Signature Smiles Dental Care
1128 Lake Street Suite 1
Oak Park, IL 60301
(708) 386-6190

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Posts for tag: missing tooth

By Signature Smiles Dental Care, Ltd
December 16, 2016
Category: Dental Procedures
EnsuretheBestOutcomewiththeRightCareforaTeensMissingTooth

While it's possible for a teenager to lose a tooth from decay, it's more common they'll lose one from an accidental knockout. If that happens to your teenager, there are some things you should know to achieve a good outcome.

Our top concern is to preserve the underlying bone following tooth loss. Like other tissues, bone has a life cycle: older cells dissolve and are absorbed by the body (resorption), then replaced by new cells. The biting pressure generated when we chew helps stimulate this growth. But bone around a missing tooth lacks this stimulation and may not keep up with resorption at a healthy rate.

This can cause a person to lose some of the bone around an empty tooth socket. To counteract this, we may place a bone graft at the site. Made of bone minerals, usually from a donor, the graft serves as a scaffold for new bone growth. By preventing significant bone loss we can better ensure success with a future restoration.

Because of its lifelikeness, functionality and durability, dental implants are considered the best of the restoration options that can be considered to replace a missing tooth. But placing an implant during the teen years is problematic because the jaws are still growing. If we place an implant prematurely it will appear to be out of alignment when the jaw fully matures. Better to wait until the jaw finishes development in early adulthood.

In the meantime, there are a couple of temporary options that work well for teens: a removable partial denture (RFP) or a fixed modified bridge. The latter is similar to bridges made for adults, but uses tabs of dental material that bond a prosthetic (false) tooth to the adjacent natural teeth to hold it in place. This alleviates the need to permanently alter the adjacent natural teeth and buy time so that the implant can be placed after growth and development has finished.

And no need to worry about postponing orthodontic treatment in the event of a tooth loss. In most cases we can go ahead with treatment, and may even be able to incorporate a prosthetic tooth into the braces or clear aligners.

It's always unfortunate to lose a tooth, especially from a sudden accident. The good news, though, is that with proper care and attention we can restore your teenager's smile.

If you would like more information on how to treat lost teeth in teenagers, 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.”

By Signature Smiles Dental Care, Ltd
October 02, 2015
Category: Dental Procedures
TimingisEverythingWhenReplacingaTeenagersMissingTooth

There are good reasons, for both health and appearance, to replace a missing tooth with a dental implant or similar restoration as soon as is practical. The bone around a tooth socket diminishes the longer it remains empty, up to 25% the first year. And, of course, your smile is less attractive, especially with a highly visible tooth.

If it’s your teenager, though, you may need to wait on a permanent restoration because their jaws are still developing. An implant placed before completion of jaw development could eventually appear out of alignment with neighboring teeth.

Our biggest concern is protecting bone health at the site of the missing tooth. We can do this and encourage growth by placing bone grafts (processed minerals from another donor) that serve as scaffolds on which surrounding bone can grow. Grafts usually dissolve (resorb) over time, but the rate of resorption can be slowed for a younger patient in need of long-term bone growth.

Planned orthodontic treatment can usually go on as scheduled. The orthodontist may accommodate the tooth loss by adding a temporary tooth within the braces or other device that matches the color and shape of the patient’s natural teeth. The orthodontist will also take care to maintain the empty space for a future implant or other restoration.

A dental implant is considered the best option for a missing tooth, not only for its life-like appearance and durability, but also its ability to encourage bone maintenance. Timing, though, is essential for teenagers. As it grows, the upper jaw will tend to move forward and down. Natural teeth move with this growth; implants, though, are attached differently and won’t move with the jawbone. While the other teeth around them move, the implants can appear to shrink back resulting in an unattractive smile appearance. So waiting until the jaw has finished growing is important.

For most people, jaw growth finishes by age twenty-one for men, women usually faster, but each person is different. The dentist’s expertise and experience, coupled with comparisons of adult family members’ facial appearances, will help determine the right time to undertake a permanent restoration for the best outcome both for health and a permanent, attractive smile.

If you would like more information on treating teenagers with missing teeth, please contact us to 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.”

By Signature Smiles Dental Care, Ltd
April 27, 2013
Category: Dental Procedures
FiveWaystoMakeSureYourDentalImplantsSucceed

Modern dental implants, sometimes called “your third set of teeth,” have revolutionized the practice of dentistry. As permanent replacements for missing teeth, dental implants are highly successful.

A dental implant is composed of two parts. The implant actually replaces the tooth root (like the root of your original tooth). It is usually made of commercially pure titanium, which has the capacity to fuse with the bone of your jaw. This fusion is called osseo-integration, meaning “becoming part of the bone.” When this happens, living bone cells actually fuse with the surface layer of the titanium implant, which stabilizes the bone as well. A crown (the part of the tooth that is visible above the gum line) is attached to the implant and can be made of ceramic material that exactly matches the appearance of your natural teeth.

Studies have shown that the success rate of dental implants is greater than 95%. Here's what we need to know to make sure dental implants succeed:

  • We need to know about your general health. Do you smoke? What medications are you taking? Do you have osteoporosis or a compromised immune (resistance) system?
  • We will also perform a detailed assessment of the health of your teeth, gums, and jaws to ensure you are a candidate for dental implants.
  • Do you have sufficient bone to anchor the implants? Is the bone quality adequate? Tooth-supporting bone tends to melt away or resorb when a tooth is lost, so it is important to ensure that it is maintained when a tooth is lost or extracted. We can perform bone grafting to minimize resorption and build up bone tissue if necessary. We will consider the quality and quantity of your bone as part of your assessment.
  • After the implants have been placed, good dental habits are important. As with your natural teeth, carefully cleaning your new implant crowns and their surrounding gums every day is a necessity.
  • Continue to visit us on a regular basis. Regular checkups and maintenance can avoid breakdown of the surrounding bone and gum tissues.
  • If you grind your teeth, we can provide you with a night guard to help to protect your implants from wear and undue stress, which can affect the integration with the bone.

Implants are an excellent choice to replace missing teeth. Contact us today to schedule an appointment or to discuss your questions about dental implants. You can also learn more by reading the Dear Doctor magazine articles “Dental Implant Success Rate” and “Dental Implants: Your Third Set of Teeth.”

By Signature Smiles Dental Care, Ltd
March 18, 2013
Category: Dental Procedures
HowDoWeMakeYourDentalImplantsLookSoGood

A dental implant as a permanent replacement for a missing tooth can match or even look better than your original tooth. How this happens takes knowledge, skill, experience, and even some art.

Here are some of the factors involved:

  1. Bone quantity and quality: To look and function like an original tooth, an implant must be supported by an adequate base of (jaw) bone and gum tissue. Bone has a tendency to melt away or resorb after a tooth is lost. Using new bone grafting techniques can help minimize the bone loss that occurs during healing at the extraction site. Bone grafting can also be used to rebuild lost bone at the implant site.
  2. Adequate bone supporting neighboring teeth: If you lose bone that supports teeth on either side of an implant, the papillae (the little pink triangles of gum tissue between the teeth) may not regenerate after the implant is placed.
  3. Your inborn tissue type: If your gum tissues are thin and delicate rather than thick and robust, they will be more difficult to work with. To ensure that there is sufficient gum tissue support, (gum) grafting may be necessary.
  4. Using the temporary crown as a template: A dental implant actually replaces a tooth root. Most dental implants are made of commercially pure titanium, which fuses with the bone in your jaw, making it very stable. The crown, the part of the tooth that is visible above the gum line, is attached to the implant; a customized temporary crown can be fitted to the implant. The temporary crown is a trial for the final crown. It can be used to assess color, shape, the appearance of your smile, and the implantâ??s function in your bite and speech. It gives you the opportunity to decide about design adjustments before the final, permanent crown is placed.
  5. The skill, experience, and collaboration of your dental team: Each situation is different. The final success of your implant depends on your pre-surgical assessment and diagnosis, as well as how the surgical and restorative phases of treatment are performed. The use of an outstanding dental laboratory is vital to a successful result.

Contact us today to schedule an appointment for an assessment or to discuss your questions about dental implants. You can also learn more by reading the Dear Doctor magazine article “Matching Teeth & Implants.”

By Signature Smiles Dental Care, Ltd
October 03, 2012
Category: Dental Procedures
FiveReasonstoChooseDentalImplants

Lost teeth can cause a host of problems, including a loss of your jaw bone and a collapsing appearance of your face, along with difficulty chewing and speaking.

Clearly, it is important to replace missing teeth as soon as possible. Options for replacement include the more traditional methods and the newest technique — dental implants. We believe that implants are your best choice for the following reasons.

  1. Implants prevent bone loss.

    Dental implants are substitute tooth roots. Like the roots of your original teeth, they stabilize the bone into which they extend — but in a different way.

    The part of the bone that encases the teeth is called alveolar bone, from the word root meaning “sac.” This bone has a special relationship with the teeth it surrounds. It develops as they first erupt into the mouth. If they are lost, the alveolar bone goes, too. It resorbs, or melts away, giving an impression that the bone, gums, and sometimes the lips are collapsing.

    Implants are made of titanium, which has the ability to join biochemically to bone. It takes the place of the original tooth root and prevents resorption.

  2. Implants support adjacent teeth.

    Your teeth work in harmony, an all for one, one for all relationship with each other. If one is missing, the remaining teeth will slowly move and shift causing them to receive forces that may not be well received. Losing any tooth increases the pressure on the remaining teeth. Losing a back (posterior) tooth can put pressure on the front teeth and they can be forced out of position. All these movements can change a person's appearance as well as in their ability to speak, bite and chew.

  3. They are easier to clean than “traditional” options.

    Fixed bridges are non-removable tooth replacements that attach to adjacent natural teeth. These teeth that are adjacent to the missing tooth have to be cut into small peg shapes on which the bridge is attached. The removal of their enamel may make them more prone to tooth decay and gum disease.

    Older replacement methods include removable options such as plastic “flippers” and partial dentures. These replacements rest on the teeth and gums, making the teeth they attach to receive greater pressure causing more mobility. In addition, they exert pressure on the gums, causing additional bone loss and increasing the potential for bone loss on the neighboring teeth.

    Full dentures, in cases where all teeth are missing, are kept in place by pressing on the gum tissues. This causes even more pressure on the bone, leading to bone loss and changing facial structures.

  4. They are longer lasting.

    Studies have shown that removable partial dentures are replaced about every five years; bridges are only 67% successful at 15 years; and implants are over 95% successful for 20 or more years.

  5. They are cost effective in the long term.

    Because implants last longer than other alternative tooth replacements, they may seem more expensive at first; but they will be cost effective over the long term.

Contact us today to schedule an appointment to discuss your questions about dental implants. You can also learn more by reading the Dear Doctor magazine article “Dental Implants. Evaluating Your Options.”