facial collapse Archives - Dr. Duane Delaune's Blog

Will My Face Sag If I Don’t Get Dental Implants?

Posted on August 29, 2022 by AllSmiles.

Upper implant denture

At 44 years old, a severe calcium deficiency has left me with 18 teeth that my dentist says must be extracted, and he recommends dentures. I have two teenagers and prefer not to look like their grandmother after I get dentures. Are implants the only way to maintain my face shape? Thank you. Brienne from Dallas, TX

Brienne,

Thank you for contacting our office. Did your dentist explain why he recommends removing your teeth and replacing them with a denture? Sometimes, tooth removal is less challenging than saving them, and a dentist may not have the skill level or understanding to restore your teeth. Dr. Delaune would need to examine and x-ray your teeth to explain your options and develop a treatment plan.

Does Calcium Deficiency Affect Adult Teeth?

A calcium deficiency can result in various signs and symptoms, including:

abnormal heartbeat
extreme fatigue
muscle cramping
nail changes
numbness and tingling in your fingertips
osteoporosis
poor appetite

Calcium hydroxyapatite is essential for developing and maintaining bones and tooth enamel. According to the American Dental Association, teeth benefit from a healthy lifestyle, including a diet rich in vitamin D and calcium. Frequent snacking and a high-sugar diet promote tooth decay.

How Will Dentures Affect Your Facial Appearance?

If a dentist or an oral surgeon must extract your teeth, your jawbone will shrink if you wear removable dentures. The shrinkage will affect your appearance in ten to twenty years because you lack enough bone to support your facial muscles. Also, you will be unable to retain a removable denture.

Dental implants are the healthiest, most effective solution for replacing missing teeth. Implants have these benefits:

Stimulate the jawbone
prevent shrinkage
Help prevent premature facial sagging

Implant-supported dentures will be stable and improve denture function and fit. Immediate implant placement can halt bone shrinkage and prevent the need for future bone grafting. In many cases, an implant dentist or an oral surgeon will remove unsavable teeth and immediately replace them with dental implants.

We recommend getting a second opinion from a dentist with advanced implant training to determine whether they can save your teeth or if you require extractions and implants.

Metairie, Louisiana dentist Dr. Duane Delaune sponsors this post.

Dental Implants after Dentures

Posted on February 22, 2020 by writeradmin.

I’ve had dentures for about 12 years and can finally afford dental implants. Have I waited too long or is it still possible?

Beatrice

Dear Beatrice,

The answer to your question is yes. However, there is a “but”. When your teeth were first removed, your body, in an effort to use its resources as efficiently as possible, resorbs the minerals in your jawbone. It does this because, without teeth, it doesn’t think you need the bone any longer.

This has the unfortunate effect of shrinking your jawbone. In dental terms, it is called facial collapse. The amount of time you’ve worn dentures is enough to allow facial collapse to set in.

Dental implants require you have enough bone structure to retain the root form. There are two ways around this:

The first thing you could do is have the bone grafting done in order to build the bone back up. This is an outpatient procedure .

A second option is with All-on-Four Dental Implants. This is for patients who have only lost some bone and are looking for a way around bone grafting.

illustration of the position for all-on-4 dental implants — All-on-4 Dental implants

Using shorter implants and angling them, can help your dental implants to stay on. This has helped quite a few patients get dental implants that wouldn’t otherwise. However, not as many dentists know how to do the procedure.

Your best bet is to meet with a skilled implant dentist. Look at Dr. Delaune’s qualifications to see what type of dentist you will need to do this well for you, regardless of which procedure you choose.

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

Are dental implants possible for me?

Posted on January 6, 2020 by writeradmin.

I haven’t been able to afford dental care for years. Now, I finally have dental insurance. Because of advanced periodontal disease, I’ve lost several teeth. Is it possible for me to get dental implants instead of dentures?

Cathy

Dear Cathy,

Abutment and crown being placed on dental implants

Dental implants are the best tooth-replacement option you can get, while dentures have many problems that come with them. For instance, even the best fitting dentures will reduce your chewing capacity by 50%. However, that’s not the worst part.

Your body recognizes when your teeth are gone. In an effort to be as efficient as possible with its resources, it begins to resorb the minerals in your jawbone to use elsewhere. This begins to shrink your jawbone. After about ten years, it becomes difficult to even keep your dentures in. This is known as facial collapse.

Getting dental implants prevents that because the implants serve as prosthetic teeth roots. Your body recognizes their presence and leaves the jawbone intact.

Gum Disease and Dental Implants

You will need to deal with your gum disease to be a good candidate for dental implants. Periodontal disease leads to bone loss, which may have been a contributing factor in your losing teeth.

Your dentist can help you get that under control. Once that is, you want to find a well-trained implant dentist. They need post-doctoral training in the procedure. You can look at Dr. Delaune’s credentials to get an idea of the type of dentist you want to find in your area.

He should run diagnostic tests, including a CT scan to make sure you have adequate bone and to plan the ideal positioning of the dental implants. Don’t be discouraged if you’ve lost too much bone. There is a procedure to repair that. You can have bone grafting done to restore the missing bone. Then you’ll be good to go on your implants.

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

can I get a beautiful smile after 3o years of Dentures?

Posted on August 24, 2019 by writeradmin.

I’ve had dentures for about thirty years. Back then, I don’t think dental implants were available. If they were, my dentist should have told me about them. I have a friend who has them and her smile looks so much better than mine. I’d love to get a beautiful smile now if that is possible.

I’m going to give you the great news first and then tell you how to make it come to pass. You can absolutely get a beautiful smile again. I’m going to tell you something which may sadden you, but I want you to understand it for the smile you’re going to get with dental implants.

You could have had a beautiful smile with dentures as well. The beauty of the smile doesn’t depend on whether you have crowns for dental implants or dentures. What makes the biggest difference is the artistic skill of the dentist.

Implants After Dentures

When your teeth are removed, your body recognizes that and begins to resorb the minerals in your jawbone in order to be as efficient as possible with your body’s resources.

This has the unfortunate effect of slowly shrinking your jawbone. This is known as facial collapse. Eventually, there won’t be enough jawbone left for you to retain your dentures at all, leaving you a denture cripple.

This creates a problem for dental implants too. As you can see from the image above, when an implant is placed, it requires the bone in your jawbone to integrate with it in order to retain the implant securely.

After 30 years, you will probably require a bone grafting procedure in order to have enough bone to secure them. This is an outpatient procedure. Then, when you’ve had time to heal, it will be time to get your implants then.

Getting a Beautiful Smile

As I mentioned above, getting a beautiful smile requires a skilled, artistic dentist. My suggestion is for you to look on the mynewsmile.com website. This is run by an accredited cosmetic dentist. He screens each dentist who wants to be listed on their site for both technical knowledge and training, as well as an artistic eye and hand. Any one of them can give you a gorgeous smile.

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

Tooth Replacements for Clumsy Stuntman

Posted on August 10, 2018 by writeradmin.

I’m a stuntman by trade. Lately, I seem to be losing more teeth than usual. I’ve been losing one a year. I don’t know if dental implants will help that or if I should get a dental bridge. But, that’s a lot of teeth to grind down unnecessarily. What do you think? Will dental implants hold up?

Carl

Dear Carl,

I’m sorry you’re having such bad luck with your teeth. I don’t know if that’s common to your particular field or if you’re just in an unusual spate right now. If it’s unusual, the first thing I’d do is talk to your dentist and see if you can figure out if there is something else contributing to your tooth loss. At a rate of a tooth a year, it won’t be long before you’ll be in serious danger of facial collapse.

One of the leading contributors to teeth coming out early is gum disease. If you’re suffering from that, treating that is your priority. You won’t be a candidate for dental implants while having gum disease anyway.

If it’s a matter of just being unlucky at the moment, I’d make sure you’re wearing some type of mouthguard. This will give your teeth a bit of a buffer when things are going wrong.

Will Dental Implants Hold Up?

Before we go into dental implants, I want to address your comment about a dental bridge. When you’ve lost a lot of teeth, it’s not really a great option. If the teeth are all in the same area, you would need quite a large bridge. If one part of it breaks, the whole thing has to be replaced. It’s a better option when you’re missing a single tooth.

But, you’re missing several teeth. If they’re all in different places, you will have to crown two adjacent teeth for each false tooth. You were right in being concerned about grinding down healthy tooth structure.

While dental implants are a fantastic tooth replacement and they’re as stable as your natural teeth, they are only as stable as your natural teeth. This is another reason to wear a mouth guard and address the root cause.

Who Should Place Your Dental Implants?

You don’t want just any dentist placing your implants. Look for two particular skill sets, both of which require post-doctoral work to be significant enough to make a difference. The first is training in reconstructive dentistry. The second is training in cosmetic dentistry. It isn’t encouraging to replace your teeth but to end up with an ugly replacement.

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