Posts for: January, 2020
Although highly preventable, total tooth loss continues to affect millions of people worldwide, harming their nutrition, health and social standing. In the United States alone, a quarter of adults between 65 and 74 suffer from total tooth loss.
Fortunately, there are a number of ways to restore lost teeth, including fixed bridgework and dental implants. These fixed solutions, though, can put a strain on finances; implants in particular require a minimum amount of bone in the jaw, which may not be present in people with extensive tooth loss. In these cases, removable dentures, time-tested and affordable, are a viable option.
While the technology is simple, adaptable and effective, creating custom-fitted dentures is a painstaking process. It begins with an impression mold of the patient’s jaw ridges that once supported the natural teeth. A dental lab technician uses the impression to fashion a life-like plastic resin base, making sure the final dimensions won’t interfere with the patient’s cheeks, lips, and jaw movement.
The prosthetic (artificial) teeth, each chosen to match the patient’s facial structure and past appearance, are then carefully positioned on the base. Teeth positioning on each denture arch must also balance with the opposing arch to assure a good bite. Once delivered, the dentist may make other adjustments to assure they fit comfortably within the patient’s mouth.
Dentures also require regular care and maintenance to ensure a continuing good fit and an overall healthy mouth. Your gums will still be susceptible to disease, so cleaning and maintaining both your dentures and the mouth’s soft tissues is an ongoing necessity.
The lack of natural teeth can also lead to more bone loss, which can cause the dentures to lose their accurate fit and make them uncomfortable to wear. To remedy this, we can add more resin material to the dentures to refit them or, in extreme cases of poor fit, create a new denture to match current gum contours. Alternatively, we can install a few dental implants that will support the denture instead of the gum ridges, which would inhibit further bone loss.
To learn whether dentures could be a good option for you, we’ll first need to conduct a thorough examination of your mouth. It could be this original tooth replacement system will bring back the teeth and smile you’ve lost.
If you would like more information on dentures, 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 Full Dentures.”
Some moviegoers have been known to crunch popcorn, bite their fingers or grab their neighbor’s hands during the intense scenes of a thriller. But for one fan, the on-screen action in the new superhero film Black Panther led to a different reaction.
Sophia Robb, an 18-year-old Californian, had to make an emergency visit to the orthodontic office because she snapped the steel wire on her retainer while watching a battle scene featuring her Hollywood crush, Michael B. Jordan. Her jaw-clenching mishap went viral and even prompted an unexpected reply from the actor himself!
Meanwhile, Sophia got her retainer fixed pronto—which was exactly the right thing to do. The retention phase is a very important part of orthodontic treatment: If you don’t wear a retainer, the beautiful new smile you’re enjoying could become crooked again. That’s because if the teeth are not held in their new positions, they will naturally begin to drift back into their former locations—and you may have to start treatment all over again…
While it’s much more common to lose a removable retainer than to damage one, it is possible for even sturdy retainers to wear out or break. This includes traditional plastic-and-wire types (also called Hawley retainers), clear plastic retainers that are molded to fit your teeth (sometimes called Essix retainers), and bonded retainers: the kind that consists of a wire that’s permanently attached to the back side of your teeth. So whichever kind you use, do what Sophia did if you feel that anything is amiss—have it looked at right away!
When Black Panther co-star Michael B. Jordan heard about the retainer mishap, he sent a message to the teen: “Since I feel partly responsible for breaking your retainers let me know if I can replace them.” His young fan was grateful for the offer—but even more thrilled to have a celebrity twitter follower.
If you have questions about orthodontic retainers, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Bonded Retainers.”
Besides their life-likeness, implants are also prized for their high success rate. More than ninety-five percent of implants continue to function effectively after ten years.
Implants’ advanced technology explains some of their reliability and longevity—they’re as close to natural teeth as we’re now able to achieve. But their impressive success rate also owes to the detailed protocols that dentists follow to install them. One critical part of these protocols is ensuring a patient has enough bone in their jaw to support and precisely situate the implant for the best functional and aesthetic outcome.
Unfortunately, there are situations where a patient doesn’t have enough bone to achieve a satisfactory result. This often happens if there’s been months or years between losing the tooth and considering an implant. The reason why relates to the nature of bone as living tissue.
Like other cellular tissues in the body, bone has a life cycle: Older, worn-out cells die and are absorbed by the body, and new cells form to replace them. The growth cycle in the jaw receives stimulation from the forces generated when we chew, which travel up through the teeth to the bone.
However, this stimulation stops after tooth loss for the related area of bone, which can slow new bone growth. Over time, the volume and density of the bone around a missing tooth gradually decreases, enough eventually to make an implant impractical.
Insufficient bone volume, though, doesn’t necessarily mean an implant is out of the question. We may be able to address the problem by attempting to regenerate the bone through grafting. This is a procedure in which we insert graft material into the affected area of the jawbone. The graft then becomes a scaffold upon which bone cells can grow. After several months, we may have enough regenerated bone to support an implant.
If there’s been too much bone loss, we may still need to consider another form of restoration. But if we can successfully build up the bone around your missing tooth, this premier restoration for replacing lost teeth could become a reality for you.