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Dental Implant Experience

FAQ

Q: How many implants have Drs. Barr and Marinak done ?

90206176We have been placing implants for over 20 years and inserted literally thousands of dental implants. Continually pursuing an ongoing education with reconstruction developments, we keep well-informed on the latest advances in treating periodontal disease and implantology.

 

Q: What happens during my first visit?

A: New patients will receive a thorough oral examination checking the amount of bone loss, loose teeth and symptoms of periodontal disease. X-rays may be required to detect periodontal disease not visible to the eye.

 

Q: Why is gum treatment important?

A: Periodontal disease is a progressive gum infection which can eventually lead to discomfort, bone loss and loss of teeth. It is important to maintain your natural teeth. Even though dentures and implants can restore the basic functions of your teeth, they are not as effective as your natural teeth.

Periodontal disease is also associated with other health issues including heart disease and diabetes.

 

Q: What are the symptoms of periodontal disease?

A: Symptoms to watch out for are:

  • Red, swollen and sore gums
  • Bleeding gums after brushing and flossing
  • Enlarging gaps forming between the teeth
  • Receding gums
  • Lingering bad breath

 

Q: Will I need dental surgery

A: Not necessarily. Depending on your individual circumstances, gum disease can be controlled with early treatment non-surgical means.

Dental Implants

Q: How successful are dental implants and how long can they last?

56678732They are extremely successful with over 35 years of international statistics establishing that conclusion.

In some parts of the mouth where there is dense bone they are 99% over ten years, in others about 93 %.

They are recognized as one of the most predictable of all dental procedures often lasting a life time and certainly longer than conventional bridges.

 

Flossing

Q: Why is it important to use dental floss?

Brushing our teeth removes food particles, plaque, and bacteria from all tooth surfaces, except in between the teeth. Unfortunately, our toothbrush can’t reach these areas that are highly susceptible to decay and periodontal (gum) disease.

Daily flossing is essential for overall heathy mouthDaily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.

Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (acids) that cause cavities and irritate and inflame the gums. Also, when plaque is not removed above and below the gum line, it hardens and turns into calculus (tartar). This will further irritate and inflame the gums and also slowly destroy the bone. This is the beginning of periodontal disease.

How to floss properly:

  • Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
  • Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
  • Curve the floss into a “C” shape around each tooth and under the gumline.
  • Gently move the floss up and down, cleaning the side of each tooth.Floss holders are recommended if you have difficulty using conventional floss.

Daily flossing will help you keep a healthy, beautiful smile for life!

 

Gingivitis and Periodontitis

Q: How can I tell if I have gingivitis or periodontitis (gum disease)?

How to tell if you suffer from gum diseaseFour out of five people have periodontal disease and don’t know it! Most people are not aware of it because the disease is usually painless in the early stages. Unlike tooth decay, which often causes discomfort, it is possible to have periodontal disease without noticeable symptoms. Having regular dental check-ups and periodontal examinations are very important and will help detect if periodontal problems exist.

Periodontal disease begins when plaque, a sticky, colorless, film of bacteria, food debris, and saliva, is left on the teeth and gums. The bacteria produce toxins (acids) that inflame the gums and slowly destroy the bone. Brushing and flossing regularly and properly will ensure that plaque is not left behind to do its damage.

Other than poor oral hygiene, there are several other factors that may increase the risk of developing periodontal disease:

 

Smoking or chewing tobacco – Tobacco users are more likely than nonusers to form plaque and tartar on their teeth.

Certain tooth or appliance conditions – Bridges that no longer fit properly, crowded teeth, or defective fillings that may trap plaque and bacteria.

Many medications – Steroids, cancer therapy drugs, blood pressure meds, oral contraceptives. Some medications have side affects that reduce saliva, making the mouth dry and plaque easier to adhere to the teeth and gums.

Pregnancy, oral contraceptives, and puberty – Can cause changes in hormone levels, causing gum tissue to become more sensitive to bacteria toxins.

Systemic diseases – Diabetes, blood cell disorders, HIV / AIDS, etc. Genetics may play role – Some patients may be predisposed to a more aggressive type of periodontitis. Patients with a family history of tooth loss should pay particular attention to their gums.

Signs and Symptoms of Periodontal Disease:

 

Red and puffy gums – Gums should never be red or swollen.

Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.

Persistent bad breath – Caused by bacteria in the mouth.

New spacing between teeth – Caused by bone loss.

Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).

Pus around the teeth and gums – Sign that there is an infection present.

Receding gums – Loss of gum around a tooth.

Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

 

Dental Exams and Cleaning

Q: How often should I have a dental exam and cleaning?

You should have your teeth checked and cleaned at least twice a year, though your dentist or dental hygienist may recommend more frequent visits.

Annual Dental CheckupsRegular dental exams and cleaning visits are essential in preventing dental problems and maintaining the health of your teeth and gums. At these visits, your teeth are cleaned and checked for cavities. Additionally, there are many other things that are checked and monitored to help detect, prevent, and maintain your dental health. These include:

Medical history review: Knowing the status of any current medical conditions, new medications, and illnesses, gives us insight to your over all health and also your dental health.

Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss.X-rays also help determine tooth and root positions.

Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any symptoms of oral cancer.

Gum disease evaluation: Check the gums and bone around the teeth for any symptoms of periodontal disease.

Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments.

Examination of existing restorations: Check current fillings, crowns, etc.

Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for sometime and is now firmly attached to the tooth surface. Calculus forms above and below the gum line, and can only be removed with special dental instruments.

Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (poisons) that inflame the gums. This inflammation is the start of periodontal disease!

Teeth polishing: Removes stain and plaque that is not otherwise removed during toothbrushing and scaling.

Oral hygiene recommendations: Review and recommend oral hygiene aids as needed (electric dental toothbrushes, special cleaning aids, fluorides, rinses, etc.).

Review dietary habits: Your eating habits play a very important role in your dental health.

As you can see, a good dental exam and cleaning involves quite a lot more than just checking for cavities and polishing your teeth. We are committed to providing you with the best possible care, and to do so will require regular check-ups and cleanings.

 

Brush and Floss?

Q: How often should I brush and floss?

Brushing and flossing help control the plaque and bacteria that cause dental disease.
Plaque is a film of food debris, bacteria, and saliva that sticks to the teeth and gums. The bacteria in plaque convert certain food particles into acids that cause tooth decay. Also, if plaque is not removed, it turns into calculus (tartar). If plaque and calculus are not removed, they begin to destroy the gums and bone, causing periodontal (gum) disease.

Plaque formation and growth is continuous and can only be controlled by regular brushing, flossing, and the use of other dental aids.

 

Brushing for a healthy smileToothbrushing – Brush your teeth at least twice a day (especially before going to bed at night) with an ADA approved soft bristle brush and toothpaste.
Brush at a 45 degree angle to the gums, gently using a small, circular motion, ensuring that you always feel the bristles on the gums.Brush the outer, inner, and biting surfaces of each tooth.Use the tip of the brush head to clean the inside front teeth.Brush your tongue to remove bacteria and freshen your breath.Electric toothbrushes are also recommended. They are easy to use and can remove plaque efficiently. Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time.

Flossing for a healthy smileFlossing – Daily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.

– Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
– Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
– Curve the floss into a “C” shape around each tooth and under the gumline.
– Gently move the floss up and down, cleaning the side of each tooth. Floss holders are recommended if you have difficulty using conventional floss.

Rinsing is an important part of oral hygiene

Rinsing – It is important to rinse your mouth with water after brushing, and also after meals if you are unable to brush.

If you are using an over-the-counter product for rinsing, it’s a good idea to consult with your dentist or dental hygienist on its appropriateness for you.

 

Bad Breath?

Below are some of the most frequently asked questions patients have about dentistry and oral health issues. If you have any other questions, or would like to schedule an appointment, we would love to hear from you.

Q: What should I do if I have bad breath?

Treatment for Bad BreathBad breath (halitosis) can be an unpleasant and embarrassing condition. Many of us may not realize that we have bad breath, but everyone has it from time to time, especially in the morning.

There are various reasons one may have bad breath, but in healthy people, the major reason is due to microbial deposits on the tongue, especially the back of the tongue. Some studies have shown that simply brushing the tongue reduced bad breath by as much as 70 percent.

 

What may cause bad breath?

 

Morning time – Saliva flow almost stops during sleep and its reduced cleansing action allows bacteria to grow, causing bad breath.

Certain foods – Garlic, onions, etc. Foods containing odor-causing compounds enter the blood stream; they are transferred to the lungs, where they are exhaled.

Poor oral hygiene habits – Food particles remaining in the mouth promote bacterial growth.

Periodontal (gum) disease – Colonies of bacteria and food debris residing under inflamed gums.

Dental cavities and improperly fitted dental appliances – May also contribute to bad breath.

Dry mouth (Xerostomia) – May be caused by certain medications, salivary gland problems, or continuous mouth breathing.

Tobacco products – Dry the mouth, causing bad breath.

Dieting – Certain chemicals called ketones are released in the breath as the body burns fat.

Dehydration, hunger, and missed meals – Drinking water and chewing food increases saliva flow and washes bacteria away.

Certain medical conditions and illnesses – Diabetes, liver and kidney problems, chronic sinus infections, bronchitis, and pneumonia are several conditions that may contribute to bad breath. Keeping a record of what you eat may help identify the cause of bad breath. Also, review your current medications, recent surgeries, or illnesses with you dentist.

What can I do to prevent bad breath?

 

Practice good oral hygiene – Brush at least twice a day with an ADA approved fluoride toothpaste and toothbrush. Floss daily to remove food debris and plaque from in between the teeth and under the gumline. Brush or use a tongue scraper to clean the tongue and reach the back areas. Replace your toothbrush every 2 to 3 months. If you wear dentures or removable bridges, clean them thoroughly and place them back in your mouth in the morning.

See your dentist regularly – Get a check-up and cleaning at least twice a year. If you have or have had periodontal disease, your dentist will recommend more frequent visits.

Stop smoking/chewing tobacco – Ask your dentist what they recommend to help break the habit.

Drink water frequently – Water will help keep your mouth moist and wash away bacteria.

Use mouthwash/rinses – Some over-the-counter products only provide a temporary solution to mask unpleasant mouth odor. Ask your dentist about antiseptic rinses that not only alleviate bad breath, but also kill the germs that cause the problem.In most cases, your dentist can treat the cause of bad breath. If it is determined that your mouth is healthy, but bad breath is persistent, your dentist may refer you to your physician to determine the cause of the odor and an appropriate treatment plan.