Posts for: March, 2017
There are plenty of good reasons to quit smoking. Here's one more if you're considering replacing a missing tooth with a dental implant: smoking increases your risk of implant failure.
By and large, dental implants are the most reliable and durable tooth replacement option, with more than a 95% success rate after ten years. But that still leaves a small percentage that fail — and twice as many of those failures are in smokers than in non-smokers.
To understand why, we need to look at how smoking affects oral health. Besides burning and thickening the surface skin cells inside the mouth, inhaled smoke can also damage salivary glands and lead to dry mouth. Reduced saliva creates an environment friendly to bacteria, which increases the risk of infection and disease.
The nicotine in tobacco also restricts the myriad of blood vessels that course through the teeth and gums. The resulting reduced blood flow deprives teeth and gums not only of nutrients but disease-fighting antibodies. The mouth takes longer to heal and can't fight infection as well.
The key to an implant's success lies with its titanium post imbedded in the jaw bone to take the place of the tooth root. Titanium attracts bone cells, which grow and adhere to the post over a period of time and create a stronger hold. But the health effects of smoking inhibit this process. Furthermore, slower healing caused by smoking increases the risk of infection, the number one cause of early implant loss.
If you want to improve your chances for a successful implant — not to mention improve your overall health — you should quit smoking. The prospect of a dental implant could be a useful incentive to enroll in a smoking cessation program.
At the very least we suggest you stop smoking a week before implant surgery and then for at least two weeks after to help promote good healing. And you should pay close attention to your daily oral hygiene — brushing and flossing at least once — and regular, semi-annual dental visits for cleanings and checkups.
Smoking can harm your health. If you're considering an implant, it could also harm your chances of a successful outcome.
If you would like more information on dental 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 “Dental Implants & Smoking.”
In real life he was a hard-charging basketball player through high school and college. In TV and the movies, he has gone head-to-head with serial killers, assorted bad guys… even mysterious paranormal forces. So would you believe that David Duchovny, who played Agent Fox Mulder in The X-Files and starred in countless other large and small-screen productions, lost his front teeth… in an elevator accident?
“I was running for the elevator at my high school when the door shut on my arm,” he explained. “The next thing I knew, I was waking up in the hospital. I had fainted, fallen on my face, and knocked out my two front teeth.” Looking at Duchovny now, you’d never know his front teeth weren’t natural. But that’s not “movie magic” — it’s the art and science of modern dentistry.
How do dentists go about replacing lost teeth with natural-looking prosthetics? Today, there are two widely used tooth replacement procedures: dental implants and bridgework. When a natural tooth can’t be saved — due to advanced decay, periodontal disease, or an accident like Duchovny’s — these methods offer good looking, fully functional replacements. So what’s the difference between the two? Essentially, it’s a matter of how the replacement teeth are supported.
With state-of-the-art dental implants, support for the replacement tooth (or teeth) comes from small titanium inserts, which are implanted directly into the bone of the jaw. In time these become fused with the bone itself, providing a solid anchorage. What’s more, they actually help prevent the bone loss that naturally occurs after tooth loss. The crowns — lifelike replacements for the visible part of the tooth — are securely attached to the implants via special connectors called abutments.
In traditional bridgework, the existing natural teeth on either side of a gap are used to support the replacement crowns that “bridge” the gap. Here’s how it works: A one-piece unit is custom-fabricated, consisting of prosthetic crowns to replace missing teeth, plus caps to cover the adjacent (abutment) teeth on each side. Those abutment teeth must be shaped so the caps can fit over them; this is done by carefully removing some of the outer tooth material. Then the whole bridge unit is securely cemented in place.
While both systems have been used successfully for decades, bridgework is now being gradually supplanted by implants. That’s because dental implants don’t have any negative impact on nearby healthy teeth, while bridgework requires that abutment teeth be shaped for crowns, and puts additional stresses on them. Dental implants also generally last far longer than bridges — the rest of your life, if given proper care. However, they are initially more expensive (though they may prove more economical in the long run), and not everyone is a candidate for the minor surgery they require.
Which method is best for you? Don’t try using paranormal powers to find out: Come in and talk to us. If you would like more information about tooth replacement, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Crowns & Bridgework,” and “Dental Implants.”
Crowns and bridges are necessary and popular procedures with various uses. However, understanding these procedures and how they work are an important factor in determining if they are necessary to help your smile. Learn about crowns and bridges to understand more about them with Dr. Peter Stoltz and Dr. Brooke Stoltz at Three Fountains Family Dentistry in Columbia, SC.
What makes porcelain dental restorations special?
Dental restorations like dental crowns and bridges are important in repairing or replacing broken, damaged or missing teeth. Restorations come in various materials, from metal to porcelain. Porcelain restorations, while more expensive than metal restorations, are tooth-colored and blend into your smile whereas other materials will stand out against the white of your teeth. Porcelain also has the same light-reflecting qualities as natural teeth, providing a completely natural look.
How can dental restorations like crowns and bridges help my smile?
Dental crowns can help restore your smile in various situations, such as:
- stabilizing a broken or damaged tooth
- restoring the biting surface of a worn tooth
- improving the appearance of a misshapen or unsightly tooth
- reinforcing a tooth with a large filling, such as after a root canal, against everyday use
- holding a dental bridge in place
Dental bridges replace a missing tooth and consist of what looks like three prosthetic teeth in a row. In actuality, the two prosthetics on the end of the bridge are dental crowns. The crowns hold the bridge in place, using the healthy teeth surrounding the gap as anchors.
Crowns and Bridges in Columbia, SC
Dental crowns require that your dentist prepares the tooth beforehand to ensure a snug and permanent fit. This process requires removal of small layers of enamel from the outside and top of the tooth and shapes the tooth into the same form as the inside of the crown. This helps in the bonding process and also makes room for the crown to fit over the tooth without being too big. Since bridges use two crowns, your dentist will need to prepare two teeth.
For more information on crowns and bridges, please contact Dr. Peter Stoltz and Dr. Brooke Stoltz at Three Fountains Family Dentistry in Columbia, SC. Call (803)755-0039 to schedule your appointment with your dentist today!