Dental floss is widely recommended by dental professionals worldwide for its effectiveness in combating gum disease. Flossing is often overlooked when people first wake up in the morning or go to bed at night. This mundane act removes plaque and bacteria that your toothbrush can’t reach.
Plaque is culprit number 1 when it comes to the development of gum disease. If you don’t remove plaque within a day or two it hardens into calculus or the more commonly term tartar, which can only be removed by a professional dental cleaning. Maintaining a daily flossing ritual prevents plaque from hardening into tartar. Chipping away at plaque on a daily basis will prevent oral care issues from surfacing later on.
Gingivitis is a common reversible form of gum disease. Currently there are 32 percent of Canadian adults 20 to 79 years of age with gingivitis, it is estimated that 48 percent of Canadian adults who have not visited a dentist in the last 12 months have gingivitis. With these high statistics you would think everyone would be flossing on a daily basis, unfortunately this is just not the case. The American Dental Association did a study indicating that 50.5 percent of Americans floss daily, 31 percent of Americans floss less than daily and 18.5 percent of Americans do not floss at all.
In 1815 it was the American dentist, Dr. Levi Spear Parmly who first used waxed silken thread as floss. He wrote a book, A Practical Guide to the Management of Teeth, this book advocated the necessity of brushing and flossing daily. Codman and Shurleft was the first company based out of Randolph, Massachusetts in 1882 to mass produce silk dental floss. A short time after Johnson & Johnson received the first ever dental floss patent. During World War II the rising cost of silk resulted in the switch to nylon as the primary material used in dental floss. Nylon doesn’t shred and its more durable than silk, it was during this time waxed dental floss was introduced, dental tape would be released later in the 1950s.
Modern day dental floss is now made with space age materials such as Gore-Tex. Teflon is another material used in dental floss brought to you by the company DuPont, adding teflon to dental floss allows it to glide across the teeth effortlessly. Synthetic wax is also another substance used in the manufacture of floss.
Oral-B is another well known company that designed their own Super Floss that is effective in flossing around braces and other dental appliances. There is no excuse for not flossing but for those of you who want another option consider the following advances in dental care.
A study entitled, “Quantification and Qualification of Bacteria Trapped in Chewed Gum” released by PLOS ONE indicated that the chewing of gum contributes to the maintenance of oral health. They did several studies with a group of people chewing gum, after the gum was chewed it was analyzed for bacterial count. Calibration curves were created by subjecting the gum to bacteria before dissolving it in a mixture of chloroform and a tris-ethylenediaminetetraacetic acid (TE)-buffer. The longer the gum was chewed the more bacteria was found in the gum.
Oral-B is also an advocate of gum chewing to reduce plaque. People reading this will want to heed the warning that gum chewing is not a substitute to regular oral care.
The next generation toothbrush is here, the interdental brush can replace regular dental floss. The majority of people still don’t floss on a regular basis so this new toothbrush is probably the best option for people who don’t like to floss. Interdental brushes are effective at removing interproximal plaque. These specialized toothbrushes can be purchased in different sizes and shapes and best of all they are extremely affordable.
Just like any other toothbrush they can be used daily for the removal of plaque and debris from the oral cavity. Coincidentally Oral-B manufacturers an Interdental Brush System that cleans around dental appliances like bridges, braces and wide interdental spaces. Designed to reach hard to reach places this toothbrush is a must have for people on the go.
Overall various studies have shed light on the popularity and ease of using an interdental brush. Manual devices have even been recommended amongst some dental professionals as being superior to automatic devices.
For a more detailed study regarding the effectiveness of interdental toothbrushes versus flossing consult the following study, Canadian Journal of Dental Hygiene.
By now you have probably realized that brushing alone is not enough. Dental domestic engineers have come up with the water oral irrigator or water flosser. This device works by sending pulsated water to clean the mouth, different pressure settings allow the user to gently clean or deep cleanse the teeth.
The concentrated water flow whisks away plaque and debris from between the teeth and below the gumline. Water flossers are very effective at treating gum disease and periodontal pockets.
Oral-B manufactures the hummingbird this device takes the place of dental floss. Electric flossers have the distinct advantage of vibrating this massages the gums. Easy to use electric flossers reach below the gum line and between the teeth to remove plaque.
Sonicare airfloss devices are another alternative to those who don’t like to floss. Philips is one such forward thinking company that manufactures the Sonicare AirFloss device. It works by delivering a combination of pressurized air and microdroplets of water to gently and safely clean the gums and teeth, the ultimate interproximal plaque remover.
In a blind study that included 148 adults in a controlled clinical trial, Sonicare AirFloss was found to significantly remove plaque and reduce gingivitis when used in combination with a manual toothbrush.
Conclusion
Despite the many breakthroughs and alternatives to manual flossing a regular toothbrushing regimen should never be replaced. If you have the time and money than you may want to consider investing in a modern dental hygiene appliance. Investing in the alternatives discussed in this article can prevent gingivitis and periodontal gum disease.
In addition to brushing your teeth and flossing you should always visit your dentist for checkups on a regular dental schedule as recommended by your dentist.
Dr. Michael Layton (DDS) is the dentist for Peace Arch Dental, a dental office in the South Surrey/White Rock, B.C. area. He has been in the dental industry for the last decade and received his Doctor of Dental Surgery from the University of Washington. He takes pride in providing positive and caring dental solutions for people of every walk of life. You can follow him on Google+.
Heart disease comes in first place as the leading cause of death in men and women in the United States. Heart disease encompasses a number of conditions that affect your heart including: heart arrhythmia, congenital heart failures and defects of the blood vessels in the heart.
Heart disease and cardiovascular disease are terms used interchangeably. Cardiovascular disease is indicative of the narrowing of the blocked blood vessels that result in heart attacks, angina and strokes. Any symptoms that result in the improper functioning of the heart muscles and valves are considered forms of heart disease.
Cardiovascular disease deaths are prevalent in Canada, Statistics Canada 2011 reported that there is a death every 7 minutes attributed to heart disease or stroke. In 2008 heart disease was responsible for 29 percent (69,703) of all deaths in Canada. The gender fatality numbers are almost equal for both sexes, 28 percent for males and 29.7 percent for females.
There are six types of cardiovascular disease types:
Stats for heart disease in Canada is provided by Statistics Canada. Four out of six types of cardiovascular disease is preventable with the application of proper teeth brushing techniques, diet and regular exercise. The Heart and Stroke Foundation provides up to date statistics on heart disease in Canada. For dollar cost expenditures for heart and stroke prevention consult the CDC (Centers for Disease Control) website.
In Canada strokes have led to 10,000 Canadians prematurely dying. Currently heart disease and its aftereffects strokes has led to 300,000 Canadians living with this disease. Smokers and heavy drinkers are at higher risks for diseases of the heart.
The cost of treating heart disease in the U.S. in 2010 was $444 billion. This equates to $1 out of $6 dollars spent on health care being spent to battle this epidemic. The elderly, women and certain racial demographics are most at risk.
Cardiovascular diseases are 37% higher among black americans than caucasians. Women have been shown to be at an increased risk for heart disease with more than 55,000 more women than men experiencing strokes.
Periodontal disease is a major culprit that contributes to heart disease in people. Left untreated gingivitis can advance to periodontal disease. If left untreated stubborn plaque will spread below the gum line producing toxins that irritate the gums.
Toxins in the bloodstream create an inflammatory response within the body infecting the surrounding gum tissue that support the teeth causing them to become loose and fall out.
Small pockets of bacteria form in the space between the teeth and gums that become infected. In advanced cases teeth may have to be removed by a dental professional.
All is not lost, the good thing is you have the power to prevent heart disease by simply adhering to a regular flossing and teeth brushing routine. Preventing food particles from putrefying and creating bacteria in the mouth is the first step in any oral care hygiene program. Flossing dislodges particles preventing them from forming into plaque and becoming gingivitis the mildest form of periodontal disease.
Brushing your teeth should be common sense for any child or adult. Keeping your mouth clean at all times prevents bacteria from taking a root hold. Preventing periodontal disease from starting is one of the easiest things in the world to deal with.
Not only will regular flossing, brushing your teeth and using an antiseptic mouthwash leave your mouth feeling clean and looking great you could potentially save your life.
Prevention is better than the cure
A little bit of prevention goes a long way, brushing your teeth is more than avoiding cavities. Spending $2 to $5 on a toothbrush is one of the easiest methods for avoiding the pain of heart disease and the fatalities that accompany this preventable dilemma.
Dr. Michael Layton (DDS) is the dentist for Peace Arch Dental, a dental office in the South Surrey/White Rock, B.C. area. He has been in the dental industry for the last decade and received his Doctor of Dental Surgery from the University of Washington. He takes pride in providing positive and caring dental solutions for people of every walk of life. You can follow him on Google+.
The greek word “apnea” translates into “without breath” in the english language. Sleep apnea is the involuntary cessation of the breath while a person sleeps. Recent studies have revealed that sleep disorders are a regular contributor to vehicular accidents. The severity of OSA (obstructive sleep apnea) is being examined in relation to chronic diseases. Receiving a proper diagnosis by a doctor or sleep specialist can reveal if an individual is deemed a high risk for driving while fatigued.
The legalities of diagnosing a person with obstructive sleep apnea has far reaching implications. In the future will people diagnosed with obstructive sleep apnea have to pay higher premium insurance costs? What about people who drive commercial vehicles that display symptoms of having a sleep disorder, will they be required to undergo regular exams to retain their licences? People who experience chronic snoring may be reticent to get diagnosed for fear of penalties.
At this current time, there are no laws preventing drivers with sleep apnea from driving. Chronic sleep disorder is a problem that can affect any number of people. For people who suspect they have sleep apnea an early diagnosis is recommended by a medical professional before more serious health complications develop.
There are 2 main types of sleep apnea:
This occurs when the throat muscles are obstructed by a narrowing of the airway at various stages during sleep. The epiglottis is a cartilaginous flap at the top of the larynx that regulates the passage of air. When it becomes blocked the positive airflow pressure forces the epiglottis in the opposite direction making it difficult for a person to inhale properly. People suffering from OSA may stop breathing up to 100 times during the night, the cessation of breath may last up to a minute or longer. Many people who have this condition are completely unaware of this problem.
People who suffer from central sleep apnea experience shallow breathing in contrast to a failure to breathe during the night like OSA sufferers. CSA sufferers account for a smaller percentage of all known cases of sleep apnea. OSA is experienced by the majority of people with sleep disorders. The breathing of a CSA sufferer can be extremely shallow resulting in an insufficient intake of air necessary for a restful sleep. The lack of oxygen to the brain usually results in the person waking up in the middle of the night.
The Public Health Agency of Canada estimates an astonishing 858,900 or 3 percent of Canadian adults 18 and older reported sleep apnea symptoms. Of those diagnosed 26 percent of adults reported having all the main symptoms of developing obstructive sleep apnea.
The CDC (Centers for Disease Control) estimates 50 to 70 million adults in the United States have chronic sleep and wakefulness disorders. The National Sleep Foundation recommends that most adults need 7 to 9 hours of sleep per night. The CDC analyzed data from a new sleep module that was part of the Behavioral Risk Factor Surveillance System in 2009. What they discovered among the 74,571 adult respondents in the 12 states was very interesting, 35.3 percent of people who reported getting less than 7 hours of sleep reported delayed alertness in daytime activities.
Public awareness of sleep disorders namely OSA has taken on significant importance in the last few years. Excessive snoring is no longer overlooked by health care professionals as it may have been in the past. Snoring was once thought of as a mild nuisance but extensive research by sleep disorder institutes and doctors has shed light on the link of chronic diseases and sleep apnea. Education and training are the best current methods for combating the effects of sleep apnea. Sleep Awareness Week is an annual public education campaign to promote the necessity and importance of sleep, the last one took place March 2-8, 2015. The NSF (National Sleep Foundation) specifically examines sleep and its effects on the modern family. Lack of sleep is a major cause of traffic accidents. Before getting into the statistics of vehicular accidents lets examine who is at risk for OSA.
Traditional sleep apnea was thought to be most prevalent in obese males. Longitudinal epidemiological research studies have been found to be accurate in ascertaining diseases within certain demographic groups.
More recently, as Home Sleep Testing (HST) has becoming easier and more prevalent more and more women and men, regardless of weight have mild, moderate obstructive sleep apnea. The following statistics explain why it is important to not delay on having a home sleep test.
People with sleep apnea fit into the following categories:
The vision of RSS 2015 is to make Canada’s roads the safest in the world. In 2008, Canada was ranked 10th in terms of fatalities per billion vehicle kilometers traveled compared to other member countries of the Organization for Economic Cooperation and Development. - Transport Canada website Canada’s Road Safety Strategy (RSS) 2015
The primary risk groups for vehicular fatalities are young drivers aged 16 to 24, medical at risk drivers (i.e. heart disease and cognitive disorders), professional drivers, motorcyclists, pedestrians, bicyclists and impaired drivers (drugs, alcohol and sleep deprived motorists). Undiagnosed obstructive sleep apnea is a very real threat when it comes to contributing to the statistics having to do with fatalities and traffic accidents.
The American Thoracic Society recommends patients diagnosed as high risk drivers undergo polysomnography testing at a sleep laboratory. If a clinical study reveals without a doubt a person has OSA, CPAP (Continuous positive airway pressure) therapy may be recommended for treatment.
CPAP machines and dental appliances have proved to be successful in treating sleep apnea. This is great news for drivers and people employed in the transport industry. Making a simple checklist or talking to your spouse if you display any of the symptoms of this sleep disorder can put your mind at ease. If you think you or a friend or family member are an OSA sufferer, please give our office a call at (778) 803-1615 or fill out the appointment request form under the Contact Us tab. We will help you by arranging a free Home Sleep Test (HST) and diagnosis with a sleep physician who specializes in sleep studies.
Misaligned teeth is the most common cause for needing orthodontic braces. The technical term malocclusion is classified as the difference between the maxilla (upper jaw) and the (mandible) lower jaw not aligning properly. A person with a correct bite has the points of the molars fitting the grooves of the opposite molars. The layman’s term for malocclusion is crooked teeth or a bad bite.
Malocclusion is divided into 3 main categories:
The most common signs of malocclusion are the following:
Forms of malocclusion include cleft palates and a non-symmetrical facial bone structure. Crooked or misaligned teeth commonly occur from accidents, playing full contact sports or the local bar fight that inevitably arise at places where people imbibe alcohol in excess. Any form of malocclusion should be treated immediately before it leads to more serious conditions.
Tooth decay, gum disease and the loss of individual teeth is a foregone conclusion for people who don’t get treated. A missing tooth can put extra pressure on the remaining teeth causing them to shift position in a persons mouth. Bone and gum tissue are also placed under unnecessary stress leading to jaw bone problems later on in life. Hygiene is a major issue for people with missing teeth.
This is an easy one, smoking has been proven to increase the risk of gum disease. Smoking compromises the immune system and contributes to gum disease which can lead to needing orthodontic braces.
Periodontal disease is further complicated by people suffering from diabetes. Many studies have been conducted showing that diabetic patients are twice as likely as non diabetic subjects to suffer from oral health issues. Check out “The Relationship Between Diabetes and Periodontal Disease” for more info on why people with diabetes are more prone to dental problems.
Depending on what your dental problem is there are numerous options in the medical marketplace to fit every budget and treatment procedure. People can benefit from orthodontic treatment at any age. Straight teeth are easy to clean and aesthetically people often prefer a perfectly aligned smile. Being fitted with braces by an accredited dental professional puts gentle pressure on your teeth allowing them to shift into proper position. Depending on the severity of your malocclusion treatment time will vary from person to person. A qualified dentist will best be able to make a recommendation for the correct orthodontic appliance based on the individual.
To ensure that your orthodontic treatment is successful you must adhere to the instructions from your dentist. If your orthodontic appliance should be worn 24 hours per day this guideline should be strictly followed to prevent relapsing of the teeth back to their former positions.
The most popular dental appliance used for correcting teeth misalignments. Modern versions of metal braces are less conspicuous than earlier models. Today’s metal braces have heat activated archwires that use your body’s heat to realign the teeth quicker than in the past. The cost of braces is determined by 3 factors:
1) Amount of tooth movement required
2) Estimated treatment time, and
3) Materials and training of the practitioner.
As always, you typically get what you pay for. Full metal braces can range from $5000 to even 3-4x that amount for the most severe cases.
Another great option for people who don’t like the look of metal braces. Ceramic braces are similar to metal braces except for the ceramic material they are made from and their higher cost. Expect to pay a minimum of $6000-7000 as increased friction results in longer treatment times associated with ceramic braces.
These fashionable braces are all the rage in Asia. DIY kits can be found at flea markets and ordered online. Fashionable braces are approximately $100. Not recommended by dentists or orthodontists. Wearers of these braces put their teeth at risk for misalignment. Fashion braces are not recommended by dental care professionals.
Worn after regular orthodontic treatment is finished and the braces are removed. The primary purpose of retainers is to maintain the alignment of the teeth. Gaps between the teeth require a longer retention period. Retainers can be fixed or removable dental appliances. Removable retainers range in cost from $150 - $300. Non-removable bonded retainers that are glued to the back of the teeth cost $500 - $1000 for both upper and lower teeth. Offer times the cost of the initial retainers are included in the total treatment cost of orthodontics.
A good choice for people who don’t like the traditional appearance of metal braces. Lingual braces are placed behind the teeth, expect to pay double the cost of traditional buccal (front side) braces. The price point is higher because lingual braces must be custom made for the individual.
This is great for individuals who have mild malocclusions or who have had braces in the past and their teeth have relapsed. Dentists take a 3D digital image of your teeth before fabricating the aligners. Your dentist will than show you a digital representation of how your teeth will adjust through each stage of your dental progression. Treatment time varies from 1 year and up depending on the severity of the malocclusion.
One of the companies that provides this treatment is Invisalign. These clear custom aligners are changed every 2 weeks and are supposed to be worn up to 22 hours per day. Invisalign cannot be used for all orthodontic tooth movements but is a great option for people who don’t like the look or feel of metal braces. Invisalign costs can be up to twice as much for traditional orthodontics. But you’re paying for an option that is nearly transparent and quite effective. So the costs of Invisalign can be justified there. Consulting with a dentist who is familiar with all types of orthodontic options, is the best way to find out what is right for you.
Offsetting the cost of braces is best done if you have a good dental plan. Keep in mind depending on your income level your dental clinic may have pre-existing payment plans for ongoing treatments. We, at Peace Arch Dental Centre offer payment plans for all procedures including braces.
Dr. Layton completed a two year post graduate training program in Orthodontics through Progressive Orthodontics and offer all types of orthodontic options. For more information about customizable braces. Visit http://individualortho.com/. We look forward to seeing you!
Set up a complimentary appointment with us at Peace Arch Dental Centre in South Surrey/White Rock today!
The first teeth cleaners date back 3500-3000 BC. The Egyptians were one of the first civilizations to have created ancient oral brushes by fraying the tips of twigs. The next civilization on the list to have made early toothbrushes were the Chinese in 1600 BC., the chinese used aromatic chewing sticks. The handles were reported to have been made from ivory and oxen bone and the bristles were made from horse or hog hair. Europe was late when it came to jumping on the oral hygiene bandwagon. The 17th century is when the toothbrush made its official appearance but it wouldn’t be until the later half of the century when it became popular in North America.
Today toothbrushes with plastic handles are mass produced and can be purchased inexpensively, it doesn’t mean that people brush their teeth regularly or correctly. Many people take for granted the daily cleaning of their teeth and end up paying the price. The Canadian Dental Association reported that 80% of Canadians will be affected by gum disease at some point in their life. Daily oral maintenance only takes a few minutes each day. Doesn’t it make sense to invest in your health?
Bad brushing techniques include not brushing your teeth long enough. The majority of dental professionals recommend brushing for at least 2 mins. The second mistake most people make is selecting the wrong size toothbrush for their mouths.
A clean toothbrush goes a long way to ensuring dental hygiene. Most dental professionals recommend purchasing an ultra-soft bristled brush for optimal removal of plaque and food particles. Small headed toothbrushes are preferable to larger toothbrush heads for reaching those hard to reach places. Deciding what is the best size depends on you entirely.
Electric toothbrushes made by manufacturers like Oral-B and Phillips are purported to deliver better cleaning than manual brushing. A professional powerbrush works by precision cleaning each tooth. A manual toothbrush doesn’t have a vibrating head that pulsates to remove plaque from teeth. The head of an electric toothbrush eliminates additional particles by oscillating and rotating plaque away from the tooth. The more oscillations and pulsations per cycle, the more pricier the electric toothbrush.
Investing in a good quality toothbrush is like having a dentist in your bathroom available any time of the day. Electric toothbrushes are available in battery or rechargeable versions. The New Oral-B Bluetooth electric toothbrush communicates with a smartphone app. As a patient you have the option of having your dentist program your toothbrush to deliver the best teeth cleaning experience specifically for you.
Flossing should be incorporated into your daily dental care routine. Your toothbrush can’t clean 100 percent of your mouth effectively. Flossing prevents excess plaque from turning into gingivitis a form of gum disease. If you are unsure about how to properly floss consult your dental care professional for assistance.
Flossing may be uncomfortable for the newbie but don’t quit, ask your dental professional for a proper demonstration if you are unsure about your technique.
Brushing your teeth hard can be detrimental to the enamel on your teeth. Eroding the top layer of your teeth leaves them vulnerable to cavities and tooth erosion. The enamel protects the dentin underneath. Dentin connects to the the tooth’s nerve center and this is where sensitive teeth syndrome comes into play. People with sensitive teeth experience nerve irritation that may be exacerbated by brushing too hard.
For the techies the New Oral-B Bluetooth toothbrush communicates with an app on your smartphone telling you if you’re brushing too hard.
Most people learned to brush their teeth during early childhood, but are you brushing them correctly? The default brushing motion most people employ is the horizontal side to side technique. Trying to break a bad habit that has been deeply inculcated from childhood is no simple feat. Brushing from side to side has been found to erode the enamel 2 to 3 times faster than the up and down correct motion. The best method of brushing the teeth is a gentle circular motion. The circular method is extremely effective in combating gum disease like gingival recession. Gentle brushing of the gum tissue is also recommended for the maintenance of healthy gums.
The majority of bad breath and halitosis cases have been linked to the residue left on the tongue. A combination of hydrogen sulfide and mercaptans are the prime culprits of halitosis. Tongue cleaning and tongue scraping play a major role in oral hygiene and halitosis prevention.
People that wake up in the morning with that white film on the tongue will benefit immediately from the purchase of a tongue scraper. If you don’t want to invest in a tongue scraper than simply using your toothbrush is equally effective. You can clean your tongue before or after you brush your teeth. Here are some simple cleaning instructions:
After you have finished brushing or scraping, your tongue should have a healthy pink appearance.
Toothpastes are made from pastes, gels and powders. The purpose of toothpaste is to remove plaque and bacteria from the teeth and gum tissue. The double circular motion combined with the right toothpaste is effective in preventing gum disease and tooth decay. Fluoride is a common ingredient added to many toothpaste brands.
Toothpaste ingredients:
The average consumer walking down the aisle of a grocery store gets inundated by dozens of different brands. Patients who have regular dental checkups may not require specialty toothpaste brands. Oral-B is one such company who manufactures the Oral-B Pro-Expert toothpaste that was made to address the above dental issues. .
The American Dental Association (ADA) advocates replacing your toothbrush every three to four months. People who own electric toothbrushes should also replace their toothbrush heads on a regular basis. For the absent minded Oral-B brushes contain a blue indicator that fades when its necessary to replace.
Just remember washing the head of your toothbrush is not enough, the bristles contain bacteria from the mouth that contribute to gum disease. A clean brush is optimum for oral health.
So there you have it 7 simple and effective methods to overcome bad brushing habits. It only takes a few minutes per day and a couple of visits per year to a dentist to avoid periodontal disease.
Dr. Michael Layton (DDS) is the dentist for Peace Arch Dental, a dental office in the South Surrey/White Rock, B.C. area. He has been in the dental industry for the last decade and received his Doctor of Dental Surgery from the University of Washington. He takes pride in providing positive and caring dental solutions for people of every walk of life. You can follow him on Google+.
Are you considering dental implants because you have missing teeth and you don’t want dentures? Dental implants are a popular option for people who desire a natural smile. The AAID (American Academy of Implant Dentistry) facts and figures have reported the number of people getting dental implants at 500,000 per year. There are currently 3 million people with implants in the U.S. and this number increases every year.
Dental implants are typically made of titanium because of its high bonding ability with the jaw bone. Dental implants are the closest equivalent to replacing missing teeth a person can get.
Before dental prostheses were readily available, patients who were missing teeth found it impossible to regain a natural smile. Ancient dental prostheses were crude in design and a poor substitute for natural teeth. Previous designs were cumbersome with limited functionality. The many limitations of removable prostheses paved the way for modern day dental implants of today.
By the mid 20th century a number of modern day techniques emerged. Previous implants were highly unpredictable and expensive. Different patients reported signs of failure shortly after implant surgery. Many people who formerly received implants ended up having the implants removed. Modern day procedures and education have eliminated many of the drawbacks of past dental surgeries.
A Swedish orthopedist named Per-Ingvar Branemark introduced the term osseointegrated implants to the cosmetic industry. Osseointegration is the merging of living bone and the incorporation of a load carrying implant. Dr. Branemark’s technique utilized biocompatible titanium alloy implants inserted into the alveolar process. The alveolar bone tissue is a ridge of bone that houses the tooth sockets that anchor the teeth of the maxillae and the mandible.
Used on patients who don’t have adequate bone tissue. Custom designed metal framework that fits over the existing bone. Can be used to replace multiple teeth. Dental professionals are the best at determining what implant is best to use. The gum tissue grows around the implant.
Implanted directly into the bone. Different styles provide an anchor through which a single pin can be inserted into an individual’s existing tooth. The endosseous blade implant was developed by L.I. Linkow and R. Robert. The paper was published around 1968 and it soon became popular in the scientific community. Root form implant is another name for endosseous or endosteal implants. The inserts resemble screws, nails or cones that come in various widths and lengths. This type of implant surgery is ideal for patients with normal bone tissue.
The mushroom shaped inserts attach to the gum side of the dentures. Intramucosal inserts fit into specially prepared indentations in the roof of the mouth.
A recommended implant for people with thin lower jawbones. Subperiosteal root form implants can not be used if a patient has a lack of jawbone tissue. The Ramus frame implant is embedded in the back corners of the mouth in the jawbone during surgery. After the gum tissue heals a thin metal bar is visible above the gumline, special dentures are made that interconnect onto this bar.
Previously implanted into patients with little bone tissue in their lower jaws or with no bottom teeth. Transosseous implants required extensive surgery with the aid of anesthesia and hospitalization. This type of implant was primarily used for patients with no teeth in the lower jaw. The two metal rods inserted through the chin bone were visible inside the mouth. The rods were used to attach a customized denture for the patient. Endosteal implant methods are now used in place of transosseous implant surgery.
Another form of endosseous plate form implant placed in the jawbone. Blade form implants are shaped like flat rectangles of metal with one or two metal prongs. The prongs are made to support crowns or bridges.
Implants fall under two categories those that are bonded to the jawbone and those that rest on top of the bone. Dental implants can be made to replace a single tooth or a series of missing teeth in the upper or lower jaw.
Dental implant steps:
Dentures can be a long term solution for people who are understandably self conscious because they have missing teeth. Gum disease and tooth decay both contribute to accelerated tooth loss. The (CDC) Centers for Disease Control & Prevention released a 1999-2002 National Health and Nutrition Examination Survey reported that 25% of adults aged 60 years and older have lost all of their teeth.
Another study revealed more than 20.5% of U.S. adults aged 65 and older have lost their teeth due to tooth decay or gum disease. - 2004 National Health and Nutrition Examination Survey, Centers for Disease Control and Prevention
Replacing a missing tooth is not just for the vain at heart. Missing teeth can drastically alter the shape of the mouth. For every tooth missing the remaining teeth end up shifting position, this causes the sunken jaw appearance in so many denture wearers. Another major cause for tooth decay and disease is missing teeth. Investigating getting dental implants is not purely for aesthetic reasons. The long term health benefits of dental implants provide more stability and support than dentures or partial dentures.
Patients with adequate bone and gum tissue in good health are usually prime candidates for dental implant surgery. If you would like to discuss your options, contact us for a free consultation.
Dr. Michael Layton (DDS) is the dentist for Peace Arch Dental, a dental office in the South Surrey/White Rock, B.C. area. He has been in the dental industry for the last decade and received his Doctor of Dental Surgery from the University of Washington. He takes pride in providing positive and caring dental solutions for people of every walk of life. You can follow him on Google+.
The best manual toothbrushing technique or the most advanced electric pulsating toothbrush machinery is no substitute for flossing. Dentists and dental hygienists are universal in their recommendation of flossing after brushing the teeth.
Periodontal and orthodontic patients are also advised to floss on a regular basis. Another dental aid for removing plaque and debris from teeth is called an interdental cleaner.
The exact date and the creation of dental floss is unknown. The earliest modern day origin of dental floss in the western world was in 1815. The American dentist Dr. Levi Spear Parmly published a book, A Practical Guide to the Management of Teeth. This dental book emphasized the importance of brushing and flossing on a daily basis. It wouldn’t be until 1882 that the unwaxed silk floss would be introduced by the Codman and Shurtleff Company. Johnson & Johnson was granted the patent for dental floss in 1898. The rising costs of silk during World War II was replaced by nylon as the primary material. Dr. Charles Bass was credited with making dental floss an essential part of persons daily oral hygiene.
The function of floss is simple and clear cut. Dental floss removes food that is trapped between the teeth, preventing bacteria from hardening into plaque. Manual toothbrush bristles are ineffective in removing food debris from those hard to reach places.
Plaque that is not removed from the teeth turns in tartar if left unchecked. Another name for tartar is called calculus. Tartar is a big problem for people who just brush their teeth. If not removed the prevalence of tartar can form underneath the gum line and irritate the gum tissue. Unremoved tartar can turn into cavities and periodontal gum disease.
People with discoloured teeth sometimes have a tartar problem that threatens oral health. Having stained teeth is not just cosmetically unattractive its a health hazard. Heavy coffee and tea drinkers, smokers and meat eaters are at risk for excessive tartar buildup.
Keep this in mind unremoved plaque turns into tartar that ends up forming on teeth. Hardened plaque if left on the teeth long enough will have to be removed by a dental professional. Without the intervention of a dental professional the gum tissue can become infected. Gum tissue that is infected can bleed easily or become swollen, this oral condition is called gingivitis the first stage of gum disease.
Why go through the pain of going to a dental professional to correct a problem that can be solved by simply flossing everyday?
Flossing should be a part of everyone’s daily oral care regimen. Reducing the likelihood of plaque and tartar only takes a few minutes per day. Gum disease like gingivitis is easily preventable. Waiting until you require a dental professional’s intervention should be a last resort when it comes to maintaining your oral care.
The cause of bad breath is the breakdown of food particles left over after eating, these same undigested food particles decompose and putrefy causing a foul smell. A lack of saliva and food particles in the mouth lead to bad breath especially in the morning. Another name for chronic bad breath is halitosis.
Halitosis is caused by the following conditions:
The cause of halitosis is easily remedied by brushing and flossing the teeth after each meal on a regular basis. Purchasing a tongue cleaner or scraper goes a long way to preventing chronic bad breath. Drinking up to 8 glasses of water per day goes a long way to hydrating the mouth and is good for saliva production. Eating acidic foods like oranges, grapefruits, lemons and limes stimulates saliva flow. Adopting a plant based diet rich in antioxidants purifies the body from the inside out. Consuming parsley and cilantro after a meal or putting it in a smoothie stimulates saliva flow and cleans the body internally.
The following foods are recommended for fresh breath:
Brushing by itself is not enough, flossing is more efficient at removing plaque from places your toothbrush can’t reach. Making flossing a daily habit in the morning or evening before going to bed will become second nature if done regularly.
The 3 steps of flossing:
Dentists agree there is no rule cast in stone that flossing should be performed before or after brushing your teeth. Many people prefer to floss prior to brushing their teeth, minor bleeding can sometimes occur during flossing.
Flossing before or after brushing your teeth is a personal decision, according to research there is not a right or wrong way. Clearing food particles from the teeth allows the fluoride in your toothpaste to penetrate the teeth. The most important practice is to simply floss on a regular basis. Prevention is better than the cure. Remember flossing once per day keeps the dental drill away.
Dr. Michael Layton (DDS) is the dentist for Peace Arch Dental, a dental office in the South Surrey/White Rock, B.C. area. He has been in the dental industry for the last decade and received his Doctor of Dental Surgery from the University of Washington. He takes pride in providing positive and caring dental solutions for people of every walk of life. You can follow him on Google+.
Patients who require dental implants have missing teeth or no teeth. Superior to dentures dental implants are perfect replacements for a persons natural teeth. People who can afford dental implant surgery can expect natural looking teeth that are durable and life like. Ideal candidates for dental implants must have adequate bone and gum tissue, this can be determined by a Doctor of Dental Surgery (D.D.S.). Besides the aesthetic value of dental implants is the health aspect. Many people with missing teeth have a sunken mouth and receding jawline appearance when viewed from a side profile. Bone shrinkage and the lack of bone stimulation from having missing teeth or no teeth results in bone loss. Wearing dentures can actually contribute to accelerated bone loss in most people.
Endosteal and subperiosteal are the two main types of dental implants. Endosteal implants are placed in the jawbone, in the shape of small screws, cylinders, hollow and blade implants. Subperiosteal implants are placed above the jawbone and under the gum tissue, ideal for patients who have a less than substantial jawbone tissue.
Dental implants are made from the following materials: pure titanium, titanium alloy and titanium nickel alloy. Pure titanium has a high bonding ability with bone and titanium alloy is of a similar quality. Titanium nickel alloy is used because it adheres to bone tissue adequately.
Dental implant surgery is completed in two stages. In the first stage the dentist will surgically place a metal screw implant into the jawbone, an abutment is next screwed into the non visible metal screw. After this initial stage procedure the patient is placed on a soft food diet until the gum tissue heals. The second stage comes after the bone tissue heals. The process of the implant bonding with the bone is called osseointegration. Healing times vary from patient to patient. After the healing process is complete the replacement teeth can be attached to the implant. Dental implant surgery is a complex process taking several visits from the initial dental CT Scan to when the final implants are placed. A Doctor of Dental surgery will be able to give the patient an accurate healing time schedule for implant surgery. This can very from immediate placement and restoration to waiting up to 9 months per for your final tooth replacement.
As you can see, all dental implants are not created equal as well as dental costs for implants vary from clinic to clinic. There is no set charge for dental implant procedures. Each individual dental clinic can vary widely on diagnosis and cost. Because dental implants are expected to last many, many years - comparable to other titanium prosthetics devices (hip joints, etc), the expense can be multiple thousands of dollars. Only with a consultation with an implant trained Doctor of Dental Surgery (DDS) can you get a quote specific to your situation.
The replacement cost for a single tooth dental implant will also be influenced by the health and stability of the surrounding teeth. If the surrounding teeth around the implant require extraction the cost will be higher. Teeth extractions are the least expensive form of dentistry but can escalate in cost on an emergency basis and can jump up to $450 dollars per tooth. A bone graft may also be necessary before dental implant surgery is performed. If an individual lacks enough bone tissue, a DDS can perform a bone graft, using the patients bone tissue from another area of the jaw bone or even hip. Costs can escalate even more as more and more bone is lost. Additional costs can include x-rays or a CT scan. The healing time for bone grafts on average takes from 3 to 6 months to heal before implant surgery is performed.
After the implant bodies have healed in the bone, the foundation for the dental prosthetic is ready to go. Similar to a foundation on a house, the implants support the teeth. When replacing a single tooth, the abutment and a dental crown. The greater number of teeth that require replacement the higher the cost. Ultimately, if you are considering a dental implant to replace one or more missing teeth you are choosing a path of healthy lifetime dentistry. There may be a large up front expense but amortized over one’s lifetime, the cost of a dental implant can be a reasonable $100-200/year.
Sometimes the desire of the individual is to replace most or all of their teeth with an implant retained prosthesis. Usually these are people that HATE their teeth and have always struggled with loosing teeth over and over again. Dental work doesn’t last and each time they try something new. Instead of a tooth fix, these individuals require a system rebuild. In other words. The way there jaws meet together needs to be support mainly by dental implant supported prostheses. These include implant supported bridges that span a gap of missing teeth in a patient. Implant supported partial and complete dentures are another. Fixed appliances such as ALL-ON-FOUR and Teeth-in-a-Day dental treatments fall into this category as well. The more missing teeth the more expensive the procedure. partial or complete mouth dental replacement can cost as much as a small vehicle.
Be forewarned prospective patients with chronic immune system diseases like cancer and osteoporosis are not good candidates for implants. People considering this extensive surgery should be in optimum health for quicker recovery times.
Our experience has been that 99% of people have undergone a dental implant procedure are blown away by how easy it is. If done correctly, implants have the highest success rate of any dental procedure but are dependent on osseointegration, the bonding of the metal to the bone. Consulting with a qualified Doctor of Dental Surgery who has spent additional time being trained in dental implantology will prevent corrections of improperly placed implants that will have to be replaced later on. Quality always wins the financial battle in the long term.
Dental implants are considered elective procedures by the majority of insurance companies in Canada. Consulting your individual health care insurance plan for coverage information is highly recommended. Some employee insurance companies may substitute part of the cost for dental implant surgery.
For patients who require dental implants you may want to consult with your dentist for individual payment plans and financing.
Ultimately, you get what you pay for and dental implantology can be very predictable and stable. However, many of the problems in implant dentistry is when people try to take short cuts and find the cheapest way to go. In 10-20 years from now, the health and function of the dental implants will be of primary importance. Let us help you get where you want to be.
As the owner of Peace Arch Dental Centre, in White Rock, BC, I received my implant training from the prestigious Pacific Implant Institute. I love providing implant dental solutions that work for people of all walks of life. Contact me for a complimentary consultation.
Dr. Michael Layton (DDS) is the dentist for Peace Arch Dental, a dental office in the South Surrey/White Rock, B.C. area. He has been in the dental industry for the last decade and received his Doctor of Dental Surgery from the University of Washington. He takes pride in providing positive and caring dental solutions for people of every walk of life. You can follow him on Google+.
Last Fall, we moved into our new location in White Rock (/South Surrey). While it’s not far from where we once were, the office space was excellent.
For too long, a visit with the dentist was considered a chore. Children were terrified of this person with a mask operating on their teeth. From waiting in a room straight through until the exit, it was not the most fun time for any child in their younger years.
But things are changing - and at Peace Arch Dental, we’re actively revolutionizing the way dental practices look and feel. Case in point - our new office. When you come in, you’ll know that the whole dental experience is extremely important to us - just by looking around and being in our office. We want every patient to feel like going to the dentist is easy and relaxing - and our new office has a bunch of different amenities to make that happen.
Believe me when I say that we’re going to pamper you well when you come to our new dental office for anything from a regular check-up to an extensive procedure.
So let’s take you through a short tour of our new office in White Rock!
Who doesn’t love a warm smile? Come into our office and you’ll receive a friendly smile and greeting. Alright - that’s no different from before! But at least you’ll know that even with a new office setup, your dental experience will always start with hearing from our friendly staff.
At the front counter, you’ll find some freshmints that you are free to take - perhaps a nice refreshment for when you’re about to leave.
Whether you’re getting your teeth cleaned or having dental implants put in, it’ll be done at the fancy new, reclining leather chairs you see below. Now, these aren’t any ordinary leather chairs - they have one pretty incredible feature: They lightly massage your back! Yes, the reclining chairs that you sit on while your dentist or dental hygienist is working on your teeth does double as a light massage chair.
But don’t worry, it’s faint enough that it won’t affect the performance of the work being done on your teeth! Your dental experience in South Surrey just got more comfortable.
So we’re all used to getting our teeth cleaned in the aforementioned reclining dental chairs. We’re also used to brushing our teeth and flossing in our washrooms at home. And now, you can brush your teeth and floss in our washroom! Granted, you probably won’t ever need to do that. Yet, if you use our washrooms, we hope you’ll be happy to see some complimentary toothbrushes and floss that you are more than free to take.
If we have to meet in private to discuss something, we’ve got a cozy, unique private meeting room for that purpose. It’s in the general waiting area, away from where we conduct all cleanings and procedures.
We want you to be part of the experience! The use of miniature intraoral cameras and the velscope oral cancer lights are some of the many ways we use technology to show you what’s going on. And of course, all are viewable in the palm of your hand or on our flat screen TVs.
You may have read our earlier blog post on ‘Dental Crowns In A Day’ where we detail the process of getting your crowns and any laboratory work done in a single day. Well, new to the office is the CEREC machine that gets the job done - the one you see in the picture on the right. See the process how the crown is made in our CEREC Mill by viewing the video below.
Our new dental office in White Rock has already attracted a large amount of new patients - and the feedback we get about the office is incredible. People enjoy the fact that we have so many of these different amenities in the office. The dental experience at too many dental clinics has become dull and uncomfortable for many. We’re trying to change that - and we think you’ll have a wonderful time at our office. From the moment you walk in to the final good-bye and thank you, our goal is to make sure that your teeth are healthy and that have an unbelievable experience.
So come on down to office #205 at 1538 Foster Street in White Rock and we’ll give you and your family the best dental experience possible. You deserve it.
