Posts for tag: dentist in Smyrna

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!


Dr.G, why do you favor IV sedation over oral sedation? Mark S.


Hi Mark,


Great question!! While I like oral sedation and I use it all the time, my biggest concern is patient safety. How many times have you heard of a child, or even an adult for that matter, swallow more pills that they were supposed to. As a result, you have no idea what to predict or how the person react. Some will just make theirself purge or in extreme circumstances have their stomach pumped.


Oral sedation can work well but not necessarily be as predictable in seeing the outcome. Some will barely be sedated, some not all, others will be completely "snowed" over and there are many variables that can determine this: age, height, weight, medical history, male vs female, level of anxiety, etc. Oral sedation works relatively well but I would recommend having your dentist do a test run if you have inadequate results with oral sedation. I, sometimes, will due to a test appointment with the medications with my patient and not do any treatment but more less assess how the patient will respond. Being able to see this helps ascertain what treatment we can do and how much.


Its because of this that I prefer IV sedation, where I have more control over what goes on, and I can reverse the process quickly if I am not happy with how it is going. It tends to be more predictable, faster acting, and ultimately safer. You won't find any oral surgeons who would prefer oral or IV sedation due to the same reasons!


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!!

Last week my 17 yr. old son went to the dentist and was informed that he has enamel erosion which caused him to have 6 new cavities. The dentist said that the loss of enamel was most likely caused by his braces, which he had removed last year, and that the erosion will continue to spread and get worse. Is enamel erosion common after removal of braces? What should we do?

P.S. Thanks for serving our country!!


Good question and the answer is yes and no. It is very common to see teenageers come out of braces and have cavities that have developed in the process. To describe it as "enamel erosion" is a little ambiguous however. Typically there are 2 common areas to see cavities when a patient has their braces removed:


1. Lip/cheek side surface of the teeth where the brackets were bonded on the teeth.

2. Also occur between the teeth where you normally floss but very difficult when in braces.


Back to your question...erosion and cavities are two different things. I would ask the dentist to clarify what has happened. Erosion can lead to cavities but they are 2 separate situations. There is a chance he will need fillings where the erosion/cavity occurred. I would have him focus on their hygiene and also consider getting on a Fluoride prescription until everything stabilizes. The other question I would ask the dentist would be were any of these present during the past couple recall/cleaning appointments as cavities don't typically occur that quickly unless it had been a while since his last checkup. Hope this helps!




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!