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Bone grafting is often closely associated with dental restorations such as bridgework and dental implants.
Sinus Lift is a surgical method by which we can increase the amount of bone tissue of the upper jaw, above the molars and premolars.
Need A Dental Implant but Not Enough Bone?
- Bone grafting is often closely associated with dental restorations such as bridgework and dental implants.
- In the majority of cases, the success of a restoration procedure can hinge on the height, depth, and width of the jawbone at the implant site.
- When the jawbone associated with missing teeth shrinks, or has sustained significant damage, the implant(s) cannot be supported on this unstable foundation and bone grafting is usually recommended.
- Periodontal Disease
Periodontal disease can affect and permanently damage the jaw bone that supports the teeth. Affected areas progressively worsen until the teeth become unstable.
- Tooth Extraction
Studies have shown that patients who have experienced a tooth extraction subsequently lose 40-60% of the bone surrounding the extraction site during the following three years. Loss of bone results in what is called a “bone defect”.
- Injuries and Infections
Dental injuries and other physical injuries resulting from a blow to the jaw can cause the bone to recede. Infections can also cause the jaw bone to recede in a similar way.
Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip or tibia (below the knee.)
Sinus bone grafts are also performed to replace bone in the posterior upper jaw.
Sinus Lift (Graft)
Sinus Lift is a surgical method by which we can increase the amount of bone tissue of the upper jaw, above the molars and premolars.
The maxillary sinuses are behind your cheeks and on top of the upper teeth and are like empty rooms that have nothing in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.
To address this problem our dentist enters the sinus from where the upper teeth used to be. The sinus membrane is then lifted upward and donor’s bone is inserted into the floor of the sinus. After healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in this new sinus bone.
If enough bone between the upper jaw ridge and the bottom of the sinus is available to stabilize the implant well, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the Sinus Augmentation will have to be performed first, then the graft will have to mature for several months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed.
When patients experience extreme sensitivity, pain from a broken tooth, or are suffering from advanced periodontal disease, your dentist could recommend that you have a tooth extracted. During a simple extraction, the dentist can safely remove the affected tooth without the need for major surgery.
There are numerous situations in which a simple extraction is needed. Extractions are typically performed because of an active problem such as pain, swelling, decay, infection, as a preventative measure to avoid serious problems in the future, or to prepare your for another cosmetic or restorative procedure.
Common reasons for tooth extractions include:
- Advanced periodontal disease that has loosened the roots of your tooth
- Extra teeth or baby teeth that impede adult teeth
- Preparing a patient for orthodontic treatment
- Removing a fractured or malformed tooth
- Severe tooth decay which cannot be remedied with root canal therapy
- Removal of Wisdom Teeth
In the past, if you had a tooth with a diseased nerve, you’d probably lose that tooth. Now, with “root canal therapy,” your tooth can be saved. When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can injure your jawbones and be harmful to your overall health.
Root canal therapy involves one to three visits. During treatment, your general dentist or endodontist removes the affected tissue. Next, the interior of the tooth will be cleaned and sealed. Finally, the tooth is filled with a dental composite. If your tooth has extensive decay, your dentist may suggest placing a crown to strengthen and protect the tooth from breaking. As long as you continue to care for your teeth and gums with regular brushing, flossing, and checkups, your restored tooth can last a lifetime.
What is a root canal procedure?
Tooth decay can progress down into the pulp. When this happens, the pulp can become infected. Infection of the pulp can be very painful and can also deteriorate into an abscessed tooth when infection and swelling develops in the tissues around or beneath the tooth. When the pulp becomes infected or the tooth becomes abscessed, it is necessary to perform a root canal.
Why do I feel pain?
When the pulp becomes infected due to a deep cavity or fracture, bacteria can seep in. When there has been an injury due to trauma, the pulp can die. Damaged or dead pulp causes increased blood flow, pressure, and cellular activity. Pain in the tooth is commonly felt when biting down or chewing, and eating or drinking hot and/or cold foods and beverages.
Why do I need root canal therapy?
The tooth will not heal by itself. Without treatment, the infection will spread. The bone around the tooth will begin to degenerate, and the tooth may fall out. Pain usually worsens until one is forced to seek emergency dental attention. The only alternative is extraction of the tooth, which can cause the surrounding teeth to shift, resulting in a bad bite. Though an extraction is cheaper, the space left behind will require an implant or a bridge, which can be more expensive than root canal therapy. If you have the choice, it’s always best to keep your original teeth.
What are the risks and complications with root canal therapy?
More than 95 percent of root canal therapies are successful. However, sometimes a case needs to be redone due to diseased canal offshoots that went undetected, or the fracturing of the canal filling. More commonly, a root canal therapy will fail altogether, marked by the return of pain.
What happens after root canal therapy?
Once root canal therapy is completed, the endodontist will refer the patient back to our office for the permanent restoration on the tooth. A temporary filling was placed immediately following the root canal therapy and will need to be replaced with a permanent filling or crown and build up. A crown will be necessary on all posterior teeth to properly protect the root canal- treated tooth from fracturing. Front teeth can typically be restored with a filling, however a crown may be necessary in some cases. Your dentist will determine the best choice for your individual needs.
How long will the restored tooth last?
Your restored tooth could last a lifetime, if you continue to care for your teeth and gums. However, regular checkups are necessary. As long as the root(s) of a treated tooth are nourished by the tissues around it, your tooth will remain healthy.
How does root canal therapy save my tooth?
- An opening is made through the crown of the tooth into the pulp chamber.
- The pulp is removed, and the root canals are cleaned, enlarged and shaped.
- Medications may be put in the pulp chamber and root canal(s) to help get rid of germs and prevent infection.
- A temporary filling will be placed in the crown opening to protect the tooth between dental visits. Your dentist may leave the tooth open for a few days to drain. You might also be given medicine to help control infection that may have spread beyond the tooth.
- The temporary filling is removed and the pulp chamber and root canal(s) are cleaned and filled.
- In the final step, a gold or porcelain crown is usually placed over the tooth.
An infected tooth is a serious condition and must be treated promptly to avoid tooth loss and the spreading of infection to other teeth. If you are concerned about an infected or abscessed tooth, we urge you to contact us promptly.
Sedation dentistry is an effective way to cure your fear of the dentist. Millions of Americans have some level of anxiety about seeing the dentist. Even though they know how important it is. Visiting your dentist on a regular basis has a lasting impact on your overall health. Dreading the dentist can negatively affect your life. We want to help you make your health a priority by calming your nerves about the dentist’s office.
What is Sedation Dentistry
Sedation dentistry is an effective way to cure your fear of the dentist. Millions of Americans have some level of anxiety about seeing the dentist, even though they know how important it is. Visiting your dentist on a regular basis has a lasting impact on your overall health. Dreading the dentist can negatively affect your life. We want to help you make your health a priority by calming your nerves about the dentist’s office. This can safely put you perfectly at ease every time you visit us.
Not nervous about visiting your dentist? You can still benefit from this type of dentistry. If you have several procedures that you would like to get done in the office, sedation dentistry makes it possible to get them all done in a single appointment. Normally, you would need to spread the procedures across several weeks, months, or even years. It can heighten your tolerance levels and make it possible for you to see the beautiful and healthy smile of your dreams in just one day.
Advantages of Sedation Dentistry
A Lifetime of Health | The calming effects of sedation dentistry will allow you to feel relaxed before and during every single dental procedure.
More Comfort | Your pain threshold will be raised and your body will be at ease. In many cases, anesthesia is not even necessary, although your dentist may choose to use it if it makes you more comfortable.
Fewer Appointments | Makes it possible to get several procedures done in one sitting. Do you need to visit the dentist several times for multiple procedures? Ask to see if sedation dentistry could help you complete your tasks in a single visit.
Save Money | Costs a little bit extra, you may end up saving money in the long run. If you are treated for several things in a single visit, you may be charged less than if you had chosen to visit many times.
Easier Cooperation | Patients who are sedated tend to be perfectly accommodating. You will be able to easily and calmly respond to your dentist’s questions.
Lessened Gag Reflex | If you have a problem with a sensitive gag reflex, sedation dentistry can make each procedure easier for you and your dentist. Your gag reflex will be reduced when you are sedated.
Third molars, commonly referred to as wisdom teeth, are usually the last four of 32 teeth to erupt (surface) in the mouth, generally making their appearance between the ages of 17 to 25. They are located at the back of the mouth (top and bottom), near the entrance to the throat. The term “wisdom” stems from the idea that the molars surface at a time typically associated with increased maturity or “wisdom”.
In most cases, inadequate space in the mouth does not allow the wisdom teeth to erupt properly and become fully functional. When this happens, the tooth can become impacted (stuck) in an undesirable or potentially harmful position. If left untreated, impacted wisdom teeth can contribute to infection, damage to other teeth, and possibly cysts or tumors.
There are several types, or degrees, of impaction based on the actual depth of the teeth within the jaw:
Soft Tissue Impaction: The upper portion of the tooth (the crown) has penetrated through the bone, but the gingiva (gum) is covering part or all of the tooth’s crown and has not positioned properly around the tooth. Because it is difficult to keep the area clean, food can become trapped below the gum and cause an infection and/or tooth decay, resulting in pain and swelling.
Partial Bony Impaction: The tooth has partially erupted, but a portion of the crown remains submerged below the gum and surrounding jawbone. Again, because it is difficult to keep the area clean, infection will commonly occur.
Complete Bony Impaction: The tooth is completely encased by jawbone. This will require more complex removal techniques.
Reasons to remove wisdom teeth
While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay or infection, or as a preventative measure to avoid serious problems in the future. If impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:
- Damage to nearby teeth: Second molars (the teeth directly in front of the wisdom teeth) can be adversely affected by impacted wisdom teeth, resulting in tooth decay (cavities), periodontal disease (gum disease) and possible bone loss.
- Disease: Although uncommon, cysts and tumors can occur in the areas surrounding impacted wisdom teeth.
- Infection: Bacteria and food can become trapped under the gum tissue, resulting in an infection. The infection can cause considerable pain and danger.
- Tooth Crowding: It has been theorized that impacted wisdom teeth can put pressure on other teeth and cause them to become misaligned (crowded or twisted). This theory isn’t universally accepted by all dental professionals, and it has never been validated by any scientific studies.
Wisdom teeth examination
As with any dental procedure, your dentist will want to initially conduct a thorough examination of the wisdom and surrounding teeth. Panoramic or digital X-rays will be taken in order for your dentist to evaluate the position of the wisdom teeth and determine if a current problem exists, or the likelihood of any potential future problems. The X-rays can also expose additional risk factors, such as deterioration or decay of nearby teeth. Early evaluation and treatment (typically in the mid-teen years) is recommended in order to identify potential problems and to improve the results for patients requiring wisdom teeth extractions. Only after a thorough examination can your dentist provide you with the best options for your particular case.
What does the removal of wisdom teeth involve?
Wisdom teeth removal is a common procedure, generally performed under local anesthesia, intravenous (IV) sedation, or general anesthesia by a specially trained dentist in an office surgery suite. The surgery does not require an overnight stay, and you will be released with post-operative instructions and medication (if necessary), to help manage any swelling or discomfort.