Posts for tag: Dental Implants
What conditions damage teeth the most? Decay and gum disease top the list, but oral injury and excessive wear through age, acid erosion or teeth grinding contribute to loss of tooth structure, too. At Sitnik Dental in Salem, OR your dentist, Dr. Igor Sitnik, uses beautiful porcelain crowns to shore up weak teeth, recreating their original strength and natural beauty. Do you need a crown?
What is a dental crown?
Often referred to as a cap, a crown is a tooth-shaped and tooth-colored jacket of superior quality ceramic. Custom-made to cover healthy tooth structure above the gum line, a crown preserves and extends a tooth's usefulness, lifespan and appearance. In fact, when you crown a tooth, it simply blends in with the rest of your smile.
Crowning a tooth
Expect two visits to Sitnik Dental in Salem where your dentist will inspect your tooth and surrounding gum tissue. He'll X-ray it, too, to evaluate the underlying bone. Some teeth need root canal therapy (removal of inflamed interior pulp) before a crown can be placed.
Here's how the treatment goes. First, Dr. Sitnik will remove the decayed and damaged enamel. (You may need some local anesthetic for this.) Then, he will shape the tooth so it can accept the crown, and place a temporary cap over it for support. Oral impressions give the dental lab a negative imprint of the tooth so the technician can replicate it for size and shape.
When you come back to Sitnik Dental (in about a week), the dentist will take off the temporary restoration. Using a strong cement, he'll bond the permanent crown in place. A quick assessment for bite, fit and color match completes the procedure.
Caring for your crown
Whatever kind of crown you have--a single tooth crown, a crown which restores a dental implant, or multiple crowns to anchor fixed bridgework--you must brush and floss diligently. The American Dental Association advises you brush twice a day with a soft toothbrush and non-abrasive toothpaste. Also, floss with your favorite product once a day to remove plaque from the gum line and in between teeth.
Finally, avoid teeth clenching with a bite guard, and see Dr. Sitnik every six months. He'll want to keep an eye on that crown and do a complete oral examination and cleaning.
You can expect your crown to last many years--ten or more, at least. You'll enjoy how your smile looks and how well you can bite and chew again.
Porcelain crowns are just one of the many restorative treatments Sitnik Dental in Salem provides. If you want state-of-the-art care that's just right for you and your smile, contact the office today for an appointment: (503) 363-5962.
Although dental implants are best known as single tooth replacements, they can actually play a role in multiple or complete tooth loss (edentulism) restorations. While replacing multiple teeth with individual implants is quite expensive, there’s another way to incorporate them in a restoration at much less cost — as supports for bridges.
In this case, only a few strategically placed implants are needed to support restorations of multiple crowns fused together into a single unit. Implant-based bridges consist of two main types: the first type is a fixed bridge, which is permanently attached to the implants and can’t be removed by the patient. It’s often the preferred treatment for patients who’ve lost most or all of their teeth but have not yet experienced significant bone loss in the jaw.
This choice, however, may not be the best option for patients with significant bone loss. In these cases, there’s a second type of fixed bridge: an implant-supported fixed denture. This type of fixed denture provides support for the lost bone support of the lips and cheeks. If a fixed bridge is not possible due to finances or inadequate bone support to place 4 to 6 implants, a removable denture (also known as an overdenture) that’s supported and held in place by implants is the next best alternative. Unlike a fixed bridge, an overdenture can be removed by the patient for cleaning purposes, and will require less investment than a fixed bridge.
For people with bone loss, the overdenture does more than restore chewing and speech function. Because bone loss can diminish support of the facial structures — actually shorten the distance between the chin and the tip of the nose — an overdenture provides additional bulk to support these structures to improve appearance. Depending on what the patient needs for facial support, overdentures for the upper jaw can be designed as “full palates,” meaning the denture plastic completely covers the upper jaw palate, or open in which the plastic doesn’t completely cover the palate.
Besides the condition of your teeth, gums and bone, your own personal preferences and financial ability will also play a role in which option is best for you. After considering all these factors, we can recommend which of these types of implant-based restorations will fit your needs. With either bridge, fixed or removable, you’ll certainly benefit from the improvement to both your mouth function and your smile.
If you would like more information on implant-supported bridges, 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 “Fixed vs. Removable.”
Find out how dental implants can restore your missing teeth for life.
Dealing with tooth loss is an upsetting situation but one that our Salem, OR, dentist, Dr. Igor Sitnik, sees all too often. If you are one of the millions of American adults who are missing at least one tooth, then you’ve come to the right place. Here at Sitnik Dental, we offer a long-term solution that could give you the next best thing to a natural smile: dental implants
About Dental Implants
If you were to check out a dental implant you may be surprised to discover that it’s actually just a small titanium post. However, what it’s capable of doing will impress you—it legitimately replaces your missing tooth’s roots!
In order to do this, the implant will need to be surgically placed within the jawbone where the missing tooth used to be. From there, the implant will act as a permanent foundation from which to support a new false tooth.
What to Expect From the Implant Process
There are several steps involved in getting dental implants from our Salem, OR, restorative dentists. Here is what’s involved in getting dental implants,
- A consultation: The first step is to come into our office so that we can perform a thorough oral examination. During this consultation, we will also take x-rays to make sure that the jawbone is healthy enough to support one or more implants. From there, we will discuss what you can expect from your upcoming surgery.
- Implant placement: During your next visit, our dentist will place the implant into the jawbone. Don't worry—the procedure is quick, relatively minor, and all done under IV sedation and local anesthesia.
- Healing and osseointegration: The healing process is one of the major components of getting a dental implant. After all, it’s the implant’s ability to bond with the jawbone and tissue that makes it a long-lasting tooth replacement. Osseointegration, the process by which the implant bonds with the jawbone, can take anywhere from 3-6 months.
- Placing the abutment: Depending on the type of implant our dentist places, your implant may have a built-in abutment or may require one to be placed. An abutment is a structure that connects the implant with the false tooth (the portion of the implant that is visible). This will require another minor surgery in order to open up the gums and attach the abutment to the top of the implant.
- Attaching your false tooth: The last step is to now place your permanent false tooth on top of the abutment. If you are just replacing a single missing tooth then the implant will be covered with a dental crown. If several implants have been placed, then a bridge or full dentures can also be attached to the top of the implants.
Do you have questions about getting dental implants in Salem, OR? Do you want to find out if you are an ideal candidate for this tooth loss treatment? If so, then schedule a consultation with Sitnik Dental today by dialing (503) 363-5962.
Placing a dental implant within the jawbone requires a surgical procedure. For most people it’s a relatively minor affair, but for some with certain health conditions it might be otherwise. Because of their condition they might have an increased risk for a bacterial infection afterward that could interfere with the implant’s integration with the bone and lead to possible failure.
To lower this risk, dentists for many years have routinely prescribed an antibiotic for patients considered at high-risk for infection to take before their implant surgery. But there’s been a lively debate among health practitioners about the true necessity for this practice and whether it’s worth the possible side effects that can accompany taking antibiotics.
While the practice still continues, current guidelines now recommend it for fewer health conditions. The American Dental Association (ADA) together with the American Heart Association (AHA) now recommend antibiotics only for surgical patients who have prosthetic heart valves, a history of infective endocarditis, a heart transplant or certain congenital heart conditions.
But patients with prosthetic joint replacements, who were once included in the recommendation for pre-surgical antibiotics, are no longer in that category. Even so, some orthopedic surgeons continue to recommend it for their joint replacement patients out of concern that a post-surgical infection could adversely affect their replaced joints.
But while these areas of disagreement about pre-surgical antibiotics still continue, a consensus may be emerging about a possible “sweet spot” in administering the therapy. Evidence from recent studies indicates just a small dose of antibiotics administered an hour before surgery may be sufficient to reduce the risk of infection-related implant failure with only minimal risk of side effects from the drug.
Because pre-surgical antibiotic therapy can be a complicated matter, it’s best that you discuss with both the physician caring for your health condition and your dentist about whether you should undergo this option to reduce the infection risk with your own implant surgery. Still, if all the factors surrounding your health indicate it, this antibiotic therapy might help you avoid losing an implant to infection.
If you would like more information on antibiotics before implant surgery, 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 “Implants & Antibiotics: Lowering Risk of Implant Failure.”
You’ve invested quite a bit in your new dental implants. And it truly is an investment: because of implants’ potential longevity, their long-term costs could actually be lower than other restorations whose upfront costs might be less.
But to better ensure their longevity, you’ll need to keep your implants and the natural tissues supporting them clean of bacterial plaque, a sticky biofilm that can cause periodontal (gum) disease. Although the implant itself is unaffected by disease, the natural tissues around it can be. An infection could ultimately weaken the bone supporting the implant and lead to its failure.
Such an infection involving implants could advance rapidly because they don’t have the natural defenses of the original teeth. Our natural teeth are connected to the jaw through the periodontal ligament, a collagen network that attaches to both the teeth and the bone through tiny tissue fibers. This connection also provides access to antibodies produced by the body to fight infection.
By contrast, we place implants directly into the jawbone. While this creates a very secure attachment, the implant won’t have the same connection as teeth with the body’s immune system. That means any infection that develops in surrounding tissues can spread much more rapidly—and so must be dealt with promptly.
Treating this particular form of gum disease (known as peri-implantitis) is similar to infections with natural teeth and gums, with one important difference involving the tools we use to remove plaque from them. While natural teeth can handle metal scalers and curettes, these can create microscopic scratches in the porcelain and metal surfaces of an implant and create havens for further bacterial growth. Instead, we use instruments made of plastic or resin that won’t scratch, as well as ultrasonic equipment to vibrate plaque loose.
To avoid an infection, it’s important that you brush your implants and surrounding tissues just like you would your natural teeth (be sure you use a soft-bristled brush). And keep up regular dental visits for thorough cleanings and checkups to stay ahead of any developing gum infection. Maintaining your dentures will help ensure they continue to brighten your smile for a long time.
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 Implant Maintenance: Implant Teeth Must be Cleaned Differently.”