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A Partial Glimpse into Dentures

Mithing some Teeth?
Here’s a Partial Solution!

24-03-2014 3-24-55 PMIt is unfortunate when you are missing several teeth and eating and smiling has become difficult – even embarrassing.

Finding a solution that is the right fit for you involves a number of considerations and your dentist will help you understand the factors involved in your specific-to-you situation.

Although implants are the most advanced tooth replacement, are cost-effective and are available for even the most complex cases, not every patient is an ideal candidate or can afford them at the time needed.

So, what are your other options then?

Perhaps, the idea of dental implants can be revisited at a later date. Until then, the spaces can be filled with bridges or dentures. Today, let’s take a look at your partial denture options:

 

Dentures are classified into 2 main categories: Full or Partial dentures.

 

Full Dentures – Are available for patients who have all of their teeth missing in the upper or lower arch or both. They are removable, but fortunately, full dentures can be secured to dental implants for added support and confidence while still being removable. They are made of acrylic and can be relined with more material as your jawbone changes in size and height due to missing roots.

 

Partial Dentures – Are designed for patients who are missing several, but not all the teeth in the upper or lower arch or both. There are several different types of partial dentures depending on design and materials used. They are supported by teeth and gum tissue, so the health of these are considered during selection. Each type of partial denture has their own set of pros and cons with some dentures using a combination of materials.

 

dnetures

 

Cast Metal:

– thin, metal alloy framework and claps

– more expensive

– metal not very aesthetically pleasing

– biocompatible metal, so hypoallergic for most people

– not usually harsh on health of gum tissues

– soft liner can be added to increase gum comfort

– preferred type of partial denture in terms of strength, durability, retention, thickness and fit.

– can have coloured plastic added that look like gums.

– more difficult to reline as gum and jaw changes unless soft liner added.

– more teeth can be added as needed.

 

Flexible

– made of nylon or another type of composite material

– moderate cost

– very aesthetically pleasing and can be colour blended to match gums

– very flexible and thin

– more comfortable in the mouth for chewing and speaking.

– hypoallergenic

– better on gum health than acrylic

– more damaging to natural teeth than a metal denture

– very good retention using clasps and undercuts

– more teeth can be added as needed, but some flexible material do not bond together well making the addition of new teeth ans relining more difficult and expensive.

 

Acrylic:

– made of a rigid plastic material

– much more affordable option as they are less expensive and easier to make.

– gum-coloured plastic is more pleasing than metal

– weaker and less durable than metal.

– plastic can pick up odours and stains

– can break more easily than Metal or Flexible

– plastic can be allergenic for some people

– more damaging to natural teeth than a metal denture

– can have more plastic material added if jaw/tissues change shape

– more teeth can be added as needed.

 

What You Should Know

In general, partial dentures:

  1. can interfere with speaking
  2. are less stable than natural teeth, bridges or dental implants
  3. may have supporting clasps that can break or bend, but they usually can be fixed readily
  4. need to be relined as jaw dimensions change
  5. need to be removed nightly to keep mouth tissues healthy
  6. prevent shifting of adjacent teeth until a more long-lasting, permanent solution is selected
  7. can wear down over time by natural teeth
  8. can be lost since they are removable
  9. need maintenance or repair of framework and components as they wear
  10. can be relined to accommodate changes to the underlying bone. Expense depends on type of material used to make partial denture.
  11. can have their fit impaired by any changes to the existing teeth because of decay, repair or loss.
  12. have artificial teeth that can be easily repaired or replaced.

 

 

Tendering in Tradeoffs

 

04-11-2014 2-04-12 PMNothing in life is as good as the real thing. There are tradeoffs that are made when we have to repair or replace our natural teeth. This is why caring for your teeth properly your whole life will increase the likelihood of “Teeth for Life!”

Every dentist has heard a patient say that they are just plain sick and tired of having to care for their teeth and think that by removing and replacing them with dentures they will become worry free of dental problems.

Wrong! They are trading one problem for another. Dentures come with their own set of issues, and, like teeth, they still require care yo prevent damage and prolong their life. Speaking, eating, comfort, mouth sores, and stability are just some of the issues you will likely face with dentures at one time or another.

How long a partial denture will last also depends on the proper care of existing teeth. There is no 100% perfect replacement for your natural teeth. The time and effort you put into caring for them is never a waste as it can make a huge difference in your dental health.

Furthermore, it is important to understand that dentures and bridges do not replace the missing tooth roots – only the visible tooth crown. Eventually, the jaw bone that once supported the roots will begin to shrink and reduce in overall size. This is an important consideration as dental implants need healthy jaw bone height and volume into which they are placed and eventually integrate into. The jawbone can be augmented using bone grafts, but this increases the complexity and cost of the dental implants.

 

Short Term vs Long Term

 

07-09-2015 6-03-36 PMEveryone knows the feeling of being faced with options. Decisions are not always easy and the more options available, the harder the decision. Your dentist is there to help you sift through all of the information, weigh all the factors and understand the tradeoffs you may have to make. Do you opt for an affordable solution that has limitations, a shorter lifespan and will require more on-going maintenance or do you invest now in the premium permanent option?

Being an informed patient who understands fully the pro and cons of each dental treatment option helps you move forward to the day when you can eat and smile with confidence.

Lastly, it’s Your Smile. Dental care is necessary for your remaining teeth. The function of chewing is meant to be distributed amongst many teeth. Expecting a few to do the job of many will result in wear and breakdown and you will run the risk of losing your remaining teeth through disease and dental collapse. If you are missing one or more teeth, see your dentist today to discuss your treatment options today. You’ll be glad you did!

 

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Your in Better dental health,
The Your Smile Dental Care team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com


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Signs of a Healthy Mouth

Do you know the difference between a healthy and unhealthy mouth?

Our patients at Your Smile Dental Care look to us to keep them up to date on all the advances in modern dentistry and to educate them on how to get their mouths and teeth as healthy as possible. Today, people know that they CAN keep their teeth for a lifetime and want to be aware of the first signs of trouble.

 

Gums

20-10-2014 1-32-21 PMHealthy gums are pale pink and firm. They are not white, red and puffy nor do they bleed when you brush or floss. Healthy gums also are not tender or sore and do not have pus filled pimples on them which may be signs of infection. One way we help patients gain a new perspective on the idea of bleeding gums, is to ask them if they would be concerned if they had persistent bleeding elsewhere on their body? Chances are they would answer yes and bring it to the attention of their physician immediately for a diagnosis and treatment.

There is also a triangular portion of gum tissue that should extend between adjacent teeth that ends in a point and has a free space (depth) of about 2-3 mm where your floss would slide for cleaning. As the gums recede due to unhealthy conditions, this triangular shape becomes more blunt and the space becomes deep, forming a pocket into which more bacteria, plaque and tartar can accumulate. Your dentist or hygienist monitors the health of your gum and will routinely measure the depth of these pockets.


Teeth

04-04-2016 3-08-02 PMObviously, healthy teeth should be cavity free, but when your dentist or hygienist checks your teeth, they are looking for many others signs of health also. They examine for any erosion, staining, chips or cracks, disease, failing dental work, looseness, missing teeth, crookedness, sensitivity, etc.

If teeth have had repair work done on them in the past such as fillings, crowns, or root canal treatments, they are checked to ensure that these restorations are holding up under the wear and tear that the chemical and mechanical forces of the mouth and jaws can place on them. Intact restorations have a good fit/seal against the tooth to prevent bacteria from getting in underneath and causing tooth decay. We look for signs of leakage, cracks, chips, movement and tooth decay.

Healthy teeth also do not appear longer as you age. When gums recede due to disease, the crown portion of the teeth will begin to look longer.

Case Scenerio

A patient comes into the dental office because their cap has fallen off of one of their teeth. The dentist notices immediately that not only has the cap come off the tooth, but the crown of the tooth has broken off at the gumline and is still inside the cap. Upon closer examination, they can see and feel with their instruments that both the part of the tooth that is in the cap and the portion that is still in the jawbone have rotted  from tooth decay. Bacteria has gotten in underneath the cap and diseased the hard tooth structure to the point that it crumbled enough for the tooth to break in half. It had been almost 7 years since their last exam. Maintaining regular dental checkups would have allowed the dental staff to monitor the marginal integrity of the cap and periodic x-rays would have detected signs of tooth decay when the cavity was small enough to be repaired.

 

Fresh Breath

Hidden Smile - CopyA healthy mouth does not have persistent or significant bad breath (halitosis). Early morning breath can have an odour after a long night of  bacterial action and growth when there is very little saliva production.

Most often, bad breath is caused by an accumulation of bacteria and their odours and sulphur smelling gases. It is also one of the first signs of gingivitis that can lead to gum disease, worsening mouth odour, the loss of teeth and other complications for the body. Smoking, dieting, dehydration, illnesses, diseases, unclean denture and appliances, tonsil stones, nutritional deficiencies and foods all can cause bad breath.

Wonder if you have bad breath? If you can’t already taste or smell it yourself then you can smell your floss after use or scrape some plaque off your teeth or tongue to smell. Alternatively, you can ask someone to smell your breath and give an honest answer. Most importantly, do not ignore bad breath or just try to mask it with gums, mints or mouthwash. Your physician or dentist can usually help you get to the underlying cause when good oral hygiene does not solve the problem.


Pink, Clean Tongue

You may not realize this, but we also examine your tongue for signs of health. A healthy tongue is pink and covered with tiny nodules we call papillae that help you perceive taste. The overall surface should be flat, smooth and clean looking. The surface papillae can and do harbour bacteria that, if left to accumulate, can grow to unhealthy levels. Keep your tongue clean with a tongue scraper as part of your regular oral hygiene.
Tongue Scraper

A discoloured or painful tongue can be an indicator of trauma, smoking or canker sores, but can also be signs of more serious conditions including a nutritional deficiency, auto immune disease, allergic reaction, Kawasaki syndrome, anemia, diabetes or even cancer. White coatings, lines, or patchy areas should not go ignored.

There is a condition known as “geographic tongue” whereby the top surface of the tongue presents with a map-like pattern of reddish spots that sometimes have a white border on them. It is usually a benign and harmless condition that requires no treatment except topical medications if it becomes sore or uncomfortable.

Medications and menopause can also cause the tongue to become painful or even drier than normal. Always consult your physician if you notice something unusual about your tongue, especially any lumps or sores that do not go away.

 

Proper Bite

25-04-2016 11-19-29 AMIdeally, in a healthy mouth, your upper and lower teeth fit together in an even manner so that the forces of chewing are equally distributed and shared amongst all teeth throughout the jaw.

Teeth rely on one another for support and uneven bites, open spaces or teeth that are crooked, crowded, displaced or missing can hinder the performance, appearance and health of the teeth and can impact breathing, speaking, digestion and oral hygiene. Misaligned and crowded teeth can make teeth more difficult to clean and keep healthy and can cause jaw problems leading to clenching, grinding, head/neck/ear/sinus aches and TMJ disorder.

Pain Free

A healthy mouth is not painful, dry nor sensitive. Yes, we may temporarily cause it trauma through injury or hot foods or have the periodic canker sore show up, but overall, a healthy mouth is pain free. There are products and treatments to help with minor sensitivities and the source of dry mouth situations can be investigated. However, you should be aware and not ignore any changes, pain or afflictions in the mouth and it’s tissues that can be a sign of breakdown or disease. The rule of thumb is to have anything that lasts more than 7-10 days examined.

Lastly

Just because you may brush and floss everyday, does not mean that your mouth is healthy. The phrase, “Your mouth is the window to your overall health” is a reminder that caring for your oral health is an investment in your overall health.

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Yours in Better Dental Health,
The Your Smile Dental Care team
(905) 576-4537
(416) 783-3533
http://www.yoursmiledentalcare.com/


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Aging Well

Top 10 Aging Smile Solutions:

Aging can affect your oral health just like it can your overall health. Even if you have taken care of your teeth meticulously over the years, your teeth can show the signs of aging and can make you look older than you are or feel!

Fortunately, there are steps you can take to correct or at least minimize these changes.

1. Dark Teeth – As you get older your teeth can appear slightly darker or dull looking. This is usually because the outer, whiter enamel begins to wear as the inner yellow dentin begins to thicken. Staining foods/drinks and previous injuries to your teeth can also cause discolouration. Solution: Tooth whitening or veneers can brighten your tired smile. Avoid foods/drinks that stain which can compound the natural darkening of your teeth.

Whitening

2. Dry mouth – Some medications can reduce the amount of saliva your body produces leaving you with a drier mouth. This interferes with chewing and increases the likelihood of gum disease and cavities. Solution: There are sugarless gums and oral products that you can find at your local pharmacy which can help increase saliva stimulation and fluoride rinses to help strengthen enamel. Speak with your family physician to find out if one of your medications is causing your dry mouth. Perhaps there is an alternative medication that can be prescribed.

3. Longer teeth – Ever heard the saying, “Long in the tooth?” If you are losing gum tissue (recession) more of your tooth begins to show. If this gum disease process continues, eventually the softer, more sensitive root portion of your tooth will become exposed. Solution: Fluoride varnishes/rinse and sensitive toothpastes can be used to decrease discomfort. Avoid hard, abrasive toothbrushes and toothpastes. Use lighter force when brushing. Consult your dentist to find out if you are experiencing the effects of gum disease. Therapy can be started to slow down this gum loss.

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4. Smaller Teeth – Teeth naturally wear over time, making them appear shorter and flatter. Clenching and grinding can also cause the biting surface of your teeth to wear down. Solution: A night guard can slow down this process and prevent further tooth loss. Filling and dental crowns can be placed to repair more extensive damage.

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5. Smaller jaw – Bones change over time and forces are constantly remodeling your facial bones. As the years pass, you will eventually lose volume in the size of your jaws. Losing one or more teeth without replacing them will also cause the jaw to shrink. Solution: Replace missing teeth as soon as possible to maintain jaw strength and size. Eating a well-balanced diet will help to ensure that you are receiving the nutrition necessary for bone growth and maintenance.

6. Sagging Facial Skin – If your jaws and surrounding facial muscles are shrinking and losing definition, the overlying skin may begin to sag causing you appear older than you really are. Solution: Aside from cosmetic facial surgery, proper nutrition, chewing and replacing missing teeth sooner than later are beneficial in reducing bone loss. We now know that replacing a missing tooth with a bridge or denture will restore chewing, but will also accelerate bone loss in the jaws. A dental implant, however, takes the place of and functions like the missing root while maintaining the valuable facial bone.

7. Tooth Sensitivity – The tissue that surrounds the root of your tooth is not as naturally calcified as enamel, is more sensitive to chemical and thermal changes in the mouth and is less decay-resistant. If your gums are receeding then more of the root will begin to show increasing the likelihood of decay and discomfort. Solution: Fluoride can be applied to these areas to strengthen the root tissue and the use of sensitivity toothpastes usually provide effective relief. It is important to keep plaque away from the weaker root surfaces in order to reduce the chance of cavities. Never use a hard toothbrush, abrasive toothpastes or forceful scrubbing tooth brushing action.

Muriel8. Chipped Front Teeth – Your broad, multi-rooted molars are designed for forceful chewing and grinding not your slender, smaller front teeth. If you have had several molars removed in the past and are now using your front teeth to chew your foods, you run the risk of breaking/chipping your front teeth, fracturing your root and/or loosening these teeth. Solution: Most chipped and broken front teeth can be repaired, but a permanent solution to restore proper chewing function must be undertaken to avoid continued breakdown and eventual loss of the front teeth. High quality dentures and implants can be made to replace missing molars. Loose or ill-fitting dentures are now a thing of the past now that they can be supported by an implant.

Note: Filling do not last forever. Maintain regular dental exams so that fillings can be checked and replaced/repaired if necessary.

9. Poor Mobility – Dexterity can become a serious issue as one ages. Arthritis, strokes and Alzheimers are just a few conditions that can making tooth brushing and flossing difficult. Solution: Caregivers must be diligent in their efforts to help Seniors with their care to prevent plaque and calculus build-up that can cause cavities and gum disease. Using less toothpaste and a toothbrush with a larger grip or an electric toothbrush can make tooth care easier.

10. Nutritional Deficiency – Missing teeth, tooth sensitivity, poor-fitting dentures and impaired taste can compromise the ability and desire to eat a well-balanced diet leading to nutritional deficiencies and a decline in overall health. Solution: Food may be easier to consume if they are softer, cut into smaller pieces, and more flavourful. Ill-fitting dentures can be modified or replaced and sensitive areas of the mouth repaired or protected with dental materials.

While we may be living longer, healthier lives, we are also facing many challenges in attending to and prioritizing all of our health care needs. Unfortunately, dental issues are among one of their most common health problems experienced by the aging population. With almost over 30 years of experience, we know first hand the frustrations, challenges and barriers that can hinder a person’s access to care. Whether you are someone who is looking to obtain optimal oral health as you begin to age or are someone who is looking to bring in your elderly parent/s for a long, overdue examination, at Your Smile Dental Care we are here to team up with you and offer you support and solutions while maintaining a strong focus on prevention.

Dr. Sam Axelrod offers a wide range of dental services to make it easier for you and your family to receive the care they need. Call us today at (905) 576-4537.

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Yours in Better Health,
The Your Smile Dental Care Team


3 Comments

The Consequence of Missing Teeth

16-03-2015 5-58-09 PMAs dentists, we hate it when we are faced with a situation where a tooth must need to be removed due to disease or injury. We are in the business of saving teeth, so when a tooth must be removed we become concerned for the remaining teeth and how the loss of this tooth will affect them…and it will!

Over time. missing teeth can result in serious complications, if left untreated.

A tooth here, a tooth there.

With the human dentition containing a total of 32 teeth (28 if the wisdom teeth have been removed), it is understandable why some people still believe that it is not essential to replace missing teeth when there are other teeth still left to do the job.

The Domino Effect

The loss of a permanent teeth leads to a whole host of other problems if it is not replaced in a timely manner. If it’s true that a picture paints a thousand words, then let’s look at the one below:

 

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This is a typical scenario when even just one tooth is removed without being replaced.  At first glance, you can see some movement and tipping of surrounding teeth, but it’s the significance of this situation that needs further explanation.

Teeth are arranged in the jaw in such a manner so that they support one another and withstand the chewing forces together as a team. When one is lost without being replaced, it sets into motion a collapsing situation where teeth begin to move out of position and alignment. Convincing patients that are in pain or injured that they need immediate treatment is not difficult because their signs and symptoms are usually sudden and uncomfortable. A situation like this is not often ignored for too long. However, the destabilization that occurs with dental collapse happens over a period of time. The signs are not as obvious and damage is often taking place silently. It is easy to understand why treatment recommendations are sometimes ignored or postponed.

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1. Supraeruption (Over-eruption)

Although the process is more complex, quite simply put, when teeth first appear in the mouth they emerge out of the bone and gum tissue as their roots and surrounding bone grow and push them out. The only reason they stop is because they meet the teeth that are also emerging in the opposite arch. Their biting surfaces fits into one another like a puzzle and an even distribution of contact throughout the entire dentition allows for proper chewing and equalized forces.

When an opposing lower tooth is lost and not replaced it’s upper partner now has no opposition and begins to adapt to this new space by moving downward. In doing so, it loses contact with it’s neighbouring teeth on either side and begins to bite more heavily with the teeth in the opposing lower arch. The bite is thrown off it’s ability to distribute an equal force among all the teeth, and this can cause headaches, jaw tension, root exposure, tooth breakage, grinding, clenching and wear.

2. Tipping23-03-2015 9-44-50 AM

When a tooth is lost and not replaced, the bone shrinks in the space and the teeth on either side now have a vacant area in which to tip and move into. In doing so, they lose contact with their other adjacent teeth. Teeth are designed to touch one another to prevent food impaction that can damage tissue and cause cavities. If enough of the vacant space becomes occupied by tipping teeth then the space becomes too small to make replacement a viable option without modifying other teeth.

Loss of contact3. Loss of Contact

Teeth that are beside one another contact each other at their greatest bulge (curvature).  Think of the place between two teeth where your floss “snaps” through. This is the contact point. Although gum tissue hides the area underneath, there is actually a space between the gum and the tooth. Your floss cleans out any food and plaque that may accumulate here, but one of the reasons for a curvaceous shape of the tooth crown is to prevent too much food impaction by deflecting food away from this area. When teeth are in alignment with one another, this action works well and efficiently.

4. Plaque and Food Impaction

Aside from the first space that was created by the missing tooth, more spaces begin to develop as adjacent and opposing teeth begin to move out of their original positions. These teeth lose contact with their neighbouring teeth and leave spaces and pockets into which plaque and food can gather. Oftentimes food impaction occurs frequently and can be difficult to remove as the space continues to grow. Plaque and food accumulation leads to cavities, gum and bone destruction and gum disease.

5. Bone Loss

During the formation of teeth, bone grows in and around the root of the teeth for support and nourishment. Teeth are necessary to maintain healthy jaw bone. When a tooth is removed there is no longer the need for bone and it resorbs (shrinks) away. Healthy, dense bone is an important factor when considering the placement of implants for replacement. The longer you leave the space, the smaller the height and width of the bone becomes. Bone loss also occurs in the areas where adjacent and opposing teeth have lost contact with their neighbouring teeth because of the destructive nature of the gum disease process. Even the floor of your sinus bone collapses into spaces where there used to be teeth. Bone loss can significantly impact your chances of becoming a good candidate for any future dental implant placement.
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Complications

Chewing/Nutrition – When teeth are missing, we chew in the areas of the mouth where teeth are present. Sometimes, people have to use teeth that are smaller, more slender and not designed for the chewing capacity of large molars. Other times, remaining teeth are loose or uncomfortable to use. As the dentition collapses over time, chewing can become difficult and nutritional deficiencies arise.

Gum Disease – Gum disease is a process that happens over time and is usually silent until a lot of destruction is done. Missing teeth create the perfect condition for gum disease to form and progress. Teeth stabilize one another and protect the gum tissue that surround them. In turn, the gum tissue and ligaments protect and secure the tooth to the bone socket. When teeth move and create spaces, food and plaque begin to accumulate in the spaces under the gum and eventually destroy enough tissue to create a pocket into which more food and plaque can gather. Cleaning out this pocket can be difficult and the space continues to grow destroying gum and bone along the way. When enough tissue is lost the tooth starts becoming loose and you may face the loss of another tooth. Gum disease and tooth loss can be a vicious cycle. Trying to control and correct all of the factors that allow this disease process to progress can be exasperating.

23-03-2015 10-41-47 AMBone level in an unhealthy and healthy mouth

Increased food and plaque accumulation – When teeth lose contact with one another the space that forms between them allows for food to easily collect in the area. Food impaction can injure 23-03-2015 11-32-01 AMgum tissue and cause bad breath. Continual food impaction can cause cavities, destroys gum tissue and surrounding bone creating large pocketing into which more debris can gather. Because this cycle of destruction happens below the gum line, it can go unnoticed for a long time. Only regular visits to the dentist will allow you to get baselines charted and monitored.

Tooth Decay – With increased food impaction comes a higher incidence of tooth decay. Food impaction can become a chronic situation. You will likely feel the need to floss after almost every meal and food can become submerged so far into the gum pocket that it becomes difficult to removed. Decay can go unnoticed until pain or a dental exam.

Sinus collapseSinus Collapse – When an upper tooth is removed, over time, the floor of the sinus begins to collapse into the space where the tooth root used to occupy interfering with the space needed for a future dental implant.

Root Exposure – The root of the tooth is covered with a tissue that is much less calcified and more sensitive than enamel. As a tooth moves out of it’s position when it over-erupts or tips more of the root tissue will become exposed. Patients often notice more sensitivity to hot and cold sensations and a higher incidence of cavities along this softer root portion of the tooth.

Muscle Tension – When remaining teeth move out of alignment the whole bite can be thrown off. Forces may not be evenly distributed among the teeth and some teeth may meet before the others do when chewing. This imbalance causes extra stress on facial muscles and joints (TMJ) that are also compensating. Tense muscles results in headaches, neck pain, earaches, upper back and shoulder discomfort.

TMJ – An uneven bite can quickly become a TMJ issue. Clicking, popping jaw joints, grating sounds, pain in the cheek muscles and uncontrollable jaw or tongue movements are not uncommon side affects of the missing teeth.

Fracture – The uneven bite that can occur with missing teeth often causes a few teeth to bear the biting forces that should ideally be shared by all teeth. This overload of forces can cause teeth to chip and fracture. If a fracture runs through the tooth and into the root surface then the tooth cannot be save. Unfortunately, it will become another tooth that must be removed.

Facial Collapse – Our face shape and size changes as we age and although facial collapse is usually more pronounced in someone who has lost most or all of their teeth, patients who have lost several teeth may begin to notice a “caved” in look to their face compared to others of their own age group who have more teeth.

 

Treatment Options

Fortunately, there are several treatment options available for missing teeth that will restore the beauty and function to your mouth. It used to be that dental bridges were the most common way to replace missing teeth. Nowadays, thanks to advanced technology, dental implant are the most permanent, long term treatment solution.

Dental Implants are so effective that many of our patients who choose this option tell us that their implant is completely undistinguishable from their other natural teeth in both appearance and function!

Been a while?

Ignoring the certainty of dental collapse now will eventually leave you facing more extensive and expensive dentistry in the future. Your options will also be limited if you experience bone loss and collapse over the years. If it was many years ago that your had teeth removed and are wondering what can be done now, don’t delay any further. Your dentist will evaluate your dentition and let you know if your bite can still be restored and any missing teeth replaced.

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Yours in Better Dental Health,
The Your Smile Dental Care Team
(905) 576-4537
(416) 783-3533


3 Comments

Dental Implant Procedure

Have Missing Teeth?  Loose Dentures?
Thinking about getting Dental Implants?

28-03-2016 2-39-09 PMDental Implants are modern dentistry’s highly successful, long-lasting, and natural-looking substitute for missing teeth or for supporting dentures. Dental implants actually fuse directly to your jaw bone becoming one with your living bone structure. In doing so, implants help to maintain your jawbone – which would otherwise begin to disintegrate once your tooth is removed.

So What Exactly are Dental Implants?

Simply put, your natural tooth is comprised of two main parts – the root portion, which is the part of the tooth in the bone and the crown; what you see in the mouth. Dental Implants replace the root portion of your lost tooth then an additional portion is placed that extends above the gum line to support whatever type of final restoration is needed such as a crown, bridge or denture.

How do I begin the Implant Process?

The dental implant process involves several steps – each one essential to ensure the long term success of the implant and final restoration.

Consultation Appointment – The first thing you would do is to let your dentist know that you are interested in finding out more about dental implants. Your dentist will discuss your specific dental issues with you, take some diagnostic x-rays and let you know if your dental and medical health makes you a good candidate for this type of procedure. Not everyone can have a dental implant placed since you need to have a certain amount of bone available to support an implant. Your dentist will check to see how much bone volume and density you have in the area where your tooth is missing. If you have deficient bone levels, you may be able to have a bone regeneration procedure done which is designed to help restore bone to an area.

Referral – If your dentist does not provide Implant dentistry, they will arrange a referral to another dentist that does. You will probably then have the final restoration, that is placed on top of the implant, done by your own family dentist.

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Diagnostic Appointment
– After your initial consultation visit, the dentist will decide the type of dental implant that best suits your needs and take some additional x-rays so that precise measurements can be determined. After the consultation and diagnostic x-rays, the process for dental implants involves two main surgical procedures at least 4-6 months apart.

3-22-2016 10-18-44 AMFirst Stage – At this appointment, the implant post is inserted into your jawbone. The site is then closed with sutures. This stage can usually be performed using local anesthetic. You will then return to the office about 10 days later to have the sutures removed and the surgical site examined. The site is then left to heal for several months. During this time, bone cells grow around the post so that the jawbone and post become fully and firmly fused together. This fusion period is essential so that the implant will not move and is strong enough to support the final type of crown, bridge or denture that will be place on it.

Second Stage – At this stage, the implant site is then reassessed and evaluated to determine if the post and bone have fully fused with one another. If fusion has been successful, then another type of post, called an abutment, is placed into the implant post. This abutment extends above the gum line and an impression is taken. This impression is used by the dental laboratory to create your custom crown, bridge or denture.

Third Stage – Your final crown or bridge is cemented permanently to the abutment. If you are having a denture made, it can be made to be permanently fixed to this abutment or a removable alternative can be made.

Night Guard Protection – If you have a grinding or clenching habit,  your dentist will probably recommend that your wear a night guard while you sleep to protect your implants and your investment from the destructive forces of this habit.

Follow Up Visits – Dental Implants are to be cared for as you would your own natural teeth. Maintaining your regular dental re-care visits is crucial to the implant’s success. Like any body part that is replaced, attending to re-examination appointments allows the dentist to evaluate the stability and health of the implant, bone and gum. Understanding that all of the teeth and their supporting bone/gum structures work together and support one another will help you appreciate why the health of all the parts of your oral cavity have a direct affect on your implant also.

Success

Dental implants have the highest success rate of any other tooth replacement option. Implants have been around in dentistry for well over 50 years! They are designed to last a lifetime, so they are well worth the investment. The great news is that if you ever need to have the crown, bridge or denture replaced or replaced, it can be done so without ever even affecting the implant itself!

Understand however, that the long-term success of any body replacement part requires regular re-care examinations and maintenance so that the site and surrounding areas can be closely monitored for health. Of course your mouth is not a car, but let’s use this analogy so we can drive (excuse the pun) this very important point home.  You would never buy a new car then drive it off the lot never to give consideration to it’s future maintenance. Your regularly maintained dental visits allow your dentist to inspect the implant for the presence of inflammation, bone loss, mobility etc. as well as the integrity/functioning of the restoration that is attached to the implant.  As with any unhealthy condition in the body, early detection is key to effective and successful repair treatment. At your own risk and peril do you ignore this recommendation.

Book Your Consultation today:

Our team at Your Smile Dental Care will be happy to discuss the entire dental implant process with you and answer any questions you may have. You can contact us at (905) 5SMILES to schedule a consultation with Dr. Axelrod to see if dental Implants are the right choice for you and Your Smile.

 

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Yours in Better Dental Health,

Dr. Sam Axelrod & the Your Smile Dental Care team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com


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Feeling Anxious about your next Dental Visit?

Covering mouthWe get a lot of calls at Your Smile Dental Care from patients that suffer from what we call dental anxiety. Some people describe themselves as being dentalphobes and it is not uncommon for people to tell us that it has taken more than a year just to summon up the courage to make their first telephone call to our office.

Most people tell us that their fears stem from previous traumatic experiences as a child or in the past and this is usually the most common reason for dental fears. However, there are plenty of patients who confess that, although they have never had a bad experience at the dentist, the deep seated fears they harbour were instilled in them from another fearful person.


FACT: Dental Fear is one of the most common fears worldwide


At Your Smile Dental Care, we pride ourselves on making you feel happy that you finally walked through our doors. Putting you at ease and making you feel comfortable throughout your experience is just as important to us as it is to you.

Our dentists and hygienists ensure that you have a complete understanding of your dental health and treatment recommendations. Not only will they take the time to explain things to you, but they will also encourage you to ask all the questions you need to without being made to feel rushed. Our in house treatment coordinator, Tracy, will also go over everything with you so that there’s no confusion nor any apprehension about what kind of treatment you will be receiving.

We’re here to help alleviate any of the fears or anxieties you may have about going to the dentist.

23-11-2015 3-37-08 PMOftentimes, patients just want to have a pleasant distraction available during their appointment. Whether you prefer a movie, music, a soft blanket and pillow, a friend to accompany you into the treatment room or just a caring hand to hold, we’re here to make your experience as comfortable and as relaxing as we can for you. In addition, we offer conscious sedation dentistry (laughing gas) to help calm you during your appointment.


Many Big Journeys begin with Small Steps


25-02-2016 11-19-50 AMDon’t let fear keep you from the health you deserve. Take time for yourself and begin your journey to dental wellness today. Your first step can be a quick phone call, then next maybe an office visit just to meet us. It doesn’t cost a thing to start making inquiries and you need not commit to anything. First steps, baby steps, whatever you want to call it, taking it slowly, carefully and thoughtfully in the beginning is sometimes the best way to get things done eventually.

We understand this. Dental care is our job and our passion!

With over 30 years of experience, Dr. Sam and his long term, committed, dental team know and appreciate the extra efforts some people have to make and the patience and understanding they need from us.

We care about you and Your Smile.
Let us help you make those first steps!


Have a Question?  Want to send us a quick message?
Need to make an appointment?

Click on the link below and one of our caring team members will contact you ASAP!

25-02-2016 11-26-10 AM


Yours in Better Dental Health,
The Your Smile Dental Care Team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com


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Chewing Ice: The Cold Hard Facts!

Ice is for chilling, not for chewing

22-02-2016 8-26-03 PMChewing on ice can be hard on your teeth and possibly your pocketbook! Restoring teeth that have been damaged by ice can become very costly in terms of pain and dental fees. In fact, some teeth have been fractured by ice severely enough that they have had to be removed.

What does chewing on ice say about you?

The need for ice chewing can be an incredibly addictive habit, and like any craving, difficult to kick. It can be especially hard for people who are satisfying a compulsive disorder involving the uncontrollable consumption of ice or iced drinks (called pagophagia).

Underlying Issues

From the world of medicine, we are now told that, for some people, the need to chew on ice may be an indicator of an iron deficiency called anemia. Although there is no iron in iced cubed water, research is showing that it can be a symptom of this underlying medical condition. A thoroughly medical evaluation can help determine if your ice chewing habit is the sign of nutritional deficiency.

On the flip side, we have a female patient who has abnormally high levels of iron in her blood and her blood tests are often mistaken for a male reading. Ironically, she is also  highly addicted to chewing ice as a means of relieving the stresses of her high-pressured job. She buys a jumbo-sized cup of just ice from a nearby variety store on the way home from work everyday, insisting that this particular store serves the tastiest ice for miles around.

Despite our warnings, she continues this daily ritual and we continue to check her teeth for signs of fracture. When we asked her if she is starting to notice an increase in tooth sensitivity since she is starting to show some slight signs of gum recession she answered, “The cold doesn’t bother me anyways.”

We laughed, but ice chewing is no longer a laughing matter for people who have had to have a tooth heavily restored or removed because of breakage.

About dental fractures…

Teeth, although very hard, are also very brittle when subjected to forces like ice chewing. Think of a porcelain plate. It is very hard, but if you look closely, you will notice an array of tiny fractures running across it’s surface. This is what can happen to your teeth from constantly chewing ice. You may not notice it, but under our intense scrutiny and magnified dental lights, we can see all the tiny fractures running across the surfaces of your enamel. Fortunately, the underlying and supportive tissues of the teeth and surrounding structures provide a cushioning effect against biting forces. However, sometimes the resiliency of enamel is put to the test and it is usually just a matter of time before you chip a piece of enamel off , or worst case scenario, the big one hits and fractures your tooth beyond repair.

Even if you are just an occasional chewer of ice, all it takes is a bite with enough force and at just the right angle to fracture your tooth. While most teeth can be rebuilt using dental filling materials or crowns if the break is larger, some breaks are severe enough to cause a fracture the runs deep into the root of the tooth. When this happens, repair is almost impossible.

Can’t kick the habit?

If you insist on chewing ice or are finding it hard to stop the craving, perhaps you will consider allowing the ice to dissolve as your swish it around in your mouth. Be careful not to bang the cubes against your teeth by using too forceful of a swishing action. Another alternative is to switch to slushed ice or sugar-free chewing gum.

Ice chewing can appear to be a seemingly harmless habit, but from our side of the dental chair, we see the damage. Small fractures can turn into larger ones that can eventually cost you your tooth. Ice may be cheap, but the consequences can be very costly indeed!

Yours in Better Dental Health,
The Your Smile Dental Care Team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com