My Blog

Posts for: June, 2020

By Mark A. Eby, D.D.S., P.C.
June 21, 2020
Category: Dental Procedures
Tags: dental implant  
YourGumsandBoneNeedtoBeHealthyBeforeGettingImplants

If you've been dealing with a tooth that needs to be removed—or it's already missing—you may be looking to replace it with a dental implant. And it's a great choice: No other restoration can provide the appearance and function of a real tooth like an implant.

You and your smile are ready for it. The question is, though, are your gums and underlying bone ready? These dental structures play a critical role in an implant's stability and eventual appearance. A problem with them may make placing an implant difficult if not impossible.

An implant requires around 2.0 millimeters of bone thickness surrounding the implant surface for adequate support and to minimize the chances of gum recession. But tooth loss often leads to bone loss that can drop its thickness below this threshold. This can make placing an implant problematic.

Fortunately, though, we may be able to address the lack of sufficient bone through bone grafting. By placing grafting material within the empty socket, we create a scaffold for new bone cells to grow upon. Over time this subsequent growth may be enough to maintain an adequate thickness of bone for an implant to be placed.

The gums may also pose a problem if they've shrunk back or receded from their normal positions, as often happens because of gum disease (which may also have precipitated the tooth loss). Again, grafting procedures can help ensure there's adequate gum coverage for the implant. And healthier gums may also help protect the underlying bone from loss.

There are several techniques for placing gum tissue grafts, depending on how much recession has taken place. One procedure in particular is often used in conjunction with implant placement. A small layer of synthetic collagen material or gum tissue referred to as pa dermal apron is included with the implant when its placed. Settling into the bone socket, this apron helps thicken the gum tissues, as well as preserve the underlying bone.

During your preliminary exams, we'll assess your bone and gum health to determine if we should take any steps like these to improve them. It may add some time to the implant process, but the end result will be well worth it.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Immediate Dental Implants.”


By Mark A. Eby, D.D.S., P.C.
June 11, 2020
Category: Oral Health
Tags: dental care  
ACommonSenseApproachtoManagingYourDentalCareCosts

It's a sad fact: Many people postpone needed dental treatment because of their finances. There's no doubt that treatments for many tooth and gum problems can be expensive. But delaying treatment can make matters worse—and when they do see their dentist to address the issue, the costs can skyrocket.

The thriftiest way to manage your dental health is to prevent disease before it occurs or seek treatment as early as possible. You may incur some initial expense, but you'll pay less in the long-run and have better health to boot.

Here's a common sense approach for easing the impact of dental care on your budget.

Form a customized care plan. The key to keeping your dental expenses in check is to be proactive, not reactive with your care. Don't wait until you begin noticing problems—instead, invest in regular dental visits where your dentist can assess your ongoing individual risk for dental disease. Using that assessment, your dentist and you can then create a care plan that lowers your disease risk and promotes optimal health.

Adopt sound hygiene practices. A simple toothbrush and a roll of floss could save you thousands in dental care costs over a lifetime. Using them daily removes dental plaque, the top cause for both tooth decay and gum disease. Couple that with regular dental cleanings and your risk for costly dental disease will go down significantly.

Try less expensive, short-term restorations. Even with the best prevention strategy, there's always a chance you'll encounter a problem with your teeth or gums. Unfortunately, the best permanent fix may be more than your budget can handle. In that case, consider a less expensive restoration (like resin or glass-based fillings) to protect and restore your problem teeth until you can afford a better permanent solution.

Talk with your dentist about long-term financing. Spreading out the bill for dental treatment over several payments can help you manage unforeseen costs. Talk with your dentist about treatment financing options they offer or sponsor. If possible, have a contingency plan for payment in place before you need it—just in case.

Any kind of dental care, even preventive maintenance, can cost you. But if you manage your care wisely, you can keep that cost to a minimum.

If you would like more information on managing your dental health, please contact us or schedule an appointment for a consultation.


SedationCanHelpaChildReceiveNeededDentalCareNowandintheFuture

You have a wonderful pediatric dentist who's great with kids. Their dental office is a children's wonderland with cheerful colors, toys and a staff that tries to make things fun. But no matter what you do—including rewards and positive praise—it's not enough to calm your child's anxiety during dental visits.

Even with the most conducive clinical environment and parental efforts, some children still have an inordinate fear of seeing the dentist. Their anxiety could be a roadblock to getting the treatment they need to maintain good oral health and development. And if that fear carries over into adulthood, they may get into the habit of postponing needed care.

But dentists have an important tool they can use to help children relax: conscious sedation therapy. Using proven sedation medication, dentists can place patients in varying degrees of suppressed consciousness.

Although often used in conjunction, sedation is not the same as anesthesia. The latter is used to eliminate pain during dental procedures. Sedation, on the other hand, aims to calm the negative emotions generated by dental anxiety. A child under sedation can still breathe normally without assistance and respond to physical stimulation or verbal commands.

Sedation medications can be administered orally, usually in syrup form, or with an intravenous (IV) drip. Two of the more popular drugs are Midazolam and Hydroxyzine, both of which act fast and then leave the body quickly after the procedure. These types of sedation drugs have a very low risk of side effects compared to general anesthesia.

While under sedation, the child's vital signs (heart rate, respiration, blood pressure, etc.) are continuously monitored. Afterward, they'll wait in recovery until their vital signs are back to their pre-sedation levels. They can then go home to rest for the remainder of the day, and then usually return to school or other normal activities the following day.

Besides making it easier for a child to receive needed dental care, conscious sedation can also make the overall visit more pleasant, and lead to more positive memories of the experience. This may indeed help them later in life to overcome any lingering anxiety and continue regular dental care throughout adulthood.

If you would like more information on reducing your child's dental visit anxiety, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sedation Dentistry for Kids.”