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Nashua, NH 03060
(603) 882-3727
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By Nashua Smile Makers
April 09, 2021
Category: Oral Health
Tags: dental implants  

Dental implants are an excellent method for restoring your smile, and they have many benefits compared to other treatments. Dental implants are unmatched in durability against other types of restorations, but you do have to take proper care to ensure their longevity.

If you would like to learn more about the best ways to maintain your dental implants please get in contact with your local Nashua, NH, dental implant experts Dr. Salvatore Guerriero and Dr. Salvatore Colletta of Nashua Smile Makers.

Good Habits

The best part about dental implants is that the end result looks, acts, and feels just like your natural teeth. This means that cleaning them is not very different either.

Experts advise on using soft-bristled toothbrushes because they are beneficial for all of your teeth. brushing and flossing are necessary to remove the accumulated plaque before it hardens into tartar. Regular dental cleanings and checkups will round out your dental hygiene routine. Your dentist can clean your teeth, especially the hard-to-reach nooks and crannies, at your check-up appointment.

Bad Habits

Cavities do not affect your new tooth as they do your natural teeth, which can cause some to lower their guard. But good dental habits are still important because gum disease remains a concern. It can affect the structure of your mouth that holds your teeth in place.

A diet that increases your risk of developing cavities on your natural teeth can put you at risk for gum disease in general and so can smoking.

Smoking can not only contribute to the likelihood you will develop gum disease, but the habit is itself often a barrier for obtaining dental implants in the first place. Many experts warn against smoking until two months after the implants have healed. Some dentists may not admit you as a candidate for the procedure if you are a regular smoker since it can lengthen the healing time and may cause the implants to fail.

Dental Implants in Nashua, NH

Dental implants have many benefits, but they also require the largest initial investment of time, and sometimes money. The best way to get the most out of your investment is to properly care for them. If you are curious about the procedure or want to know how to make them last as long as possible then come into the office for a visit. Make an appointment today with Dr. Guerriero and Dr. Colletta of Nashua Smile Makers in Nashua, NH, by dialing (603) 882-3727

TheRealTruthBehindEdHelmsMissingToothinTheHangover

Ed Helms is best known for his role as the self-absorbed, Ivy League sales rep, Andy Bernard, on television's The Office. But to millions of fans he's also Stu, a member of a bachelor trip to Las Vegas in the 2009 movie The Hangover. In it, Stu and his friends wake up from a wild night on the Strip to find some things missing: the groom-to-be, their memories and, for Stu, a front tooth.

In reality, the missing tooth gag wasn't a Hollywood makeup or CGI (computer-generated imagery) trick—it was Ed Helm's actual missing tooth. According to Helms, the front tooth in question never developed and he had obtained a dental implant to replace it. He had the implant crown removed for the Hangover movie and then replaced after filming.

Helms' dental situation isn't that unusual. Although most of the 170 million-plus teeth missing from Americans' mouths are due to disease or trauma, a few happened because the teeth never formed. While most of these congenitally missing teeth are in the back of the mouth, a few, as in Helms' case, involve front teeth in the “smile zone,” which can profoundly affect appearance.

Fortunately, people missing undeveloped teeth have several good options to restore their smiles and dental function. The kind of tooth missing could help determine which option to use. For example, a bridge supported by the teeth on either side of the gap might work well if the teeth on either side are in need of crowns.

If the missing tooth happens to be one or both of the lateral incisors (on either side of the centermost teeth), it could be possible to move the canine teeth (the pointy ones, also called eye teeth) to fill the gap. This technique, known as canine substitution, may also require further modification—either by softening the canines' pointed tips, crowning them or applying veneers—to help the repositioned teeth look more natural.

The optimal solution, though, is to replace a missing tooth with a dental implant which then has a lifelike crown attached to it, as Ed Helms did to get his winning smile. Implant-supported replacement teeth are closest to natural teeth in terms of both appearance and function. Implants, though, shouldn't be placed until the jaw has fully developed, usually in early adulthood. A younger person may need a temporary restoration like a bonded bridge or a partial denture until they're ready for an implant.

Whatever the method, there's an effective way to restore missing teeth. Seeing us for an initial exam is the first step toward your own winning smile.

If you would like more information about restoring missing teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Dental Implants.”

By Nashua Smile Makers
December 24, 2018
Category: Dental Procedures

Dental ImplantsDental implants are the best modern dentistry procedure available to replace missing teeth. Drs. Salvatore Guerriero and Salvatore Colletta, your Nashua, NH, dentists offer this state-of-the-art technology to their patients, and are happy to serve you too!

More About Dental Implants

Dental implants are held in such high regard because they deliver longer-lasting results, preserve the integrity of the rest of your natural teeth, and prevent both jawbone deterioration and facial sagging. They also have a documented success rate of over 95 percent and can replace either a single tooth or multiple teeth.

Dental implants are small, screw-shaped titanium posts that replace missing tooth roots. Their titanium make up is biocompatible, ensuring that the device will successfully fuse with your jawbone in a process called osseointegration. The installation procedure begins with your Nashua dentist applying local anesthesia on the problem area before opening it up and inserting the post. Next, your dentist surgically seals the area back up and allows the titanium post to osseointegrate.

When you come back your doctor re-opens the surgical area, in order to insert a screw and abutment. Your dentist then places a crown that matches the rest of your teeth on top and you're ready to walk out with a new smile!

Dental Implant Care and Maintenance

In order to properly care for your new dental implants, make sure that you maintain a healthy oral regimen, as poor oral hygiene may lead to a serious bacterial infection called peri-implantitis which destroys your teeth. Accordingly, adopt a habit of brushing and flossing every day while avoiding sugary foods and using excessive biting force. Teeth-grinding is also a serious issue that may damage your implant, so invest in a nightguard if you are prone to the behavior.

Consultation

Are you looking to replace missing teeth? If you'd like to know more about dental implants, call Nashua Smile Makers in Nashua, NH, at (603) 882-3727 to learn more. Drs. Salvatore Guerriero and Salvatore Colletta will be more than happy to help you!

WhatYouShouldKnowAboutAntibioticTherapyBeforeImplantSurgery

Placing a dental implant within the jawbone requires a surgical procedure. For most people it’s a relatively minor affair, but for some with certain health conditions it might be otherwise. Because of their condition they might have an increased risk for a bacterial infection afterward that could interfere with the implant’s integration with the bone and lead to possible failure.

To lower this risk, dentists for many years have routinely prescribed an antibiotic for patients considered at high-risk for infection to take before their implant surgery. But there’s been a lively debate among health practitioners about the true necessity for this practice and whether it’s worth the possible side effects that can accompany taking antibiotics.

While the practice still continues, current guidelines now recommend it for fewer health conditions. The American Dental Association (ADA) together with the American Heart Association (AHA) now recommend antibiotics only for surgical patients who have prosthetic heart valves, a history of infective endocarditis, a heart transplant or certain congenital heart conditions.

But patients with prosthetic joint replacements, who were once included in the recommendation for pre-surgical antibiotics, are no longer in that category. Even so, some orthopedic surgeons continue to recommend it for their joint replacement patients out of concern that a post-surgical infection could adversely affect their replaced joints.

But while these areas of disagreement about pre-surgical antibiotics still continue, a consensus may be emerging about a possible “sweet spot” in administering the therapy. Evidence from recent studies indicates just a small dose of antibiotics administered an hour before surgery may be sufficient to reduce the risk of infection-related implant failure with only minimal risk of side effects from the drug.

Because pre-surgical antibiotic therapy can be a complicated matter, it’s best that you discuss with both the physician caring for your health condition and your dentist about whether you should undergo this option to reduce the infection risk with your own implant surgery. Still, if all the factors surrounding your health indicate it, this antibiotic therapy might help you avoid losing an implant to infection.

If you would like more information on antibiotics before implant surgery, 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 “Implants & Antibiotics: Lowering Risk of Implant Failure.”

Implant-SupportedDenturesCouldContributetoBetterBoneHealth

For generations, dentures have helped people avoid the dire consequences of total teeth loss. Now, implant technology is making them even better.

Composed of life-like prosthetic teeth fixed within a plastic or resin gum-colored base, dentures are manufactured to fit an individual patient’s mouth for maximum fit, comfort and performance. But dentures also have a critical drawback—they can’t stop bone loss in the jaw.

Bone is constantly regenerating as older cells dissolve and then are replaced by newer cells. In the jawbone, the forces generated when we chew travel through the teeth to the bone and help stimulate this new cell growth. When teeth are missing, though, the bone doesn’t receive this stimulus and may not regenerate at a healthy rate, resulting in gradual bone loss.

Dentures can’t transmit this chewing stimulus to the bone. In fact, the pressure they produce as they rest on top of the gums may actually accelerate bone loss. Over time then, a denture’s once secure and comfortable fit becomes loose.

In the past, most patients with loose dentures have had them relined with new dental material to improve fit, or have new dentures created to conform to the changed contours of the jaws. But implant technology now offers another alternative.

Implants are in essence a tooth root replacement. Dentists surgically implant a titanium metal post directly into the jawbone that naturally attracts bone cells to grow and adhere to it over time (a process called osseointegration). This not only creates a secure and lasting hold, it can also stop or even reverse bone loss.

Most people know implants as single tooth replacements with a porcelain crown attached to the titanium post. But a few strategically placed implants can also support either removable or fixed dentures. Removable dentures (also called overdentures) usually need only 3 or 4 implants on the top jaw and 2 on the bottom jaw for support through built-in connectors in the dentures that attach to the implants. A fixed bridge may require 4-6 implants to which they are permanently attached.

There are pros and cons for each of these options and they’re both more expensive than traditional dentures. In the long run, though, implant-supported dentures could be more beneficial for your bone health and hold their fit longer.

If you would like more information on implant-supported dental work, please contact us or schedule an appointment for a consultation.