Archives for July 2020

Titanium or Zirconia Dental Implants

Posted on July 31, 2020 by writeradmin.

I have a titanium dental implant but recently read that there is evidence metal, including mercury, in dental work can cause neurological problems. I’m about to get a new dental implant and I am trying to find a dentist willing to give me zirconia type. It’s proving to be a tad difficult to find one. My question though is when I do find one should I also replace the old implant?

Olivia

Dear Olivia,

I’m not sure where you read that metal in your body can cause neurological ill effects. Do you happen to have the link to the article? I would be surprised if it was from a medical journal. If you think about it your body naturally has metals in it that are necessary for your survival. One example is the iron in your blood. When someone is low on iron it has massive repercussions and they have to take supplements to stay healthy.

That being said, if you really want metal-free implants you will be able to find a dentist willing to provide them. The main reason why most dentists still prefer standard titanium implants is simply a matter of data. We have been using dental implants for decades now and have a lot of research and results on the safety and longevity of the procedure.

The zirconia implants haven’t been around as long. As a result, we don’t have any long term studies on them to show how they hold up over the years. It may turn out they are just as stable with an equally long or maybe even longer lifespan. We just have to wait until they’ve been around long enough to know.

Should You Exchange Your Dental Implants?

While there isn’t a problem with getting your new implant from a different material. I can’t recommend switching out your current dental implant. It is too much of a risk. First, when you remove your dental implant, it will take bone structure with it. That bone is necessary to keep the implant secure. Without it, you will experience dental implant failure.

In order to replace your current dental implant, you will now have to build back up the bone in your jaw. In order to do that, you will need an additional surgical procedure known as bone grafting. If that is successful, then you will again have dental implant surgery. Both the bone grafting and the implant could fail. If you have a successful dental implant now, I can’t think of a good reason to risk it.

It is your choice, of course. I just wanted to make sure you understood the risks.

This blog is brought to you by New Orleans Dentist Dr. Duane Delaune. We are a mercury-free dental office.

Porcelain Veneers Beginning to Pick up Stains

Posted on July 29, 2020 by writeradmin.

I have porcelain veneers that are only about 14 months old. They’re beginning to pick up stains in between the teeth. While I do smoke, I was told these were very stain resistant. Are mine defective?

Kelly

Dear Kelly,

It is true that porcelain veneers are very stain resistant. In fact, they are more stain-resistant than your natural teeth. Without an image of the type of staining you are experiencing, I can’t give you any definitive cause. However, I can go over some basic types of staining that can happen with porcelain veneers and what the solution is.

Staining over the Entire Surface

First, if you are experiencing staining over the entire surface of the veneer, then it is likely your glazing has somehow been removed. This can happen when your hygienist uses something like a prophy jet or acidulated fluoride with your cleaning and checkup. Experienced cosmetic dental offices rarely have this occur. However, often people have their cosmetic dentistry done in one place and their general dental work in another. The general dentist’s office may not realize what can damage their veneers.

A second option with staining over the whole surface is when there is a gap between the veneer and the tooth. In this case, food and other bacteria carrying items can get between the two. Not only does that make it look like the porcelain veneers are stained, but it can do severe damage to the teeth bringing on extensive decay.

In either of these cases, the veneers will need to be repaired or replaced at the dentist’s expense.

Staining on the Edges

If there is a gap between the margins of the veneers and the tooth, that is a tricky fix, but it would need to be done because decay will again be an issue. However, much of the time, it is just an area of composite bonding there. When your dentist placed your veneers, he polished that up well. Over time, they will pick up some stains that can be easily polished out again. This should be considered regular maintenance for your new smile. As a smoker, yours will be more obvious than others so you’ll want to keep up with that maintenance.

When you go back in to have them polished, go to the dentist who originally did your porcelain veneers. Your family dentist may not know the method or even have the necessary tools to do the procedure.

This blog is brought to you by New Orleans Cosmetic Dentist Dr. Duane Delaune. Click here to learn more about smile makeovers.

Need to Whiten FAST!

Posted on July 25, 2020 by writeradmin.

I’ve kind of let my whole routine go during this quarantine and I’m ashamed to admit I haven’t even taken care of my hygiene that well. The only thing I did do is work non-stop from home remotely. I live alone so I just plopped on the couch, put on some background noise, ate snacks, and worked non-stop on my computer. The home office noticed my work and I’m getting a promotion and an award, that is going to be streamed to the rest of the company. My teeth are YELLOW! Like noticeably. How can I get them whitened fast? I have a week and a half?

Jim

Dear Jim,

First, let me congratulate you on your win and your promotion! That is excellent. Don’t be too hard on yourself about letting some things go. It seems like every person working from home I know are growing beards and relaxing on some normally fastidious habits. Plus, it sounds like you were productive in other ways.

The fastest way to whiten your teeth is with Zoom Whitening. This is an in-office whitening procedure that can whiten you thoroughly in just one appointment. However, it is most effective if you’ve recently had your teeth cleaned. Otherwise, the results could be splotchy. The first thing I’d do is schedule an appointment with your dentist to get your teeth cleaned immediately if you haven’t done that recently. When you schedule that appointment, explain about the award and see if they offer Zoom Whitening. If not, I would just call around and see who does.

They may want you to get your cleaning done there and some even offer discounts when you do both at their office. Many offices will also provide custom-fitted teeth whitening trays for you to take home with you after you are done with your appointment. Keep those in a safe place and then once every couple of years you can ask for some teeth whitening gel and give yourself an inexpensive touch-up.

Best of luck with your ceremony.

This blog is brought to you by New Orleans Dentist Dr. Duane Delane.

Tanda Pearl Ionic Teeth Whitening System Review

Posted on July 17, 2020 by writeradmin.

I have TMJ Disorder and wearing my teeth whitening trays for an hour tends to aggravate my jaw. I recently read about the Tanda Pearl system which allows you to whiten your teeth in just five minutes a day. That is very appealing to me. Do you know if it actually works? They say their light makes it work that fast.

Kathy

Dear Kathy,

What I’d like to do is go over some of the differences between the Tanda Pearl System and the type of whitening you get with a dentist, which should help you make a decision.

The Trays

The teeth whitening trays you have from your dentist, should have been custom fit to your bite. The fact that it seems to be aggravating your TMJ Disorder makes me wonder though.

They also have separate trays for each arch of your teeth. This allows you to go about your day more easily. You could even wear them while shopping if you wanted to and no one would notice (whether or not you’re wearing a mask). Many people simply sleep in them to get the most teeth whitening for their time.

The Tanda Pearl trays you create at home by biting onto impression material. This is a single tray that you have to clench onto in order to keep it in. In truth, this will do way more to harm your TMJ issues than help them. Clenching is one of the worst things you can do, even for just 5 minutes.

The Light

This system claims to have a patented ionic technology. I’m skeptical about this. There doesn’t seem to be any information given about the light. If it were really such a breakthrough, they would make a ton of money selling it to dental offices. They’ve never even tried, which makes me think the light is more for psychological effect than any real use.

One thing I recommend is you talk to your dentist about the pain you are experiencing in your jaw. In the meantime, you can cut down on the amount of time you are wearing your trays each day. If a shorter time appeals to you, wear them a shorter time, at least until your dentist figures out why they are causing strain on your jaw. Really, in as little as 15 minutes, the gel has time to soak into your teeth adequately enough to make a difference.

One Appointment Whitening

Another option for you is to get Zoom Whitening. Not every dentist has this option so you may have to call around, but it allows you to get your teeth completely whitened in just one appointment.

This blog is brought to you by New Orleans Dentist Dr. Duane Deluane.