Westfield's Dental Department

Posts for: October, 2015

By Kenneth Krause, DMD
October 28, 2015
Category: Dental Procedures
Tags: Dental Implants   diabetes  

Today, dental implants are an increasingly popular option for replacing lost teeth — an issue faced by many older Americans. It’s not hard to see why these high-tech prosthetic teeth are preferred: They look, “feel” and function just like natural teeth… and with proper care they can last the rest of your life. Unfortunately, many people who could benefit from implants also face an additional health problem: diabetes, a metabolic disease that can affect many different parts of the body, sometimes severely.  Uncontrolled diabetes can lead to nerve and tissue damage, and may adversely impact your oral health. So if you have diabetes, does it mean you won’t be able to get dental implants? 

The short answer is no — but there are some considerations that diabetics (and their health care providers) need to keep in mind. For example, it has been demonstrated that wounds in diabetics tend to heal more slowly, and are more prone to infection than those in non-diabetics. Also, people with diabetes sometimes experience a chronic inflammatory response, which can eventually lead to tissue damage or other problems.

Because the placement of dental implants requires minor surgery, dentists and researchers have questioned whether people with diabetes are good candidates for implants. Now there’s encouraging news: Several recent studies have come to the conclusion that many diabetics can indeed undergo an implant procedure without undue risk.

One key consideration is how well an individual can control his or her blood glucose levels. Researchers have found that diabetics with good blood glucose control, those with poor glucose control, and non-diabetics all have similar implant success rates (above 95%). However, in diabetics with poor glucose control, more time may be needed for the jawbone to heal in the area where the implant procedure was done. That doesn’t by any means rule out the placement of a dental implant — but it does mean that special considerations apply to individuals in this situation.

So if you are considering an implant procedure but have trouble controlling your blood glucose levels, ask us how we can help. Just remember that in most cases, having diabetes doesn’t mean you won’t be able to enjoy the benefits of dental implants. If you have additional questions, contact us or schedule an appointment.

By Kenneth Krause, D.M.D.
October 13, 2015
Category: Dental Procedures
Tags: Dental Implants  
Dental Implants are the result of huge advances in dental care technology. Before implant dentistry, dentures and bridges were the only way to replace missing teeth- and both methods placed jaw and dental health at risk. Bridges can cause gum damage and speed decayDental Implants in the anchor teeth, and dentures can actually cause bone to recede from the pressure on the jaw, leading to a poor fit and a weakened mandible (jaw bone). Thanks to implants, a healthy, aesthetically pleasing, and long-term solution is here. The professionals at Krause Dental are excited to offer their state-of-the-art implant services in the Westfield, IN area.

What is an Implant?

A dental implant refers to a small prosthesis, similarly shaped to a screw, which replaces the ‘root’ portion of the missing tooth. The synthetic titanium implant is surgically placed into the bone where the missing tooth was. This allows the bone to grow around the implant and lock it in place, a process called 'osseointegration.' This keeps the implant stable, your jaw healthy, and your new tooth firm and comfortable. The new crown is custom-made to match your other teeth, and is secured to the new synthetic root by an abutment, or connecting piece.

What Does the Procedure Involve?

The implant procedure involves minor surgery, and requires two or three appointments at the dental office. Appropriate anesthesia is used for these procedures; the exact sedation methods can be tailored to your medical and psychological needs. The first appointment involves placing the implant into the bone. After this, several months are typically needed to ensure the osseointegration process occurs correctly. Once the implant has been firmly secured in place, the next appointment will re-expose the implant site for attachment of the abutment and prosthetic crown. A third follow-up may be necessary to ensure the healing process is going well

What if I'm Missing Multiple Teeth?

No problem! Implants can be used multiple times in the mouth, either to replace several individual teeth, or even to provide an anchor for a whole set of dentures. How long implants last depends greatly on your oral hygiene habits and what sort of foods you eat, etc. With good care, implants are the longest lasting of all tooth replacement options, and can be a lifetime investment!

Keep in mind that not everyone is a candidate for dental implants, particularly smokers or those without appropriate jaw bone strength and density.

Ready for a bright, full smile and a healthy mouth? Stop worrying about your teeth and call Krause Dental for excellent services in the Westfield, IN area at (317) 399-9329!

By Kenneth Krause, DMD
October 13, 2015
Category: Oral Health

Sure, it’s big news when celebs tweet selfies from the dental office… if you’re still living in the 20th century. But in Hollywood today, it’s harder to say who hasn’t posted snaps of themselves in the dentist’s chair than who has. Yet the pictures recently uploaded to Twitter by Mark Salling, the actor and singer who regularly appears as Noah “Puck” Puckerman on the popular TV series Glee, made us sit up and take notice.

“Getting my chipped tooth fixed. Also, apparently, I’m a big grinder,” read the caption. The photo showed a set of upper front teeth with visible chips on the biting surface. What’s so special about this seemingly mundane tweet? It’s a great way of bringing attention to a relatively common, but often overlooked problem: teeth clenching and grinding, also called bruxism.

Although bruxism is a habit that affects scores of people, many don’t even realize they have it. That’s because the condition may only become active at night. When the teeth are unconsciously ground together, the forces they produce can wear down the enamel, cause chipping or damage to teeth or dental work (such as veneers or fillings), or even loosen a tooth! While it’s common in children under 11 years old, in adults it can be a cause for concern.

Sometimes, mouth pain, soreness and visible damage alert individuals to their grinding habits; other times, a dental professional will notice the evidence of bruxism during an exam or cleaning: tooth sensitivity and telltale wear and tear on the chewing surfaces. Either way, it’s time to act.

Bruxism is most often caused by stress, which can negatively impact the body in many ways. It may also result from bite problems, the overuse of stimulating substances (caffeine, alcohol, tobacco, and illegal drugs), and as a side effect of certain medications. Sometimes, simply becoming aware of the habit can help a person get it under control. Common methods of stress reduction include exercise, meditation, a warm bath or a quiet period before bedtime; these can be tried while we monitor the situation to see if the problem is going away.

If stress reduction alone doesn’t do the trick, several other methods can be effective. When bruxism is caused by a minor bite problem, we can sometimes do a minor “bite adjustment” in the office. This involves removing a tiny bit of enamel from an individual tooth that is out of position, bringing it in line with the others. If it’s a more serious malocclusion, orthodontic appliances or other procedures may be recommended.

When grinding is severe enough to damage teeth or dental work, we may also recommend a custom-made night guard (occlusal guard), which you put in your mouth at bedtime. Comfortable and secure, this appliance prevents your teeth from being damaged by contacting each other, and protects your jaw joints from stresses due to excessive grinding forces.

Whether or not you have to smile for a living, teeth grinding can be a big problem. If you would like more information about this condition, call our office to schedule a consultation for a consultation.