Posts for: September, 2014

By Ramsey E Wilson, DMD
September 23, 2014
Category: Dental Procedures
Tags: dental implants   bridgework  
WhenCouldBridgeworkBePreferabletoaDentalImplant

When a tooth is lost, it’s important to restore your mouth to its proper function and appearance with a permanent replacement, such as a dental implant or a bridge. Recently, the implant system has received the lion’s share of attention (for some good reasons); however, in certain situations, dental bridgework offers a viable alternative. What would cause one method to be favored over the other?

In general, implants are now considered the gold standard for tooth replacement. They have the highest success rate (over 95 percent), last the longest (quite possibly the rest of your life), and don’t affect the integrity of adjacent teeth. Bridges, by contrast, require the removal of tooth structure from adjacent teeth, which can potentially compromise their health. Yet implants aren’t necessarily ideal for every situation. When might a bridge be preferred?

Some people don’t have the proper quantity or quality of bone in the jaw to support an implant; or, they may have anatomical structures (nerves or sinuses) located where they would interfere with an implant. It is possible in some cases to work around these obstacles with bone grafts, or by placing implants in alternate locations; in other cases, a bridge may be a better option.

While most tolerate the implant process quite well, a few people aren’t good candidates for the surgical procedure required to place an implant. Certain systemic diseases (uncontrolled diabetes, for example), the use of particular medications, or a compromised immune system may make even minor surgery an unacceptable risk. In these cases, a decision may be made after consulting with an individual’s other health care providers. Additionally, a few behaviors or lifestyle issues, like heavy smoking or a teeth-grinding habit, tend to make implants have a less favorable success rate.

There are also a few circumstances that could argue in favor of a bridge — for example, if you already have a need for crowns on the teeth adjacent to the gap, it can make the process of getting bridgework easier and more economical. Financial issues are often an important consideration in planning treatment — but it’s important to remember that while bridges are generally less expensive than implants in the short term, the much longer expected life of implants can make them more cost-effective in the long run.

If you have questions about dental implants or bridgework for tooth replacement, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine article “Crowns & Bridgework.”


By Ramsey E Wilson, DMD
September 08, 2014
Category: Dental Procedures
AWorld-ClassSmile

He’s the world’s highest-paid soccer player: a forward on the Spanish club Real Madrid, and captain of the Portuguese national team. His super-toned body is featured in a series of advertisements, and he’s regularly seen with a supermodel on his arm. So would it surprise you to know that it took a bit of dental work to help Cristiano Ronaldo get a world-class smile?

You might never guess it to look at him now — but when he was 18 years old, and just starting his professional career with Manchester United in England, Ronaldo wore ceramic braces to correct a set of teeth that were quite a bit… off-sides. (As pictures from that time show, his teeth were out of alignment and had irregular spacing.) Yet in a relatively short time, his smile was completely transformed.

Ceramic braces are the treatment of choice for many sports stars and celebrities — and plenty of “regular” folks too. They work just like traditional all-metal braces, exerting a gentle force that slowly moves the teeth into better positions. But they have one major difference: They’re a good deal harder to notice.

That’s because instead of having brackets made of metal, this style of braces uses a high-tech ceramic material to attach the archwire to the teeth. The brackets blend right in with the natural shade of the tooth, so all you can see from a distance is the thin metal wire. That makes them a great orthodontic option for image-conscious celebs (like Tom Cruise and Faith Hill, who both wore them) — as well as anyone who may be concerned that traditional metal braces don’t fit in with their “look”.

In addition to ceramic braces, there are other, less-visible orthodontic treatments that can work just as well in many situations. One is lingual braces, which are similar to traditional braces — except they are applied on the tongue-side of the teeth, making them truly invisible. Another is clear aligners, a series of transparent plastic trays that are worn 22 hours a day and gradually move the teeth into more pleasing positions. What’s the best way to know which system is right for you? Come in and talk to us about your options!

Besides braces, did Cristiano Ronaldo have other cosmetic dental work (like teeth whitening) done? It’s possible, but he’s not saying exactly. Yet, as he told a Portuguese magazine, “I feel good about myself and that’s the most important thing.”

If you would like more information about ceramic braces or other orthodontic treatments, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor articles “The Magic of Orthodontics” and “Orthodontics For The Older Adult.”