Invisible Braces

 

STRAIGHTEN YOUR TEETH THE CLEAR WAY – NO WIRES OR BRACES

 

Every day more and more people are straightening their teeth to enhance their smiles. Beautiful white, straight and healthy teeth show well-being and attractiveness and is a desire of each person. A beautiful smile and healthy teeth make you feel great and has a positive effect on one’s social and business life. Your teeth are your personal business card.  It’s not unusual for people with teeth irrgularities to refrain from smiling, because they are embarrassed by the looks of their teeth. 

Modern technology and advancement in orthodontic dentistry has now made it possible to comfortably straighten  your misaligned teeth without conventional wired braces.

 

“Invisible braces”

In-Line® and Invisalign® are the new modern and contemporary  systems that use removable transparent splints straighten teeth. The clear plastic splints or aligners fit comfortably over your  teeth and are designed to move and reposition teeth gradually into the desired position. The splints or aligners are custom made  through a combination of the dentist’s expertise and 3-D computer imaging technology. Each aligner is individually designed and manufactured with a computerized image of the patients teeth generated at the beginning of treatment  and determines the course of action for you to get the desired position  of the teeth you want. Aligners are made from a plastic material that is very thin and comfortable to wear. A typical treatment requires 20 to 30 aligners for both the upper and lower teeth. Most adults complete their treatment in less than one year. However, treatment time depends on the specific alignment problem. Each aligner is worn for 6 to 8 weeks, then replaced with the next one in the series. Aligners are similar to teeth whitening trays, except a lot more high tech. And yes, you can use your aligner  to whiten your teeth at the same time! Up close it’s really hard for people to tell you’re wearing an aligner and it does not affect your outer appearance. 

 

How do I know whether this system is suitable for me?

To use this system the eruption of the permanent teeth should be complete, which means it is suitable for patients of 15 years and older. Nearly all cosmetic orthodontic teeth corrections for adults can be treated successfully with this system.

The system is especially suited for cases where:

Teeth are overly crowded -  When there is not enough room in the jaw for all of the teeth to fit comfortably or normally.

Teeth are widely spaced - When there is too much space between the teeth due to abnormal growth of the jaw or shifting of the teeth due to missing teeth.

 

Overbite/over-jet - When the upper teeth bite over the lower teeth.

Cross-bite - When the upper and lower jaws are misaligned, causing one or more upper teeth to bite on the inside of the lower teeth, on either the front and/or sides of the mouth.

 

Mild relapse -  After traditional braces have been removed, when some relapsing tooth movement has occurred.

 

This system may not be appropriate for certain cases of misalignment or complex bite problems. Fixed orthodontic appliances (traditional wire and bracket braces) are  then indicated. Please contact your dentist to find out if this system is suitable for you.

 

What are the advantages of the In-Line® or Invisalign® treatment

Treatment is  undetectable

The aligners are virtually undetectable and they go unnoticed when speaking in social situations. Aligners can give you that beautiful smile by straightening your teeth without anyone knowing.

Aligners are removable

The best part is, other than being clear and out of site, is they are removable. You can remove the splints/aligners while eating, drinking or when you brush or floss your teeth.   This means you are not faced with any inconvenience in your daily life. Maybe your going on a special date with a special someone and you would rather go without for a few hours, that’s just fine, but don’t forget to put them back in when you get home!

Aligners are comfortable

Metal braces and wire with sharp edges, often cause oral inflammation, are no longer necessary.

How Much Does Invisalign Cost?

The cost of In-Line® or Invisalign® treatment is slightly more than that of traditional braces. However, your dentist can determine the actual cost of treatment because it will be based on your specific needs, including how extensive your dental problems are, how long your treatment will last, etc. Payment plans for financing treatment  may be available through your dentist’s office. Consult your medical aid policy to determine what orthodontic benefits you may qualify for.

Transparent  tooth liners/splints as alternative to the traditional method using braces and wires has transformed the way we straighten teeth. This break through has been sweeping the world and everyone is taking advantage of this new technology.  Imagine having straighter teeth in as little as 9 months without having to wear braces!
  Invisible aligners is the best way to transform your smile without interfering with your day-to-day life. This treatment can give
you the smile you’ve always wanted without the braces you’ve always avoided.

CONSCIOUS SEDATION

 

CONSCIOUS SEDATION – TAKING THE FEAR OUT OF DENTISTRY

Finally , there is an option for patients who may be fearful or anxious about dentistry or simply do not have time for multiple appointments. If you are one of the millions of people who experience uncomfortable levels  of anxiety with a dental treatment, conscious sedation is the answer you have been looking for. Conscious sedation will make your dental visit, comfortable, relaxed, safe, and pain free experience. 

Conscious sedation has become popular for use in a variety of different settings and for different types of procedures.

Sedation dentistry is also referred to as sleep dentistry. It involves using a combination of sedative and pain relieving drugs to put the patient into a relaxed state. The patients level of comfort, sedation and vitals will be monitored by the anethetist with medical equipment so that the procedure is completely safe. No eating and drinking is allowed 4 hours prior to the appointment. The patient is not really asleep, but not completely awake either, but can respond to the dentists or anethetists commands. The patient will not remember anything afterwards. 

 

How can I benefit from conscious sedation?

Anxiety and fear factor

Recent research has indicated that the number one reason adults postpone needed dental treatment was anxiety or fear. Patients who are faced with a heightened level of fear or anxiety, or who require involved dental procedures (like root canals or surgical extraction’s) may elect to be sedated for their treatment.  Anxiety and fear are serious problems for many of us. People experience fear due to a variety of causes; the uncertainty of the future, work pressures, and relationship pressures are only a few of the things people fear on a day-to-day basis. What’s more, many suffer from anxiety over their health and are anxious about dental care. There are a great many people who fear visiting the dentist to such an extent that they forgo visiting completely, neglecting an important part of basic health care. The main reason for this is the thought of the pain of dental procedures that they may have to go through. So for these people, even something as painless as teeth whitening is ruled out. Dental treatment doesn’t have to be something that’s feared, and can be completely painless thanks to oral sedation dentistry. Conscious sedation allows the patient to be calm and drowsy while still in control.  

If you’ve been putting off years of dental work, “conscious sedation” dentistry will change your life. When it comes to eliminating pain and anxiety, no other technique comes close! 

 

Extended Appointments - Time Collapse Dentistry

A further benefit is that you can have all your dental care done in one relaxing appointment, and you will have little or no memory of the treatment. Patients who have extremely busy schedules and require multiple procedures may elect to be sedated for a single long appointment rather than multiple ones. Many patients with active careers or lifestyles have difficulty “finding the time” to undergo either routine dental care or treatments that require several sessions.

Business entrepreneurs or busy self employed patients enjoy the opportunities of having a special appointment set up to complete all needed treatments in only one, uninterrupted visit. Conscious sedation has the magical effect of collapsing the time dimension of treatment. With proper levels of monitored sedation a long appointment can seem like 15 minutes.

 

Reduced discomfort

Naturally, there are the additional benefits of experiencing minimal discomfort and effortless anxiety management. Patients who have experienced muscular discomforts with certain types of treatment (root canals, multiple fillings, posterior restorations) can usually expect the absence of these post-treatment discomforts. Sedation medications, for many patients, produce a level of muscle relaxation that can eliminate common discomforts associated with long appointments. 

 

What are the advantages of conscious sedation?

Recovery is quick 

Normal activity can usually be resumed within  4 hours after the operation. There is no postoperative complications like nausea and sore throat experienced with general anesthesia.

 

It is convenient 

Conscious sedation can be done in the dentist’s chair. These locations are often less intimidating than a theater to patients who are anxious.

 

It saves costs 

Conscious sedation cost much less than general anesthesia as theater and hospital fees are cut.

 

Less side-effects

 According to recent study, 96 percent of patients experience no side effects, like nausea and vomiting, which can be a common complaint after general anaesthesia.

 

It is safe

The patient’s level of consciousness, lung and heart function are all continually monitored with special equipment throughout the procedure to reduce possible risks and to ensure that your treatment is completely safe. Computer-controlled infusion pumps increase the accuracy and patients have complete control over breathing. The protective reflexes – coughing and swallowing – also remain intact and communication is possible.  Sedation dentistry allows a patient to be calm and drowsy while still remaining in control. 

 

Who can benefit from it?

People who have . . .

Fear and anxiety associated with dental treatment

History of traumatic dental experiences 

Difficulty getting numb 

A bad gag reflex or difficulty opening their mouths

Very sensitive teeth 

Complex dental problems or a need for dental surgery

Limited time to complete dental care 

People who . . .

Hate needles 

Are in denial of a dental problem until the pain is unbearable

Have not received professional dental care in many years

Hate the noises, smells and taste associated with dental care 

Are afraid or embarrassed about their teeth

Often make and then cancel dental appointments

Experience sweaty palms or find yourself gripping the armrest

 

 

 

Frequently asked questions

Will I feel any pain?
No. You will feel nothing!

Will I be unconscious?
No, you will be in a deeply relaxed state, and you will be responsive.

Will I be monitored?
 Yes, the anesthetists is always with you and your vital signs are monitored during the entire visit. You are never alone.

How long will I be relaxing?
Depending on your needs and treatment time required.

Will someone need to accompany me?
Yes, due to the sedative effects of the medication, you will need someone to drive you home again.

Practical considerations

If you consider having a procedure done under conscious sedation, discuss the possibility with your dentist or specialist. Many anesthesiologists around the country are trained to do it. You will also be asked to sign a document of informed consent beforehand, and given instructions as to pre- and postoperative care. Most medical aid schemes are keen to cover the procedures, as conscious sedation can be a less costly alternative to general anaesthesia. Contact your medical scheme beforehand to check with them.

Although it was first developed for use in dental procedures, conscious sedation is now widely used for many less invasive surgical procedures where local anesthetics are used, like cosmetic/plastic surgery; ear, nose and throat operations; endoscopic procedures, like gastroscopies and colonoscopies; interventional radiology; and in-vitro fertilization.

Conscious sedation promises a wholly comfortable and predicable dental experience. Because patients are comfortable, they are able to have more dental work completed in a single visit and  free from anxiety. Patients that have experienced sedation dentistry, will never be afraid to have dental work again.  If the thought of going to the dentist makes you uneasy, anxious, or physically sick then sedation dentistry can help.  Dr Hartshorne receives countless referrals from patients who have found their experience with conscious sedation to be positively life changing.

Gumlift

 

UPLIFT YOUR SMILE WITH A LASER GUMLIFT

 

In this busy socially adapted world we live in, it’s more and more a reality that people judge each other by their appearance. We only get one chance to make a good first impression. Are you embarrassed that too much gum is showing when you smile? Does this prevent you to smile? Is you gum line very uneven or receding? If so, then gum reshaping (or re-contouring) could easily resolve these problems for you. With technology revolutionizing the way we do dentistry, high end cosmetic dental procedures are now available to every day people, not just for the rich and famous. 

High tech at work for you

Cosmetic laser dentistry is a cutting-edge way to correct gum related cosmetic problems. It is also more difficult for a patient to maintain and manage oral health when excess gum tissue is present. 

An advanced diode laser is used to re-shape or re-sculpt excessive or uneven gums quickly and comfortably to meet the cosmetic needs of the patient. The laser is a special beam of light with which the gum line is gently sculpted or reshaped to get the ideal gum  line that will instantly create a more visually appealing smile. In most cases, you can take your smile from good to great in just one visit. 

Complications are rare, and at most a patient may experience minor tenderness and swelling for up to one week. The discomfort should be minimal however, and will not interfere with daily activities such as speaking, eating, or drinking.

 

What is a “gummy” or “horsey” smile

A “gummy or horsey smile” is one of the most common conditions treated by laser.  Your smile is made up of lips, teeth and gums. They should all be in harmony. Excess gum tissue can create the appearance of short teeth. This will give your mouth an imbalanced, gummy look and a smile that is more red than white.  A “gummy” or uneven smile can make your teeth seem almost secondary in appearance to your gums, making your teeth look short and unattractive. Sometimes, too, an uneven gum line can make your teeth seem slanted or unusually sized or shaped.    

With the ease and comfort of a laser, gums can be re-contoured to reveal a more appealing smile. Gum re-contouring is a safe, comfortable procedure. The dentist will first numb the gums with anesthetic. Then, with a laser, he or she will gently re-shape the gum line, sculpting excessive and uneven tissue away. It also immediately seals the tissue, helping the patient to heal faster and more comfortably. Lasers cauterize while they cut, which means less bleeding and a dramatically reduced chance of infection for patients. This procedure can be completed in a single office visit.

Sometimes all that may be required is to contour the gum tissue to a more esthetically balanced appearance. This is called a simple cosmetic gum lift. Of course, there are times when contouring the tissue alone is not enough. In those circumstances the bone at the front of the root may have to be reduced surgically.

 

What are the causes of a “gummy smile” or excess gum tissue?

The shape of the patient’s mouth can sometimes bare more of the gum tissue than is visible in the average person’s mouth. Although the excess gum tissue is normal and healthy, it will make your smile look abnormal.

Overgrowth of gum tissue can also be caused by irritation, medication, medical problems and bad habits such as grinding or bruxing of teeth. Overgrowth of gum tissue can also be caused by the irritation from braces during orthodontic treatment, in spite of proper oral hygiene.

Nasal or adenoid problems can lead a patient to breathe through the mouth, especially at night. This habit dries out the gum tissue, leaving it susceptible to disease and overgrowth.

Medication such Dylantin (anti-epileptic), used for seizures and Cyclosporine, an immuno-suppressant to prevent rejection of tissue grafts  or organ transplants, can also lead to gum tissue overgrowth.

Crown or  tooth lengthening

During cosmetic procedures the dentist often needs to correct the level of the gum before veneers or crowns are made. This procedure is called crown or tooth lengthening. Tooth lengthening is the dental equivalent to trimming cuticles. A periodontist or skilled cosmetic dentist shifts your gums to a position that reveals more of your teeth and less of your gums. 

Usually this procedure is done with a scalpel and sutures (especially if bone level needs to be adjusted as well), and takes six to eight weeks of healing before your veneers or crowns can be made. The gum around teeth can be reshaped and balanced quickly and painlessly with laser. 

How will laser surgery benefit me?

Accuracy

Laser surgery is a precise and effective way because it can treat a focus area.  Surgical lasers are more accurate than a scalpel, and allow the dentist to conserve as much soft tissue and bone as possible. 

Safety and Comfort

Laser surgery is seeked out by individuals looking for extreme safety and comfort. Because of the precise focus with the laser, damage to surrounding areas is greatly reduced. Because dental lasers use a high-energy light beam, blood loss is minimized by the lasers beam aiding in clotting of exposed blood vessels.
 Another benefit of the high-energy light beam is it sterilizes the area being worked on reducing bacterial infections. Soft tissue lasers are considered safe for both adults and children.

 

Gum reshaping can be done alone or in combination with other cosmetic dentistry treatments. If you have a gummy or uneven smile, a great option to enhance your smile may be laser gum re-contouring or “gum lift”. It’s a quick, easy, and painless way to recanter the shape of your gum line to enhance your smile. 

Laser treatment, the newest, most comfortable, and fastest healing of all the gum surgery options, is becoming a more and more popular dental procedure today and will continue to grow at a high rate in the future.

The Wand™

 

TAKING FEAR AND INJECTION PAIN AWAY WITH DENTAL WIZARDRY 

 

The WAND™ is a revolutionary  and exciting alternative to the traditional local anesthetic injection system, that will help you conquer anxiety, fear and pain. It doesn’t look like a syringe, it doesn’t hurt like a syringe, and it works better than a syringe. The WAND™ System represents the first major technological advance in anesthetic delivery since the syringe was first invented nearly one hundred fifty years ago.

The Wand™ is essentially a computer-controlled dental injection. The flow rate of the local anesthetic is controlled by a computer. This means that the injection is guaranteed to be slow and steady and therefore comfortable. 

 

Many patients who have had bad experiences with dental injections believe that needle insertion is what causes discomfort during an injection, when in fact most of the pain is caused by the flow of the anesthetic. When you get an injection, the needle is not what causes the main discomfort of an injection. Discomfort for most patients comes from the pressure and volume of the fluid going into the tissues. Most often, the sting was caused because the anesthetic was injected in too quickly. Obviously, it is possible for the dentist to control the speed with a standard syringe, but the idea of the Wand is to take out the “human error”. This can be very reassuring for people with previous bad experiences. 

The microprocessor inside The Wand™ automatically compensates for different tissue densities. The anesthetic is delivered at a constant pressure and volume that’s typically below the threshold of pain. The computer also provides a flow of anesthetic directly ahead of the needle. This numbs the site of insertion and develops a “pathway of anesthesia” so you hardly feel the needle at all. The Wand™ delivers the anesthetic at an optimal flow rate for a comfortable injection every time. 

 

Over 59% of patients fear anesthetic syringes according to a recent survey. Some patients get more anxious than others at the mere sight of a needle and syringe. The WAND™ doesn’t look like a traditional syringe, so the patient’s initial apprehension is minimized. The Wand™ uses a small hand piece that looks like  a pen. This system gives a supply of anesthetic in a slow comfortable manner.  Then during the actual injection the development of an anesthetic pathway combined with a computer controlled constant flow assures that there is minimal awareness that the injection is even being administrated. The combination of visual difference and painless performance makes for a much more positive overall experience. Even the youngest patient don’t mind the local anesthetic administered with The WAND™.

After just one experience with The WAND™, the patient’s fear and apprehension vanishes, leaving you relaxed and happy.

 

More effective anesthetic delivery

The Wand produces an injection with improved comfort over traditional 

techniques. Whether you get nervous about injections or not, the Wand™ allows a more predictably comfortable injection, especially in the more sensitive areas such as the palate or front of your mouth. It also allows the use of less anesthetic and at certain times, techniques that can be used to eliminate the collateral numbing of your face, tongue and lips. 

The lightweight pen-grasp handle results in improved tactile control of the needle placement allows the dentist to place the needle gently and more accurately with less discomfort for the patient. The computer inside the WAND provides a flow of anesthetic directly ahead of the needle. This numbs the site of insertion and develops a “pathway of anesthesia” so you hardly feel the needle at all.

Pain-free anesthetic delivery

The source of most discomfort for injections, however, isn’t the needle. It’s the flow and pressure of the anesthetic into the tissues of the mouth.    Unlike traditional syringes, the WAND delivers anesthetic at an optimal  computer controlled flow and pressure rate for a comfortable injection every time.  The Wand controlled flow rate results in an injection experience that has proven to be two to three times more comfortable than with a traditional syringe. 

 

Key Benefits:

Greater Comfort

Looks non-threatening

Reduces patient anxiety

More effective - Faster numbing onset and sensation recovery

Works like magic for children

More pleasant experience

 

A more pleasant dental experience

The WAND is an excellent example of advancement in dental technology   to help patients have a pleasant, positive dental experience. Patients who have experienced it are amazed how comfortable it truly is, and it works magic with children.

Dental Scan

 

JOURNEY TO ANOTHER DIMENTION BEYOND THE X-RAY

 

Mouth pain while eating or drinking affects millions of South Africans everyday. Sometimes, a simple X-ray or oral examination can uncover the source of that pain. But for others, the pain continues as dentists come up empty on answers. When an X-ray is taken, dentists can see inside the teeth and gums to reveal roots and bones. But those 2-D black and gray slides can have shadows, hiding potential answers to the source of mouth pain.

Unfortunately, some patients find it difficult to fit a traditional x-ray film in their mouths and will gag or have their mouths cut. Sometimes patients are unable to open their mouths sufficiently or the dentist is unable to access areas at the back of the mouth, so the dentist isn’t able to capture all of the information necessary to catch all potential problems.

 

Seeing the unseen

Advanced imaging technology has given the dentist the opportunity to journey beyond traditional x-rays and to be able to se the unseen. A dental scan is now available that provides an accurate 3D image of the mouth and teeth. The new dental scan takes thousands of slices of data images and puts it together in a 3-D format. The captured 3D images gives dentists a far greater picture of underlying tissues than previously seen with traditional X-ray images. 

 

What are the benefits of a dental scan for the patient?

Quick and efficient

It is a quick and easy process that produces the most anatomically accurate 3-D images of the mouth, face, and jaw one can get. Capturing the images takes only 40 seconds while the patient is sitting upright. Results are processed within five minutes, so the patient and dentist can find out what’s going on almost immediately. 

 

Comfort 

The open, sitting in a chair environment, makes taking a dental scan, easy and comfortable.

 

Safer

Research shows that this technology uses 10 times less radiation than a traditional medical CT scan, making it safer for the patient.

 

Accuracy
With a  3D dental scan, one can see nerve canals and available bone structure with no distortions for more exact treatment planning. After capturing the image, the dentist can scroll through different views, turning the image in any direction and taking precise measurements for applications such as virtual dental implant  placement visualization, bone density assessment, alveolar nerve identification and implant proximity detection.
 

Cone Beam technology offers the highest level of surgical predictability, which results in successful surgical outcomes for patients, and reduced surgery time. Dentists can manipulate the images generated by the machine by moving it from side to side, top to bottom, inside and out. It is accurate within a tenth of a millimeter. 

 

Lower cost

The scans are more expensive than traditional X-rays: X-rays cost R150 to R250 per film whereas a dental scan can cost between R500 to R1500 depending on how much information you need. The entire scan procedure has a lower patient cost than a medical CT.

The in-office location helps patients avoid multiple hospital visits and appointments. 

 

All-in-one visit

Within minutes of the scan patients receive an immediate virtual diagnosis and treatment plan from their dentist-all in one visit.

 

Better understanding

The 3-D images helps patients see and better understand the relationship between their problem, dental structure and their soft tissue or facial appearance.

 

Seeing unknown

Users of the system claim it has helped them find diseases and conditions well beyond their typical dentist appointment. Some dentists have found infections within the bone where there’s massive bone loss around the teeth where you couldn’t see and patients were complaining of pain. Others have found tumors in patients where they didn’t they had cancer.

There is no doubt about it that the dental scan is going to become the golden standard of care in the coming years.

Rubber Dam

 

WHAT IN THE WORLD IS A DENTAL CONDOM?

 

Needs for isolation of the oral working area are rather obvious. A tooth bathed in saliva and water, a tongue that insists on obstructing vision, and a patient that is gagging due to suction appliances and instruments in the mouth, are but a few of the obstacles that must be overcome before delicate and accurate workmanship is possible. 

In the interest of hygiene, safety, and quality, most dental procedures are carried out using a technique known as rubber dam isolation (also known as “ latex or dental dam”).  The placement of a rubber dam is considered the standard of care for all restorative and root canal procedures.

Some patients refer to it as an “oral condom”. The latex (rubber) dam is a piece of thin, stretchable, customized latex  or non-latex sheet that fits over the teeth selected for treatment and held by a clamp and frame to form a barrier between you and your teeth, in effect isolating the teeth being worked on.   

 

This technique is routinely used  to isolate teeth when bleaching, and  carrying out restorative (tooth fillings) work and root canal treatment. The advantages of using a rubber dam is well known and documented in the scientific evidence-based literature. These benefits include the following:

 

Patient comfort 

The protective cover enables the patient to feel more comfortable and relaxed during treatment as it distances them from the procedure being carried out.  Patients like latex dams and say they feel more comfortable and relaxed because they don’t have to concentrate on keeping their mouth open or positioning their tongue. Also, they do not feel that their mouth is invaded by hands, instruments, and liquids.

With the rubber dam in place you can swallow and breathe normally, without having to swallow water and dental debris from the dental procedure. 

 

Improves operating efficiency

Isolation creates better access and visibility in the working area.

Improves treatment quality

A rubber dam isolates the teeth or the operating field thus preventing moisture and saliva contaminating teeth. A clean and dry environment is a prerequisite for optimum bonding of dental adhesives and placing dental restorations successfully.

Protection and Safety

The patient is protected from swallowing or worse, the aspiration of small instruments, dental fragments or debris, irrigating solutions, or irritant substances. Your gums, tongue, lips, and cheek are protected from possible injury from the cutting action of rotating burs. 

It is an accepted safety practice to take precautions especially during root canal treatment,  to prevent aspiration or swallowing of instruments.

 

The use of a rubber dam is almost mandatory in modern endodontic practice for three reasons.

Firstly, it provides an aseptic operating field, isolating the tooth from oral and salivary contamination. It cannot be stressed enough that contamination of the root canal with saliva introduces new microorganisms to the root canal which may prolong treatment and reduce the prognosis or survival rate of the root canal treated tooth.

Secondly, rubber dam facilitates the use of the strong medicaments necessary to clean the root canal system.

Finally, it protects the patient from the inhalation or ingestion of root canal instruments.

 

Remember, the dentist who takes the extra time and effort to use latex dam is committed to attention to detail to give you the best quality and service and safety possible!

Don’t miss life because of missing teeth!

 

DON’T MISS LIFE BECAUSE OF MISSING TEETH!!

 

Without teeth, one’s facial appearance and chewing ability is significantly affected as well as loss of confidence to smile.  Loss of teeth affects a persons choice of food, enjoyment of meals and diet, and thus have a direct impact on a persons well-being and quality of life. Having a dental implant can prove to be a life changing event, helping people to rediscover  the comfort and confidence to eat, speak, laugh and enjoy life.  Having lost teeth replaced with dental implants will also improve your quality of life by boosting your smile, overall appearance and self-confidence.

 

Although modern dentistry provides good alternatives in tooth replacement, your first priority should be preventing loss of teeth. Dental implants are considered the first choice and the ultimate dental restoration solution for tooth replacement, especially when only a single tooth needs to be replaced. A dental implant can also be a solid anchor to retain a bridge or denture. 

 

The dental implants themselves are tiny titanium posts which are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation or root for an artificial tooth. Dental implants are the most comfortable, predictable and long lasting method of replacing a missing tooth. Once in place, the dental implant crown will look, feel and function like your natural teeth. They are cleaned and flossed just like your natural teeth, and best of all, they do not require any special tools to clean around them like bridges. Although dental implants will not decay, they require that you maintain impeccable oral hygiene.

 

What Are Some of the Benefits of Dental Implants?

 

They function like natural teeth

The mouth is restored as closely as possible to its natural state. By replacing the entire tooth, including the root, it is possible to replicate the function of natural teeth, with a strong, stable foundation that allows 

comfortable biting and chewing. With dental implant support, the appearance of your smile will be more natural and your new teeth will function just like natural teeth. In addition, nothing in the mouth looks, or feels artificial.   

Boosts confidence and quality of life

A dental implant not only increases comfort, but also boosts self-confidence when smiling, speaking, and eating. In fact, if dentures or partials are replaced with dental implant supported teeth, the overall boost in quality of life is even more significant thanks to expanded food options, the elimination of messy adhesives, and improved speech, comfort and appearance.

Preserves the integrity of facial structures
 and improve appearance

Since dental implants preserve bone, this helps prevent the deterioration of facial structures. This is particularly important when all of the teeth are missing. Collapse of the lower one-third of the face caused by complete tooth loss can be virtually corrected and the remaining bone preserved  with placement of implants. The appearance of wrinkles around the mouth caused by posterior bite collapse, or complete facial structure collapse is virtually eliminated when dental implants are placed.

 

Improves nutrition and digestion

People with dentures usually have problems eating certain foods, such as fresh vegetables and fruits, which can compromise their nutrition. Additionally, since it is difficult to chew properly with dentures, digestion is often compromised. With a denture attached to dental implant, you can dramatically boost your food options and overall health at the same time.

Improves hygiene

It is much easier to care for a dental implant supported crown, which can be cleaned like a natural tooth. In comparison, a tooth supported bridge requires the use of a floss threader for proper cleaning. 

 

Provides a great sense of security that teeth will not fall out when eating, laughing or sneezing

People who wear dentures often worry that their dentures will fall out when they laugh, sneeze and sometimes even when they eat. Since the bone bonds to a dental implant, replacement teeth have a stable foundation and are securely attached to the dental implants, so there is no fear that teeth will fall out.

 

Improve your smile 

Your smile is improved when replacement teeth look more like natural teeth. Even when only one tooth is missing, long term esthetics are usually much better with a dental implant supported replacement tooth than with a traditional tooth supported bridge. This is particularly important in the front of your mouth, where preventing a visible bone defect is critical for natural appearance.

Restore self-esteem and self-confidence

Many of the people who now enjoy the benefits of dental implant supported replacement teeth state that their self esteem and self confidence have been restored as a result of improved appearance, function, comfort, and health.

Improve ability to taste foods

Wearing an upper denture can prevent someone from really tasting food, as the roof of the mouth is covered. With dental implant supported replacement teeth, it is not necessary to cover the roof of the mouth, so it is possible to enjoy the taste of foods. 

Natural teeth are not compromised

Tooth replacement with traditional tooth-supported bridges requires grinding down the teeth adjacent to the missing tooth/teeth, so that the bridge can be cemented onto them. This tooth structure can never be replaced and the long-term health of these teeth is compromised. When dental implants are placed to replace missing teeth, adjacent teeth are not compromised.

 

 One of the greatest advancements in dentistry

Dental implants have been around for more than 25 years and enjoy a near one hundred percent success rate. Most dentists consider dental implants to be one of the greatest advancements in dentistry since they truly are “almost as good as your natural teeth.” Unlike a traditional denture or bridge, dental implants are actually anchored to your jaw. Once in place, the crown, bridge or denture is then attached. This provides much greater support and allows for more effective eating, speaking and smiling!

HEADACHES AND THE TMJ FACTOR

 

HEADACHES AND THE TMJ FACTOR

Stress can induce muscle spasms and jaw misalignment problems thereby starting a vicious cycle of tooth grinding (bruxing) and clenching, ultimately leading to muscle tension, imbalance and strain on the chewing and postural muscles with subsequent headaches and/or migraines. This complex of problems are usually referred to temporo-mandibular joint disorder (TMJD) or jaw joint disorder or dysfunction. The jaw joint is also known as the ‘temporomandibular joint’, known for short as the ‘TMJ’.  It can be felt by placing your fingers just in front of your ears, and opening and closing your mouth. The joint allows the jaw to open, close and move sideways and forwards. It plays an important role in jaw functions such as talking, chewing and yawning. It is one of the most complex and frequently used joints in the body.

 

Harmony between teeth, jaw joint and muscles

Since there is a relationship between the teeth, jaw joints, head and neck muscles, and head posture, a problem in any one of these areas may affect the other. People that have lost some, or all their teeth, have worn down their teeth  due to grinding or clenching or have suffered trauma as a result of an accident, can cause compression and change in blood flow of the jaw joint. The reason is that the chewing muscles overwork themselves in an effort to bring balance back to the area. They try to protect the damage being caused, unfortunately they cause more damage in the long term. Overworked muscles begin to tire out and eventually spasm. This causes the muscles to shorten and increase the compression. The patient begins to experience earache, headaches, migraines and related facial pain.  Inability to chew, painful mastication, pain in teeth, changes in the way upper and lower teeth meet are commonly reported. 

 

Temporo-mandibular joint disorders

It is important to understand how TMJ problems can not only affect your dental health but also your overall general health and well-being.

A TMJ disorder  may affect one or both joints, often causing pain and limiting jaw function. Symptoms usually arise in early adulthood, but children and the elderly can also be affected. TMJ disorders are common, with about seven in ten people being affected at some time in their lives. Although about one person in four is aware of the symptoms or reports them to a dentist or medical practitioner, only five people in every hundred seek treatment. Most symptoms of TMJ disorders or pain are mild and do not need treatment. As with pain in other joints of the body, symptoms often go away with time.

Causes of TMJ disorders

TMD is caused by several interacting factors.  The factors most commonly considered include:

Trauma - Acute trauma or injuries to the jaws such as a car accident, a fall or a punch can cause damage to the muscles and/or joint. The acute pain and loss of function is usually responsive to conservative treatment. Sometimes trauma to the joint can cause chronic damage which may eventually contribute to a TMJ problem at a later time.

 

Clenching or Grinding - Some do this while awake but more often it is done while sleeping. Most people grind their teeth while sleeping to some degree. This constant pressure can damage the TMJs over time.

Malocclusion - This term means “bad bite”. Sometimes when the teeth do not bite together in harmony with the shape and position of the joints, it can place pressure on the joints. Missing and misaligned teeth can sometimes put strain on the jaw muscles and place pressure on the jaw joints. 

Psychological factors -  such as emotional stress, depression, and/or anxiety are sometimes associated with the onset or worsening of TMD symptoms. Stress increases both the severity and duration of clenching or grinding while asleep. Also, many will subconsciously clench and/or grind their teeth more while awake during times of stress.  

Posture & Poise - Your job and how you sit and work on a regular basis can contribute to TMJ and related problems. If you work at a computer all day, for example, you may be holding your head in such a way that places strain on your TMJ system.

 

Signs and symptoms of TMJ disorders

Symptoms may include: limited jaw movement; difficulty in opening the mouth; clicking, grating or popping noises from the jaw joints;

pain when chewing, yawning or opening the jaw widely; pain in or around the ears and cheeks; headaches, and occasionally, migraine-like headaches; earaches, loss of hearing or ringing in the ears; face, neck, back and shoulder pain;  muscle spasms and clenching and grinding of teeth; double and blurred vision.

 

Treatment of TMJ Disorders

TMJ disorders are best treated ‘conservatively’, using treatment methods that do not have any permanent effect on the teeth and jaw joint. As TMJ disorders are often temporary, simple treatment methods are used whenever possible to help reduce symptoms and restore jaw function. Relief from symptoms may take time, particularly if the TMJ disorder has developed over a long period. Effective treatment should: lessen or relieve your pain, restore your jaw function, minimize any clicking or popping noises from your jaw joint, and enable you to carry out your normal daily activities.

In some people, the treatment plan may take several months to be effective. For the best results, follow your treatment plan carefully. It may include some or all of the following treatments:

 

Occlusal splints

Occlusal splints (also known as bite plates) is a custom made appliance fabricated of plastic that can be worn over the teeth to maintain the derived bite position and used to take pressure off the jaw joints and teeth. These are usually worn at night and should not have any permanent effect on the position of teeth. Custom made by your dentist, occlusal splints must be adjusted regularly and monitored for some months to help relieve pain.

You typically wear this plastic appliance for a prescribed period of time to verify that this new jaw position solves or reduces the problem. If it does, it has proven that the imperfect bite was the cause of the problem and you may elect to go on and have your natural teeth treated to permanently maintain that new bite position.

If symptoms are not substantially alleviated, the bite position is most likely not the cause of the problem. Your natural bite has not been altered and other causes may then be further explored. 

 

Modified Diet

Minimize chewing and rest the jaw, eat only soft foods. When a small amount of chewing is necessary, try to chew on both sides of the mouth. Do not favor one side. Chewing very large pieces of food and hard brittle foods put added stress on your TMJ. Try to improve your eating habits to avoid these actions. Chew smaller pieces.

 

Physiotherapy

Exercises, massage, gentle movement and muscle stretching can be effective in reducing pain and stiffness and increasing strength and mobility.

 

Sleep on your back 

Many people who suffer from TMJ disorder sleep on their stomach or side. This position puts pressure on the face and seems to encourage teeth grinding. Try sleeping on your back, and you may find your symptoms greatly relieved.

 

Warm or Cold Packs

Muscle relaxation can be achieved by applying warm or cold packs to tender areas.

 

Relaxation and Stress Management

Learn how to relax and lessen stress. Cut down on multi-tasking, and  slow down your lifestyle. This can reduce tension in the jaw joint.  Patients should seek healthy ways to relieve stress through exercise, balanced eating, plenty of sleep and maintaining a positive mental attitude.

 

Medication

In some cases, your dentist may recommend short-term medication to help relieve symptoms. Your dentist may prescribe a painkiller, anti-inflammatory, anti-anxiety agent, sedative or muscle relaxant. Take medication only as directed. Your dentist will be happy to answer any questions you may have regarding medication. Read the Consumer Medicine Information which most prescription medicines have in the box.

 

Orthodontic treatment

Millions of adults around the world – many who never had the opportunity to improve their teeth as youngsters – are now getting braces or invisible liners to correct their malocclusion.

 

Specialist Management

If pain and dysfunction are severe and chronic and initial conservative treatment has not been effective in relieving symptoms and restoring jaw function, your dentist may refer you to a specialist.

 

See a dentist if you suffer from headaches

If you suspect that you have a temporomandibular joint (TMJ) dysfunction or suffering from headaches, you should see your dentist for an examination. Your problem can often be alleviated by correcting your bite and by prescribing a mouth guard to prevent teeth grinding while sleeping. Reducing or eliminating sources of stress and stopping habits such as teeth grinding can also help. Don’t let the stress of life take a toll on your oral health. Having a healthy mouth can mean having a healthy body and that is a resolution everyone should make. 

THE LINK BETWEEN STRESS AND HEALTH

 

THE LINK BETWEEN STRESS AND HEALTH

 

Stress can be defined as the way you feel when you’re under too much pressure.
 All sorts of situations can cause stress. The most common involve work, money matters and relationships with partners, children, family members or work partners. Stress may be caused either by major upheavals and life events such as divorce, unemployment, moving house and bereavement, or by a series of minor irritations such as feeling undervalued at work or dealing with difficult children. 

 

How stress affects your health

When you are stressed, your body produces more of the so-called ‘fight or flight’ chemicals, called adrenaline and nor-adrenaline which prepare your body for an emergency. Adrenaline and nor-adrenaline raises your blood pressure, increases the rate at which your heart beats and perspiration. All of these changes make it easier for you to fight or run away, which was extremely useful to the human race in past times.

Unfortunately these changes are less helpful if you are stuck in a busy office or on an overcrowded train. You cannot fight or run away, and so cannot use the chemicals your own body has produced to protect you. 

Research suggests that a moderate amount of pressure can be positive, making us more alert, helping to keep us motivated, and making us perform better. 

However, too much pressure, or prolonged pressure, can lead to stress. Stress and health are closely linked. Over time these chemicals and the changes they produce can damage your physical and mental health. 

For example, you may start to experience headaches, and indigestion. You may breathe more quickly, perspire more, have palpitations or experience  symptoms such as headaches, muscle spasms, constant tiredness, dizziness, sleeping problems, nail biting and lack of appetite. Over longer term you may be putting yourself at risk from high blood pressure, heart attacks, strokes, impotence and may also affect your immune and nervous system. Stress is known to worsen many immune related medical conditions, such as diabetes. Cortisol produced during stress situations may suppress the body’s immune response, increasing susceptibility to infectious diseases. 

 

Stress leads to destructive behaviors

Studies also show that individuals with high stress levels tend to increase their bad habits, which can be harmful to periodontal health. They are less attentive to their oral hygiene and may engage in destructive behaviors such as smoking, alcohol or drugs abuse and fall into eating disorders (unhealthy dietary habits), all which can have a negative effects on oral health.  

 

 

How does stress affect your oral health?

Constant stress, anxiety and depressions can affect oral health in several ways. 

 

Bruxism

This refers to forceful grinding or clenching of the teeth, often unconsciously, during the day or at night during sleep.  The exact cause of bruxism is uncertain but stress is considered one of the factors contributing to this habit. The condition has been linked to work stress and personality type. People that, are shy, apprehensive and given to worry, tended towards bruxism. Many people who brux their teeth may not be aware that they are doing so. However, those who sleep with them may be able to hear their bruxing. 

 

Clenching or grinding can lead to problems like: cracked teeth,  sensitivity of teeth,  flattened or chipped appearance of the teeth, headaches,  tiredness of the jaws on waking, and jaw or facial pain. When combined with erosion (the effects of acids on teeth from diet or other sources), bruxism can have devastating effects on teeth and may require extensive corrective treatment.

Treatment for bruxism includes the use of mouth guards/splints and relaxation techniques such as meditation. For more information on bruxism you can visit the following website: (http://www.nlm.nih.gov/medlineplus/ency/article/001413.htm )

 

Dry mouth

Dryness of the mouth can be caused by stress. More often, it may be caused by medications taken to relieve stress, anxiety or depression. Reduced saliva in the mouth  can have many consequences such as: 

 Reduced taste and reduced appetite

 Increased tooth decay because of lack of protection offered by saliva

 Difficulty in wearing dentures because of lack of lubrication offered by saliva

 Increased plaque accumulation and consequent increased gum disease

 

Reduced resistance, poor hygiene and gum infections

People under stress are less likely to eat well, sleep well or be interested in daily hygiene practices. Hence their general resistance to infections fall. The mouth is a place where infection can easily occur. Even periods of exam stress have been found to be associated with increased infections of the mouth, for example around impacted or emerging wisdom teeth.

Stress is also associated with an increased susceptibility to gum infections. While more research is needed to explain the specific role stress plays in gum disease, it is speculated that the hormone cortisol may play a role. When experiencing stress, the body releases increased amounts of cortisol, which can be harmful to the gums and surrounding bone tissue. This damage can cause bone loss which eventually leads to tooth loss.

Aphthous ulcers(canker sores),  burning mouth syndrome, are worsened during times of emotional stress.

HEALTHY LIFESTYLE BEYOND THE SMILE

 

HEALTHY LIFESTYLE BEYOND THE SMILE

 

Healthy teeth and gums are more than just an aesthetic or hygiene issue, it’s a quality of life issue.  Aesthetics are only part of the story when it comes to the importance of oral health and well-being. Healthy teeth, pink gums, and fresh breath―surefire signs of good oral hygiene practices― aren’t just for the vain. A healthy smile tells the world all about us.  

The health of gums and teeth are important and can have wide-reaching effects on overall health.  The same bacteria that cause cavities and gum infection can ultimately devastate other systems in your body as well―systems that your body relies on to function effectively. 

Link between healthy mouths and healthy bodies

Research shows there may be a link between gum disease and other health problems such as diabetes, heart disease, and stroke. When your gums are in good shape, bacteria are prevented from entering the rest of your body. But when you have gum disease, those pockets of space between your teeth and gums allow bacteria to enter your bloodstream potentially causing problems throughout your body. 

Once bacteria are in the bloodstream, they can cause inflammation of arteries that can affect  your heart and other organs. Bacteria irritate arteries in the same way that they irritate gum tissue, causing arterial plaque accumulations that can lead to hardening of the arteries and decreased blood flow. Arterial plaque and blood clots that becomes loose and travels to other parts of your body can cause a stroke. 

 

The systemic link between poor oral health and the health of the rest of your body has even expanded into a disturbing correlation to increased cancer risk. A study conducted last year by the Harvard School of Public Health and the Dana-Farber Cancer Institute showed a link between gum disease and pancreatic cancer, the fourth leading cause of cancer deaths in the United States. 

Although scientists are only just beginning to understand this link between healthy mouths and healthy bodies, dentists are proactively encouraging people to take their oral health seriously and to make it a regular part of a healthy lifestyle.

 

Smoking and Sleep Top the List of Lifestyle Factors Affecting Oral Health

There are many lifestyle factors other than tooth brushing and flossing that can affect a person’s oral health. A  recent study conducted in Japan, identified smoking and lack of sleep as the most significant  lifestyle factors that has an affect on periodontal (gum) health. High stress levels and daily alcohol consumption also demonstrated a significant impact on gum disease progression. Simple lifestyle changes, such as getting more sleep, less alcohol consumption and eliminating smoking, may help patients improve or protect their oral health.  

Take oral health seriously - Follow best healthy lifestyle practices

To maintain healthy teeth and a healthy mouth, you can take the following best practice steps. By following these simple steps and encouraging others to do so as well, will not only significantly increase your chance of having a lifetime of good oral health,  but will also ensure a better overall health.  

Get a regular check-up from your dentist

Everyone should visit their  dentist and oral hygienist regularly to have their mouth and teeth examined. Parents are encouraged to take their children for their first dental visit  by age one or within six months of the appearance of the first teeth.  Adults should see a dentist every six months for an examination and cleaning.  This will help prevent problems and stop small problems from getting worse.  Individuals who are pregnant or who have periodontal disease, diabetes, HIV infection, or some other health conditions may need to see a dentist more frequently.  It is also important to have the mouth as healthy as possible prior to the start of any radiation therapy to the head or neck or prior to any heart valve, knee or hip replacement surgery.     

 

Periodontal risk assessment

Warning signs of gum disease may include: puffy, red, sore, shiny or sensitive gums, bleeding when you brush or floss, bad breath that won’t go away. Red gums that bleed easily when you brush or floss are a sign that a visit to the dentist should be tops on your to-do list. Loose or separating teeth and persistent bad breath are signs that the disease is making its way to the supporting tissues of your teeth.  Left untreated, gum disease will ultimately lead to permanent tooth loss. You should see your dentist immediately if you notice or experience any of these problems. 

Sometimes the only way to detect gum or periodontal diseases is through a periodontal evaluation. A periodontal evaluation may be especially important if you: have heart disease, diabetes, osteoporosis, receiving chemotherapy for cancer, or are thinking of becoming pregnant. 

To find out if you are at risk for periodontal (gum) diseases, please visit the following web site for a free risk assessment test (http://www.perio.org/consumer/4a.html). 

 

Practice good oral hygiene 

Brush and floss your teeth at least twice a day. Brushing and flossing in the morning and before you go to bed is key to removing any bacteria and plaque in your mouth that can lead to tooth decay and gum disease. No matter how expensive or high-powered your toothbrush is, only floss will reach areas in between teeth where dangerous plaque accumulates. Use an antibacterial mouthwash to kill bacteria in your mouth and help keep your breath fresher. 

 

Eat a healthy balanced diet

Good health requires good nutrition, but if you don’t have strong teeth and healthy gums, your ability to eat properly is diminished. Your choice of foods becomes restricted, and you may have difficulties getting all the nutrients you need. Lack of a balanced diet leads to chronic infections of the mouth, putting strain on the body’s immune system

 

Avoid social activities that can harm oral health

Avoid activities such as smoking, oral piercing and recreational drugs that might harm your mouth or teeth. 

It’s important to know that all types of tobacco including cigarettes, cigars and chewing tobacco are harmful for your oral health. In addition to containing nicotine ― which is addictive ― they have been all been known to cause: gum disease, tooth loss, oral cancer, lip, tongue, pancreatic cancer and esophagus, colon, bladder, voice box cancer

Almost 75% of gum disease in adults is caused by smoking. Also, your gums may recede as a result of smoking. This may lead to tooth decay and an increased sensitivity to hot and cold food and drinks.
 Read more about this topic on the following website: (http://www.youroralhealth.ca/content/view/100/141/#smoking) 

Use a mouth guard

People who participate in any sporting activities that might pose a risk of injury to the mouth and/or teeth are recommended to wear a mouth guard for protection.  Preventing a tooth injury or other mouth injury is much less expensive than the cost to repair such an injury.   

 

Check your mouth regularly

Check your mouth regularly to become familiar with what is normal for you. This will help you recognize when something in your mouth looks or feels different or abnormal.

Warning signs of oral cancer may include: numbness and tingling

open sores that don’t go away within a week to 10 days, unexplained bleeding, lumps or thickening on the bottom or sides of your tongue, cheeks, or roof of your mouth. If you notice any of these signs, or have any concerns, call your dentist immediately.

 

Healthy teeth and gums -  a great investment in quality of life 

Poor oral health can negatively impact not only your physical health but also your social and emotional well-being.  Maintaining good oral health, is essential to your ability to eat, talk, taste, chew, and smile effectively.

Feeling better, looking better, eating better all add to the quality of your life. The more you take care of your teeth and gums now, the less you’ll spend on them in the future. No matter how old you are, how devoted you are to your trusty toothbrush, or how big your fear of the dentist is, be sure to maintain that beautiful smile of yours throughout your lifetime. Not only will you look spectacular, but you’ll increase your overall vitality and well-being.

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