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Z dentistry Blog

Posts for tag: dental implant

CouldaMetalAllergyStopYouFromGettingDentalImplants

The subject of allergies covers a wide swath in medicine. Among other things, people have allergic reactions to animal fur, various foods and plant pollen. The effects are equally wide-ranging, anything from a mild rash to anaphylaxis, a life-threatening shutdown of the body's vital systems.

Approximately 5% of people are also allergic to various metals including nickel, cobalt, chromium and gold. Reactions to metal can occur when an allergic person comes in contact with items like jewelry, clothing or even mobile phones. There's even a chance of a metal allergy reaction from certain kinds of dental work.

It's unlikely, though, that you should be concerned if you're considering dental treatment or cosmetic work to upgrade your smile. Although allergic reactions like inflammation or a rash have been known to occur with amalgam “silver” fillings, it's quite rare. It's even less of a concern since “tooth-colored” materials for fillings are now outpacing the use of amalgam fillings, which are used in out-of-sight back teeth.

Of course, metal is used for other dental treatments besides fillings, including the most popular of tooth replacement systems, dental implants. An implant is essentially a metal post, usually made of pure titanium or a titanium alloy, which is imbedded into the jawbone. Even so, there's little chance you'll develop an allergic reaction to them.

For one thing, titanium is highly prized in both medical and dental treatments because of its biocompatibility. This means titanium devices like prosthetic joints and implants won't normally disrupt or cause reactions with human tissue. Titanium is also osteophilic: Bone cells readily grow and adhere to titanium surfaces, a major reason for dental implants' long-term durability.

That's not to say titanium allergies don't exist, but their occurrence is very low. One recent study detected a titanium allergy in only 0.6% of 1,500 implant patients who participated.

At worst, you may need to consider a different type of tooth replacement restoration in the rare chance you have a titanium allergy. More than likely, though, you'll be able obtain implants and enjoy the transformation they can bring to your smile.

If you would like more information on allergic reactions and dental restorations, 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 “Metal Allergies to Dental Implants.”

DoYouHaveAdequateBonetoSupportanImplant

Besides their life-likeness, implants are also prized for their high success rate. More than ninety-five percent of implants continue to function effectively after ten years.

Implants’ advanced technology explains some of their reliability and longevity—they’re as close to natural teeth as we’re now able to achieve. But their impressive success rate also owes to the detailed protocols that dentists follow to install them. One critical part of these protocols is ensuring a patient has enough bone in their jaw to support and precisely situate the implant for the best functional and aesthetic outcome.

Unfortunately, there are situations where a patient doesn’t have enough bone to achieve a satisfactory result. This often happens if there’s been months or years between losing the tooth and considering an implant. The reason why relates to the nature of bone as living tissue.

Like other cellular tissues in the body, bone has a life cycle: Older, worn-out cells die and are absorbed by the body, and new cells form to replace them. The growth cycle in the jaw receives stimulation from the forces generated when we chew, which travel up through the teeth to the bone.

However, this stimulation stops after tooth loss for the related area of bone, which can slow new bone growth. Over time, the volume and density of the bone around a missing tooth gradually decreases, enough eventually to make an implant impractical.

Insufficient bone volume, though, doesn’t necessarily mean an implant is out of the question. We may be able to address the problem by attempting to regenerate the bone through grafting. This is a procedure in which we insert graft material into the affected area of the jawbone. The graft then becomes a scaffold upon which bone cells can grow.  After several months, we may have enough regenerated bone to support an implant.

If there’s been too much bone loss, we may still need to consider another form of restoration. But if we can successfully build up the bone around your missing tooth, this premier restoration for replacing lost teeth could become a reality for you.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation.

DiabetesDoesntHavetoStopYouFromGettinganImplant-ifitsUnderControl

You would love to replace a troubled tooth with a dental implant. But you have one nagging concern: you also have diabetes. Could that keep you from getting an implant?

The answer, unfortunately, is yes, it might: the effect diabetes can have on the body could affect an implant's success and longevity. The key word, though, is might—it's not inevitable you'll encounter these obstacles with your implant.

Diabetes is a group of metabolic diseases that interfere with the normal levels of blood glucose, a natural sugar that is the energy source for the body's cells. Normally, the pancreas produces a hormone called insulin as needed to regulate glucose in the bloodstream. A diabetic, though either can't produce insulin or not enough, or the body doesn't respond to the insulin that is produced.

And while the condition can often be managed through diet, exercise, medication or supplemental insulin, there can still be complications like slow wound healing. High glucose can damage blood vessels, causing them to deliver less nutrients and antibodies to various parts of the body like the eyes, fingers and toes, or the kidneys. It can also affect the gums and their ability to heal.

Another possible complication from diabetes is with the body's inflammatory response. This is triggered whenever tissues in the body are diseased or injured, sealing them off from damaging the rest of the body. The response, however, can become chronic in diabetics, which could damage otherwise healthy tissues.

Both of these complications can disrupt the process for getting an implant. Like other surgical procedures, implantation disrupts the gum tissues. They will need to heal; likewise, the implant itself must integrate fully with the bone in which it's inserted. Both healing and bone integration might be impeded by slow wound healing and chronic inflammation.

Again, it might. In reality, as a number of studies comparing implant outcomes between diabetics and non-diabetics has shown, there is little difference in the success rate, provided the diabetes is under control. Diabetics with well-managed glucose can have success rates above 95%, well within the normal range.

An implant restoration is a decision you should make with your dentist. But if you're doing a good job managing your diabetes, your chances of a successful outcome are good.

If you would like more information on dental care and diabetes, please contact us or schedule an appointment for a consultation.

By Z Dentistry
May 02, 2014
Category: Oral Health
HowDentistrySavedKathyIrelandsSmile

It is not often that you find a celebrity who is willing to speak candidly about any cosmetic or restorative dentistry that he or she has had. Instead, most prefer that their fans just assume that their dazzling “Hollywood” smile is something that just happened naturally. However, that is not the case with Kathy Ireland, the former Sports Illustrated cover girl, current business mogul and founder of kathy ireland Worldwide, a billion dollar marketing and design firm. In a Dear Doctor magazine cover story she talks openly about her dental experiences, injuries and treatment so that people worldwide can understand what may be possible for them.

For Kathy, it happened several years ago when she was playing with her husband and children in their driveway. Kathy decided that she would stand in her children's wagon and surf across their driveway. Instead, she ended up “face-planting,” as she describes it, in a freak accident that left her with a broken nose, split forehead and several broken teeth. She recalls that it sounded like a watermelon had smashed. Luckily, her husband, an emergency room physician, was on hand to care for her. Kathy is just as thankful to her cosmetic and restorative dentist who restored her trademark smile with some veneers and a dental implant. Today, the only reminder she has from this accident is a small scar on her nose that she covers with a little makeup.

You would think that this accident would be enough trauma for one person; however, Kathy describes an earlier accident where she knocked out a tooth and then later knocked it loose again. Kathy also wanted to take the time to let readers know that her dental implant experiences were “pretty easy.” She did recall, “hearing all the sounds while all of it was going on” and then added, “but I have to tell you, that after being a mom and having kids, going to the dentist...is like going to the spa!” She said that she has even fallen asleep in the dental chair.

To learn more about Kathy Ireland, continue reading the Dear Doctor magazine article “Kathy Ireland.” Or if you think cosmetic or restorative dentistry is right for you, contact us today to schedule an appointment to discuss your specific goals.

By Z Dentistry
April 05, 2013
Category: Dental Procedures
TheGapIsNoMore

This is the story of a well-known man, fearless in most respects, who was afraid of the dentist. Even though his fears had resulted in neglect and serious damage to his teeth, modern dentistry and a talented dental team were able to restore his smile to health. If you share this fear, his story may inspire you to take action.

We're talking about William Perry, former defensive lineman and fullback for the Chicago Bears. Here is a man who could fearlessly face a football squad — but not a visit to the dentist. Nicknamed “The Refrigerator” for his 380-pound massive frame, Perry played for ten years in the NFL before retiring in 1994. Since retiring he founded and operated a construction company in South Carolina in addition to making celebrity appearances.

With his celebrity in mind, a team composed of a talented restorative dentist, implant surgeon, and lab technician agreed to give “The Fridge” a makeover. After discussing modern technology and virtually pain-free dentistry with him, they managed to overcome Perry's fears. “I had been in constant pain for many years and I neglected myself, not having had any dental care for over 20 years, not even emergency care. Unfortunately, as I grew older my teeth started to get loose,” Perry told an interviewer. He had lost many teeth and became known for his gap-toothed smile.

Perry had severe gum disease and many of his remaining teeth were loose. In the past his only option would have been a full set of dentures. But his new dental team was able to place dental implants (permanent tooth replacements) supporting fixed bridges. In most cases dental bridges are attached to healthy teeth, but in Perry's case the implants served as anchors for the bridges. They also stabilized his jawbone, which would otherwise “resorb” or melt away after his teeth were lost. This is important because it helps preserve the contours of his face.

After careful planning “The Fridge” had eight dental implants placed in his upper jaw and seven in his lower. The final bridgework was completed four months later. It turned out that even though the gap between his teeth had become his trademark, “the Fridge” never really liked it. He was thrilled with his new smile.

Even if you have some fears, don't hesitate to follow Perry's example and make an appointment with us for a consultation about dental implants, smile makeovers, or bridgework. For more information about William “The Refrigerator” Perry, see the Dear Doctor magazine article “How Immediate Implants Saved 'Refrigerator' Perry's Smile.”