Periodontal Diseases and Bone Grafting

Periodontal diseases are basically serious diseases, such as gingivitis and periodontitis, that attack the gums. If left untreated, these gum diseases can spread around other areas of the mouth and lead to the loss of tooth or teeth. A periodontal disease is bacterial infection that is chronic and affects both the gums and the bone that supports the tooth. It first begins with the presence of bacteria in the plaque, which is that colorless film that forms on your teeth from time to time, cause the gum to experience some amount of inflammation.

Periodontal diseases vary in degree of seriousness. The mildest form of periodontal disease, at least as far as the beginnings are concerned, is gingivitis. Gingivitis is a common problem caused by poor or inadequate oral hygiene, and it is characterized by gums that appear red and swollen. People suffering from gingivitis generally have bad breath and experience bleeding when their gums come in contact with any invading substance, including toothbrush bristles. With professional treatment accompanied with good oral care done at home, there’s no reason why gingivitis cannot be reversed. But if gingivitis is left ignored and treatment for it is delayed, the disease can advance and take the form of periodontitis, another periodontal disease.

Periodontitis develops when plaque starts to spread below the gum line and the toxins produced by the plaque bacteria infect the gums. These toxins work to stimulate a chronic inflammatory response and eventually, the tissues and the bone supporting the teeth are destroyed. Pockets, the spaces found between the teeth and the gums, are then formed and deepen as periodontitis rapidly progresses. People with periodontitis experience mild symptoms but pretty soon, pain sets in and tooth or teeth loss takes place. There are different forms of periodontitis. The common ones include aggressive periodontitis, chronic periodontitis, necrotizing periodontitis, and periodontitis as a symptom of a systemic disease. Any and all of these forms of periodontitis need the immediate attention of a dentist.

Sometimes, treatment for a periodontal disease comes too late. When tooth or teeth loss has already occurred, the typical concern of patients is to get replacements. Dental implants are usually recommended. In this regard, bone grafting is often resorted to. Bone grafting is a dental surgical procedure that involves the replacement of missing bone with material from the body of the patient. Dental implants require as support the presence of bones underneath them. Bones also work to integrate implants properly and conveniently into the mouth. There are people who have lived without teeth for the longest time. These people are the ones that can benefit most from bone grafting because they are the ones that normally do not have enough bone in the right places.

Bone grafts for dental implants are usually taken from the chin or from the implants’ pilot holes. Sometimes, they are taken right from the iliac crest of the pelvis and reshaped in order to fit into the mouth underneath another implant. Generally, bone grafts are either particulated or used en block, whichever is necessary for correcting a defect and for easy adaptation. Either way, tooth or teeth loss caused by a highly progressed periodontal disease can be fixed by bone grafting.

Source by Robert Melkonyan


What to Expect From Oral Surgery

Injuries, diseases, and defects that affect the teeth, gums, mouth, and jaws sometimes require oral surgery. Many oral surgeons provide corrective options to improve jaw health, remove wisdom teeth, repair broken or damaged teeth, and much more. These surgeries are often done on an outpatient basis meaning the patient is often responsible for her or his own care once the surgery is completed. While no two patients are the same, there are some common outcomes after oral surgeries, so what can you expect from oral surgery?

Oral surgery includes any procedure that requires cutting into or removing tissue from the mouth. Tooth removal, gum surgery, dental implants, removing diseased tissue from the mouth, repairing jaw problems, and treating a cleft palate are all examples of relatively common oral surgeries. These procedures are almost always performed by an oral surgeon, also called an oral and maxillofacial surgeon. These dentists have successfully completed post-graduate training in oral surgery. Afterwards you may have pain, bleeding, or swelling. These symptoms may be completely normal, or you may need to consult a dental professional.


Pain after oral surgery is normal, especially once your anaesthetic wears off. You’ll probably notice the highest levels of pain during the first 48 hours after surgery, after which your discomfort should begin to subside. Still, it is not abnormal to have some pain for 3 to 5 days after surgery. Your dentist or oral surgeon will probably prescribe an analgesic (pain medication) to help you manage the pain. You should take this medication exactly as instructed, and do not drink alcohol when taking this medication. Furthermore, if you have been giving narcotic medication, you may feel drowsy so you should not drive or operate heavy machinery. If pain does not improve 48 hours after surgery, consult your dentist or surgeon.


Bleeding is another common side effect of oral surgery, especially for the first couple hours after surgery. You may experience some oozing for up to 24 hours. As blood and saliva mix, you’ll get the impression that you are bleeding more than you actually are, but if bleeding cannot be controlled with a firm gauze press after 4 hours, consult your dentist or surgeon.


Facial swelling for the first 24 hours after oral surgery is normal, and some swelling may remain for up to a week. As the swelling starts to go down, you may also notice some bruising which is also normal and may last for up to 10 days. To manage swelling, use a cold compress on the swollen area the first day after surgery. Simply wrap ice cubes in a towel or grab a bag of frozen vegetables from the freezer. Apply the compress alternately for 10 minutes on and 10 minutes off for the first 24 hours (at least while you’re awake). On the second day, apply a warm compress to improve blood flow and circulation. This will help reduce swelling. DO NOT apply heat during the first 24 hours after surgery as this will only exacerbate swelling.

Source by Alex Pupkin


Dental Implant Surgery – How It Is Done

Dental implants have become a popular alternative to dentures and bridges. They look and feel just like real teeth as the implant literally replaces the root of a lost tooth or teeth. Unfortunately, the procedure which is typically done in multiple phases often lasts for months but the healing process accounts for most of that time. The majority of people who underwent the procedure, however, agree that it is worth to wait due to esthetic and practical advantages implants offer over dentures and bridges.

Before the actual surgery during which the implant is inserted into the jawbone, the dentist performs a dental exam to evaluate the patient’s gum health and the strength of jawbone that will support the implant. If the exam confirms satisfactory oral health and if jawbone is strong enough, the patient is scheduled for a surgery. But if dental exam reveals any potential risk factors that could jeopardize the success of the procedure or the patient’s health, the patient is not scheduled for surgery until all risk factors are eliminated. Inadequate bone structure or strength is one of such factors which requires prior treatment, typically with transplantation of a piece of bone to the jawbone (bone grafting). The needed bone tissue is usually taken from the hip.

Placement of dental implant usually takes place in at least three stages. During the first stage, a titanium post is inserted into the jawbone. The gum is cut open and a hole is drilled into jawbone for the implant. Although its sounds terrifying, most people who underwent the procedure say that it is not as bad as it may appear at a first glance and that it feels almost like having a tooth extraction. The insertion of the titanium post into the jawbone is, of course, done under a local anesthesia.

The first stage of dental implant surgery is followed by three to six months of waiting for the jawbone to grow over the titanium post that will serve as a replacement of the lost tooth’s root. When the implant is fused with the jawbone, the dentist opens the gum to expose the titanium post and attaches the so-called implant abutment to the inserted post. However, it is also possible to attach the abutment to the post during the insertion of the latter but in this case, the abutment is visible in the mouth while waiting for the jawbone to heal. Which option to choose is completely up to the patient’s personal preferences although many people prefer to have it placed later because it takes only about two weeks for the gums to heal after the procedure.

About two weeks after insertion of the abutment, the dentist makes an impression of the patient’s mouth and other teeth in order to make as realistic artificial tooth (crown) as possible. The crown is screwed or cemented to the abutment only when the titanium post and jawbone are perfectly fused.

Most dental implant surgeries are successful. In fact, the success rate is about 98 percent. It is crucial, however, to follow the dentist’s instructions and practice good oral hygiene.

Source by John Oakley


Types of Cosmetic Dental Surgery

Cosmetic dental surgery sounds much scarier than it really is. When you are undergoing one of these procedures, it is important to remember that at your cosmetic dental clinic, your comfort is extremely important while undergoing any dental surgery procedures that they will provide to you.

These surgery procedures really can improve the look of your smile. While not always any more important for anything else than the way your smile shines, it is none the less an extremely important part of cosmetic dentistry that should never be overlooked. Cosmetic dental surgery can make you feel better about yourself by simply improving the way your smile looks.

The procedures involved really depend on what your personal needs are and what you want to accomplish with your final result. Cosmetic dental surgery consists of procedures such as veneers to cover your existing teeth, gum reshaping to change the appearance of your gums holding your teeth or dental implants to provide a secure replacement for a tooth or teeth that you have lost along the way.

Sometimes an entire mouth reconstruction is necessary and for this problem, you will need to have dental surgery. This procedure can benefit those who have unfortunately had their teeth start to break down because of use from age or have many different missing teeth that need to be replaced. It becomes an entire mouth reconstruction when the number of problems included to be fixed rise.

Crowns are replacement teeth that can be attached to a dental implant which requires cosmetic dental surgery to put into place. This is an excellent option for replacing missing teeth that have had to be removed or where broken or lost from becoming loose. This is a very common form of cosmetic dental surgery.

White fillings and inlays can be applied to replace existing silver fillings or put in place for new problem cavity areas in the teeth. These fillings and inlays are made of a white material that matches the existing tooth or teeth color very well and is less noticeable when talking or laughing. This is another very common form of cosmetic dental surgery because of the inability of others to notice the fillings.

Veneers will cover your existing teeth after a layer of enamel is filed off to keep the teeth at the same thickness with the veneer that they are without it. Each individual tooth receives its own veneer cover increasing the beauty in your smile and your confidence at the same time. This cosmetic dental surgery is done over a period of visits.

No matter which cosmetic dental surgery you choose to have out of option or necessity, your cosmetic dental clinic will make it as enjoyable an experience as it can be. They are there to answer any of your questions or concerns when it comes to any of the procedures that they offer. Your comfort and expectations are extremely important to them.

Source by Lanie Ricketts


The Dreaded Dental Surgery – Wisdom Tooth Removal

Removal of wisdom teeth is one of the most feared dental procedures. Everyone has heard a horror story about dry socket or infections that occurred after the removal of wisdom teeth. What many people don’t realize is that wisdom tooth removal can be simple and pain free if done early enough. Most dentists will monitor the growth and placement of these teeth during the teen years. They will recommend removal when the time is right based on the patient’s age and the development of the teeth. It is important to stay on track with regular dental checkups to make sure these teeth are removed at the optimal time.

Wisdom teeth usually erupt between the ages of 17 and 24. There are normally four teeth that come in, two on top and two on bottom. Some people never get all four teeth in a condition called hypodontia. Wisdom teeth are known as third molars because they are in the back of the mouth behind the second molars. Dentists usually recommend removal of these teeth early on to avoid major dental complications that can arise as time goes by. The older a patient is, the more difficult removal can be because the teeth are more firmly attached to the jaw. What should be a simple dental procedure gets much more complicated the longer it is neglected.

Removal of wisdom teeth is suggested due to the lack of space on the jaw for this extra tooth. Typically the jaw is not large enough for these extra teeth and as a result, the rest of the teeth will end up being very crowded. Many times the tooth will grow in sideways or at an angle due to the limited space and curvature of the jaw. When this happens, the tooth is considered to be impacted and complications can arise. Impacted wisdom teeth can damage the teeth next to them and require extra dental procedures to fix the adjacent teeth. Infections can also arise as food can get trapped between the crowded teeth or under the gums where it is harder to floss.

It is up to the patient to decide if he is ready to have his wisdom teeth removed, however, most dentists will encourage removal while it is still a simple dental procedure. Complications can arise if wisdom teeth are not removed at the suggested time. The older the patient, the higher the risk of nerve damage following the procedure. As a result, paresthesia, or numbness of the chin, lips, or tongue can occur. Paresthesia can last from several days to several months. This condition is rare in teenagers and as high as 10% in people older than 35. Cysts and tumors can also develop if given enough time. Not to mention that the healing process will be much quicker and easier on younger patients.

While wisdom tooth extraction can be a simple and pain free dental experience, there are risks of complications regardless of the patient’s age. Dry Socket is the most common complication. In dry socket, the blood clot has become dislodged from the hole where the tooth was. This condition is extremely painful and is not easily alleviated with pain medications. Patients are encouraged not to smoke or drink out of straws to avoid dry socket. Abscess, swelling, soreness and excessive bleeding are also other potential complications. The dentist can evaluate any problems experienced and either recommend additional dental treatments or prescribe antibiotics or painkillers.

Source by Michael Russell


Affordable Tooth Extractions

In recent times, the cost of dental care has skyrocketed. This includes all types of dentistry including teeth cleaning, extractions, and dental surgery. For those who live in Denver, CO, there are many options to choose from when paying for routine or emergency dental care. In fact, having a tooth extraction Denver might just be more easily afforded than what some may be aware of.

The flat fee for a tooth extraction in Denver may vary between dental offices. The type of extraction can also cause a difference in the price. A simple extraction may cost between $60-$75, but a wisdom tooth extraction that requires more time and effort could cost much more.

One of the great aspects of having dental services performed in Denver is the variety of payment forms that many dental offices accept. Most dental offices in this area accept several different health insurance plans that will allow patients to only be required to pay a small copay at the time of service. If you have chosen an in-network dental provider for your plan, this copay can be even less.

Many dental offices also provide services to those who have state medicaid or medicare as well. While cosmetic dental work may not be covered by these forms of health care, extractions are covered because they are considered a necessary part of the patients good health. Yearly checkups and teeth cleanings are also normally covered as a preventative measure to avoid bad dental health.

For those who may not have any type of health insurance, dental insurance, or state provided health care plan, most dental offices will offer a payment plan. The total cost will be calculated and can be divided up over a few months to make dental care more easily affordable. This will need to be arranged before services and you may need to pay a percentage of the cost upfront before any dental work is performed.

So, if you live in the Denver area and need to have a tooth extraction or other dental care, do not fear that it is impossible to obtain. By calling each dental office and discussing the types of payment forms they accept, you may find a payment plan that fits your budget nicely. You can compare the prices and options of all dentists in your area so that you can make a well informed decision more easily.

Source by Rick Swanson


Bring Back Your Radiant Smile With A Dental Implant

Anyone who has lost a tooth can relate to the fact that a missing tooth can seriously affect your level of confidence, be it at work or at home. You will not be as comfortable smiling when you have a tooth missing especially if it is one of your front teeth. You have this constant worry about people noticing your missing tooth and laughing about it behind your back.

Once you get home, you sit down with your family for a meal only to realize that you will not be able to enjoy that big, juicy steak because you cannot chew properly with your missing tooth. This takes the joy out of eating and that can be really depressing. You will not be able to eat all your favorite foods just because you have a missing tooth. This is such a depressing thought but there is an easy solution to this kind of problem and that is a dental implant Los Angeles.

A dental implant is a synthetic tooth root which is attached to the jaw so that a bridge or replacement tooth can be attached. This is the most practical solution when a person has lost a tooth because of injury, tooth decay or some other periodontal disease.

There are two types of dental implants that can be used in Los Angeles and these are the endosteal and the subperiosteal implants. The endosteal implant is the type that is commonly used to replace missing teeth. It involves the surgical attachment of cylinders, blades or screws into the jawbone. The subperiosteal implant is attached on top of the jawbone with part of the metal posts showing through the gums. This type of implant is usually used on patients who have inadequate jawbone height.

The advantage of a dental implant is that it looks very natural as if it is your own tooth. It will not look out of place amongst your pearly whites like a denture would. No one ever has to know that you have a tooth missing. Another advantage of a dental implant is that it lasts for a long time, with proper care. With your teeth complete, you can now smile with confidence and enjoy life to the fullest.

Source by Arthur Kezian


Dental Implant Procedure and Recovery

Many dental patients are concerned when they hear the words dental implants. These restorative devices should not be so intimidating. Prosthodontists use them to support dental health and preserve people’s abilities to chew, talk and otherwise enjoy life.

What Are Dental Implants?

History tells us that people have been using dental implants for thousands of years. Ancient Egyptians and Mayans apparently used bone and wood to create false teeth. George Washington used wooden teeth.

Thankfully, science has advanced so that we do not have to depend on these materials any more. Dental implants are typically made from titanium today. They are surgically inserted in the jaw to take the place of teeth and their roots. Additionally, implants do much more than simply sit in place of dental structures. They support the surrounding teeth as well. Implanted into the jaw, they support various other dental prosthetic devices, such as crowns, bridges and dentures.

Dental Implant Procedure

Dental patients may notice that there is a lot of preparation before an implant procedure. The oral surgeon must identify the exact location, form and structure of the jaw and mouth. For example, depending on the future location of the implant, he may need to identify the proximity of the sinus cavity or the inferior alveolar nerve canal in the jaw. Aside from the usual dental X-rays, CT scans of the area may be required as well. It is important to know the exact shape of the jaw and amount of bone that can support the implants in order to avoid complications but also to prepare an implant that will fit exactly in place.

Once the planning has been finished, the oral surgeon can begin the actual procedure. It is necessary to make some sort of incision into the gums over the place where the implant will be inserted.

The implant is set in place without any other permanent adornment. It must be given time to let natural bone grow over it and set it in place firmly. Then, a prosthodontist can place crowns or other prostheses over the implant.

Recovery from Dental Implant

There is a great deal of debate over the proper amount of recovery time required to let the implant heal properly before placing a prosthesis on it. The general practice is to allow anywhere from two to four months for healing before adding the stress of a prosthesis, or four to six months if bone grafting is involved.

In very selected cases, a temporary prosthesis can be inserted on the same day of implant placement, possible if certain clinical criteria are meant.

Implants generally have a high success rate, although this is dependent on the type of procedure needed and the skill of the surgeon making the dental implant. So choosing the right dental surgeon to carry out the procedure is very important.

Source by Rose T Teo


More About Services Provided By A General Dentist

The role of general dentists is to provide primary dental care for patients of all ages. They look after your entire family and overall dental health. Your oral health needs are met by the general dentist as they take care of the diagnosis, treatment and coordination of services.

However, in case, specialized dental care is needed, the dentist will refer you to specialists to ensure that you get the care that you need. Mostly general dentists work in government health services, higher education, military and research projects. All of them have years of experience and academic qualifications that ensure you get the highest dental services. The dentists are trained and educated specializing in different areas of dentistry. Some of the services that are provided to you and your family include:

– Dental implants and dentures

– Crowns and bridges

– Oral surgery

– Partial dentures

– Nutrition counseling

– Orthodontics

– Root canal therapy

– Sealants

– Teeth cleanings

– Gum disease treatment

– Crowns and bridges

– Cosmetic procedures

Usually functioning as family dentists and looking after oral dental care, the vast experience and services are a help. However, if you are looking for cosmetic dentistry, a general dentist will not be able to assist you. It is a separate specialization that requires precision and experience for proper functioning. But before you set an appointment with the cosmetic dentist, ensure that your insurance covers the costs. If you are looking for dental inlays and overlays, for teeth restoration, or improving your decayed teeth, consult a cosmetic dental surgeon.

These are applied to the chewing surfaces of the molars as they wear out faster. If you have decayed teeth, the dentist will remove the portions of damaged tooth and the rest will be prepared for the dental inlay or overlay. Additionally, a wax mold impression will be taken along with the bite to ensure the best fit. This impression is then used to create a plaster model which will be used to match the contours of the tooth.

The inlay fillings are used for restoring normal tooth structure while it is used for filling in small areas between the teeth. While the dental onlay are used on treating a larger area and is specially used when the chewing surfaces over a large area require to be safeguarded. However, both of these are made from composite resin or porcelain as they can withstand everyday grinding and chewing while matching the natural color of the teeth. Additionally, you can even get dental crowns made of alloys or metals. You must have seen people with gold or titanium dental crowns. As these are metal, they last long and can withstand wear and tear.

Only after the wax model is approved, the porcelain or alloy crowns are made. The second session is used for checking the fitting and is then cemented to ensure a proper bond. After that the final polish is done and you have got a beautiful smile again. If you have more concerns about the procedure or have queries, your general dentist will be able to help you.

Source by Linda True


Sugar and Dental Health

Most of us would consider our food choices unhealthy, not only in the sense that they interfere with the functionality of some of our most important organs, but also in that they plainly compromise our oral health. We live among people who love to indulge in soda, sweet foods, and bad habits like smoking. The effects of all this neglect are compounded, yielding problems like dental caries and gum disease. Eating right is really not that difficult and what you personally stand to gain from a little self-control far outweighs whatever sacrifices you may have to make to get there.

The most effective step you can take against combating oral diseases of any kind is to simply eliminate sweets from your diet. Any food or drink with sugar in it feeds the bacteria in your mouth, which processes this food by producing acid. This acid decomposes your tooth enamel, leaving your teeth prone to decay. Now, don’t think you can substitute diet cola for whatever type of soda you may be drinking now. This has acidic components that will compensate for the reduction in sugar. Stop drinking soda, eating cakes and cookies, and nibbling on caramel apples. Substitute these with vegetables or other alternatives. If you can’t eradicate sweets from your diet, at least attempt to reduce your weekly intake.

Proper dental hygiene and regular dental checkups are both important components to your overall oral health. Brush and floss daily. Remember not to brush too aggressively as this can wear down your tooth enamel. If you have trouble reaching certain areas of your mouth because you wear orthodontia, a dental water jet system is a good choice/ Be sure to attend your cleaning appointments regularly as to detect any decay early and thus prevent any future problems. As long as you take a proactive role in maintaining your dental health, you will be able to enjoy your teeth for many years to come.

Source by Theodore Michaels