Dental Arts of Wyomissing Blog
Posts for: December, 2013
Dental implants are a popular and effective restoration for lost teeth, if there’s enough bone present to support the implant. That might not be the case, however, because without the stimulation of the lost tooth, the bone may dissolve (resorb) over time. It’s possible, however, that you may need to re-grow bone in the back area of the upper jaw where your upper (maxillary) sinus is located.
Sinuses are air space cavities located throughout the skull. This feature allows your head to be light enough to be supported by your neck muscles. Inside each sinus is a membrane that lines your sinus cavities, nasal passages and other spaces. The maxillary sinus is located on each side of the face just below the eyes. Pyramidal in shape, the floor of the pyramid lies just above the upper back teeth.
A surgeon approaches the sinus through the mouth, with the objective of moving the sinus membrane up from the floor of the sinus. This is accomplished by placing bone-grafting material in the area. Over time the body uses the grafting material as a scaffold to produce new bone that then replaces the grafting material. The resulting new bone becomes the support for the implant.
If enough bone exists to stabilize an implant but not anchor it, then the surgeon can approach the sinus from the same opening that’s used for the intended implant site, insert the grafting material, and install the implant during the same procedure. If not, the surgeon creates a small “window” laterally over the teeth to access the sinus and insert the graft. The implant is installed a few months later after the new bone is created.
The procedure usually requires only a local anesthetic, although some patients may require additional sedation or anti-anxiety medication. After the surgery, you normally experience mild to moderate swelling and discomfort, about the same as having a tooth removed. All these symptoms can be managed with non-steroidal, anti-inflammatory pain medication and a decongestant for minor congestion in the sinus. We might also prescribe an antibiotic to help prevent infection.
Although this procedure adds another step and possibly more waiting time to implantation, it gives you an option you wouldn’t otherwise have — a life-like, effective replacement of your back teeth with dental implants.
If you would like more information on bone regeneration for 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 “Sinus Surgery.”
It’s time for your semi-annual visit to our office. As we prepare for your examination and teeth cleaning, we may also take a moment to check your blood pressure.
No, you’re not in the wrong office. The fact is, blood pressure screenings in dental offices are becoming more prevalent. The reason is twofold: as one of your healthcare providers, we may be able to identify a problem with your blood pressure that has previously gone unnoticed; and hypertension (chronic high blood pressure) and any drugs you may be taking for it can affect your dental health and how we provide treatment.
Hypertension, the medical term for high blood pressure, is usually regarded as any sustained pressure greater than 125/80 mm Hg (millimeters of mercury). It’s been identified as a major cause of cardiovascular disease, a family of heart-related diseases that affect an astounding 80 million people in the United States. Chronic hypertension has gained a reputation as “the silent killer” — many people are unaware they have it and if left untreated can lead to more serious conditions such as stroke or heart attack. It’s also a symptom of diabetes, even in the absence of other symptoms.
As part of your healthcare team, we’re in a good position to screen for hypertension and other general health problems. At the same time, hypertension is an important factor in dental care, especially if you are on regulating medication. Many anti-hypertensive drugs have side effects, such as dry mouth, that can affect your oral health. Your pressure status and medications may also affect the types and dosages of local anesthetics we would use during procedures; many of these constrict blood vessels (known as vasoconstrictors), which can elevate blood pressure.
A simple blood pressure check could reveal a health problem you didn’t even know about. It also helps us provide you with better and safer dental care.
If you would like more information on the effects of high blood pressure on your dental health, 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 “Monitoring Blood Pressure.”
During most of your life, your dental healthcare will be mainly provided by your general dentist. Sometimes, though, certain situations and conditions call for the skills of a dental specialist. One such specialist is an oral surgeon.
An oral surgeon is a dentist who has undertaken further training and residencies in the practice of oral surgical procedures and treatments. They are especially distinguished by surgical procedures that may require advanced forms of anesthesia.
The field of oral surgery touches on a wide array of conditions. They are adept at tooth extractions, especially difficult cases like impacted teeth, and surgical procedures that correct issues involving the underlying bone of the jaw. They perform procedures as part of treatment for diseases of the jaws or facial region (including biopsies, and the removal and treatment of oral cancers), reconstructive surgeries of the mouth and jaw following disease or injury, and orthognathic surgeries that correct malocclusions (bad bites) caused by the size of the jaw and its placement with the skull.
Oral surgeons also provide treatments in the area of pain management like temporo-mandibular disorder (TMD), a group of conditions involving the joint that connects the lower jaw with the skull. Because of their background training in oropharyngeal (pertaining to the back of the mouth and the throat) physiology, many oral surgeons have received further training in the diagnosis and treatment of obstructive sleep apnea (OSA). They also play an important role in cosmetic dentistry, as with the surgical placement of dental implants.
All in all, these professionals are an important part of your dental healthcare team. Along with your general dentist and other oral specialists, they’re committed to helping you gain the highest degree of dental health possible, as well as a vibrant, healthy smile.
If you would like more information on the role of oral surgeons, 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 “Why Consult an Oral Surgeon?”