Julie, age 51, wanted a second opinion on a new denture. Julie said she had sever gum disease. She decided to have her remaining 26 teeth removed before seeing me. On examining her pre-surgical X-ray I found her to have had a lot of bone support on 2/3rds of her teeth and could have had a few of her worse teeth removed and kept most of her teeth if she was willing to have gum therapy and do some additional home care. Having teeth removed is a final solution to gum disease, but not everyone is a successful denture wearer, they are now a dental cripple. Some patients are fed up with tooth problems and the cost and just want them all out, which may be a good solution for them. Carefully weigh the options (614) 775-9300 or (740)427-2929
Eva wanted a permanent, pleasant and painless solution to her dark and crooked teeth. A complete examination of tooth structure and gum tissue found Eva to be healthy. Dental Solutions: Option 1. Braces or Invisalyn to straighten her teeth, following up with tooth bleaching. Bleaching is not permanent, and a straightening did not seem pleasant to Eva. Option 2. Lumineers, porcelain veneers that can be created without shots or pain, very little or no drilling and the custom light color is permanent and the porcelain is very strong and durable. Eva decided that Lumineers would be the permanent, pleasant, painless solution for her. (614) 775-9300 or (740)427-2929
The Importance of Gum/Periodontal Health
Gum Disease - Periodontal Disease
What are common signs and symptoms of periodontal disease?
What can I do at home to prevent gum or periodontal disease?
Treatment for gum or periodontal disease
Most dentists would agree that after scaling and root planing, many patients do not require any further active treatment, including surgical therapy. However, the majority of patients will require ongoing maintenance therapy to sustain health. Non-surgical therapy does have its limitations, however, and when it does not achieve periodontal health, surgery may be indicated to restore periodontal anatomy damaged by periodontal diseases and to facilitate oral hygiene practices.
What are the consequences of missing teeth?
FAQs (Frequently Asked Questions)
Are you taking new patients?
What happens at my first visit?
Is there a link between periodontal disease and diabetes?
What causes gum recession?
BRUXISM (Clenching/Grinding of Teeth)
Grinding noise from teeth rubbing forcefully against each other is usually not heard by patient, noticed by a sleeping partner. You may even hear some people grind their teeth during the day, again the patient cannot hear this sound. Muscle Fatigue, muscle pain and headaches, locking, cracking and clicking of jaw joints; all can be contributed to Bruxism. These are also covered under the umbrella of “TMJ” or “TMD”
We can make you aware of the habit and discuss the causes of bruxism. A removable intraoral appliance or orthotic can be made for you commonly called a night guard or bruxism splint. The night guard protects the teeth from the forces of clenching and grinding the teeth together, in many cases patients grind less wearing the night guard. The patient still want to grind they can slide around on the orthotic distributing the force among more teeth and the patient can wear out the plastic rather than their teeth.
The latest thoughts on bruxism:
Is there a way to improve my smile?
Dental Hygiene Services:
Sage solutions are wonderful for tightening gums gently while also effectively relieving pain and discomfort often associated with receding gums. Brew your own solution by adding a couple of sage leaves to boiling water, strain and thoroughly rinse your mouth 2 times a day.
Tea tree oil is a wonderful ingredient for prevention of bacteria accumulation. Mix a couple of drops tree oil with warm water and rinse your mouth no more than 2 times a day. Baking Soda, Baking Soda with Peroxide - Search Keyes Technique - labor intensive butcan do wonders for the diligent patient.
Great links to save
Passing Judgement on Occlusion (jaw alignment, tooth alignment and bite)
Occlusion status affects how adults rate the attractiveness, personality and even the intelligence of other adults, according to a study published in the November 2011 edition of the American Journal of Orthodontics and Dentofacial Orthopedics.
A researcher in Michigan and a private practitioner in North Carolina combined to survey 889 people (46 percent male, 54 percent female, ranging in age from 18 to 90 years), asking them to evaluate photos that had been manipulated to show either normal occlusion or one of six malocclusions (open bite, deepbite, underbite, overjet, crowding and spacing).
"The ratings of attractiveness, intelligence, conscientiousness, agreeableness and extraversion differed significantly depending on the occlusion status depicted," their report states.
People with normal occlusion were rated as most attractive, intelligent, agreeable and extraverted, while those with underbite were rated least attractive, intelligent and extraverted. Females with malocclusion were rated more favorably than males. Younger and more educated respondents were more critical in their evaluations than older, less educated respondents.
Conducting the study were Drs. Jase A. Olsen, a private practitioner in Southern Pines, N.C., and Marita Rohr Inglehart, associate professor, Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan.
"Judgments that are negatively influenced by the effects of malocclusion might leave those without a normal occlusion at a social disadvantage and professionally handicapped," the study notes.\
The study also quotes earlier research showing that "attractive" people were perceived to be more intelligent and socially competent, to have a more positive personality, to have better social interactions and to receive more favorable professional ratings.
In addition, the study quotes from the National Health and Nutrition Examination III from 1988-91, which showed that 57 percent to 59 percent of adults had some degree of malocclusion.
Although that study is two decades old, it still provides the most current prevalence data for malocclusion among U.S. adults.
The American Journal of Orthodontics and Dentofacial Orthopedics is the official publication of the American Association of Orthodontists.
Am J Orthod Dentofacial Orthop 2011; 140:669-79; www.ajodo.org
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