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Whether you’ve lost a tooth from decay, are preparing for dentures, or were born with a gap where a tooth should have been, you could be a candidate for dental implants.

Dental implants have changed a lot since their debut in 1965, thanks to continuing advances in design and technology. Today, you no longer have to worry about whether dental implants might have a negative aesthetic impact on your smile.

So what are dental implants? Pretty much what they sound like: An implant is a replacement tooth that substitutes for a missing natural one. It gets placed through several steps; it’s a process that can take a few months.

The initial step involves the surgical implantation of the implant root, which resembles a small screw. After that’s placed, the top is covered with gum tissue to enable it to heal faster. This is an essential phase in the process, since this portion of the implant will serve as the base of support for everything else.

In the second step, the implant gets uncovered and an implant restoration (or crown) is created and affixed to it. After that, you’ve got yourself a new tooth!

While dental implants require a little special care, it’s all easily manageable. All you have to do at home is make sure you brush and floss your implant daily, the same as you would for any other tooth. Although an implant can’t develop a cavity, if something were to get stuck in it, that could lead to a gum infection.

If you have any other questions about dental implants, give our Concord, NC office a call!

That’s a good question! But first, we’re going to do that roundabout thing where we consider other questions before circling back to our original topic. Trust us, we’ll get there!

• Why Get Your Teeth Cleaned Professionally?

Before you consider how often to have your teeth cleaned, you might be wondering why you need to have them cleaned professionally at all. After all, you’re doing all the right things. You brush twice a day for two minutes each time. You floss at least once a day. You even use a soft-bristled brush to protect your enamel. Shouldn’t this be good enough?

Conscientious dental hygiene at home is a very good thing, but, when it comes to plaque and tartar, it might not be good enough. Plaque, especially between the teeth and along the gum line, is easy to miss. In a matter of days, that overlooked plaque hardens and becomes tartar. While you can do a lot to remove food particles and plaque at home, once plaque hardens into tartar, a professional cleaning is necessary to remove it safely.

• Why Worry About Plaque and Tartar You May Have Missed?

Because you want to avoid cavities and gum disease. You know that the bacteria in plaque cause tooth decay, but did you know that plaque and tartar can be a real problem for your gum health as well? Plaque and tartar irritate delicate gum tissue, causing inflammation and gingivitis (mild gum disease). If you have chronic bad breath, if your gums are swollen, red, or painful, if your gums bleed easily when you’re brushing and flossing, you might have gingivitis.

Left untreated, mild gum disease can become periodontitis, a more serious condition. Irritation and inflammation cause gum tissue to pull away from the teeth, forming deep periodontal pockets where bacteria and infection spread. Infection and inflammation response damage the bone and tissue supporting the teeth, and teeth become loose or lost altogether. In fact, periodontal disease is the leading cause of tooth loss in adults.

A professional cleaning is one of the preventive steps you can take to reduce your risk of gum disease.

• What Happens During a Cleaning?

First, your teeth and gums will be checked carefully to see if there are any problems that your dentist needs to address before the procedure begins.

The first step in cleaning usually involves removing plaque and tartar. This may be done with an ultrasonic scaler, a hand scaler, or a combination of both. Plaque and tartar need to be scraped from tooth enamel above and below the gum line to prevent cavities and gum disease, so this is definitely a job for a dental professional. Gum attachment around the teeth will be checked, and shallow pockets will be cleaned. Your dentist will have suggestions if you have deeper periodontal pockets caused by gum disease.

After all the plaque and tartar have been removed, your teeth will be polished with a gentle abrasive to remove surface stains. There are two common methods of polishing: applying a special gritty toothpaste with a small rotating cup, or air polishing, which uses a stream of fine abrasive powder, water, and pressurized air. (If you have your teeth cleaned more than twice a year, your dentist will let you know if polishing is advisable during every visit.)

Next, flossing. A professional flossing will remove any remaining plaque from between the teeth. This is a good time to double check your own flossing technique and ask for any tips which will make your personal flossing more effective.

Finally, after rinsing, a fluoride treatment might be applied to strengthen your enamel, and you’re good to go. The entire process usually takes between 30-60 minutes.

• So, How Often Should You Have Your Teeth Cleaned?

That is a good question, and we did get there! But we don’t have just one answer for you. As with every aspect of your dental care, your dentist will recommend cleaning treatments and procedures with your specific dental needs in mind.

• If your teeth and gums are healthy, and you don’t have periodontal disease or risk factors for periodontal disease (such as smoking, a family history of gum disease, or medical conditions such as diabetes), you might be able to get by with two cleanings each year. This is something to discuss with your dentist.
• If you have a history of periodontal disease, or are at higher risk for periodontal disease because of one or more risk factors, your dentist might recommend more than two cleanings each year.

If you suffer from gum disease, a regular cleaning might not be enough. In this case, Dr. Robee Bailey Jr., DMD, a specialist in treating conditions of the gums, bones, and tissues surrounding the teeth, can perform a more thorough deep cleaning. This procedure is non-surgical, and makes use of two types of cleaning:

• Scaling, to remove bacteria, plaque, and tartar above and below the gumline.
• Planing, to smooth the roots of the teeth. This process clears away bacteria and the rough spots where bacteria collect, and provides a smooth tooth surface for gum attachment.

Because periodontal cleanings are more thorough, they can take more than one appointment at our Concord, NC office to complete, and might require a local anesthetic. You might also be given medications to help the healing process. A follow up appointment will be scheduled to see is further treatment is necessary.

Regular professional cleanings play an important role in your preventive dental care. Whether it’s done once a year, twice annually, or more often as needed, a cleaning performed by a dental professional takes only a short amount of your time and provides you with long-term benefits—not only a brighter smile, but healthier teeth and gums!

If you play a contact sport, you know about mouthguards. You know about the cushioning protection they provide for your teeth. And not just your teeth—mouthguards also help protect your lips, tongue, and jaw, helping you avoid or minimize many of the injuries caused by collisions.

But you don’t have to be part of the defensive line or face off on center ice to wear a mouthguard. It pays to be proactive with your oral health in any activity where impact is a possibility. Whether you play a team sport, practice gymnastics, ride a bike, ski, skateboard, or participate in other athletic pastimes, there’s almost always the risk of impact—with a ball, with the mat, with the sidewalk, with another person.

So, how do mouthguards protect your teeth and mouth? It’s a combination of materials and design. Mouthguards are made of a strong, cushioning material such as plastic or silicone which helps absorb and distribute the force of impact, usually in the form of a horseshoe-shaped piece which fits over your upper teeth. The specific design can be tailored to the sport or activity you’ll be using it for.

And now that you’re wearing braces? Working toward an attractive, healthy smile doesn’t mean you can’t be active or find a mouthguard which will work for you. In fact, when you wear braces, mouthguards do double duty—they protect your mouth and teeth, and they protect your braces, too!

Even minor impacts can damage wires and brackets, and damaged braces means more time at the orthodontist and lost treatment time. More important, your guard not only helps protect your brackets and wires from impact injury, it protects your delicate mouth tissue from trauma caused by impact with your brackets and wires.

Because you probably have braces on both upper and lower teeth, the usual mouthguard design might not work for you. To make sure you’re completely protected, you may need a guard which covers both upper and lower arches.

There are over-the-counter mouth guards designed for braces, and even for covering both your upper and lower teeth. These might be one-size-fits-all or fit-it-yourself guards, or models which should be used only after a fitting at our Concord, NC orthodontic office. While some of these guards are better than others, the best option for your teeth—and your braces—might be a custom mouthguard.

What are the benefits of a custom guard for orthodontic patients? They:

• Provide a perfect fit around teeth and braces
• Protect better because they fit better
• Are designed for easy breathing and speaking
• Are less bulky
• Are more durable
• Fit more comfortably
• Can accommodate orthodontic adjustments
• Can be tailored to your specific sport or activity.

Custom mouthguards are more expensive, because they are individually crafted for your teeth and braces, but in terms of effectiveness, they are the best guards out there—because they are individually crafted for your teeth and braces. If cost is an issue, Dr. Robee Bailey Jr., DMD can let you know whether an over-the-counter option might work for you.

An active life should mean proactive dental care. Wearing a mouthguard when you’re wearing braces protects both your body and your orthodontics. Whichever guard option you choose, it’s a good idea to check out the fit with Dr. Robee Bailey Jr., DMD to make sure you’re getting all the protection you need for both when your mouthguard is doing double duty.

One of the most transformative advancements in dental restorations is the dental implant. Implants look just like natural teeth, they function just like natural teeth, and they help maintain jawbone health just like natural teeth. But the success of any implant procedure depends on the quality and quantity of the bone in which it’s placed. That’s why, before placing your implant, Dr. Robee Bailey Jr., DMD might first suggest a common procedure known as ridge modification.

An implant consists of a metal post which is surgically placed in the jawbone. This post serves as the “root” of the dental implant. After several months, the post fuses with the bone surrounding it, as bone tissue grows around and attaches to the post surface. This process is called osseointegration, and it creates a strong, secure anchor for the abutment and crown which will be secured to the post when it heals.

Because of the strong pressures which biting, chewing, and clenching put on our teeth, the success of an implant depends on the strength of its integration into the jawbone. To make osseointegration possible, the bone must be healthy, with adequate size and density to hold the implant securely.

Ridge modification, also called ridge augmentation, is periodontal surgery. In this procedure, we use bone grafting to rebuild bone strength in the alveolar ridge (the part of the jawbone containing the tooth sockets) before placing a post. When is this procedure necessary?

Jawbone size and density can be compromised in several different ways, including:

• Resorption

When a tooth is missing, the bone ridge under the lost tooth gradually begins to shrink, a process called “resorption.” Over time, bone loss can lead to a noticeable indentation in the jawbone.

• Periodontitis

Serious gum disease is progressive. Without treatment, the gums begin to pull away from the teeth. This leaves bone and connective tissue exposed to destructive bacteria and infection, which can cause bone loss.

• Trauma

Bone damage caused by accident or injury might require bone replacement or recontouring.

• Bone structure and size

Sometimes the jaw ridge is too narrow or shallow to support an implant, especially in the back of the upper jaw near the sinus cavity, and will need added bone before an implant can be placed.   

Periodontists are specialists in bone grafting surgery, with years of advanced education and training in the treatment of the structures that support the teeth, including gums, connective tissues, and bone. Dr. Robee Bailey Jr., DMD will recommend bone graft surgery if the success of your implant would be in jeopardy without it.

What will your surgery involve?

• Assessing bone quantity and quality

Using advanced imaging technology, we will evaluate your jaw’s condition, and map out any areas of bone loss.

• Designing your treatment plan

If a bone graft is your best option, we will recommend the best grafting materials for your needs. Bone grafting might use bone tissue taken from your own body, processed bone grafting material, or synthetic grafting material to replace and repair the damaged bone. We will also discuss your anesthesia and sedation options.

• Performing the Surgery

After anesthesia, an incision will be made in the gum tissue to reveal the damaged or missing bone. Grafting material will be shaped to restore the bone’s contours and secured to the affected area. The incision will then be closed. If you are here for an extraction, it may be possible to have augmentation done as part of the same procedure.

• Providing follow-up care

You’ll receive detailed careful instructions for after care and follow-up visits at our Concord, NC periodontal office. The time it takes for you to heal completely will depend on the size and type of your graft.

• Placing your implant

Once the bone has healed, we can surgically place the post for a secure, long-lasting, and healthy implant.                   

If it’s been some time since you lost a tooth, if your jaw has been damaged by injury or trauma, if you have less-than-adequate bone size and density, it’s important to restore your bone before implant surgery can be successful. See us for an evaluation, and learn how a ridge modification procedure can help you improve your dental health and transform your smile.