Fill in the blank in the title with denture, partial, crown, bridge, onlay, filling---basically anything a dentist does or makes for you to replace something you’ve lost.
It is important to remember that these items are custom made to fit and work in your mouth. Even fillings are customized to your tooth and bite during and after placement. If something is repeatedly loosening, breaking, or falling out, there is a reason behind it—and we need to discover that reason to see what we can do to keep it from continuing to happen.
In general, there are two (2) methods to keep items secure;
- intimate contact between the item and yourself
- no outside forces that dislodge the item from its place in your mouth
Let’s explore each of these in more detail.
It needs to fit extremely well. For dentures and other removable devices, this relies on the denture base being in close contact with your gums. For items like fillings and crowns, it relies on the material being in close contact with your tooth. For lab made items, the impression and lab manufacturing are the keys to a good custom fit. Think of it like a custom tailored suit. If the measurements are off, your suit won’t fit.
Our mouth is subject to many forces from activities like eating, habits (thumb sucking, nail biting, etc.), and grinding/clenching. To keep something in your mouth we need these forces to not be strong enough to dislodge it.
Unfortunately, we don’t just bite straight up and down. There are side to side forces (called lateral excursions) in many of our mouth activities. When we bite into something with our front teeth, the lower jaw gets thrust forward (called protrusive movement). All these movements can cause unusual forces on your dentition and need to be taken into account when we evaluate you.
One example is removable dentures that fit well, but dislodge (or fall down) with chewing. Your dentist needs to find the interference point and adjust it. Another example is habitual behaviors that can place forces on your teeth that they wouldn’t normally have. Destructive habits by the patient can knock out fillings, onlays, inlays, or crowns. The patient needs to control and reign in these destructive habits. This may require additional treatment (either within or outside the dental field) or a different appliance to wear at specific times.
In addition, your mouth can change over time and cause a problem that wasn’t apparent when the item was originally placed. For example, grinding can wear down your teeth and make them shorter. If the shape of your tooth or your ridge (the part left when teeth are removed) is too short or too flat, even normal forces can become excessive forces, and it is hard to get the appliance or item to stay put. You may need a longer tooth (crown lengthening) or a reduction of biting forces or even a new appliance or item in order to get a better match to your current mouth condition.
Getting a problem area fixed may take a lot of trial and error so you, as the patient, must be patient as your dentist works with you to fix it.
Dr. Jennifer Robb is a general dentist serving patients of all ages at her dental office located at 1612 Cooper Foster Park Rd., Lorain, OH 44053. Call 440-960-1940 for more information or check us out at www.drjrobb.com and follow us on Facebook at www.facebook.com/DrJenniferRobb
Do you cringe at the sight of your dentist’s health history form or glance over it distractedly when you’re asked to update it? It may not seem like it, but your medical and overall health is a factor in your dental health and this is the reason for a health history.
Changes in your health, medications and lifestyle may affect your dental treatment or alert your dentist tow watch for certain dental conditions. Your safety is also a concern: your dentist would not want to prescribe something to which you are allergic or that will interact with your other medications. (I know it sounds silly to read that, but I cannot tell you how many times a patient has marked “no” to do you have any allergies and then when given a prescription for penicillin for a dental infection tells me “I can’t take that, I’m allergic.”)
Here are some examples of ways we use the information on your health history:
- Many medications cause dry mouth. Dry mouth can cause a higher rate of cavities because your saliva is not washing away food and bacteria from your teeth. Some medications cause other side effects in your mouth such as enlarged gums or discolored gums, especially if they are taken for a long time. Medications for osteoporosis may cause issues if you need dental surgery such as a tooth removed.
- Diabetics have a higher chance of getting gum disease and the gum disease gets worse faster once it develops. Healing can also be slower for diabetic patients—something you may want to take into account if you need dental surgery or plan to have dentures or a partial made after tooth removed.
I hope that these examples help you to see why your dentist takes and updates your health history and medication lists. If you have questions about the health history questions your dentist uses, please ask.
Dr. Jennifer Robb is a general dentist who is accepting new patients at 1612 Cooper Foster Park Rd in Lorain, OH. Call 440-960-1940 to reserve your time! Find out more about Dr. Robb at www.drjrobb.com or www.facebook.com/DrJenniferRobb
Have you heard about interceptive orthodontics? This type of early intervention could benefit perhaps 10â??20% of children who need orthodontic treatment, making a positive impact on tooth and jaw development, facial symmetry, and overall self esteem. In case you’re not familiar with it, here are the answers to some common questions about interceptive orthodontic treatment.
Q: What’s the difference between interceptive orthodontics and regular orthodontics?
A: Standard orthodontic treatment typically involves moving teeth into better positions (usually with braces or aligners), and can be done at any age. Interceptive orthodontics uses a variety of techniques to influence the growth and development of teeth and jaws, with the aim of improving their function and appearance. Because it works with the body’s natural growth processes, interceptive treatment is most effective before the onset of puberty (around age 10-14), when growth begins to stop. It is generally not appropriate for adults.
Q: What are the advantages of early treatment with interceptive orthodontics?
A: When it’s done at the right time, interceptive treatment offers results that would be difficult or impossible to achieve at an older age without using more complex or invasive methods — for example, tooth extraction or jaw surgery. That’s why the American Association of Orthodontists, among other professional organizations, recommends that all kids have their first orthodontic screening at age 7.
Q: What are some common issues that can be treated with interceptive orthodontics?
A: One is crowding, where there is not enough room in the jaw to accommodate all the permanent teeth with proper spacing in between. A palatal expander can be used to create more room in the jaw and avoid the need for tooth extraction. Another is a situation where the top and bottom jaws don’t develop at the same rate, resulting in a serious malocclusion (bad bite). A number of special appliances may be used to promote or restrict jaw growth, which can help resolve these problems.
Q: How long does interceptive orthodontic treatment take?
A: Depending on what’s needed, a child might wear a device like a palatal expander or another type of appliance for 6-12 months, followed by a retainer for a period of time. Or, a space maintainer may be left in place for a period of months to hold a place for a permanent tooth to erupt (emerge from the gums). Interceptive treatment ends when a child’s jaw stops growing.
Q: Will braces still be needed after interceptive treatment?
A: Often, but not always, the answer is yes. However, interceptive treatment may shorten the period of time where braces need to be worn, and can help prevent many problems later on.
If you have additional questions about interceptive orthodontics, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine article “Early Orthodontic Evaluation.”
Did you know that October is National Dental Hygiene Month? Dental hygiene is more than just fresh breath or white teeth. Study after study has shown that the health of your mouth affects the health of the rest of your body. So if you're overdue for your dental cleaning and check up, please call your dental office today to schedule--and if you know someone, whether it be a spouse, child, parent, or friend, who's been delaying their dental check up and cleaning, offer them the gift of good dental hygiene by paying for their recall visit or purchasing a gift certificate from your dental office. Learn more about cleanings at this link from my website: Professional Teeth Cleanings
If you do not have a dental office, we have appointments available with Dr. Robb and her dental hygienist, Rose. Call 440-960-1940 to secure your spot!
Wishing you good dental health!
Dr. Jennifer Robb, 1612 Cooper Foster Park Rd., Lorain, OH 44053, 440-960-1940, www.drjrobb.com
Gnashing is grinding or biting noisily. The phrase above is often used to mean that you are experiencing a strong emotion, sometimes in response to something that you cannot do anything to change. Gritting your teeth is a related expression which includes both grinding and clenching your teeth.
Both gnashing and gritting your teeth fall under the umbrella of bruxism. Everyone probably does this at some time in their life, and if it only occurs at isolated times, it may not be harmful to your teeth. But if it is something you do regularly, then you may develop problems with your teeth or jaws as a result.
These problems may include (but are not limited to):
- Jaw pain or discomfort (Learn more at TMD)
- Worn down teeth (Learn more at Tooth Wear)
- Broken teeth
- The need for root canal treatment on your teeth (Learn more about root canals at Root Canal Treatment)
You might develop one of these problems, several of them, or all of them.
If you know or suspect you are clenching or grinding your teeth, ask your dentist about an occlusal guard (sometimes called a night guard) that you can wear while sleeping and at other times when you’re likely to brux. The appliance will protect your teeth and may also help relieve jaw muscle tension.
You may not be able to change your habit of clenching or grinding your teeth, but you can protect them to the best of your ability with your dentist’s help.
If you clench or grind your teeth and do not have a dentist, please call my office to schedule an appointment to evaluate your mouth. Call 440-960-1940.
Dr. Jennifer Robb is a general dentist located at 1612 Cooper Foster Park Rd., Lorain, OH 44053. You can also contact her through her website www.drjrobb.com or find her on Facebook at www.facebook.com/DrJenniferRobb
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