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Posts for: February, 2018

By Geary Dentistry
February 17, 2018
Category: Oral Health
Tags: oral health  
CrackedMouthCornerscanbeIrritating-HeresHowtoTreatThem

As dentists, we often see other mouth problems besides those with teeth and gums. One of the most common is cracking around the corners of the mouth. Although usually not serious, it can be irritating and uncomfortable.

Medically known as angular cheilitis (literally “an inflammation of the angles of the lip”), it’s also called perleche, derived from the French lecher, “to lick.” The latter moniker aptly describes the tendency of sufferers to compulsively lick the sores to relieve irritation, which actually can make things worse.

Perleche has a number of possible causes, mostly from in or around the mouth (although systemic diseases or medications can cause it on rare occasions). It’s often found among younger people who drool during sleep or older people with deep wrinkles along the sides of the mouth that increase the chances of dryness and cracking. Long-term wind or cold exposure, ill-fitting dentures or a lack of back teeth (which help support facial structure) may also contribute to the condition.

Patients with perleche can also develop yeast infections from a strain called candida albicans. The infection can spread through the whole mouth, significantly increasing the chances of physical discomfort.

Treating perleche often involves topical ointments with inflammation-reducing steroids and zinc oxide, which has antifungal properties, to provide an environmental barrier during the healing process. If a yeast infection occurs, we may treat it with oral or topical antifungal medication like Nystatin for the whole mouth and chlorhexidine rinses, which has antibacterial properties.

It also helps to adopt a few preventive measures that can minimize the occurrence of perleche. If you wear dentures, for example, cleaning them often (including, if necessary, with chlorhexidine) and leaving them out at night reduces bacterial and fungal growth. We can also see if your dentures are fitting properly. Replacing missing teeth provides better facial support and could minimize wrinkling around the mouth. And, of course, keeping up daily brushing and flossing helps ensure a healthy and disease-free mouth.

If you’re experiencing cracked mouth corners, let us know at your next appointment. With our help and of other medical professionals we may be able to give you relief from this irritating condition.

If you would like more information on gaining relief from angular cheilitis, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Cracked Corners of the Mouth.”


NotEnoughBoneSupportforanImplantHeresaWaytoRebuildIt

Due to financial circumstances, people often have a lost tooth restored with a removable partial denture, an effective appliance that restores function and a degree of aesthetic appearance. Later, though, they may want to improve both function and appearance with a dental implant.

If this describes you, you’re making a great choice. Dental implants are the closest technology we have to a natural tooth. But there may be a roadblock to your implant, especially if a long time has passed since your tooth loss—there may not be enough bone at the site to place an implant.

The heart of an implant is a titanium metal post surgically imbedded in the jawbone. The titanium naturally attracts bone cells, which grow and adhere to it to form a solid hold that can support a porcelain crown or other restorations like bridges or dentures. But to achieve a natural appearance it’s important that the implant is placed in the right location. To achieve that requires adequate bone.

But there may not be adequate bone if the tooth has been missing for a while. The forces generated when we chew travel through the teeth to the jawbone, which stimulates bone growth. If that stimulus is absent because of a missing tooth, new bone cells may not replace older ones at a healthy rate and the total bone volume begins to diminish. A denture can’t compensate and, in fact, accelerates bone loss.

But there may be a solution: bone grafting. With this procedure we place a donor bone graft into the area of bone deficiency some time before implant surgery. The graft serves as a scaffold for new bone cells to grow upon. Hopefully, this will produce enough healthy bone to support an implant. If the bone deficiency is minor, we may place the implant and the bone graft at the same time.

If you have experienced bone loss, we must first determine the amount of bone at the missing tooth site and whether grafting is a viable option. Bone grafting postpones your implant, but the delay will be worth the wait if we’re successful. With increased bone volume you’ll be able to obtain a new tooth that’s superior to your current restoration.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation.


By Geary Dentistry
February 01, 2018
Category: Dental Procedures
Tags: Invisalign   braces   orthodontics  
How Invisalign from your dentists in Brookfield can improve your smileinvisalign

If you want a straight smile, now you can achieve it comfortably and quickly, thanks to Invisalign. Say goodbye to brackets and wires, and hello to comfortable Invisalign aligners. Dr. Terence Geary and Dr. Mary Eileen Geary at Geary Dentistry in Brookfield, WI want to share how you can straighten your smile discreetly with Invisalign.

In the past, if you wanted a straight smile, your choices were limited to unsightly, uncomfortable metal brackets and wires which you had to wear for years to achieve results. Now, there is a better way with Invisalign.

Invisalign uses clear plastic trays called aligners which you wear for 2 week periods. Every 2 weeks you will graduate to a new set of aligners which you wear for 2 weeks. Your teeth will gradually and comfortably shift into correct position as you change aligners. The treatment period with Invisalign is completed in an average of 9 to 15 months.

A shorter length of treatment isn't the only advantage of Invisalign. With Invisalign, you will enjoy:
  • Virtually invisible treatment because the aligners are made of clear plastic
  • Comfortable treatment because there are no sharp metal parts to irritate soft tissue
  • Healthy treatment because you can remove the aligners to brush and floss your teeth
Invisalign aligners make it easy to enjoy the foods you love without worrying about catching food in your braces. If you brush and floss, you probably won't have to worry about decay or discolorations affecting your newly straightened smile. Once Invisalign treatment is complete, you get to enjoy your new, healthy, beautiful, straight smile!

Invisalign aligners may look delicate, but they are sturdy enough to correct many of the same issues as conventional brackets and wires including:
  • Overbite or underbite
  • Crossbite or open bite
  • Closing gaps between teeth
  • Eliminating tooth overlap
  • Correcting poorly positioned or rotated teeth
To straighten your smile discreetly, there is only one choice, Invisalign! You deserve state-of-the-art orthodontic treatment, and it can happen with Invisalign! For more information about Invisalign and other restorative and cosmetic dental treatments call Dr. Terence Geary and Dr. Mary Eileen Geary at Geary Dentistry in Brookfield, WI. Call today!