Posts for: June, 2021
So, you’ve just acquired an attractive restoration with dental implants. You may be thinking at least with these teeth you won’t have to worry about dental disease.
Think again. While the implants and their porcelain crowns are impervious to decay the surrounding gums and bone are still vulnerable to infection. In fact, you could be at risk for a specific type of periodontal (gum) disease called peri-implantitis (inflammation around the implant).
Bacterial plaque, the thin bio-film most responsible for gum disease, can build up on implant crowns just as it does on natural tooth surfaces. If it isn’t removed with daily brushing and flossing and regular dental cleanings the bacteria can trigger an infection in the gums.
Besides weakening gum tissues, gum disease can also cause bone loss, of critical importance to dental implants. An implant depends on the bone they’re inserted in to hold them in place. If the bone around an implant becomes infected it could begin to be lost or dissolve (resorb), which could lead to loss of the implant.
That’s why it’s critical to keep the natural tissue structures supporting your implants infection-free. Not only is daily hygiene a must, but your implants and any remaining natural teeth should undergo professional cleaning at least twice a year or more if your dentist recommends it.
Cleanings involving implants will also be a bit different from natural teeth. While the dental materials used in the crown and implant post are quite durable, regular cleaning instruments can scratch them. Although tiny, these scratches can become hiding places for bacteria and increase your risk of infection.
To avoid this, your hygienist will use instruments (known as scalers and curettes) usually made of plastics or resins rather than metal. The hygienist may still use metal instruments on your remaining natural teeth because their enamel can tolerate metal without becoming scratched creating a smoother surface.
While keeping implants clean can sometimes be a challenge, it’s not impossible. Implants on average have a long-term success rate above 95%. With both you and your dentist caring and maintaining these state-of-the-art restorations, you may be able to enjoy them for decades.
If you would like more information on caring for dental implants, 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 Implant Maintenance: Implant Teeth must be Cleaned Differently.”
Health is on everyone's mind, especially after dealing with COVID-19 this past year. Beyond the immediate concerns of coping with this novel coronavirus, many are taking a closer look at improving their overall well-being. If that describes you, then don't forget this very important component of good health—your teeth and gums.
It's easy to see the body as just a collection of individual organs and anatomical structures. But in reality, all these individual parts are intertwined—if one part is unhealthy, it could directly or indirectly impact the health of all the others.
That's especially true in the mouth. There's some evidence that both tooth decay and periodontal (gum) disease can increase inflammation throughout the body, and worsen conditions like diabetes. And problems like chronic jaw joint pain or teeth loss could make it more difficult for the body to meet its nutritional needs.
In other words, you need to take just as much care of your teeth and gums as you do the rest of your body. In recognition of Oral Health Month this June, here's how.
Clear away plaque. Dental plaque, a thin bacterial film that accumulates daily on tooth surfaces, is the most common cause of tooth-destroying dental diseases. Removing plaque buildup every day with brushing and flossing is the single best thing you can do personally to maintain optimal oral health.
See your dentist. Even so, the most thorough hygiene regimen can miss a few plaque deposits. These can then harden into tartar (or calculus) that's nearly impossible to remove with brushing or flossing. A regular dental cleaning clears up any lingering plaque and tartar to further lower your disease risk.
Eat a "tooth-friendly" diet. A diet high in carbohydrates (particularly refined sugar) and processed foods can spell trouble for both the body and the mouth. But whole foods rich in micronutrients like calcium, potassium, or vitamin D, strengthens your teeth and gums against tooth decay or gum disease.
Maintain your dental work. Dental work like fillings, crowns, implants or bridges aid dental health and function, not to mention appearance. But they can wear over time, so keep up regular dental visits to assess their condition and make any needed repairs. Be sure you also clean them and the rest of your mouth daily.
A healthy body depends on a healthy mouth. Following these steps for better oral health will go a long way in achieving optimum physical well-being.
Most of what goes on inside our mouths—good or bad—is fairly predictable. But every now and then, people encounter something out of the ordinary. A good example is lichen planus.
Lichen planus are rare skin lesions that can occur on various parts of the skin, including inside the mouth. The name comes from their lacy appearance, which resembles a fungus that grows on rocks or trees called lichen.
Being similar in appearance, though, is all that lichen planus has in common with its fungal namesake. It's believed that the sores are caused by a reaction of the immune system mistaking some of the body's cells as foreign.
But don't let the exotic sounding name alarm you—true lichen planus is considered a benign mouth sore. You may not even realize you have it until your dentist notices and points it out. But the lesions can sometimes cause mild pain or burning, especially if they occur near the gums or if you indulge in spicy or acidic foods.
As we said, these lesions aren't considered dangerous. But in a small number of cases, oral cancer was found to develop later. It's unclear whether the lesions were related to the cancer, or if what were diagnosed as lichen planus lesions were actually pre-cancerous cells mimicking the appearance of the benign sore.
In any event, your dentist will probably continue to monitor the lesions and possibly conduct regular oral cancer screenings to be on the safe side. You may also want to stop using tobacco or alcohol products to further decrease your risk of oral cancer.
As to managing lichen planus, it starts with a daily habit of brushing and flossing. You'll also want to avoid spicy or acidic foods like citrus fruits, tomatoes, peppers or caffeinated drinks, especially during flareups. If the lesions are causing discomfort, your dentist may also prescribe a topical steroid to apply to them.
Since it's quite possible you won't know if you have lichen planus (as well as other types of mouth sores) unless your dentist observes them, you should keep up regular dental visits. Having your dentist check your entire mouth, not just your teeth and gums, will help both of you stay on top of your oral health.
If you would like more information on mouth sores, 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 “Lichen Planus.”