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Posts for: September, 2014

By Geary Dentistry
September 23, 2014
Category: Dental Procedures
Tags: dentures  
SuccessfulOutcomesWithDenturesDependsonAttentiontoDetail

While dental implants are considered the gold standard for tooth replacement, removable dentures are still a viable choice, especially for patients with edentulism (complete tooth loss). Removable dentures have also undergone considerable advancement to improve their function, appearance and longevity.

But even with these advancements, dentures still require a fair amount of skill, experience and — of utmost importance — a sense of art. If you’re considering this option, long-term success depends on a careful process of construction, fit adjustment and regular checkups to maintain that fit.

Our first step is to determine exact tooth placement on each denture. Using facial features (or photos before tooth loss) we establish placement landmarks so that corresponding upper and lower teeth align properly. We also consider tooth size, their orientation in relation to the lip, and the needed space to leave between the upper and lower teeth when they are at rest. We make these determinations based on accepted standards of beauty, but also taking into account your particular comfort level with any features that might alter your appearance.

The denture’s gums must also look realistic when you smile, especially if your upper lip rises above the teeth to expose more gum tissue. We also want to match the color and texture of your natural gums, as well as incorporate palatal rugae, the little ridges behind the upper front teeth that aid with speech and chewing food.

When we first place the new dentures in your mouth, we may need to adjust them for balance between the upper and lower sets when they come together. An imbalanced fit could have an adverse effect on your ability to bite, chew and speak normally.

Your dentures should have a good, comfortable fit. Over time, however, you will encounter some degree of bone loss because you no longer have your natural teeth to stimulate bone growth and absorb the forces created during function when your teeth contact. This and other factors may cause your dentures to become loose and uncomfortable to wear. For that reason, it's important for you to visit us regularly to maintain that good fit and check the health of underlying tissues and bone.

Careful planning and denture construction help ensure your new dentures successfully restore form and function to your mouth. Regular monitoring will also ensure they continue to serve you well for as long as possible.

If you would like more information on removable 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.”


ForMichaelBubletheShowMustGoOnEvenWithouttheTooth

What happens if you’re right in the middle of a song, in front of an arena full of fans… and you knock out a tooth with your microphone? If you’re Michael Buble, you don’t stop the show — you just keep right on singing.

The Canadian song stylist was recently performing at the Allphones Arena in Sydney, Australia, when an ill-timed encounter with the mike resulted in the loss of one of his teeth. But he didn’t let on to his dental dilemma, and finished the concert without a pause. The next day, Buble revealed the injury to his fans on his Instagram page, with a picture of himself in the dentist’s chair, and a note: “Don’t worry, I’m at the dentist getting fixed up for my final show tonight.”

Buble’s not the only singer who has had a close encounter with a mike: Country chanteuse Taylor Swift and pop star Demi Lovato, among others, have injured their teeth on stage. Fortunately, contemporary dentistry can take care of problems like this quickly and painlessly. So when you’ve got to get back before the public eye, what’s the best (and speediest) way to fix a chipped or broken tooth?

It depends on exactly what’s wrong. If it’s a small chip, cosmetic bonding might be the answer. Bonding uses special tooth-colored resins that mimic the natural shade and luster of your teeth. The whole procedure is done right here in the dental office, usually in just one visit. However, bonding isn’t as long-lasting as some other tooth-restoration methods, and it can’t fix large chips or breaks.

If a tooth’s roots are intact, a crown (or cap) can be used to replace the entire visible part. The damaged tooth is fitted for a custom-fabricated replacement, which is usually made in a dental laboratory and then attached at a subsequent visit (though it can sometimes be fabricated with high-tech machinery right in the office).

If the roots aren’t viable, you may have the option of a bridge or a dental implant. With a fixed bridge, the prosthetic tooth is supported by crowns that are placed on healthy teeth on either side of the gap. The bridge itself is a one-piece unit consisting of the replacement tooth plus the adjacent crowns.

In contrast, a high-tech dental implant is a replacement tooth that’s supported not by your other teeth, but by a screw-like post of titanium metal, which is inserted into the jaw in a minor surgical procedure. Dental implants have the highest success rate of any tooth-replacement method (over 95 percent); they help preserve the quality of bone on the jaw; and they don’t result in weakening the adjacent, healthy teeth — which makes implants the treatment of choice for many people.

So whether you’re crooning for ten thousand adoring fans or just singing in the shower, there's no reason to let a broken tooth stop the show: Talk to us about your tooth-restoration options! If you would like additional information, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Dental Implants vs. Bridgework.”