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Posts for: April, 2015

By Donald M Jackson, DDS, PA
April 23, 2015
Category: Dental Procedures
Tags: dental implants   bridgework  
WhenCouldBridgeworkBePreferabletoaDentalImplant

When a tooth is lost, it’s important to restore your mouth to its proper function and appearance with a permanent replacement, such as a dental implant or a bridge. Recently, the implant system has received the lion’s share of attention (for some good reasons); however, in certain situations, dental bridgework offers a viable alternative. What would cause one method to be favored over the other?

In general, implants are now considered the gold standard for tooth replacement. They have the highest success rate (over 95 percent), last the longest (quite possibly the rest of your life), and don’t affect the integrity of adjacent teeth. Bridges, by contrast, require the removal of tooth structure from adjacent teeth, which can potentially compromise their health. Yet implants aren’t necessarily ideal for every situation. When might a bridge be preferred?

Some people don’t have the proper quantity or quality of bone in the jaw to support an implant; or, they may have anatomical structures (nerves or sinuses) located where they would interfere with an implant. It is possible in some cases to work around these obstacles with bone grafts, or by placing implants in alternate locations; in other cases, a bridge may be a better option.

While most tolerate the implant process quite well, a few people aren’t good candidates for the surgical procedure required to place an implant. Certain systemic diseases (uncontrolled diabetes, for example), the use of particular medications, or a compromised immune system may make even minor surgery an unacceptable risk. In these cases, a decision may be made after consulting with an individual’s other health care providers. Additionally, a few behaviors or lifestyle issues, like heavy smoking or a teeth-grinding habit, tend to make implants have a less favorable success rate.

There are also a few circumstances that could argue in favor of a bridge — for example, if you already have a need for crowns on the teeth adjacent to the gap, it can make the process of getting bridgework easier and more economical. Financial issues are often an important consideration in planning treatment — but it’s important to remember that while bridges are generally less expensive than implants in the short term, the much longer expected life of implants can make them more cost-effective in the long run.

If you have questions about dental implants or bridgework for tooth replacement, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine article “Crowns & Bridgework.”


By Donald M Jackson, DDS, PA
April 08, 2015
Category: Dental Procedures
EdenSherandtheLostRetainer

Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!

If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.

If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?

As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.

And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!

If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?