Nashua, NH Dentist
Nashua Smile Makers
76 Allds Street
Nashua, NH 03060
(603) 882-3727
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Posts for: October, 2017

By Nashua Smile Makers
October 27, 2017
Category: Dental Procedures
MovingJustaFewTeethcanhaveBigResults

Orthodontists are able to achieve attractive results with traditional braces moving several teeth into a better position. In a way, braces are the original “smile makeover.”

But orthodontic treatment can also be useful if only a few teeth (like the two upper front teeth) need to be moved slightly. A treatment known as minor tooth movement takes only a few months as opposed to years for traditional multiple teeth movement, and with removable appliances that may use small springs or elastics to place gentle pressure on teeth to move them.

So, what constitutes a minor tooth movement scenario? As with any dental condition, the first step is a complete dental examination, particularly the bite. We also need to determine if enough room exists to close any space without compromising the bite with the opposing teeth, and if the teeth and their roots are in a good position to allow minor movement — otherwise, more extensive treatment may be called for. The surrounding gum tissues and bone also need to be healthy and disease-free, especially in adults.

We may also need to look more closely at the actual cause for a front tooth gap. If the gap is the result of the tongue habitually pressing against the back of the teeth and pushing them forward, it may then be difficult or impossible to close the gap with minor tooth movement techniques. The cause may also originate from the frenum (a thin, muscular tissue that rises up from between the upper front teeth toward the lip) if it has extended too far between the teeth. In this case we may first need to surgically remove some of the frenum tissue before attempting orthodontics or the teeth may gradually move back apart after closing the gap.

Although minor tooth movement normally doesn’t take as long as braces, it may still require several months. And just like with braces, you will need to wear a retainer for several months afterward until the bone stabilizes around the new position. Still, minor tooth movement could have a major impact on your smile.

If you would like more information on orthodontic treatments, 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 “Minor Tooth Movement.”


YourNewImplantsNeedProperHygieneJustasMuchasyourOtherTeeth

So, you’ve just acquired an attractive restoration with dental implants. You may be thinking at least with these teeth you won’t have to worry about dental disease.

Think again. While the implants and their porcelain crowns are impervious to decay the surrounding gums and bone are still vulnerable to infection. In fact, you could be at risk for a specific type of periodontal (gum) disease called peri-implantitis (inflammation around the implant).

Bacterial plaque, the thin bio-film most responsible for gum disease, can build up on implant crowns just as it does on natural tooth surfaces. If it isn’t removed with daily brushing and flossing and regular dental cleanings the bacteria can trigger an infection in the gums.

Besides weakening gum tissues, gum disease can also cause bone loss, of critical importance to dental implants. An implant depends on the bone they’re inserted in to hold them in place. If the bone around an implant becomes infected it could begin to be lost or dissolve (resorb), which could lead to loss of the implant.

That’s why it’s critical to keep the natural tissue structures supporting your implants infection-free. Not only is daily hygiene a must, but your implants and any remaining natural teeth should undergo professional cleaning at least twice a year or more if your dentist recommends it.

Cleanings involving implants will also be a bit different from natural teeth. While the dental materials used in the crown and implant post are quite durable, regular cleaning instruments can scratch them. Although tiny, these scratches can become hiding places for bacteria and increase your risk of infection.

To avoid this, your hygienist will use instruments (known as scalers and curettes) usually made of plastics or resins rather than metal. The hygienist may still use metal instruments on your remaining natural teeth because their enamel can tolerate metal without becoming scratched creating a smoother surface.

While keeping implants clean can sometimes be a challenge, it’s not impossible. Implants on average have a long-term success rate above 95%. With both you and your dentist caring and maintaining these state-of-the-art restorations, you may be able to enjoy them for decades.

If you would like more information on caring for dental implants, 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 Implant Maintenance: Implant Teeth must be Cleaned Differently.”


By Nashua Smile Makers
October 03, 2017
Category: Dental Procedures

Has tooth loss permanently altered your smile? Closing those gaps is easy with dental implants. Our Nashua, NH, dentists, Dr. Salvatore dental implantsGuerriero and Dr. Salvatore Colletta, explain how dental implants can restore your smile.

How do dental implants work?

Unlike other restoration options, dental implants actually give you an entire new tooth. The process starts when a small titanium post is added to an opening in your jawbone. The post replaces your lost tooth roots and fuses to your jawbone during a process called osseointegration. Once osseointegration is complete, an abutment is added to the top of the implant. The abutment serves as a connector between the implant and the dental crown you'll receive in our Nashua office. You'll usually need to wait about three to six months for the osseointegration process to finish before you receive a crown, although in some cases, it may be possible to receive your implant and crown at the same time.

Most people are aware that dental implants can replace single teeth, but not everyone knows that implants are also suitable for replacing multiple teeth and can be used in place of traditional dentures. When you choose implant-supported dentures, you'll need as few as four to eight implants to support one upper or lower denture.

Do dental implants offer any special benefits?

In addition to filling the gap in your smile and improving your self-esteem, dental implants offers several important advantages. When you have an implant, you won't have to worry that your biting power will be affected. Gum irritation also won't be an issue with dental implants. Because your crown is securely attached to your implant, it won't slip or slide when you eat.

Dental implants also provide oral health benefits. Your new implant will take over for your natural roots and provide the constant pressure required to prevent jawbone loss. Thanks to your implant, you won't need to worry that your jawbone will weaken and recede and cause tooth loss or facial sagging.

Are you ready to find out if dental implants are the right choice for you? Call our Nashua, NH, dentists, Dr. Guerriero and Dr. Colletta, at (603) 882-3727 to schedule an appointment.