Design” and “The Impact of a Smile Makeover.”
It’s easy to work up a thirst in the summer. You might be shooting hoops in the park, riding on a trail or playing volleyball on the beach. No matter what your favorite summertime activity is, outdoor fun can leave you dry—and then it’s time to reach for a cold one. But when your body craves hydration, what’s the best thing to drink?
The answer’s simple: water!
Sure, we’ve all seen those ads for so-called “energy” and “sports” drinks. But do you know what’s really in them? Sports drinks (all of those different “…ades”) are mostly water with some sugars, salts and acids. “Energy” drinks (often promoted as “dietary supplements” to avoid labeling requirements) also contain plenty of acids and sugars—and sometimes extremely high levels of caffeine!
Studies have shown the acid in both sports and energy drinks has the potential to erode the hard enamel coating of your teeth, making them more susceptible to decay and damage. And the sugar they contain feeds the harmful oral bacteria that cause tooth decay. So you could say that the ingredients in these beverages are a one-two punch aimed right at your smile.
It’s a similar story for sodas and other soft drinks, which often have high levels of sugar. In fact, some popular iced teas have 23 grams (almost 6 teaspoons) of sugar per 8-ounce serving—and a single 24-ounce can holds 3 servings! Many diet sodas (and some fruit juices) are acidic, and may damage your tooth enamel.
Water, on the other hand, has no acid and no sugar. It has no calories and no caffeine. Simple and refreshing, water gives your body the hydration it craves, with no unnecessary ingredients that can harm it. In fact, if you fill a reusable bottle from your own tap, you may not only benefit from cavity-fighting fluoride that’s added to most municipal tap water…you’ll also be helping the environment by cutting down on unnecessary packaging.
It’s best to drink water all of the time—but if you don’t, here are a few tips: If you want to enjoy the occasional soda or soft drink, try to limit it to around mealtimes so your mouth isn’t constantly bathed in sugar and acid. Swish some water around your mouth afterward to help neutralize the acidity of the drinks. And wait at least an hour before brushing your teeth; otherwise you might remove tooth enamel that has been softened by acids.
What you drink can have a big effect on your oral health—and your overall health. So when thirst strikes, reach for a cold glass of water. It can help keep you healthy this summer…and all year long.
If you would like more information about nutrition and oral health, please contact us or schedule an appointment. You can learn more by reading the Dear Doctor magazine articles “Think Before You Drink” and “Nutrition & Oral Health.”
Is a smile gap harmful or just unsightly? Actually, it's both. Missing teeth affect your self-confidence, degrade your gum tissue and jaw bone and weaken teeth adjacent to the empty space. Fix your smile gaps once and for all with innovative dental implants from Dr. Brenna Hamrick-Stotts in Redlands, CA. An expert in a wide range of restorative and cosmetic dental treatments, Dr. Hamrick-Stotts fixes damaged smiles, improving oral health and smile aesthetics.
What is a dental implant?
It's a complete prosthetic tooth, replacing the missing root and entire tooth structure above the gum line. The artificial root is composed of biocompatible titanium, a natural metal which human bone adheres to with amazing tenacity and strength. This bonding process is called osseointegration, and it forms a solid foundation for the rest of the implant: a metal alloy post and custom-made porcelain crown.
Can everyone receive dental implants?
Most people can, but Dr. Hamrick-Stotts will determine your candidacy through complete examination, X-rays, and a CT scan. If you have good oral health and sufficient bone in your jaw, you likely can receive dental implants. Even individuals who have significant tooth loss--are missing an entire arch of teeth, for instance--can undergo dental implant treatment. Also, if a patient has insufficient bone density, the dentist can augment it with specialized procedures which create a solid foundation for the implants.
The implant process
Osseointegration does take time. So, you'll receive your dental implant in stages:
- Insertion of the titanium screw into the jaw (this is an in-office procedure needing just local anesthetic)
- Healing time which encompasses many weeks or even months
- Bonding on a metal extension post and porcelain crown
To ensure a dental implant site stays healthy, Dr. Hamrick-Stotts asks her patients to carefully brush and floss twice a day and to see her every six months for a check-up and cleaning. Also, implant recipients who smoke should see their physicians about a supervised tobacco cessation program.
The research about how long dental implants last may surprise you. The American Academy of Implant Dentistry (AAID) states that if an implant is properly inserted, heals well and is kept free of plaque and tartar, it should last indefinitely--even the rest of your life. Also, the AAID maintains that this reliable tooth replacement steadily grows in popularity in the US--by about half a million implants annually.
Learn more in Redlands
Dr. Hamrick-Stotts and her dedicated team will be happy to show you if dental implants could close your gaps and give you an amazing and long-lasting smile. For a personal consultation at her Redlands, CA, office, please call (909) 793-9711.
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