Periodontic Care
Have you recently eradicated gingivitis or periodontal disease from your mouth and gums?
If so, then you are feeling good about your mouth and gums. Your teeth have no plaque and tartar and you won’t need to visit your dentist again for another year, right?
Wrong!
Many patients are not aware that periodontal maintenance is the only sure way to keep gum disease from returning. Periodontal maintenance is regularly performed at certain intervals after procedures such as scaling and root planing. Periodontal maintenance includes the removal of plaque and tartar, scaling and tooth planing and polishing. Your dentist will determine the frequency the periodontal maintenance is needed.
Sinus Augmentation
Loss of posterior teeth may result in excessive forces
being placed on your remaining teeth. Fortunately, the use of dental implants and crowns allow you to replace these missing teeth. However, the position of the sinus in the upper posterior areas may be too low for proper placement of dental implants.
A simple procedure allows the sinus floor to be repositioned, creating enough space to properly place an implant. Various grafting materials are used to encourage your bone to grow more quickly into the area, helping to stabilize the dental implant. Replace with your own bone in this area the grafting material as it grows into the area.
Under certain conditions, an even simpler procedure can be utilized. When possible, the bone remaining under the sinus floor is gently “pushed up”, thus lifting the floor of the “dropped” sinus. Bone replacement materials are then placed beneath this lifted bone. Once again the bone materials are replaced as your body grow new bone into this area.
Sinus augmentation procedures are highly predictable, with studies reporting over 95% success. Following sufficient healing of a sinus augmentation (6-10 months), implants are placed in a predictable and successful manner. It is important to realize that if the sinus augmentation procedure does not result in enough bone for implant placement, additional bone may be regenerated through a second sinus augmentation procedure at the time of implant placement.
Crown Lengthening
It is no secret that dentists are committed to saving teeth. This is why we fill a cavity, instead of pulling the tooth.
Cavities can decay to tooth to the point where restoration is virtually impossible without a procedure called crown lengthening. Crown lengthening is a routine surgical procedure, which remodels the contour of the gum line. The procedure does not actually lengthen the crown, but rather lowers the gum line. When there is not enough tooth structure to affix a crown, this is the only option. Sometimes a tooth has been broken below the gum line. In this instance, crown lengthening is very successful in exposing more of the tooth, so that the dentist has something to work with.
Frenectomy
A frenulum is a piece of tissue that prevents an organ from moving. There is a frenulum that attaches your upper lip to the gums, while another connects the lower lip to the gums. A frenulum that is too short or thick, will cause problems in speech patterns and tooth misalignment. In infants, a shortened frenulum underneath the tongue will inhibit breastfeeding. When the frenulum disrupts movement, growth, or development, corrective action is necessary to resolve the situation.
A frenectomy is a minor surgical procedure that is performed in your dentist’s office. It can be performed with either a scalpel or laser and takes less than 15 minutes. Using a laser causes very little bleeding and does not require stitches. A laser also results in less postoperative discomfort and a shorter healing time. Young children and infants are put under general anesthesia for the procedure and adults have the procedure performed using local anesthesia. If your child needs a frenectomy, there is nothing to worry about. The procedure is very successful and causes minimal discomfort.
Occlusal Adjustment
Do you wake in the morning with sore jaws?
When you bite, do you feel like your jaw is lopsided? If so, then you may need an occlusal adjustment.
An occlusal adjustment corrects the alignment of the bite, that is a result of loose, shifting, crowded, or missing teeth. The result is an evenly distributed bite that eliminates irregular pressure on one side of the mouth. Once your bite is adjusted, your teeth will meet properly. Occlusal adjustment causes minimal pain, and only a little discomfort. The adjustment is made by using a dental drill using a fine filing stone. In addition to the actual adjustment, removal mouthpieces are also utilized, to protect the tooth surface, and relax the jaw muscles once the adjustment is completed.
Who is a good candidate for an occlusal adjustment? Patients with loose or shifting teeth will many times not meet correctly. Patients, who grind or clench their teeth, will have an uneven bite and pressure distribution in the mouth, which is also corrected through an occlusal adjustment. Sometimes tooth sensitivity can be corrected through an occlusal adjustment as the treatment reduces pressure on the sensitive tooth.
New technology allows dentists to accurately identify the areas, which need adjustments. The dentist utilizes a computer scan of the mouth, which records hundreds of bite registrations per minute, and notes even the slightest irregularity. That data allows the dentist to make only the adjustments that are absolutely necessary, which ensures a well aligned bite and minimal tooth wear.
If you suspect that you may need an occlusal adjustment, schedule an appointment.
Periodontal Gum Disease
Periodontal (gum) disease is insidious. It is an infection of the gums that starts out as plaque, an opaque film on the teeth that hardens to form tartar. As tartar accumulates, it harbors bacteria that attack the soft tissue around the gums. This is the early stage of gum disease known as Gingivitis. Left untreated, Gingivitis becomes Periodontitis which ultimately destroys the tissue surrounding your teeth AND the bone that holds your teeth in place. Except for bad breath and gums that bleed, there are very few early warning signals. The disease advances silently, often without pain, and before you know it, you are losing your teeth and you don't know why.
Tooth loss is only the most obvious indicator of gum disease. Scientific research has discovered linkage between gum disease and stroke, heart disease, diabetes - even an increased risk for pregnant women. When your gums become diseased, your entire immune system is weakened.
In the past, fear of painful dental surgery has kept people with gum disease from seeking the care they needed. Well, those days are gone forever.
Scaling and Root Planing
Gingivitis is a generative disease that left untreated, will cause significant tooth and gum deterioration. Just the word gingivitis can strike panic in a patient’s mind. The reality is that the treatment is simple and performed right in your dentist’s office.
Plaque and tarter that sits on the teeth provides an environment, which allows bacteria to thrive and multiply. The bacteria cause the gums to become inflamed and bleed. The condition becomes more noticeable when you brush your teeth or sometimes when you eat. These are signs of the early stage of gingivitis. Gingivitis is easily treated by having the hygienist scale and polish the teeth. If gingivitis is left untreated, the condition will progress and the roots will need a planing. The difference between scaling and root planing is simple. Scaling is the removal of the dental tartar from the tooth surface Root planing is the process of smoothening the root surfaces and removing the infected tooth structure.
As a non-surgical procedure, scaling and planing is performed without any anesthesia, in the dentist’s office. While the procedure is usually painless, advanced stages of gingivitis may make it necessary to numb the area for complete comfort. Deep scaling and root planing is usually broken down into one section of the mouth per appointment. This allows for adequate healing time, and reduces the time for each appointment.