Posts for: April, 2021
When dental implants hit the scene in the 1980s, they revolutionized the field of dental restorations. But as groundbreaking as they were then, they're even more advanced now.
Some of the advancements have to do with improvements in implant design and manufacturing. Implant sizes and shapes were once quite limited, but today they come in a variety of forms to better match the types of teeth they replace.
But there has also been important progress in complementary technologies that help us realize better outcomes. Many of these other advances have had a positive impact on the planning and surgical stages of implant installation.
CT/CBCT scanning. For the best outcome, it's critical to install an implant at the most appropriate location on the jaw. This can be difficult to determine, however, because of the location of oral and facial structures like nerves or sinuses that might interfere with implant placement. But using a type of computer tomography (CT) scanning called cone beam CT, we can produce a 3-D computer graphic image that helps us navigate possible obstructions as we pinpoint the ideal location for an implant.
Digital smile displays. We're now able to produce digital models of the mouth, which can assist with more than implant placement—we can also use them to visualize what a new smile with implants will look like before we install them. This is especially helpful in situations where only a few teeth need to be replaced: We want to ensure that the new implant crowns blend seamlessly with the remaining teeth for the most natural appearance.
Custom-made surgical guides. We've been using surgical guides to mark the exact drilling locations during implant surgery for many years. But 3-D printing technology can now help us produce surgical guides that are even more useful and precise. Using a 3-D printer, we can produce oral devices based on the patient's individual dental dimensions captured through digital scanning. That produces a better fit for the guide on the teeth and more accurate implant placement.
Together, these and other technological advances are helping us achieve even more successful results. Not only can they help us produce implant outcomes that can last for years or even decades, but also the most beautiful smiles possible.
If you would like more information on dental implant restorations, 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 “How Technology Aids Dental Implant Therapy.”
Although dental care is our primary focus, we dentists are also on the lookout for other health problems that may manifest in the mouth. That's why we're sometimes the first to suspect a patient may have an eating disorder.
Eating disorders are abnormal dietary patterns that can arise from mental or emotional issues, the most common being anorexia nervosa and bulimia nervosa. Each has different behaviors: Anorexics abnormally restrict their food intake (“self-starvation”), while bulimics typically eat heavily and then induce vomiting (“binge and purge”).
Although bulimics are more likely to binge and purge, anorexics may also induce vomiting. That practice in particular can leave a clue for dentists. While vomiting, powerful stomach acid enters the mouth, which can then soften and erode tooth enamel.
It's the pattern of erosion a dentist may notice more than the erosion itself that may indicate an eating disorder. A person while vomiting normally places their tongue against the back of the lower teeth, which somewhat shields them from acid. The more exposed upper teeth will thus tend to show more erosion than the bottom teeth.
A dentist may also notice other signs of an eating disorder. Enlarged salivary glands or a reddened throat and tongue could indicate the use of fingers or objects to induce vomiting. Lack of oral hygiene can be a sign of anorexia, while signs of over-aggressive brushing or flossing may hint of bulimia.
For the sake of the person's overall well-being, the eating disorder should be addressed through professional counseling and therapy. An excellent starting point is the website nationaleatingdisorders.org, sponsored by the National Eating Disorders Association.
The therapy process can be lengthy, so patients should also take steps to protect their teeth in the interim. One important measure is to rinse out the mouth following purging with a little baking soda mixed with water. This will help neutralize oral acid and reduces the risk of erosion. Proper brushing and flossing and regular dental visits can also help prevent dental disease.
An eating disorder can be traumatic for both patients and their families, and can take time to overcome. Even so, patients can reduce its effect on their dental health.
If you would like more information on eating disorders and dental care, 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 “Bulimia, Anorexia & Oral Health.”
Learn more about the “invisible” way to achieve a straighter smile.
Everything from magazines to your favorite TV shows showcases perfect teeth. So, it really comes as no surprise that many adults turn to our Florham Park, NJ, dentist Dr. Mark Gleckner to find out if it’s too late to get braces. The good news is that it’s never too late and we offer a far more discreet way to fix crooked, misaligned smiles so that you can feel confident in your appearance throughout your treatment.
How does Invisalign work?
The very first step is to come into our Florham Park, NJ, practice so that your dentist can examine your smile, discuss your treatment goals and determine whether you’re an ideal candidate for Invisalign. Invisalign is a great option for our older teen and adult patients, as it offers a metal-free and completely clear alternative to braces. Instead of brackets and wires, this orthodontic system will use clear, removable aligners that are very similar to whitening trays or mouthguards.
Of course, we will need to take impressions of your mouth and utilize computer software to map out how your teeth will need to shift in order to get a straighter smile. This information is then sent to a dental lab, where they will design each aligner to move teeth into the ideal spot over the course of your treatment.
What should I expect from the Invisalign treatment process?
It’s important to know what to expect before you take the plunge to get Invisalign. After all, like any dental procedure, this requires a commitment to the treatment process. Since Invisalign aligners are removable, this means that you don’t have to restrict your diet or avoid certain foods. You can eat and even care for your smile the same as you did before braces, but you’ll just need to make sure to put your aligners back in immediately afterward.
Each aligner is worn for about two weeks before being replaced with the next pair. If you want to see results, it’s important that you’re wearing your aligners for about 22 hours out of the day. In anywhere from 6 months to 18 months, you or your teen could have a perfectly straight smile.
Invisalign and our dentist Dr. Gleckner have helped many teen and adult patients here in Florham Park, NJ, get perfect smiles. To find out if you’re an ideal candidate for Invisalign, call us at (973) 377-1174 to schedule an evaluation.
Imagine that the IRS wants to audit you, but the dog ate your receipts. Or you hit a $50 million Lotto jackpot, but your ticket went through the wash. Or maybe you're about to see your new dentist, but you don't have your past dental records.
Humdrum as they may seem, records are important—so much so that they have their own month. That's right: April is Records and Information Management Month. Though perhaps not as exciting as National Poetry Month, this is still a good time to consider how records keep your life and health on track—especially regarding your mouth.
Your dental records contain information on all your office visits, imaging (yep, all those x-rays), diagnoses and treatments. Just like other healthcare records, they're privacy-protected under The Health Insurance Portability and Accountability Act (HIPAA).
Your dental records may also contain information about other aspects of your overall health that could impact your long-term dental care. With all that information, dental records are important to your ongoing care, and should be available wherever you receive treatment—even if you change to a new dentist.
Which can happen? Your long-time dentist may retire—or maybe you move to another state. You may just decide you'd be happier with another dentist. But regardless of why your provider changes, your dental needs don't.
Without your records, your new dentist starts your care virtually from scratch, having to generate a new patient history and perform additional x-rays or examinations. And they won't have the benefit of nuances available to a dentist who may have treated you for a long time. But with your dental records in hand, they can often pick up where your other dentist left off without missing a beat.
It's in your oral health's best interest, then, to ensure your dental records transfer from your former dentist to your new one. Legally, these records are the property of the dentist, but you're entitled to a copy or to have them transmitted directly to another provider. You may, however, have to pay for any supplies and labor involved with printing, copying or mailing the records.
Do you feel awkward asking your former dentist to send your records to a new one? Not a problem—ask your new dentist to request them for you. Even if you have an unpaid balance, your former dentist is legally required to comply with the transfer.
When it comes to your oral health, “What is past is prologue.” The dental care you receive today and tomorrow depends on the care you received yesterday. Your dental records help make sure it's a seamless progression.
If you would like more information about the importance of dental records, please contact us or schedule a consultation.