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Nashua Smile Makers
76 Allds Street
Nashua, NH 03060
(603) 882-3727
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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.

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.