Do You Have a Broken Tooth?
Dental crowns are one of the best resources dentists have when it comes to repairing teeth including:
- Cracked teeth
- Fractured teeth
- A tooth that has a root canal
- A tooth with excessive decay
- Teeth that are chipping or breaking down because of a misaligned bite or large silver fillings
- Strengthening and giving structure to a tooth
A crown fits over the tooth to basically hold it together so that a crack can’t advance. If a crown wasn’t placed, the crack would grow due to bite pressure and thermodynamic changes in the mouth.
Similarly, a tooth that is chipping, breaking down, or that has already fractured can continue to do so if left untreated..
Dental Crowns – What You Can Expect During Your Repair Appointments
Do you think you might need a crown? Here’s what to expect at your dental appointments.
1. Initial Assessment
First, we need to evaluate whether you’re a candidate for a crown.
Sometimes, decay or a fracture is so advanced that there’s not enough natural tooth structure remaining to support a crown.
In some cases, the tooth needs a root canal and build-up procedure before it can support a crown. In others, the only option is an extraction.
2. The Crown Preparation Appointment
The 1st treatment appointment involves preparing (shaping) the tooth. All crowns have a certain minimal thickness to insure enough bulk to have adequate strength. For most crowns, the minimal thickness is about 2mm on ALL sides of the tooth. At this stage of preparing the tooth, any decay that is present will be removed as well as tooth or filling structure that is loose or unsound. Due to these requirements, there may be some portions of the tooth that are reduced more than 2mm. This just means the crown will be thicker in those areas. In some cases, there is so much of the tooth broken off or decayed that it must first have a build up with filling material to make it larger giving more surface for the crown to stay in place. This is called a core buildup
An impression of the prepared tooth as well as the opposing teeth are taken. These are sent to the dental lab where the crown is fabricated that will be the size and shape of an actual tooth. The time needed by the lab is typically 2 weeks.
A temporary crown is cemented at this first treatment appointment so that you won’t be without a tooth for the 2 week period.
3. Crown Delivery
During this appointment, your temporary crown is removed and we place in the lab fabricated crown which is checked for fit, bite and appearance.
The permanent crown is cemented and all excess cement is cleaned off around and between the crown.
The bite is checked and adjustments made if necessary so the crown should not feel foreign to your mouth or when you chew.
4. After Care
The great thing about a crown is that it’s just like a real tooth so you can brush, floss and eat normally. We do however, recommend that you avoid very sticky foods like caramel candy.
Since there is still natural tooth structure at the margin where the crown meets tooth, it’s very important to brush and floss around your new crown just as you would a tooth. While the crown can’t decay, the natural tooth may.
Getting a Broken Tooth Repaired – Don’t Put It Off
A lot of patients put off getting dental crowns due to time, money, or a lack of dental pain.
The issue with putting off dental repairs is that the situation will often get worse.
Patients who put treatment off can end up experiencing pain, infection, the loss of even more tooth structure, or the loss of the tooth altogether. In other words – they can end up in a worse situation that costs more time and more money.
If you have a broken tooth or experience dental discomfort – your tooth needs attention. Don’t put off getting the dental work you need!
Schedule an appointment online here or call us at (403) 948-3342
If you’re like most people, the thought of losing one of your adult teeth is a scary one. It’s not something that’s supposed to happen – they’re called permanent teeth for a reason, right?
But sometimes – due to decay, gum disease, or trauma – people lose an adult tooth.
Once this happens, the question often arises: Should I get the missing tooth replaced?
As a practice, we advocate for tooth replacement.
Today, we’ll explain why it’s important to replace missing teeth. And then, we’ll review the three options you have for replacement: dental implants, bridges, and dentures.
The Importance of Replacing Missing Teeth
Losing a tooth can have a negative impact on your self-esteem. People just don’t feel as youthful or attractive as they did with a full set of teeth.
And even more importantly, losing a tooth impacts your dental health too.
If a tooth isn’t replaced, the surrounding tissues will start to shift. The gum and bone will recede because there’s no root to hold it in place. The adjacent teeth will shift to fill the space.
These shifts can cause the following issues:
- Jaw Pain and Broken Teeth: There’s a reason our teeth align the way they do – it creates a balanced bite. When you remove a key piece, it throws everything off. This can put strain on head and neck muscles, as well as the jaw joint. The extra pressure on the remaining teeth can also result in cracked or broken teeth.
- Decay and Gum Disease: As the teeth shift to fill in the open space, they can become difficult to clean. Some dental tools aren’t designed to adequately clean the angles created by the shifting teeth. This can result in decay as well as gum disease.
What Are Your Options?
To regain the balance a patient had before they lost a tooth, I recommend one of the following replacement options.
1. Dental Implants
An implant is made up of three parts: an implant (titanium screw into the bone), abutment (part of the implant that extends into the mouth), and crown or denture (restoration that has a natural tooth appearance).
A bridge is a permanently cemented appliance. At least two abutments and a pontic make up the bridge. The abutments are crowns that fit onto the teeth adjacent to the missing tooth. The pontic is a fake tooth that fills in the space.
3. Removable Partial or Full Dentures
Dentures are a removable appliance that can replace a couple of teeth or all of them. Most patients find this the least desirable option when dealing with one or only a few missing teeth.
Why You Might Choose Dental Implants Over Other Tooth Replacement Options
Why do we recommend dental implants?
One reason is because a dental implant is like a real tooth. You can floss, brush, and eat normally.
Another reason is because the implant stabilizes the bone. And the crown that fits onto the implant abutment doesn’t allow the surrounding teeth to shift.
Another perk of dental implants is that they’re a great option regardless of how many teeth you’re missing.
What can you expect from the implant process?
We start off by removing the tooth or what remains of it, if it’s not already missing. Then, we evaluate if you need a bone graft or not. If some of the bone has resorbed, there might not be enough bone to support an implant, so a bone graft is necessary.
The next step is the implant surgery, where we place the implant screw into the jaw bone. It takes a couple of months for the implant to integrate into the bone. But eventually, the bone will start growing around the implant, making it very stable.
After this process has taken place, we’ll place the abutment onto the implant which allows us to take an impression. A lab tech uses this impression to fabricate a well-fitting crown, or a bridge or dentures if we need to replace multiple teeth.
Finally, when we get the crown, bridge, or denture back from the lab, we try it in and make adjustments if necessary. Then, we finish up by cementing the crown or bridge in place. Dentures simply snap into place – no cement is necessary.
Do You Have Dental Phobias? We Can Help!
If you need to have an extraction or already have a missing tooth, we urge you to consider replacing it with a dental implant. Doing so will help you avoid bone resorption and preserve the adjacent teeth.
We understand, if you’re hesitant to proceed with something like dental implants. This type of procedure can sound really intimidating to someone who has even the smallest amount of dental fear.
Please come in for a free consultation and to explore if you would be an ideal candidate for an implant. We would also like to hear about any fears or concerns you might have, so we can discuss options to help you feel as comfortable and calm as possible!
Schedule an appointment online here or call us at (403) 948-3342.
Sleep apnea is a serious disorder in which your breathing is interrupted severely causing you to wake up from your sleep. This could happen as often as a hundred times in one night.
When you sleep, your muscles relax so that they can repair and rejuvenate themselves for the next day. The muscles in your mouth are no different – they also relax during sleep.
It is estimated that in 18 million U.S. adults, these muscles and other soft fatty tissues in the mouth relax so much that they block the upper airway and prevent oxygen from getting into the body. When this happens, the flow of oxygen to your brain and other vital organs is cut short, and this could cause significant damage.
Sleep apnea is associated with a multitude of negative side effects including:
- Heart disease
- High blood pressure
- Heart attack
- Increased risk of diabetes
- Heart arrhythmias
What are the benefits of dentures to sleep apnea sufferers?
People with no teeth tend to experience worse sleep apnea symptoms. Most of them wear dentures and usually take them out at night before going to sleep. This may lead to breathing difficulties which may disrupt sleep.
When you remove your dentures, the firm structure of your mouth collapses because the soft tissues are no longer supported. The result is recurring occurrences of apnea.
Studies by H. Arisaka, prove that people who go to sleep with their dentures on see a significant increase in Apnea-Hyponea Index (AHI) than those who sleep without. This means that removing your dentures before sleep could greatly worsen the effects of sleep apnea.
Dentures will help support the extra soft tissues in your mouth and prevent the blockage of normal airflow during breathing, thereby giving you a good night sleep.
Why choose dentures to treat your sleep apnea?
For patients who are uncomfortable with wearing CPAP masks, dentures can be a great alternative. Dentures should be properly fitted by a professional dentist.
Some additional advantages of using dentures for your apnea include:
- Small and portable: Unlike other sleep apnea treatments, dentures are small enough to fit in your carry-on bag, hence easy to transport.
- Ease of use: Dentures are easy to wear. And for most people, it only takes a few days to get used to sleeping with dentures in the mouth.
Should dentures be worn at night?
Treating your sleep apnea using dentures can reduce the risk of diabetes, heart disease, and stroke. It will also improve your emotional stability, daytime alertness, and concentration.
Nonetheless, you should first consult with your dentist before using dentures for your sleep apnea.
At You First Dental in Airdrie, our patients’ satisfaction is always our number one priority. Call us today at 403-948-3342 and make an appointment with Dr. Beregovoy to discuss your options.
It doesn’t make sense to a lot of people. I can’t tell you how many times patients have come into my office in Airdrie, stumped by this revelation.
My financial coordinator asks the patient if they have insurance, the patient nods that they do, and then promptly pulls out a medical insurance card.
I get it – the teeth, your oral health – it’s all part of the body. Why isn’t dentistry considered part of medicine and, therefore, covered under medical insurance?
5 Reasons why dentistry and medicine don’t fall under the same category
Why there’s a separation between these two forms of healthcare is a mystery to many. To add a bit of clarity, here are five reasons for the distinction.
1. Dentistry is a specialty
A general physician oversees the health of the whole body. If there is an issue with a certain part of it that needs some “expertise,” the doctor will refer their patient to a specialist. Some medical specialties include:
- Eye doctors
- Ear, Nose, and Throat doctors
Doctors within a specialty train specifically for that area of medicine.
2. Dentists take care of something general physicians don’t have time for
It seems logical that a human being is a whole person. Therefore, a symptom in one area of the body might link to an issue in another part of the body.
Unfortunately, there simply isn’t enough time for one person to learn about all the intricacies of the human body. They’d be in college their entire life. As it is, those in dentistry and medicine already spend years in college training for their particular healthcare field.
There also isn’t enough time in the day for a general physician to take care of all of their patients’ needs, including oral health.
That’s why dentists are important. We focus on treating periodontal disease and dental caries, while the doctor focuses on heart disease, diabetes, obesity, and treating infections.
3. Aesthetics is a large part of dentistry
When most people visit their doctor, they’re going in to treat a condition that is making life difficult for them. They’re sick – they need someone to help them heal.
In dentistry, while we get people coming in for toothaches, dental caries, and periodontal disease, we also get a lot of people who come in for cosmetic purposes.
Aesthetics is a very important part of dentistry. When patients have a beautiful, healthy, bright smile it may help them feel good about themselves.
In my practice for instance, I gladly provide patients with aesthetic procedures, while promoting oral health and treating oral diseases.
4. The education is different for a doctor and dentist
A doctor goes to school for many years. They go to a university, then medical school, then focus on a specialty (if they want), then have to go through an internship. The length of time that they’re in training can be well over a decade.
General dentists go to university, then four years of dental school. The whole process is about eight years. However, if they decide to focus on a particular field of dentistry – periodontics, endodontics, oral and maxillofacial surgery – then they will receive even more training.
Again, the important thing to keep in mind is that the type of training received is very different. Of course, there will be some overlapping at times.
5. People don’t always view dentistry as important as general medicine
This is the part that I find difficult to swallow. I’m not just talking about patients, either. People in general – in the healthcare field, patients, insurance companies – tend to think of dentistry as a low priority.
This has resulted in many patients only going to the dentist when they’re in pain, or not going at all. Some people have become seriously ill because they didn’t take care of a tooth or gum infection.
And insurance companies don’t always help with this either. Having to spend money to get dental coverage is something that not everyone can afford to do. It might be more feasible if medical insurance covered dental procedures.
Why you need to see your dentist and doctor for regular visits
Though they are separate, it’s important to take both your physical and oral health very seriously. This means taking the time to visit your doctor and your dentist regularly.
Like I said before, we are one body. Something that affects one part of our body may very well impact another part.
More studies prove this to be the case. Most recently, researchers have pointed to definite links between periodontal disease and heart disease. And I’m sure that, in the future, researchers will find even more correlations between oral health and other diseases of the body.
That’s why, in an attempt to promote good overall health, it is important to see your doctor and dentist regularly.
Come visit You First Dental in Airdrie for all your dental needs
To take optimal care of your oral health requires that you see a dentist at least annually for an examination and twice a year for cleanings.
Dentistry, though different from medicine, plays an important role in your overall health. With regular cleanings and exams, we’ll help prevent periodontal disease and dental caries. And it’s possible that we could prevent serious health conditions, too.
I hope that you will look at dentistry as an investment in your general health – because that’s exactly what it is. Plus, with a beautiful, healthy smile, you’ll look and feel great!
If it’s been a while since you’ve seen a dentist, please call my office in Airdrie to schedule an appointment. We’ll provide you with individualized care in a caring environment.
For the past few years, researchers have explained the link between gum disease and heart disease. But what about a tooth infection and heart disease – is there a link there as well?
New studies show that there is a definite connection between oral infections and heart disease.
What does this mean for you?
The tooth infection – heart disease correlation: What the studies show
While most of the common risk factors for heart problems are well known (obesity, smoking, high blood pressure, high cholesterol), most people aren’t aware of what role their dental health can play.
New research shows that there is a correlation between gum disease and heart disease, as well as a correlation between heart disease and a tooth infection. The Journal of Dental Research released information which shows that people who have a tooth infection are almost three times as likely to be at risk for heart disease. Deaths from cardiovascular disease contribute to 30% of deaths annually. It is a leader among the causes of death among both men and women in the U.S.
In an article on MedicalNewsToday.com, writer Honor Whiteman points to a recent study done by the University of Helsinki in Finland. The study found that there is a link between cardiovascular problems and tooth infections, called apical periodontitis. In fact, patients with apical periodontitis are at greater risk for ACS (acute coronary syndrome). ACS encompasses many conditions in which blood cannot flow to the coronary arteries.
In addition to heart disease, oral issues can contribute to diabetes, stroke, Alzheimer’s, and even pregnancy complications. These are just a few of the reasons why oral healthcare and regular dental visits are important.
Two types of oral infections we want patients to be aware of
There are two types of oral infections that could increase the risk of cardiovascular disease: a tooth infection and a gum infection.
1. An infection from dental decay
Apical periodontitis is an abscess on the very tip of the root of a tooth. The cause of the infection is decay and bacteria. The bacteria in the mouth attack sugars in the foods we eat. In the process, an acid develops, which disintegrates the surfaces of the tooth. It decalcifies the enamel, then progressively bores all the way through the enamel and dentin (the second layer of the tooth), and into the pulp.
The nerve of the tooth is in the pulp chambers, which run down the middle of the root of the tooth. When decay and bacteria get into the nerve, it causes an infection and inflammation. The result is a painful abscess.
It is important to note that most people don’t experience a painful abscess until the apical periodontitis is at an advanced state. This means that the patient can have a latent infection and not realize it. The studies conducted at the University of Helsinki show that while in this latent phase, there is still an increased risk that a person can develop a heart condition.
2. A gum (or periodontal) infection and gum disease
Gum disease and gum infections can also be a contributing factor for heart disease. There are four levels of gum disease: gingivitis; and early, moderate, and severe gum disease.
Gingivitis is not a minor condition, though some people see it that way. While it is the mildest form of gum disease, this doesn’t mean that patients should take it lightly. Gingivitis can quickly and easily progress. Thankfully, the first stage of gum disease is reversible, whereas the others cannot be.
Gum disease occurs when bacteria ends up under the gums via plaque and calculus (tartar). Plaque is the white, sticky substance on teeth that we remove as we brush our teeth. However, if the plaque is not removed well, or even at all, it can harden and become calculus.
When plaque and calculus are under the gum line, the gum tissue becomes inflamed and irritated. Patients who have gum disease typically experience gum sensitivity, tenderness, and bleeding. Imagine a sliver in your finger that feels uncomfortable until it’s removed. If it’s not removed, eventually an infection can develop. It is similar with gum disease.
As periodontal disease progresses, the gums can recede from the teeth, as does the bone. The end result is loose teeth that will likely need an extraction.
Swift action is necessary for a patient who presents with gum disease and/or a gum infection. The patient must seek treatment right away. Not only is the patient at risk for tooth loss, the inflammation and bacteria associated with the gum disease could eventually damage the heart muscle.
Team up with You First Dental in Airdrie to combat decay & disease
More people now realize that their overall health is often dependent on their dental health. Those who take care of their teeth and gums add to the list of things they do each day to keep their bodies healthy and strong.
At You First Dental, we do all we can to help our patients live healthy lives. We provide our patients with quality, up-to-date, and innovative dental treatment. Our comprehensive treatments and services can relieve patients’ pain, improve the appearance of their teeth and smile, and help them keep as many teeth as possible.
We encourage all of our patients to come in for regular examinations and dental cleanings. When we work together, our patients not only take steps to improve their smile, they take one more step to help reduce the risk of pain and heart disease caused by a tooth infection.
At You First Dental, we’re committed to you. We put your dental needs first. Contact us today to schedule an appointment. We look forward to being of service!