Posts for tag: Smyrna tn dentist

Question: Once a denture is broken, then repaired, can it ever be the same?

I dropped mine, since the dentist repaired it I now have a space between my two front teeth I've never had. The dentist said if you don't get too close you don't notice it so much. What!! The inside of the plate is rough. I have a toxic taste of what acrylic smells like. And when I talk I have a lisp. He took an impression so it would be right and it does clip on as it should, that aside doesn't fit. Do I have to live with this as he said? I feel like I was written off and I don't know where to turn. Do you have any advice?


Answer: Sounds like the dentist attempted to perform a lab repair and the broken pieces were not reapproximated correctly. Depending on how bad the denture fractured, it can be a very difficult to repair and sometimes impossible. If there is a space between the teeth that was not there, it means the broken pieces are not bonded back together correctly. The rough surface is due to newly formed acrylic and may possibly not be 100% compatible with the acrylic in your exisitng denture.


If you are having issues with phonetics, esthetics and fit issues, I would go back to your dentist and voice your concerns over the repair. I, often times, will not do repairs as they can be very difficult and very unpredictable. As a result I often advise having a new one made based on the extent of the fractures as well as the age of the denture.


Hope this helps!


What are mini implants and how are they used in dentures?


They are miniature titanium screws/anchors that are placed into the jawbone to help with various dental procedures such as:


1. Improving the fit of dentures

2. Help replace small, missing teeth.

3. Assist in orthodontics to move teeth into more favorable positions.


The implant simulates a root of a tooth and has a ball that sits on the top of implant that articulates with a denture or a crown. It works similar to a ball and socket joint that provides excellent retention and resistance form. It is most useful in denture applications to help provide resistance against lifting forces.


Mini implants are placed under local anesthesia and are quite pain free when compared to something like a root canal or an extraction of a tooth. There are not incisions, no cutting of the bone, and no long healing times. After placement, the ball of the implant will be sticking out of the gum tissue and will be the only visible portion of the implant. Because they are minimally invasive, there is very little healing period and dentures can be stabilized the same day the implants are placed. Depending on the situation, sometimes a new denture is made against the new implants or the existing denture can be refit ("retrofitted") to the new implants.


So who is a candidate for mini implants?

-Ill-fitting or poor fitting dentures

-Patients that cannot eat foods like corn, apples, steak, crackers, etc.

-Someone who is afraid to laugh, smile or speak for fear of their denture

coming out.

-Patients that want pain-free, immediate results and not long healing times.


Ask Dr.Glasmeier about mini implants and how they can help make your dentures better!!

What are the different things that can cause sensitive teeth?


The common and most obvious ones are cavities and infections which is directly due to the cavity(tooth decay) getting close to the nerve. Fractures in the tooth, or the filling or both can also cause sensitivity in regards to cold, sweets, and biting.


The one that I see even more than these are sensitive teeth due to root exposure. 4 out of every 5 patients have at least one area where they have root exposure and cold or sweets will create what I call a "zinger". Patient will often report an area on a tooth and state that it is sensitive when they touch the surface with their fingernail or toothbrush bristles.


So what causes root exposure? Several things but the most common are periodontal(gum) disease, receding gums, aggressive toothbrushing, and heavy grinding of the teeth. All of these can cause root surfaces to become exposed and cause a great deal of sensitivity. While it typically is a "tolerable" discomfort, it can be very frustrating and self limiting.


What are the the treatments for sensitivity due to root exposure? It can range as simple as a fluoride topical application to a root surface filling to a gum surgery to help cover up the root surface. The newest type of treatment that I use on a daily basis is called "Laser Desensitizing". Using a special laser, I can "zap" the root surface with laser energy and totally eliminate the cold and sweet sensitivity in a matter of minutes. The advantages of this treatment is that you get instant results(i.e. instant pain relief) and is virtually pain free. Patients have great results from laser desensitization and it is becoming the most cost efficient/conservative treatment available?


Ask your dentist about sensitive teeth and what the causes are and what the recommended treatment is!



I have wisdom teeth that are beginning to hurt and I am worried about feeling pain and having a bad experience. Do I need them out? What do you recommend?


Wisdom teeth, often times, have to be removed for several reasons such as inability to keep clean, more prone to getting cavities, can cause shifting of teeth, can develop unusual pathology such as tumors, and can cause diffuse pain in the jaw as well as the jaw joints. Wisdom teeth can fully erupt through the gums, or partially erupt, or never erupt (called an impacted wisdom tooth). Depending on the level of eruption, a general dentist may be able to take the wisdom teeth and often times I refer to an oral surgeon who specializes in taking out more difficult teeth.


Because wisdom teeth are typically more difficult to take out, one can experience more discomfort and pain following. Again the level of eruption will determine how difficult it will be to remove which further determines how much discomfort afterwards. I typically recommend sedation for wisdom teeth in 3 different options:

1. Nitrous oxide (laughing gas during procedure)
2. Oral sedation(oral medication before procedure)
3. IV sedation ("put to sleep" with medications through an IV). Ask your dentist what is most appropriate for you.


The advantage to oral and IV sedation is also that it can cause amnesia which prevents the patient from remembering the procedure. Most patients wake up without any recollection of what happened, how long it lasted and how the procedure went. So yes I would recommend removing wisdom teeth ~85% of the time and I would recommend sedation for the procedure.


Its too bad that wisdom teeth are most likely the most "unintelligent" teeth in the mouth. How's that for irony!