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Implant Dentistry

Mar 13

Bone loss from teeth loss early in life and I don’t want a partial

By Bone Grafting, Dental Implants

I have bone loss because of eight missing teeth in my lower jaw. Can I get the bone loss replaced so I can get implants? I don’t want to wear a partial. – Tom F

Tom – Bone loss can be replaced by using bone grafting. Increasing jawbone mass will ensure that dental implants are secure and won’t loosen.

There are different types of bone grafting:

Autogenous – bone is taken from elsewhere in your body (often the chin or lower jaw) and used to supplement the jawbone

Allograft – Synthetic bone is used, or human bone from a reputable bone tissue bank can be used

Xenograft – processed animal bone, from a reputable bone tissue bank, is used

After the bone-grafting procedure, there is a wait of six to twelve months, to allow time for the graft to integrate with your existing bone. The progress of your healing will be periodically checked, and you will receive updates on when you can receive dental implants.

Not only does receiving dental implants, instead of wearing a partial denture, look more pleasing, dental implants prevent further jawbone loss and facial collapse.

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

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Mar 06

I still have my baby teeth

By Dental Implants

My upper canine and incisor permanent teeth on the left side of my mouth never came in. I’m 37 years old, but he teeth are still small like baby teeth. All of my other teeth are fine. Can I get the two teeth pulled and replaced with dental implants? – Greyson C. from PA

Greyson – Your teeth need to be x-rayed and examined before the appropriate treatment can be recommended.

It could be that the teeth that are now in place are the permanent teeth, but they are smaller than normal. In that case, cosmetic work can be done to make them the proper size and look natural.

Another possibility is that your permanent teeth are impacted. It is possible that the baby teeth need to be removed, and a surgical opening needs to be made for the permanent teeth to erupt.

Or, if the teeth are truly your baby teeth, they can be removed and replaced with dental implants. If the bone beneath the teeth is healthy, it is possible that the implant and crown, which would be customized and completed in advance of the surgery, can be placed on the same day.

Have your teeth examined by a credentialed implant dentist. He or she will examine your teeth and discuss your options.

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

Feb 27

My dentist recommends a flipper but the prosthodontist prefers a temporary crown

By Dental Implants, Porcelain Crown, Prosthodontist

My dentist sent me to a prosthodontist to get an implant in place of a rotten tooth that had to be pulled. My dentist wants me to get a dental flipper from him, but the prosthodontist said that I can get a temporary crown. Is it normal to get a temporary crown? What is a dental flipper like anyway?

Ken – It is common for a temporary crown to be used while waiting for a permanent crown to be placed.

A dental flipper is a removable partial denture that has a gum-colored acrylic base with an acrylic tooth attached to it. Metal clasps can be attached to wrap around your teeth and keep the flipper in place. Depending on the location of the missing tooth, the metal clasps can be seen. Care must be taken to ensure the flipper does not disturb the dental implant.

You will find a temporary crown to be more comfortable than a dental flipper. Speak with your prosthodontist about your concerns. He or she will be able to fully explain your options and the pros and cons of both.

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

Feb 12

The teeth are falling out of my denture

By Dentures

Hello. I got implant dentures about 2 ½ years ago. Since that time I’ve had teeth fall out of the denture twice. I have been keeping record of this and the first time it happened was in December 2011. One of the top left teeth fell out. In July of last year, two bottom teeth fell out. Last weekend I noticed a problem again on the upper left side of my mouth when I chew. I looked in the mirror and gently pushed each tooth on that side of my mouth and found that again, one is loose. Of course, I have brought this to the attention of my dentist. He keeps the denture for repair. I am not sure what that process is, but after the “repair” he returns the denture to me. I know plenty of people who wear dentures and I haven’t heard one of them say that a single tooth has fallen out of the denture. So my guess is that what’s happening to my dentures is very unusual. Can you confirm that for me? Thank you. Jim

Jim – It is very unusual for teeth to fall out of the base of a denture. If your implant dentures were made correctly, what you are experiencing would not occur.

You can certain request your denture be to be re-made. Unfortunately, mistakes occur when shortcuts are taken. Inferior materials, shortcuts in techniques, or a cheap dental lab can all contribute toward your receiving dentures that are poorly made.

Although the laboratory makes the dentures, it is the dentist who is responsible for ensuring that you get a high-quality product, and for correcting this situation.

This post is sponsored by Naperville implant dentist and prosthodontist Dr. Anthony LaVacca. Find out what to look for if you want affordable dental implants.

 

Jan 23

Why do my implants keep failing?

By Dental Implants

Over the past five years I have tried to get implants for three missing teeth, but they have all failed. The surgeon has taken extreme care and rebuilt my jawbone in those places, but my body seems to keep rejecting them. My implant dentist is clueless. I want to replace these teeth. What do you suggest? – Margo

Margo – In rare instances, because of body chemistry, there are patients for whom dental implants don’t work. The situation is similar to a patient’s body that rejects a tissue transplant.

It is surprising that if you have an implant dentist, he or she is clueless. If you want reassurance, get a second opinion from a credentialed implant dentist. Take a look at our Meet Dr. LaVacca web page to get an idea of the kind of credentials you should look for in a dentist from whom you will receive a second opinion.

If your body is rejecting the implants, the implant dentist will be able to recommend alternate treatments. Although implants are the most effective and natural-looking tooth replacement, there are alternatives will look like your natural teeth.

This blog post is sponsored by Naperville implant dentist and American Board-certified prosthodontist Dr. Anthony LaVacca

Dec 27

Replacing a failed dental implant

By Dental Implant Mistakes, Dental Implants

I had 3 dental implants placed and 1 of them failed. It needs to be removed. Replacing it will require bone grafting. I am not prepared to spend the kind of money that an implant and bone grafting would take. Any suggestions for an alternative? – William T.

William – A fixed dental bridge can replace the tooth (a fixed bridge cannot be taken out of your mouth). It would not require an implant or bone grafting. If you still have a concern with jawbone shrinkage in the location of the missing tooth, you can consider a soft tissue graft or bone grafting.

If you’re interested, review Dr. LaVacca’s has a web page specific to reasons that dental implants fail.

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

Nov 27

I’m bulimic. How can I preserve my teeth?

By Bulimia, Implant Dentistry

I wish I could say that I am recovering from bulimia but I am not. I am struggling. I do well for a few months, and then I slip back into the habit again. I can see the effect on my teeth. Is there anything I do to preserve my teeth? – Kaye

Kaye – There are some steps you can take to preserve your teeth. Rinse your mouth often—especially after vomiting. Avoid brushing your teeth right after vomiting, because your teeth are in a weakened state. Brushing your teeth will only weaken them further.

Fluoride helps prevent tooth decay, so ask your dentist for prescription-strength fluoridated toothpaste. Your dentist will determine if fluoride treatments will be beneficial.

Continue to work on your recovery. If the damage to your teeth is extensive, be assured that your smile can be restored with porcelain crowns or dental implants.

Be open with your dentist and work with him or her to preserve your teeth.

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

Nov 13

Human cadaver bone grafting for dental implants

By Bone Grafting, Dental Implants

I am seriously considering getting dental implants in early 2013. I know that I will need bone grafting. What can you tell me about human cadaver bone for grafting? – Kyle

Kyle – Human cadaver bone for dental implant bone grafting, known as allografts, works very well. U.S. donor applicants are pre-screened for infectious diseases before they are accepted as donors. Donated bone is process and sterilized to make grafting safe.

Autogenous bone comes from the patient’s own body. Bone may be available elsewhere in the mouth or from another place in the body—usually the hip.

Xenograft bone comes from a different species, usually bovine bone, which comes from a cow.

Synethetic bone grafting is referred to as alloplast. Although this method is most convenient and the least expensive, some dentists say the success rate is not as good as the other methods.

Your implant dentist will discuss the options with you and address any concerns you have.

This post is courtesy of Naperville implant dentist Dr. Anthony LaVacca.

Oct 24

Thinking about dentures instead of replacing implant teeth

By Dental Implants, Dentures

Between my upper and lower teeth I have 12 implant teeth that need to be replaced. I think the crowns are about 14 years old now and they are worn. I remember how much it cost when I first got the implants and I don’t have that kind of money now. I have retired and my income is limited. I think dentures are the way to go this time. Do you have any tips for me on what to look for with dentures? Thanks – Tommy

Tommy – There are some things you should consider before deciding to receive removable dentures:

  • The original cost of your dental implants included the cost of the implant surgery and placement, which will not be repeated for new implant crowns.
  • There is not much difference in price tween the implant crowns and complete removable dentures, but there is difference in the function.
  • Your chewing efficiency will be cut in half with removable dentures. Also, your palate will be covered, and you will enjoy food less.
  • Your dental implants will need to be removed to receive complete removable dentures. When all of your teeth are missing, your jawbone shrinks, and in about 15 years, facial collapse will occur. Then, if you are able to keep the denture in your mouth, your gums will be sore and irritated.

Many patients are satisfied with removable dentures, but you already have implants in place. Speak with your dentist about the cost of implant crowns versus complete removable dentures. If you decide that you want dentures, find a dentist who will customize the dentures to give you a comfortable fit, and who uses quality teeth for the dentures to give you a natural-looking smile.

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

Oct 10

Replacing a front bottom tooth

By Dental Implants

I have a front bottom tooth that is missing the one that is immediately to the right of the center. What do you recommend for it? Thank y ou! Esther from Iowa.

Esther,

Replacing lower front teeth (mandibular incisors) requires excellent skills, because the teeth are small. If the teeth on either side of the missing one are in good condition, a dental implant can be used for the replacement. A very small implant will need to be used, and care must be taken to allow enough space between it and the adjacent teeth so that no damage is done to the roots of those teeth.

A dental bridge is another option. The bridge requires the adjacent teeth to be shaved down and to have crowns placed on them. The replacement tooth will be suspended between the two crowns. The bridge must be designed correctly to avoid damaging the remaining tooth structure.

Be sure to find an implant dentist with experience in working with smaller teeth. Check the dentist’s implant credentials to ensure he or she has the skills required for replacing tooth.

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

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