fbpx
Tooth Loss and Replacement

Tooth Loss and Replacement

by | Mar 17, 2013 | Cavities, Dentistry, Periodontal Disease, Tooth Decay

When we are born we come into the world without teeth. Some of us leave the same way, but that really isn’t what nature intended.

When you are on a liquid diet having teeth doesn’t appear to be vital, since there is obviously nothing to chew. Nature pretty much handles a baby’s nutritional needs with mother’s milk. As we grow and begin to eat solid food, however, having and maintaining healthy teeth becomes an entirely different matter.

Tooth LossSo when teeth become lost due to cavities, periodontal disease or trauma, the consequences for good health can become significant. Let’s not forget that digestion begins in the mouth. There are actually two forms of digestion – mechanical and chemical.

Mechanical digestion is the grinding and tearing of food, as in chewing, in order to increase its surface area. Creating a greater surface area means that there is a better chance that chemical digestion can do its job. In chemical digestion, enzymes react with the food to help break it down into simpler substances which can either be absorbed in the bloodstream as nutrients or passed out of the body as waste. This process of breakdown and assimilation occurs within the digestive tract – but it starts in the mouth with your teeth, tongue, and saliva.

Because a full set of adult teeth numbers thirty-two, it seems many people feel the occasional loss of a tooth is a relatively insignificant event. And while it is true that a person can still function with thirty-one, the long-term consequence of losing just one tooth can be more significant than most people realize.

Keystone

While all of our teeth are important, structurally, the loss of certain teeth will bring about more change than the loss of others. Think of this in terms of the walls of your house. If you take down a non-supporting wall, the house will still stand. Take out a supporting wall, however, and you have a much bigger problem. Teeth are constructed much like an arch, though. If you have ever seen a stone arch, you know it has a keystone at the top that keeps the arch together. Remove that one stone, and the whole thing collapses. In your dental arch, you can think of your canines as a keystone. Lose them, and the ensuing change can be rapid. You can lose several teeth – even all – over time. But it’s not just the loss of canines that creates a problem.

Losing a first molar, for example, can create a domino effect of changes in your mouth that can affect your ability to chew easily. It can cause shifting of the teeth in a manner that even affects the appearance of your front teeth. Or, it can lead to periodontal problems and the formation of cavities on portions of the teeth that might not have been otherwise affected before the loss.

The point is that if you lose a tooth, you should consult your dentist about what tooth replacement options are right for you. Today, we have many ways of providing functional replacements that can improve your ability to chew your food, maintain your good appearance, and keep you from losing still more teeth. Depending upon your circumstances and financial considerations, these replacements may include removable dentures, bridges (which are non-removable, cemented tooth replacements), or dental implants (think of them as artificial tooth-roots that have crowns, bridges, or dentures attached to them).

If you are missing a tooth, speak with your dentist about what tooth replacement options are right for your situation. Replacing a lost tooth early is often much less involved (and costly) than when you begin to experience the problems resulting from long-term neglect.

Loose Denture Solution

Loose Denture Solution

by | Mar 2, 2013 | Dentistry

A New Standard of Care?

Do you suffer from a loose lower denture or have a family member who is having a rough time wearing their denture?

Unfortunately, this is a common problem. When all of the lower teeth are missing, little remains to stabilize or retain the denture.

An upper denture actually creates some suction on the roof of the mouth and will generally hold well. Not so, with the lower denture. First of all, the tongue has a tendency to displace it and because the surface area that the denture rests upon is generally narrow – there is little surface tension to hold it in place.

Many denture wearers have to rely on adhesives to keep their dentures from flopping around while they speak or eat. In a number of cases, even these adhesives fall short of their objective. Not to mention the fact that many patients find the adhesives unpalatable and some concerns have been recently raised about zinc sensitivities and copper de

ficiencies associated with these products.

Eating with full lower dentures can become difficult or even painful. Patients often opt not to wear their lower dentures at all out of frustration or embarrassment. Unfortunately, this can make it difficult to eat certain foods that are needed for good nutrition and health.

Numerous remedies have been forwarded to solve the problem in addition to adhesives. For example, relines can create an improved fit but they still don’t overcome the inherent problems described above. Then, there are dentures that are designed to look like they have octopus suction cups on the bottom, dentures with valves to suck out the air that gets under them, and dentures that have little “wings” on them that hold the denture down by the weight of the tongue.

Probably the greatest advance in denture stability, however, has been the development of dental implants. If a person has enough bone that is of good quality (not too soft) to accept implants, little comes close to these to provide both retention and stability for a loose lower denture. Also, much of the pain associated with dentures moving around and creating sore gums is eliminated because the denture is actually supported by the implants.

But what if you have been told you are not a candidate for conventional implants because of insufficient bone? Countless patients have still been able to benefit from mini-implants.

These are extremely small (1.8 mm diameter) implants that can be used for critically needed support purposes. Mini-implants can and do serve as long-term devices. In fact, some have been successfully functioning in patients for decades.

Because they are so narrow, they can typically be inserted directly through the overlying gum tissue into the bone underneath. This means that the procedure is generally much more comfortable for the patient because (in most cases) there is no need to surgically cut open the gum tissue – routinely required for standard implant cases. As a result, post-operative patient irritation and soreness is significantly reduced.

It should be mentioned that no implant system is fool-proof or has any guarantee of longevity. Such factors as poor oral hygiene, poor health, stress-inducing habits such as tooth grinding and clenching, smoking, poor health, osteoporosis, medications, and lack of follow-up care can all lead to potential failure of the implants. Compared to conventional implants, however, the cost of replacement is generally much smaller and with less bone loss and gum deterioration. Failures involving mini-implants are not unheard of, but are generally quite rare.

As you might expect fees vary from doctor to doctor and by geographic location. Generally, though, the fees tend to be a lot lower than for conventional implants – with similar results, less discomfort and much shorter waiting times. The best way to address the cost issue is to have an open and honest discussion about what fees may arise with the dentist of your choice.

Many dentists now consider an implant-stabilized lower denture the new “standard of care.” By choosing this option you are deciding upon an improved way of life that is free of so many of the heartaches and discomforts associated with loose, painful and ill-fitting dentures. Because people need to use their teeth each and every day of their lives, that’s worth a great deal.

YouTube Video Available by Clicking HERE