Posts for: December, 2013

By Anthony Gazzola, Jr., DMD
December 30, 2013
Category: Dental Procedures
Tags: dental implants  
KnowWhattoExpectWithDentalImplantSurgery

As dental implants increase in popularity, the surgical procedures to install them are becoming quite commonplace. Still, many people are nervous about this procedure, perhaps not really knowing what to expect. So if you're considering dental implants, here's a rundown of what happens before, during and after the procedure.

Dental implants are actually a tooth root replacement system. A post made of titanium is inserted into the jaw bone at the site of the missing tooth. Because of titanium's bone-friendly molecular structure bone cells naturally gravitate to its surface; over time the inserted post and bone will fuse. After a few weeks of this process, the post will be ready for a porcelain crown, bridge or overdenture to be attached to it.

Before the implant surgery you will undergo a complete dental exam. Everything is planned out in advance so that we know the exact location along the jaw to place the implants. In many cases we create a surgical template that can be used during surgery to identify these precise locations.

The procedure itself is painless for most patients, requiring only a local anesthesia. The procedure begins with small incisions in the gum tissue to allow us to see the precise point in the bone for the implant. We then create a small hole in the bone, using a drilling sequence of successive larger holes until we've achieved the best fit for the implant (during drilling you may experience a mild vibration). We then remove the implants from their sterile packaging, place them immediately into the drilled hole, then stitch the gum tissue back into place.

After surgery, most patients encounter only a mild level of discomfort for a day or two. This can be managed by prescription doses of common pain relievers like aspirin or ibuprofen, although we will use surgical strength ibuprofen. Rarely do we need to prescribe something stronger.

Once the implant fuses permanently with the bone, we then affix the final crown or other dental device in a painless procedure. This final step will give you back not only the use of your teeth, but a more appealing smile as well.

If you would like more information about dental implant surgery, 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 “Dental Implant Surgery.”


By Anthony Gazzola, Jr., DMD
December 27, 2013
Category: Oral Health
HowDentistrySavedKathyIrelandsSmile

It is not often that you find a celebrity who is willing to speak candidly about any cosmetic or restorative dentistry that he or she has had. Instead, most prefer that their fans just assume that their dazzling “Hollywood” smile is something that just happened naturally. However, that is not the case with Kathy Ireland, the former Sports Illustrated cover girl, current business mogul and founder of kathy ireland Worldwide, a billion dollar marketing and design firm. In a Dear Doctor magazine cover story she talks openly about her dental experiences, injuries and treatment so that people worldwide can understand what may be possible for them.

For Kathy, it happened several years ago when she was playing with her husband and children in their driveway. Kathy decided that she would stand in her children's wagon and surf across their driveway. Instead, she ended up “face-planting,” as she describes it, in a freak accident that left her with a broken nose, split forehead and several broken teeth. She recalls that it sounded like a watermelon had smashed. Luckily, her husband, an emergency room physician, was on hand to care for her. Kathy is just as thankful to her cosmetic and restorative dentist who restored her trademark smile with some veneers and a dental implant. Today, the only reminder she has from this accident is a small scar on her nose that she covers with a little makeup.

You would think that this accident would be enough trauma for one person; however, Kathy describes an earlier accident where she knocked out a tooth and then later knocked it loose again. Kathy also wanted to take the time to let readers know that her dental implant experiences were “pretty easy.” She did recall, “hearing all the sounds while all of it was going on” and then added, “but I have to tell you, that after being a mom and having kids, going to the dentist...is like going to the spa!” She said that she has even fallen asleep in the dental chair.

To learn more about Kathy Ireland, continue reading the Dear Doctor magazine article “Kathy Ireland.” Or if you think cosmetic or restorative dentistry is right for you, contact us today to schedule an appointment to discuss your specific goals.


By Anthony Gazzola, Jr., DMD
December 12, 2013
Category: Dental Procedures
Tags: dental implants  
NewPermanentTeeth-FasterThanEver

If you have lost your natural teeth, you may already have heard that dental implants are the best option for tooth replacement. Unlike removable dentures or bridgework, implants actually fuse to your jawbone — providing lifetime support for a full set of great-looking replacement teeth. But you may not know that for many people without teeth, it’s possible to receive an entire set of new implant teeth in just one surgical appointment!

Here are the steps:

Initial Consultation — We will assess your existing condition with the help of x-ray imaging. CT scans allow us to see the jawbone in three dimensions, which is particularly helpful for planning implant treatment. These scans provide critical information about anatomical structures such as bone, sinuses and nerves, and help us determine the ideal location for the implants as we design your new smile.

Implant Surgery — The surgery to place implants is actually minor and routine. If you need to have any failing teeth removed, we will do that first. Depending on the quality of your tooth-supporting bone, you may need as few as four or, at most, eight implants in each jaw (upper and lower) to replace all of your teeth.

Temporary Teeth — If the bone in your jaw is healthy and strong enough, we can immediately attach temporary acrylic replacement teeth to the implants so that you can leave the office with teeth the same day as your implant surgery! Once you have fully healed, we will replace your temporary teeth with permanent ones.

Healing — During the first 6-8 weeks after surgery, you”ll need to go easy on the new teeth, avoiding chewy or tough foods so that the implants remain stationary as they complete the process of fusing to your jawbone. People generally have little postoperative discomfort after surgery and begin functioning with their new temporary teeth almost immediately.

A Revitalized Smile — When we are satisfied that your implants have successfully fused to the jawbone, we will remove your temporary teeth and replace them with your permanent ones. These are generally made of stronger, more durable materials and fit the healed gum tissues more precisely. They should feel just like your own teeth. In fact, neither you nor anyone else should be able to tell that they are replacement teeth!

If you would like to learn more about replacing all of your missing teeth with dental implants, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “New Teeth in One Day.”