All posts by Dr. Homan Naemi Akbar

What Causes Yellow Teeth in Kids

This is one of the most common questions I get from parents of 6 and 7 year-olds. Even though there are multiple reasons why your child’s permanent teeth are yellow, the most common reason is the intrinsic color difference between the permanent teeth and baby teeth.

What Causes Yellow Teeth in Kids

This yellow appearance is also enhanced by the fact that they sit right next to baby teeth. This contrast between they very white baby teeth makes the grown up teeth look even more yellow.Yellow Teeth in Kids

Primary teeth have a milky white appearance when compared to the sometimes yellowish appearance of the permanent teeth. Primary teeth have thinner enamel, less amount of dentin and dentin in primary teeth is less yellow in color.

Permanent teeth have a greater amount of dentin, which is yellow in color. Since enamel is translucent the color of the dentin shows through. When all the permanent teeth have erupted the color will blend and appear uniform.

What can be done?

Young permanent teeth have very large nerve canals when they erupt and these teeth are more transparent, leading to a yellower appearance. As we age, the canals slowly calcify and the tooth will naturally lighten. 

Bleaching Kids Teeth

As for bleaching, we advise parents to wait until all of their permanent teeth to erupt (usually 12/13). Otherwise when the new adult erupt, they will not match his bleached primary teeth.

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4 Tips for a Brighter Smile at Work

So you have a solid routine of brushing and flossing twice a day, and visiting your dentist for regular checkups, but what about the times when you’re at work? What can you do to keep your pearly whites pearly while you’re in the office throughout the day? We came up with a list of tips to make sure you’re being tooth-friendly, even when you’re away from home.

  • Buy a travel-sized toothbrush and toothpaste, and a small floss container. Keep them in your purse or bag throughout the day, and take advantage of opportunities to spruce up your teeth. This will not only halt tooth decay, but have short-term benefits like freshening your breath, whitening your teeth by preventing stains, and getting embarrassing food particles out of your teeth!
  • Rinse after eating and drinking. On your way back from lunch, grab a bottled water and give your teeth a quick rinse before continuing your work day. This is so easy to do, and takes just a moment after a snack or meal. If you don’t have a bathroom available, just take a drink of water and swish it around in your mouth before swallowing.
  • When you do snack, snack healthy. Eating vegetables, nuts and cheese while forgoing candy and soda will keep you slim and your teeth decay-free. Also, crunchy foods, like apples or celery, stimulate saliva production while you eat them, which helps rinse your teeth clean of bacteria, and the high water content in these foods buffers their sugar content.
  • Drink your coffee from a straw. Coffee and tea can stain your teeth if you drink them directly from a cup. While giving up your morning cup of joe may be too much to ask, consider drinking through a straw. It protects your teeth from stains and the wear on your enamel that acidic drinks cause. Be selective, though. Most regular straws break down and leach chemicals when immersed in hot drinks. Look for paper straws or other products that don’t break down in hot liquids.

Follow these tips to keep your teeth glistening, and don’t forget to visit your dentist regularly!

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Smiling and Job Opportunities

In these hard economic times, many people are looking for ways to improve in their work or find better jobs. It is well known that people that like their smiles and the appearance of their teeth are not afraid of smiling, have a higher self-esteem and appear more confident. These people generally have better chances of getting promoted or obtaining a job. A smile conveys friendliness; it makes you seem approachable. Do not overlook the importance of your smile. Let your smile work for you!

Many people don’t like to smile or show their teeth because they are embarrassed. Sometimes, people don’t smile because they could be missing or have stains on their front teeth, have cavities, severe inflammation and bleeding of the gums, misalignment or crowding of their front teeth, have dental pain or abscesses or any combination of these.

With the advances in dentistry, dental materials and technology, common dental problems can be solved in fewer dental appointments. For example:

  1. Missing teeth: A temporary acrylic partial can be fabricated in a few days.
  2. Cavities: Most cavities can be restored the same day as long as there is no need for root canals.  If you have many cavities, you can ask your dentist to start restoring your front teeth, so you can start smiling sooner!
  3. Stained or darkened teeth: A regular cleaning removes external stains (from tea, coffee and tobacco). This can be done in one appointment. Dental whitening can also be done in few appointments and can remove internal stains, which include the yellowing of teeth.
  4. Severe gum inflammation: This most likely will require a deep cleaning which is generally done in two sessions using local anesthesia.
  5. Crowded and misaligned teeth:  While orthodontic treatment is the most recommended treatment, it normally takes a few years to correct severe crowing. For some cases, another option is veneers and crowns, which can be done in fewer appointments, but do require preparation of teeth.
  6. Dental pain or abscess: In this case, you will most likely require a root canal or an extraction. Antibiotics are necessary in most cases.

As briefly explained, many of the dental problems that could be stopping you from smiling and making you feel better can be resolved at the dentist in just a few appointments. I encourage you to schedule your preventive appointment now! Our practice focuses on prevention and patient education and we believe that “Prevention is less expensive than treatment of disease or conditions”. “Do not wait until it hurts”.  For further questions, you can contact us at Toll Free : 800 80 80 80.

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hollywood smile

The Power of Smiling and the Reasons to Keep Smiling

The daily interaction with my patients has enriched me in both professionally and personally. After 15 years of practicing dentistry I have seen time and again how people that smile are happier, look healthier and live longer. These patients generally take few or no medications and have a “clean” medical history. When I run into one of these “happy and healthy old patients”, I ask them what they do to stay happy and healthy. The common answer is: Smile!

hollywood smile

1. A natural remedy

Studies have shown that smiling releases serotonin and endorphins. We can help our body release these brain chemicals by laughing.

2. Relieves Stress

Smiling helps prevent us from looking tired, worn down, and overwhelmed. When you are stressed, take time to smile. You will feel better.

3. Boosts Your Immune System

Smiling improves immune function, possibly because you are more relaxed. Have you noticed that “Happy People” don’t get sick as often as unhappy people?

4. Lowers Your Blood Pressure

Sit for a few minutes and take a reading. Then smile for a minute and take another reading while still smiling. You will see a difference.

5- Changes Moods

When someone is smiling they brighten up the room, change situations and the moods of others. A smiling person brings happiness to others.

6. Makes You Look Younger and More Attractive

We are naturally attracted to smiles. The muscles used to smile lift the face, making a person appear younger. Avoid surgery: Just smile more. You’ll look younger and feel better!

7. Improves your Self-Esteem

Your smile conveys friendliness; it makes you approachable. People who smile appear more confident, and are more likely to be promoted. Put on a smile at meetings and appointments and see the results!

 8. Helps You Stay Positive

Try this test: Smile. Now try to think of something negative without losing the smile. Hard, isn’t it? Smiling can cure anxiety and depression.

9. IT IS FREE!

ARE YOUR TEETH KEEPING YOU FROM SMILING?

If you are uncomfortable with the appearance of your teeth, the dentist can help you bring back your smile!  A simple cleaning, teeth whitening, crowns or veneers could drastically improve your health and self-esteem.

At Dentcare Clinic, we are fully committed to helping patients achieve a healthy, beautiful smile. For more information about teeth whitening, then please contact the team: dentcarecenter@gmail.com+971-4-4370111.

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When is a Root Canal Needed?

When the nerve inside the tooth dies, becomes severely infected or inflamed, a root canal treatment is necessary if you want to keep your tooth. The other alternative to a “root canal” is to have the tooth removed. Many people are afraid of “getting a root canal”; however, once the tooth is completely numb, and the infection has been controlled with antibiotics, root canal treatment is completely painless.

Sometimes no symptoms are present; however, signs you may need a root canal include:

  • Severe toothache pain upon chewing or application of pressure
  • Prolonged sensitivity/pain to heat or cold temperatures lasting more than 30 seconds (Nerve inflamed)
  • Discoloration (a darkening) of the tooth. No pain (Nerve died)
  • Swelling and tenderness in the nearby gums
  • A persistent or recurring pimple on the gums (abscess)

Endodontic therapy or “root canal” eliminates the infected the nerve of the tooth by cleaning a shaping the space inside of the roots occupied by the infected pulp and restoring these spaces with a plastic filler material.

A root canal requires one or more office visits and can be performed by a dentist or endodontist. An endodontist is a dentist who specializes in root canals.

The first step in the procedure is to take an X-ray to see the shape of the root canals and determine if there are any signs of infection in a surrounding bone. Your dentist or endodontist will then use local anesthesia to numb the tooth. Next, to keep the area dry and free of saliva during treatment, a rubber dam is placed (a sheet of rubber) around the tooth.

The pulp along with bacteria, the decayed nerve tissue is removed from the tooth. The cleaning out process is accomplished by using root canal files and antimicrobial agents. Once the tooth is thoroughly cleaned, it is sealed with a pink plastic filler called “gutta percha”. The final step involves further restoration of the tooth with a crown.

Root Canal

Do I need a root canal if I need a crown?

Not always. Sometimes, vital teeth can be restored with a crown without needing a root canal prior to placement of the crown. The tooth may need a root canal if it shows any of the signs mentioned before, such as, extreme sensitivity, severe toothache, swelling, etc.

Do I need a crown if I get a root canal?

Almost always. Since a tooth that needs a root canal often has a large filling or extensive decay, a crown and post, or other restoration often needs to be placed on the tooth to protect it, prevent it from breaking, and restore it to full function.

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The Importance of Early Orthodontic Treatment in Children

We know that it is not always easy for parents to tell if their child has an orthodontic problem or when is the right time to take your child to start orthodontic treatment. Through a complete dental examination that includes x rays we can spot upcoming dental problems early.

The American Association of Orthodontists (AAO) recommends that your child receive an orthodontic check-up no later than age seven. By this age, major orthodontic problems can be identified and treated while some baby teeth are still present. This is important because some orthodontic problems can be easily corrected when diagnosed and treated at an early age. Most orthodontic patients begin active braces treatment between the ages of nine and 14.

Early orthodontic treatment can prevent more serious problems from arising and may make treatment at an older age less complicated. In some cases, the doctor can achieve results, which would not be possible once the face and jaws have already finished growing.

By getting early treatment, jaw growth can be guided, harmful oral habits can be corrected to avoid further damage to the jaws and bite and the appearance and self-esteem of your child can be improved.  Early orthodontic treatment can reduce and sometimes eliminating the need for full orthodontic treatment (Braces) or surgery.

Orthodontic TreatmentWhat are the signs that indicate that you child may need orthodontic treatment?

According to the American Association of Orthodontics, the following are early warning signs:

  • Early loss of baby teeth
  • Late loss of baby teeth
  • Difficulty chewing
  • Breathing through the mouth
  • Open Bite
  • Deep bite
  • Cross-bite
  • Sucking on fingers
  • Crowded or misplaced teeth
  • Difficulty Speaking
  • Shifting of the jaws
  • Jaws that protrude, are recessed or which make sounds
  • Biting the inside of the mouth
  • Teeth which protrude, don’t meet correctly or don’t meet at all
  • Facial imbalance or asymmetry
  • Teeth grinding or clenching

If you notice any of these characteristics or behaviors in your child you should schedule a check up appointment for your child.

At Dentcare Clinic, we are fully committed to helping patients achieve a healthy, beautiful smile.  We look forward to meeting every young patient and will provide you and your child with quality dental care in our friendly, comfortable environment.

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Hollywood Smile Design

Dental Services That Will Have Your Smile Red-Carpet Ready

Smile Design

 

Viewers of the Academy Awards everywhere will tune in to see if their favorite actors, actresses, directors, and other cinematic professionals will win their Oscars. But when it comes to watching the Academy Awards, finding out who gets the big wins is only part of the fun. Watching who comes with who and seeing who wears what is a large part of what makes the Oscars worth throwing a party or friendly gathering for.

Year after year, viewers and reviewers spend weeks after the awards recalling which dresses were worn, commenting on the hairstyles that are sure to start trends, and wondering how the stars managed to get those Hollywood smiles. While most of us will never be able to afford that one-of-a-kind Versace gown, the good news is that a beautiful, white Hollywood smile is just a call away.

Smile Design

Smile Design offers you the opportunity to achieve a smile that is as bright and beautiful as the stars’ on Oscar night. Smile Design offers a suite of services to choose from that, when added to a strategically crafted dental plan, result in a confidence-boosting aesthetic.

Smile Design services include:

Dental implants:

Implants offer a permanent, long-term solution for missing teeth. Not only do they look and feel like natural teeth, they also maintain your facial structure and integrity. A dental implant consists of a small, screw-shaped, titanium post that replaces the root of a missing tooth and is covered by a porcelain tooth-like crown that will give you back your natural smile. Depending on the number of missing teeth, there are options for single-tooth and multitooth replacement.

Crowns:

Over time teeth can become weak or severely worn down, leading to decay, cracking, and breaking. Porcelain crowns are the perfect restoration for cracked, chipped, or broken teeth. These natural-looking covers make imperfections in teeth entirely unnoticeable. When crafted carefully and with your individual needs in mind, a permanent crown can restore your confidence, comfort, and overall quality of life.

Teeth whitening:

As you age, your teeth are exposed to foods and drinks that stain them. Though your teeth may be perfectly healthy, they can appear damaged and make you look older. Fortunately, if you have deep stains or want to achieve a brighter smile quickly, there are teeth-whitening options that can help you acquire a beautiful, youthful-looking, bright smile. Both at-home and in-office treatment options are available and use the most effective teeth-whitening systems available today. All treatment options are simple and noninvasive.

Porcelain veneers:

Sometimes teeth are damaged or discolored in a way that can’t be corrected with crowns or whiting treatments. When this happens, veneers offer a beautiful solution. These ultra-thin, tooth-colored coverings are custom made and are fit to the front surface of your teeth, changing the appearance to the size and shape you desire. Veneers are perfect for fixing discolored and chipped teeth.

Straightening:

Straightening your smile no longer requires years of wearing metal wires on your teeth. There are a variety of “invisible” straightening options, such as Six Month Smiles® and Invisalign®, which allow you to have a straighter, more aesthetically pleasing smile in just a matter of months.

If you find yourself feeling uncomfortable with or embarrassed about your smile, or if you simply wish it was just a bit brighter or whiter, Desert Valley Dentistry can help you with our cosmetic and Smile Design services. Call us at Toll Free : 800 80 80 80 to set up your personal consultation — and look forward to feeling red-carpet ready in no time at all.

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dental implant

After Dental Implant Surgery

After Dental Implants, Home Care Instructions, Dental Implant Recovery

Day of Surgery

FIRST HOUR: Bite down gently but firmly on the gauze packs that have been placed over the surgical areas, making sure they remain in place. Do not change them for the first hour unless the bleeding is not controlled. The packs may be gently removed aftedental implantr one hour. If active bleeding persists, place enough new gauze to obtain pressure over the surgical site for another 30 minutes. The gauze may then be changed as necessary (typically every 30 to 45 minutes). It is best to moisten the gauze with tap water and loosely fluff for more comfortable positioning.

EXERCISE CARE: Do not disturb the surgical area today. Do NOT rinse vigorously or probe the area with any objects. You may brush your teeth gently. Smoking will retard healing, causing increased discomfort and increased chance of dry sockets. We strongly discourage smoking during the healing phase.

ORAL HYGIENE: It is important to keep the mouth clean. You should brush your teeth the night of surgery, but be gentle around the surgical sites. If there is minimal bleeding, saltwater rinses may begin 24 hours after surgery (mix 1 tablespoon of salt with 8 ounces of water.) Swish gently and allow the water to drip into the sink. Rinses should be done 2-3 times a day, especially after eating.

ACTIVITIES: Activities after surgery should be couch or bed rest for the first day. Bending, lifting, or strenuous activity will result in increased bleeding, swelling and pain. You should be careful going from the lying down position to standing. You could get light headed when you stand up suddenly. If you exercise regularly, be aware that your normal fluid and caloric intake is reduced. Exercise in the post-operative period may also result in increased bleeding, swelling and discomfort. Exercise should be avoided for 3-4 days following surgery.

OOZING: Bleeding will occur after surgery, and it is not uncommon to ooze blood for 24-48 hours after surgery. Keep in mind that oral bleeding represents a little blood and a lot of saliva. Placing a gauze pack over the area and biting firmly will control bleeding. If oozing is still active, replace gauze as needed every 30-45 minutes.

PERSISTENT BLEEDING: Bleeding should never be severe. If so, it usually means that the packs are being clenched between teeth only and are not exerting pressure on the surgical areas. Try repositioning the packs. If bleeding persists or begins again sit upright or in a recliner, avoid physical activity, use ice packs and bite on gauze for 1 hour or on a moistened tea bag for 30 minutes. The tannic acid in the tea leaves helps to promote blood clotting. If bleeding remains uncontrolled, please call our office.

SWELLING: Swelling is a normal occurrence after surgery and will not reach its maximum until 2-3 days after surgery. It can be minimized by using a cold pack, ice bag or a bag of frozen peas wrapped in a towel and applied firmly to the cheek adjacent to the surgical area. This should be applied twenty minutes on and twenty minutes off during the first 24 hours after surgery. If you have been prescribed medicine for the control of swelling, be sure to take it as directed.

SUGGESTED WAY TO APPLY ICE: Fill two zipper lock bags with crushed ice. Cut a pair of pantyhose at the thigh and slide both ice bags halfway down the leg (to the knee area). Tie the ends of the pantyhose on top of the patients head and adjust ice to sides of face over surgical sites.

PAIN: Unfortunately most oral surgery is accompanied by some degree of discomfort. You will usually have a prescription for pain medication. If you take the first pill before the anesthetic has worn off, you should be able to manage any discomfort better. Some patients find that stronger pain medicine causes nausea, but if you precede each pain pill with a small amount of food, chances for nausea will be reduced. The effects of pain medications vary widely among individuals. If you do not achieve adequate relief at first, you may supplement each pain pill with an analgesic such as aspirin or ibuprofen. Some patients may even require two of the pain pills at one time. Remember that the most severe pain is usually within six hours after the local anesthetic wears off; after that your need for medicine should lessen. If you find you are taking large amounts of pain medicine at frequent intervals, please call our office. If you anticipate needing more prescription medication for the weekend, you must call for a refill during weekday business hours.

DIET: Eat any nourishing food that can be taken with comfort. Avoid extremely hot foods. Do not use a straw for the first few days after surgery. It is sometimes advisable, but not absolutely required, to confine the first days intake to liquids or pureed foods (soups, puddings, yogurt, milk shakes, etc.) Avoid chewing food until tongue sensation has returned. It is best to avoid foods like rice, nuts, sunflower seeds, popcorn, etc., which may get lodged in the surgical areas. Over the next several days you may gradually progress to solid foods. It is important not to skip meals! If you take nourishment regularly you will feel better, gain strength, have less discomfort and heal faster. If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.

NAUSEA: Nausea and vomiting can occur as a result of swallowed blood, discomfort, anesthesia or pain medicines. Post-operative nausea is usually self-limiting and sipping on flat cola or ginger ale often helps. Soda crackers also may be used. If nausea persists, stop taking the pain medicine and substitute an over the counter pain medicine for the next dose. If nausea persists call our office.

Instructions for the Second and Third Days

MOUTH RINSES: Keeping your mouth clean after surgery is essential. Use 1/4 teaspoon of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like, but at least two or three times daily.

BRUSHING: Begin your normal oral hygiene routine as soon as possible after surgery. Soreness and swelling may not permit vigorous brushing, but it is extremely important to clean your teeth within the bounds of comfort. Maintaining a clean environment adjacent to the healing surgical wounds is required for optimum and speedy healing.

HEALING: Normal healing after placement of dental implants should be as follows: The first two days after surgery are generally the most uncomfortable and there is usually some swelling. On the third day you should be more comfortable and, although still swollen, can usually begin a more substantial diet. The remainder of the post-operative course should be gradual, steady improvement. If you don’t see continued improvement, please call our office.

DISCOLORATION OR BRUISING: The development of black, blue, green or yellow discoloration is due to bruising beneath the tissues. This is a normal post-operative occurrence that might appear 2-3 days after surgery. Beginning 36 hours after the surgery, moist heat applied to the area may speed up resolution of the discoloration.

SHARP EDGES: If you feel something hard or sharp edges in the surgical areas, it is likely you are feeling the bony walls which once supported the extracted teeth. Occasionally small slivers of bone may work themselves out during the following week or so. If they cause concern or discomfort, please call the office.

DRY LIPS: If the corners of your mouth are stretched they may dry out and crack. Keep your lips moist with an ointment such as Vaseline.

SORE THROAT: This is not uncommon after oral surgery. The muscles get swollen and this may make swallowing painful. This should go away on its own in 2-3 days.

STIFF JAW MUSCLES: This may cause a limitation in opening the mouth wide for a few days after surgery. This is a normal post-operative event that usually resolves during the week after surgery. Stretching these muscles may help to speed up resolution of this problem.

Your case is individual no two mouths are alike. Do not accept well-intended advice from friends. Discuss your problem with the person best able to effectively help you your surgeon!

It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call the office at Toll Free : 800 80 80 80

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dentist doing dental treatmet

What To Expect During A Dental Implant Procedure

The dentists at Westermeier Martin Dental Care want their patients to know what to expect during a dental implant procedure. Every procedure is individual and unique to each patient, but there are some steps in a dental implant procedure that are routine.

What is a dental implant?

There is more than one way to replace a tooth, or teeth. Permanent dental implants, mini dental implants and dentures are three ways. For this article, we focus on dental implants.

A dental implant is made of titanium and is surgically placed into your jaw, by a dentist. The implant looks like a screw, and is placed into the jaw bone. The implant mimics the root of your tooth and lessens the effects of bone loss because of missing teeth.  After the implant is placed, a tooth will be formed and placed on top of it.

How long does it take to do a dental implant?

Every patient and procedure is unique, but there are factors that determine the length of time it takes for the dental implant procedure including:

  1. You overall dental health
  2. The number of teeth, and which teeth are, being replaced
  3. Whether teeth will need to be extracted and bone grafting performed before the implant procedure

dentist doing dental treatmet

Is a dental implant treatment painful?

As with any dental surgery, there can be discomfort. The amount of discomfort is unique to each patient, but the dentists at Westermeier Martin Dental Care are committed to making dental procedures pain-free as possible.

Our office provides various levels of sedation dentistry to our patients. Talk with us prior to your treatment to determine the level of sedation you require as there are levels that require you having a ride to and from your appointment.

Many of our patients report they were more comfortable during the procedure than they anticipated. You may leave the appointment with a prescription for a non-narcotic pain medication to take to address any potential pain.

What happens after a dental implant procedure?

You may have soreness and swelling in the gum and soft tissues surrounding the area in which the dental implant was placed. The discomfort will be treated with a non-narcotic painkiller. Chances are, you won’t have to worry about missing work the next day. Many of our patients also tell us they didn’t even need to take the pain medication.

What happens during the D?

A dental implant will typically be accomplished in two phases and it may take up to seven months for the entire process to be complete – this depends on your rate of healing.  During the procedure the following occur:

  1. Your mouth will be thoroughly numbed with local anesthesia
  2. Once you’re numb, an incision is made in your gum where the implant will go
  3. The implant will be screwed into place
  4. Your gums will be closed over the implant and you may have one or two stitches placed
  5. Over the course of several months, the implant will securely attach itself to the jaw bone

The second phase of the dental implant procedure will take place approximately three months later and includes a visit to our office to complete the process. The second phase involves:

  1. The dentist making a small incision in the gum to expose the implant
  2. A small extension will be placed on the implant; this is where the crown will be placed
  3. Your new crown will be made and your dentist will place it onto the implant

Is there special care I need to take with my dental implant?

Dental implants will be cared for just like you care for your regular teeth. You will brush and floss and schedule regular dental examinations and check-ups.

If you have questions on dental implants, call our office today or fill appointment form to schedule an appointment.

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Dental Implants Types

What are dental implants?

Dental implants are artificial replacements for dental roots. Dental implant is usually manufactured from titanium or titanium alloys. The dental implant surface can be covered with different substances to increase its stability and osseointegration. There are several dental implants types, but the contemporary ones have tronconic or cylindrical shapes, the same as the natural dental root. Crowns or dental works (bridges, prosthesis, etc.) are fixed on the dental implants. Dental works on implants can be fixed or detachable (mobile).

Types of dental implants

Types of dental implants - Root shape

Root shape

Root shape dental implants are one of the most popular in the world. They may have cylindrical shapes, smooth or with spires and conical

Dental implant surface

Modern implants have the bone contact surface in rugose topography to allow bone cells to settle on and osseointegrate it, and the one in contact with gums has a smooth, shiny topography, for epithelial gum cells to adhere, sealing the space surrounding the implant’s neck. Technology has enabled the creation of rugose surfaces in several topographies (nano and micro rugosity), so that bone cells can perfectly adhere to the implant. The more rugose surface and carefully processed, the higher the dental implant quality. That because bone adheres much better and more uniform, and present rugosities increase the contact surface between implant and bone, increasing its mechanical stability initially and biological subsequently to osseointegration.

Dental implant surface

Dental implant components and types of work on implant

Dental implant treatment involves several components: implant itself, prosthetic abutment (connecting implant with the work) and dental crown.

Dental implant components

Cemented dental works on implant

Cemented dental works on implant

Dental implant defines not only the root area (replacement). One of the means through which a crown is attached to the dental implant is by cementing it on an intermediary piece (prosthetic abutment). The prosthetic abutment is screwed to the implant and the work is fixed on it using an adhesive (dental cement). It represents the perfect way to place the crown for a single dental implant and requires great caution because, during the moment of sticking, cement remains/excess can infiltrate under the gum, damaging the implant in time. Sometimes the crown can be cleaned with difficulty and can lose cement or can be lost / broken.

Dental works screwed on implant

Dental works screwed on implant

The second method for attaching a crown/dental work to the implant is by screwing it. Therefore, crown is directly screwed to the implant and the fixing screw access hole is covered with obturation material (filling) matching the tooth color. The advantage lies in its easy removal anytime when needed (professional hygiene, small fixes, etc.). The disadvantage lies in the fact that this tiny screw can weaken under high pressure, requiring periodic tightening with special keys, wrenches (with a precisely calibrated force couple).

Dental mini-implants

Dental mini-implants

Dental mini-implants are extremely thin implants, with limited resistance and with limited directions:

  • Narrow spaces (lateral incisors area) are the narrowest teeth inside the oral cavity – not recommended for the rest of the teeth (they can fracture),
  • Mobile dentures stabilization (mobile dentures on „over denture” implants) for the elderly, when mastication forces aren’t that high,
  • As temporary implants, for fixing temporary works until definitive implant integration or until bone addition healing when lost bone volume is restored through resorption (melting).

Dental mini-implants

Implants which are no longer used (history)

“Blade” type implants

“Blade” type implants

Subperiostal implants

Subperiostal implants

Bar fixed to the bone

Bar fixed to the bone

Transosseus implants

Transosseus implants

Although they were “sensational” in their time, these dental implants types are no longer used (blade, subperiostal) or, some of them, are used limited: “bar fixed to the bone” implants and “transosseus” ones – in case of severe bone atrophy, when patient cannot undergo bone addition.

Zygomatic implants

Represented by extremely long implants used in special situations.

Zygomatic implants

Zygomatic implants are placed in the back of the maxillary bone (superior), where maxillary sinuses reside and bone has the lowest density. The tips of these implants are anchored into the zygomatic bones (cheekbones), which maintain volume and density throughout time, even if the maxillary bone is resorbed. These implants are recommended for severe maxillary atrophies, when there is practically no bone left (in the superior maxillary) or remaining bone is in an extremely low quantity, being filled with air by exaggerated sinus volume enlargement. In this case it represents a good alternative to invasive surgery, when patient is unable or unwilling to undertake complex bone additions for lost bone volume enlargement in this region. Zygomatic implants rapidly and efficiently ensure an excellent stability in the posterior area for immediate dental works (allows immediate anchoring to fixed works).

In certain techniques, conventional implants can be successfully combined – in the frontal region we insert conventional implants and in the posterior areas we insert zygomatic implants – procedure called „TotalFix+”.

Zygomatic dental implants types

For severe maxillary atrophy conditions in all areas (including anterior) a number of two or three zygomatic implants are inserted individually yet simultaneously, in the same session, on each side of the superior maxillary (four or six in total), techniques called „QuadZygoma” respectively „Sixzygoma”.

Zygomatic dental implants types

Zygomatic implant insertion is carried out through extremely complex surgical procedures that involve an experienced medical team (implantologists, oral and maxillofacial surgeons, prosthetists, anesthetist, etc.) and all equipment specific for a major surgical act – operating block, general anesthesia, dental CT scanner, etc.

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