DENTAL PYRAMIDS PC
Dental Pyramids P.C.

Facts You Should Know

Brushing, after each meal and flossing at least once is the key to keep your beautiful healthy smile.

 

Periodontal Facts:

Patients with a history of periodontal disease need a deeper cleaning because they have developed pockets, which are spaces between the teeth and gum that can trap plaque and tartar.  With regular deep cleaning, the pockets can shrink and the gum can become healthier.  Periodontal diseases could lead to the destruction of the underlying tissue structure of your mouth and may lead to tooth sensitivity and ultimately losing teeth in the affected area.

 

 

CEREC 3D:

Cerec is a new revolutionary approach in constructing ceramic crowns, fillings and even bridges in one visit.  The process is done by preserving tooth structure; an optical impression of the tooth is taken using 3D software and is milled chairside.

The procedure is done chairside with no need of any impression materials or temporary restoration.

 

 

Dental Implants:

Implants are a special metal fused to the jawbone, which offer firm support to man-made teeth.

Dentures, bridges or single teeth mounted to the implants secure a better fit and resemble natural teeth.

The first step is to talk to your dentist and discuss your candidacy to the implants.  A minor surgical procedure is performed to place the implant in your jawbone followed by a healing period, which is called Osseointegration (A process that leads to the fusion of the implant to the bone), placement of the artificial prosthesis is followed by using the CAD/CAM or traditional impression.

 

 

Root Canal Treatment:

Your teeth are meant to last a lifetime.  When the pulp (the nerve) gets infected due to decay or trauma, endodontic treatment is recommended to save the tooth by removing the pulp and irritated tissue.  Special medication replaces the chamber of the tooth with hydrophilic material, then the tooth may be reinforced with a post.  Partial or total coverage of the tooth may be required. The CAD/CAM technology can be very useful for partial coverage after a root canal to save tooth structure.

 

 

Gum Recession:

You can have a perfectly healthy mouth- no infection, no periodontal (gum) disease and have no active tooth decay, and be conscientious about oral hygiene, but you may still experience gum recession.

The dental term for gum tissue is gingiva.  There are two types of gingiva in the mouth: attached gingiva- the thick, pink tissue that hugs the teeth and is firmly attached to the underlying bone, and the mucosa, or unattached gingiva, the soft, thin moveable tissue that makes up the inside of lips and cheeks.

Gum recession occurs when the edge of the gum tissue (called the gingival margin) moves away from the crown of the tooth.

Several factors contribute to gum recession.  One of the main causes is an irregular or abnormal tooth position.  For example, a tooth may protrude because it was crowded when permanent teeth began to push through the gums.  As a result, there is inadequate jaw bone to cover the tooth's root and the tooth is pushed forward out of the bone.  The condition is sometimes noticeable as early as age 10.

Heredity is another factor.  A person may simply have thin, fragile or insufficient gum tissue.  Other causes of gum recession include:

-aggresive or excessive tooth brushing

-trauma to gum or tissues

-periodontal (gum) disease

 

Treatments

When minor gum recession is ignored, continued recession and bone loss around teeth are likely.  If gum recession is due to excessive and aggressive brushing, your dental office staff can show you more effective methods to clean your teeth.

Treatment methods vary by the type and severity of the gum recession. The dentist may recommend soft tissue graft surgery (called gingival or gum grafts) and other procedures that help create more attached gingiva to prevent gum recession from increasing and to help regenerate and re-establish coverage of the root.  This also helps protect the tooth from decay.  During tissue graft, a thin piece of tissue is taken from the roof of the mouth or another site in the mouth and grafted to the site where the  gum tissue is receded.  A gingival graft may use tissue that was gently moved from the area next to where the gums have receded, a procedure called a lateral sliding graft.  In some cases, freeze-dried tissue products or synthetic membranes may be used.   

Tissue grafts may be performed around one tooth or several teeth.  The benefits include creating gum tissue that will reduce the likelihood of further gum recession, helping cover exposed roots, enhancing the appearance of the gum line and preventing or treating root sensitivity.

If recession is due to periodontal (gum) disease, the first step usually involves a special cleaning, called scaling and root planing, to remove plaque and tartar deposits on the tooth and root surfaces (below the gum line).  This procedure helps gum tissues heal.  For many patients, this treatment along with excellent oral hygiene at home and regular dental check-ups can help stop periodontal disease and further gum loss.

For healthy gums, maintain a well-balanced, nutritious diet after surgery.  Brush gently twice a day with a fluoride toothpaste and clean between teeth once a day with floss or another interdental cleaner to help remove plaque.  Your dentist may provide instructions on additional cleaning methods or may prescribe additional medication.

 

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Third Molars (Wisdom Teeth):

It was opined that retained third molars could lead to the development of periodontal diseases in the adjacent dentition (teeth), therefore, many on-going debates have been raised regarding the indication of removal of the wisdom teeth.

The latest studies assessing the relationship between visible third molars and periodontal disease indicate in all studies taking into consideration healthy adults, pregnant women, longitudal study of asymptomatic third molar was associated with increased periodontal disease in the second molar region.  It is thought that the presence of a third molar provides a greater surface area for colonization by bacteria and development of biofilm- gingival interface.

 

White RP Jr., Fisher EL, Phillips C, et al.  Visible third molars as a risk indicator for increased periodontal probing depth.

 The Consequences of not replacing a missing posterior teeth:           

Background. Failure to replace a missing posterior tooth is assumed to result in a host of adverse consequences, which include shifting of teeth and loss of alveolar bone support.                  

Methods. A retrospective longitudinal study (median follow-up period 6.9 years), using the radiographs of 111 patients who had an untreated bounded edentulous space, or BES, was conducted to determine the extent to which these adverse outcomes occurred.

Results. The majority of patients lost 1 millimeter or less of the distance between teeth adjacent to the space, extrusion of the opposing tooth was ≤ 1 mm in 99 percent of the cases, and the amount of alveolar bone loss next to the adjacent teeth was ≤ 1 mm in 83 percent of the cases.

Conclusions. Within the follow-up time in this study, this group of patients did not exhibit the expected adverse consequences with either the frequency or severity generally assumed to be associated with nonreplacement of a single posterior tooth.

Clinical Implications. These findings suggest that for the large majority of patients who experience a single-tooth posterior BES, immediate treatment may not be critical to the maintenance of arch stability. Instead, regular follow-up assessments to monitor change in stability and periodontal health may be warranted.

 

Should be concerned about Xrays:

Many patients are concerned about dental Xrays, so  according to the American Dental Association as quoted by Dr. Thomas Connelly DDS, using millisievert (mSv), you could expect 0.038 mSv for bitewings and about 0.0150 from a full mouth Xrays but those numbers are meanless unless we compare them to other Xrays.

a chest Xray measures 0.080

Average natural xrays in USA 3.00 per year

Radiation in space in Denever , CO 0.510 per year

When your dentist uses digital Xrays those numbers are much less up to 80%