Posts for: March, 2022
Nobody can predict a dental emergency. That’s what makes them so inconvenient. The good news is that Drs. Jon and Brad Anderson of Anderson Dental in Fargo, ND, is always available to assist you, so there’s no reason you should minimize an emergency.
Among the most common emergencies we see are lost fillings, lost crowns, and broken dentures. Lost fillings and lost crowns are very similar. A key difference, however, is that fillings are used to repair cavities but crowns are used to cover broken or damaged teeth.
Over time, it’s not uncommon for fillings and crowns to grow loose and fall out. If you lose a crown or a filling, hot or cold temperatures will likely begin to trigger pain because of the exposed tissue. The discomfort might seem manageable, but it’s better to get these situations fixed as soon as possible so you can avoid getting food stuck or developing an infection.
Unlike a busted filling or crown, a broken denture is more likely to make itself known constantly, every day. It can make chewing, swallowing, and eating properly difficult. Depending on the damage, you may require a new denture altogether.
If you’re experiencing any problems with your dentures, or suspect that they might be broken, it’s best to contact Drs. Jon and Brad Anderson of Anderson Dental in Fargo, ND, immediately to avoid further damage. Our team is always here to help, especially when your dental health is at risk.
These things happen, so don’t feel embarrassed, and please don’t hesitate to give us a call as soon as you notice or suspect something’s wrong! Get in touch with us … the sooner the better. Call our office at 701-232-1368.
Dental accidents do happen, especially among active tweens and teens. When it does, saving traumatized teeth becomes priority one. It's especially important for these younger age groups whose developing dental structures depend on having a jaw-full of permanent teeth.
But because their permanent teeth are still developing, it's often more difficult to treat them than fully grown teeth. That's because the standard treatment—root canal therapy—isn't advisable for an immature tooth.
During a root canal, a dentist removes the diseased or traumatized tissues inside the pulp and root canals, and subsequently fills the empty spaces to prevent further infection. It's safe to do this, even though we remove much of the pulp's nerve and blood vessel tissue in the process, because these tissues aren't as critical to a fully matured tooth.
But these tissues within the pulp are quite important to a tooth still under development—they help the tooth form strong roots and a normal layer of dentin. Their absence could stunt further growth and lead to future problems with the tooth.
For that and other reasons, we avoid a traditional root canal therapy in immature teeth as much as possible, opting instead for techniques that leave the pulp as intact as possible. The approach we use depends on the condition of the pulp after an injury.
For injuries where the pulp remains unexposed and undamaged within the dentin layer, we might remove as much of the damaged tooth structure as possible, while leaving a small portion of dentin around the pulp. We would then apply an antibacterial agent to this remaining dentin to protect the pulp from infection, and fill the tooth.
If an injury exposes the pulp and partially damages it, we might fully remove any damaged tissues and apply a material to the exposed pulp to stimulate new dentin growth. If successful, the dentin around the pulp will regenerate to restore protective coverage.
The methods we use will depend on the degree of damage to the tooth and pulp tissues, a traditional root canal serving as a last resort. Our aim is to not only save the tooth now, but also give it the best chance for long-term survival.
If you would like more information on dental injury care for children, 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 “Saving New Permanent Teeth After Injury.”
With traditional implant methods, it could take months before you can enjoy your new replacement tooth. That's usually not a big deal for a back tooth that's mostly out of sight. It's a different story, however, for a highly visible front tooth—the extended time without a tooth can be embarrassingly uncomfortable for some.
There is, however, another option, one you may already have seen advertised: same-day tooth replacement. In effect, you receive the implant and a life-like temporary crown in a single dental visit.
During the conventional process, the dentist surgically installs the titanium implant post into a prepared channel in the jawbone. Once it's properly positioned, the dentist then sutures the gum tissue over the implant. This protects the implant while bone cells grow and attach themselves to the post to give it a strong and durable hold within the bone.
But now dentists have developed another method to help address the appearance problem posed by teeth that are more visible. With this method, the dentist affixes a temporary crown onto the implant post immediately after installing it. The patient thus walks out the same day without a missing tooth gap and a full smile.
This is a welcome alternative for people desiring to maintain an attractive smile throughout the implant process. But it does have one major qualification—the patient's underlying jawbone must be relatively healthy and supportive of the implant. If not, the implant may require a longer period of bone growth before and after surgery to fully secure it. In those cases, it may be better to use the conventional method.
As we've already noted, a "same-day" crown isn't the permanent one, especially with single tooth implants. That's because the implant still requires bone integration over several weeks to achieve full durability. For that reason, this initial crown is made slightly shorter than the surrounding teeth to limit its encounter with biting forces generated by daily chewing, from which those forces would likely damage the implant at this stage.
After completion of the bone integration stage, the patient returns to swap out the temporary crown for the fully functional permanent crown. The "same-day" crown has served its purpose—providing the patient a seamless full smile throughout the implant process.
If you would like more information on "same-day" implant restorations, 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 “Same-Day Tooth Replacement With Dental Implants.”
Dental implants are often the ideal choice to replace missing teeth. Unfortunately, "ideal" and "affordable" don't always align simultaneously for people. Even if implants are right for you, you may have to put them off to a more financially appropriate season.
In the meantime, though, you're still missing teeth—and perhaps some of them are right square in the middle of your smile. What can you do now, even if temporarily?
The solution might be a flexible removable partial denture (RPD). These newer types of RPD fit somewhere between the lightweight "flipper" and the more traditional rigid plastic appliances often made for permanent use. The flexible RPD is made of nylon plastic (technically known as a super-polyamide), which although lightweight, is highly durable.
Super-polyamides change their shape under high heat, a characteristic dental technicians take advantage of by injection molding heated material into flexible denture bases, to which they then attach the replacement teeth. Like other RPDs, a flexible RPD is custom-designed for the individual patient to match their jaw contours, as well as the types and locations of their missing teeth.
Flexible RPDs also differ from other RPD types in how they stay in place. While the more rigid RPD depends on metal clasps that grip to some of the remaining natural teeth, a flexible RPD uses finger-like extensions of the nylon material to fit around teeth near the gum line where they're difficult to see. As such, the flexible RPD is both comfortable and securely held in place.
A flexible RPD, like their counterparts, does require regular maintenance. Any RPD can accumulate dental plaque, a thin biofilm buildup on teeth that causes dental disease. For this reason, wearers should regularly remove their RPD and clean it thoroughly with an antibacterial soap (never toothpaste). All RPDs should also be removed at night to limit bacterial growth.
With a little care, a flexible RPD could last for several years. It could be just the solution to buy you time while you're waiting to obtain dental implants.
If you would like more information on restoration options for missing teeth, 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 “Flexible Partial Dentures.”