Implant treatments range from the immediate replacement of an extracted tooth to over six months when jaw surgery and bone grafting is needed. The average treatment is three to six months. Most of the time required to complete implant treatment is taken up just waiting for the bone to fuse completely with the implant. This usually takes a few months and goes on below the gum line without any feeling or awareness. In more complex cases treatment may be longer.
Additionally, for an implant to look esthetic, a band of full, plump gingiva is needed to fill in the space on either side of implant. The most common soft tissue complication is called a black-triangle, where the papilla (the small triangular piece of tissue between two teeth) shrinks back and leaves a triangular void between the implant and the adjacent teeth. Dentists can only expect 2–4 mm of papilla height over the underlying bone. A black triangle can be expected if the distance between where the teeth touch and bone is any greater.(pp81–84)
Ridge augmentation is a common procedure performed to help recreate the natural contour of the gums. Often, after a tooth is removed, your jawbone no longer needs to support it and will naturally begin to deteriorate and recede. The height and width of the socket, which was supported by the tooth, will begin to shrink after the tooth is removed. This can lead to a gum indentation developing where the tooth used to be.
Baking soda — There is some research supporting baking soda’s ability to whiten teeth when present in toothpaste. However, Dr. Philip Fisher of North Carolina recommends avoiding these types of toothpastes altogether: “I frown upon some of the more abrasive whitening toothpastes, like those with baking soda. Try not to use those, because they are harmful to the enamel [and] cause way too much sensitivity.” Dental Implants London - WATCH WARNING
For patients who have lost all their teeth due to decay or gum disease of the upper and/or lower arch, an option is available to provide a very stable and comfortable prosthesis using a minimal number of implants. One such is example is the "All-On-4" technique that was named by implant manufacturer Nobel Biocare. This technique gets its name from the idea that four implants can be used to replace all teeth in a single arch (upper or lower). The implants are strategically placed in areas of good strong bone, and a thin denture prosthesis is screwed into place. The All-On-4 technique provides teeth replacement that is stable (not removable) and feels like natural teeth compared to the older method of traditional (removable) complete dentures. Without a doubt, implant dentistry has allowed for more treatment options to replace single and multiple missing teeth with long-term stability and contributes to improved oral health.
The damage to teeth and gums comes from the immune system as it attempts to destroy the microbes that are disrupting the normal symbiosis between the oral tissues and the oral microbe community. As in other tissues, Langerhans cells in the epithelium take up antigens from the microbes, and present them to the immune system, leading to movement of white blood cells into the affected tissues. This process in turn activates osteoclasts which begin to destroy bone, and it activates matrix metalloproteinases that destroy ligaments. So, in summary, it is bacteria which initiates the disease, but key destructive events are brought about by the exaggerated response from the host's immune system.
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Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. In its early stage, called gingivitis, the gums become swollen, red, and may bleed. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or fall out. Bad breath may also occur.
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The first thing to do is visit your dental team for a thorough check-up of your teeth and gums. They will measure the 'cuff' of gum around each tooth to see if there is any sign that periodontal disease has started. X-rays may also be needed to see the amount of bone that has been lost. This assessment is very important, so the correct treatment can be prescribed for you. Dental Implants in London