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While snoring is a common and typically non-threatening issue among American adults and children, it can be paired with interrupted breathing when caused by sleep apnea, resulting in further health complications.

February 1 2022

Restoring Your Smile to Health

Full-Mouth Rehabilitation

There comes a time for many people when traditional methods of tooth restoration are no longer viable. The impairment of the natural teeth has crossed a threshold where fillings are impossible or imprudent. In these cases, many people choose dentures, usually due to their comparatively low cost. For others, a welcome alternative to dentures is full-mouth rehabilitation (sometimes called full-mouth restoration or full-mouth reconstruction), which in the broadest sense is using multiple advanced restorative techniques to rebuild your natural, healthy smile. Green Bay Smiles is proud to offer this service to our Green Bay area communities.

Who Are Candidates for Full-Mouth Rehabilitation?

Our office stands by its commitment to never try to “upsell” or strong-arm patients into treatments. We never want anyone to feel that they’re being railroaded when it comes to any procedure, especially one that involves a significant investment of time and money. That’s part of the reason why we created this blog article: We want our patients to be informed of every option and to have a clear understanding of the treatments we might recommend for them. Transparency and clear communication are central to how we do dentistry, and candidates for full-mouth rehabilitation can rest assured that from your first consultation to the very last appointment, you will know what’s going on with your treatment plan in terms of services provided and the costs they entail. In the end, whether our patients choose dentures or full-mouth rehabilitation (or some other treatment option), we will always provide them with the same personalized care and everything they need to make the best decision for themselves.

That said, there are several reasons why people seek out full-mouth rehabilitation. Here are the most common:

Decay of teeth – Many candidates for full-mouth rehabilitation have experienced extensive tooth decay, sometimes through poor dental hygiene habits and diet, but sometimes as a result of things like medications or genetic/hereditary factors.

Wearing down of teeth – Many of our full-mouth candidates have suffered from an erosion of their tooth enamel because of persistent grinding, acid reflux, or simply years of use.

Damage or trauma to the teeth – Accidents, sports injuries, or other impacts to the teeth will often bring about the need for an overhaul of the bite and smile.

Persistent problems with the jaw and/or tooth alignment – Often full-mouth rehabilitation is sought out when there’s a misalignment of the jaw and/or teeth, which can lead to tooth damage, ongoing headaches, and muscle pain.

While there are other reasons for seeking out full-mouth rehabilitation, candidates most commonly have one of these four issues.

What’s the Process for Full-Mouth Rehabilitation?

No two patients will ever have exactly the same experience with full-mouth rehabilitation. At our office, a central guiding principle is providing personalized care, whatever the service being provided. We want to know you and your thoughts well before we begin on any treatment plan. But every patient who decides to embark on full-mouth rehabilitation can expect similar things from the overall experience.

Consultation with the dentist – You’ll start off by being scheduled for an appointment to meet with the providing doctor to discuss your situation, conduct a thorough examination of your teeth and oral health, answer any questions you might have, and begin the steps for a treatment plan going forward. There are situations where you might meet with the dentist only to discuss the full-mouth treatment and then return for the thorough examination at a second appointment.
X-rays and impressions of your teeth – To carry out any full-mouth rehabilitation treatment plan, you will need to have current X-rays, along with a 3D scan and/or impressions taken of your bite.
Initial photographs – We’ll also take photos of your teeth at this time — not only do we love to be able to show you the wonderful before-and-after imagery at the end of the treatment, the photos will help guide things like alignment of the teeth and coloring of any crowns.
Finalized treatment plan – Once our dentist has all the information needed on the condition of your teeth, the health of your gums and bone structure, the alignment of your jaw, and the appearance of your smile from an aesthetic standpoint, a step-by-step treatment plan will be created to guide the rest of the process. As alluded to above, no two treatment plans will ever be the same, and they will factor in your specific needs and desires for the final outcome. Costs and time commitments will be made clear, and any further questions will be answered.
Rehabilitative procedures – These procedures will obviously vary from patient to patient, depending on their specific needs. Some patients undergoing full-mouth rehabilitation might only need two or three from the following list, where others will require many or all of the services. All of these procedures will have been discussed with the patient ahead of time and integrated into the unique treatment plan.
- Teeth cleaning/periodontal care – The first procedure most full-mouth patients will undergo ensures that natural teeth and gums are as healthy as possible before moving forward.
- Crown lengthening – In order for crowns (or possibly bridges) to be placed on those teeth that need them, healthy tooth structure may have to be exposed.
- Gum contouring – In addition to crown lengthening, patients’ gums may need to be shaped to present their most symmetrical and healthiest looking smile.
- Orthodontics – Our dentist may recommend Invisalign® or other orthodontic treatments to help address bite issues and move the patient’s teeth into the optimal position for restoration.
- Bone grafting – If patients opt for dental implants to replace damaged or missing teeth, bone grafts are sometimes required to provide enough stability and structure for the implant to be anchored properly.
- Dental implant placement – Using 3D imagery of the patient’s mouth and jaw, our dentist will create a guide and anchor into the bone a titanium implant that will later receive a ceramic crown or potentially anchor a bridge restoration.
- Crown preparation – In order for any crowns to be placed on a patient’s natural teeth, existing tooth structure will have to be reduced and shaped to receive the crowns.
- Temporary crown placement – Once the natural teeth needing crowns have been prepared, temporary crowns will be placed to ensure proper fit and bite alignment. These temporary restorations will give the patient time to grow accustomed to their new teeth and will be worn until our lab finishes crafting the permanent ceramic crowns.
- Placement of permanent crowns or other restorations – Once we have back from the lab the patient’s final crowns (or potentially their bridges, veneers, inlays, or overlays), the dentist will remove any temporaries and permanently cement the final restorations to the existing teeth.
Final photographs – Once patients have completed the entire full-mouth treatment plan, we take photos of the final result. We use these for our own documentation and education purposes, and we may also — with patients’ permission — share them publicly on our website. The before-and-after imagery (like the photos included in this blog) are an excellent way to educate and help prospective full-mouth patients make decisions about moving forward with the treatment.

How Long Does Full-Mouth Rehabilitation Take?

The duration of the entire process of full-mouth rehabilitation will vary a great deal from person to person based on dental needs, desired outcomes, and other factors like age and budget. There are some patients who complete the entire rehabilitation within two months. Other patients may choose to address different needs over the course of a year or more. Some of the procedures in the process require built-in waiting time. For example, if a bone graft is needed, the healing time can be up to four months before an implant can safely be placed. If orthodontic treatment is needed to move the teeth into proper position, the waiting time could be six months to a year. Whatever your particular dental needs, you can rest assured that you will know how long the process will take when you go over your individualized treatment plan with the dentist.

How Much Does Full-Mouth Rehabilitation Cost?

This question is at the front of most patients’ minds when they schedule their initial consultation. And, as you can guess from what you’ve already read, the answer is dependent upon each individual’s dental needs and desired outcomes. Cost is also determined by what types of treatment are chosen: A patient who chooses dental bridges to replace missing or damaged teeth will pay less than a patient who chooses dental implants for the same replacement. A patient may choose veneers or inlays/overlays over crowns. One thing is certain and consistent: At Green Bay Smiles, you will never be surprised by costs. We will talk you through every step of the process in your treatment plan, alerting you to the various prices of different procedures, explaining how much of the treatment may be picked up by insurance, and helping you to make the best decision for your individual circumstances. Because of the variety factors and potential services involved, it’s difficult to give an average cost for full-mouth rehabilitation. On the lowest end, a patient is looking at a cost of about $15,000. For more extensive work, the cost can run in the $30,000 to $45,000 range. That is, without question, a great deal of money to spend on one’s teeth; but for those who have chosen to go through the process, having their natural smile restored to health is well worth the investment.

Where Can I Learn More About Full-Mouth Rehabilitation?

The best resource we can provide is our team, which has a great deal of experience working with patients on their full-mouth treatment plans. For more information on how the process works or questions related to your specific situation, please give our office a call at (920) 339-9013. We look forward to speaking with you and helping you on your way to a fully restored smile! Below are a few more before-and-after photos of full-mouth rehabilitation patients, along with additional web resources on this subject.

Resources

https://www.aegisdentalnetwork.com/cced/2014/05/full-mouth-rehabilitation-a-staged-approach-to-treating-the-worn-dentition

https://artofdentistryinstitute.com/blog/benefits-full-mouth-rehabilitation/

https://www.bostonprosthodontics.com/full-mouth-reconstruction

https://cardinaldentalgroup.com/five-signs-you-need-full-mouth-rehabilitation.html

https://www.gotoapro.org/full-mouth-reconstruction/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2994694/

https://www.yourdentistryguide.com/fmr/

September 29 2021

Get Wise on Wisdom Teeth

Potential Problems with Wisdom Teeth

Wisdom teeth, the molars in the far back of your mouth, are nicknamed for the fact that they appear by the time you are finally mature (and presumably wise;). Whether or not these molars cause you problems is hard to predict, but if you’re experiencing some specific pain in your gums and jaw, you may be wondering if you have impacted wisdom teeth. At Green Bay Smiles, we take care of wisdom teeth from all around the Green Bay area. Let us tell you more about impacted wisdom teeth and what to do if you have them.

What Are Impacted Wisdom Teeth?

Your wisdom teeth are the third and final set of molars you’ll get. They usually come in when you are between 17 and 21 years old, though some people’s wisdom teeth won’t come until much later, if at all. As with all teeth, wisdom teeth are expected to break through the gums and become totally visible when they emerge. However, in some situations, wisdom teeth stay deep in the jawbone or never break through your gums. In this case, the wisdom teeth are impacted.

Have you ever tried to shove one last book onto an already-full bookshelf? When your last set of teeth comes into an already-full mouth, it’s a similar situation. There simply may not be enough room for them and they may stay impacted under the gums.

Another reason a wisdom tooth may be impacted is if it grows in sideways or twisted and headed straight into another tooth.

Impacted teeth can cause problems such as:
• Pressure on teeth so your bite becomes misaligned
• Pain and dysfunction in your mouth and jaw
• Inflammation and extra plaque buildup on a partially impacted tooth (if some, but not all of the tooth breaks through the gum)

Some dentists prefer to remove wisdom teeth early to avoid any problems altogether. Early removal also usually means easier recovery.

Symptoms of Impacted Wisdom Teeth

Sometimes, wisdom teeth come in or stay impacted without a single hitch. However, if you are experiencing any of these problems, you may have impacted wisdom teeth that need to be treated:
• Irritated, red, swollen gums in the far back of the mouth
• Discomfort opening your mouth
• Jaw pain keeping you up at night
• Bad breath
• Bad taste when biting down
• Fever

How to Treat Impacted Wisdom Teeth

Our dentist will confirm whether or not you have impacted wisdom teeth by looking into your mouth and also taking X-rays. The teeth may not need to be removed or extracted, in which case you can take pain medicine and use some warm saltwater rinse to soothe your gums. If an impacted tooth is causing problems for the rest of your mouth or jaw, it’s likely the dentist will want to surgically remove it—this is called extraction. Wisdom tooth extraction can leave your mouth sore for a few days, so you may need to take time off work or school and eat only safe, soft foods.

If you think you have impacted wisdom teeth, or if you have any other questions, Green Bay Smiles would love to see you soon! Call us today at (920) 339-9013 to be proactive about your oral health. Now that’s a wise decision.

References:

https://www.mouthhealthy.org/en/az-topics/w/wisdom-teeth

http://www.webmd.com/oral-health/wisdom-teeth

https://medlineplus.gov/ency/article/001057.htm

June 25 2021

Dental Veneers: What You Need to Know

Dental Veneers

What Are Dental Veneers?

Dental veneers are very thin shells of porcelain or composite resin that are permanently bonded to the front surface of teeth using dental cement to improve the appearance of one’s smile. These veneers are crafted in a dental laboratory using measurements and models provided to them by our dentist.

Who Can Benefit from Dental Veneers?

Many patients can benefit from dental veneers, including those who have chipped, stained, decayed, crooked, gapped, or otherwise blemished teeth. Sometimes, patients who elect other cosmetic or restorative procedures—such as Invisalign or full mouth rehabilitation—also opt for dental veneers to complete their smile transformations.

How Are Dental Veneers Applied?

The complete process for fitting dental veneers usually takes three or four visits to our office. The first appointment involves a consultation with our dentist, where the patient can explain his or her desires for the procedure, and our dentist will go over your medical and dental history, examine your teeth, and offer a full explanation of the procedure, including the benefits and drawbacks. The second appointment is where we take measurements and create models of the patient’s teeth that will be sent along to the dental lab that crafts the veneers. This visit will involve multiple X-rays, teeth impressions, and photographs of the teeth and smile. Temporary Veneers. Depending on several factors, the third appointment is usually to apply temporary veneers. After numbing the teeth, our dentist will remove a thin layer of the front of those teeth that will be receiving the veneers. Any transformation of the gums that needs to occur will likely be done at this visit. Once the temporary veneers are applied, tests will be done to ensure proper fit, bite, and comfort. At this point, additional impressions will likely be taken so that the permanent veneers are perfectly crafted. Normally, the temporary veneers are worn for about two weeks. During the final appointment, the temporary veneers are removed after the teeth have again been numbed. The patient’s natural teeth are then cleaned, dried, and prepared for the bonding of the permanent veneers. Once the permanent veneers are placed, they’ll be fitted, filed, and thoroughly tested for proper appearance and bite before the dentist permanently bonds them onto the natural teeth.

How Long Do Dental Veneers Last?

According to the American Dental Association, porcelain dental veneers can be expected to last at least ten years. They often last much longer: 20 years is not uncommon. This, of course, is dependent on patients’ behavior and care for their teeth. Composite resin veneers have an expected life of about five to seven years, again depending on care.

Why Choose Dental Veneers?

There are many reasons why patients choose dental veneers over crowns, dentures, or other dental services. Once of the biggest benefits of veneers is that they leave more of a patient’s natural tooth structure intact. Unlike crowns that involve significant filing away of the natural tooth to accept the crown or extraction with denture/bridge replacement, dental veneers usually only involve filing away a small layer at the front of the tooth. Veneers have the potential to be more aesthetically pleasing after time than other tooth replacement options, since there is less likelihood of veneers showing a gum margin. Additionally, teeth with veneers are less likely to experience movement or shifting than those repaired or replaced by other means. Finally, some patients choose dental veneers because of the savings in cost over other cosmetic or restorative services.

How Much Do Dental Veneers Cost?

The total cost of having dental veneers applied to one’s teeth is dependent on several factors, including how much work needs to be done to prepare the receiving teeth and gum tissue. The veneer material is also a factor, as porcelain is more expensive than compositive resin. Very generally speaking, porcelain dental veneers can range in cost from about $900 to about $2,500 per tooth. Composite resin veneers can range from about $500 to $1,500 per tooth. Our dentist will provide patients with a clear estimate of total cost at the consultation appointment.

Where Can I Find More Information on Dental Veneers?

Here are some helpful resources on dental veneers to help you make the most informed decision possible. You can also call our office at any time to discuss this treatment option with a member of our administrative team.

http://www.ada.org/~/media/ADA/Publications/Files/ADA_PatientSmart_Veneers.pdf

https://www.mouthhealthy.org/en/az-topics/v/veneers?_ga=2.92099802.1312205144.1570459716-1062438290.1565317005

https://www.colgate.com/en-us/oral-health/veneers/dental-veneers-pros-and-cons

https://www.healthline.com/health/dental-veneers

https://www.webmd.com/oral-health/guide/veneers

https://www.medicalnewstoday.com/articles/dental-veneers#what-are-they

February 17 2021

How to Brush Your Child’s Teeth (the right way)

The Importance of Proper Teeth Brushing in Children

Introduction

February is National Children’s Dental Health Month. Nearly every parent understands the importance of regular teeth brushing to maintain their little one’s dental health, but not all parents understand the best method for helping their kids brush or the best tools to use. While some parents prefer electric brushes over traditional ones (and there are many advantages of electric brushes), we recommend you at least demonstrate proper brushing with a manual toothbrush before moving on to an electric model. Be it manual or electric, we strongly recommend soft bristles in your kids’ brushes.

Parents can begin using a soft children’s toothbrush with just water on babies as young as 1 year old; some dentists recommend regular brushing of teeth even before that (as soon as the teeth emerge) if the infant can handle it. Children’s low-fluoride toothpaste can then be introduced when your child reaches 18 months. We strongly recommend that you help brush your little one’s teeth at least twice a day — once in the morning and once before bed — to remove and prevent plaque buildup that leads to tooth decay and gum disease.

Proper Brushing Technique

The following diagram and instructions will help you to brush your child’s teeth in a consistently effective manner:

Place a pea-sized drop of low-flouride toothpaste onto a soft-bristled children’s toothbrush. You don’t want to overdo it when it comes to the amount of paste you’re using: more isn’t better in this case.
If your child is small, sit her in your lap, facing away from you. If your child is tall enough, you can stand behind him. Gently tilt the child’s head back against your body — this will allow you to see all the surfaces of the teeth.
Angle the bristles of the toothbrush towards the gums at about 45 degrees. Gently move the brush in tight circles to clean the outer surfaces of the teeth and gums.
Continuing the same circular motion, gently brush the inner surfaces of the teeth and gums.
When it comes to the chewing surfaces of the teeth, use a gentle forward and backward motion.
After you’ve finished brushing every surface of the teeth, encourage your child to thoroughly spit out the toothpaste. It is not necessary to have your child rinse his mouth after this — the small amount of toothpaste still in the mouth will continue to protect against tooth decay.

We recommend brushing for at least two minutes each session. Since cavities most frequently form in the back molars, most of that time should be spent addressing those molar surfaces. Your modeling of these actions will go a long way in helping them to establish life-long healthy dental habits. Along with a good diet, daily flossing, and regular visits to the dentist’s office, children will have all the tools they need to maintain a healthy smile throughout their lives.

Concerning Facts Related to Children’s Dental Health

Helping your children to brush properly has huge implications. These are just a few statistics (from the Centers for Disease Control and Prevention, among other sites) and insights that support the need for proper brushing and overall good oral hygiene habits in children:

Almost 20% of kids over the age of two have cavities that have not been treated.
Tooth decay is found in about 20% of four- and five-year-olds; by age 17, over 85% of young people have some form of tooth decay.
Children are five times more likely to suffer from tooth decay than from asthma.
Across the world, kids miss more than 51 million school hours each year because of dental-related problems.
Poor dental hygiene can affect the self-esteem and school performance of children, making them less likely to smile or engage in conversation.
Poor dental hygiene in children can lead to poor nutrition and chronic sleep problems.

Resources

January 9 2021

A Clearer Look at Clear Braces

Clear Braces

What Are “Clear Braces” Systems Like Invisalign?

Invisalign and other clear-aligner treatments are orthodontic devices that, like braces, help to straighten teeth and correct bite patterns over time. Unlike traditional braces, Invisalign employs transparent plastic trays (similar to athletic mouthguards) that fit snugly over the teeth.

How Do They Work?

The process begins with a checkup and consultation to determine if you’re a good candidate for Invisalign or similar clear aligner system. After you have been confirmed as a good candidate, the doctor will digitally scan your teeth and custom fit you for a series of clear, BPA-free plastic aligners. At the next appointment, you will receive your first batch of trays. Your doctor will ensure a proper fit, answer any questions you have, and let you know what to expect going forward. From there, you will have to wear your aligners between 20 and 22 hours per day. As you wear the trays and swap them out for a new set every two weeks, your teeth will gradually shift into the correct, straighter position over time. While aligners alone are sufficient in most cases, some patients might need to have raised “buttons” attached to the surface of teeth to help provide extra traction for teeth to shift. Throughout the treatment, you will have to return to the dentist’s office about once every six to eight weeks to have your progress evaluated and received the new sets of aligners you’ll be using until the following appointment.

How Do I Care for My Teeth During Clear Aligner Treatment?

As mentioned, your aligners need to be worn for at least 20 hours each day; really, the only times they should be removed are when you’re eating, drinking hot beverages (the heat can warp the shape of the trays), or brushing your teeth. Since the plastic aligners completely cover your teeth, it’s very important that you brush your teeth after each meal or snack to make sure that there isn’t any food trapped against them. Even after a clear aligner treatment is completed, most patients will have to continue to wear a nighttime retainer to maintain the results they’ve achieved.

What Are the Advantages of Clear Aligners Versus Traditional Braces?

In addition to the benefit of straighter teeth that all orthodontic devices can deliver, there are several significant advantages that clear aligners have over traditional braces:

Plastic aligners are a transparent orthodontic device that’s almost imperceptible.
Removable trays allow you to continue to eat all of your favorite foods during treatment.
Smooth plastic of aligners allows you to continue to be active in all the sports you love without worry of cuts and other injury to the inside of the mouth.
Aligners mean you’ll never have to deal with broken brackets or wires, so you can avoid emergency appointments altogether.
Removable trays allow you to keep brushing and flossing as you normally do throughout the treatment process.

What Kinds of Tooth and Bite Issues Can Be Corrected with Clear Aligners?

Beyond the normal straightening of crooked teeth, Invisalign and other clear aligners can help correct a number of issues:

Overbite
Underbite
Crossbite
Open bite
Gaps in the teeth
Overcrowding
Mix of baby & permanent teeth

Until fairly recently, metal braces were almost always superior to clear aligners when it came to handling these orthodontic issues. However, Invisalign and other companies have continued to innovate and produce technology that now delivers results that are comparable to metal braces.

How Long Do Clear Aligners Take to Straighten Teeth and Correct Bite Issues?

The length of time required to completely achieve a person’s orthodontic goals with Invisalign or similar clear aligners is – as is the case with metal braces – going to vary a great deal depending on the particular issues being addressed. Some individuals’ teeth can be completely straightened in as short as six months. For certain issues, like overcrowding, the treatment can take 24 months or longer. As a fairly broad rule, most clear aligner treatments take between 9 and 18 months to complete.

How Much Do Clear Aligner Treatments Cost?

As with treatment time for clear braces, treatment cost will likewise vary considerably depending on your particular circumstances. The major factors affecting the cost to you include your oral health, how much orthodontic work needs to be done, where you live, and how much your insurance will cover. Without factoring in any coverage from insurance, you can expect to pay anywhere from about $3,500 to around $8,000 for Invisalign or a similar clear aligner treatment — the average cost a little over $5,000. Compare those numbers to the $3,000 to $7,000 most people pay for metal braces, with a similar average cost of $5,000.

Where Can I Learn More?

Here are some websites that contain a wealth of information about clear braces:

https://www.wausausmiles.com/orthodontics/#Invisalign

https://www.wausausmiles.com/2018/03/08/invisalign%ef%b8%8f-clear-aligners-offer-discreet-orthodontic-treatment/

https://www.invisalign.com/how-invisalign-works

https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-015-0060-4

https://www.totalorthodontics.co.uk/the-pros-and-cons-of-six-month-smiles/

https://www.6monthsmiles.com/get-started/how-it-works

https://www.smileslacrosse.com/clearcorrect-2/

https://ollieanddarsh.co.uk/blog/six-month-smiles-vs-invisalign-which-is-better/

https://www.colgate.com/en-us/oral-health/cosmetic-dentistry/adult-orthodontics/benefits-of-clear-braces-for-adults-0114

https://www.dental-treatment-guide.com/braces-0

https://www.sharecare.com/search?query=invisalign

https://www.webmd.com/search/search_results/default.aspx?query=invisalign

https://www.sharecare.com/health/orthodontic-braces/what-are-clearcorrect-braces

December 13 2020

The Skinny on Dental Implants

Dental Implants

What are they?

Generally speaking, dental implants are a type of permanent tooth replacement. Unlike other forms of tooth replacement like bridges or dentures, they are surgical devices that enter and interact with the bone of the jaw or the skull to support a dental prosthesis, often a dental crown. The dental implant itself specifically refers to the screw-like titanium component that is placed into the bone; this implant then connects to an abutment that sits within and holds a tooth-like porcelain crown.

How are they placed in the mouth?

During an initial consultation, the dentist will examine the area to receive the implant and take a series of X-rays and/or 3D images to determine exactly where the implant will be placed. The dentist will then go over the various options for the treatment plan. The next appointment will consist of actually placing the titanium implant into the bone of the jaw or skull, frequently utilizing a guide. In most cases, the patient will only receive local anesthesia, similar to what is employed for fillings, extractions, or root canals. Typically, there’s no bleeding or stitches needed after the implant placement, and the pain and recovery time is also similar to other dental surgeries. When needed, dentists will provide patients with temporary teeth for the three or so months it will take until the permanent crown is placed on the implant. That three-month period provides time for osseointegration — the actual fusing of the patient’s bone with the titanium of the implant — to take place. Once the implant is fully fused with the bone, the dentist will attach the abutment just above the gum line, take impressions of the surrounding teeth to ensure the perfect fit for the new crown, and custom match the color. The final appointment will involve seating the new porcelain crown and checking for a perfect fit.

How long does the procedure take?

As suggested above, the entire process for replacing a tooth with an implant-supported crown takes several months, but the time spent in the dental chair is probably less than you’d expect: The initial consultation can be done within a half-hour to an hour appointment. The second appointment where the implant is actually placed can be done within an hour-long appointment. Impressions can be taken within a half-hour appointment, and the final seating of the crown can be done within an hour appointment.

Who can benefit from them?

Adults of all ages who are missing teeth can benefit from dental implants: those who have lost teeth due to injury, those who have lost teeth due to infection or decay, or those who were born missing teeth. The only groups who cannot take advantage of dental implants are children whose facial structure has not reached full maturity and those — often elderly individuals — who have experienced too much bone loss to support the device.

Why are they preferable to other tooth replacements?

When compared to tooth replacement options like bridges or dentures, dental implants offer several major advantages:

• They are actually more cost-effective in the long term. Dental implants, when they are properly maintained, can last many decades. In comparison, bridges and dentures tend to only last from five to ten years, meaning continual replacement costs and costs of ongoing appointments to address their issues.

• They are easily the most comfortable and most natural-looking replacement for one’s own teeth. Bridges and dentures can sometimes slip or dig into the gum tissue, leading to discomfort and the need for ongoing adjustments. Dental implants, on the other hand, feel and function just like any other natural tooth in the mouth.

• They allow for the complete freedom to eat and speak as one normally would. Unlike bridges and dentures, dental implants allow people to enjoy all the foods they love and to speak without the fear of a dental device slipping or clicking.

• They are the only tooth replacement option that actually promotes the growth and health of bone and prevents bone loss. When the bone of the jaw or skull fuses with the titanium of the implant, this strengthens the supporting bone and the teeth surrounding it.

How much do they cost?

This is the question on many people’s minds when it comes to dental implants. Yes, dental implants are considerably more expensive, up front, than dentures or bridges. However, studies show that their durability and functionality makes them a better buy in the long run. No two patients will pay exactly the same amount for a dental implant, but people can expect to pay around $3,000 to $5,000 for an implant with crown.

How can I arrange for my own dental implant?

If you’re in need of tooth replacement and think that a dental implant could be right for you, please call our office today at (920) 339-9013 to set up your consultation with Dr. Aaron Bushong.

Where can I learn more?

Here are some good resources related to dental implants:

https://www.dental-treatment-guide.com/dental-implants

https://www.webmd.com/oral-health/video/video-dental-implants-overview

https://my.clevelandclinic.org/health/transcripts/10987_dental-implants-what-to-expect

https://my.clevelandclinic.org/health/treatments/10903-dental-implants

https://www.aaid-implant.org/dental-implants/what-are-dental-implants/

November 19 2020

What Is Periodontal Disease?

What Is It?

Periodontal disease is another term for gum disease, and it refers to an infection of the tissue that surrounds and holds your teeth in place. There are two distinct stages to periodontal disease: The first stage, gingivitis, involves swelling and reddening of the gum tissue. The second, periodontitis, can mean the gums actually pulling away from teeth, bones deteriorating, and teeth loosening and potentially falling out.

What Causes It?

The simplest explanation for what causes periodontal disease is bacteria. The bacteria in the mouth, left unchecked, forms a film on the teeth called plaque that eventually hardens into tartar (calculus). This tartar spreads — sometimes below the gum line — and this infection causes inflammation and damage to teeth, gums, and bone.

What Are Its Risk Factors?

While bacteria is the main culprit behind periodontal disease, there are a number of behaviors or factors that can put a person at higher risk of it developing and progressing. Some of the leading risk factors are:

• Smoking

• Poor oral hygiene

• Diabetes

• Diseases that suppress the immune system

• Medications that reduce saliva production

• Hormonal changes in girls and women

• Stress

• Crooked teeth

• Genetic predisposition

What Are Its Warning Signs?

Some of the most common and obvious signs of periodontal disease include:

• Red/swollen gums

• Tender/bleeding gums

• Persistent bad breath or bad taste in the mouth

• Sensitive teeth

• Pain when chewing

• Changes to your bite

• Pulling away of gum tissue from teeth

• Loose teeth

How Is It Treated?

Once the dentist or hygienist has diagnosed the periodontal disease, the first thing for patients to keep in mind is that the success of any treatment option is going to depend on their willingness to keep up good oral hygiene habits at home. That said, the early stage of periodontal disease — gingivitis — can be treated with regular cleanings from your hygienist in concert with daily brushing and flossing. More advanced periodontal disease might require more aggressive treatment options, such as deep-cleaning of the roots below the gum surface, antibiotics or other medications taken orally or placed below the gums, and even oral surgery.

Additional Facts About Periodontal Disease

According to the CDC:

• 47% of all adults over 30 have some form of periodontal disease

• 70% of adults over 65 have the disease

• Periodontal disease is more common in men (56%) than in women (38%)

• 64% of current smokers have periodontal disease

References

https://www.nidcr.nih.gov/health-info/gum-disease/more-info

https://www.cdc.gov/oralhealth/conditions/periodontal-disease.html

https://www.perio.org/newsroom/periodontal-disease-fact-sheet

https://www.lakelandfamilydentalwi.com/blog/Periodontal-Gum-Disease-Treatment/Lakeland-Family-Dental-Is-it-Normal-for-My-Gums-to-Bleed/7100

https://www.sharecare.com/health/periodontal-diseases/what-is-periodontal-disease

https://www.webmd.com/diabetes/qa/what-is-periodontal-disease

https://my.clevelandclinic.org/health/diseases/10950-gingivitis-and-periodontal-disease-gum-disease

November 8 2020

Why Would I Need A Dental Crown?

Who Needs Dental Crowns?

There are many people who can benefit from dental crowns, including those:

• with teeth that have such extensive decay that fillings are not an option

• with weakened teeth that need protection from breaking or cracking apart

• with teeth that are already cracked

• with teeth that are extremely worn down

• who need to have a dental bridge held in place

• who need to cover a dental implant

• who want to cover or make a cosmetic improvement to their existing teeth

Why Choose Dental Crowns?

A properly fit and placed crown can last for decades, significantly longer than the average filling tends to last. Unlike fillings, a dental crown covers the entire tooth, protecting it against future tooth decay. Crowns are required for covering dental implants, and they are ideal in mirroring the exact color and shape of the teeth they’re replacing. Crowns can hold together cracked teeth and often prevent the necessity of extracting teeth. They can also be employed to close the gaps between teeth and correct minor problems with tooth positioning. Finally, dental crowns can cover stained or misshapen teeth, producing a much nicer smile and boosting one’s self-confidence.

What Does a Dental Crown Procedure Involve?

Tradition Dental Crowns

With traditional dental crowns, a patient needs to come in for at least two separate visits, usually spaced out about two to three weeks. At the first appointment, the tooth to be crowned is examined and prepared. The dentist and his/her assistants will take X-rays of the tooth itself and the bone surrounding to check for the extent of decay or damage. In some cases, a root canal may have to be done before proceeding with a crown. The next step is to file down the top and sides of the tooth to accommodate the crown. If there is extensive decay and too much tooth has to be removed, the dentist will add a filling material to build up the remaining tooth structure. Once the shaping of the tooth structure is finished, an impression is made of that tooth (which will serve as the basis for the new crown), along with the tooth above or below to ensure that the patient’s bite is not affected. The dentist will send off the impressions to a dental lab and place a temporary crown over the tooth at the end of the first appointment — this will serve to protect the tooth during the 2-3 weeks it takes for the lab to create the permanent crown. At the second and final visit, the temporary crown is removed and the permanent crown is checked for fit and color. When these checks are finished, the permanent crown is cemented into place, sometimes with the aid of a local anesthetic.

Same-Day Crowns

The process for same-day crowns is the same as for traditional crowns, right up until the point when impressions are taken. With same-day crowns, there is no need for the use of traditional gel tray impressions: A 3D scanning wand is placed inside the patient’s mouth that maps the shape of the teeth and sends this information directly to a CAD/CAM milling machine that will create the permanent crown in under an hour.

How to Arrange Your Own Dental Crown

If you have concerns about decay or damage to a tooth and believe that a dental crown might be the best course, please call our office at 920-339-9013 to set up your consultation with Dr. Casey Messer or Dr. Aaron Bushong.

References

https://www.webmd.com/oral-health/guide/dental-crowns#1

https://www.dental-treatment-guide.com/dental-crowns

https://www.sharecare.com/health/dental-crown/what-benefits-dental-crown

https://my.clevelandclinic.org/health/treatments/10923-dental-crowns/procedure-details

April 30 2018

The Smile Care Test: Find Out What You Know

The Smile Care Test

It’s best to know all about smile care so you can keep your teeth, gums and entire oral health in tip-top shape. The more you know, the better chance you have of achieving your smile goals! So, our dentist, Dr. Aaron Bushong, encourages you to test your smile care knowledge and maybe even learn something new by taking the following smile care test. Good luck!

1. True or False: Oral hygiene is very important if you want a strong and healthy smile.
A. True
B. False

2. True or False: Your oral hygiene routine should include brushing twice a day and flossing once a day.
A. True
B. False

3. True or False: Your six-month checkups are not important, especially when it comes to smile care.
A. True
B. False

4. True or False: It doesn’t matter which foods and drinks you consume. They’re all healthy for the teeth.
A. True
B. False

5. True or False: You should avoid habits like chewing on your nails, ice and pens because they can crack and harm the teeth.
A. True
B. False
___________________________________

ANSWERS

1. A
2. A
3. B (Your six-month checkups are very important)
4. B (Everything you eat and drink affects the smile, so make sure to consume tooth-healthy foods and drinks)
5. A

Call Green Bay Smiles today at 920-339-9013 if you have any questions or if you would like to know more. Our dental team is happy to tell you all about smile care in Green Bay, Wisconsin, so please don’t hesitate to contact us. We look forward to hearing from and helping you!

April 23 2018

Building a Foundation for Your Smile With Tooth Decay

Building a Foundation

Due to the fact there are several health risks associated with tooth decay, it is important to set forth prevention plans to keep your smile safe for decades to come. If you are suffering from tooth decay, it could be linked to issues associated with underlying oral health risks that are slowly putting your smile at several risks for enamel erosion. To help protect your smile, be aware of the risks associated with tooth decay.

Tooth decay is a known risk factor for your smile because if your enamel is slowly worn down, bacteria can enter the root of a tooth and lead to pulp damage. If the pulp of a tooth is damaged, it will need to be extracted, or the tooth itself will fail. Because dental erosion is so damaging to your smile, it is important to always make sure that you’re minimizing the risks associated with debris and plaque buildup in your mouth.

Plaque buildup is a thin layer that develops on your teeth that can lead to several oral health risks including cavities, tooth loss, and gum disease. Because of the risks associated with plaque, you will need to make sure that you’re practicing effective oral hygiene routines that include brushing and flossing every day to help remove plaque from your teeth. For supplementary cleaning utensils to keep your smile clean, consider the use of mouthwash and sugarless chewing gum immediately after meals when your teeth are extremely vulnerable.

Are you attracted to the idea of tooth decay in Green Bay, Wisconsin? If so, you are welcome to schedule an appointment with Dr. Aaron Bushong at our dental office by calling us at 920-339-9013. Green Bay Smiles looks forward to enhancing your smile with tooth decay prevention treatments. Let us help you get a whiter, brighter, decay-free smile today!