Of all the ways modern dentistry has to replace missing teeth, mini dental implants are by far the best. There is no tooth-replacement option that will give you a longer-lasting result. Implants also help preserve tooth-supporting bone that naturally deteriorates when a tooth is lost. Loss of bone is one of the major hidden consequences of losing teeth.
A dental implant most often takes the form of a small, screw-shaped titanium post that replaces the root-part of a missing tooth. The surgical procedure used to place an implant is actually quite minor and routine, requiring only local anesthesia in most cases. After a healing period, the implant is topped with a lifelike crown custom-made to match your existing natural teeth. Implants have a documented success rate of over 95%, which is significantly higher than any other tooth-replacement option.
How Implants Work
During a minor surgical procedure, your dental implant is inserted directly into the jawbone in the space vacated by the missing tooth. It will then be left to heal for a period of months before the final crown is attached. During this healing period, the implant actually fuses to the bone surrounding it.
Tooth Replacement Options Using Dental Implants
Implants can replace missing teeth in a variety of ways. They can be used to:
Dental Implants: Replace One Tooth. Replace One Tooth — When you have one tooth missing, a single implant is inserted into the bone to replace the root part of that tooth; a crown then goes on top to simulate an actual tooth. This treatment choice has the highest success rate, making it the best long-term investment for replacing a single missing tooth. Even if the initial cost is slightly higher than other options, it is the most cost-effective solution over time. An implant will never decay or need root canal treatment, and feels just like the tooth that was there.
Dental Implants Replace Multiple Teeth.Replace Multiple Teeth — When you have more than one tooth missing, implants provide an ideal replacement mechanism. You don’t even need one implant for every missing tooth. Instead, implant teeth can act as supports for fixed bridgework. For example, if you are missing three teeth in a row, we can place two implants, one on either side of the gap, and a crown in between that has no implant underneath. That way, you won’t need to use any of your remaining natural teeth as bridge supports, which could weaken them and make them more susceptible to decay.
Dental Implants Replace All Teeth. Replace All Teeth Permanently — Implants can support an entire arch of upper or lower replacement teeth that are fixed into the mouth and are never removed. Sometimes the new teeth can be supported by as few as 4 implants. It’s comparable to the structure of a table, which only needs 4 legs to hold it up. In cases where jawbone density and volume have deteriorated, 5 or 6 implants might be needed to support a row of 10 to 12 teeth. Dental implant replacement teeth protect your jawbone, won’t slip, and should last a lifetime.
Dental Implants Support Removable Dentures. Support Removable Dentures — Implants can even make removable dentures more comfortable, effective and healthier to wear. Traditional dentures rest on the gums and put pressure on the underlying bone. This accelerates bone loss so that the jaw shrinks and the dentures slip, particularly on the bottom. But today dentists can attach a removable denture onto implants, transferring that pressure into the bone structure rather than the bone surface. This prevents the dentures from slipping while you eat and speak, and preserves the bone directly beneath them.
Implant Care and Maintenance
There are only two ways an implant can lose attachment to the bone and fail once it has successfully fused: poor oral hygiene or excessive biting forces. Poor oral hygiene and/or a lack of regular cleanings can lead to a destructive bacterial infection called peri-implantitis. Flossing and brushing your teeth on a daily basis, along with regular professional cleanings, can prevent this. Excessive biting forces can come from either a habit of clenching or grinding your teeth, or an insufficient number of implants to handle the forces generated by your bite. You should receive the correct number of implants so this does not happen. And if you have a habit of grinding or clenching your teeth, a night-guard will be recommended to protect your implants. After all, implants are a long-term investment in your smile, your health and your well-being, so it’s best to protect your investment.
Dr. Aiello welcomes many patients both young and old to visit us for their dental care. We provide quality family dentistry across many different types of services, from routine checkups to restorative and cosmetic treatments. Whatever you need, we’re here to help you achieve your best smile.
If you are unsure what services you need to get your teeth and gums into great condition, don’t worry. As your trusted dental team, we are more than happy to assess your dental health and give you our recommendations. And, of course, the final decision will be yours as to which path we should take.
If you’re one of the thousands of people in our area who suffer from dental anxiety, it’s important to know that you’re not alone. Our dental team can help you.
A popular treatment option called oral sedation dentistry—conscious sedation through the use of oral medications—can help eliminate your dental anxiety and fear. The treatment allows you to relax and feel comfortable through your entire dental appointment. Due to the type of oral medications used, you’ll remember little-to-nothing of your time in the dental chair the next day. It’s that simple.
Think of that nagging feeling you get after avoiding the dentist for far too long. Or worse, the fear that accompanies actually forcing yourself to go TO the dentist? Imagine never having to experience either of those feelings again. With us, you don’t have to.
Here at Aiello Dental Associates, Dr. Frank Aiello has received exceptional training by leading oral sedation dentistry instructors and is equipped with the knowledge, expertise and equipment to ensure that you have a safe and pleasant dental experience.
You don’t have to let dental anxiety hinder your oral health. Aiello Dental Associates is here to help. We’ll walk you through every step of the treatment process and design a treatment plan that’s right for you based on both your needs and your goals.
Call our office today to set up a consultation and learn how oral sedation dentistry can transform your dental experience.
Anxious patients no longer have to be afraid of the dentist. The dental care you need can be completed while you are completely relaxed and comfortable. It IS possible for you to smile with confidence and chew without pain.
Oral sedation dentistry is the use of oral sedation medications administered before (and sometimes during) a dental procedure to relax and calm the dental patient.
There are many benefits to oral sedation dentistry. Sedation with oral medications means there are no needles. You do not actually sleep during treatment, but you will be sedated enough to feel utterly relaxed. By the next day, most patients remember little-to-nothing of the time they spent in the dental chair. The memories of the office’s sights, sounds and smells –which can often be traumatizing to people – will be gone.
With sedation dentistry, time seems to pass very quickly, so hours feel like minutes. Oral sedation enables your dentist to work more efficiently and complete more treatment in fewer visits. It’s a great option if you need a large amount of dental care completed at one time. Many dental procedures can be completed with the help of sedation dentistry, including crown work, routine extractions, dentures, filling cavities, gum care, tooth whitening, bonding and typical hygiene.
After a consultation and health history review are completed, you and Dr. Aiello will decide on a treatment plan that’s right for you. He will select the best oral sedation medications and doses to meet your individual needs. Often a pill is given to take the night before the appointment and/or one hour prior. You will then arrive with your companion at the office already feeling relaxed. Once there, Dr. Aiello will decide whether or not to administer more medication.
Q. Will I be unconscious?
A. No. You will be in an extremely relaxed state and will most likely not remember the appointment. However, you will be conscious and responsive the entire time.
Q. Will I be monitored?
A. Yes, at all times. Your vital signs will be taken throughout the sedation appointment. One of our team will always be with you.
Q. Will someone need to accompany me to my appointment?
A. Yes, you will need a companion to drive you to and from your appointment.
Q. How long will I remain sedated after my appointment?
A. Each person’s recovery time is different based on their body as well as the medications and dosages used. Plan on relaxing at home for the remainder of the day after your appointment. Have your companion stay with your until you are fully recovered.
ClearCorrect is the clear and simple choice. No wires. No brackets. Just clear, convenient comfort—every reason to smile. With ClearCorrect, your dentist or orthodontist can straighten your teeth using a series of clear, custom, removable aligners. Each aligner moves your teeth just a little bit at a time until you eventually get straight teeth.
You and your doctor will evaluate your teeth and talk about any problems or goals you have for your smile. Once you and your doctor establish ClearCorrect is the right treatment option for you, your doctor will take impressions, photos, and x-rays of your teeth that ClearCorrect uses in manufacturing your custom aligners. Then your doctor writes a prescription for your custom aligners and sends it to ClearCorrect.
ClearCorrect can treat a wide variety of issues that keep people from achieving their ideal smiles. Straighter teeth don’t just look better; they work better too. Poorly-aligned teeth can interfere with bite function, wear out quicker, and are more prone to cavities. Ask your doctor how ClearCorrect can help you.
CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer No Interest* financing or low minimum monthly payment options so you can get what you want, when you want it. You can even use CareCredit for your family and favorite pet. Click here to learn about Care Credit.
With three simple steps, including an instant approval process, it’s easy to apply for CareCredit. After you’re approved, you’re free to use CareCredit for the services you choose including LASIK, veterinary, dentistry, cosmetic, hearing aids and more.
CareCredit is endorsed by some of the most credible organizations specific to each healthcare profession we support. And CareCredit is a GE Money Company, so you know you can count on us. For over 20 years, we’ve been helping over five million cardholders get the healthcare treatments they want and need.
Now you don’t have to worry about saving up for the procedures you want and need. With CareCredit, the decision’s in your hands to get what you want, when you want it.
For more information or to apply online, visit CareCredit.com.
Another available option is HCS Services. HCS provides access to financing solutions that help you fulfill your financial responsibilities while maintaining your long-term financial health. HCS offers a suite of affordable patient financing products built with budgeting in mind. To apply online, click here.
After a thorough, professional tooth cleaning, you know that your teeth look brighter and feel fresher. But tooth cleaning isn’t just about appearances. It’s the primary means of preventing and treating periodontal (gum) disease. Many studies have demonstrated a possible link between periodontal health and overall (systemic) health — which means regular tooth cleaning may benefit not just your mouth, but your whole body.
Why do teeth need special cleaning? Over time, dental plaque (a naturally occurring bacterial biofilm) and stains build up on tooth surfaces. Dental calculus (also called tartar), a harder deposit, can then form both above and below the gum line. A thorough dental cleaning removes these substances from the teeth, and helps keep disease-causing bacteria from proliferating.
Tooth cleaning is usually accomplished by the non-surgical technique of scaling, sometimes called “root debridement.” It’s typically a relatively painless procedure in which small dental instruments are used to physically remove deposits from the surfaces of teeth. At one time, scaling was performed entirely with manual tools. But in the last several decades, the ultrasonic scaler has changed all that.
There are different types of ultrasonic scalers, but all of them work in a similar fashion: electromagnetic forces in the unit’s hand-held “wand” cause its tiny tip to vibrate rapidly. These vibrations, which occur at a rate faster than the speed of sound, effectively blast away plaque, calculus and stains from the tooth surfaces.
A small stream of water and/or antibacterial mouthwash, which emerges near the tip of the scaler, is called lavage. Lavage is used to cool the ultrasonic scaler’s tip and flush away debris from the area being treated. The vibrating tip causes some of the water to break into millions of tiny bubbles, an effect called cavitation. This ruptures the walls of bacterial cells and helps create an environment that’s less hospitable to harmful bacteria.
Studies show that a thorough ultrasonic cleaning takes about one-third less time as compared to hand scaling — which means you need less time in the chair. Many patients prefer ultrasonics to other types of scaling, possibly because it requires the clinician to use less force than a hand scaler to get the same effect. In ultrasonic scaling, only the tip of the tool touches the tooth surface, and only for a short time.
It’s also possible to remove deposits of plaque and tartar from under the gum line by using an extremely small tip on an ultrasonic unit, which can cause less discomfort and result in a deeper and better cleaning. Sometimes an ultrasonic scaler is used first, and then any stubborn areas are scaled by hand.
Anyone who has a substantial buildup of tartar or is prone to gum disease can benefit from ultrasonic scaling. It can also help to remove stains from coffee and cigarettes, for example. Yet, for all its power, most people experience little or no discomfort during the procedure.
If you have very sensitive teeth, it may be possible to alleviate some discomfort by using slimmer tips on the scaler. Alternatively, a topical anesthetic may be applied, or conscious sedation can be administered. The power range, the flow of lavage water and the frequency of tip vibration may also be adjusted for increased comfort.
Special tips are also available to clean composite or porcelain tooth restorations, titanium implants, or areas of demineralization (enamel loss) on your teeth. If you have a cardiac pacemaker, be sure to alert all dental professionals/personnel before ultrasonic scaling treatment, so precautions can be taken.
When advanced gum disease (periodontitis) develops, your teeth are in danger: At this stage, the ligaments and bone tissue that surround them are being destroyed, and you could even begin losing teeth! If the disease can’t be controlled by non-surgical treatments like cleaning and scaling, then periodontal flap surgery may be your best treatment option.
Flap surgery is today’s leading method for treating and repairing periodontal pockets. What are these “pockets?” They are areas below the gum line where gum tissue has detached from the teeth, resulting in an uncleansable space where harmful bacteria can proliferate. These bacteria cause inflammation of the tissues, resulting in sensitivity, bleeding, and pain. Left untreated, they can cause a host of problems including gum disease, loss of the tooth-supporting bone structure, and possibly even systemic (whole-body) problems.
When periodontal pockets develop, the first step in treating them is usually via cleaning and scaling (also referred to as root debridement) with a manual or ultrasonic instrument. If this isn’t effective, then periodontal surgery is considered. Flap surgery isn’t a cure for periodontal disease — but it helps create an environment that makes it easier to maintain your periodontal health. And even if you’re prone to gum disease, proper professional treatment and regular care at home can help keep your teeth healthy for as long as possible.
One major objective of flap surgery is to eliminate or reduce the pocket itself. To access it, a flap-like incision is made in the gum tissue. This allows diseased tissue to be removed from inside the pocket, and provides access to the teeth’s root surfaces for a thorough cleaning, which helps to eliminate harmful plaque and calculus (tartar). Afterward, the “flap” is closed, sealing the area. This begins the healing process, which takes place rapidly.
Another goal is the regeneration of periodontal ligament and bone tissue which may have been lost to the disease. A variety of techniques may be used to accomplish this, including high-tech methods of bone grafting and chemicals referred to as growth factors. These approaches help restore the gums to their normal form and function, and promote the healthy and secure anchoring of teeth.
Flap surgery is typically done under local anesthesia, sometimes accompanied by oral anti-anxiety medications; alternatively, it may be performed under intravenous conscious sedation. After anesthesia has taken effect, a small incision is made to separate the gums from the teeth. The outer gum tissue is gently folded back to give access to the roots and the supporting ligament and bone tissue.
Next, the inflamed gum tissue can be removed, and the tooth roots can be cleaned; if needed, the area may also be treated with antibiotics or other medications. Bone defects can be repaired with grafting material, and proper regeneration of the periodontal ligament can be encouraged by physical (barrier membranes) and chemical (growth factors) methods. Finally, the incision is closed and the procedure is completed.
Performed by an experienced hand, state-of-the-art flap surgery has an excellent track record and offers well-established benefits. It’s often the treatment of choice for relieving periodontal disease and helping to maintain your oral health — and preserve your teeth.
While you may think that some loss of teeth is inevitable with aging, it is actually possible for all of your teeth to last a lifetime. One of the ways you can achieve this goal is to avoid periodontal disease (“peri” – around; “odont” – tooth), which is caused by bacteria that attack the tissues around the teeth. Unfortunately, you may not even realize you have gum disease as the signs and symptoms are not always as apparent to you as they are to a dental professional.
Nearly all people who do not maintain good daily oral hygiene will develop gingivitis. If left untreated, this bacterial gum infection can progress from gingivitis (“gingival” – gum; “itis” – inflammation) to periodontitis, which results in bone loss around your teeth. As the bone tissue is lost, the gum tissues detach from the teeth and form little pockets that provide an even better place for bacteria to live — where your brush and floss can’t reach. As periodontal disease advances leading to more bone loss, tooth loss can result. Part of this has to do with genetics, as periodontal disease tends to run in families. The good news is that periodontal disease can be controlled, even at more advanced stages.
It’s important to understand that you can have periodontal disease with no obvious symptoms, especially if you are a smoker (nicotine reduces blood supply preventing bleeding and swelling of the gum tissues). Still, there are some important things to look for:
All periodontal therapy starts with the evaluation of your oral hygiene techniques and instruction for improving them, followed by the mechanical removal of plaque and any calcified deposits (tartar or calculus) that are present on the root surfaces. This is accomplished with a cleaning technique known as scaling, root planing or debridement using hand instruments and/or ultrasonic (high frequency vibrational) instruments. Locally applied antimicrobial products or antibiotics might also be recommended during various parts of periodontal treatment to assist in healing and pocket-depth reduction, hopefully eliminating the need for periodontal surgery. Sometimes surgical procedures may be necessary to remove the deep pockets that form between inflamed gum tissue and teeth. There are many different types of surgery to handle a variety of problems. And many times, combinations of procedures are used to attempt to reduce the number of surgeries as well as the cost of treatment.
Periodontal disease starts in your mouth but has actually been linked to more serious conditions, such as cardio-vascular disease (CVD), diabetes and preterm births. Research has suggested two plausible mechanisms for how gum disease and these other serious medical concerns could be related: moderate to severe periodontal disease increases the level of systemic (bodily) inflammation — a characteristic of all chronic inflammatory diseases. Also, the same bacterial strains that are commonly found in periodontal pockets surrounding diseased teeth have been found in blood vessel plaques of individuals with CVD. Therefore, it may be helpful to reduce periodontal inflammation to reduce systemic inflammation.
The best way to prevent periodontal disease is to brush and floss your teeth effectively every day. Regular dental checkups and professional cleanings every 3 or 4 or 6 months are also an important part of maintaining periodontal health; the instruments and techniques used in these cleanings can reach into areas that your toothbrush and floss can’t. (Learn more about How to Brush and How to Floss.)
It is also possible to detect early forms of gum disease by evaluating your gingival (gum) tissues, both visually and by examining their attachment levels to the teeth. And the health of your tooth-supporting bone can be assessed by taking dental radiographs (x-rays pictures).
There are other steps you can take: Eating right, reducing stress in your life, and giving up unhealthy habits like smoking will also help ensure that you keep your teeth for a lifetime.
Maintaining good oral health has many rewards: A sparkling smile, fresh breath, and healthy gums. But recent scientific evidence suggests that it may have an even greater benefit to your overall health: Specifically, it could potentially reduce your risk for a number of systemic (whole-body) diseases, including cardiovascular disease (CVD), diabetes, and rheumatoid arthritis — even premature birth.
Periodontal (gum) disease is estimated to affect nearly half of all Americans, and is the major cause of adult tooth loss. Numerous studies have shown that patients with severe periodontal disease are at increased risk for developing cardiovascular disease. Periodontitis may also increase the chance that diabetes will develop or progress, and research suggests an association between gum disease and adverse pregnancy outcomes as well.
What’s the link between diseases of the mouth — like gum disease — and those of the body? They are connected by the body’s natural reaction to harmful stimuli, which we call the inflammatory response. Often characterized by pain, redness and swelling, inflammation is a process by which your immune system responds to damage or disease in your tissues. Inflammation can help the body heal — or, if it becomes chronic, it can lead to more serious problems.
Gum disease (periodontitis), CVD, diabetes and rheumatoid arthritis are all associated with the same type of inflammatory response. Studies have found that moderate to severe periodontitis tends to increase the level of systemic inflammation — a condition that may smolder in the background, awaiting the right conditions to flare into a more serious disease. It has also been shown that the same strains of bacteria that are found in inflamed gum tissue may also appear in the arterial plaques of individuals suffering from CVD.
While there is intriguing evidence of a link between gum disease and other systemic diseases, further studies will be needed to prove whether one causes the other. At present, however, several mechanisms have been proposed to explain how the connection works. One suggestion is that oral bacteria themselves may enter the bloodstream, form into clumps, and trigger systemic inflammation. The inflammatory response can cause swelling of cells and tissues, which narrow the arteries and increase the risk of blood clots.
Another possibility is that byproducts of oral bacteria released into the bloodstream could trigger the production of substances called CRPs (C-reactive proteins) in the liver. These proteins tend to inflame blood vessels and promote the formation of clots, possibly leading to clogged arteries, heart disease and stroke. Elevated CRP levels, according to some studies, are a stronger predictor of heart attack than cholesterol levels.
Since chronic inflammation is a systemic problem, the best way to begin controlling it is via a whole-body approach. Maintaining a healthy weight, getting moderate exercise (and, if you use tobacco, quitting the habit) will help with this. So will bringing untreated inflammatory diseases, such as periodontitis, under control.
There are a number of effective treatments for periodontal disease, including nonsurgical procedures such as root cleaning and the local application of antimicrobials. For more serious conditions, conventional or laser gum surgery is an option. Finally, to keep your gums healthy between office visits, you need to develop an effective oral hygiene routine you can practice at home.
Although it’s too early to say that periodontal disease causes heart disease or other systemic conditions, they seem to have a connection. And while medicine and dentistry can’t change genetics, together we can control external factors like excess weight, tobacco use… and gum disease. Maintaining good oral hygiene is the best way to avoid periodontal problems. But if problems occur, don’t wait: The sooner you have treatment, the better your chances for controlling gum disease — and perhaps systemic diseases too.
Periodontal (gum) disease is an infection caused by bacterial plaque, a thin, sticky layer of microorganisms (called a biofilm) that collects at the gum line in the absence of effective daily oral hygiene. Left for long periods of time, plaque will cause inflammation that can gradually separate the gums from the teeth — forming little spaces that are referred to as “periodontal pockets.” The pockets offer a sheltered environment for the disease-causing (pathogenic) bacteria to reproduce. If the infection remains untreated, it can spread from the gum tissues into the bone that supports the teeth. Should this happen, your teeth may loosen and eventually be lost.
When treating gum disease, it is often best to begin with a non-surgical approach consisting of one or more of the following:
Often, nonsurgical treatment is enough to control a periodontal infection, restore oral tissues to good health, and tighten loose teeth. At that point, keeping up your oral hygiene routine at home and having regular checkups and cleanings at the dental office will give you the best chance to remain disease-free.