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Posts for category: Dental Procedures

By Progressive Dental Group
October 08, 2018
Category: Dental Procedures
Tags: dental implants   crowns  
ChoosingaScreworCementtoAttachanImplantCrown

If you've lost a tooth, you have a number of options for replacing it. Perhaps the best choice in terms of lifelikeness and durability is a dental implant.

All implants have the same basic architecture: a titanium metal post imbedded in the jawbone to replace the root; and an abutment, a metal collar that links the post with a lifelike porcelain crown. But implants can vary in how the crown attaches to the abutment and post — either cemented to the abutment or screwed through the abutment to the post.

Either method will permanently secure the crown to the implant. But there are advantages and disadvantages for each.

A screw-retained crown may better facilitate any future repair that might be needed. For a skilled dentist it's a simple matter of removing the screw and then the crown from the abutment. There's less risk of damage to the implant during repairs or crown replacement. Many dentists also prefer screws for crowns placed at the same time they're installing the implant post (a procedure called immediate loading).

The screw access hole, however, could pose a cosmetic problem. Although we can cover it over with tooth-colored filling, it may still be noticeable and unattractive especially for a tooth visible when you smile (in the smile zone). There's also the possibility the porcelain around the access hole could chip.

By contrast, cemented crowns have a smooth, unbroken surface and are aesthetically ideal for smile zone teeth. But the cement could interact poorly with gum and bone tissue in some patients, causing inflammation and possible bone loss.

And unlike screw-retained crowns, cemented crowns are difficult to remove for implant repair. We may have to drill through the crown to access the screw between the abutment and the post, and then repair it cosmetically if we use the same crown. Again, the final result may not be quite as visually appealing.

In the end, it will depend on the implant's location, how your body reacts to the cement or your dentist's preference. In either case, though, you'll have a tooth replacement that's functional, life-like and able to endure for many years to come.

If you would like more information on 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 “How Crowns Attach to Implants.”

By Progressive Dental Group
September 28, 2018
Category: Dental Procedures
CharlizeTheronBackinActionAfterDentalSurgery

When they’re introducing a new movie, actors often take a moment to pay tribute to the people who helped make it happen — like, you know, their dentists. At least that’s what Charlize Theron did at the premiere of her new spy thriller, Atomic Blonde.

"I just want to take a quick moment to thank my dentists," she told a Los Angeles audience as they waited for the film to roll. "I don’t even know if they’re here, but I just want to say thank you."

Why did the starring actress/producer give a shout-out to her dental team? It seems she trained and fought so hard in the action sequences that she actually cracked two teeth!

“I had severe tooth pain, which I never had in my entire life,” Theron told an interviewer from Variety. At first, she thought it was a cavity — but later, she found out it was more serious: One tooth needed a root canal, and the other had to be extracted and replaced with a dental implant — but first, a bone grafting procedure was needed. “I had to put a donor bone in [the jaw] to heal,” she noted, “and then I had another surgery to put a metal screw in there.”

Although it might sound like the kind of treatment only an action hero would need, bone grafting is now a routine part of many dental implant procedures. The reason is that without a sufficient volume of good-quality bone, implant placement is difficult or impossible. That’s because the screw-like implant must be firmly joined with the jawbone, so it can support the replacement tooth.

Fortunately, dentists have a way to help your body build new bone: A relatively small amount of bone material can be placed in the missing tooth’s socket in a procedure called bone grafting. This may come from your own body or, more likely, it may be processed bone material from a laboratory. The donor material can be from a human, animal or synthetic source, but because of stringent processing techniques, the material is safe for human use. Once it is put in place your body takes over, using the grafted material as a scaffold on which to build new bone cells. If jawbone volume is insufficient for implants, it can often be restored to a viable point in a few months.

Better yet, when grafting material is placed in the tooth socket immediately after extraction, it can keep most of the bone loss from occurring in the first place, enabling an implant to be placed as soon as possible — even before the end of a movie’s shooting schedule.

Will Atomic Blonde prove to be an action-movie classic? Only time will tell. But one thing’s for sure: When Charlize Theron walks down the red carpet, she won’t have to worry about a gap in her smile.

If you have questions about bone grafting or dental implants, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Immediate Dental Implant.”

By Progressive Dental Group
September 25, 2018
Category: Dental Procedures
Tags: root canal  

A root canal can save an infected tooth from being extracted. Root canal treatment can strengthen an infected tooth and restore normal root canalfunctioning in that tooth. Undergoing root canal treatment when needed can prevent additional oral health problems from developing down the road. There are many signs a root canal might be needed, such as a severe toothache. A dentist can examine your infected tooth and determine if it can be saved through root canal treatment. At Progressive Dental Group, Dr. David Salah is your dentist in Novi, MI, for root canals.

What is a Root Canal?

A root canal is a treatment method for restoring and strengthening an infected tooth that would otherwise need to be extracted. When the soft, pulp in the center of a tooth becomes infected, that infection can spread down through the root and form an abscess below the tooth. Once the infection has spread outside the tooth, it can subsequently spread to other areas of the mouth and lead to additional oral health problems.

The procedure for a root canal is similar to filling a cavity. The dentist clears away all infected pulp from inside the tooth and root. The tooth is then thoroughly cleaned inside. Finally, the tooth is filled and sealed, and protected with a dental crown. Your dentist in Novi, MI, can examine an infected tooth and determine if it can be restored with root canal treatment. Some signs you may need a root canal include:

  • Sharp pain when biting into food
  • A severe or persistent toothache
  • Sensitivity to cold or hot items
  • Constant mouth pain and pressure

Benefits of a Root Canal

Root canal treatment offers multiple benefits beyond saving infected teeth from extraction. Root canals restore infected teeth and strengthen them so they can resume normal biting and chewing functions. Root canal treatment also alleviates the pain, sensitivity, and discomfort associated with infected pulp.

Some of the signs you might need a root canal include a severe toothache, constant mouth pain, and sharp pain when biting or chewing food. To find out if you need a root canal, schedule an appointment with Dr. Salah, your dentist in Novi, MI, by calling Progressive Dental Group at (248) 349-7560.

By Progressive Dental Group
August 03, 2018
Category: Dental Procedures
Tags: invisalign   orthodontics   braces  

Using Invisalign is a surefire way to transform your look and get the straighter smile you have always wanted. If you think orthodontic care invisalignmay be right for you, understanding how Invisalign works and how it differs from traditional metal braces can help you ensure you make the right decision for your smile. Find out more about Invisalign with Dr. David Salah at Progressive Dental Group in Novi, MI.

What is Invisalign? 
Invisalign is an orthodontic treatment which straightens the teeth and corrects bite issues. The process, however, is different from traditional metal braces. Rather than brackets and wires, Invisalign uses plastic aligner trays customized for your mouth to move the teeth. The trays come in a series. The number of trays in the series differs from patient to patient, but the idea remains the same. Patients wear each tray for about two weeks before swapping it for the next tray in the series. Each tray fits into the mouth and uses pressure to slowly move the teeth a little at a time.

Invisalign Vs. Traditional Braces
Traditional braces use metal brackets and wires which are permanently attached to the teeth during treatment. Invisalign is not permanently attached to the teeth and is, in fact, removable, meaning patients can take their trays out of the mouth to eat and brush their teeth. This means there is no need to avoid certain foods which may damage metal braces and that cleaning the teeth requires no special tools like threading floss or water picks.

Invisalign Treatment in Novi, MI 
If you think you can benefit from Invisalign, you should talk with your dentist to ensure that this method is your best option for treatment. Dentists usually recommend Invisalign for patients over the age of 12 who want to improve the appearance of their smile and correct their bite issues. In some cases, other orthodontic methods may be better suited for your smile. A consultation with your dentist can help you determine if Invisalign is best for you.

For more information on Invisalign or what it can do for you, please contact Dr. David Salah at Progressive Dental Group in Novi, MI. Call (248) 349-7560 to schedule your consultation for Invisalign with Dr. Salah today!

WithProperManagementDentalImplantscanbeaRealityforDiabetics

Many people with diabetes are hesitant about getting dental implants because they’re under the impression their chances of failure are greater than for non-diabetics. But if you’re one of the 26 million Americans with diabetes, that isn’t necessarily so — with a little extra precaution before, during and after implant surgery.

Diabetes is a group of diseases that affect how the body processes glucose. This simple sugar is used by the body to provide energy to cells, but can also cause damage if its volume level in the bloodstream is too high. The body normally regulates this through the hormone insulin produced by the pancreas.

The pancreas in people with Type 1 diabetes doesn’t produce insulin and so they must receive an outside source of the hormone through daily injections with careful daily monitoring of glucose levels. Those with Type 2 diabetes, the most common form of the disease, don’t produce a sufficient amount of insulin or the body no longer responds to the insulin produced. For either type, abnormal glucose levels — either too high or too low — can have adverse affects on the body, including blindness, nerve damage, gangrene, coma or death.

Diabetes can also slow wound healing, increase the risk of infection, and alter the body’s inflammatory response, all of which are major concerns when placing implants. Because implant placement involves minor surgery in which a wound results, there’s been wide concern that a slower healing process could increase the risk of implant failure.

Recent studies, though, are encouraging especially for patients who have their diabetes under control through medication, diet and exercise. Patients with poor glucose control are at higher risk, because it can take longer for the bone to heal around an implant after placement. For such individuals special considerations to guard against infection may be needed during implant surgery.

In fact, the implant success rate for most diabetics is about the same as for non-diabetic patients, 95%. With proper disease management and a little extra wound care, you can be among the many that experience a favorable outcome and a more attractive smile with dental implants.

If you would like more information on diabetes and dental care, please contact us or schedule an appointment for a consultation.