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Posts for: January, 2022

By DeWitt Dental Professionals
January 13, 2022
Category: Dental Procedures
Tags: dental implants  
AnImplantCouldFailifSupportingStructuresBecomeDiseased

From an appearance standpoint, it might be difficult to tell a new dental implant and crown from a natural tooth. There is, however, one big difference between an implant and crown from a real tooth, one which could impact an implant's longevity: how each attach to the jaw.

A natural tooth is held in place by a tough, but elastic gum tissue called the periodontal ligament. The ligament lies between the tooth and the bone, extending out tiny fibers that attach to both. This holds the teeth firmly in place, while also allowing the tooth to gradually move in response to mouth changes. It also facilitates the delivery of infection-fighting agents to protect the teeth and gums against disease.

By contrast, an implant is imbedded in a prepared channel shaped into the jaw bone. Over time, bone cells grow and adhere to the titanium surface, which serves to fully secure the implant to the jaw. The periodontal ligament doesn't attach to the implant, so it relies solely for stability on its attachment to the bone.

Thus, although highly durable, implants don't share the properties real teeth have because of their connection with the periodontal ligament. They don't move dynamically like real teeth; and more importantly, they lack some of the disease-fighting resources available to natural teeth.

So, what difference would the latter make? Implants aren't composed of organic material, and are therefore unaffected by bacterial infection. The problem, though, is that the gums and bone supporting the implant are susceptible to disease. And, because an implant lacks the defenses of a real tooth that the periodontal ligament provides, an infection within these tissues could quickly undermine their support and cause the implant to fail.

To avoid this and protect the longevity of your implant, it's important that you practice daily oral hygiene. You should brush and floss your implant to clear away disease-causing plaque from the surrounding tissues just as you do natural teeth.

Your dental provider will also include cleaning around your implants during your regular visits, albeit with different tools that are more protective of the implant and crown surfaces. During these visits they'll also closely inspect the tissues around the implant for any signs of infection and initiate prompt treatment if necessary.

If you would like more information on taking care of your 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 “Dental Implant Maintenance.”


By DeWitt Dental Professionals
January 03, 2022
Category: Oral Health
Tags: shingles  
ACaseofShinglesCouldImpactYourUpcomingDentalVisit

Most childhood sicknesses are highly treatable and quickly fade from memory afterward. But there's one viral infection that can reappear years later, albeit in a different form and this time it might not be as forgettable. It could even impact your dental care.

Varicella, more commonly known as chicken pox, is a viral infection that mainly affects children. Fortunately, the itchy blisters and other symptoms associated with it usually clear up on their own. But the virus itself, varicella zoster virus (VZV), can remain behind and become dormant.

Fast-forward a few decades, and the child once with chicken pox is now an adult, usually over 50. In 20-30% of former chicken pox patients, the virus reactivates as a new infection known commonly as shingles.

Shingles often begins with an itching, burning or numbing sensation on the skin that develops into a severe rash. Because of its effect on surface nerves, the rash often takes on a striped or belt-like pattern on the skin. A shingles outbreak can also cause fever, fatigue and pain, the latter of which in rare cases can be quite severe.

Shingles in its early stages is also highly contagious, transmitted easily through either physical contact with the skin lesions or through airborne secretions. This is especially troubling for certain groups: pregnant women, patients undergoing cancer or other serious disease treatment, or those with compromised immune systems. For them, shingles can pose a significant risk for complications.

Because of its easy transmission, and the danger it can pose to certain groups, dentists typically postpone treatment—even routine dental cleanings—for patients experiencing a shingles outbreak, especially a facial rash. Once their outbreak subsides, those procedures can be rescheduled.

If you develop what you think is shingles, you should seek medical attention as soon as possible. Certain prescribed antiviral medications can ease the symptoms and hasten recovery, but they're most effective if started within three days of the onset of the disease. There's also an effective vaccination for shingles recommended for people over 60 to help avoid the disease altogether.

One other thing! If you do develop shingles and have an upcoming dental appointment, let your dentist know. Better to reschedule your visit after you've recuperated than to put others' health at risk.

If you would like more information on shingles and dental care, 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 “Shingles, Herpes Zoster.”