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Tabitha’s Invisalign Journey

Hi everyone!

It’s been just shy of a month since I started my Invisalign journey here at the practice. It’s been something I have wanted to do for a long time and after seeing so many amazing results, I finally thought it was my turn to play patient!

At the time of writing, I am currently in my fourth aligner and so far, so good.

For those of you that are unaware, Invisalign is a clear aligner system that straightens your teeth. The aligners are removable and you change them either weekly or two weekly. There are tooth coloured ‘attachments’ which are placed on the teeth and these cause the tooth movement into the desired position.

Although I have seen many happy patients go through the Invisalign process I was worried about what the aligners would feel like and how they would affect my day-to-day life, e.g. talking, sleeping, eating etc, However, Invisalign had already considered this because the first set of aligners anyone is given are purely just clear retainers to help you get used to the sensation and adjust to what is going to be your ‘new normal’. This helps you to get used to the feeling of the aligners without having the added extra of the attachments causing the teeth to move.

At the start of November, I visited Dr Abdullah’s surgery where he placed the attachments on my teeth where required. The location and position of the attachments vary from person to person, depending on your case requirements. The attachments are in essence a small piece of tooth coloured filling that is placed into the inside of the aligner, then that aligner is placed into the mouth and the attachment is set into the correct place on your tooth. Once the attachments are on and the aligners placed into the mouth, the Invisalign process is underway and in a matter of just over 20 weeks my treatment will be completed (everything going to plan).

In my first week of wearing my aligners, my teeth did feel delicate, which I noticed more when I wasn’t wearing my aligners so my compliance with ensuring I wore my aligners for 22 hours per day was great! Since then, my teeth have only been tender on the days when I change my aligners, but this is as expected, and these symptoms do not last long.

I will be documenting my journey during my Invisalign process through the Christchurch newsletter and our social media pages, so be sure to check these out over the next few weeks!

Tabitha

How to Replace a Missing Tooth: Comprehensive Guide

Losing a tooth can be a distressing experience, affecting both your appearance and dental health. Fortunately, modern dentistry offers several effective solutions to replace a missing tooth. This guide explores the available options, their benefits, and considerations to help you make an informed decision.

Why Replace a Missing Tooth?

Replacing a missing tooth is crucial for several reasons:

1. Aesthetics: A gap can affect your smile and self-confidence.
2. Functionality: Missing teeth can hinder chewing and speaking.
3. Oral Health: Gaps can lead to misalignment, bone loss, and increased risk of decay in surrounding teeth.

Replacement Options

1. Dental Implants

Overview: Dental implants are titanium posts surgically placed into the jawbone, acting as a root for the replacement tooth.

Benefits:

• Durability: Can last a lifetime with proper care.
• Stability: Mimics the strength and function of a natural tooth.
• Bone Health: Stimulates the jawbone, preventing bone loss.

Considerations:

• Cost: Higher initial cost compared to other options.
• Surgery: Requires a surgical procedure and healing time.

2. Dental Bridges

Overview: A dental bridge consists of one or more artificial teeth (pontics) anchored by crowns on adjacent natural teeth.

Benefits:

• Aesthetics: Provides a natural look.
• Functionality: Restores chewing and speaking ability.
• Non-Surgical: Less invasive than implants.

Considerations:

• Impact on Adjacent Teeth: Requires alteration of healthy teeth.
• Lifespan: Generally lasts 5-15 years.

3. Removable Partial Dentures

Overview: Removable partial dentures consist of replacement teeth attached to a plastic or metal framework.

Benefits:

• Affordability: Less expensive than implants and bridges.
• Non-Invasive: No surgery required.
• Flexibility: Easy to remove and clean.

Considerations:

• Stability: Less stable than permanent options.
• Comfort: Can cause discomfort or sores if not fitted properly.
• Aesthetics: May be less natural-looking.

4. Resin-Bonded Bridges (Maryland Bridges)

Overview: Resin-bonded bridges use a metal or porcelain framework bonded to the back of adjacent teeth.

Benefits:

• Minimal Impact on Adjacent Teeth: Requires less alteration of healthy teeth.
• Cost-Effective: Cheaper than traditional bridges and implants.
• Aesthetics: Blends well with natural teeth.

Considerations:

• Durability: Less durable than traditional bridges and implants.
• Suitability: Best for replacing front teeth rather than molars.

Factors to Consider

When choosing the best option for replacing a missing tooth, consider the following factors:

• Oral Health: The condition of your gums and remaining teeth.
• Budget: The cost of the procedure and any potential maintenance.
• Longevity: How long the replacement is expected to last.
• Comfort: How comfortable you will be with the replacement.
• Aesthetics: How natural the replacement will look.
• Time: The duration of the procedure and recovery time.

Conclusion

Replacing a missing tooth is a significant decision that can impact your overall dental health and quality of life. By understanding the available options and considering your specific needs and circumstances, you can choose the solution that best suits you. Consult with a dental professional to discuss your options and develop a treatment plan tailored to your situation.

Further Reading

For more detailed information, you can refer to the following resources:

American Dental Association: Dental Implants
WebMD: Dental Bridges
Mayo Clinic: Dentures

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By considering these factors and discussing them with your dentist, you can ensure the best outcome for your dental health and overall well-being.

Navigating Dental Health During Pregnancy: What Happens to Your Teeth and How to Care for Them

Pregnancy is a remarkable journey that brings about numerous changes in a woman’s body, including those in the oral cavity. Hormonal fluctuations, dietary changes, and increased blood flow can impact dental health. Understanding these changes and how to address them can help maintain a healthy smile throughout pregnancy.

How Pregnancy Affects Your Teeth

1. Hormonal changes and gum health

During pregnancy, elevated levels of oestrogen and progesterone can lead to increased blood flow to the gums, making them more sensitive and prone to inflammation. This condition, known as pregnancy gingivitis, can cause redness, swelling, and bleeding, especially during brushing and flossing. If left untreated, gingivitis can progress to periodontitis, a more severe form of gum disease that can affect the bone supporting the teeth.

2. Increased risk of tooth decay
Pregnancy can increase the risk of cavities due to several factors:
• Dietary Changes: Cravings for sugary and carbohydrate-rich foods can lead to more frequent snacking, which increases the risk of tooth decay.
• Morning Sickness: Frequent vomiting due to morning sickness exposes teeth to stomach acids, which can erode enamel and increase the risk of decay.
• Neglected Oral Hygiene: Fatigue and discomfort may lead to less diligent oral care routines.
3. Pregnancy tumours
Some women may develop pregnancy tumours, which are non-cancerous growths on the gums that appear as a response to irritants like plaque. These growths can cause discomfort and may bleed easily but usually disappear after childbirth.
4. Dry mouth
Hormonal changes can sometimes cause dry mouth (xerostomia), which reduces saliva production. Saliva is crucial for neutralizing acids and washing away food particles, so a lack of it can increase the risk of tooth decay and gum disease.

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How to Care for Your Teeth During Pregnancy

1. Maintain Excellent Oral Hygiene
• Brush Twice Daily: Use a fluoride toothpaste to brush your teeth at least twice a day, ideally after meals.
• Floss Daily: Flossing helps remove plaque and food particles between teeth, reducing the risk of gum disease.
• Rinse with Mouthwash: Consider using an alcohol-free antimicrobial mouthwash to reduce plaque and maintain gum health.
2. Address Morning Sickness
• Rinse After Vomiting: Rinse your mouth with water or a baking soda solution (1 teaspoon of baking soda in a cup of water) to neutralize the acid.
• Avoid Brushing Immediately: Wait at least 30 minutes before brushing your teeth to prevent further enamel erosion.
3. Healthy Diet Choices
• Limit Sugary Snacks: Reduce the intake of sugary foods and drinks, opting for healthier snacks like fruits, vegetables, and dairy products.
• Stay Hydrated: Drink plenty of water to help wash away food particles and maintain saliva flow.
4. Regular Dental Check-ups
• Visit Your Dentist: Inform your dentist about your pregnancy and schedule regular check-ups. Professional cleanings and examinations can help catch and address issues early.
• Dental Treatments: Most dental treatments are safe during pregnancy, but the second trimester is often considered the best time for non-emergency procedures.
5. Manage Gum Health
• Gum Massages: Gently massaging your gums can increase circulation and reduce inflammation.
• Choose the Right Toothbrush: Use a soft-bristled toothbrush to avoid irritating sensitive gums.
6. Stay Informed
• Discuss Medications: Consult your dentist and obstetrician about any medications you are taking, including over-the-counter drugs and prenatal vitamins, to ensure they do not adversely affect your oral health.

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Conclusion

Pregnancy brings about significant changes that can impact oral health, but with proper care and attention, you can maintain a healthy smile. Prioritize good oral hygiene, make mindful dietary choices, and keep up with regular dental visits to ensure both your and your baby’s health during this crucial time.

For more detailed information on pregnancy and dental health, consider visiting reputable sources such as the American Dental Association (ADA) or speaking with your healthcare provider.

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References

• American Dental Association
• WebMD
• National Institute of Dental and Craniofacial Research

By following these guidelines, you can navigate the dental challenges of pregnancy with confidence and ensure a healthy smile for yourself and your baby.

What is dental Sedation – Your FAQ’s Answered

1. What is dental sedation?

Dental sedation is a technique used by dentists to help patients relax and remain calm during dental procedures. It involves administering sedative drugs to induce a state of reduced anxiety or unconsciousness, depending on the level of sedation required.

2. Are there different types of dental sedation?

Yes, dental sedation can be categorized into various levels: Nitrous oxide (laughing gas) for mild sedation, oral sedation through pills or liquids for moderate sedation, and intravenous (IV) sedation for deeper sedation. General anaesthesia is also used in some cases for complete unconsciousness during extensive procedures.

3. Is dental sedation safe?

When administered by a qualified and experienced dental professional, dental sedation is generally safe. The dentist will consider the patient’s medical history and current health condition to determine the most appropriate sedation method and dosage.

4. Who is a good candidate for dental sedation?

Dental sedation is suitable for patients with dental phobia, extreme anxiety, or those undergoing complex and lengthy procedures. It is also used for young children who might find it difficult to sit still during treatment.

5. Will I be unconscious during dental sedation?

The level of unconsciousness depends on the type of sedation used. With mild to moderate sedation, you will be conscious and able to respond to commands. However, with general anaesthesia, you will be completely unconscious and won’t have any awareness during the procedure.

6. How long does dental sedation last?

The duration of dental sedation depends on the type and dosage administered. Nitrous oxide effects wear off quickly, allowing patients to drive themselves home. Oral sedatives may have lingering effects for a few hours after the procedure, while IV sedation and general anaesthesia can take longer to wear off.

7. Are there any side effects of dental sedation?

Mild side effects may include drowsiness, dizziness, or nausea. However, serious complications are rare when dental sedation is performed by a qualified professional and proper monitoring is ensured.

8. What preparations are required before dental sedation?

Patients may be asked to avoid eating or drinking for a specific period before the procedure, especially when IV sedation or general anaesthesia is used. The dentist will provide detailed pre-sedation instructions based on the individual’s medical history.

9. Can I eat or drink before dental sedation?

For certain types of sedation, you may be asked to refrain from eating or drinking for a specified time before the procedure. This is to prevent potential complications during sedation.

10. Is someone required to accompany me to the dental appointment when undergoing sedation?

For procedures involving moderate sedation or higher, it is usually required to have someone accompany you to the appointment. This person can ensure your safe transportation home after the procedure.

11. How will I feel after dental sedation?

After dental sedation, patients may feel groggy or tired. It’s essential to take rest and follow post-procedure instructions provided by the dentist.

12. Are there any medications or activities I should avoid after dental sedation?

Patients should avoid operating heavy machinery, driving, or engaging in activities that require full alertness for at least 24 hours after receiving dental sedation.

13. Can dental sedation be used for all dental procedures?

While dental sedation can be used for various procedures, the level of sedation required depends on the complexity and length of the treatment. Some routine procedures may not necessitate sedation.

14. What are the qualifications of the dentist providing dental sedation?

A dentist providing dental sedation should have proper training, certification, and experience in sedation dentistry. This ensures safe and effective administration of sedation.

15. Will I still feel pain during the dental procedure with sedation?

Sedation helps reduce anxiety and discomfort, but local anesthesia is also used to numb the area being treated. This combination ensures that patients feel minimal pain during the procedure.

16. Can children undergo dental sedation?

Yes, dental sedation is commonly used for children who experience dental anxiety or require extensive dental work. Pediatric dentists are specially trained to administer sedation to children safely.

17. What are the alternatives to dental sedation for anxious patients?

For patients who prefer not to undergo dental sedation, alternatives such as cognitive behavioral therapy, relaxation techniques, or virtual reality distraction may be considered.

18. Are there any long-term effects of dental sedation?

In most cases, there are no long-term effects of dental sedation. However, patients with certain medical conditions should discuss potential risks with their dentist before the procedure.

19. Does dental insurance cover dental sedation?

Dental insurance coverage for sedation varies depending on the type of insurance plan and the reason for sedation. Some plans may cover it for specific procedures or cases, while others may not.

20. Can I talk to my dentist about my concerns regarding dental sedation?

Absolutely! It’s essential to communicate openly with your dentist about any concerns or questions you have regarding dental sedation. They will address your worries and help you make an informed decision about your dental care.

What is Peri-implantitis?

Peri-implantitis is an inflammatory condition affecting the soft and hard tissues surrounding dental implants. It is characterized by:

• Inflammation of the gum tissue around the implant
• Progressive loss of supporting bone

This condition can lead to the failure of the dental implant if not appropriately managed.

Causes of Peri-implantitis

Several factors contribute to the development of peri-implantitis, including:

1. Bacterial Infection: The primary cause is bacterial infection, similar to the pathogens causing periodontitis in natural teeth.
2. Poor Oral Hygiene: Inadequate oral hygiene can lead to plaque accumulation, providing a breeding ground for bacteria.
3. Systemic Health Issues: Conditions like diabetes can increase susceptibility to infections, including peri-implantitis.
4. Smoking: Smoking impairs healing and immune response, increasing the risk of peri-implantitis.
5. Biomaterial and Design: Certain implant surfaces and designs might be more prone to bacterial colonization.
6. Occlusal Overload: Excessive mechanical stress on the implant can cause microdamage, leading to inflammation and bone loss.
7. Previous History of Periodontitis: Individuals with a history of periodontal disease are at a higher risk of developing peri-implantitis.

Diagnosis of Peri-implantitis

Diagnosis involves clinical and radiographic evaluation:

1. Clinical Examination – Signs include redness, swelling, bleeding on probing, and suppuration.
2. Radiographic Examination – X-rays are used to assess bone loss around the implant.
3. Probing Depth Measurements – Increased probing depths around the implant indicate tissue breakdown.

Treatment of Peri-implantitis

Treatment approaches vary depending on the severity of the condition:

Non-Surgical Treatment:

• Mechanical Debridement:
  • Removal of biofilm and calculus from the implant surface using special instruments.
• Antimicrobial Therapy:
  • Local or systemic antibiotics to reduce bacterial load.
• Laser Therapy:
  • Use of lasers to disinfect the implant surface and surrounding tissues.
• Photodynamic Therapy:
  • A combination of a photosensitizing agent and light to kill bacteria.

Surgical Treatment:

• Open Flap Debridement:
  • Surgical exposure of the implant surface to remove biofilm and infected tissue.
• Resective Surgery:
  • Removal of infected tissue and reshaping of the bone around the implant.
• Regenerative Procedures:
  • Use of bone grafts and membranes to regenerate lost bone around the implant.
• Implantoplasty:
  • Smoothing the implant surface to reduce bacterial colonization.

Adjunctive Therapies:

• Chlorhexidine Rinses:
  • Antiseptic mouth rinses to maintain oral hygiene.
• Probiotics:
  • Use of beneficial bacteria to outcompete pathogenic microorganisms.
• Maintenance Therapy:
  • Regular follow-ups and professional cleaning to prevent recurrence.

Speculative and Emerging Treatments

Exploring future directions and speculative treatments:

• Nanotechnology:
  • Nanomaterials with antibacterial properties to coat implants and prevent bacterial colonization.
• Biologically Active Coatings:
  • Coatings that release antimicrobial agents over time to provide sustained protection.
• Stem Cell Therapy:
  • Use of stem cells to promote tissue regeneration and healing.
• Genetic Approaches:
  • Modifying bacterial genes to reduce virulence or enhancing host immune response genetically.

Conclusion

Peri-implantitis is a multifactorial condition that requires a comprehensive approach for management. Preventive measures, early diagnosis, and tailored treatment plans are crucial for the successful long-term maintenance of dental implants.

References

1. European Federation of Periodontology (EFP): [Peri-implant diseases](https://www.efp.org/what-is-periodontology/peri-implant-diseases/)
2. American Academy of Periodontology (AAP): [Peri-Implant Diseases and Conditions](https://www.perio.org/consumer/peri-implant-diseases)
3. Journal of Clinical Periodontology: [Studies on peri-implantitis and its treatment](https://www.onlinelibrary.wiley.com/journal/1600051x)
4. PubMed: [Research articles on peri-implantitis](https://pubmed.ncbi.nlm.nih.gov/?term=peri-implantitis)