By Oral Surgery of New England and Dental Implant Center
May 11, 2015
Category: Dental Procedures
Tags: dental implants  
ReplaceaLostToothforLooksandforHealth

Lose a baby tooth when you're a young kid, no big deal — you'll grow another. Lose a permanent one and there's cause for concern. For one thing, tooth loss is often a symptom of an underlying oral health problem, such as tooth decay or gum disease, so it's important to identify the cause and treat it to prevent it from progressing. It is equally important to replace the tooth — not simply for the immediate impact it can have on your smile or bite, but for long-term function, esthetics and the health of the bone that supports your teeth.

The primary options for tooth replacement are fixed bridgework and dental implants. Both result in esthetically pleasing outcomes; the main difference is how each is attached. With a bridge, the replacement tooth, referred to as a “pontic,” uses the two natural teeth on either side of the gap — referred to as “abutments” — for support. The pontic is sandwiched between two other crowns, which fit over and are bonded or cemented to the teeth on either side of the gap. To ensure the companion crowns fit properly, the enamel must be removed from each abutment.

Placing dental implants, by contrast, involves working only on the affected area. The “implant” is actually a small titanium rod with spiraling threads just like a miniature screw that is carefully inserted into the jawbone as though it were a natural root. The replacement tooth, a customized crown, is secured to the end portion of the implant by way of an intermediary referred to as an abutment, which firmly anchors it in place.

Both bridges and implants are natural looking, functional, predictable, and reliable. Each has its advantages and disadvantages, and based on your oral health, one may be more appropriate than the other.

If you would like more information on tooth loss and replacement, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “The Hidden Consequences of Losing Teeth” and “Dental Implants vs. Bridgework.”

By Oral Surgery of New England and Dental Implant Center
April 24, 2015
Category: Dental Procedures
IronChefCatCoraDiscussesHerPositiveDentalImplantExperience

Cat Cora is a world-class chef, restaurateur, best-selling author, and philanthropist — on top of being the first female chef on the hit television show Iron Chef America. She is also the mother of four active young sons. And while all these important roles require her daily attention, she makes oral health a top priority for herself and her family through diet, brushing, flossing and routine visits to the dentist.

During a recent interview with Dear Doctor magazine, Cat revealed that she had her wisdom teeth removed when she was in her thirties and another tooth extracted and replaced with a dental implant. When asked to compare the two experiences, Cat said that the implant was “much easier for me.” She went on to say, “It feels very natural” and “now, I don't even think about it.”

Some may be surprised by Cat's response; however, we find it to be a quite common one.

There is no question that over the last two decades, dental implants have revolutionized tooth replacement and the field of dentistry. A dental implant, used to replace missing teeth, is placed in the jawbone with a minor surgical procedure. What's amazing is that over time these dental implants actually fuse with or integrate into the bone, thus making them an ideal permanent solution for replacing a missing tooth. They are typically made of commercially pure titanium, a substance that has been used for medical and dental implants for years. The crown, the part above the gum tissues, is attached to the implant via a retaining screw and a connecting piece called an abutment. The crown itself is artistically crafted using porcelain to mimic the look and feel of a natural tooth — just as Cat Cora describes.

To learn more about dental implants, continue reading the Dear Doctor magazine article “Dental Implants, Your Third Set of Teeth.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss what treatment options will be best for you. And to read the entire interview with Cat Cora, please see the article “Cat Cora.”

By Oral Surgery of New England and Dental Implant Center
April 09, 2015
Category: Dental Procedures
EncouragingBoneGrowthforFutureImplantsThroughSinusSurgery

Dental implants are a popular and effective restoration for lost teeth, if there’s enough bone present to support the implant. That might not be the case, however, because without the stimulation of the lost tooth, the bone may dissolve (resorb) over time. It’s possible, however, that you may need to re-grow bone in the back area of the upper jaw where your upper (maxillary) sinus is located.

Sinuses are air space cavities located throughout the skull. This feature allows your head to be light enough to be supported by your neck muscles. Inside each sinus is a membrane that lines your sinus cavities, nasal passages and other spaces. The maxillary sinus is located on each side of the face just below the eyes. Pyramidal in shape, the floor of the pyramid lies just above the upper back teeth.

A surgeon approaches the sinus through the mouth, with the objective of moving the sinus membrane up from the floor of the sinus. This is accomplished by placing bone-grafting material in the area. Over time the body uses the grafting material as a scaffold to produce new bone that then replaces the grafting material. The resulting new bone becomes the support for the implant.

If enough bone exists to stabilize an implant but not anchor it, then the surgeon can approach the sinus from the same opening that’s used for the intended implant site, insert the grafting material, and install the implant during the same procedure. If not, the surgeon creates a small “window” laterally over the teeth to access the sinus and insert the graft. The implant is installed a few months later after the new bone is created.

The procedure usually requires only a local anesthetic, although some patients may require additional sedation or anti-anxiety medication. After the surgery, you normally experience mild to moderate swelling and discomfort, about the same as having a tooth removed. All these symptoms can be managed with non-steroidal, anti-inflammatory pain medication and a decongestant for minor congestion in the sinus. We might also prescribe an antibiotic to help prevent infection.

Although this procedure adds another step and possibly more waiting time to implantation, it gives you an option you wouldn’t otherwise have — a life-like, effective replacement of your back teeth with dental implants.

If you would like more information on bone regeneration for 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 “Sinus Surgery.”

By Oral Surgery of New England and Dental Implant Center
March 25, 2015
Category: Dental Procedures
MatthewLewissMetamorphosis

Remember Matthew Lewis? You've seen him in all of the Harry Potter movies, where he played the bumbling Neville Longbottom: a pudgy, teenage wizard-in-training whose teeth could best be described as... dodgy. We won't spoil the movie by telling you what happens to him in the end — but in real life, let's just say his awkward phase is over. Today, he looks more like a young Ryan Gosling. How did this transformation happen?

Well, in part it was some “Hollywood magic” that made his teeth look worse in the films than they really were. But Lewis acknowledges that he also had cosmetic dental work performed. If you've ever considered getting a smile makeover yourself, you may wonder: What kinds of “dental magic” might it take to change an awkward grin into a red-carpet smile? Here are a few of the treatments we might utilize.

Orthodontics
It's possible to correct tooth crowding, protrusion, gaps between teeth, and many other bite problems with orthodontic appliances like braces or clear aligners. While some may think orthodontics is just for teens, that isn't so — you're never too old to get the smile you've always wanted! In fact, right now about one in five orthodontic patients is an adult.

Teeth Whitening
This is a popular (and surprisingly affordable) option that can effectively lighten your teeth by six shades or more. We can do in-office whitening for the fastest results, or prepare a take-home whitening kit with a custom-made tray to fit your teeth perfectly and a supply of the proper bleaching solution. How well it will work for you (and how long it will last) depends on various factors, including the original cause of the discoloration, and your preferences for foods and beverages (such as coffee or red wine) that may cause stains.

Porcelain Veneers
Sometimes, even professional bleaching isn't enough to get the kind of permanent, “Hollywood white” smile you'd like; that's where porcelain veneers come in. By placing a fingernail-thin layer of ceramic over the tooth's enamel, veneers offer a permanent, pearly white finish that looks just like your natural teeth — only more dazzling! Veneers, long the first choice of celebrities, are gaining popularity with plenty of “regular” folks.

Tooth Restorations
This category covers a wide variety of different methods and materials — like cosmetic bonding, crowns, bridges, and dental implants — which we use to repair or replace teeth that are damaged or missing. Beginning with the simple repair of small chips or cracks with tooth-colored resins, we can progress to more permanent crown restorations when more of the tooth structure needs replacement. To restore missing teeth, we have the option of using the tried-and-true bridge — or, the current gold standard in tooth replacement: the lifelike, permanent dental implant.

Of course, this is just a bare outline of the many tools and techniques cosmetic dentistry offers. We would be happy to talk with you about which ones are right in your individual situation. Will a smile makeover land you a red-carpet role? Maybe... but one thing is for sure: It will help you get the smile you've always wanted.

If you would like more information about smile makeovers and options in cosmetic dentistry, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Cosmetic Dentistry,” “Porcelain Crowns & Veneers,” and “Dental Implants.”

August 25, 2014
Category: Uncategorized
Tags: Untagged

Welcome to the Blog of Oral Surgery of New England and Dental Implant Center

Whether you are an existing patient or searching for a dentist in the Laconia, NH area, we’re excited you are here. With the dental industry advancing, we recognize the importance of keeping our patients and visitors up to date with all of the new and exciting things taking place in our practice.

As we move forward with our blog, we hope to promote dental awareness as a vital part of your healthy lifestyle. Here you will find a variety of articles and topics including dental news, advancements in dental technology and treatments, practical oral health advice and updates from our practice.

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As always, feel free to contact our Oral Surgery of New England and Dental Implant Center office with any dental questions or concerns.

-- Oral Surgery of New England and Dental Implant Center





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