Why do we need to take a Radiograph?
- To detect Lesions, disease and conditions of the teeth and surrounding structures that cannot be identified clinically.
- To confirm or classify suspected disease.
- To localize Lesions or foreign objects.
- To evaluate grown and development.
- To illustrate changes secondary to caries, periodontal disease and trauma.
- To document the condition of a patient at a specific point in time.
What is more effective, the electric toothbrush or the manual type toothbrush?
Electric toothbrushes have no clear advantage over manual types. However, electric toothbrushes may have one distinct advantage over the conventional type when used by children. This advantage is the novelty effect, which might influence children to brush better and longer.
What should we do if our child lost a central incisor (front tooth) due to sports accident?
If possible, the avulsed tooth should be stored in milk until it can be replaced. Milk was evaluated as the optimum medium to store avulsed teeth. Compared with saliva and water, milk is superior in maintaining vital tissues necessary to improve the chances for the success of reimplantation. Then proceed immediately to the dentist for reinsertion of the avulsed tooth.
Subject: Dental Implant
Is the dental implant material safe? What material is it made of?
Dental Implant is a highly specialized device used to restore or replace missing tooth or teeth. It is an excellent biocompatible material usually made up of titanium, the kind of noble metal that is most popular, most accepted, and most endorsed worldwide among groups of researchers, academicians and 99% of implant manufacturers. This is also the kind of material used in orthopedic patients.
“The term biocompatible materials” means any device that can be implanted inside the body and exist within the body tissue without causing any adverse effect to the surrounding tissues and general systematic condition of a patient such as allergy, cancer, fever, etc.
How can dental implants solve and improve my existing problem with my conventional denture? Who needs dental implants?
Dental implants can dramatically enhance the comfort as well as the aesthetic and social life of people, especially those who have been suffering from many known denture problems. In terms of comfort, dental implants can dramatically improve the retention of dentures or prosthesis by making it them either fixed or fixed removable , thus making their chewing very normal and problem-free and finally significantly enhance one’s social life.
However, the major advantage of a Dental implant once it is properly done is that it retards bone resorption because the bone, (alveolar bone) is brought back into function. Most of us are very much aware that once we lose our natural teeth, the area of the bone where the tooth or teeth was removed starts to resorb or shrink with or without wearing denture because of hypofunction. Once the dental implant is inserted (the earlier the better to save the bone from further resorption or shrinking), the bone is brought back into function.
What are the requirements for a person who needs dental implant?
Anyone who is in the normal state of general health (both psychological and physical) can undergo the surgical procedure of dental implant insertion. Psychological and physical health is necessary for proper implementation of good oral hygiene maintenance.
Another criterion is the sufficient amount of available bone to accommodate the dental implant device, although insufficient bone can be modified by bone grafting technique. Additional time for healing and additional expenses is expected for the advanced state of bone resorption. Those who have systematic problems such as diabetes, hypertension and some curable metabolic problems can still undergo this procedure.
How long is the healing period of for implant treatment? When can I have my final crown or prosthesis?
The time frame is largely dependent on your general health or medical condition. If no other procedures are necessary (for instance, bone graft or sinus lift or other bone modifications), the healing time is normally 2 ½ to 3 months period. After the healing period, final crown can be installed or connected. When other procedure is are necessary, healing time usually ranges from 4 ½ to 12 months period, depending on how extensive the additional procedure is.
My dentist told me I have very thin bone for dental implant. Is it still possible for me to have one or some?
Insufficient bone volume to accommodate dental implant body is a common problem especially to those who lost their teeth for at least one year period. The longer the time of tooth loss, the greater bone resorption may occur. Various bone augmentation techniques through bone splitting to bone grafting procedure will definitely solve this problem.
How long should I expect my implants to last?
Once the implant selection, surgical technique and the construction of the prosthesis is carried out properly and the patient is religiously following oral hygiene maintenance, dental implant gives a predictable long time of service. There are documented cases wherein dental implants have been in normal function for over 20, 25, 36 years. Some are documented in excellent condition until the patient’s demise as confirmed in autopsy reports. Like the natural teeth, implants also need to be checked regularly every six months.
Is dental implant difficult to maintain?
Oral hygiene maintenance of those who have dental implants is just simple and easy and can be attained through constant practice. Special devices are optional, like water pik and electric toothbrush. These can also be used for the maintenance of natural teeth. Still, majority prefer the use of manual toothbrushes and regular visit to their dentists.
I have missing molars on my upper right and missing upper central incisors. How many implants do I need? Or it is better to follow the advice of my dentist to drill / reduce the adjacent healthy teeth to hold a fixed bridge so that I won’t wear removable prosthesis which I really hate?
A single missing tooth can be restored by a single free standing implant without sacrificing the adjacent natural sound teeth by mutilation to construct fixed bridge prosthesis. A missing tooth is usually replaced by either conventional removable or fixed prosthesis. A common problem of mutilating or drilling of the very sound vital teeth for fixed bridge prosthesis is hyperaemia. Hyperemia of the teeth is an increased amount of blood in the pulp tissue (like an inflamed tissue) that causes the teeth to be very sensitive. That is why there are some people wearing fixed bridge denture or prosthesis who complain of pain in taking colds foods and drinks. Also they feel pain in chewing hard foods.
How many implants should I need to replace my upper full conventional denture with fixed prosthesis like the natural set of teeth? My social life and eating habit is already affected y my loose upper denture.
The number of implants necessary to restore a multiple missing teeth or complete edentulism is dictated by the patient’s bone morphology, bone quality and bone quantity. It is not always necessary to replace them 1:1. Less ideal bone, like for instanced scarce Bone trabiculation (porous bone), needs more implant for better dissipation of force or load during the chewing. Denser bone needs lesser number of implants.
In complete edentulous patient (patient who lost all his/her teeth) who has standard size of the jaw and ideal bone, needs only about 6 to 8 implants per jaw to restore the complete set of missing teeth. We also have to consider the physique or body built of the patient and eating habits.
I have a limited budget, I just want a stabilized denture. Can I have a cheaper way to solve my problem when I eat and talk?
Yes, certainly! 2-4 implants can stabilize a removable full denture. Your conventional/ removable denture can be anchored to 2 implants for stability. You can eat anything you want and talk and laugh confidently without worrying about your denture falling. 4 implants are necessary if you want to remove the palate (roof of the mouth) or palatal portion of your denture.
What are the common causes of implant failures?
Implant failures are attributed to both patients and dentists. Implant patients who do not follow the given post-operative instructions, especially during the few weeks after implant insertions, and those who do not maintain proper oral hygiene and regular check-up might lose their implant. Dentists who do not have sufficient background and proper training in this specialty field can cause damage rather than benefit to their patients.
Can I have my problematic tooth pulled out and have an implant inserted on the same day?
Bone graft and implant treatment can be done in one session/setting depending how much bone volume (width and height) the patient has. Our implant centre do perform all implant related treatments such as: bone grafting, sinus lifting and bone splitting, etc. In newly extracted, (pulled out) tooth/teeth, if there is no severe bone damage, implant can be inserted after the fresh socket is cleaned for any remnants of any pathological tissues.
I am diabetic and hypertensive. Is it possible for me to undergo dental implant surgery?
Patients who are medically compromised will be referred to a medical specialist for proper treatment and clearance. Once the patient is cleared, she/he can undergo implant treatment. The healing period will be greatly aided by Platelet Rich Plasma (PRP), the medical breakthrough which we have in our clinic. Platelet Rich Plasma reduces swelling and pain and speeds up the healing. Aside from PRP, we also use Adult Stem Cells in various bone grafting procedures.
Is it possible to have my implant inserted and crown installed on the same day?
Yes. We call it immediate loading of implant. But this is a case to case basis. There are paramount requirements for this particular procedure:
- Strict patient compliance
- Ideal bone volume (adequate width, height and density)
- Normal health condition of the patient
- No parafunctional habit such as night grinding, clenching, bruxism etc.
Why is dental implant treatment expensive?
The cause of expensive implant service is due to the expensive imported implant machines, armamentarium, implant device itself and its components, such as healing abutment/temporary abutment, the final abutment (where portion crown will be connected ), impression kits, and implant analogue(to be used by the laboratory technician). Increment size of bone drills worn out after repeated usage need to be changed and discarded as well and this adds up to the expensive service. The amount of each bone drill is close to the important device itself.
Subject: Gum Disease
What is PERIODONTAL DISEASE?
Periodontal disease is a bacterial infection that affects the supporting structures of the teeth. There are two forms: Gingivitis and Periodontitis.
What is GINGIVITIS?
Gingivitis is a reversible condition affecting the gums caused by the accumulation of dental plaque on tooth surfaces. It is characterized by reddening and swelling of the gums, bleeding of the gums. The gums are often tender or sensitive.
What is DENTAL PLAQUE?
Dental Plaque or Dental Biofilm (its new name) is composed of numerous bacteria that attach to tooth surfaces primarily around the gum margins and in between teeth. The bacteria in the dental plaque release harmful substances that cause the gums to become inflamed or swollen.
Is Gingivitis contagious?
No, gingivitis is not contagious. You do not develop gingivitis if you kiss someone with gingivitis.
How do I reverse Gingivitis?
Brush your teeth properly and in severe cases seek professional help from your dentist. Sometimes dental plaque/biofilm may be located below the gums and cannot be reached by brushing alone. The dentist can remove these deposits professionally for you by performing scaling and polishing.
How do I prevent gingivitis?
Thorough brushing of the teeth at least twice daily will prevent gingivitis. Regular dental check-ups are also recommended.
Can I just take Antibiotics to treat Gingivitis?
Although Gingivitis is a bacterial infection, antibiotics will not completely remove the infection because antibiotics could hardly penetrate the dental plaque/biofilm. The dental plaque/biofilm needs to be removed from its attachment to the tooth surface to effectively control gingivitis. Antibiotics will be effective only while one is using it. After you stop taking it, the infection will come back because the cause (dental plaque/biofilm) remains, if it is not mechanically removed.
What happens if Gingivitis is not controlled?
Gingivitis if not controlled may lead to a more serious condition named Periodontitis if one is susceptible or predisposed to this condition.
What is Periodontitis?
Periodontitis is the progressive form of Periodontal Disease caused by a specific group of bacteria in the dental plaque/biofilm that has attached to the root surface of the affected tooth/teeth. It causes irreversible damage to the periodontium (includes gums and the structures that support or keep the tooth in place).
How do I know I have Periodontitis?
Aside from bleeding and swollen gums, tooth/teeth may be loose, pus may ooze out from the gum margins, pain on biting may be felt and there may be bad/foul odor or smell from the mouth.
Why do teeth become loose in Periodontitis?
Teeth become loose because the structures that hold or support the teeth particularly the alveolar (jaw) bone gets destroyed in the disease process. Bone is lost and it does not grow back again even if the disease is arrested.
How is Periodontitis controlled or treated?
Just like Gingivitis, the cause (bacterial plaque/biofilm) of the infection has to be removed! There are two ways or methods which are both administered professionally by your dentist or specialist (Periodontist), to control the infection: non-surgical or a “closed” procedure and a surgical or “open” procedure. Both procedures involve the “scraping away” of the deposits that accumulated on the roots of the affected teeth.
Does “TARTAR” or dental calculus cause Periodontal Disease?
Tartar/ Dental Calculus does not cause Periodontitis nor Gingivitis. It however provides an additional surface area for dental plaque/biofilm to attach to.