Dental Implants

When people lose teeth, they don’t have to have permanent gaps in their smile. People who have had accidents, diseases, or tooth decay can now erase the effects of these problems from their smile. They can have their dentist do some cosmetic reconstruction in the form of dental implants. Dental implants are a long lasting way to correct any smile.

Dental implants are an artificial way of recreating a lost tooth or teeth. Implants start with a titanium screw that is inserted into the jaw bone. During the procedure the gums are cut open to expose the bone. To insert the titanium screw or post, the dentist then drills a hole into the bone. Titanium is the metal of choice because it allows the surrounding bone to grow into and around it. The screw is left slightly rough and porous on the edges to encourage the jaw bone to attach to it. This is a vital part of the implant. Once the screw has been inserted, the gums are stitched together. The patient will be under anesthesia at the time to relieve discomfort and pain.

There is a healing process that takes some time. Bones don’t regenerate over night, and in this case they are growing around a titanium screw. It can take several weeks or several months for implants to be fully anchored and ready to go. The crown will not be placed on the screw until the bone has grown around the screw to anchor it.

Once the screw has been securely imbedded into the patient’s jaw bone, a crown or artificial tooth is attached to the top of the screw. Usually the dentist will put a temporary crown on initially. This is to allow the surrounding gum line sufficient time to adjust and grow in a natural manner around the new tooth. After the gums have healed and grown properly, the dentist will go back and replace the temporary tooth with a permanent one.

Sometimes the jaw bone doesn’t have enough bone material to take an implant. In these circumstances the dentist can do a bone graft to try to help regenerate enough bone material to anchor an artificial tooth. In other cases, the bone rejects the screw. But, the implant can usually be tried again with better results.

Dental implants are used in any circumstance where a tooth has been lost. They are a great way to obtain a permanent fix. And they don’t have the discomfort or difficulty associated with other artificial teeth such as dentures. Implants give greater comfort while chewing and greater confidence. They can also improve a person’s ability to speak clearly.

Because dental implants are long lasting and a close representation to a natural tooth and root system, the patient will need to continue habits of good dental hygiene. A dental implant needs to be cared for like a natural tooth. This means brushing and flossing daily in addition to regular visits to the dentist. Artificial teeth still need constant plaque removal to maintain healthy gums and a healthy mouth.

Although the screw can last for the duration of a person’s life, the artificial tooth on top is usually worn down by chewing and general usage. This part of the dental implant will likely have to be replaced at some point. But, with the screw already in place it is an easy fix.

Overall, dental implants are a great way for people to regain their perfect smile after the loss of a tooth or several teeth. Dental implants are long lasting and comfortable. But the best part of dental implants is that they look perfectly natural.

Source by Dr. J. D. Murray

Some Disadvantages of Invisalign

Despite being an advantage cosmetically Invisalign can have some disadvantages. Many of the disadvantages do not have to do with the product themselves but in patients habits and consistency in wearing the product. The fact that patients can remove the aligners means that Invisalign is not continually correcting and moving your teeth. It is up to the patient to be diligent in following proper procedure and keeping the aligners in for the minimum of 20 hours a day. If some of these disadvantages are not overcome in the process than readjustments will have to be made and most often people will have to wear their aligners for much longer. This is unlike traditional braces that do not rely on the patient’s habits to be a successful product.

Another issue is that the aligners must be removed for eating. Eating soft foods or smoothies is doable with the aligners in, however the bottoms of your teeth are not exposed like that of traditional braces, so the aligners must be removed to chew. The aligners and the teeth should be cleaned before re-inserting afterwards, which is simpler than traditional braces. You just brush your teeth with the aligners out, wash them separately and then reinsert the aligners. This can be troublesome for people who are constantly snacking on stuff and would mean the patient would be continuously cleaning their teeth, up to 6 or 7 times a day. However, Invisalign discourages snacking, because of the soreness created by removing the aligners, which some people might like about the treatment. The pain lessens after 2 weeks and eating becomes much easier.

Unlike traditional braces, if you grind or clinch your teeth while sleeping, or during the day, the aligners can be damaged, or worse you may need to repeat a tray because of the movement. In these rare cases new aligners may be required, or it may be suggested that you move to a metal retainer in the night or for an extended period of time. Also, the aligners may cause a slight lisp at the beginning of treatment. In most cases it will, and it may be embarrassing. Most people will salivate less as the mouth gets used to the foreign object and the lisp tends to go away. This lisp also usually comes with the traditional metal braces, so there is no avoiding this problem, except for getting used to the braces or aligners and the lisp disappearing.

Archwired and other forums have patients who have reported sensitivity or allergic reactions to the aligners. Some of the minor symptoms were sore throat and nausea. The FDA have reported a few more serious cases, so it is important to make sure that you do not have a reaction or toxic sensitivity to the Invisalign treatment. These cases are very rare and most patients are fine, but this could be a problem for you and is worth noting. Working through your orthodontist, Invisalign will make the aligners with several different materials to attempt to reduce toxic or allergic sensitivity.

These are some great tips to keep in mind that most people don’t mention as you decide whether or not Invisalign is right for you.

Source by Blake Abel

Choosing The Right Dental Implants Specialist For Your Treatment

If you are one of those individuals who have recently lost a missing permanent tooth or have decided to replace a tooth that was lost awhile back and are considering dental implants you should choose your specialist wisely. There are a number of specialists who are able to perform this treatment, but they differ, so you want the see the one that fits your personality, your criteria, and your wallet.

Dental implants are a surgical procedure that involves placing a metallic post into the patient’s jawbone and affixing a custom-made artificial crown to it. Since it is a surgical procedure a patient wants to make sure that the specialist has experience with the treatment. The procedure takes precision and a steady hand, so experience will indeed make a difference.

Although they may be certified to perform it doesn’t mean that they have actually performed the treatment before. The more experience that the dental implants specialist has at actually doing the procedure the more successful it will be.

Since the dental implants treatment is a surgical one that’s performed by a cosmetic dentist, a person that suffers from dental fear or phobia, as well as, some medical conditions may benefit from choosing a specialist that also practices sedation dentistry.

Some dental implants specialist that will provide this treatment in a single visit. These dental professionals have incorporated CEREC technology into their practice in order to provide patients same day dental implants. By incorporating CEREC into their practice, they are able to create the custom-made crown while they are performing the first step of placing the post.

Other specialists will require patients to wait until the crown is made elsewhere and sent back to the office. During the time that the crown is being formed though, the jawbone and post have time to bond. Some feel that this is necessary, while others believe it will happen regardless if the treatment is completed the same day or not.

It’s not just the specialist that needs to have their candidacy checked; a dental implants patient will also need to have their candidacy checked by a specialist for this treatment. Although most individuals are capable of having this treatment, there are some that may need additional dental treatment in order to be a good candidate. There are very few that don’t make good candidates.

The dental professional will thoroughly examine a patient’s mouth to ensure that they have a strong enough jawbone in order to hold the implant. If the bone is too weak, the dental implants specialist will have to do a bone graft in order for the patient to have the implant treatment. A bone graft is a simple procedure where the dentist will take a small piece of bone from elsewhere and place it on top of the affected area just prior to placing the implant post.

Source by Robert Fogarty

Invisalign: An Alternative To Braces

The need to fix crooked, unattractive teeth isn’t one that’s simply reserved for pimply-faced teenagers who may feel conspicuous with a mouth full of metal braces, but know the investment will pay off in the long run. Many adults suffer from crooked or misaligned teeth that were never fixed earlier in life, or may have shifted position after braces were removed.

More often than not, adults simply choose to suffer with misaligned teeth, finding it preferable to showing up at work with the same metal braces they had at 13 years old. However, there are other alternatives available to adults wishing to painlessly and inconspicuously improve their smile. One of the more popular alternatives currently on the market is Invisalign.

Straighter, more properly aligned teeth offer greater benefits than simply improving the aesthetic appeal of a person’s smile; in fact, making the changes will result in better dental health and an overall improvement in a person’s well-being. A straighter smile helps the gums fit more tightly around the teeth, the way they were ideally intended to do. This dramatically cuts down on the buildup of plaque, tartar, bacteria, and food particles that accumulate between the teeth and gums, causing infection and chronic gingivitis.

Unhealthy gums are a leading cause of tooth decay, and left untreated, may develop abscesses around decaying teeth. This is an extremely painful condition that sometimes requires a root canal or tooth extraction, and one that can be largely avoided through proper dental care. Choosing to straighten the teeth with Invisalign helps prevent many of the unwanted side effects that accompany unhealthy teeth and gums.

In addition, Invisalign is the perfect solution for busy adults that would like to improve their smile, but don’t have the time to devote to high-maintenance treatments and don’t want to sacrifice the freedom of eating and drinking the things they enjoy. Invisalign operates through a set of clear braces, and simply removing the aligners allows for virtually unrestricted eating and drinking, as well as providing the opportunity to brush and floss regularly.

There are no metal brackets, braces, or wires involved with the Invisalign system, which virtually eliminates the pain and irritation that often accompanies the use of traditional metal braces. The use of 3-D imaging even offers patients the opportunity to see the results before beginning the treatment, providing encouragement and helping patients to envision their straighter, brighter, healthier smile.

Source by Andrew Stratton

An Orthopedic Approach to Changing the Shape of the Chin

Moving the chin bone is the simplest of all the cosmetic facial bone procedures. Because the chin is easy to get to through the mouth and there is little in the way to get there, cutting and moving the chin bone (the tip of the front of the lower jaw) is relatively easy do and commonly done. Besides cutting and moving the bone forward to create more chin prominence, bone manipulations of the chin can be much more than just traditional horizontal augmentation.

When the chin bone is cut and dropped down, there are many different shaping procedures that can be done to it. By making a horizontal bone cut below the front teeth, the chin can be changed in length. A wedge of bone can be cut out and the chin brought back up to shorten it in height. Conversely, the chin can be lengthened by placing a bone graft or a piece of synthetic bone in between the two cut ends to make the chin vertically longer. If the chin lengthening is relatively small (a few millimeters), nothing may need to be put in the gap between the bone pieces.

Aside from height changes, alterations can also be done in chin width. The chin bone once cut and brought down from the rest of the jaw, can be widened or narrowed as well. By removing a piece of bone down the middle of the chin bone, it can be brought together in a more narrowed fashion, Similarly, a bone cut can be made down the middle of the chin and it can be split apart and widened. (similar to what it done for lengthening the height of the chin)

With all of these chin changes, small plates and screws are needed to hold the bone segments into the desired positions. This metal hardware is very small and can never be felt from the outside. Over time and with healing, bone overgrows much of these plates and screws. I have never had to remove plates and screws from the chin due to problems with them. They are made of titanium, which is a non-magnetic metal, so there is no concern about ‘setting off the detector at the airport’.

Orthopedic surgery of the chin offers some advantages over more simple chin implants, particularly in changing the dimensions of chin shortening, chin narrowing, and chin lengthening. These are chin changes that implants can not do as their effects are additive, not reductive.

Source by Dr Barry Eppley

Invisalign: Proper Cleaning Procedures

Patients turn to the ease of Invisalign to straighten out their teeth. When compared to traditional braces, metal wiring and constant adjustments, the idea of molds that get changed out every few weeks is appealing. People wearing braces have special instructions to make sure that their equipment stays clean and protects the teeth underneath. There are also some simple steps to keeping these molds clean and protecting the teeth.


The Invisalign aligners are given to dental patients to wear constantly. They can be removed when a person needs to eat or brush their teeth. Because of the amount of time they are worn, it is important to keep them clean. No one wants underlying bacteria to be covering their teeth day in and day out. Every few weeks a new pair of aligners is given to the patient. These have slight adjustments that move the teeth into a new location.


After every meal and before bed, a person should brush their teeth and floss. During these times, the aligners can also be cleaned. It only takes a small amount of toothpaste and a toothbrush to keep them clean. There is no need to scrub or press hard; just a light touch will get the job done.

When choosing toothpaste, be sure to look for the simplest formula possible. There is no need to use whitening toothpaste or products with any type of abrasives. When the aligners come in contact with these types of things, they tend to get scratched or they become discolored. Scratches and discoloration often make the aligners more visible to others. Because the benefit of Invisalign is fixing a person’s teeth without people around him or her noticing, it is best to take care of the aligners.

Avoid Soaking

It may be tempting to soak the Invisalign molds in mouthwash or try to place them in water with denture cleaner. It seems like this would not only clean the molds but also remove the bacteria that could be building up on them. Avoid these types of products as they can cause problems with the molds including scratches and discoloration. Once again, it takes away the major benefit of the aligners – to straighten teeth without anyone noticing.

If you are considering Invisalign braces, be sure to talk with your doctor about how he or she would like you to clean them. While these are general guidelines, different dentists give their patients different advice. Some insist on only using toothpaste while others prefer that their patients only use a toothbrush and water.

Once you receive your first set of molds, be sure to read through all of the directions. You don’t want to make this investment and then find that you are having problems with the aligners.

Source by Andrea Avery

Knee Injury – Ligaments in Action

Sports injury accounting for meniscus or ligament injuries of the knee are common owing to high activity levels. Usually, the patient is a young adult presenting with acute onset pain and swelling of the knee, with sensation of give way while climbing up or downstairs.Young patients often wish to pursue active sports, which makes newer research into the treatment modalities, a prime necessity.

Meniscus Injuries usually present with knee effusion, may cause locking episodes and/or persistent pain along the joint line. Patient usually complain of inability to put full weight over the affected limb. The medial or the inner side meniscus is more prone to injury owing to specific anatomy and peripheral attachments. Ligaments that stabilize the knee include the Anterior and Posterior Cruciate ligaments. They prevent abnormal translation between the Tibia (leg bone) and Femur (thigh bone). An injury to the ligaments may cause a feeling of give way.

The diagnosis can be ascertained with reasonable certainty using Magnetic Resonance Imaging. However, sometimes the findings may not be confirmatory, and an arthroscopy of the joint is required. Knee arthroscopy may be performed both to diagnose and to treat the condition.

Meniscus tears at some location, and if presenting within a week may be repaired using arthroscopic techniques. This provides good long term results. If presenting late, or extensive tear, the torn portion is resected by arthroscopic technique, leaving a thin intact rim. Meniscus tears, if not treated properly have been known to contribute to development of arthritis.

Ligament tears may be treated with physiotherapy or surgical intervention. Tears associated with bony island should be treated surgically on urgent basis. Mid-substance tears do not heal by themselves, and need reconstruction. Ligament reconstructions should be delayed for 4-6 week, and aggressive physiotherapy should be done in the meantime.

Anteior Cruciate Ligament reconstruction is one of the commonly performed surgeries by Orthopaedic surgeons handling sports injuries. It can be reconstructed using tendons from the inner aspect of knee or from the patellar ligament (knee cap region). Both offer equally satisfying results, however Patellar tendon bone graft offers better biological bone to bone incorporation. Meniscus transplants from cadaver donors is the new technology in the closet.

Patients usually require a 6 month period before they can get back to contact sports, with prolonged supervised intensive physiotherapy. Important to understand that, not all patients with Meniscus tear or ligament tear need surgery. However, timely performed arthroscopy helps in early rehabilitation.

Source by Dr. Anurag Awasthi

What You May Not Know About Visiting An Invisalign Dentist

If your teeth look a little as though they’re not talking to each other, turning their backs on each other or trying to run in opposite directions then you may have considered visiting an Invisalign dentist. Certainly when it comes to teeth alignment Invisalign is the name on everyone’s lips, or rather, everyone’s teeth. But there’s something you should know about the whole process, because it may not be as ideal as you first imagine.

Very few people are born with perfect teeth. In fact, almost no one is actually born with teeth at all of course, but what I mean is that our natural teeth alignment as we grow older is rarely perfect. Nature doesn’t tend to do neatness, straight lines or predictable alignment. This is where dentists can step in and help us out with teeth alignment. Whether your teeth are crooked, have gaps between them, are overlapping, or otherwise looking less than perfect an Invisalign dentist seems to be the only alternative to wearing clumpy great metal braces which have for so long typified the teenage look.

Metal braces are no bad thing of course. They do the job brilliantly, and have helped give a great many people a fabulous set of teeth which look less like a disgruntled rabble of argumentative rebels and more like a highly presentable row of soldiers standing neatly to attention. Obviously wearing metal braces isn’t a look people are too keen on, and there are several major drawbacks in addition to looking as though we’ve got a building firm working in our mouth for three years.

To start with they are large, and can really affect how you speak, which rules out certain jobs such as a telesales person, radio announcer or audio book reader. Then there’s the oral hygiene, of which there’s very little. You certainly can’t floss, and even brushing your teeth is tough. Don’t even start to think about eating a peanut butter sandwich with sesame seeds on top. Many people have also found that the wires can sometimes stick into their gums and cause ulcers and sores.

So whilst there is undeniably a real benefit to be had from traditional metal braces they aren’t ideal by any stretch of the imagination. Which is why the offer being put forward by Invisalign seems so appealing. Can an Invisalign dentist really give you perfectly aligned teeth, without all of the downsides inevitable from wearing metal braces?

The short answer is that yes, visiting an Invisalign dentist and having invisible braces or clear braces fitted will give you fabulous looking teeth, and without the visible bulkiness of normal braces, without the discomfort, without affecting your voice or speech, without impacting on oral hygiene and without anyone even realising you’re wearing a brace. But that’s not necessarily the point. Because what’s important is to appreciate that there are other drawbacks which have put a great many people off.

To begin with, you can easily remove clear braces at any time you like, very easily. In fact you’re encouraged to, so that you can brush your teeth properly, floss and eat certain foods. This sounds great, until you realise that not everyone will have the willpower and self discipline to put the brace back in again afterwards. For those who may be tempted to remove their brace rather too often, or ‘forget’ to put it back in again the process will fail, and be a waste of time and money.

Then there’s the fact that you’ll be seeing your Invisalign dentist rather a lot. In fact by the end of the process, which thankfully does take only about half the time as normal braces, you’ll get to know your dentist extremely well, because you’ll need to revisit him or her every two weeks to be fitted for a new set of clear braces.

It’s important to be aware of these drawbacks, because it has affected how people feel about seeing an Invisalign dentist for clear braces. If you don’t have good self discipline, or you don’t want to have to commit to a fortnightly trip to the dentist for up to a year or 18 months then you may be best either loving your teeth as they are, or choosing traditional metal braces instead.

Source by Justin Arnold

Dental Implants – Like Natural Teeth

I had a dental implant about two years ago, and I would recommend this procedure to anyone who is considered a candidate by a dentist. Dental implants can be as strong as a natural tooth, and the reason for this is that the titanium implant material actually makes a chemical bond with the bone in one’s jaw. This is a huge advantage for a replacement tooth.

There are a couple of downsides to the procedure, however. One of these is that not all implant procedures work. I recently read an article which cited some statistics. It said that 95% of all implants on lower teeth are successful, as are 90% of those on upper teeth. The article did not specify the reasons for the failed attempts, but I suspect they have to do with the skill of the dentist or periodontist, and the condition of the bone into which the implant is placed.

Another issue is the length of time it takes to complete the procedure from beginning to end. In my case this was about ten months, and this included time to wait for an appointment with the periodontist, a specialist, and the time he took to let the extraction heal thoroughly. He also waited several months for the implant to bind with the bones in my lower right jaw after it was finally inserted. Immediately after the tooth extraction I also had a small bone graft added to my jaw to add more support for the implant once it was inserted. Of course during most of this time I needed to chew all my food on one side of my mouth only. At first this was bothersome, but after a while I got used to it.

My periodontist seemed to take a conservative approach to letting my mouth adjust after extracting my bad tooth and also after inserting the implant. He waited about five months after the extraction and bone graft to put the implant into my mouth, and then we waited another four months before putting a stud onto the implant and having a permanent crown made. I think his experience told him that the length of time the procedure took from beginning to end was not important. What was important is that the implant was a success. I have seen advertisements lately from dentists who claim to do an implant in one day. I have no idea what they are talking about, perhaps it is some other kind of implant.

As mentioned, I’ve had the implant for two years now, and it feels like a normal tooth. In fact I don’t notice it at all. If you are a candidate, a dental implant is definitely worth considering.

Source by Walt Ballenberger

6 Common Question About Invisalign Braces

Although Invisalign braces have received a great deal of publicity and media interest over the past year or two, a great many people are still trying to find out some of the basic information about them, including how they work. In this article we’re going to look at some of the most common questions people ask about Invisalign’s clear braces, with helpful information relating to each question.

How obvious are clear braces compared to traditional braces?

Clearly traditional braces leave a lot to be desired as far as visual appearance is concerned, becoming one of the most obvious facial features for the best part of three years. Clear braces offer a great deal of improvement in this regard, because they are virtually impossible to detect. Once you have your Invisalign braces in most people won’t know you’re even wearing them, and for family photographs you’ll be able to smile with confidence, knowing that you won’t have to deal with seeing a lump of metal grinning back at you from the pages of your family photo album for ever more.

Will anyone be able to tell if I have invisible braces in?

They’re called invisible braces because to all intents and purposes they are, since unless you know what to look for the chances are that you probably wouldn’t be able to ever tell. Think about it – how many people have you seen recently wearing traditional braces? Probably a few, either on television, at the shops, in town, at school. Now how many people have you ever seen wearing clear braces? Almost certainly the answer is none, although in truth you’ll have seen plenty of them – you just won’t know it.

Can I still brush my teeth effectively, and floss?

One of the real benefits of Invisalign braces is that they can easily be removed at any time, very discretely and comfortably. In fact you’re actually encouraged to do this, so that you can brush your teeth properly, and even floss. You can remove your brace for eating certain foods that might otherwise be a problem, and for occasions such as a professional close up photo shoot, or for those romantic moments!

How long will I need to keep my clear braces in for each day?

You must keep the invisible braces in for at least 23 hours a day, every day. This might sound a lot, but when you think about it, you’re only having to take them out to do your teeth twice a day, totalling no more than 10 minutes, and then you still have 50 minutes a day for eating particularly tricky foods (or kissing!) It’s important though that you do keep them in for at least 23 hours a day because otherwise the teeth can start to revert to their former position, and you may even find that your brace no longer fits.

How long is the teeth alignment process using Invisalign braces?

On average wearing Invisalign clear braces can complete the teeth alignment process in around half the time of normal braces. The most you can expect to have to wear them is eighteen months, although many people find the treatment is complete in under a year.

What support is there for me during the teeth alignment process?

Invisalign offer a great deal of support as this is really part of the way in which their teeth alignment process works. Once you are fitted with your first set of braces you have two weeks before you need to return to your Invisalign dentist. You’ll be given a quick checkup to make sure all is well, and then you’ll be given a replacement set of clear braces which are slightly different to the first pair, helping to continue nudging your teeth along. Every two weeks you’ll be given a quick checkup and a new set of braces, so the support is second to none.

Source by Justin Arnold