Wednesday, March 9, 2016

The Longevity of your Dental Crowns

After receiving, or when first considering, a prosthetic for cosmetic and restorative purposes, dental patients often ask how long their newly improved smiles can be expected to last. Especially with dental crowns, which are intended to look and act like natural teeth, the question of longevity is important.

Dr. Dogra provides patients with a variety of materials to choose from to help their cosmetic dental crowns look beautiful and remain in-tact for as long as possible. When looking for cosmetic dentistry with dental crowns, consider available options and how they stack up:

Porcelain Fused to Metal (or PFM) - This traditional choice for dental crowns is known for strength, so it stands up to biting, chewing, and even teeth grinding over time. However, the aesthetics of this particular combination of materials can leave something to be desired. While there is a layer of porcelain placed over the metal, the silver substructure lends to a less-than-natural overall appearance. Over time, as gum tissue may recede slightly, these crowns will reveal a tell-tale dark edge where the porcelain layer meets the metal body of your restoration. For patients who require the strength of metal based crowns, more attractive, high noble metals can be used to ensure better aesthetics over time.

All-Porcelain  or Ceramic – Crowns made entirely of porcelain or ceramic are much closer in appearance to your real teeth, as no part of restorative option utilizes metal components. All-porcelain or ceramic crowns can be milled from a solid block of material to provide improved strength, but may not be ideal for those patients who are heavy teeth grinders, as these individuals often place an undue amount of pressure on their teeth.

Lava Crowns – Some of the most natural looking and durable dental crowns available are made from a combination of materials, such as lava crowns, which are mix of several tooth-colored components, such as glass, ceramic, and durable zirconia. With a core of strong zirconia and a layer of natural-looking ceramic, Lava crowns are able to match the color and luminosity of real teeth, while also providing improvements in durability and longevity over standard porcelain. Lava dental crowns are an excellent choice for ensuring that your smile looks beautiful and maintains dental function for as long as possible, especially for damaged teeth in your smile zone.

To help protect restored teeth against teeth grinding, patients can wear mouth guards at night, which help to prolong the life of their restoration.

Ask Us about Cosmetic Dentistry with Lava Dental Crowns

If you have additional questions about how long your dental crowns will last, or which materials are best for your needs and expectations, contact our office to speak with Dr. Dogra today.

Saturday, March 5, 2016

Immediate Dental Implants

What are immediate dental Implants ?

Immediate Dental Implants have gained attention in the last few years and are the best option available when the tooth breaks from the gum line. They are also indicated if there is a decayed tooth which is non infected and needs an extraction and another indication is if a patient has a dentition but due to caries or periodontitis all the teeth need removal . The implants are placed with an immediate denture in place. This is also called Per diem Denture or Implant supported denture.  

What is the procedure of an immediate Implant ?
It involves correct diagnosis with treatment planning and involves X-rays/ 3D scan of the tooth and bone around it. Removal of the tooth with preservation of the bone around it is an important factor required for an immediate Implant. 
The tooth is removed and an appropriate sized implant selected it is screwed in place after cleaning the socket ( the hole after the tooth is gone ) .
Usually the implant is buried in the bone for proper healing and sometimes if the tooth is in esthetic zone the crown is placed over the implant if the dentist gets proper torque from the implant when he is screwing it in the Bone. 
Is the immediate implant  procedure painful ?
The dentist will numb the area around the implant  for approximately  8-12 hours and the only medication  needed is Motrin 400mg and Tylenol 500mg together and only once. Implant patients are not subject to dry socket. Patient usually feel no pain after the procedure. 

Does my dentist do the immediate Implant if i need one? 
Dentist need training for this kind of surgery. Many dentists will refer to an Oral Surgeon to do the extraction and the implant. 
Dental arts of Bedford office is unique as they do immediate dental implants in house and Dr. Dogra has successfully done many of them. 
Dr. Dogra has been trained in Dental Implants and is an active member of International Dental Implant Association.
If you have any questions regarding Dental Implants please Contact Dr.Sameer Dogra at 603 647 2278. 

In this picture below patient got a immediate implant from Dr.Sameer Dogra as the patient broke the tooth from the gum line and wanted to fix it ASAP. 

Before 

After