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Posts for: October, 2018

DentalImplantscanalsoSupportOtherTraditionalRestorations

If you’re thinking about getting dental implants, you’re in good company. Dentists have placed more than 3 million of these popular devices since their introduction in the early 1980s.

But if you have multiple missing teeth, you might think the cost of all those individual implants could put them out of your league. Yes, replacing multiple teeth with individual implants can be quite expensive—but implant technology isn’t limited to one tooth at a time. A few well-placed implants can impart their proven durability and stability to other types of restorations.

For example, we can incorporate implants into a bridge for a series of missing teeth. Conventional bridges are normally fixed in place by altering and then crowning natural teeth on each side of the missing teeth gap with a fixed row of prosthetic (false) teeth in the middle to fill it. Instead, two implants placed at the ends of the gap can support the bridge rather than natural teeth. This not only provides greater stability for the bridge, it also avoids permanent altering the natural teeth that would have been used.

Implants can also support a fixed bridge to restore complete tooth loss on a jaw. The new bridge is attached to a few strategically placed implants along the jaw line to equally distribute biting forces. This can result in a strong hold with excellent durability.

We can also use implants to improve traditional dentures. Dentures normally rest directly on the gums’ bony ridges, depending on a snug fit for stability. But bone loss, a natural consequence of missing teeth, can still occur while wearing dentures, which may in fact accelerate the rate of loss due to the appliance’s constant pressure and friction against the gums.

Instead, just a few implants placed along the jaw can, with attachments built into the denture, hold it securely in place. This not only decreases the pressure on the gums, but the natural bone growth that occurs around the implant may even deter bone loss.

Depending on your situation, there could be a viable restoration solution involving implants. Visit our office for a complete examination and evaluation to see if implants could help change your smile forever.

If you would like more information on implant restorations, 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 101: the Most Significant Innovation in the Past Century.”


KeepAheadofPotentialSidetrackstoYourChildsOralHealth

From birth to young adulthood, your child's teeth gums and other mouth structures steadily grow and mature. Sometimes, though, problems arise and get in the way of their oral health. It's important we detect when that happens and take action.

We can sort these potential problems into three broad categories: developmental, disease and injury. The first category includes such problems during their childhood years as teeth erupting out of position or the jaws growing improperly and becoming abnormally long, short, wide or narrow.

The possibility of developmental problems is a primary reason for regular dental visits, beginning around your child's first birthday. If we can detect a growing problem early, we may be able to minimize or even reverse its impact to your child's oral health.

Regular dental care also helps control disease, particularly tooth decay and cavity formation. Our primary aim is to treat decay, even in primary (baby) teeth: losing a primary tooth to decay could adversely affect the incoming permanent tooth's jaw position. Besides treatment, we can also help prevent decay with topical fluoride treatments (to strengthen enamel) and sealants.

Although not as common as disease, dental problems due to injury still occur all too frequently. Blows to the mouth can chip teeth, loosen them or even knock them out. For any type of visible tooth injury you should visit us or an emergency room immediately — time is of the essence especially to save a knocked out tooth. Be sure you recover and bring any knocked out teeth or chip fragments.

We can also help you on the injury prevention front as well. For example, if your child participates in contact sports or similar activities, we can fashion a custom-fitted mouth guard to protect their teeth and soft tissues.

Keeping a vigilant eye for these potential problems will help ensure your child's future oral health is the best it can be. The sooner these problems are detected, the better and less costly their outcome.

If you would like more information on caring for your child's teeth and gums, please contact us or schedule an appointment for a consultation.


NBCStarDeliversaMessageaboutthePerfectSmile

Sometimes it seems that appearances count for everything—especially in Hollywood. But just recently, Lonnie Chaviz, the 10-year-old actor who plays young Randall on the hit TV show This Is Us, delivered a powerful message about accepting differences in body image. And the whole issue was triggered by negative social media comments about his smile.

Lonnie has a noticeable diastema—that is, a gap between his two front teeth; this condition is commonly seen in children, but is less common in adults. There are plenty of celebrities who aren’t bothered by the excess space between their front teeth, such as Michael Strahan, Lauren Hutton and Vanessa Paradis. However, there are also many people who choose to close the gap for cosmetic or functional reasons.

Unfortunately, Lonnie had been on the receiving end of unkind comments about the appearance of his smile. But instead of getting angry, the young actor posted a thoughtful reply via Instagram video, in which he said: “I could get my gap fixed. Braces can fix this, but like, can you fix your heart, though?”

Lonnie is raising an important point: Making fun of how someone looks shows a terrible lack of compassion. Besides, each person’s smile is uniquely their own, and getting it “fixed” is a matter of personal choice. It’s true that in most circumstances, if the gap between the front teeth doesn’t shrink as you age and you decide you want to close it, orthodontic appliances like braces can do the job. Sometimes, a too-big gap can make it more difficult to eat and to pronounce some words. In other situations, it’s simply a question of aesthetics—some like it; others would prefer to live without it.

There’s a flip side to this issue as well. When teeth need to be replaced, many people opt to have their smile restored just the way it was, rather than in some “ideal” manner. That could mean that their dentures are specially fabricated with a space between the front teeth, or the crowns of their dental implants are spaced farther apart than they normally would be. For these folks, the “imperfection” is so much a part of their unique identity that changing it just seems wrong.

So if you’re satisfied with the way your smile looks, all you need to do is keep up with daily brushing and flossing, and come in for regular checkups and cleanings to keep it healthy and bright. If you’re unsatisfied, ask us how we could help make it better. And if you need tooth replacement, be sure to talk to us about all of your options—teeth that are regular and “Hollywood white;” teeth that are natural-looking, with minor variations in color and spacing; and teeth that look just like the smile you’ve always had.

Because when it comes to your smile, we couldn’t agree more with what Lonnie Chaviz said at the end of his video: “Be who you want to be. Do what you want to do. Do you. Be you. Believe in yourself.”

If you have questions about cosmetic dentistry, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Beautiful Smiles by Design” and “The Magic of Orthodontics.”


By Stiles Family Dentistry
October 02, 2018
Category: Dental Procedures
Tags: root canal   tooth pain  

Root CanalYou don’t always have to settle for having a tooth extracted immediately when it becomes painfully infected. You may just need a root canal to restore it to good health. Dentists perform over 15 million root canal procedure each year according to the American Association of Endodontists. Know the most important facts about getting a root canal at Stiles Family Dentistry in Salem, NH and when this procedure is most useful. 

What Is a Root Canal?
Root canal therapy is a way to disinfect and heal a tooth that has been affected by moderate to severe tooth decay. Tooth decay starts as a very small dental cavity, then progresses to a deeper problem that invades the inner tissues and nerves of the tooth over time. Chances are, when a tooth starts to ache, feel very sensitive, or starts to loosen, you and your dentist should explore the benefits of a root canal. 

When a Root Canal Is Needed
A root canal is needed when a tooth is affected by inner decay, yet it is still strong and solid enough to maintain its position in your gumline. First, your Salem, NH dentist will use dental X-rays and a visual exam to identify the presence of tooth decay and inflammation. Using dental tools, your dentist will open the tooth, remove diseased tissue, and refill the opening with a substance called gutta percha. The final step is covering and protecting the tooth with a crown.

Root Canals Work
It’s a myth that extracting a tooth is better than having root canal treatment. The American Association of Endodontists says that the root canal procedures have a high success rate. It’s possible for a treated tooth to maintain its strength and health for a lifetime. Your responsibility is to maintain good gum and oral health to avoid future bouts with dental disease.

Have Your Tooth Treated
The longer you wait for root canal therapy on an infected tooth, the more difficult it will be to save. Get treatment as soon as you start to feel discomfort. Call 603-893-4538 today to schedule an appointment with Dr. Jhon Giraldo, Dr. Paul Masterson, or Dr. Nicholas Papapetros at Stiles Family Dentistry in Salem, NH.