Posts for: August, 2014
One of the many reasons for dental implant popularity is their reliability — studies have shown 95% of implants still function well after ten years. Still, on rare occasions an implant will fail. We can minimize this risk by taking precautions before, during and after installation.
Long-term success begins with careful planning before surgery. We thoroughly examine your teeth and jaws, using x-rays or CT scanning to map out the exact location of nerves, sinus cavities and other anatomical structures. Along with your medical history, this data will help us develop a precise guide to use during implant surgery.
We’ll also assess bone quality at the intended implant site. The implant needs an adequate amount of bone for support — without it the implant will not be able to withstand the biting force of normal chewing. It may be possible in some cases to use bone grafting or similar techniques to stimulate growth at the site, but sometimes other restoration options may need to be considered.
The surgery can also impact future reliability. By precisely following the surgical guide developed during the planning stage, the oral surgeon can increase the chances of success. Still, there may be an unseen variable in play — a pre-existing or post-operative infection, for example, that interferes with the integration of the implant with the bone. By carefully monitoring the healing process, we can detect if this has taken place; if so, the implant is removed, the area cleansed and the implant (or a wider implant) re-installed.
Even if all goes well with the implantation, there’s still a chance of future failure due to gum disease. Caused mainly by bacterial plaque, gum disease infects and inflames the supporting tissues around the teeth; in the case of implants it could eventually infect and weaken the surrounding bone, a condition known as peri-implantitis. This calls for aggressive treatment, including plaque and infected tissue removal, and possible surgery to repair the bone’s attachment to the implant. Without treatment, the implant could eventually detach from the weakened bone.
Maintaining your implants with good oral hygiene and regular dental checkups is the best insurance for long-term reliability. Taking care of them as you would natural teeth will help ensure a long, happy life for your “third set” of teeth.
If you would like more information on dental implants, 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 “Dental Implants.”
You may have seen Kathy Ireland on the cover of Sports Illustrated, but did you know that she is now a business mogul?
Through it all, Ireland has kept her model good looks, and that includes a bright, glowing smile. In a recent interview with Dear Doctor magazine she said that keeping her smile has required ongoing maintenance and more.
It seems that Ireland is a bit of a daredevil. She described a moment of fun with her children when she tried to stand in their wagon and “wagon surf” across her driveway. It ended badly when she crashed into her parked car and suffered a broken nose, split forehead and several broken teeth. “I learned that my love of adventure exceeds my coordination,” she commented.
Ireland was born in Glendale, California in 1963. She demonstrated her drive to succeed early in life, starting at age 4 when she and her sister sold painted rocks from their wagon. Later she had a paper route. She began modeling at 17, with the goal of earning enough to pay for college or to start a business. In her successful modeling career she graced the covers of Glamour, Cosmopolitan, Harper's Bazaar and Sports Illustrated. Her first cover for Sports Illustrated, the publication's 25th Anniversary Swimsuit Edition, was the magazine's best-selling swimsuit issue to date.
In 1993 she founded her marketing and design firm, kathy ireland Worldwide. Now a billion-dollar industry, the firm sells fashions such as wedding gowns and bridesmaid dresses, as well as a wide range of items for home and family.
She has also written a number of books teaching others how to be successful — based on her own experience — as well as three children's books.
Discussing her oral health, Ireland says that she required serious professional assistance on more than one occasion. When she was a child she knocked out a tooth and later knocked it loose again. As an adolescent she wore braces for about three years. After the driveway incident she needed numerous veneers and dental implants to replace a lost tooth and restore her smile.
Her maintenance routine includes regular flossing and brushing, and she has her teeth cleaned every six months. She keeps up on her reading about the latest in research on dental health, and encourages her three children to floss and brush their teeth, to limit eating sweets and to do what they can to avoid injuries to their mouths and teeth.
As we continue to learn about the delicate balance between the body’s various organ systems, we’re discovering what affects one part of the body may affect other parts. This is particularly true for patients with periodontal (gum) disease and one or more other systemic diseases — researchers have identified a number of possible links between them.
Here’s a snapshot of three such diseases and how patients who suffer from them and gum disease may be affected.
Diabetes. Both diabetes (caused by the body’s inability to produce insulin that regulates blood sugar levels) and gum disease can trigger chronic tissue inflammation. Because of inflammation, diabetics are more prone to infectious diseases like gum disease. From the other perspective, uncontrolled gum disease and its resultant inflammation can worsen blood sugar levels. Some research has shown treatments that reduce oral tissue inflammation in diabetics with gum disease may also help bring their blood sugar levels into normal range.
Cardiovascular Disease. Diseases of the heart and blood vessels can eventually lead to heart attacks and strokes, the world’s leading causes of death. There’s evidence that some types of bacteria that cause gum disease may also contribute to higher risks for cardiovascular disease. Reducing the levels of these bacteria in the mouth through periodontal treatment can help lower the risk of cardiovascular disease.
Osteoporosis. Like gum disease, osteoporosis causes acute bone loss, although from a hormonal imbalance rather than as the result of bacterial infection. The major link between the two conditions, though, relates to their treatments. On the positive side, the antibiotic doxycycline has displayed positive effects on both conditions when administered in low doses. On the other hand, a class of drugs known as bisphosphonates used to treat osteoporosis may limit bone regeneration after tooth extraction and could have implications for using dental implants to replace extracted teeth.
There’s still more research needed on the relationship between gum disease and these and other systemic conditions. There’s widespread optimism, though, that such research could yield new treatment approaches and procedures that bring better healing to the mouth as well as the rest of the body.
If you would like more information on the connection between oral and general health, 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 “Good Oral Health Leads to Better Health Overall.”