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Dr. Anthony LaVacca

Jun 29

Prosthodontist or another dentist for a broken implant?

By Dental Implant Failure, Dental Implants, Prosthodontist

 

I didn’t know about a prosthodontist until I found your website on my Google search for failed dental implants. I think you may be able to advise me on my situation: My dentist sent me to a oral surgeon to get a implant. The surgeon did a beautiful job on the bone grafting and implant. I went back to my dentist in October to get the crown. Something just didn’t feel write when he was putting it on. Anyway the implant hurts and it is loose. So of course I didn’t go back to my dentist, I went to another one to take a look at it and he said yes it is loose and he can refer me to an endodontist to fix it. Hmm. Then I am going to have to go back to my dentist to get a crown on it which is how this started in the first place. I didn’t have any trouble until my dentist put the crown on. What should I do? – Helena

Helena– Find a dentist who is trained in implantology, such as a prosthodontist. You may need to have bone grafted to ensure the implant is stable, but the problem can be corrected.

Check the credentials of the dentist to see if he or she has extensive training specific to dental implants. You can check for credentials from the International Congress of Oral Implantologists or the American Board of Oral Implantology. Ask questions and express your concerns about the placement of your crown.

An advantage of receiving dental implants from a prosthodontist is that he or she completes every place of the process. Diagnostic studies, planning, surgery, and crown placement are all completed by the same specialists. Prosthodontists have extensive experience in implant placement and can often provide more predictable outcomes.

Schedule consultations with two or three implant dentists, and include a prosthodontist as a second or third opinion. We know this situation has been a disappointment for you, and we wish you the best on your future treatment.

 

Jun 27

Is it safe to get affordable dental implants from a dental school?

By Dental Implants

I have been to Clear Choice and 4 implant dentists trying to get the most affordable dental implants I can without compromising on quality. I know implants can fail because I’ve had 2 that failed already. I have divorced myself from the previous dentist and am back in the hunt for a competent dentist and surgeon. It has been 4 years since I had my implant failure and I have been hesitant to jump back in too soon. Just in the past 4 years I have seen a rise in the cost and I am starting to get worried that I might have to get a bridge instead of implants. I was talking about the issue with a friend and he suggested a dental school. To me, it sounds like a bunch of rookies trying to get it right and I am the guinea pig. Is a dental school really a safe place to go to get implants I can afford? Thanks Vince.

 

Vince,

Many people who want affordable dental implants consider a dental school. Dental schools are highly regulated. Each student’s work is monitored and reviewed by an instructor. So it may seem like the perfect place to receive quality implants for less.

There is limited on the success rate of dental implants performed by dental students. A study conducted at Oregon Health and Science University – Advanced Education Program in Periodontics shows a 95.8 success rate for dental students. Periodontists are specialists, so these students are spending an extra two years of study that includes training in implantology. The study on implant success rate did not indicate the year of post-graduate study or training for the dental students in the survey. Some patients specifically request the most advanced students, but there is no guarantee the request will be granted.

There is plenty of data on experienced implant dentists. It may be helpful to know what highly skilled implant dentists have a 98% success rate. If you choose to receive the service from a dental school, keep in mind that the success rate isn’t as great.

An additional thought is that since you have a history of dental implant failure, you can benefit from the expertise of a skilled implant dentist or prosthodontist. He or she will thoroughly review your dental history and records to make every attempt to identify the previous cause of failure and avoid it.

Speak with skilled dentist about payment plans and financing to help make implants affordable for you. Be certain not to compromise quality for cost.

This post is sponsored by Naperville board-certified prosthodontist Dr. Anthony LaVacca.

Jun 20

How often do pediatric dentists take x-rays?

By Pediatric Dentist, X-rays

Is it normal practice to give kids x-rays with every 6 month checkup? Whenever I take my kids to the pediatric dentist the x-rays are done. Our insurance only pays for yearly x-rays, but the dentist does it twice a year. I am not really used to this. We’ve had this dentist 2 years and no previous dentist did x-rays twice a year. Of course I asked about it and I was told that it’s their normal practice. The radiation exposure on my kids makes me nervous. I have three kids under the age of 8 and I think they are too young for frequent unnecessary x-rays. I want to call ahead before the next dental cleaning to ask the office to waive the x-rays. I don’t want it to be an issue when I arrive. I am just wondering if this office is an exception to the usual yearly x-ray rate. If so maybe I need to switch to a new dentist. – Xaria W.

Xaria- The most common practice is for x-rays to be completed yearly. Some pediatric dentists increase the rate to every six months—particularly with children you are cavity prone. X-rays can assist with early detection of tooth decay. Early detection can help prevent the need for a filling, or only a small filling may be needed, as opposed to deep decay that requires a dental crown. Your dentist or dental hygienist will be able to tell you if it’s their practice for all patients, or if there is a specific reason that your children’s x-rays are being done more frequently.

Digital dental x-rays emit low levels of radiation. The level is equivalent to receiving rays from the sun after standing outside for a few minutes. Today’s x-rays have 80% less exposure to radiation than traditional film x-rays. Although the exposure level is low, patients are protected with a lead apron.

Insurance companies provide benefits for adequate preventive care, including x-rays. If more frequent care is needed, patients pay out of pocket. If your children need more frequent x-rays, but your insurance plan won’t cover the additional diagnostic studies, we recommend that you put your children’s oral health first.

If you call in advance as planned, you can find out why more frequent x-rays are being recommended. If you are skeptical about the reason given, you can opt to receive a second opinion from another pediatric dentist.

This post is sponsored by Dr. Anthony LaVacca for Innovative Pediatric Dentistry in Naperville.

Jun 13

Do her dental implants need to be redone?

By Dental Implant Failure, Dental Implants

My wife had 6 dental implants done in the Philippines. We stayed for 3 days for a follow up appt. to make sure everything looked good. When we got back to the states, after just 5 weeks 2 upper implants and two lower implants are very loose. 4 out of 6 doesn’t sound like good odds to us. She is afraid to eat anything other than soft foods because she is afraid that they may come completely loose and she chokes on them. The implant dentist said that she had enough jawbone density for the implants. We don’t understand why this is happening. I hate to see her suffer like this. Neither of us want to go back to the Philippines even though the doctor there is willing so see her and fix whatever is wrong. Of course he is the one that caused the problem so do we really want to return? What do you suggest? Do her dental implants need to be redone?Thank you very much. Ted R.

Ted – Your wife’s experience is very unfortunate. It does underscore the importance of finding a highly-skilled and trained implant dentist who uses high-quality implant fixtures.

When dental implants are loose, it is possible that cheap implant fixtures were used. A cheap implant fixture can cost $3 to $5, but a quality fixture that has been thoroughly tested costs $300 to $500.

There are hundreds of companies that make dental implants, but only six of them produce implants that meet the high standards of the American Dental Association and the Food and Drug Administration. Cheap implant fixtures are more likely to results in implant mistakes or failure, resulting in implants that loosen and cause infection.

Another possibility is that the dental implants for your wife were improperly placed. Extensive diagnostic studies and careful planning are required to properly place implants.

We suggest that choose a skilled implant dentist or prosthodontist in the U.S. to examine your wife’s dental implants. He or she will recommend the appropriate treatment to correct the situation. Look for implant dentists who are associated with the American Board of Oral Implantology or the International Congress of Oral Implantology. If your second opinon doesn’t thoroughly address the issue may even be helpful to get a third opinion

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

May 27

My crown doesn’t match my teeth

By Cosmetic Procedures, General Dentistry, Porcelain Crown, Prosthodontist

My crown broke about 3 weeks ago and I had to get it fixed quickly before I went on vacation. I knew it was loose, but I didn’t expect it to break. My choice was a dentist who did CEREC in his office but also who was an emergency dentist. It worked and off I went! I was so busy that I really haven’t time to really look closely at the crown until this week. It is an incisor on the right side of my mouth and it doesn’t match my other teeth. If it was a molar I would let this pass but I really want the crown color changed. This isn’t my regular dentist and he really did me a huge favor. Should I go back to that dentist to get the color corrected? Thank you. COlton

Colton – Your selection of an emergency dentist who could also make a one-visit crown is understandable.

In-office crowns require the dentist to receive training in crown creation and placement, but it doesn’t require the dentist to be an artist. An artistic prosthodontist has training cosmetic dentistry. He or she has a keenly interested in providing crowns that function well and look completely natural—blending with your natural teeth.

Crowns are colorfast. They cannot be made darker or lighter. Unfortunately, the only way to receive a lighter crown is for a new one to be made. Contact the office of the dentist you saw and explain your concern. Request an appointment for an examination. Express your appreciation for the dentist’s help during your emergency and explain your concerns.

Along with any insurance you may have, you paid for a dental crown. It is reasonable for you to request and receive a crown that matches your natural teeth. A well-made crown lasts ten to twenty years. If your crown was made well, consider whether or not you can adjust to it lasting for many years that doesn’t match your natural teeth.

You can decide if you want to give the emergency dentist another chance, or if you prefer to visit an artistic prosthodontist dentist to receive a new crown. Before you proceed, be certain to speak with your dental insurance company about the issue and ask if your plan will provide any benefits toward a replacement crown if you choose a new dentist to replace it.

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

 

May 19

Do pediatric dentists fix upper lip tie?

By Pediatric Dentist

If a baby has upper lip tie is this something a pediatric dentist can fix? I am told that an oral surgeon needs to do the repair, but if it’s a simple procedure, we would rather go to a doctor who is used to dealing with children. Thanks. Jen

Jen – Lip tie, or a short frenulum of the upper lip, restricts lip movement. The frenulum connects the very top of the inner, upper lip to the gums between your two front teeth. Lip tie can prevent the lip from moving much beyond the upper gum. Restricted movement can cause pain when breast feeding and affect an infant’s ability to get proper nourishment. The technically term for the condition is concomitant lip-tie.

What Are the Signs of Upper Lip Tie?

  • Inadequate latching while breast feeding – This can be accompanied by prolonged feeding because the baby is unable get enough milk
  • Inability to seal lips on a bottle – Restriction of the baby’s upper lip can prevent him or her from getting a good seal on a bottle nipple.
  • Inability to gain weight or weight loss – If your baby isn’t getting enough nourishment, he or she fail to gain weight, or lose weight.
  • Gasiness, fatigue, or fussiness from inadequate feeding
  • Inability to clean the spoon with his or her lips, if your baby is spoon feeding

If you notice any of the above signs while your baby is feeding, let your pediatrician know. He or she will examine your baby’s oral cavities and if necessary, recommend a specialist.

Complications associated with lip tie have caused many parents to seek a surgical solution. Before consulting a surgeon, many parents work with their pediatrician to get a feeding assessment. The infant’s feeding style and ability are assessed to help determine if intervention is needed. There are surgical and non-surgical treatments available.

Who Performs the Lip-Tie Surgery?

If lip tie is related to breastfeeding pain or malnourishment for the baby, surgery may be needed. The surgical procedure, or frenotomy, is performed in the doctor’s office in just a few minutes. Some pediatric dentists can perform the procedure. Either an oral surgeon or a prosthodontist frequently perform the surgery and can handle simple to complex cases. These specialists are very familiar with performing the procedure on children. To increase your comfort level, ask the specialist how many similar surgeries he or she regularly performs on children.

A clamp and scissors, or a laser, is used to release the frenulum. Only minor bleeding occurs and the recovery period is progressive.

Choosing a Specialist

Although the surgical procedure is quick, we recommend that you have a consultation with two or three experienced oral surgeons or prosthodontists. The consultations will help you choose a provider with whom your family is comfortable. Ensure you understand if and why a frenotomy is needed, the outcome you can expect, as well as the pros and cons.

After Lip-Tie Surgery

Keep your scheduled follow-up appointments to ensure proper healing. At times, a lactation consultant is recommended to ensure your baby receives optimum feeding.

This post is sponsored by Naperville dentist and board-certified prosthodontist Dr. Anthony LaVacca. Dr. LaVacca and his wife, Manal Ibrahim offer a range of oral care services with a team of skilled general dentists, pediatric dentists, and orthodontists.

 

May 14

I think I’m allergic to my dentures

By Dental Implants, Dentures

None of my natural teeth are left so I am wearing complete dentures. I got them in February of this year. Although I didn’t want dentures, dental implants are not an option for me so I had to get what I can afford. I really like the way my dentures look. They are more natural looking than I expected. The problem is that I can’t wear them without my gums itching and getting a rash. I can wear them but when I take them off it is hard to rest because of the irritation and itching. My dentist calls this an adjustment period, but it’s May now. How long does it take to adjust? If this is what I have to look forward to I am going to be miserable. I am beginning to wonder if I am allergic to the dentures. If so shouldn’t my insurance company pay for me to get a different pair of dentures or may dental implants? Also how do I handle this issue with my dentist when he thinks that I just need to adjust to the dentures? Thanks Vernon

 

Vernon,

If you didn’t experience any irritation issue prior to getting dentures, it is likely that there is something associated with wearing the dentures that is causing the problems. It is rare to be allergic to dental acrylic, but a few cases have been reported. Most often, metal in the dentures or the denture adhesive is causing irritation or rash.

Do you use denture adhesive? If so, try wearing your dentures without the adhesive. Your dentures are relatively new, so adhesive should not be needed at this point. If the irritation doesn’t occur and you still feel you need adhesive, try switching brands. Take note of the ingredients in the adhesives and see if there are any components that you may be sensitive to.

If your denture has a metal base or any metal components, it may be triggering an allergic reaction. If you are not using adhesive and you still get irritation and a rash, the denture may be the culprit. You can ask your dentist to switch you to another set of dentures, or you can get tested for metal allergies. Let your allergist know the details and circumstances of your reaction. He or she will have insight on how you should be tested.

Speak to your dental insurance company about the issue. Some benefits may be provided. It may help to have your dentures supported by dental implants, which prevents the dentures from resting on your gumliine. At the same time, your dentures will fit and function better. The implants will also prevent jawbone shrinkage. If needed, get a second opinion from an experienced prosthodontist.

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

May 10

Do we need a prosthodontist, oral surgeon and our family dentist?

By Prosthodontist

My husband was in a motorcycle accident 5 months ago. He was hospitalized for almost a month. Thankfully he was wearing a helmet, but in addition to a broken leg and some broken ribs he still had trauma to his face. His jawbone cracked and he lost his front teeth and 5 teeth on the left side of his mouth. We are finally making some progress with therapy so we can begin thinking about his teeth and getting his smile back. Discharge papers said that we should see our dentist and a specialist such as an oral surgeon or a prosthodontist. I am wondering if we need to go to all three of these doctors and how we would know whether to go to a prosthodontist or an oral surgeon. Or is this maybe something our dentist should decide for us? Thank you – Lani

Lani –

All dentists complete training in general dentistry. Dentists who choose to specialize in a certain area spend additional time—usual two years or more—in specialized training.

Your family dentist may be able to complete some of the restorative work your husband needs. If extensive restoration is needed, your dentist will recommend a prosthodontist or an oral surgeon who can assist.

Damaged jawbone can be rebuilt or repaired by an oral surgeon. If your husband chooses to replace his missing teeth with dental implants, the oral surgeon will perform the implant surgery also. Your family dentist will provide the dental crown, which is secured to the implant. The crown serves as visible white, biting portion of a tooth.

A prosthodontist specializes in restoring teeth and mouth reconstruction. He or she also performs dental implant surgery and dental crowns. If prosthesis is needed, a prosthodontist can provide one.

You will not need to see all three dentists. Regardless of which specialist you choose, your family dentist should be kept aware of any dental treatment your husband needs. But the prosthodontist should be able to care for all of the dental procedures needed to restore your husband’s smile.

This post is sponsored by Naperville board-certified prosthodontist Dr. Anthony LaVacca.

May 02

Will smoking prevent me from getting All on 4 implants?

By All-on-4 Dental Implants, Dentures

I am so tired of my dentures. I want All On 4 but I smoke. I have tried to quit several times but it isn’t working. I don’t think that I will ever be able to stop. My dentures are stressful for me because I have been wearing dentures for 15 years. They slip more times in a day than I can count. Is there any way possible for me to get All On 4 even though I smoke? Jamison

Jamison,

Much of the success of dental implants, including All-On-4 implants depends on the healing process. Your jawbone must fuse to the implants for them to function properly and to support your dentures.

Smoking inhibits the healing process overall—not just for dental implants. It also affects your oral health. The healing process will be slower, or the fusion of your jawbone to the implant may not occur at all. There is also an increased risk of implant infection when you smoke. One study showed that of 165 participants showed that 16% of smokers experienced implant failure, compared with a 1% failure rate for non-smokers.

Although we can’t say that your implants will definitely fail or succeed, if you stop smoking before you receive them, the success rate will increase. It is also important not to smoke after implant surgery. Some dentist won’t complete the All-On-4 procedure unless a patient has stopped smoking.

Speak with your primary care doctor about your desire to stop smoking. He or she can provide you with resources and option that you may not have considered before.

As time progresses and your jawbone continues to shrink, it will become even more difficult to eat and speak with dentures. If you are a candidate for All-On-4, or some other dental implant treatment, now is a good time to pursue your options.

This post is sponsored by board-certified prosthodontist Dr. Anthony LaVacca.

 

Apr 27

What matters most in preventing dental implant failure?

By Dental Implant Failure, Dental Implants

I’ve decided to get dental implants this fall. I need 4 of them so this is really going to be a big expense for me, but I know it will be worth it. I know that a specialist is needed to place the implant and a dentist is needed to the crown on the implant. After reading online about dental implant failure, I am a little confused about which dentist is more important in preventing the implants from going bad. What matters most to get implants that will last? Is it the work of the surgeon or the work dentist who places the crown and the lab that is used? Marvel

Marvel – Good question. As you likely know, the process of receiving successful dental implants starts with careful planning and diagnostic studies. But quality implant fixtures, surgery, and a restoring dental crown are also crucial to the success of implants.

After implant surgery, the jawbone must properly heal and fuse with the dental implant. When it heals, the lab creates the restoration (dental crown) that is secured to the implant. The quality and fit of the dental crown prevents an improper bite. This can affect how long your dental implant will last.

If you receive a well-made implant crown and it’s placed incorrectly by your dentist, the implant may still fail if it wasn’t properly placed during surgery. This emphasizes the importance of finding a skilled implant surgeon and a restoring dentist.

Many people recognize the skill level required for quality dental implants and crowns and choose to find a board-certified prosthodontist. A prosthodontist has advanced training in implant placement and in proper crown creation and placement.

Before you choose a provider, we recommend that you visit several implant dentists. Get information on the credentials of the implant surgeon and the dentist who will be placing the crown. Even if you choose to prosthodontist for your care, verify his or her experience first.

 

This post is sponsored by board-certified prosthodontist Dr. Anthony LaVacca.

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