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.

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Happy Smiles,

Dr K