Posts for: September, 2021
Along with fessing up to cherry tree surgery and tossing silver dollars across the Potomac River, George Washington is also famously known for wearing wooden dentures. Although we can't verify the first two legends, we can confirm Washington did indeed wear dentures, but not of wood—hippopotamus ivory and (yikes!) donated human teeth—but not wood.
Although they seem primitive to us today, Washington's dentures were the best that could be produced at the time. Still, the Father of Our Country suffered mightily from his dentures, both in physical discomfort and social embarrassment. Regarding the latter, our first president's dentures contorted his lips and mouth in an unattractive way, faintly discernable in Gilbert Stuart's famous portraits of our first president.
If only Washington had lived in a later era, he might have been able to avoid all that dental unpleasantness. Besides better versions of dentures, he might also have benefited from an entirely new way of replacing teeth—dental implants. Just four decades after this state-of-the-art restoration was first introduced, we now recognize implants as the "Gold Standard" for tooth replacement.
In recognition of Dental Implant Month in September, here are 4 reasons why dental implants might be the right tooth replacement choice for you.
Life-like. While other restorations provide a reasonable facsimile of natural teeth, implants take like-likeness to another level. That's because the implant replaces the root, which then allows for a life-like crown to be attached to it. By positioning it properly, implants and the subsequent crown can blend seamlessly with other teeth to create an overall natural smile appearance.
Durable. Implants owe their long-term durability (more than 95% still functioning after ten years) to a special affinity between bone and the titanium post imbedded in the jaw. Bone cells readily grow and adhere to the implant's surface, resulting over time in a more secure hold than other restorations. By the way, this increased bone growth around implants can help slow or even stop progressive bone loss.
Low impact. Dental bridges are another well-regarded tooth replacement option, but with a major downside: The natural teeth on either side of the missing teeth gap must be crowned to support the bridge. To prepare them, we must permanently alter these teeth. Implants, though, don't require this form of support, and so have a negligible effect on other teeth.
Versatile. Although implants are a practical choice for individual tooth restorations, multiple teeth replacements can get expensive. Implants, though, can also be incorporated into other restorations: Four to six implants can support an entire removable denture or fixed bridge. Implant-supported restorations are more durable than the traditional versions, while also encouraging better bone health.
If you need to replace teeth and would like to consider dental implants, see us for a complete examination. You may be an ideal candidate for this "best of the best" dental restoration.
There are plenty of hilarious videos of groggy patients coming out of wisdom teeth surgery to keep you occupied for hours. While many of these have turned everyday people into viral video stars, every now and then it really is someone famous. Recently, that someone was Seattle Seahawks quarterback Russell Wilson.
The NFL star underwent oral surgery to remove all four of his third molars (aka wisdom teeth). His wife, performer and supermodel, Ciara, caught him on video as he was wheeled to recovery and later uploaded the clip to Instagram. As post-wisdom teeth videos go, Wilson didn't say anything too embarrassing other than, "My lips hurt."
Funny videos aside, though, removing wisdom teeth is a serious matter. Typically, the third molars are the last permanent teeth to erupt, and commonly arrive late onto a jaw already crowded with other teeth. This increases their chances of erupting out of alignment or not erupting at all, remaining completely or partially submerged within the gums.
This latter condition, impaction, can put pressure on the roots of adjacent teeth, can cause abnormal tooth movement resulting in a poor bite, or can increase the risk of dental disease. For that reason, it has been a common practice to remove wisdom teeth preemptively, even if they aren't showing any obvious signs of disease.
In recent years, though, dentists have become increasingly nuanced in making that decision. Many will now leave wisdom teeth be if they have erupted fully and are in proper alignment, and they don't appear to be diseased or causing problems for other teeth.
The best way to make the right decision is to closely monitor the development of wisdom teeth throughout childhood and adolescence. If signs of any problems begin to emerge, it may become prudent to remove them, usually between the ages of 16 and 25. Because of their location and root system, wisdom teeth are usually removed by an oral surgeon through one of the most common surgeries performed each year.
This underscores the need for children to see a dentist regularly, beginning no later than their first birthday. It's also a good idea for a child to undergo an orthodontic evaluation around age 6. Both of these types of exams can prove helpful in deciding on what to do about the wisdom teeth, depending on the individual case.
After careful monitoring throughout childhood and adolescence, the best decision might be to remove them. If so, take it from Russell Wilson: It's worth becoming the star of a funny video to protect both current and future dental health.
At what age should you begin treating a poor bite? Many might say with braces around late childhood or early adolescence. But some bite problems could be addressed earlier—with the possibility of avoiding future orthodontic treatment.
A crossbite is a good example. In a normal bite, all of the upper teeth slightly cover the lower when the jaws are shut. But a crossbite occurs when some of the lower teeth, particularly in back, overlap the upper teeth. This situation often happens when the upper jaw develops too narrowly.
But one feature of a child's mouth structure provides an opportunity to intervene and alter jaw development. During a child's early years, the palate (roof of the mouth) consists of two bones next to each other with an open seam running between them. This seam, which runs through the center of the mouth from front to back, will fuse during puberty to form one continuous palatal bone.
An orthodontist can take advantage of this separation if the jaw isn't growing wide enough with a unique device called a palatal expander. This particular oral appliance consists of four, thin metal legs connected to a central mechanism. The orthodontist places the expander against the palate and then uses the mechanism to extend the legs firmly against the back of the teeth on both sides of the jaw.
The outward pressure exerted by the legs also widens the seam between the two palatal bones. The body will respond to this by adding new bone to the existing palatal bones to fill in the widened gap. At regular intervals, the patient or a caregiver will operate the mechanism with a key that will continue to widen the gap between the bones, causing more expansion of the palatal bones until the jaw has grown to a normal width.
The palatal expander is most effective when it's applied early enough to develop more bone before the seam closes. That's why it's important for children to undergo bite evaluation with an orthodontist around age 6. If it appears a bite problem is developing, early interventions like a palatal expander could slow or stop it before it gets worse.
If you would like more information on interceptive orthodontics, 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 “Palatal Expanders.”