Posts for: November, 2014

By Randall J. Bartoe, DDS, PLC
November 19, 2014
Category: Dental Procedures
BoneGraftingcanputImplantsBackonYourOptionsList

A dental implant can permanently restore the form and function of a missing natural tooth. But there’s an important prerequisite for this smile-transforming therapy — you must have enough bone remaining at the implant site to securely anchor the implant and ensure proper crown placement for the most natural looking result.

Patients who don’t meet this prerequisite may need to consider other restorative options. In some cases, however, we may be able to encourage sufficient bone growth to support an implantation through a technique called bone grafting.

Bone grafting involves opening the gum tissues at the intended implant site to expose the underlying bone. We then place the grafting material (usually a processed material) around the bone, sometimes with collagen membranes that serve as subterranean band-aids to guide bone growth. In most cases, the graft is actually a scaffold for the natural bone to grow upon; the natural bone will eventually replace the graft material. The procedure is normally performed with local anesthesia to minimize discomfort.

While bone grafting is a fairly routine procedure, it shouldn’t be undertaken unless there’s a firm prognosis it can successfully support a future implant. We must therefore determine if anything else in your oral health would disqualify you as an implant candidate, even if sufficient bone existed or not. We must also determine if there’s enough remaining bone currently at the site to even attach a bone graft.

Once we’re satisfied that bone grafting would be both possible and helpful, we must then consider what type of grafting material to use. If we’re only replacing one tooth we may choose to use an autograft, bone material taken from another area of your own body. Although autografts have advantages because of their regeneration ability, it does involve creating another surgical site within the body. In most cases we may use processed materials, for example allografts, material that originates from another human being; xenografts, taken from another species of animal; or synthetic (man-made) materials. Regardless of the source, these materials are first processed to be safe for human use.

If successful, the regeneration process will result in enough new bone structure to make dental implants a reality. Your mouth will be healthier — and your resulting smile will be more beautiful than ever.

If you would like more information on bone grafting, 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 “Can Dentists Rebuild Bone?


By Randall J. Bartoe, DDS, PLC
November 04, 2014
Category: Oral Health
NancyODellHelpsPutNewMomsAtEaseAboutInfantOralHealth

During Nancy O'Dell's interview with Dear Doctor magazine, the former co-anchor of Access Hollywood and new co-anchor of Entertainment Tonight could not resist her journalistic instincts to turn the tables so that she could learn more about a baby's oral health. Here are just some of the facts she learned from the publisher of Dear Doctor about childhood tooth decay, pacifier use and what the right age is for a child's first visit to the dentist.

Many moms-to-be and parents or caregivers of young children are surprised to learn that around age 1 is the ideal time to schedule a child's first visit to the dentist. This visit is crucial because it sets the stage for the child's oral health for the rest of his or her life. It can also be quite beneficial for the parents, too, as they can be reassured that there are no problems with development and that the child's teeth appear to be growing properly. And if by chance we identify any concerns, we will discuss them with you as well as any necessary treatment strategies.

Nancy also wanted to learn more about pacifiers — specifically, if it is a good idea for parents to encourage their use. Obviously, children are born with a natural instinct for sucking, so giving a child a pacifier seems totally harmless. Pacifiers definitely have some advantages; however, if used for too long — past the age of 18 months — they can cause long-term changes in the child's developing mouth (both the teeth and the jaws).

Another problem that parents and caregivers need to be aware of is baby bottle syndrome. This is a condition that develops in children who are perpetually sucking on a baby bottle filled with sugary fluids such as formula, fruit juices, cola or any liquids containing a large amount of sugar, honey or other sweeteners. It is important to note that a mother's own breast milk or cow's milk are good choices for feeding babies, as they both contain lactose, a natural sugar that is less likely to cause decay. However, if these liquids are placed in a bottle and a child is allowed to suck on it throughout the night, they, too, can promote tooth decay. The key is to feed your child properly while avoiding all-night feedings and liquids loaded with sugar.

To read the entire Dear Doctor magazine article on Nancy O'Dell as well as to learn more about a baby's oral health, continue reading “Nancy O'Dell — A life full of smiles.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination, listen to your concerns, answer your questions and discuss any necessary treatment options.