Posts for: June, 2021
Around one in ten U.S. adults have diabetes, a metabolic disease that can disrupt other aspects of a person's health like wound healing and vision. It could also cause complications with dental implants, the premier replacement choice for missing teeth.
There are two basic types of diabetes. In type 1 diabetes, the pancreas stops producing insulin, a hormone needed to regulate the amount of sugar glucose in the bloodstream. With the more prevalent type 2 diabetes, the body either doesn't produce enough insulin or doesn't respond efficiently to the insulin produced.
Uncontrolled diabetes can contribute to several dangerous health conditions. In addition to vision impairment and poor wound healing, diabetics are at higher risk for other problems like kidney disease or nerve damage. Drastic swings in blood glucose levels can also cause coma or death.
Many diabetics, though, are able to manage their condition through diet, exercise, medications and regular medical care. Even so, they may still encounter problems with wound healing, which could complicate getting a dental implant.
An implant is composed of a titanium metal post imbedded into the jawbone. Because of its affinity with titanium, bone cells naturally grow and adhere to the implant's metal surface. Several weeks after implant surgery, enough bone growth occurs to fully secure the implant within the jaw.
But this integration process may be slower for diabetics because of sluggish wound healing. It's possible for integration to not fully occur in diabetic patients after implant surgery, increasing the risk of eventually losing the implant.
Fortunately, though, evidence indicates this not to be as great a concern as once thought. A number of recent group studies comparing diabetic and non-diabetic implant patients found little difference in outcomes—both groups had similar success rates (more than 95 percent).
The only exception, though, were diabetic patients with poor glucose control, who had much slower bone integration that posed a threat to a successful implant outcome. If you're in this situation, it's better if you're first able to better control your blood glucose levels before you undergo surgery.
So, while diabetes is something to factor into your implant decision, your chances remain good for a successful outcome. Just be sure you're doing everything you can to effectively manage your diabetes.
If you would like more information on diabetes and dental health, 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 & Diabetes.”
The big day finally arrives when your braces come off. And there it is—your new, beautiful, straight smile! But on closer inspection you notice something else: tiny white spots on your teeth.
Those pale, chalky spots are called white spot lesions (WSLs). They occur when acid has contacted the tooth enamel for too long, dissolving essential minerals like calcium in those particular areas. The occurrences of WSLs during and after braces highlights a major challenge during orthodontic treatment—keeping your teeth clean.
Braces' wires and brackets tend to get in the way of brushing and flossing, making it easier to miss plaque—the bacterial film that produces acid—on tooth areas around the hardware. Those missed areas could in time lead to WSLs.
The main objective with WSLs is prevent them from occurring during braces wear as much as possible. To do this, you'll need to increase your time and effort brushing and flossing, especially around orthodontic hardware. You can make it easier, though, by using a few tools that often work better than regular toothbrushes and floss like interproximal toothbrushes, power brushes, floss threaders or water flossers.
You can also help lower your mouth's acidity by avoiding or limiting acidic foods and beverages, including juices, sodas, sports and energy drinks. And, by all means, keep up your regular dental cleaning schedule with your general dentist.
Should WSLs develop while you're wearing braces, don't panic. It's possible they'll diminish on their own, or at least not worsen. We can also foster re-mineralization of the enamel with applied fluoride, short bursts of laser light or a procedure called microabrasion that restores damaged areas below the enamel surface.
For more resistant WSLs, we can also inject a liquid tooth-colored resin into them that when hardened by a curing light can make those areas look translucent like normal enamel. We can also use other cosmetic solutions like bonding or veneers to improve your teeth's appearance.
Like other dental problems, dealing with a WSL is usually more successful if caught and treated early. So, check your teeth often while wearing braces, and if you notice anything unusual don't hesitate to call your dentist.
If you would like more information on oral care while wearing braces, 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 “White Spots on Teeth During Orthodontic Treatment.”
The traditional June wedding season hit a bump last year during the COVID-19 pandemic as many couples down-scaled or postponed their ceremonies. But with hopes that the virus is finally waning, this year the early summer tradition shows signs of reviving. If you're one of those happy couples, you're no doubt working right now to look your best—and that would include your smile.
And there's no time like the present to make sure your teeth and gums are spruced up for the big day. True, some cosmetic enhancements can take weeks or even months to complete. But some can give you a brighter, more attractive smile with just a dental visit or two.
Here are 3 procedures that could help your smile match that once-in-a-lifetime moment.
Dental cleaning. The main purpose for visiting us every six months is to remove any harmful plaque and tartar missed with daily hygiene. But an added benefit for these single-visit dental cleanings can be a brighter, fresher smile. To take advantage, schedule a dental cleaning within a week or so of your wedding.
Teeth whitening. If you want to take your smile brightness to another level, you may want to consider professional teeth-whitening. The professional bleaching solutions we use can restore shine and translucence to dull, yellowed teeth that could last for months or, with touch-ups, a few years. We can also fine-tune the level of brightness you're most comfortable displaying to your wedding guests.
Dental bonding. Do you have a chipped or disfigured tooth that puts a damper on your smile? We may be able to make that defect disappear in just one visit with dental bonding. Using a dental resin material matched to your natural tooth color, we can fill in your tooth flaw and then sculpt it to look as natural as possible. The end result is a life-like, durable finish that will have you beaming on your big day.
Like we said, if your wedding is just around the corner, these particular techniques can make a big difference for your smile. If, however, you still have a few months before your wedding, you may be able to take advantage of other therapeutic and cosmetic measures like dental veneers, crowns or even possibly orthodontics.
To learn more about your cosmetic options, see us for a full evaluation of your smile needs. We'll work with you to help you achieve the most attractive smile possible for your once-in-a-lifetime day.