It is our goal to keep your mouth healthy, your teeth fully functional, and your smile bright — and we are proud of all the services we offer to do exactly that. At the same time, we want you to understand all that modern dentistry in general has to offer you. To that end, we have assembled a first-rate dental library in which you can find a wealth of information on various dental topics, including:

Cosmetic general dentistryCosmetic & General Dentistry

From a thorough professional cleaning to a full smile makeover, there is an amazing array of services that cosmetic and general dentists offer to make sure your teeth stay healthy, function well and look great. If your smile is not all you want it to be, this is the place to start. Read more about Cosmetic & General Dentistry.

EndodonticsEndodontics

This is the branch of dentistry that focuses on the inside of the tooth — specifically the root canals and sensitive, inner pulp (nerve) tissue. When this tissue becomes inflamed or infected, a root canal procedure may become necessary. But contrary to the popular myth, a root canal doesn't cause pain, it relives it. Read more about Endodontics.

Implant DentistryImplant Dentistry

If you are missing one or more teeth, dental implants offer the comfort and security of a permanent replacement that looks and functions just like your natural teeth. Dental implants also help preserve the tooth-supporting bone in your jaw that naturally deteriorates when even one tooth is lost. Read more about Implant Dentistry.

Oral HealthOral Health

Oral health is an essential component of general health and well-being. Good oral health means a mouth that's free of disease; a bite that functions well enough for you to eat without pain and get ample nutrition; and a smile that lets you express your happiest emotions with confidence. Read more about Oral Health.

Oral HygieneOral Hygiene

A major goal of modern dentistry is to help you keep your teeth and gums healthy for a lifetime. By following a conscientious program of oral hygiene at home, and coming to the dental office for routine cleanings and exams, you have the best chance of making this goal a reality. Read more about Oral Hygiene.

Oral SurgeryOral Surgery

The word “surgery” often brings to mind a stay in the hospital, general anesthesia, and perhaps a lengthy recovery period. However, the experience of having oral surgery is usually very different from that. Some common oral surgery procedures include: tooth extractions, dental implant placement, and biopsies of suspicious oral lesions. Read more about Oral Surgery.

OrthodonticsOrthodontics

Adults and kids alike can benefit from the boost in self-confidence that comes from having a great-looking smile with beautifully aligned teeth. Orthodontic treatment can even improve chewing, speaking and oral hygiene in certain cases. And with today's virtually invisible orthodontic appliances, it's possible to keep your treatment a private matter… until your new smile is unveiled, of course! Read more about Orthodontics.

Pediatric DentistryPediatric Dentistry

It's never too early to get your child started on the path toward a lifetime of good oral health, and there are many services to do exactly that. Monitoring your child's dental growth and development, and preventing and intercepting dental diseases along the way, is the primary focus of pediatric dentistry. Read more about Pediatric Dentistry.

Periodontal TherapyPeriodontal Therapy

If you want to keep your teeth for life — a completely reasonable goal in this day and age — you need to make sure the tissues that surround them are also healthy. Should gum problems arise, you may need periodontal therapy to restore diseased tissues to health. Read more about Periodontal Therapy.

TechnologyTechnology

In the field of dentistry, new technology is constantly changing the way diseases are diagnosed, routine procedures are performed, and illnesses are prevented. Although they may seem unfamiliar at first, new and improved dental technologies offer plenty of real benefits for patients. Read more about Technology.

 

 

Dental implants vs bridgework.

If you're missing a tooth, you're in good company: Some 70% of the U.S. population is also missing at least one, usually a back tooth (molar). Adult teeth are often lost due to decay, gum disease, failed root canal therapy, or fracture — particularly if they have already been heavily restored with fillings or crowns. When it comes to replacing a lost tooth (or even two or three adjacent teeth) there are generally two treatment options available: the old standby, fixed bridgework; or the modern, high-tech solution, dental implants.

While either one can offer an aesthetically pleasing and functional replacement, there are some important differences between the two methods of treatment. To help you decide which one is right for you, let's take a closer look at each technology.

A Bit of Dental History

Although an early type of dental bridge was used by the Etruscans around 700 BC, the modern bridge (also called a fixed partial denture) first became available in the early 20th century. The part which replaces missing teeth, called a “pontic” (French for bridge), is fixed in place by attachment to adjacent, healthy teeth, called “abutments.” The pontic is made to resemble a row of natural teeth joined together; how many teeth it will consist of depends on how many are missing.

For example, if just one tooth is gone, a three-unit fixed bridge will be needed. This consists of a replacement for the missing tooth (the pontic), plus a crown for each of the two teeth adjacent to the gap. If more teeth are missing, more units would be required in the bridge. A seven-unit bridge might be needed for three missing teeth; this would consist of three replacement teeth, plus four crowned abutment teeth — two on each side of the gap — to handle the extra stresses.

Caution: Failing Bridge

The crowns fit over the tops of the abutment teeth, which must be prepared (re-shaped by the removal of tooth structure) to receive them — and therein lies a problem. In order to securely attach the crowns, the enamel (and some dentin) must be removed from the abutment teeth. This renders these otherwise healthy teeth more susceptible to decay; it may also necessitate root canal treatment. Additionally, if existing crowns are present, they will have to be removed and redone.

The potential problems don't end when a bridge is in place. Because of the way bridgework “sits” below the gums, there is an increased potential for gum disease in the area. Plus, because a bridge requires that two teeth do the work of three (or more), the forces at work in the mouth generally cause the system to fail over time. Ten years is considered a good lifespan for a well-cared-for bridge.

The Modern Standard: Dental Implants

Beginning in the late 1970s, dental implants became available in the United States. This remarkable system for tooth replacement relies on the osteophilic (bone-loving) properties of titanium, the metal from which the below-gum part of the implant tooth is made. Placed directly into the bone of the jaw, an implant fuses with the living bone tissue, making it sturdy and long-lasting. The lifelike crown on top makes it virtually indistinguishable from the natural teeth.

If you have one missing tooth, you need just one implant — healthy adjacent teeth aren't affected. A greater number of lost teeth can often be replaced by a smaller number of implants, with no need to compromise the teeth nearby. Plus, while the chance of tooth decay is eliminated, the potential for gum disease isn't increased. In fact, with normal brushing and flossing, a dental implant can last a lifetime.

Implants generally cost more than bridgework initially — but they have been shown to be the most cost-effective long-term option. They also have other advantages, including one that no other tooth replacement system offers: the ability to stop the loss of bone, which invariably occurs after tooth loss. So when you're weighing your tooth-replacement options, it pays to consider the long-term value of dental implants.

Related Articles

Dental Implants - Dear Doctor Magazine

Dental Implants – Your Best Option For Replacing Teeth Dental implants have many advantages over older methods of tooth replacement like bridges and dentures — from the way they function and feel to the way they look and last. Vigorous research has documented and confirmed that in the right situations, dental implant success rates are over 95%. It is no exaggeration to say that they have revolutionized dentistry. They may even change your life... Read Article

Losing Teeth - Dear Doctor Magazine

The Hidden Consequences of Losing Teeth For those missing even one tooth, an unsightly gap is actually the least significant problem. What's of far greater concern is the bone loss that inevitably follows tooth loss. Dental implants can preserve bone, improve function and enhance psychological well-being. Learn how implants serve both as anchors to support replacement teeth and preserve bone... Read Article


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Mario A. Vilardi, DMD

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