Dental implants are widely recognized as the best tooth replacement option available. For most people, though, it’s a long process: after a tooth is extracted the socket is allowed to heal and fill in with new bone before implant surgery: that can take anywhere from two to five months. Afterward, there’s usually a two– to three–month period after the implant is placed before the permanent crown (the visible tooth) can be attached.
Without adequate bone present the implant’s long-term stability might be compromised. Furthermore, the implant’s durability is dependent upon bone growth around and attaching to its titanium post after surgery in a process known as osseo-integration. These two considerations indeed serve a critical function in the implant’s ultimate success.
In recent years, however, a variation to this traditional implant process has emerged that allows for immediate implantation right after extraction. Besides combining extraction and implantation into one surgical procedure, immediate implants minimize the disruption to a person’s appearance (especially with visibly prominent front teeth) when combined with a provisional crown.
Immediate implants joined together that replace a full arch of teeth can receive biting forces and succeed. Individual implants that replace single teeth, however, won’t work in all situations and must be undertaken with care to ensure long-term success. Because there may be less available bone, the implant must fit snugly within the socket to maintain as secure a hold as possible. The surgeon must also take care not to damage too much of the gum and bone tissue when extracting the tooth, which could affect both the integrity of the implant and its appearance in the gum line.
Temporary crowns may be attached during the implant surgery, but they’re installed for appearance’ sake only. For individual crowns, they must be designed not to make contact with the teeth on the opposing jaw to avoid generating biting forces that will cause the implant to fail and stop the bone-healing process that occurs with osseo–integration.
If you’re considering dental implants, it’s important to discuss with us which type of procedure, traditional or immediate, would be best for you, and only after a comprehensive examination of your mouth and jaw structure. Regardless of the approach, our goal is to provide you with a smile-transforming restoration that will last for many years to come.
If you would like more information on the dental implant process, 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 “Immediate Implants.”
While the prevention and treatment of tooth decay has improved dramatically over the last half century, it continues to be a major health issue, especially for children. One in four children 5 and younger will develop some form of the disease.
Although tooth decay in children stems from the same causes as in adults — the presence of decay-causing bacteria in plaque, unprotected teeth and the right mix of carbohydrates like sugar left in the mouth — the means by which it occurs may be different. We even define tooth decay differently in children as Early Childhood Caries (ECC), “caries” the dental profession’s term for tooth decay.
ECC highlights a number of cause factors specific to young children, such as: continuous use of a bottle or “sippy cup” filled with juice or other sweetened beverages; at-will breast-feeding throughout the night; use of a sweetened pacifier; or regular use of sugar-based oral medicine to treat chronic illness.
If you noticed sugar as a common denominator in these factors, you’re right. As a primary food source for bacteria, refined sugar is a major trigger for the disease especially if it constantly resides in the mouth from constant snacking or sipping. In fact, it’s the primary driver for a particular pattern of decay known as Baby Bottle Tooth Decay (BBTD). This pattern is specifically linked to sleep-time bottles filled with juice, milk, formula or other sweetened beverages, given to an infant or toddler to help soothe them through the night or during naps.
All these factors cause a cycle of decay. To interrupt that cycle, there are some things you as a parent should do: perform daily hygiene with your child to reduce decay-causing bacteria; reduce the amount and frequency of carbohydrates in the diet, particularly sugar; and protect the teeth by having us apply fluoride or sealants directly to the teeth.
Early tooth decay could affect your child's oral health for years to come. With a little care and vigilance, you improve your chances of avoiding that encounter.
If you would like more information on preventing tooth decay in children, 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 “Dentistry & Oral Health for Children.”
The monarchs of the world experience the same health issues as their subjects—but they often tend to be hush-hush about it. Recently, though, the normally reticent Queen Elizabeth II let some young dental patients in on a lesser known fact about Her Majesty's teeth.
While touring a new dental hospital, the queen told some children being fitted for braces that she too “had wires” once upon a time. She also said, “I think it's worth it in the end.”
The queen isn't the only member of the House of Windsor to need help with a poor bite. Both Princes William and Harry have worn braces, as have other members of the royal family. A propensity for overbites, underbites and other malocclusions (poor bites) can indeed pass down through families, whether of noble or common lineage.
Fortunately, there are many ways to correct congenital malocclusions, depending on their type and severity. Here are 3 of them.
Braces and clear aligners. Braces are the tried and true way to straighten misaligned teeth, while the clear aligner method—removable plastic mouth trays—is the relative “new kid on the block.” Braces are indeed effective for a wide range of malocclusions, but their wires and brackets make it difficult to brush and floss, and they're not particularly attractive. Clear aligners solve both of these issues, though they may not handle more complex malocclusions as well as braces.
Palatal expanders. When the upper jaw develops too narrowly, a malocclusion may result from teeth crowding into too small a space. But before the upper jaw bones fuse together in late childhood, orthodontists can fit a device called a palatal expander inside the upper teeth, which exerts gentle outward pressure on the teeth. This encourages more bone growth in the center to widen the jaw and help prevent a difficult malocclusion from forming.
Specialized braces for impacted teeth. An impacted tooth, which remains partially or completely hidden in the gums, can impede dental health, function and appearance. But we may be able to coax some impacted teeth like the front canines into full eruption. This requires a special orthodontic technique in which a bracket is surgically attached to the impacted tooth's crown. A chain connected to the bracket is then looped over other orthodontic hardware to gradually pull the tooth down where it should be.
Although some techniques like palatal expanders are best undertaken in early dental development, people of any age and reasonably good health can have a problem bite corrected with other methods. If you are among those who benefit from orthodontics, you'll have something in common with the Sovereign of the British Isles: a healthy, attractive and straighter smile.
At Sudbury Family Dental Care in Sudbury MA, we welcome patients of all ages--from the youngest of children to our friends in their senior years. Preventive services are the cornerstone of all we do. Dr. Maria Elizondo-Marinescu, Dr. Sorin Marinescu, and their associate dentists strive to keep teeth and gums healthy for life. Is it time for your routine appointment with your general dentist?
What to expect
Whether you schedule a routine or urgent care appointment with your Sudbury general dentist, your professional team will greet you warmly and promptly at our Sudbury MA office. You'll be asked basic screening questions and be directed to update health and insurance information online.
Then, a dental assistant will escort you to one of our bright and comfortable treatment rooms. Your general dentists and their staff implement the highest standards in patient safety with:
- N95 masks
- High volume aerosols
- Small particulate filtration systems
- Strict sterilization and disinfection techniques and proper social distancing throughout our facilities
At Sudbury Family Dental Care, we adhere to the Centers for Disease Control (CDC) guidelines for your utmost protection.
Your general dentistry services
The Consumer Guide to Dentistry says general dentists provide the preventive, restorative, and aesthetic treatments needed to avoid or treat a variety of oral health problems and to improve the appearance of teeth and gums.
At our Sudbury MA office, our general dentists get to know their patients well and follow through on comprehensive care plans to foster the best oral health. We also have an on-staff periodontist, orthodontist, and endodontist to meet your more complex needs such as gum disease therapy, root canals, and orthodontics.
Your six-month cleaning and exam yield valuable information about your current oral health and your overall health too. Dr. Maria Elizondo-Marinescu, Dr. Sorin Marinescu, and their colleagues use these services as the baseline for current and future care and to prevent problems as early as possible.
Schedule your appointment
At Sudbury Family Dental Care in Sudbury MA, general dentistry is anything but general. We look forward to seeing you for your prophylactic care. In a single location, we offer you the state of the art treatments you need to have your brightest, healthiest smile. Phone us to schedule your appointment with Dr. Maria Elizondo-Marinescu, Dr. Sorin Marinescu, and their associate dentists. We look forward to seeing you! Call (978) 443-5193.
Your dentists at Sudbury Family Dental Care in Sudbury MA invite you to improve your smile with a state of the art cosmetic dentistry services. Dr. Maria Elizondo Marinescu, Dr. Sorin Marinescu, and their associates improve the appearance of numerous smiles so patients look great and feel confident.
Get the smile you want
At your cosmetic dentistry Sudbury office, if you can imagine it, we can deliver it. The American Academy of Cosmetic Dentistry (AACD) cites research that most Americans notice your smile before they notice anything else about you. Based on that initial impression, many opinions form, including how smart, friendly, and competent you are.
Our cosmetic dentists, Dr. Maria Elizondo Marinescu, Dr. Sorin Marinescu, and their associates, help patients define and refine their cosmetic goals. Resulting smiles are bright and confidence-inspiring, both for the observers and the people themselves. They offer in-depth cosmetic dentistry consultations in Sudsbury to include:
- A complete dental exam and X-rays to make sure your mouth is healthy
- Review of your goals and realistic options
- Formulation of a care plan to include treatments, budget, and timeline
- Preview of your fabulous new smile
Offered aesthetic services
Zoom! Whitening: Today's most popular teeth whitening option, Zoom! Whitening takes under an hour, leaving your smile free of dark dental stains and overall dullness. Your dentist swabs on hydrogen peroxide gel three times, activating it with a special light and rinsing it off to reveal bright enamel. Take-home trays keep your smile bright indefinitely.
Lumineers: These no-prep dental laminates are ultra-thin and require no enamel resurfacing. Customized to completely cover the front of teeth marred by chips, stains, cracks, and gaps, lumineers permanently reshape healthy teeth to look their very best.
Composite resin bonding: Your cosmetic dentists in Sudsbury apply a tooth-colored putty to erase small dental flaws, creating a realistic shape that is highly durable.
Cosmetic contouring: Often the last step in a more extensive treatment, contouring gently sands and shapes tooth edges for the perfect finish.
Porcelain crowns: These realistic caps of premium ceramic protect weak, cracked, or misshapen teeth. Also, they attach bridgework to neighboring teeth, restore dental implants, and protect teeth after root canal therapy. Crowns combine the best of restorative and cosmetic dentistry in one service.
White fillings: Made of composite resin, glass ionomer, or porcelain, white fillings restore decayed teeth and look lifelike. You may elect to replace unattractive metal fillings with these durable materials too.
What an improvement!
Get your beautiful smile noticed when you choose cosmetic dentistry services from Sudbury Family Dental Care in Sudbury MA. Call for a consultation with Dr. Maria Elizondo Marinescu, Dr. Sorin Marinescu, or one of our wonderful associate dentists: (978) 443-5193. We look forward to serving you!
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