Posts for category: Dental Procedures
If you have a problem tooth we’ve recommended removing, those “Tooth in one day” ads—a tooth removed and an implant placed at the same time—might start to pique your interest. But there are a few factors we must consider first to determine if this procedure is right for you. Depending on your mouth’s health conditions, you may need to wait a little while between tooth extraction and implantation.
Here are 3 timing scenarios for receiving your implant after tooth removal, depending on your oral health.
Immediately. The “tooth in one day” scenario can be much to your liking, but it could also be tricky in achieving the best results. For one, the implant may fit too loosely—the bone around the socket might first need to heal and fill in or undergo grafting to stimulate regeneration. In other words, immediate implant placement usually requires enough supporting bone and an intact socket. Bone grafting around the implant is usually needed as well.
After gum healing. Sufficient gum coverage is also necessary for a successful outcome even if the bone appears adequate. To guard against gum shrinkage that could unattractively expose too much of the implant, we may need to delay implant placement for about 4 to 8 weeks to allow sufficient gum healing and sealing of the extraction wound. Allowing the gums to heal can help ensure there’s enough gum tissue to cover and protect the implant once it’s placed.
After bone healing. As we’ve implied, implants need an adequate amount of supporting bone for best results. When there isn’t enough, we might place a bone graft (often immediately after tooth extraction) that will serve as a scaffold for new bone to grow upon. Depending on the degree of bone loss, we may wait until some of the bone has regenerated (about 2 to 4 months) and then allow the natural process of bone cells growing and adhering to the implant (osseointegration) to complete the needed bone growth. If bone loss is extensive, we may need to wait until full healing in 4 to 6 months to encourage the most stable outcome.
If you would like more information on the process of obtaining 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 “Implant Timelines for Replacing Missing Teeth.”
Are you thinking of getting dental implants?
Dental implants were discovered more than 30 years ago by a Swedish orthopedic surgeon and, today, dentists all over the world use them to treat dental gaps to reinforce the jawbone, like Drs. Navasart Kazazian and Apel Keuroghlian at their Glendale, CA, office.
Want to know more about dental implants?
Dental implants are biocompatible fixtures surgically placed into the jawbone. Dental implants consist of several parts, such as; a titanium post that's inserted into the jawbone, a screw that secures an abutment over the titanium post, and a crown matching the rest of your teeth to complete your smile.
What does the dental implant procedure in Glendale, CA?
The procedure is straightforward. The titanium post is surgically inserted into your jaws to replace missing tooth root. It provides stability and strength, and prevents weakening and shrinkage of the jawbone.
After inserting the titanium post, the dentist seals your gums and allows 3 to 6 months for osseointegration (a process of the post fusing to the rest of your jawbone) to occur.
After healing is complete, your Glendale dentist re-opens the area above the titanium post, inserts a screw, places an abutment above the screw and secures a crown on top that matches the rest of your teeth.
Is the procedure painful?
Dental implant surgery is easy and tolerable for most people. Ice and over-the-counter anti-inflammatory medication, like ibuprofen, manage post-operative discomfort.
How do you care for your dental implants?
To take proper care of your dental implants, make sure you brush your teeth at least twice a day and floss every day, at least once before bed. A change in diet may also be beneficial. Eating plenty of fruits and vegetables, and avoiding sugary foods to prevent the accumulation of plaque is good preventative care.
If you're interested in finding out more about dental implants, call Drs. Drs. Navasart Kazazian and Apel Keuroghlian, in Glendale, CA, at (818) 547-4398 to learn more!
As the host of America's Funniest Home Videos on ABC TV, Alfonso Ribeiro has witnessed plenty of unintentional physical comedy…or, as he puts it in an interview with Dear Doctor–Dentistry & Oral Health magazine, "When people do stuff and you're like, 'Dude, you just hurt yourself for no reason!'" So when he had his own dental dilemma, Alfonso was determined not to let it turn onto an "epic fail."
The television personality was in his thirties when a painful tooth infection flared up. Instead of ignoring the problem, he took care of it by visiting his dentist, who recommended a root canal procedure. "It's not like you wake up and go, 'Yay, I'm going to have my root canal today!'" he joked. "But once it's done, you couldn't be happier because the pain is gone and you're just smiling because you're no longer in pain!"
Alfonso's experience echoes that of many other people. The root canal procedure is designed to save an infected tooth that otherwise would probably be lost. The infection may start when harmful bacteria from the mouth create a small hole (called a cavity) in the tooth's surface. If left untreated, the decay bacteria continue to eat away at the tooth's structure. Eventually, they can reach the soft pulp tissue, which extends through branching spaces deep inside the tooth called root canals.
Once infection gets a foothold there, it's time for root canal treatment! In this procedure, the area is first numbed; next, a small hole is made in the tooth to give access to the pulp, which contains nerves and blood vessels. The diseased tissue is then carefully removed with tiny instruments, and the canals are disinfected to prevent bacteria from spreading. Finally, the tooth is sealed up to prevent re-infection. Following treatment, a crown (cap) is usually required to restore the tooth's full function and appearance.
Root canal treatment sometimes gets a bad rap from people who are unfamiliar with it, or have come across misinformation on the internet. The truth is, a root canal doesn't cause pain: It relieves pain! The alternatives—having the tooth pulled or leaving the infection untreated—are often much worse.
Having a tooth extracted and replaced can be costly and time consuming…yet a missing tooth that isn't replaced can cause problems for your oral health, nutrition and self-esteem. And an untreated infection doesn't just go away on its own—it continues to smolder in your body, potentially causing serious problems. So if you need a root canal, don't delay!
If you would like additional information on root canal treatment, please contact us or schedule a consultation. You can learn more by reading the Dear Doctor magazine articles “A Step-By-Step Guide to Root Canal Treatment” and “Root Canal Treatment: What You Need to Know.”
Have you started orthodontic treatment recently? Are you having a little trouble getting used to your braces? If so, you are not alone: Everybody goes through an adjustment period during which they momentarily wonder if they’ll really ever get used to this. Don’t worry — you will! And we’ve never heard anyone say, on the day their braces come off and their new smile is revealed, that they aren’t glad they went the distance. Just ask Houston Rockets all-star center Dwight Howard, who discussed his own orthodontic treatment in a recent interview.
“I’m sure I was no different than anyone else who has ever had braces,” he told Mediaplanet. “At first I hated them so much… That changed once I got used to them and I actually grew to love them.” What’s Howard’s advice? “Do exactly what your orthodontist says and know that the outcome is well worth it in the end.” We couldn’t agree more! Here are some tips for wearing braces comfortably:
- Hard & Chewy Foods: If you love fresh fruits and vegetables, that’s great; there’s no reason to give them up, just the really hard ones. You don’t want to bite into an apple or carrot or any other hard foods like bagels and pizza that have any “size” to them. Small pieces may be ok as long as they can’t bend your wires. Chewy, sticky candy should really be avoided completely. Same with soda, sports drinks and so-called energy drinks because they contain acids that promote tooth decay and can cause a lot of damage around the braces.
- Effective Oral Hygiene: Keeping your teeth clean is more important than ever, but also more challenging than ever. It’s easy for food to get stuck under wires and around brackets, but failing to remove it can cause tooth decay, gum irritation and soreness. Therefore, the cleaner your teeth and your braces are, the healthier you will be. Use interdental cleaning brushes and/or a floss-threader to get behind your wires. A mouthrinse can also help strengthen teeth and keep bacteria in check. If you have any questions about how to clean between your teeth, please ask for a demonstration at your next visit.
- Pain Relief: Some soreness at the beginning of orthodontic treatment is normal. To relieve it, you can use an over-the-counter pain reliever and/or a warm washcloth or heating pad placed on the outside of the jaw. If brackets or wires are rubbing against the inside of your cheeks or lips, try applying wax to these areas of your braces. If this does not offer enough relief, we may be able to trim the end of a poking wire. Call us if you need help with this.
Our goal is to make your orthodontic treatment as comfortable as possible on the way to achieving your all-star smile. If you have questions about adjusting to braces, contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”
Having a full, attractive smile is important, both for your self-esteem and for your dental health. One of the most trusted ways to restore or replace a missing tooth is with crowns and bridges, which Dr. Navasart Kazazian and Dr. Apel Keuroghlian use routinely at their practice, New Smile Dental Group in Glendale, California. If you're missing one or more teeth, crowns and bridges might be exactly what you need.
What is a crown?
A crown is an extremely versatile dental restoration used regularly by your Glendale dentist. Usually made of porcelain, it's shaped like the topmost portion of a natural tooth. However, it has an indentation on the underneath side that allows it to fit snugly around a tooth that has breakage or decay that goes beyond what a filling or bonding can repair. When used with bridges, crowns strengthen the natural teeth on either side of a gap left by a missing tooth so that a bridge can securely fill it in.
What is a bridge?
The middle section of this restoration is the bridge; sometimes the entire appliance is known simply as a bridge. A bridge may consist of one or more porcelain teeth, depending on your individual needs. These teeth look like crowns, except they are solid in the center. Your Glendale dentist will cement the bridge portion of your restoration to the crowned teeth.
How crowns and bridges help
When combined, crowns and bridges become a restoration that makes your smile attractive and functional again. You'll feel confident about smiling, because your dentist will make sure that your crowns and bridges match the color and size of the rest of your teeth. By stabilizing your smile, you're also helping to protect your other natural teeth from shifting out of place. You can expect your crowns and bridges to last about a decade before needing adjustment or repair.
To learn more about crowns and bridges, or any other dental procedure, contact New Smile Dental Group in Glendale to make an appointment with one of our skilled dentists today! Proudly Serving: Atwater Village, Los Feliz, Montrose, La Canada, Tropico Flintridge, and Adams Hill.