My Blog

Posts for tag: dental implants

By Paul David Epstein, D.M.D. & Associates, P.C.
January 11, 2018
Category: Dental Procedures

Want a healthier and brighter smile? Well, the use of dental implants for restorative procedures has come a long way in the last 40 years, dental implantsaccording to the American Dental Association. One of the dental implant's most important uses is replacing missing teeth. If you're interested, your Burlington, MA, dentist, Dr. Paul Epstein, can help.

Dental implants

Dental implants consist of a titanium post that is surgically inserted into your jaws to replace your missing tooth root. It creates stability, strength, and prevents the weakening and shrinkage of your jawbone. The dentist then seals your gums and allows 3 to 6 months for osseointegration to occur, which is when the titanium post to the rest of your jaw bone.

Afterwards, the patient needs to come back to his or her dentist's office in Burlington so that they can re-open the area above the titanium post, insert a screw, place an abutment above the screw and secure a crown on top that matches the rest of your teeth.

Advantages of dental implants

Not having to worry about gaps in your teeth is definitely an advantage, but here are some more advantages that dental implants provide:

  • A dental implant can restore one tooth, a few teeth or all of your teeth, therefore enhancing your whole smile
  • They can restore bite and chewing function, as well as last a lifetime.
  • Unlike dentures, dental implants are fixed in place and don't fall out of place.

Taking care of your dental implants

Brush your teeth and floss every day. When brushing your teeth, make sure to hold the brush at a 45-degree angle and brush for a whole two minutes. Brush twice a day and floss once before bed, at lease.

Also, a change in diet may be beneficial. Eating plenty of fruits and vegetables, and avoiding sugary foods to prevent the accumulation of plaque is good preventative dentistry.

If you have more questions about dental implants, call your dentists in Burlington, MA, at (781) 273-1152.

By Paul David Epstein, D.M.D. & Associates, P.C.
June 22, 2017
Category: Dental Procedures

While it's possible for a teenager to lose a tooth from decay, it's more common they'll lose one from an accidental knockout. If that happens to your teenager, there are some things you should know to achieve a good outcome.

Our top concern is to preserve the underlying bone following tooth loss. Like other tissues, bone has a life cycle: older cells dissolve and are absorbed by the body (resorption), then replaced by new cells. The biting pressure generated when we chew helps stimulate this growth. But bone around a missing tooth lacks this stimulation and may not keep up with resorption at a healthy rate.

This can cause a person to lose some of the bone around an empty tooth socket. To counteract this, we may place a bone graft at the site. Made of bone minerals, usually from a donor, the graft serves as a scaffold for new bone growth. By preventing significant bone loss we can better ensure success with a future restoration.

Because of its lifelikeness, functionality and durability, dental implants are considered the best of the restoration options that can be considered to replace a missing tooth. But placing an implant during the teen years is problematic because the jaws are still growing. If we place an implant prematurely it will appear to be out of alignment when the jaw fully matures. Better to wait until the jaw finishes development in early adulthood.

In the meantime, there are a couple of temporary options that work well for teens: a removable partial denture (RFP) or a fixed modified bridge. The latter is similar to bridges made for adults, but uses tabs of dental material that bond a prosthetic (false) tooth to the adjacent natural teeth to hold it in place. This alleviates the need to permanently alter the adjacent natural teeth and buy time so that the implant can be placed after growth and development has finished.

And no need to worry about postponing orthodontic treatment in the event of a tooth loss. In most cases we can go ahead with treatment, and may even be able to incorporate a prosthetic tooth into the braces or clear aligners.

It's always unfortunate to lose a tooth, especially from a sudden accident. The good news, though, is that with proper care and attention we can restore your teenager's smile.

If you would like more information on how to treat lost teeth in teenagers, 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 Implants for Teenagers.”

By Paul David Epstein, D.M.D. & Associates, P.C.
January 25, 2017
Category: Dental Procedures

Dental implants are designed to restore the architecture of a natural tooth. Where cosmetic restorations like crowns, bridges and dental implantsdentures replace the part of a tooth that is visible above the gum line, an implant also replaces the root, which anchors the cosmetic crown in place and helps to preserve stability and healthy bone tissue in the gums. Dr. Paul David Epstein, a dentist in Burlington, MA, offers dental implants to qualified patients in good general health and with sufficient bone density in the gums.

Recover from Tooth Loss with Dental Implants in Burlington, MA

Dental implants replicate the anatomy of a natural tooth from root to crown. Dentists recommend implants for healthy adults with enough bone density in the gums to support an implant. Implants generally consist of three parts: the implant, which replaces the root, a cosmetic crown and an abutment that attaches the crown to the implant and secures it firmly in place.

The implant is made of a small, biocompatible titanium screw which fuses with the bone tissue in the gums through a process called osseointegration. Osseointegration helps to anchor the implant in place and to prevent the erosion of surrounding bone tissue, a side effect of tooth loss. Bone loss can lead to oral health problems like inflammation and infections, and even tooth loss. Implants help to preserve healthy bone density and protect against the effects of periodontal disease.

Cosmetic Dental Crowns

Dental crowns are typically placed as a cap over a broken or severely decayed tooth or as part of a bridge, which require two abutment crowns on either side which are placed over the adjoining teeth to anchor the crown in place. In this case, the crown is attached directly to the implant, without the need for support from surrounding teeth. Dental implants can replace a single tooth or an entire set of dentures with just a few implants.

Find a Dentist in Burlington, MA

Dental implants offer the next best thing to natural teeth. If you are missing one, several or all of your natural teeth, contact the office of Paul David Epstein, D.M.D. & Associates, P.C. by calling (781) 273-1152 to schedule an appointment today.

By Paul David Epstein, D.M.D. & Associates, P.C.
September 08, 2016
Category: Dental Procedures

Everyone has to face the music at some time — even John Lydon, former lead singer of The Sex Pistols, arguably England’s best known punk rock band. The 59-year old musician was once better known by his stage name, Johnny Rotten — a brash reference to the visibly degraded state of his teeth. But in the decades since his band broke up, Lydon’s lifelong deficiency in dental hygiene had begun to cause him serious problems.

In recent years, Lydon has had several dental surgeries — including one to resolve two serious abscesses in his mouth, which left him with stitches in his gums and a temporary speech impediment. Photos show that he also had missing teeth, which, sources say, he opted to replace with dental implants.

For Lydon (and many others in the same situation) that’s likely to be an excellent choice. Dental implants are the gold standard for tooth replacement today, for some very good reasons. The most natural-looking of all tooth replacements, implants also have a higher success rate than any other method: over 95 percent. They can be used to replace one tooth, several teeth, or an entire arch (top or bottom row) of teeth. And with only routine care, they can last for the rest of your life.

Like natural teeth, dental implants get support from the bone in your jaw. The implant itself — a screw-like titanium post — is inserted into the jaw in a minor surgical operation. The lifelike, visible part of the tooth — the crown — is attached to the implant by a sturdy connector called an abutment. In time, the titanium metal of the implant actually becomes fused with the living bone tissue. This not only provides a solid anchorage for the prosthetic, but it also prevents bone loss at the site of the missing tooth — which is something neither bridgework nor dentures can do.

It’s true that implants may have a higher initial cost than other tooth replacement methods; in the long run, however, they may prove more economical. Over time, the cost of repeated dental treatments and periodic replacement of shorter-lived tooth restorations (not to mention lost time and discomfort) can easily exceed the expense of implants.

That’s a lesson John Lydon has learned. “A lot of ill health came from neglecting my teeth,” he told a newspaper reporter. “I felt sick all the time, and I decided to do something about it… I’ve had all kinds of abscesses, jaw surgery. It costs money and is very painful. So Johnny says: ‘Get your brush!’”

We couldn’t agree more. But if brushing isn’t enough, it may be time to consider dental implants. If you would like more information about dental implants, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implants” and “Save a Tooth or Get an Implant?

By Paul David Epstein, D.M.D., & Associates, P.C.
July 08, 2016
Category: Dental Procedures
Tags: dental implants  

Dental implants offer an excellent way to replace a missing tooth, but they also provide valuable dental health benefits. Dr. Paul Epstein, your Burlington, MA, dentist at Paul David Epstein, D.M.D., & Associates, P.C., explains how dental implants keep your smile healthy.Dental Implants

Dental implants replace your roots

Unlike other tooth replacement options, dental implants replace your entire tooth from the root to the crown. The loss of a tooth can be particularly devastating because the roots no longer provide the constant stimulation your jawbone needs to stay healthy. Without constant pressure from your roots, your jawbone begins to shrink and weaken. Eventually, facial sagging and further tooth loss can occur.

After your Burlington dentist places the implant in your jaw, it begins to bond to the bone. After three to six months, bonding is complete, and your implant takes over the role your roots once performed. Your new implant is now ready to provide a stable foundation for the crown, the artificial tooth that replaces the visible part of your tooth.

Dental implants help keep your teeth straight

Have you ever taken a crayon out of the package and noticed that the other crayons don't remain completely upright any longer? It's the same principle when you lose a tooth. Your teeth work together as a unit and help support each other. When one tooth is lost, the other teeth begin to drift toward the opening.

Eventually, your teeth begin to overlap after you lose a tooth. Overlapping can affect your appearance and cause bite issues if your upper and lower teeth no longer meet perfectly. It's also difficult to clean cavity-causing plaque from your teeth when they overlap. Unfortunately, if you can't remove plaque efficiently, you'll increase your risk of tooth decay.

When you choose a dental implant, surrounding teeth will remain straight and healthy. Flossing and brushing will be much easier, and you won't experience any of the painful or uncomfortable symptoms of bite issues.

Dental implants offer the perfect solution no matter how many teeth you've lost. Call Dr. Epstein, your Burlington, MA, dentist at Paul David Epstein, D.M.D., & Associates, P.C., at (781) 273-1152 to find out if you're a good candidate for dental implants. Keep your smile healthy with implants!