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3900 Douglas Way Lake Oswego, OR 97035(503) 636-8446
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Posts for tag: dental implants

We may Need to Build up the Bone in Your Jaw before Implants

By Wikle Family Dental
February 09, 2019
Category: Dental Procedures
Tags: dental implants   bone grafting  
WemayNeedtoBuilduptheBoneinYourJawbeforeImplants

Dental implant technology has advanced at such an astounding rate in recent years that you can now walk into a dentist's office with a problem tooth and out the same day with a new one. Unfortunately, not all dental situations allow for this possibility.

For example, you might be considering an implant many years after losing a tooth. But there's a potential problem: there might not be enough supporting bone. While an implant might still be possible, inadequate bone complicates the matter.

Because implants are essentially tooth root replacements, they require a certain amount of bone for stability and the best attractive outcome. As a general rule, implants need to be surrounded by  at least 1.5-2.0 millimeters of healthy bone to support an implant. But you might not have enough if your tooth has been missing for awhile, regardless if you have or haven't worn dentures or other restorations.

That's because bone has a life cycle in which older cells die and newer ones form to take their place. As we chew or bite, the force generated travels up through the teeth to the bone to stimulate this new growth. Without a tooth the bone doesn't receive this stimulus, which can slow the growth rate. Over time the affected bone can lose its volume and density.

If we find you've experienced loss to the point your bone won't support an implant, that doesn't automatically mean this popular restoration is out of the picture. But it will require us first performing a procedure known as augmentation or bone grafting to help rejuvenate some of the lost bone.

With grafting, we place processed bone grafting material in the jaw through a minor surgical procedure to form a scaffold for new bone to grow upon. After several months this can result in several millimeters of new growth maintaining the width of the underlying bone, which in turn may be able to support an implant.

Bone grafting is quite common, often performed at the same time as tooth extraction if there's going to be a time lag before installing an implant. Even if performed later, though, it can successfully rejuvenate lost bone and make it possible for you to take advantage of durable, life-like implants.

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 after Previous Tooth Loss.”

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Keep an Eye on the Jaw Bone After a Teenager's Tooth Loss

By Wikle Family Dental
June 14, 2018
Category: Oral Health
Tags: dental implants   dental exam  
KeepanEyeontheJawBoneAfteraTeenagersToothLoss

Accidents happen, especially to teenagers involved with sports or similar activities. In an instant they can lose one or more teeth and permanently alter their smile.

Fortunately we can restore a teenager’s lost teeth, but often not immediately as a permanent restoration with a dental implant requires maturity of their jaw structure. Our focus then turns to the age of the patient and the condition of the underlying bone. A future dental implant, your best choice for tooth replacement, depends on bone for support, but also the age of the patient as it relates to jaw development.

There are a couple of ways an accidental tooth loss can harm supporting bone: first and foremost, the impact of the accident itself can damage the bony socket. To find out for sure we may need to perform a cone beam scan, a type of x-ray that allows us to view the area three-dimensionally. If we do find damage, we can attempt to repair the socket through bone grafting.

Bone can also suffer from the long-term absence of a tooth. Bone has a growth cycle in which older cells dissolve and new ones form to take their place. The force generated by teeth when we eat or chew helps stimulate this growth. Without stimulation, as with a missing tooth, the bone may not grow at a healthy rate. In time, it could lose some of its volume and density and not be able to support an implant.

Installing an implant right after tooth loss could help avoid this situation. Bone has a natural affinity with the titanium post imbedded in the jaw and will naturally grow and adhere to it. But we can’t place an implant with a teenager. This is because the jaw is still developing so an implant would gradually become misaligned as the jaw grows. It’s best to install an implant later after full jaw development in early adulthood.

Today, we can place a bone graft in the empty socket right after tooth loss. The graft serves as a scaffold for bone cells to grow on and will help keep the bone volume at a healthy level until we can install an implant.

Timing is everything in restoring a teenager’s accidental tooth loss. But with coordination and care for the supporting bone, a teenager can eventually enter their adult years with their smile intact.

If you would like more information on restoring your teenager’s smile after tooth loss, 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 for Teenagers.”

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Johnny's Teeth Aren't Rotten Any More

By Wikle Family Dental
June 04, 2018
Category: Dental Procedures
Tags: celebrity smiles   dental implants  
JohnnysTeethArentRottenAnyMore

Everyone has to face the music at some time — even John Lydon, former lead singer of The Sex Pistols, arguably England’s best known punk rock band. The 59-year old musician was once better known by his stage name, Johnny Rotten — a brash reference to the visibly degraded state of his teeth. But in the decades since his band broke up, Lydon’s lifelong deficiency in dental hygiene had begun to cause him serious problems.

In recent years, Lydon has had several dental surgeries — including one to resolve two serious abscesses in his mouth, which left him with stitches in his gums and a temporary speech impediment. Photos show that he also had missing teeth, which, sources say, he opted to replace with dental implants.

For Lydon (and many others in the same situation) that’s likely to be an excellent choice. Dental implants are the gold standard for tooth replacement today, for some very good reasons. The most natural-looking of all tooth replacements, implants also have a higher success rate than any other method: over 95 percent. They can be used to replace one tooth, several teeth, or an entire arch (top or bottom row) of teeth. And with only routine care, they can last for the rest of your life.

Like natural teeth, dental implants get support from the bone in your jaw. The implant itself — a screw-like titanium post — is inserted into the jaw in a minor surgical operation. The lifelike, visible part of the tooth — the crown — is attached to the implant by a sturdy connector called an abutment. In time, the titanium metal of the implant actually becomes fused with the living bone tissue. This not only provides a solid anchorage for the prosthetic, but it also prevents bone loss at the site of the missing tooth — which is something neither bridgework nor dentures can do.

It’s true that implants may have a higher initial cost than other tooth replacement methods; in the long run, however, they may prove more economical. Over time, the cost of repeated dental treatments and periodic replacement of shorter-lived tooth restorations (not to mention lost time and discomfort) can easily exceed the expense of implants.

That’s a lesson John Lydon has learned. “A lot of ill health came from neglecting my teeth,” he told a newspaper reporter. “I felt sick all the time, and I decided to do something about it… I’ve had all kinds of abscesses, jaw surgery. It costs money and is very painful. So Johnny says: ‘Get your brush!’”

We couldn’t agree more. But if brushing isn’t enough, it may be time to consider dental implants. If you would like more information about dental implants, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implants” and “Save a Tooth or Get an Implant?”

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Increase Your Implant's Success Chances by Keeping Your Gums Healthy

By Wikle Family Dental
May 05, 2018
Category: Oral Health
Tags: dental implants   gum disease  
IncreaseYourImplantsSuccessChancesbyKeepingYourGumsHealthy

If you’ve just received a dental implant restoration, congratulations! This proven smile-changer is not only life-like, it’s also durable: more than 95% of implants survive at least 10 years. But beware: periodontal (gum) disease could derail that longevity.

Gum disease is triggered by dental plaque, a thin film of bacteria and food particles that builds up on teeth. Left untreated the infection weakens gum attachment to teeth and causes supporting bone loss, eventually leading to possible tooth loss. Something similar holds true for an implant: although the implant itself can’t be affected by disease, the gums and bone that support it can. And just as a tooth can be lost, so can an implant.

Gum disease affecting an implant is called peri-implantitis (“peri”–around; implant “itis”–inflammation). Usually beginning with the surface tissues, the infection can advance (quite rapidly) below the gum line to eventually weaken the bone in which the implant has become integrated (a process known as osseointegration). As the bone deteriorates, the implant loses the secure hold created through osseointegration and may eventually give way.

As in other cases of gum disease, the sooner we detect peri-implantitis the better our chances of preserving the implant. That’s why at the first signs of a gum infection—swollen, reddened or bleeding gums—you should contact us at once for an appointment.

If you indeed have peri-implantitis, we’ll manually identify and remove all plaque and calculus (tartar) fueling the infection, which might also require surgical access to deeper plaque deposits. We may also need to decontaminate microscopic ridges found on the implant surface. These are typically added by the implant manufacturer to boost osseointegration, but in the face of a gum infection they can become havens for disease-causing bacteria to grow and hide.

Of course, the best way to treat peri-implantitis is to attempt to prevent it through daily brushing and flossing, and at least twice a year (or more, if we recommend it) dental visits for thorough cleanings and checkups. Keeping its supporting tissues disease-free will boost your implant’s chances for a long and useful life.

If you would like more information on caring for your 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 “Gum Disease can Cause Dental Implant Failure.”

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Consider Bone Health When Deciding Between Implants and Dentures

By Wikle Family Dental
June 17, 2017
Category: Dental Procedures
Tags: dental implants  
ConsiderBoneHealthWhenDecidingBetweenImplantsandDentures

Losing permanent teeth is never good — unlike primary teeth, no natural replacements wait in the wings. But the good news is you have a number of options for replacing them with life-like prosthetic (false) teeth.

Today's premier choice is dental implants, preferred by dentists and patients alike for their durability and life-likeness. But because of their cost when replacing multiple teeth, many people opt for traditional dentures. And now dentures are easier to wear and maintain thanks to new, advanced materials and designs.

Still, there's one major area where implants have the definite edge over dentures — long-term bone health. Older bone cells die and dissolve (resorb), replaced then by newly formed cells. Teeth help perpetuate this cycle through the forces generated when we chew that travel through the roots to stimulate the formation of new bone.

But because this stimulation through a tooth ends when it's lost, new bone beneath the empty socket may not keep up with the resorption rate of older bone. As a result, you could lose as much as a quarter of normal bone width in just the first year after losing a tooth.

This bone loss will continue to accumulate even if you wear dentures, which can't replicate the bone growth stimulation of natural teeth. What's more, the constant pressure on the bony ridge of the gums can accelerate bone loss. Eventually, the firm, comfortable fit you first had with your dentures will become looser and less comfortable with the shrinking bone volume.

Implants, on the other hand, can stop bone loss and may even reverse it. This is because the titanium metal of an implant has a special affinity with bone cells that readily grow and adhere to it. This creates the anchorage responsible for the implant's durability, but it's also healthy for the bone.

Of course, this doesn't have to be a binary choice between the two restorations thanks to a new hybrid advancement that combines implants with dentures. We can install as few as two implants to support a removable denture. You'll enjoy greater stability, fit and durability with your dentures, while also improving bone health through the implants.

So before you decide on a dental restoration, be sure to discuss with us your implant options. Your oral health and appearance could benefit immensely.

If you would like more information on dental restoration, 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 “The Hidden Consequences of Losing Teeth.”

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Older Posts dental implants (2)
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Archive:

  • 2019
      • February (1)
        • We may Need to Build up the Bone in Your Jaw before Implants
      • January (3)
        • 2.6 Million Fans 'Like' Justin Bieber's Chipped Tooth
        • How a New Approach to Treating Decay Could Benefit You
        • Address Your Teeth Grinding Habit Early to Avoid Potential Tooth Loss
  • 2018
      • December (4)
        • Bitewing X-Rays Safely 'Reveal all' About Back Teeth to Prevent Tooth Decay
        • Singer Dua Lipa Sees the Wisdom in Postponing Tour Dates
        • Don't give up on Flossing!
        • Don't Let GERD Ruin Your Teeth's Health
      • November (3)
        • Difficult or Not, Plaque Removal is Necessary for Stopping Gum Disease
        • Dental Injury Is Just a Temporary Setback for Basketball Star Kevin Love
        • Dental Amalgam Continues to be a Durable and Safe Tooth Filling
      • October (3)
        • Use These Techniques to Enjoy Healthy Foods Even with a Jaw Joint Disorder
        • Don't Stress Over Your Child's Teeth Grinding Habit Unless it Persists
        • Fifth Harmony's Camila Cabello Chips a Tooth, but Concert Still "Worth It"
      • September (3)
        • Treatment Options to Keep Stress From Causing Dental Problems
        • New Advances Could Revolutionize Decay Treatment
        • Tell Your Dentist if You're Having a Shingles Outbreak
      • August (3)
        • Julianne Hough Shares a Video - and a Song - After Wisdom Teeth Come Out
        • A Crown Could be the Answer to Preserving Your Damaged Tooth
        • These 3 Tasks Show How Saliva is Amazing
      • July (3)
        • Home Whitening Kits are Safe and Effective, if Used the Right Way
        • How Big Bang Theory Actress Mayim Bialik Gets Her Kids to Floss
        • 3 Things Your Dentist Recommends You do if You Have Shingles
      • June (3)
        • 4 Diet Changes You Should Make for Better Oral Health
        • Keep an Eye on the Jaw Bone After a Teenager's Tooth Loss
        • Johnny's Teeth Aren't Rotten Any More
      • May (3)
        • Reduce Your Oral Cancer Risk with Better Diet and Lifestyle Choices
        • 4 Tips for Instilling Good Family Hygiene Habits
        • Increase Your Implant's Success Chances by Keeping Your Gums Healthy
      • April (2)
        • Actor David Ramsey Discusses Baby Bottle Tooth Decay
        • Keep Your Smile Beautiful...in April and Beyond
      • March (3)
        • Why Bear a Chipped Tooth?
        • NSAIDs for Pain Management is Safe - if Used Properly
        • Kathy Bates Plays It Smart With Professional Teeth Whitening
      • February (1)
        • Erosion and Other Problems may be Signs of Bulimia
      • January (3)
        • Common Types of Tooth Injuries and How to Treat Them
        • Before we Extract That Problem Tooth, Let's Consider Saving it
        • Ariana Grande Breaks Free - of Her Wisdom Teeth
  • 2017
      • December (2)
        • 3 Surprising Foods That Could Help You Fight Tooth Decay
        • 3 Ways You Can Help Your Child Feel at Home at the Dentist
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        • 4 Things you Should do if Your Child Complains of a Toothache
        • In Today's NFL, Oral Hygiene Takes Center Stage
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        • Those Red Patches on Your Tongue are Nothing to be Alarmed About
        • Can an App Help You Brush Your Teeth?
        • Take Proactive Steps to Protect Your Oral Health During Cancer Treatment
      • September (2)
        • Jamie Foxx Chips a Tooth - This Time by Accident!
        • Back-to-School Shopping...for Oral Health!
      • August (2)
        • Actor David Ramsey Says: Don't Forget to Floss!
        • 4 Reasons Why a Home Whitening Kit Might not be Right for You
      • July (3)
        • No "Glee" in Tooth Grinding
        • Here are the Facts on the Impact of Metal Allergies on Dental Work
        • Noah Galloway's Dentally Dangerous Dancing
      • June (2)
        • Consider Bone Health When Deciding Between Implants and Dentures
        • Master Illusionist Benefits from the Magic of Orthodontics
      • May (2)
        • Gum Disease Could Affect More than Your Teeth and Gums
        • Actress Emma Stone Reveals How Thumb Sucking Affected Her Teeth
      • April (2)
        • Don't Let Smoking Increase Your Chances of Implant Failure
        • Dr. Travis Stork: Don't Ignore Bleeding Gums
      • March (2)
        • Dental Implants: a Durable, Life-Like Solution for your Tooth Loss
        • Life Is Sometimes a Grind for Brooke Shields
      • February (2)
        • Avoid Permanent Tooth Alteration with No-Prep Veneers
        • Dr. Travis Stork: If Only I'd Worn A Mouthguard!

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