Posts for: May, 2015
Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!
If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.
If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?
As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.
And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!
If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?”
Performing dental implant surgery involves placing a metal post inside the bone of the jaw, and ensuring that it fits so precisely and functions so well that you never notice the tooth replacement — and yet it can last for decades. Does it sound terrifically complex or painful? It's not! In fact, the procedure has a success rate of 95-97%, the highest of any tooth replacement option. Here's what you need to know about dental implant surgery.
A dental implant is designed to replace the root part of the tooth. To replace the visible part of the tooth, a crown, bridge or denture can be attached once the implant is secure — which may be the same day or several weeks later, depending on the individual situation. Dental implants are made of titanium (or its alloys), because this metal has a unique property: it's capable of fusing to bone, a process called osseo-integration.
Before placing the implant, a lot of planning goes on — typically involving X-rays (radiographs), and sometimes CT scans. This ensures that the operation itself goes smoothly. When it's time for the procedure you'll receive a local anesthetic, and we'll make sure you don't feel anything.
Next, we access the bone itself, often by making a small flap-like incision in the gum tissue. The living bone is handled with extreme care as a tiny amount is removed to make space for the implant. After the implant is fitted precisely in the bone, the gum tissue is closed, often with self-absorbing sutures (stitches) that don't need removal. And then the procedure's over.
Is implant placement painful? The simple answer is no — most people feel no pain during surgery and very little discomfort afterward. At most, you may experience some mild vibration during the bone preparation process. If you're nervous about the procedure, it's possible to have a sedative or anti-anxiety medication beforehand. Afterward, taking mild non-steroidal anti-inflammatory medication for a day or two is usually all you need to relieve any post-operative discomfort.
If you have questions about dental implant surgery, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Dental Implants.”