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One of the most appealing reasons to choose dental implants over options such as bridges, partial dentures, and complete dentures is the fact that they function like natural teeth. 

Unlike bridges and dentures, which sit above the gumline, implants are embedded in the jawbone, designed to look like and to work like a natural tooth:

• A cylinder or screw, usually made of bio-compatible titanium, is surgically implanted into the jawbone. After several months, the implant fuses with the bone, a process called “osseointegration.” 
• An abutment is secured inside the implanted piece. This abutment extends above the gumline and serves to connect the implant to a crown. 
• A dental implant crown customized to match surrounding teeth in shape and appearance is securely attached to the abutment.

The result is a tooth that looks and functions just like a natural tooth, with a secure implant acting as a root below the gumline attached to a realistic-looking crown above it. What does this unique design mean for you?

• Implants Are Secure

Because implants are rooted in your jaw, there is no need to worry about loose dental work or difficulties with pronunciation or eating. Dentures stay in place using a mild adhesive or suction, which attaches them to the gum ridge. Bridges are anchored to teeth on either side of the missing tooth or teeth. Implants, on the other hand, are anchored in the jawbone. The post of the implant fuses with the bone in your jaw, functioning just like the root of a natural tooth. 

Implants often are used to replace a single tooth, but if you have lost several teeth, you also have options. Implants are an effective way to hold bridges and dentures in place securely. Several posts are implanted in strategic locations. Once the posts have fused with the jawbone, the bridge or denture is secured to the posts. These appliances can be fixed in place or removable for easy cleaning. 

• Implants Maintain Bone Health

When you choose an implant, you are choosing an option which protects your natural bone health and facial appearance. When a tooth is lost, the jawbone beneath it can shrink over time. This process is called “resorption.” Bone loss can alter facial appearance, especially around the lips, cheeks, and profile. 

Why do we lose bone? The bone in our jaws stays healthy because the stimulation of chewing and biting encourages new bone cell production around the root. Without that stimulation, the jawbone doesn’t replace old bone cells as effectively, and gradually shrinks, even with a bridge or denture. Implants, on the other hand, provide the same stimulation to the bone that natural teeth and roots do, and bone cells regenerate just like they do with natural teeth.

• Implants Don’t Affect Surrounding Teeth

When you choose a fixed bridge to replace a missing tooth or teeth, the neighboring teeth must be shaped to hold the bridge attachment. This is done by removing some healthy tooth structure from each neighboring tooth. Retainer crowns are then placed on these teeth to hold the pontic, or replacement teeth, in position. 

Implants don’t require crowns or other anchoring mechanisms on surrounding teeth. What’s more, implants benefit the teeth around them by helping to preserve the shape and strength of the jawbone holding them in place. 

• Implants Last

Dentures and bridges can be a more cost-effective option initially, but they will need to be replaced every 5-10 years. Implants are the longest lasting tooth replacement. Many implants will last a lifetime. 

How to make sure your implant is successful? Look after your dental hygiene to prevent gum disease, a leading cause of tooth loss in adults. If you grind your teeth, talk to Dr. James Robson about a nightguard. Wear a mouthguard when you play sports. Avoid biting into hard foods like ice and hard candies. Don’t smoke. In other words, protect your implants just like you protect your organic teeth.

• Implants Look Natural

For many of us, the realistic appearance of dental implants is the deciding factor. 

Dental implants are designed to look just like your natural teeth. The crown which sits atop the implant post is carefully fabricated to match the size, shape, and color of your surrounding teeth. You can eat, speak, and smile confidently once again.

If you’re considering tooth replacement, talk to the team at Robson Dentistry in East Lyme, CT about which options are best for you. You might discover that a dental implant is the natural choice!

February is Gum Disease Awareness month, a timely reminder that preventing gum disease is one of the best ways to protect our oral health. 

Gum disease is easily treated in its earliest stages. Left untreated, the progressive nature of gum disease makes it one of the leading causes of tooth loss in adults. 

Let’s take a moment in this shortest month of the year to discuss how understanding, treating, and, above all, preventing gum disease can help us enjoy long-lasting healthy smiles.

How Gum Disease Develops

Gingivitis is the first, mild stage of gum disease. 

• Gingivitis begins with plaque. 
• Plaque irritates gum tissue, causing inflammation, which is the body’s reaction to injury or infection. 
• Typical symptoms include gums which are swollen or red. The gums might feel tender or bleed easily when you brush or floss. You could develop persistent bad breath. 

With proper care, gingivitis is reversible. Because gingivitis symptoms can be very mild, they’re sometimes overlooked. That’s why it’s important to keep up with regular checkups to discover and treat the disease in its earliest stages. 

Periodontitis is a serious gum disease which is destructive to the structures which support our teeth: gums, connective tissue, and bone. 

• Plaque, when it’s not removed, hardens into tartar, which can form on the tooth above and below the gumline. 
• The gums pull away from plaque and tartar deposits, creating a space between the gum tissue and tooth roots. 
• As the gums continue to recede, pockets form between the teeth and gums.
• Infection-causing oral bacteria thrive in these pockets. Gum infections can lead to painful abscesses—but gum disease is not just an infection.
• The body normally responds to bacterial infection with inflammation. With periodontitis, this inflammation becomes destructive chronic inflammation. 
• Over time, chronic inflammation and infection break down the gum tissue, bone, and connective tissue holding teeth in place. Teeth become loose or shift out of alignment.

The tooth’s support structure eventually becomes so compromised that extraction is the only option. That’s why prompt treatment is essential.

Treating Gum Disease

Several options are available to treat gum disease, depending on its severity.

Treatment for gingivitis can be as simple as paying more careful attention to your brushing and flossing and, if necessary, seeing the team at Robson Dentistry for a professional cleaning. In some cases, Dr. James Robson might recommend an antimicrobial mouthwash or rinse.

Periodontitis requires specialized treatment from your dentist or periodontist, and this treatment will be based on how advanced the condition is:

• Topical, oral, or time-release medications treat infection.
• Non-surgical deep cleaning procedures called scaling and root planing remove plaque and tartar above and below the gumline, allowing gum tissue to reattach to the tooth. 
• Flap surgery treats more advanced gum infection by reducing pocket depth and re-securing the gums snugly around the teeth.
• If needed, bone grafts, gum grafts, and other regenerative procedures are available which help repair and restore damaged tissue.

Preventing Gum Disease

What many people aren’t aware of is just how preventable gum disease is! 

• Brush twice a day, or as often as your dentist recommends. 
  • Use proper brushing technique, angling your brush toward the gums to gently clean around and below the gum line. 
  • Use a soft-bristled brush to protect both gum tissue and tooth enamel.
• Floss once each day or as directed by your dentist. Flossing removes food particles and plaque between the teeth, and it also helps remove plaque from the area around the gum line.
• Conditions such as family history, hormonal changes, medical conditions, age, poor diet, smoking, and other factors can increase your chances of developing gum disease. Talk to Dr. James Robson if you are in a higher risk group about proactive gum care.
• Having your teeth cleaned every six months, or as recommended, will remove tartar buildup which brushing alone can’t handle. 
• You can get tips for better brushing and flossing techniques from the team at Robson Dentistry in East Lyme, CT, too!

Last, while gum health is essential for dental health, you may not be aware that healthy gums could affect more than just your oral health. Scientists are studying the potential links between gum disease and conditions such as heart disease, diabetes, and arthritis.  

Even when it seems like there aren’t enough days in the month or hours in the day, it takes just a few minutes daily to care for your gums and teeth. And when you’re aware of just how much those few minutes mean to a healthy smile, it’s time well spent!

First word, first step, first day of school—these firsts are milestones every parent celebrates. And one of the earliest and most precious milestones is your baby’s first real smile! 

Keep that smile beaming and healthy from infancy to young adulthood with the help of dental milestones. These breakthrough events mark significant stages in oral development, and are a great guide to understanding, protecting, and supporting your child’s path to adult oral health.

• First Tooth

Baby’s first tooth often arrives around the age of six months. And this is the time to start cavity prevention, with twice daily gentle brushing with a soft-bristled, child-sized toothbrush. Talk to Dr. James Robson or your child's pediatrician to learn how and when to brush and how much and what kind of toothpaste to use.

By the age of three, toddlers typically have all of their 20 baby teeth, and these little teeth are essential to children’s health. They help kids chew and eat, assist speech development and pronunciation, and act as placeholders so adult teeth can erupt in the proper place. Keep your child’s baby teeth their healthiest by partnering with the dental team at Robson Dentistry in East Lyme, CT.

• First Visit to the Dentist

Once that first tooth has come in, or around age one, it’s time to bring your little one to the dentist for a first visit. Your dentist will do a careful exam to see if your child’s teeth and jaws are developing as they should, check the health of the teeth, and answer your questions about brushing, flossing, toothpaste, teething, pacifiers, thumb-sucking, or any other concerns. 

Early visits are important. They allow you and your child to establish a “dental home”: a place where the dental team is familiar and comforting, and where regular preventative care will help keep young smiles their healthiest.

• First Lost Tooth/First Permanent Tooth

Around age six, most children start to lose baby teeth, typically in the order in which they arrived. Losing a baby tooth is a big step for children and might be a bit scary. You can celebrate this milestone with a visit from the Tooth Fairy, or a certificate, or a new toothbrush in your child’s favorite color. 

As the permanent teeth come in, continue to encourage twice daily brushing and flossing, and consider proactive treatment with dental sealants. Even when children have learned to brush properly, and brush twice each day, it can be hard for kids to remove all the plaque and food particles from the grooved chewing surfaces on top of molars. That’s why molars are much more vulnerable to decay than any other teeth. 

Around the time your child’s first permanent molars erupt, the team at Robson Dentistry might suggest sealants. Sealants protect the chewing surfaces of the molars from food particle and plaque buildup. This safe and invisible protective coating, usually a plastic resin, is applied in the office and typically lasts from three to five years. 

• First Orthodontic Visit

Dentists and orthodontists recommend an orthodontic examination by age seven (or earlier, if you have any concerns). At this point, children have a mix of primary and permanent teeth, allowing an orthodontist to assess tooth spacing and alignment and the way the jaws fit together. 

Your orthodontist might find no issues with your child’s teeth or bite. Or, perhaps, follow-up appointments might be scheduled to determine if and when future treatment is advisable. Sometimes, because some problems can be treated more easily when your child is young, early intervention with a fixed or removeable appliance is recommended right away. 

Having an orthodontic plan in place helps ensure that children benefit from the most effective and timely treatment at any stage of their development.

• Orthodontic Treatment

Orthodontic treatment commonly begins in early adolescence (ten to 14) when most or all of the permanent teeth have erupted. The facial and jaw bones are still growing in preteens and young teens, which makes it easier to reposition teeth and guide jaw alignment.

More treatment options are available than ever before—and today’s braces, clear aligners, smaller and more comfortable appliances, and even 3D technology make treating malocclusions and misalignments more efficient than ever before.

A healthy bite and properly aligned teeth are a foundation of lasting oral health. Orthodontic treatment helps prevent decay, gum disease, jaw pain, and even early tooth loss. And, of course, the value of your child’s increased self-confidence is impossible to overestimate!

• Wisdom Teeth

Wisdom teeth, or third molars, generally start to erupt in the late teens or early twenties and often have a harmful effect on oral health.

Erupting or impacted wisdom teeth can push neighboring teeth out of position, damage adjacent tooth roots, and cause inflammation and infection in gum and bone around the wisdom tooth. For these reasons, preventative extraction is often recommended. 

If your teen shows any symptoms of erupting or impacted wisdom teeth—irritated, swollen, or bleeding gums, bad breath, jaw pain or swelling—a visit to the dentist is in order.

As parents, you do your best to guide your child’s journey from infancy to healthy adulthood. Each dental milestone marks a new stage in your child’s oral health journey, and new ways for you to encourage and protect that oral health. Use these milestones to set your child up for a lifetime of good dental habits—and a lifetime of healthy smiles!

Brushing your teeth twice a day with fluoride toothpaste that has the American Dental Association seal of approval can help prevent tooth decay and relieve other conditions, such as bad breath, sensitive teeth, and gingivitis.

Beyond these health effects, another motivation for frequently brushing your teeth with high-quality toothpaste is to keep your teeth white. If you want whiter teeth but do not want to undergo in-office or at-home bleaching treatments, you might consider choosing whitening toothpaste for your daily brushing.

Why Consider Whitening Toothpaste

Whiter teeth are more attractive, which can help you feel more confident in your smile. Your smile is also one of the main components of the first impression you make on people in your professional and personal life. Having a whiter smile and greater self-assurance can send the message that you take care of yourself and are confident in your abilities.

How Whitening Toothpaste Works

The American Dental Association explains that all toothpaste has whitening properties because they help remove food particles from your teeth. To carry the American Dental Association seal for whitening, however, toothpaste must contain certain chemicals that help remove stains.

Unlike bleaching products, which contain carbamide peroxide or hydrogen peroxide, whitening toothpaste only cleans the enamel rather than changing the color of your teeth. To obtain the benefits of whitening toothpaste, you need to use it regularly.

The Effectiveness of Whitening Toothpaste Varies

Due to individual variations in the color of your teeth, some people are more likely than others to achieve the desired results with whitening. Teeth that are tinted grayish are unlikely to respond well to bleaching, while brown teeth can sometimes respond, and yellowish teeth are most likely to become pearly white with bleaching.

If Dr. James Robson and our staff believe that bleaching is not a viable option for you, proper oral hygiene and the use of a whitening toothpaste are your best bets for keeping your teeth as white as possible. In addition, avoid using tobacco products, and rinse your mouth after drinking coffee.