My Blog

Posts for tag: dental implants

By Carl H. Tegtmeier, DMD
October 12, 2018
Category: Dental Procedures
AToothlessTiger

Let’s say you’re traveling to Italy to surprise your girlfriend, who is competing in an alpine ski race… and when you lower the scarf that’s covering your face, you reveal to the assembled paparazzi that one of your front teeth is missing. What will you do about this dental dilemma?

Sound far-fetched? It recently happened to one of the most recognized figures in sports — Tiger Woods. There’s still some uncertainty about exactly how this tooth was taken out: Was it a collision with a cameraman, as Woods’ agent reported… or did Woods already have some problems with the tooth, as others have speculated? We still don’t know for sure, but the big question is: What happens next?

Fortunately, contemporary dentistry offers several good solutions for the problem of missing teeth. Which one is best? It depends on each individual’s particular situation.

Let’s say that the visible part of the tooth (the crown) has been damaged by a dental trauma (such as a collision or a blow to the face), but the tooth still has healthy roots. In this case, it’s often possible to keep the roots and replace the tooth above the gum line with a crown restoration (also called a cap). Crowns are generally made to order in a dental lab, and are placed on a prepared tooth in a procedure that requires two office visits: one to prepare the tooth for restoration and to make a model of the mouth and the second to place the custom-manufactured crown and complete the restoration. However, in some cases, crowns can be made on special machinery right in the dental office, and placed during the same visit.

But what happens if the root isn’t viable — for example, if the tooth is deeply fractured, or completely knocked out and unable to be successfully re-implanted?

In that case, a dental implant is probably the best option for tooth replacement. An implant consists of a screw-like post of titanium metal that is inserted into the jawbone during a minor surgical procedure. Titanium has a unique property: It can fuse with living bone tissue, allowing it to act as a secure anchor for the replacement tooth system. The crown of the implant is similar to the one mentioned above, except that it’s made to attach to the titanium implant instead of the natural tooth.

Dental implants look, function and “feel” just like natural teeth — and with proper care, they can last a lifetime. Although they may be initially expensive, their quality and longevity makes them a good value over the long term. A less-costly alternative is traditional bridgework — but this method requires some dental work on the adjacent, healthy teeth; plus, it isn’t expected to last as long as an implant, and it may make the teeth more prone to problems down the road.

What will the acclaimed golfer do? No doubt Tiger’s dentist will help him make the right tooth-replacement decision.

If you have a gap in your grin — whatever the cause — contact us or schedule an appointment for a consultation, and find out which tooth-replacement system is right for you. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Crowns & Bridgework.”

By CARL H. TEGTMEIER, DMD
October 02, 2018
Category: Dental Procedures

Multiple Dental implantsDo You Need Dental Implants?

There are several restorative procedures that can help rejuvenate and strengthen your smile, but dental implants are the best. If you're interested, Dr. Carl Tegtmeier can provide dental implants in Mount Kisco, NY.

The Dental Implant Procedure

Dental implants are one of many restorative procedures, like dentures and bridges. Dental implants consist of several parts:

  1. A titanium post inserted into the jawbone
  2. A screw that secures an abutment
  3. A crown matching the rest of your teeth

Your Mount Kisco dentist surgically inserts a titanium post into your jaws to replace your missing tooth root. It provides stability and strength while preventing any weakening or shrinkage of the jawbone. After inserting the titanium post, the dentist seals your gums and allows 3 to 6 months for osseointegration (connection) to occur. Following this period, your dentist re-opens the area above the titanium post, inserts a screw, places an abutment above the screw and secures a crown on top that matches the rest of your teeth.

The Advantages to Dental Implants:

  • They restore bite and chewing function
  • They restore cracks, chips, or fractures one tooth, a few teeth or all of your teeth
  • Dental implants don't move while you're eating or speaking
  • Dental implants can last a lifetime
  • They fill gaps to give you a wider, fuller smile

Preserving Your Implants:

You need to take proper care of your dental implants. Here are some things preventative measures:

  • Receiving fluoride treatment and using fluoride-containing products like toothpaste and mouthwash
  • Avoiding tobacco, smoking, and drinking too much coffee and tea
  • Drinking fluoride-containing water, to prevent issues like gum disease and tooth decay
  • Getting professional dental cleanings and checkups every six months to remove hardened plaque
  • Flossing at least once before bed
  • Brushing your teeth for at least two minutes twice a day, while holding the brush at a 40-degree angle

If you have more questions or concerns about dental implants, call your Dr. Carl Tegtmeier's office in Mount Kisco, NY, at (914) 241-2069.

By Carl H. Tegtmeier, DMD
August 03, 2018
Category: Dental Procedures
Tags: dental implants   diabetes  
DiabetesDoesntHavetoStopYouFromAcquiringDentalImplants

One of the best and most successful tooth replacement choices available is the dental implant. No other restorative method is as similar in both form and function to a real tooth as an implant; and with a success rate of 95-plus percent after ten years, it’s one of the most durable.

But there can be extenuating circumstances that make obtaining an implant difficult or sometimes impossible. One possible problematic situation is the systemic disease diabetes.

Diabetes is a hormonal condition in which the body is unable to sufficiently regulate the amount of glucose (a basic sugar that provides energy to the body’s cells) within the blood stream. Normally, the pancreas produces the hormone insulin to reduce excess glucose. But diabetes interferes with this insulin production: if you have Type 1 diabetes, the pancreas has stopped producing insulin altogether; if you have the more common Type 2, the body doesn’t produce adequate insulin or it doesn’t respond sufficiently to the insulin produced.

Over time diabetes can affect other areas of health, especially wound healing. Because the condition gradually causes blood vessels to narrow and stiffen, the normal inflammatory response to disease or trauma can become prolonged. This in turn slows the rate of wound healing.

Slow wound healing can have a bearing on the recovery period just after implant surgery, especially the necessary integration process that takes place between the bone and the titanium metal implant that provides its signature strength. If that process is impeded by slow wound healing caused by diabetes, the risk increases dramatically for implant failure.

That’s the worst case scenario if you have diabetes, but only if your condition is out of control. If, however, you have your blood sugar levels well regulated through medication, diet and exercise, then your chances for implant success could easily be on par with someone without diabetes.

So if you’re diabetic and are considering dental implants for missing teeth, it’s important to discuss the possibility of obtaining them with both your dentist and the physician caring for your diabetes. With your overall healthcare team working together, there’s no reason why diabetes should stop you from enjoying this premiere restoration for missing teeth.

If you would like more information on obtaining dental implants, 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 & Diabetes.”

By Carl H. Tegtmeier, DMD
January 07, 2018
Category: Dental Procedures
Tags: dental implants   smoking  
3ReasonsWhySmokingDoesntMixwithDentalImplants

If you smoke, you know better than anyone how a hard a habit it is to kick. If you want to quit, it helps to have a motivating reason—like lowering your risk for cancer, cardiovascular disease or similar conditions.

Here’s another reason for quitting tobacco: it could be making your teeth and gums less healthy. And, if you’re facing a restoration like dental implants, smoking can make that process harder or even increase the risk of failure.

So, to give your willpower some needed pep talk material, here are 3 reasons why smoking doesn’t mix with dental implants.

Inhaled smoke damages mouth tissues. Though you may not realize it, the smoke from your cigarette or cigar is hot enough to burn the top layer of skin cells in your mouth, which then thickens them. This could affect your salivary glands causing them to produce less saliva, which in turn could set off a chain of events that increases your risk of tooth decay or periodontal (gum) disease. The end result might be bone loss, which could make installing dental implants difficult if not impossible.

Nicotine restricts healthy blood flow. Nicotine, the chemical tobacco users crave, can restrict blood flow in the tiny vessels that course through the mouth membranes and gums. With less blood flow, these tissues may not receive enough antibodies to fight infection and fully facilitate healing, which could interfere with the integration of bone and implants that create their durable hold. Slower healing, as well as the increased chances of infection, could interrupt this integration process.

Smoking contributes to other diseases that impact oral health. Smoking’s direct effect on the mouth isn’t the only impact it could have on your oral health. As is well known, tobacco use can increase the risk of systemic conditions like cardiovascular and lung disease, and cancer. These conditions may also trigger inflammation—and a number of studies are showing this triggered inflammatory response could also affect your body’s ability to fight bacterial infections in the mouth. Less healthy teeth, gums and underlying bone work against your chances of long-term success with implants.

If you would like more information on dental implants, 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 & Smoking: What are the Risks?

By CARL H. TEGTMEIER, DMD
November 29, 2017
Category: Dental Procedures

A smile gap changes your appearance, your outlook and how the world perceives you. Also, tooth loss impacts the strength and position of dental implantsyour remaining teeth. Learn how tooth replacement with dental implants from Dr. Carl Tegtmeier in Mount Kisco, NY fills smile gaps and avoids the harmful effects of tooth loss.

Dental implants do it all

They look natural, they feel natural and they stay in place for decades. How do dental implants do all that? These artificial teeth are anchored by titanium metal screws strategically placed right into the jaw bone. Through a process known as osseointegration, an implant and the jaw bone meld together, creating an inseparable bond and strong foundation for a metal post and customized porcelain crown.

Placed in multiples, dental implants support bridges, partial dentures, full fixed dentures and full removable dentures, making implants the most versatile tooth replacements available today. Additionally, common problems of denture slippage, bone and gum deterioration and prematurely aged facial appearance disappear. While initially more costly than other options, dental implants cost less in the long run because they rarely fail or need replacement.

Placing implants

Dr. Tegtmeier carefully evaluates his prospective implant patients in Mount Kisco. Using visual inspection, digital X-rays and three-dimensional imaging, your dentist ensures you have sufficient jaw bone to support a dental implant. If you do, the oral surgery takes place in two stages:

  1. Incision of gums and insertion of the implant into the jaw, followed by healing and osseointegration
  2. Placement of the post and crown

After placement, the patient cares for his or her new tooth with diligent brushing and flossing at home and with in-office cleanings and exams. The patient also avoids smoking if possible because tobacco causes peri-implantitis, an infection resembling gum disease. This infection often necessitates implant removal.

However, the vast majority of dental implants--95 percent, states the Institute for Dental Implant Awareness--stay in place, function and beautify smiles for a lifetime. With dental implants, you can count on a smile that's amazingly close to perfectly natural.

Learn more

Don't let a lost tooth weaken your smile and self-esteem. Replace it with a stunning dental implant from Dr. Tegtmeier in Mount Kisco, NY. For a convenient consultation, call his staff at (914) 241-2069.