Prosthodontics Treatment

Implants and Bone Grafting

Dental Implants And Bone Grafting Procedures

A dentist may recommend dental implants because of tooth loss to help prevent future tooth loss. But in some cases, the bond underneath the gum cannot support teeth. Maybe it’s too thin, too short or too narrow. In these cases you’ll need bone grafting, or bone augmentation, to build up the bone before you can get implants.

What Is Bone Grafting?

Bone grafting is the term used to describe this process of building up jaw bones in order to enable them to structurally hold implants. The dental professional will either graft real bone to the jawbone, or use materials with qualities of bone to build up the jaw. Once the grafting has been successful implants can be placed. However, it can take several months for the bone graft to take.

What Are Implants?

After the bone graft is deemed successful the implants will be surgically inserted. The oral surgeon will cut the gum open to expose the jawbone. They will then drill a hole into the bone in order to insert a metal post which will eventually hold the prosthetic tooth in place. The post is inserted deep in the bone. While the gums and tissue around the post heal, there will still be an empty spot. Sometimes dentists offer a temporary denture just for cosmetic purposes. After the implant post has been placed and has healed, the gums will be lightly cut again to place the abutment, or tooth on the post and allowed to heal.

Special Treatments For Dental Patients

Routine dental care includes things like exams, x-rays and cleaning. When necessary regular dental visits can also incorporate fillings or repairing damaged teeth. Most of these fall under regular dental care and it is the same for most patients. But what about those who need special treatments from the dentists?

Anything beyond a regular dental treatment would be considered special treatments. Dentures, braces, and implants can all be classified as special treatments even though they are necessary to one’s dental health. Some types of preventive care can also be considered above and beyond as well as treatment plans for conditions such as TMJ disorder.

Teeth in the day

Teeth in a day is a cost-efficient, graftless solution that provides patients with a fixed full-arch prosthesis on the day of surgery.
Characteristics include:

Full-arch rehabilitation minimum with only four implants
Graftless procedure
Bone grafting is avoided by tilting the posterior implants, utilizing available bone

Dentures

Dentures And How They Work

When a person has teeth that are missing, they can use a prosthetic device called dentures. They may have either partial or full depending on how many teeth they are trying to replace. Full denture prosthetics take the place of all their teeth. Partial dentures are used when a few teeth are missing but need to be replaced.

How Dentures Work

Full dentures will use an acrylic base that is the same color as the gums. The upper will cover the roof of your mouth but bottom are designed in a U-shape to make room for the tongue. They are specially made in a laboratory from impressions the dentist took of your mouth. This ensures a good fit. There are three basic types of dentures.

Traditional Full Dentures – Once the teeth have been removed and the gums have healed, they are then placed in the mouth. Healing can take many months and you will be without your teeth for the entire time.
Immediate Full Dentures – These prosthetic devices are placed in your mouth as soon as your teeth have been removed. Dentist will measure your mouth and have the them preordered so that when he pulls your teeth, he can place them immediately. This ensures you do not have to go without teeth, but it may mean a readjustment down the road after the gums fully heal.
Partial Dentures – These are designed to attach to other natural teeth using a metal framework.

Digital Dentures

It is a new system for the manufacture of removable dentures. The term Digital Denture is the word used to describe the entire workflow involved in the fabrication of a CAD/CAM milled, full denture. The process is made up of innovative devices, software and materials suitable for both dentists and dental technicians.

Data flows into the design software

Precise and functional in just a few steps to success: That’s what Digital Denture stands for. The workflow begins with the impression and registration of the patient situation, using clinical tools to optimize the individual data collection. This information is transferred to the design software using an add-on. It is included in the denture design. Subsequently, a CAM unit designed for the particular indication, mills the denture base from appropriate materials.

TMJ Disorder Treatment

Common TMJ Disorder Treatment Options

TMJ is an abbreviation for the temporomandibular joint. This is actually the joint connecting the temporal bones in the skull to the jaw. TMJ disorder occurs if there are problems with the muscles or jaws in this facial area. Some people have pain in the joint, or difficulties chewing due to muscular difficulties. Once it has been diagnosed, there are a few treatment options.

Make Dietary Changes

In cases of mild TMJ Disorder, simply changing your dietary choices to softer foods can offer some reprieve for the joints and muscles in the affected area. By avoiding foods that are hard to chew, the jaw is allowed to rest and heal. You can eat soft, small foods that are not crunchy. Cutting food into smaller pieces makes it easier on your chewing muscles. But it’s best to eat foods that do not require much chewing at all like mashed potatoes and cottage cheese.

Ice Packs, Moist Heat And Exercise

Sometimes alternating heat and ice packs can help reduce the symptoms associated with TMJ disorder. The dentist can also suggest some exercises to help stretch the muscles out and make them more flexible. He may also suggest you see a physical therapist.

Splints

In some cases, a dental professional may use splints to keep your top teeth and bottom teeth from touching each other. A splint will prevent teeth grinding which in turn reduces the strain on the jaw muscles and joints. This allows them to relax, rest and heal.

Botox

Botox is a drug that weakens or paralyzes muscle. In small doses, it can reduce skin wrinkles and help treat some muscle conditions.

Botox is a protein made from botulinum toxin that the bacterium Clostridium botulinum produces. This is the same toxin that causes botulism.
Botox is a toxin, but when people use it correctly and in small doses, it has a number of medical and cosmetic uses.

Manufacturers make Botox injections from very small doses of botulinum toxin. The drug can temporarily paralyze muscles, which can benefit a range of muscle- and nerve-related disorders.

Botox is a neurotoxin. These substances target the nervous system, disrupting the nerve signaling processes that stimulate muscle contraction. This is how the drug causes temporary muscle paralysis.

In order for muscles to contract, nerves release a chemical messenger called acetylcholine at the junction where the nerve endings meet muscle cells. Acetylcholine attaches to receptors on the muscle cells and causes the muscle cells to contract or shorten.

Botox injections prevent the release of acetylcholine, which stops muscle cells from contracting. The toxin reduces abnormal muscle contraction, allowing the muscles to become less stiff.

Bone Graft

Autograft is the gold standard for bone grafting, but can result in harvest site patient morbidity, and complications. For dental procedures where harvesting autograft isn’t feasible, an alternative is required that is easy to use and is effective. In many cases, you want to do more than just “repair” the problem—you want to regenerate the solution.

Treatment of bone defects continues to pose major challenges for dental clinicians.  In order to re–establish bone stability, bone replacement and bone regeneration products are used on a regular basis.

Sinus Graft

A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. If you’ve lost bone in that area due to reasons such as periodontal disease or tooth loss, you may be left without enough bone to place implants.

Sinus Lift surgery can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants. Several techniques can be used to raise the sinus and allow for new bone to form.

Complicated or Surgical extraction

Dental extractions may be performed to minimize overcrowding or in preparation for braces. An extraction may also be performed to remove the following types of teeth:

Wisdom teeth
Decayed teeth
Broken teeth
Impacted teeth