Your options if you have many missing or damaged teeth

People who have not followed adequate dental care for some years may have already lost most of their teeth and feel a little hopeless.

Sometimes they ask a dentist to remove the remaining teeth as they are often broken and have deep cavities.

It’s true that, sometimes, removal of the remaining teeth and replacing them with full dentures is the only option.

But more often there are other options available.

Some or all of the remaining teeth could be repaired and used in conjunction with a partial denture. While a full denture replaces all of the teeth on the upper or lower jaw, a partial denture replaces some of the teeth.

If only a few weak teeth remain on the upper jaw, it might be preferable to have them extracted and a full upper denture made. Full upper dentures can be more secure than lower ones as the upper denture gets added stability from the palate and is not easily dislodged by the tongue.

If only a few teeth remain on the lower jaw, however, the dentist will usually aim to save them and use a partial denture if necessary.

Ideally, all teeth that can be saved should be saved but this is not always possible – often due to finances.

In such cases, having teeth removed and dentures may be the only option.

Different types of dentist and how they help your oral care

While many people see dentists as the single group of people who look after the health of your teeth and mouth, there are various specialist categories that help you in different ways.

The categorization of a dentist will depend on their education, training and experience.

Here are some of the main specialist areas of dentistry:

Endodontics: Concerned with the dental pulp – the part in the center of a tooth made up of living soft tissue and cells and root canal therapy

Oral and Maxillofacial Pathology: This deals with the identification, and management of diseases affecting the oral and maxillofacial regions

Oral and Maxillofacial Radiology: Deals with the production and interpretation of images and data produced by radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region

Oral and Maxillofacial Surgery: Diagnosis and surgical treatment of diseases, injuries and defects of the tissues including extractions, facial surgery and implants

Orthodontics and Dentofacial Orthopaedics: Mainly deals with diagnosis, prevention and treatment of misaligned teeth and modification of midface and mandibular growth

Pediatric Dentistry: Provides preventive and therapeutic oral health care for infants and children through adolescence.

Periodontics: Prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth and the maintenance of the health, function and esthetics of these structures and tissues. Most periodontist place implants

Prosthodontics: Diagnosis, treatment planning, rehabilitation and maintenance associated with missing or deficient teeth and/or oral and maxillofacial tissues. Includes dentures, bridges and the restoration of implants.

Plus, of course, general dentists provide everyday care and many specialist services to maintain your oral health.

The early years of dentistry and teeth

Although there have been huge advances in dental care in recent years, there are records of people dealing with teeth going back over thousands of years.

Here are some of the key dates from the early years in the development of dentistry.

5000 BC: A Sumerian text describes “tooth worms” as the cause of dental decay.

2600 BC: Hesy-Re, an Egyptian scribe, often called the first “dentist”, dies. An inscription on his tomb includes the title “the greatest of those who deal with teeth, and of physicians.”

500-300 BC: Hippocrates and Aristotle write about dentistry, including the eruption pattern of teeth, treating decayed teeth and gum disease, extracting teeth with forceps, and using wires to stabilize loose teeth and fractured jaws.

166-201 AD: The Etruscans practice dental prosthetics using gold crowns and fixed bridgework.

500-1000: During the Early Middle Ages in Europe, medicine, surgery, and dentistry, are generally practiced by monks, the most educated people of the period

700: A medical text in China mentions the use of “silver paste,” a type of amalgam.

1130-1163: A series of Papal edicts prohibit monks from performing any type of surgery, bloodletting or tooth extraction. Barbers often assisted monks in their surgical ministry because they visited monasteries to shave the heads of monks and the tools of the barber trade sharp knives and razors were useful for surgery. Following the edicts, barbers assume the monks’ surgical duties: bloodletting, lancing abscesses, extracting teeth, etc.

1210: A Guild of Barbers is established in France. Barbers eventually evolve into two groups: surgeons who were educated and trained to perform complex surgical operations; and lay barbers, or barber-surgeons, who performed more routine hygienic services including shaving, bleeding and tooth extraction.

1400s: A series of royal decrees in France prohibit lay barbers from practicing all surgical procedures except bleeding, cupping, leeching, and extracting teeth.

Why it’s not inevitable that you’ll lose your teeth as you get older

Advancements in dental techniques and the increased focus on preventive dentistry means older adults are keeping their natural teeth longer than ever before.

A survey by the National Institute of Dental and Craniofacial Research showed that the rate of toothlessness in the 55 to 64 age group has dropped 60 percent since 1960.

Whatever your age, it’s important to practice good oral hygiene at home and to visit your dentist regularly. A few simple steps can help you maintain good oral health throughout your life.

Plaque, the sticky, colorless layer of bacteria that causes tooth decay and gum disease, can build up quickly on the teeth of older adults, particularly when they neglect oral hygiene. This can increase the risk for tooth decay and periodontal disease.

So it’s important to brush your teeth twice a day with fluoride toothpaste, and clean between your teeth daily with floss or interdental cleaners.

Regular dental checkups are also an important part of caring for your teeth.

This can help you save your teeth and gums and prevent other dental problems. It will save you time and money in the long-run as well.

What dentists are doing to improve services for older adults

As people are living longer and enjoying good health for many years, dentists are increasingly offering improved services to recognize the special needs of older adults.

This growing segment of the population is wearing fewer dentures and they are keeping their natural teeth longer. They are also concerned to maintain good health and a great smile for many years.

However, patients in this group sometimes require special consideration because reduced mobility and dexterity may make daily oral hygiene difficult.

And certain medical conditions and impairment may make them more anxious when visiting the dentist.

For example, problems with vision or hearing loss may cause worry. Always let the dentist and staff know if you have any concerns so that they can adjust their treatment and their pace to meet your needs.

Older patients can sometimes put up with problems such as toothaches, bleeding gums and clicking dentures because they are not aware of the wide range of treatments and techniques now available.

Dentists are increasingly sensitive to the special needs of and the importance of dental health in the older patient.

As many older patients are more health conscious than ever before, regular visits to the dentist ensure their oral health is an important part of their overall health.

How to choose the right cosmetic dentist for your needs

Choosing the right cosmetic dentist is an important decision that can significantly impact the appearance of your smile. There are several factors to consider when selecting a cosmetic dentist, including their credentials, experience, and patient reviews. Here are some tips to help you choose the right cosmetic dentist for your needs.

1. Check the dentist's credentials: Look for a cosmetic dentist who is licensed and accredited by a reputable organization such as the American Academy of Cosmetic Dentistry (AACD). These credentials ensure that the dentist has undergone specialized training in cosmetic dentistry and meets high standards of professionalism.
2. Review their experience: Choose a cosmetic dentist with experience in the specific procedure you're interested in. Ask the dentist how many similar procedures they have performed and what their success rate is. You may also want to request before and after photos of their previous patients.
3. Consider their approach: Find a cosmetic dentist who takes a personalized approach to treatment and takes the time to understand your goals and concerns. A good cosmetic dentist will also explain the risks and benefits of each procedure and provide alternatives to help you make an informed decision.
4. Read patient reviews: Look for patient reviews online to get a sense of the dentist's reputation and the quality of their work. You can also ask for referrals from friends or family members who have had cosmetic dental procedures.
5. Evaluate the office environment: Visit the dentist's office to see if it's clean and organized, and if the staff is friendly and professional. A comfortable and welcoming environment can help ease any anxiety you may have about the procedure.

Choosing the right cosmetic dentist is a critical step in achieving the smile you desire. By considering factors like their credentials, experience, approach, patient reviews, and office environment, you can find a cosmetic dentist who will help you achieve the beautiful smile you deserve.

Your saliva and why it’s so important

You probably don’t give too much thought to the saliva in your mouth, but if you think of it like a bloodstream you’ll realize how important it is.

Like blood, saliva helps build and maintain the health of the soft and hard tissues.

It removes waste products from the mouth and offers first-line protection against microbial invasion that might lead to disease.

Saliva is derived from blood and therefore can also be used to detect disease.

Saliva enhances enamel protection by providing high levels of calcium and phosphate ions. It contains the minerals that maintain the integrity of the enamel surface and helps protect against caries.

When salivary flow is reduced, oral health deteriorates – much in the same way body tissues suffer if blood circulation is disrupted.

Patients with dry mouths (xerostomia) experience difficulty chewing, speaking and swallowing. A major cause of dry mouth is medication – almost eighty percent of the most commonly prescribed medications lead to dry mouth.

Chewing gum after a snack or meal stimulates salivary flow, clearing food from the mouth and neutralizing plaque acid.

Your saliva is important to your oral health both for preventing disease and in helping to diagnose problems.

Caring for people who have special needs

People at any age can have a condition that makes it difficult for them to look after their own dental health.

This could affect people who suffer from a wide range of conditions such as stroke, spinal cord injury, multiple sclerosis, mental retardation, Down syndrome, genetic disorders, Alzheimer’s disease or arthritis.

However, people in all of these categories have the same dental needs as everyone else – they need daily brushing and flossing, regular dental visits and a balanced diet.

There are some steps caregivers can take to make it easier to look after people in those categories.

If the person is uncooperative or uncontrollable, try to explain what you are about to do and schedule the task for a time of day when they are rested.

Move in a calm, slow, reassuring manner to avoid startling them. Give praise and encourage them when they help themselves.

Support the person’s head, and take special care to prevent choking or gagging when the head is tilted back.

If the person is unable or unwilling to keep their mouth open, your dentist will explain how you can make and use a mouth prop.

Ask your dentist for advice on how to care for people with special needs and check if they have facilities for caring for these needs in the dental office.

How sugar in your diet affects your teeth

The sugar content in the food you eat has a big effect on your teeth and gums.

When bacteria (plaque) come into contact with sugar in the mouth, acid is produced, which attacks the teeth for 20 minutes or more. This can eventually result in tooth decay.

That’s why drinking sugar-filled sodas, sweetened fruit drinks, and non-nutritious snacks can take a toll on teeth.

This is particularly true for children as their eating patterns and food choices affect how quickly they develop tooth decay.

Foods that contain sugars of any kind can contribute to tooth decay. However, almost all foods, including milk or vegetables, have some type of sugar. Many of them also contain important nutrients that are an important part in our diet.

To help control the amount of sugar you consume, read food labels and choose foods and beverages that are low in added sugars. Soft drinks, candy, cookies and pastries often contain added sugars.

Tips for people with difficulty handling a toothbrush

There are many people who find it difficult to look after their dental health properly because they have problems handling a toothbrush.

This can be due to a severe physical disability or simply basic dexterity problems.

There are a few simple steps you can take to make it easier for people who find it difficult to hold on to a toothbrush or dental floss.

Here are some simple ‘home remedies’:

– Use a wide elastic band to attach the brush to the hand

– Enlarge the brush handle with a sponge, rubber ball or bicycle handle grip

– Wind an elastic bandage or adhesive tape around the handle

– Lengthen the handle with a piece of wood or plastic such as a ruler, popsicle stick or tongue depressor

– Tie floss into a loop for easier handling

– Use an electric toothbrush or commercial floss holder

Your dentist will be able to provide specific guidance and further tips for people who need an easier way to handle a toothbrush and floss.

How a healthy diet can help you have healthy teeth

Eating the right food plays an important role in developing healthy teeth and gums.

If your diet lacks certain nutrients, it may be more difficult for tissues in your mouth to fight infection and this can contribute to gum disease.

Although poor nutrition does not cause gum disease directly, the disease may progress faster and could be more severe in people with diets which are low in nutrients.

The U.S. Department of Agriculture makes recommendations on the nutrients, vitamins and minerals needed by your body – including your teeth and gums – to promote health and prevent disease.

We have different needs at various stages life and depending on our physical activity. The DOA website provides more information and your dentist will be able to discuss how your diet affects your teeth.

Here are some steps you can take to make sure what you eat doesn’t harm your teeth.

•  Maintain a healthy diet
•  Drink plenty water
•  Limit the number of between-meal snacks. When you must snack, choose nutritious foods that are low in sugar
•  Keep a food diary for a week recording every item you eat and drink

It will also help if you brush your teeth twice a day and floss regularly. Schedule regular dental checkups and professional cleanings and talk to your dentist about how your diet affects your teeth.

Solving the problem of bad breath

Bad breath – which is also known as halitosis – is a worrying problem that can also be embarrassing.

But there’s no need to put up with it. If you suffer from bad breath, your dentist will be able to suggest a range of solutions.

Your dentist will be able to spot problems such as gum disease, dry mouth or other disorders. That’s why it’s important to maintain good oral hygiene, schedule regular visits to the dentist and have professional cleaning.

Make sure you brush your teeth twice a day and clean between your teeth each day using floss or interdental cleaners. Don’t forget to brush your tongue, too!

If your dental check up shows that your mouth is healthy, your dentist may refer you to your family physician as sometimes bad breath can be a sign of other health problems.

If the odor is due to periodontal (gum) disease, sometimes professional periodontal cleaning is needed to remove the bacteria and plaque that accumulate. And your dentist may recommend a special antimicrobial mouth rinse.

Keeping your mouth healthy and stopping periodontal disease are essential to reducing bad breath.

So make sure you schedule regular dental visits for a professional cleaning and checkup.

How implants changed dentistry

Implants are one of the most important developments in dental care over recent years.

They have created opportunities that didn’t exist before for people to improve their dental health and create the smile they want.

Implants were discovered by Swedish scientist and orthopedic surgeon Dr. P.I. Branemark and they have transformed the quality of life for people who have missing teeth.

The basis of a dental implant is a titanium rod about 1cm long. This is placed inside the jawbone and is designed to serve the same purpose as tooth roots.

Implants can either be used to replace lost teeth or to help keep dentures in place more securely.

One of the reaons implants have changed dental care so much is that, previously, there was often no other way to replace missing teeth permanently.

And there are many people who cannot tolerate removable dentures or don’t want to wear them for some other reason.

The introduction of implants had made a big change in their lives.

What’s involved in getting a dental implant?

Dental implants are increasingly popular as a way to replace missing or damaged teeth.

Their great advantage is that they look natural and feel secure helping you to restore your smile and eat more easily.

Implants are an ideal solution for many people but they are not an option for everyone.

Placing implants requires some surgery so patients must be in good health, have healthy gums and have adequate bone to support the implant.

They must also be committed to taking action to maintain their oral hygiene and to visiting the dentist regularly.

The process for placing implants is as follows:

First, surgery is performed to place the anchor. This can take up to several hours. Following the surgery, you may need to wait up to six months for the bone to grow around the anchor and firmly hold it in place. Sometimes follow up surgery is required to attach a post to connect the anchor to the replacement teeth. Alternatively, the anchor and post may already be attached and are placed at the same time.

After the gums have had several weeks to heal, the next step is to fit specially-made artificial teeth to the post portion of the anchor. This can take a few weeks to complete as several fittings may be required.

Implant surgery can be done either in a dental office or in a hospital, depending upon a number of factors. A local or general anesthetic may be used. Usually pain medications and, when necessary, antibiotics are prescribed.

After your implants are fitted, your dentist will give you tips and advice on maintaining your oral hygiene.

Your dentist can help you decide whether you would be a good candidate for implants.

Cosmetic dentistry for seniors: How older adults can benefit from dental makeovers

Cosmetic dentistry isn't just for young adults looking to improve their smiles. In fact, older adults can benefit just as much from dental makeovers. As we age, our teeth and gums undergo changes that can affect the appearance of our smile. Fortunately, cosmetic dentistry can help address these changes and improve the overall appearance of a smile. Here's how older adults can benefit from cosmetic dentistry.

Teeth Whitening: Teeth can become discolored or stained over time, making them look yellow or gray. Teeth whitening can help remove these stains and brighten the smile. Many older adults opt for teeth whitening as a way to rejuvenate their smile and achieve a more youthful appearance.

Dental Implants: Missing teeth can be a common problem for older adults, and dental implants can provide a permanent solution. Dental implants look and function like natural teeth, and they can help restore confidence and improve the overall appearance of a smile.

Dentures: For older adults who are missing several teeth, dentures can provide a more affordable solution than dental implants. Dentures can be customized to fit the individual's mouth, and they can improve the appearance of the smile while also restoring function to the mouth.

Veneers: Veneers can be used to correct a variety of cosmetic issues, such as chips, cracks, and stains. They can also be used to fill in gaps between teeth and improve the overall appearance of the smile.

Cosmetic dentistry isn't just for young adults. Older adults can benefit just as much from dental makeovers, as cosmetic dentistry can help address the changes that occur in the teeth and gums over time. From teeth whitening to dental implants, dentures, and veneers, there are a variety of cosmetic dental procedures that can help seniors achieve a more youthful, confident smile. If you're an older adult who is looking to improve the appearance of your smile, talk to your dentist about your options for cosmetic dentistry.

Oral Hygiene: Tips and Tricks for a Healthy Smile

Oral hygiene is an essential part of overall health that often gets overlooked. A healthy mouth not only leads to a brighter smile, but it can also prevent a host of dental problems such as cavities, gum disease, and bad breath. In this blog, we will discuss some tips and tricks for maintaining good oral hygiene.

Brush and floss regularly

The foundation of good oral hygiene is brushing and flossing regularly. Brush your teeth twice a day for at least two minutes each time, using a fluoride toothpaste. Floss daily to remove any food particles and plaque from between your teeth.

Use mouthwash

Mouthwash can help kill bacteria in your mouth and freshen your breath. Look for a mouthwash that is alcohol-free and has fluoride to help prevent cavities.

Drink plenty of water

Drinking plenty of water throughout the day can help keep your mouth clean by flushing out any food particles and bacteria. Water also helps prevent dry mouth, which can contribute to bad breath and tooth decay.

Limit sugary and acidic foods and drinks

Sugary and acidic foods and drinks can contribute to tooth decay and erosion. Try to limit your intake of sugary and acidic foods and drinks, or consume them in moderation.

Quit smoking

Smoking can lead to a host of dental problems, including gum disease, bad breath, and oral cancer. If you smoke, quitting can improve your overall oral and overall health.

Visit your dentist regularly

Regular dental checkups are essential for maintaining good oral health. Your dentist can identify any early signs of dental problems and provide treatment before they become more serious.

Good oral hygiene is essential for maintaining a healthy smile and preventing dental problems. By following these tips and tricks, you can keep your teeth and gums in top condition. Remember, a healthy mouth is a happy mouth!

Types of Dental Implants: Which is Right for You?

Dental implants are a popular solution for people who have lost one or more teeth. However, there are several different types of dental implants, and it can be confusing to determine which one is right for you. In this blog post, we'll take a look at some of the most common types of dental implants and what they're best suited for.

Endosteal Implants:

Endosteal implants are the most common type of dental implant. They are shaped like small screws and are surgically implanted into the jawbone. Once the implants have fused with the jawbone, they serve as a sturdy foundation for the artificial tooth or teeth.

Subperiosteal Implants:

Subperiosteal implants are a less common type of dental implant that are placed on top of the jawbone, just beneath the gum tissue. They are typically used for people who have a shallow jawbone and are not good candidates for endosteal implants.

Zygomatic Implants:

Zygomatic implants are a specialized type of implant that are used for people who have significant bone loss in the upper jaw. They are anchored in the cheekbone instead of the jawbone and provide a strong foundation for artificial teeth.

All-on-4 Implants:

All-on-4 implants are a popular option for people who need to replace multiple teeth or even a full arch of teeth. They involve placing four implants in strategic locations in the jawbone and attaching a custom-made denture to the implants. This provides a strong, stable foundation for the denture and eliminates the need for messy adhesives.

In conclusion, there are several types of dental implants available, each with its own advantages and disadvantages. Your dentist can help you determine which type of implant is right for you based on your specific needs and goals. If you're interested in dental implants, talk to your dentist to see which option is best for you.

What is cosmetic dentistry, and how does it differ from traditional dentistry?

Cosmetic dentistry is a branch of dentistry that focuses on enhancing the appearance of teeth, gums, and bite. Unlike traditional dentistry, which primarily focuses on the prevention and treatment of dental problems like cavities, gum disease, and tooth decay, cosmetic dentistry aims to improve the aesthetic appeal of a patient's smile.

Cosmetic dentistry procedures include teeth whitening, dental veneers, dental bonding, orthodontics, and dental implants. These procedures can help correct various cosmetic dental issues, such as stained or discolored teeth, crooked teeth, gaps between teeth, and missing teeth.

Traditional dentistry, on the other hand, focuses on the prevention and treatment of dental problems that can affect a patient's oral health. These problems include cavities, gum disease, root canals, and tooth extractions. While traditional dentistry can also improve the appearance of teeth, its primary goal is to promote dental health and prevent further complications.

Cosmetic dentistry procedures are elective and are not typically covered by insurance. Traditional dentistry procedures, on the other hand, are necessary and are often covered by insurance.

While traditional dentistry focuses on maintaining oral health, cosmetic dentistry focuses on improving the aesthetic appeal of a patient's smile. Both types of dentistry are important and work together to help patients achieve optimal dental health and a beautiful smile.

How dental x-rays help improve your oral health

Many diseases of the teeth and surrounding tissues cannot be seen when your dentist examines your mouth so an X-ray examination can reveal important additional information:

For example, X-rays can help show:
– Small areas of decay between the teeth or below existing fillings
– Infections in the bone
– Gum disease
– Abscesses or cysts
– Developmental abnormalities
– Some types of tumors

The way they work is that more X-rays are absorbed by the denser parts (such as teeth and bone) than by soft tissues (such as cheeks and gums). This creates an image called a radiograph.

Tooth decay, infections and signs of gum disease appear darker because of more X-ray penetration. The interpretation of these radiographs allows the dentist to safely and accurately detect hidden abnormalities.

The frequency of X-rays (radiographs) will depend on your specific health needs.

Your dentist will review your history, examine your mouth and decide whether you need radiographs and what type.

When you are a new patient, the dentist may recommend radiographs to establish how the hidden areas of your mouth currently look to help identify changes that occur later.

X-rays can help identify and treat dental problems at an early stage and so can save time, money and unnecessary discomfort.

What Are Dental Implants and How Do They Work?

If you have lost a tooth or multiple teeth, dental implants can provide a permanent solution that looks and feels like natural teeth. But what are dental implants, and how do they work? Let's take a closer look.

Dental implants are small, titanium posts that are surgically implanted into your jawbone. Once in place, they serve as a sturdy foundation for a custom-made artificial tooth or teeth. Unlike dentures or bridges, dental implants do not rely on adjacent teeth for support.

The process of getting dental implants typically involves several steps. First, your dentist will examine your mouth and jaw to determine if you are a good candidate for dental implants. They may also take x-rays or other imaging tests to assess your jawbone density and determine the best placement for the implants.

Next, the implants are surgically placed into your jawbone. Over time, the implants will fuse with your jawbone in a process called osseointegration. This creates a strong, stable base for the artificial tooth or teeth.

Once the implants have fully fused with the jawbone, your dentist will attach abutments to the top of the implants. These abutments serve as connectors between the implants and the artificial teeth.

Your dentist will attach the custom-made artificial tooth or teeth to the abutments. These teeth are designed to look and function like natural teeth, so you can eat, speak, and smile with confidence.

Dental implants are a permanent solution for tooth loss that involve surgically implanting small titanium posts into your jawbone. Over time, the implants fuse with your jawbone to create a strong foundation for artificial teeth that look and function like natural teeth. If you are interested in dental implants, talk to your dentist to see if they are a good option for you.