Accidents happen, especially to teenagers involved with sports or similar activities. In an instant they can lose one or more teeth and permanently alter their smile.
Fortunately we can restore a teenager’s lost teeth, but often not immediately as a permanent restoration with a dental implant requires maturity of their jaw structure. Our focus then turns to the age of the patient and the condition of the underlying bone. A future dental implant, your best choice for tooth replacement, depends on bone for support, but also the age of the patient as it relates to jaw development.
There are a couple of ways an accidental tooth loss can harm supporting bone: first and foremost, the impact of the accident itself can damage the bony socket. To find out for sure we may need to perform a cone beam scan, a type of x-ray that allows us to view the area three-dimensionally. If we do find damage, we can attempt to repair the socket through bone grafting.
Bone can also suffer from the long-term absence of a tooth. Bone has a growth cycle in which older cells dissolve and new ones form to take their place. The force generated by teeth when we eat or chew helps stimulate this growth. Without stimulation, as with a missing tooth, the bone may not grow at a healthy rate. In time, it could lose some of its volume and density and not be able to support an implant.
Installing an implant right after tooth loss could help avoid this situation. Bone has a natural affinity with the titanium post imbedded in the jaw and will naturally grow and adhere to it. But we can’t place an implant with a teenager. This is because the jaw is still developing so an implant would gradually become misaligned as the jaw grows. It’s best to install an implant later after full jaw development in early adulthood.
Today, we can place a bone graft in the empty socket right after tooth loss. The graft serves as a scaffold for bone cells to grow on and will help keep the bone volume at a healthy level until we can install an implant.
Timing is everything in restoring a teenager’s accidental tooth loss. But with coordination and care for the supporting bone, a teenager can eventually enter their adult years with their smile intact.
If you would like more information on restoring your teenager’s smile after tooth loss, 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 Implants for Teenagers.”
Not long ago, musician, businessman, and actor 50 Cent (AKA Curtis James Jackson III) joined the growing ranks of celebrities (like Demi Moore and LeAnn Rimes) who have sent out tweets from the dental chair. The rapper, who has had extensive cosmetic work done on his teeth, even live-tweeted an action shot of his dentist giving him an oral exam!
Some might consider this too much information — but we're happy whenever people are reminded of the importance of regular dental checkups. In fact, the “routine” dental exam is truly one of the most useful procedures (and one of the best values) in dental care. Let's “examine” some reasons why that's so.
For one thing, coming in to our office when you don't have a specific problem gives us the chance to talk to you about any concerns you may have in regard to your mouth — or your health in general. In fact, many of the questions we ask and the exam procedures we perform give us an opportunity to detect potentially deadly diseases. For example, simply monitoring your blood pressure may identify a risk for heart disease; or an examination of the oral tissues may reveal the first signs of oral cancer. Both conditions are treatable if caught early on.
Of course, at a dental exam we always look closely at your teeth for signs of cavities. We also check your gums for inflammation or bleeding, which could indicate gum disease. X-rays or other diagnostic tests are performed when necessary. Generally, the sooner we can diagnose and treat any problems we may find, the better (and less costly) the outcome tends to be.
A typical checkup also includes a thorough, professional teeth cleaning with specialized tools, performed by our skilled dental hygienists. This not only makes your mouth look and feel sparkly clean — it also removes the built-up hard deposits (called tartar or calculus) that can lead to bad breath or gum disease.
Once the exam and cleaning are done, we have a good idea of the general state of your dental health. We can then give feedback on your oral hygiene techniques, assess your risk for disease, and make recommendations tailored to your individual needs. And we can do all this in about half an hour.
So talk about it, tweet about it — but don't neglect it! Along with regular brushing and flossing, routine dental checkups are the best way for you to maintain good oral hygiene — and prevent future dental problems.
If you would like more information about the benefits of regular dental exams, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “The Dental Hygiene Visit.”
Most everyone knows that going to see your dentist for regular checkups and cleanings can help save your smile — but did you ever stop to think that it just might save your life?
That's what recently happened to 11-year-old Journee Woodard of Edmond, Oklahoma. The young girl was having a routine teeth cleaning when hygienist Rachel Stroble noticed something unusual: The whites of her eyes (her sclera) had a distinctly yellow tint. Dr. Michael Chandler, Journee’s dentist, confirmed the hygienist’s suspicions, and advised her mom to take her for further testing. The tests revealed that Journee had a tumor covering parts of her pancreas, gallbladder and liver; it could have ruptured at any moment, with devastating consequences.
The tumor was removed three days later in a 9-hour operation, and Journee is now recovering. As for her dentist, Dr. Chandler told reporters that he and his staff were just doing their jobs thoroughly. “It's hard to feel like I’m a hero,” he said (though others might disagree).
Is this a one-in-a-million case? Maybe — yet for many people, a family dentist may be the health care professional who is seen more often than any other. That can put dentists in the unique position of being able to closely monitor not only a person’s oral health, but also their overall health.
There are several reasons why that’s so. One is that most systemic diseases (such as diabetes, leukemia, and heart disease, for example) can have oral manifestations — that is, symptoms that show up in the mouth. If your dentist notices something unusual, further testing may be recommended. Dentists also regularly screen for diseases specific to the mouth — such as oral cancer, which has a much better chance of being cured when it is caught at an early stage.
But beyond checking for particular diseases, dentists often notice other things that may indicate a health issue. For example, if you complain of dry mouth or snoring, and appear fatigued in the dental chair, your dentist may suspect undiagnosed sleep apnea: a potentially serious condition. Many other signs — such as yellowed eyes, a pounding heart rate, or shortness of breath — can indicate potential problems.
Of course, we’re not even mentioning the main reason for regular dental checkups — keeping your smile healthy and bright; for many people that’s reason enough. How does Journee’s mom feel about keeping dental appointments? “I will never miss another dentist appointment,” she told reporters. “I will never reschedule.”
If you would like more information about routine dental checkups, please contact us or schedule an appointment. You can learn more by reading the Dear Doctor magazine articles “The Dental Hygiene Visit” and “Good Oral Health Leads to Better Health Overall.”