Archive:

John D. Luker, DDS
997 Clocktower Drive
Springfield, Illinois 62704
(217) 546-8330

 

 



February 08, 2019
Category: Dental Procedures
Tags: celebrity smiles   bonding  
ARoyalFix

So you’re tearing up the dance floor at a friend’s wedding, when all of a sudden one of your pals lands an accidental blow to your face — chipping out part of your front tooth, which lands right on the floorboards! Meanwhile, your wife (who is nine months pregnant) is expecting you home in one piece, and you may have to pose for a picture with the baby at any moment. What will you do now?

Take a tip from Prince William of England. According to the British tabloid The Daily Mail, the future king found himself in just this situation in 2013. His solution: Pay a late-night visit to a discreet dentist and get it fixed up — then stay calm and carry on!

Actually, dental emergencies of this type are fairly common. While nobody at the palace is saying exactly what was done for the damaged tooth, there are several ways to remedy this dental dilemma.

If the broken part is relatively small, chances are the tooth can be repaired by bonding with composite resin. In this process, tooth-colored material is used to replace the damaged, chipped or discolored region. Composite resin is a super-strong mixture of plastic and glass components that not only looks quite natural, but bonds tightly to the natural tooth structure. Best of all, the bonding procedure can usually be accomplished in just one visit to the dental office — there’s no lab work involved. And while it won’t last forever, a bonded tooth should hold up well for at least several years with only routine dental care.

If a larger piece of the tooth is broken off and recovered, it is sometimes possible to reattach it via bonding. However, for more serious damage — like a severely fractured or broken tooth — a crown (cap) may be required. In this restoration process, the entire visible portion of the tooth may be capped with a sturdy covering made of porcelain, gold, or porcelain fused to a gold metal alloy.

A crown restoration is more involved than bonding. It begins with making a 3-D model of the damaged tooth and its neighbors. From this model, a tooth replica will be fabricated by a skilled technician; it will match the existing teeth closely and fit into the bite perfectly. Next, the damaged tooth will be prepared, and the crown will be securely attached to it. Crown restorations are strong, lifelike and permanent.

Was the future king “crowned” — or was his tooth bonded? We may never know for sure. But it’s good to know that even if we’ll never be royals, we still have several options for fixing a damaged tooth. If you would like more information, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Crowns and Bridgework.”

PayingAttentiontoCertainFactorsHelpsEnsureSuccessfulImplantOutcomes

Implants are highly regarded by both dentists and patients for their versatility and durability. But it’s their life-like appearance that “seals the deal” as the restoration of choice — not only mimicking an individual tooth, but emerging from the gum line and blending indistinguishably with other teeth in color and symmetry.

To achieve this result, we must consider a few factors beforehand, particularly the amount of bone available at the intended implant site. An implant requires a certain amount of bone to properly position it for the most natural crown appearance. The bone present around adjacent teeth can also affect your appearance: in the absence of adequate bone the papillae, triangular shaped gum tissue between teeth, may not regenerate properly between the implant and the natural teeth. This can leave a noticeable void, what dentists call “black hole disease.”

Bone loss is a significant problem particularly after tooth loss. It’s quite possible for you to lose a quarter of the bone’s width in the first year after tooth loss. To avoid this, we often use bone grafting techniques immediately after extraction to lessen bone loss; if it’s already occurred we may be able to use similar reconstructive techniques to rebuild and encourage renewed bone growth. In the end, though, if there remains a significant level of bone loss it may be necessary to consider another option for tooth replacement other than implants.

The thickness of your gum tissue, a genetic trait, can also have an impact on the implant’s ultimate appearance. Thicker gum tissues are generally more resilient and easier to work with surgically. Thinner gum tissues are more susceptible to recession and tend to be more translucent, which could cause the underlying metal implant to be visible. Thus, working with thinner gum tissues requires a more delicate approach when trying to achieve a visually appealing result.

All these factors must be balanced, from implantation to final crown placement. But with careful planning and attention to detail throughout the process, many of these issues can be overcome to produce a satisfying result — a new and appealing smile.

If you would like more information on the aesthetics of 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 “Matching Teeth & Implants.”

ABirds-EyeViewofToothReplacement

Imagine not having your upper teeth for talking and eating, not to mention your appearance, and you’ll have some idea of what Beauty the bald eagle experienced after losing the top of her beak to a hunter’s bullet in northern Idaho. She couldn’t groom or feed herself and could barely drink water, relying instead on the conservation group that had taken her under their wing for assistance. But the magnificent raptor was eventually made whole and able once again to eat, drink and preen unaided. It took a visionary mechanical engineer and a very skillful dentist who designed and attached the first-of-its-kind bald eagle “dental” prosthetic — dubbed the “bionic beak.”

Prosthetic Teeth for Humans

Fortunately, the field of human prosthetic dentistry (or prosthodontics) is much more advanced than it is for our avian friends. We have several options for replacing missing teeth (as well as parts of missing teeth) that restore aesthetic appearance and functionality while potentially preventing other problems such as the drifting out of alignment or loss of remaining teeth.

Bridges. As the name suggests, these custom-made devices span the area that is missing a tooth/teeth. Fixed (not removable) bridges are made up of an artificial tooth/teeth fused between two crowns that fit over your existing teeth or dental implants (see below) on either side of the gap. There are removable bridges, but they are considered temporary fixes.

Dentures. These are custom-made removable replacements for missing teeth. Partial dentures offer a removable alternative to fixed bridges and are used when some teeth are missing in an upper or lower arch (jaw). Full dentures are used when all teeth are missing in an arch. Replacement teeth are embedded in an acrylic base that fits over your gums and mimics their color.

Dental Implants. These are the closest thing to having your own tooth/teeth back. An implant is a small titanium post that is placed in the jawbone beneath the gum to serve the same purpose as a tooth root. Once the bone joins to the implant (a process called osseo-integration), a lifelike crown is attached to it.

We would be glad to discuss which option would be right for you.

If you have questions about tooth replacement, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Dental Implant Surgery,” and “Crowns & Bridgework.” Beauty the eagle’s story of rehabilitation can be found here: //blog.theanimalrescuesite.com.

AnImplant-SupportedDentureOffersaNumberofAdvantages

If you’ve had the misfortune of losing all or most of your teeth (a condition called edentulism), you still have effective options for restoring lost form and function to your mouth. There is, of course, the traditional removable denture that’s been the mainstay for edentulism treatment for decades. If you haven’t experienced significant bone loss in the jaw, though, a fixed bridge supported by titanium implants could be a better choice.

But what if bone loss has ruled out an implant-supported fixed bridge? There’s still another option besides traditional dentures — a removable “overdenture” that fits “over” smaller diameter implants strategically placed in the jaw to support it.

A removable, implant-supported bridge offers a number of advantages for edentulism patients with significant bone loss.

Speech Enhancement. Any denture or bridge supported by implants will have a positive impact on speech ability, especially involving the upper jaw. But patients who’ve previously worn removable dentures may not see a dramatic difference but will still be able to benefit from the greater stability of the denture, particularly if the dentures were previously unstable.

Hygiene. A removable denture allows better access to implant sites for cleaning. Better hygiene reduces the risk of gum disease and further bone loss.

Long-Term Maintenance. Regardless of which type of implant supported restoration is used, it will eventually require some maintenance. A well-designed removable overdenture can make any future maintenance easier to perform.

Aesthetics. For personal satisfaction, this is often the ultimate test — how will I look? As a product of the evolving art of facial aesthetics, removable dentures supported by implants can replace lost tissues and restore balance to the face, and often produce a remarkable smile “makeover.”

To find out which restoration option is best for you, you should first undergo a thorough examination to determine the status of your facial and jaw structures, particularly the amount of bone mass still present. Ultimately, though, the decision should be the one that best fits your functional needs, while fulfilling your desires for your future smile.

If you would like more information on tooth restoration options, 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 “Fixed vs. Removable: Choosing Between a Removable Bridge and a Fixed Bridge.”

Dealing with tooth loss in Springfield, IL? We can help!

Despite maintaining good oral hygiene and regularly visiting the dentist for routine care, millions of Americans still have to deal with tooth loss. Are you one of them? If so, it’s important that you turn to our Springfield, IL, dentist, Dr. John Luker, as soon as possible to discuss your treatment options. After all, the sooner you replace your missing tooth the better! Read below to learn about dental implants, the next best thing to a real tooth.

What is a dental implant?

An implant is an artificial tooth root that is made from a biocompatible metal such as titanium. This small post is placed within the jawbone to provide a sturdy and reliable foundation from which to support a false tooth or teeth. While a dental implant is designed to replace a single tooth, if you need to replace multiple teeth, several implants can be placed along the arches of the jawbone to support dentures and hold them firmly in place so they don’t move or shift around.

Since implants function just like real teeth, you can feel confident knowing that it’s truly the next best thing to maintaining your natural smile.

Who is a good candidate for dental implants?

As with any dental procedure, our Springfield, IL, restorative dentist will need to examine your mouth to make sure that it is healthy enough for a dental implant. We will perform an oral exam to check the health of your teeth and gums, as issues such as decay or gum disease will need to be addressed before getting implants. We will also take X-rays of your mouth to check the health of your jawbone.

We will then go through your detailed medical history to see if there are any health problems that could impact the treatment process. Since you’ll have to undergo minor surgery to get dental implants, it’s important that you are healthy enough for the procedure. Certain conditions such as diabetes or high blood pressure could impede the healing process and cause other complications if these conditions aren’t properly managed.

Although this process may sound demanding, the truth is that most people qualify for dental implants, and if complications arise in this screening process, our talented team can often help fix the issues in a timely manner. You'll be on your way back to a full smile in no time!

Interested? Give us a call!

Luker Dental Care in Springfield, IL, is dedicated to providing you with the preventive, cosmetic, and restorative dentistry you need to improve your appearance and feel a renewed confidence in your smile. Call us at (217) 546-8330 to learn more about dental implants and how they can help you!





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