Posts for: August, 2018
Everyone has to face the music at some time — even John Lydon, former lead singer of The Sex Pistols, arguably England’s best known punk rock band. The 59-year old musician was once better known by his stage name, Johnny Rotten — a brash reference to the visibly degraded state of his teeth. But in the decades since his band broke up, Lydon’s lifelong deficiency in dental hygiene had begun to cause him serious problems.
In recent years, Lydon has had several dental surgeries — including one to resolve two serious abscesses in his mouth, which left him with stitches in his gums and a temporary speech impediment. Photos show that he also had missing teeth, which, sources say, he opted to replace with dental implants.
For Lydon (and many others in the same situation) that’s likely to be an excellent choice. Dental implants are the gold standard for tooth replacement today, for some very good reasons. The most natural-looking of all tooth replacements, implants also have a higher success rate than any other method: over 95 percent. They can be used to replace one tooth, several teeth, or an entire arch (top or bottom row) of teeth. And with only routine care, they can last for the rest of your life.
Like natural teeth, dental implants get support from the bone in your jaw. The implant itself — a screw-like titanium post — is inserted into the jaw in a minor surgical operation. The lifelike, visible part of the tooth — the crown — is attached to the implant by a sturdy connector called an abutment. In time, the titanium metal of the implant actually becomes fused with the living bone tissue. This not only provides a solid anchorage for the prosthetic, but it also prevents bone loss at the site of the missing tooth — which is something neither bridgework nor dentures can do.
It’s true that implants may have a higher initial cost than other tooth replacement methods; in the long run, however, they may prove more economical. Over time, the cost of repeated dental treatments and periodic replacement of shorter-lived tooth restorations (not to mention lost time and discomfort) can easily exceed the expense of implants.
That’s a lesson John Lydon has learned. “A lot of ill health came from neglecting my teeth,” he told a newspaper reporter. “I felt sick all the time, and I decided to do something about it… I’ve had all kinds of abscesses, jaw surgery. It costs money and is very painful. So Johnny says: ‘Get your brush!’”
We couldn’t agree more. But if brushing isn’t enough, it may be time to consider dental implants. If you would like more information about dental implants, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implants” and “Save a Tooth or Get an Implant?”
Summer is a great time to go outdoors and get your game on—no matter whether your court is set up for tennis or basketball, whether you’re on the diamond or on the greens. Regular physical activity can help you maintain your optimal weight, reduce your risk for certain diseases, and even lower stress levels. But many of our favorite outdoor sports also carry a risk of accidental injury…and frequently this involves injuries to the mouth.
Because they’re front and center, the incisors (front teeth) are the ones most often affected by accidental injuries. While serious damage is relatively rare, chips and cracks are not uncommon. Fortunately, dentistry offers a number of good ways to restore chipped or broken teeth. Which one is best for you depends on exactly what’s wrong—but a procedure called cosmetic bonding is one of the most common ways to repair small to moderate chips where the tooth’s soft pulp isn’t exposed.
In dental bonding, a tooth-colored material is applied directly to the tooth’s surface to fill in the chip or crack. The material itself is a high-tech mixture of tough plastic resins, translucent glass-like fillers, and other substances. Strong, durable and lifelike in appearance, these composite resins can be matched to the natural shade of your teeth.
Bonding is a conservative procedure, meaning that it requires little or no preparation of the tooth. It can be done right in the dental office, often in a single visit and without the need for anesthesia. Unlike porcelain veneers or crowns (caps), it usually doesn’t involve removing significant amounts of healthy tooth structure.
While the results can last for years, bonded restorations aren’t as durable as porcelain veneers or crowns, which are made in a dental laboratory. Bonding also isn’t suitable to repair major damage, or in cases where the tooth’s pulp could become infected; in this situation, you may need a root canal and a crown. However, for moderate chips or cracks, bonding can be an appropriate and economical way to restore your teeth to full function and aesthetic appearance.
Of course, it’s often said that an ounce of prevention is worth a pound of cure. That’s why it’s best to wear a protective mouthguard whenever you’re on the field. We can provide a custom-made mouthguard that’s comfortable to wear and offers maximum protection against dental injury—just ask!
If you have questions about cosmetic bonding or mouthguards, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Artistic Repair of Front Teeth with Composite Resin” and “Athletic Mouthguards.”
There are usually two moments when primary (“baby”) teeth generate excitement in your family: when you first notice them in your child’s mouth, and when they come out (and are headed for a rendezvous with the “tooth fairy”!).
Between these two moments, you might not give them much thought. But you should—although primary teeth don’t last long, they play a pivotal role in the replacing permanent teeth’s long-term health.
This is because a primary tooth is a kind of guide for the permanent one under development in the gums. It serves first as a “space saver,” preventing nearby teeth from drifting into where the permanent tooth would properly erupt; and, it provides a pathway for the permanent tooth to travel during eruption. If it’s lost prematurely (from injury or, more likely, disease) the permanent tooth may erupt out of position because the other teeth have crowded the space.
That’s why we try to make every reasonable effort to save a problem primary tooth. If decay, for example, has advanced deep within the tooth pulp, we may perform a modified root canal treatment to remove the diseased tissue and seal the remaining pulp from further infection. In some circumstances we may cap the tooth with a stainless steel crown (or possibly a white crown alternative) to protect the remaining structure of the tooth.
Of course, even the best efforts can fall short. If the tooth must be removed, we would then consider preserving the empty space with a space maintainer. This orthodontic device usually takes the form of a metal band that’s cemented to a tooth on one side of the empty space with a stiff wire loop soldered to it that crosses the space to rest against the tooth on the other side. The wire loop prevents other teeth from crowding in, effectively “maintaining” the space for the permanent tooth.
Regular dental visits, plus your child’s daily brushing and flossing, are also crucial in preventing primary teeth from an “early departure.” Keeping them for their full lifespan will help prevent problems that could impact your child’s dental health future.
If you would like more information on the right care approach for primary teeth, 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 “Importance of Baby Teeth.”