Dentures, Fillings, Extractions
Composite fillings are a mixture of glass or quartz filler in a resin medium that produces a tooth-colored filling. They are sometimes referred to as composites or filled resins. Composite fillings provide good durability and resistance to fracture in small-to-mid size restorations that need to withstand moderate chewing pressure. Less tooth structure is removed when the dentist prepares the tooth, and this may result in a smaller filling than that of an amalgam. Composites can also be “bonded” or adhesively held in a cavity, often allowing the dentist to make a more conservative repair to the tooth.
Teeth that have been restored with white composite fillings often appear natural as if there never was a cavity. Where appropriate, we use a sealer after completion of the filling to reduce temporary sensitivity and possible staining in the future.
Used by dentists for more than a century, dental amalgam is the most thoroughly researched and tested restorative material among all those in use. It is durable, easy to use, highly resistant to wear and relatively inexpensive in comparison to other materials. For those reasons, it remains a valued treatment option for dentists and their patients.
Dental amalgam is a stable alloy made by combining elemental mercury, silver, tin, copper and possibly other metallic elements. Although dental amalgam continues to be a safe, commonly used restorative material, some concern has been raised because of its mercury content. However, the mercury in amalgam combines with other metals to render it stable and safe for use in filling teeth.
While questions have arisen about the safety of dental amalgam relating to its mercury content, the major U.S. and international scientific and health bodies, including the National Institutes of Health, the U.S. Public Health Service, the Centers for Disease Control and Prevention, the Food and Drug Administration and the World Health Organization, among others have been satisfied that dental amalgam is a safe, reliable and effective restorative material.
Because amalgam fillings can withstand very high chewing loads, they are useful for restoring molars in the back of the mouth where chewing load is greatest. They are also useful in areas where a cavity preparation is difficult to keep dry during the filling replacement, such as in deep fillings below the gum line. Amalgam fillings, like other filling materials, are considered biocompatible—they are well tolerated by patients with only rare occurrences of allergic response.
Disadvantages of amalgam include possible short-term sensitivity to hot or cold after the filling is placed. The silver-colored filling is not as natural looking as one that is tooth-colored, especially when the restoration is near the front of the mouth, and shows when the patient laughs or speaks. And to prepare the tooth, the dentist may need to remove more tooth structure to accommodate an amalgam filling than for other types of fillings. For these reasons, we try to use tooth-colored fillings wherever possible; however, from time to time in certain situations amalgam fillings are a good option.
If you’ve lost all of your natural teeth, whether from periodontal disease, tooth decay or injury, complete dentures can replace your missing teeth and your smile. Replacing missing teeth will benefit your appearance and your health. Without support from the denture, facial muscles sag, making a person look older. You’ll be able to eat and speak—things that people often take for granted until their natural teeth are lost.
There are various types of complete dentures. A conventional full denture is made and placed in the patient’s mouth after the remaining teeth are removed and tissues have healed which may take several months. An immediate complete denture is inserted as soon as the remaining teeth are removed. The dentist takes measurements and makes models of the patient’s jaws during a preliminary visit. With immediate dentures, the denture wearer does not have to be without teeth during the healing period. An advantage of immediate dentures is that the wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time, especially during the period of healing in the first six months after the removal of teeth. When gums shrink, immediate dentures may require rebasing or relining to fit properly. A conventional denture can then be made once the tissues have healed. Healing may take at least 6-8 weeks.
Even if you wear full dentures, you still must take good care of your mouth. Brush your gums, tongue and palate every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and help remove plaque. You should also remove the denture 8 hours a day. Most people prefer to do this at night while they sleep.
An overdenture is a removable denture that fits over a small number of remaining natural teeth or implants. The natural teeth must be prepared to provide stability and support for the denture. Your dentist can determine if an overdenture would be suitable for you.
New dentures may feel awkward for a few weeks until you become accustomed to them. The dentures may feel loose while the muscles of your cheek and tongue learn to keep them in place. Eating will take a little practice as well. Start with soft foods cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the dentures from tipping. As you become accustomed to chewing, add other foods until you return to your normal diet. Continue to chew food using both sides of the mouth at the same time. Be cautious with hot or hard foods and sharp-edged bones or shells.
Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will help. If your dentures “click” while you’re talking, speak more slowly.
It is not unusual to experience minor irritation or soreness. You may find that saliva flow temporarily increases. As your mouth becomes accustomed to the dentures, these problems should diminish. One or more follow-up appointments is generally needed after a denture is inserted. If any problem persists, particularly irritation or soreness, be sure to see us to get the problem corrected.
Denture adhesive can provide additional retention for well-fitting dentures. Denture adhesives are not the solution for old, ill-fitting dentures. A poorly fitting denture, which causes constant irritation over a long period, may contribute to the development of sores. These dentures may need a reline or need to be replaced. If your dentures begin to feel loose, or cause pronounced discomfort, a consult with us should be done immediately.
We numb the area to lessen any discomfort. You will not experience sharp pain, but will only perceive the pressure that accompanies an extraction of a tooth. After the extraction, we will advise you of what post extraction regimen to follow, in most cases a small amount of bleeding is normal.
You should avoid anything that might prevent normal healing. It is usually best not to smoke or rinse your mouth vigorously, or drink through a straw for 24 hours. These activities could dislodge the clot and delay healing.
For the first few days, if you must rinse, rinse your mouth gently afterward, for pain or swelling, apply a cold cloth or an ice bag. You can brush and floss the other teeth as usual. But don’t clean the teeth next to the tooth socket.
When having an extraction, today’s modern procedures and follow up care as recommended by your dentist are there to provide you the patient great benefit and comfort.
It is important to understand that losing a tooth is not without consequences. Teeth adjacent to and opposing the extraction site often shift or extrude out of their sockets causing harm to these teeth over time. For this reason it is usually in your best interest to replace the missing tooth (usually with an implant, a partial denture or bridge).