The “Nuts and Bolts” of Implants - What Are They?

 

Understanding Implants: The Foundation of Modern Dentistry

How Long have implants been successful?

Since my graduation from The University of North Carolina School of Dentistry in 1988, my first immersion into the world of dental implants began with a continuing education course spotlighting Branemark's groundbreaking implant. Spanning a career of 36 years, I've witnessed implants emerge as the premier long-term solution for missing teeth. This journey has been marked by continul evolution in understanding the nuances of implant placement, driven by on-going exploration into the who, when, where, why, and how of their application.

What are the implant components? What materials are used?

Implants serve as replacements for tooth roots, varying in size and shape based on individual needs. Typically crafted from titanium, these implants integrate seamlessly with the jawbone. Emerging materials like Zirconia are also under exploration. Crowns or "caps" are affixed to the implant, customizable in material and design to match natural teeth.

How are Implants placed? How long does it take?

In the era of digital dentistry, precise implant placement is achievable through advanced imaging techniques. A digital scan captures the dental landscape, facilitating the creation of surgical guides for accurate implantation. Over the following 2 to 3 months, the implant fuses with the bone, ensuring a robust foundation. Digital imaging expedites crown fabrication, with the entire process spanning four to nine months.

How long do implants last?

Proper maintenance is key to implant longevity, with diligent home care essential to prevent periodontal disease and subsequent bone loss. While rare, fractures can occur, yet a well-cared-for implant and crown can endure 15 years or more.

What else should you know?

Implants provide unparalleled stability but may not be suitable for every situation, particularly in orthodontic cases where tooth movement is desired. This is why a dentist will prioritize orthodontic treatment first, before beginning implant treat. Vigilance against food impaction and periodic maintenance are necessary to mitigate potential issues.

Conclusions

Implants are the pinnacle of dental innovation, offering superior function and aesthetics. They can complement removable dentures and partials, enhancing stability and improved look. While the initial investment may deter some, the long-term benefits far outweigh alternative treatments. Consultation with a dental professional can guide you towards the best solution for your needs. Ask Dr. Kitzmiller what may be the best possibility for you!

Whitening ….. What are the facts?

 

What is the quick history of whitening?

Teeth whitening practices date back to ancient times. The Egyptians were among the first to explore this, using a mixture of pumice and vinegar to achieve whiter teeth. The Romans took a different approach, employing ammonia derived from urine for whitening. In more recent history, barbers, who often performed dental work, would file teeth, and apply acids to whiten them, though these methods were quite painful.

The modern era of teeth whitening began when Cosmetic Dentists and Orthodontists discovered that peroxides used for oral health also had whitening effects. Extensive research and experimentation with various whitening agents eventually led to the development of today's safe and effective whitening systems.

How are teeth whitened?

Peroxides and carbamide peroxides help remove external stains and whiten teeth from the inside. However, fillings, crowns, and veneers will not change color with whitening treatments and will stay the same color while the surrounding teeth become lighter. Ask Dr Kitzmiller which teeth will be affected!

What are the ways to whiten? 

There are four effective ways to achieve good whitening results:

1. Over-the-Counter Gels with Stock Trays: These kits are somewhat effective but have poorly fitting trays that can irritate gums if used improperly. They are inexpensive for one-time use but require buying the entire kit for touch-ups, leading to higher costs over time.

2. Whitening Strips with Embedded Gel: Effective but more challenging to place and keep in the mouth. The strips do not cover all visible teeth, leaving corner teeth darker and requiring more strips to complete the whitening. Like other over-the-counter products, they need future touch-up kits, adding to the cost.

3. Custom-Made Trays for Home Use: These trays are professionally made and customized in a dental office to fit over all your teeth, allowing you to whiten as far back in your mouth as desired. Although more expensive initially, they can save money eventually because the trays are reusable, and gels can be bought separately. Various strength gels can be used as needed.

4. In-Office, One-Time Treatments: Applied professionally at a dental office, these treatments use gels with higher peroxide concentrations and often include light activation. They are more expensive due to the professional application and longer appointment times, but the results are dramatic after just one session. However, comparable results can be achieved with take-home trays, and no touch-up trays are provided.

How long will your teeth stay white? 

With professionally supervised tooth whitening, you can achieve dramatic results. Touch-ups can be done over time to maintain your bright smile, typically once a year if needed.

I prefer method number three, custom-made take-home trays, due to their cost-effectiveness over time, ease of use, complete tooth coverage, and tray reusability. Additionally, if your teeth are sensitive, these trays can be used to apply anti-sensitivity agents.

Do you have any questions? Give us a call 919-362-1341, text or email us. We are happy to help! 😊

Dr. Kitzmiller

Braces without the Brackets! Is this possible?

 

Did you stop wearing your orthodontic retainers? Is it possible to have braces without the Brackets? 

Of course! With today’s technology and in office digital scanning of your teeth, you can now do braces with what are called clear aligners. 

Clear aligners will straighten teeth that have drifted and moved and will help you regain your confidence and smile. You can now achieve your smile, discretely, comfortably, and fast. 

Clear aligners are easy to use, easy to take care of, allow for easy brushing and flossing of your teeth, and can be completed in a few easy steps:

1.     Consult with Dr Kitzmiller to see if they are right for you. Not all people can be effectively treated using aligners.

2.    Get started and set up an appointment with our fabulous team:

1. Create a digital scan of your teeth.
2. Take 8 simple photos of your current smile, and a panoramic x-ray of your jaws.
3. Be evaluated by Dr. Kitzmiller to see how to achieve the best results for you.

3.      The high-tech data is sent digitally to Clear Correct to plan your aligners with Dr. Kitzmiller.

4.     In 2 weeks, the digital information will be analyzed, and your personalized plan will be shared with you by a digital video representation of your teeth.

5.     Say yes to the plan, and they can be ready for you in 1 to 2 weeks.

These are precisely made to fit your teeth and are worn 22 hours per day without anyone even knowing it. The aligners move the teeth slowly over time and give you the smile that you have always wanted. 

Dr Kitzmiller and his team can make this a reality for you. Give us a call or schedule an online
appointment.

Visit our website at: www.apexdentalgroup.com

Book your appointment online! https://app.nexhealth.com/appt/apexdentalgroup.

For Discounts available: www.goplaysave.com

Happy Smiles,

Dr K

Are you delaying your dental visit because of COVID?

 3 Keys to Optimal Oral Health

Dentistry has always kept you safe, and always will. During this time, Dr. Kitzmiller will remain focused on your overall health and well-being. 

Consider these keys to finding comfort:  

• #1 Protective Equipment to Keep You Safe  
• #2 Avoid Pain and Complications  
• #3 Maximize Your Oral Health Care & Minimize Your Time at the Dentist  
  

    

Are you delaying your dental visit because of COVID? 

Please read these important questions below:

Question 1:

How important is maintaining my oral health?

The health of your teeth and mouth are integral to your overall physiology and well-being. From a clinical perspective, early treatment is always best. Putting off discomfort with a tooth, or any concern about your oral health, is more time-consuming and costly in the long run.

Question 2:

What safety measures are in place in the dental practice?

In addition to the strict guidelines we have always followed in operatories, we are paying close attention to office areas where social distancing is essential, like reception areas, administrative counters and restrooms, which are closely monitored and disinfected throughout the day. From the regular hygiene appointments you missed during the shutdowns, to more complex procedures that have you a bit concerned, we have your back - because we are all part of the same effort to keep our communities healthy. Examples of safety equipment enhancements:

• Minimized aerosols
• Face shields
• Top-of-the-line masks (N-95) 

Question 3:

How do I minimize my time at the dentist but maximize my oral health?

To minimize your time at the dentist, you want to work with your dental team to understand how you can group parts of your treatment together so that you can spend less time in the dental chair yet maximize the benefits of treatment. Doing this will minimize the trips to and from the office as well as the amount of time you spend in the chair. Ask your dental team how.

Question 4:

Can you make this affordable for me?

Dr. Kitzmiller is prepared to provide you with options for consolidating treatment into as few visits as possible, in addition to financial arrangements that you're comfortable with. Just ask them how they can help! Insurance benefits for 2020 will NOT carry over into 2021. Don't let them go to waste!

 

Question 5:

I fall in the COVID-19 at-risk category. How do you make sure I am safe and healthy?

If you,re 65 or older, or suffer from pre-existing conditions, it's crucial to limit your exposure. We recommend working with your dental team to address treatment in the safest and most efficient manner possible. We have times set aside for you!

At Apex Dental Group, our mission is to help our patients achieve the “Great Dentistry” that they desire.

 

 

 

Apex Dental Group Opening Monday, 5/18/20

 

13 May 2020

Dear Apex Dental Group Family,

We want you to know that we are here for you!

As we continue to face uncertainty as a community due to COVID-19 and the social distancing guidelines passed down from federal, state, and local leadership, our team at Apex Dental Group realize the continued importance of strong and on-going relationships.

We missed you greatly and are excited to announce that our practice will be opening as of Monday, May 18th, 2020 to provide a wider spectrum of dental care. We are ready with a new schedule in place that ensures the safety and comfort for both team and patients, as we return to full care and service. Our team is now reaching out to patients who have had to cancel their appointments due to the shut down as well as patients who are currently scheduled in the up-coming months. Our new scheduling options are designed to address individual oral healthcare needs and maintain a safe and sterile environment.

• Each day all our team members check their temperatures.
• Our front desk team members are equipped with masks and ample hand sanitizer to ensure both your safety and their own. Providers will also wear facial shields, hair cover and additional personal protective equipment (PPE) during treatment.
• To minimize the number of people in our practice at any given time, we created space between appointment times to ensure that we maintain optimal standard precautions.
• We will not have anyone waiting in our waiting area at this time. We ask that you call us at 919-362-1341 when you arrive and wait for us to escort you into our facility. Expect that our team members will:

• Review again our COVID-19 screening questionnaire and update your medical history
• Meet you at your car and take and record your temperature before you exit your car
• Ask you to wear a mask or face covering and sanitize your hands when you enter our facility
• Ask you to rinse with hydrogen peroxide-based mouth wash before and after treatment

• We will limit treatments that produce a high degree of aerosols:

• We will hand scale and reserve ultrasonic instrumentation only when indicated, using a high-volume evacuation system to collect aerosols.
• No polishing unless severe staining to reduce aerosol.

• We will continue to disinfect and sterilize our workspaces, equipment, and instruments, according to our high standard infection and sterilization protocol.
• Our front desk team members will disinfect our checkout areas.

We also know that during these unprecedented times obstacles like additional time off from work and financial concerns can be barriers to ideal care. To meet your needs, we developed new finance options, same day dentistry solutions, and extended hours to make sure dentistry remains affordable with minimal time expended for all those in need.

Rest assured, we at Apex Dental Group always place the health and well-being of patients and our team first. We will continue to reach out and update you on a regular basis through various forms of contact. Please follow us on Facebook, Instagram, Twitter and at our website (www.apexdentalgroup.com) for up to date information as well as tips and resources on how to maintain your oral hygiene at home during these times.

We look forward to seeing you all again and catching up with you at your next appointment.

 
Stay Healthy

Dr. J. Kitzmiller, III

Keeping Safe & Healthy at Apex Dental Group - Opening Soon!

Dear Apex Dental Group Family,

Our vision is to partner with patients with the goal of achieving long-term oral and overall health for all those we are honored to serve. In light of the current novel coronavirus/COVID-19 concerns affecting us in the US and abroad, we want to take this opportunity to update you on the precautions we are, and have always taken at our office to ensure your (and our) health, safety, and wellbeing. We are currently developing plans to reopen in order to keep your dental health at its best.

As you know, we will always continue employ the most up-to-date infection control procedures and our record proves that this works well! You can rest reassured that the infection control and standard precautions recommended by the CDC and OSHA are excellent deterrents to COVID-19, the flu and every other virus. In addition to the routine steps we take, we are being even more vigilant with infection control in all the areas in the office. Surfaces in the reception area, front desk area, consultation area and restroom(s), which would normally be cleaned and disinfected daily, are now being disinfected throughout the day. Hand sanitizer is readily available in all areas of the practice for your use if you forget yours.

Over the next few weeks, we will be re-arranging our schedule to provide adequate social distancing, time and safety for your visit. It is in your best interest to continue your routine dental care because regardless of the circumstances, dentistry only becomes more complex, more costly and lengthy. Since your oral health is connected to your systemic health, it’s more important than ever to be vigilant with your dental care.

We are offering new appointment times for at risk / healthy patients, adding new financial options and updating policies and procedures that are designed to get you optimal, safe care. As we move closer to our opening date, we will keep you informed on the safety procedures to follow when coming to our office. Emergencies are still being seen through a Zoom tele-dentistry appointment. Please call our office if you need emergent care so we can find the appropriate treatment for you.

We also ask for your help in keeping everyone safe. If you have traveled to China, Japan, South Korea, Italy, Iran, or any other region affected by the coronavirus, please call our office prior to coming in for your appointment. Washing your hands regularly with soap and water for at least 20 seconds is of utmost importance. If you are not feeling well, have a fever, cough, or difficulty breathing, please contact your physician and call our office to reschedule any upcoming appointments. Our team (who are also being diligent about their own health) will be available prior to your next visit to make sure you are well and to answer any questions or concerns. If you are not well, we will help you cancel the current appointment with no fee and make sure that we have a future appointment scheduled so you can stay on track with your care!

During this confusing and stressful time, staying healthy helps you fight off any challenge! Know that we take our role as your healthcare partner very seriously and are here to help! Should you have questions or concerns please e-mail or call me. I’m always available for you. For the latest information and guidance, please refer to the CDC’s COVID-19 situation, the Department of Public Health, or the ADA websites.

Call us now to get back on track with your dental health! If someone that you know is looking for a caring dental team, please refer them to us. Stay safe and healthy—we look forward to seeing you soon.

Sincerely,

Dr John S Kitzmiller III

Infection Control

Dear Patient,

We want to take another opportunity to update you on the precautions we have always taken at our office to ensure your health and ours.  

Dentistry has always been greatly invested in infection control procedures and sterilization. We continue to employ the most up-to-date procedures at Apex Dental Group to stay safe. As a team, we continue to monitor ourselves and our family for symptoms of the Coronavirus. We are all healthy and we are here to assist you with dental emergencies.

What can you do as a patient during this time? 

• Keep monitoring yourself at home for fever, dry cough, chest discomfort or shortness of breath.
• Call for medical help if needed. 
• Wipe handles, doorknobs and anything you come in contact with on a frequent basis. 
• Use a Clorox bleach solution to disinfect surfaces. Use this where you can to conserve disinfectant wipes and sanitizer. 
• Wash your hands for 20 seconds.  Use hand sanitizer as needed – save for when you go out.

When you must go out for groceries and medicine, practice social distancing, keeping as much distance from others. Be mindful of anything you touch. 

Be sure to take care of yourself during this time. Stress and anxiety can reduce the immune system so don’t forget to exercise, eat well and get a good night’s sleep. You can try something new such as cooking a new recipe or take long walks and enjoy the fresh air. Whatever you and your family choose, keeping up with your habits of flossing and staying in tune with your oral health helps us all. 

Dr. Kitzmiller remains available to treat dental emergencies as needed. We continue to monitor the Coronavirus situation and observe CDC, ADA and NC Dental Society recommendations.  As new information becomes available to us, we will keep all of our patients informed.

Don’t forget to like us on Facebook @ApexDentalGroupNC and our website and Instagram

Websites for learning more open in a new window:

www.mouthhealthy.org/en/az-topics/i/infection-control

Center for Disease Control and prevention

American Dental Association

www.clorox.com/how-to/laundry-basics/

www.apexdentalgroup.com