1313 Lyndon Lane, Suite 214, Louisville, KY 40222, (502) 425-2442

Archive:

NeedanEffectivebutAffordableToothReplacementLookataFlexibleRPD

People with missing teeth have more replacement options than ever before, including the ever popular but often more expensive dental implant. But there has also been an expansion of choice on the more affordable side of dental restorations. The flexible removable partial denture (RPD) is one such choice. 

Though RPDs have been around for some time, the newer flexible RPD offers some advantages over the more rigid traditional RPD. They’re made of a kind of nylon that’s pliable but also strong and durable. This material is thermoplastic, meaning when heated it can be injected into molds based on a patient’s individual mouth to form an accurate denture base. The gum-colored base can also be formed to cover any receded areas of the gums, which can greatly improve smile appearance.

Older versions of RPDs are made of rigid acrylic plastic that stay in place in the mouth with metal clasps that attach to remaining teeth. The flexible RPD, on the other hand, is secured with finger-like nylon extensions that fit and hold in the natural teeth’s concavities near the gum line. This, along with its relatively light weight, offers a more comfortable fit.

But aside from these benefits, flexible RPDs do have a few drawbacks. Although fracture-resistant, they’re not easy to repair or reline to readjust the fit to accommodate mouth changes. They can stain (though not as much as a traditional RPD), so they require diligent cleaning and maintenance.

We consider the whole category of RPDs as “temporary” restorations, meaning they’re intended as a transitional phase between tooth loss and a permanent restoration like a natural tooth-supported fixed bridge or dental implants. For some, however, the flexible RPD might be a more long-term solution. As mentioned before, to extend their life as much as possible they should be removed daily and cleaned thoroughly. And like any form of denture, they should not be worn overnight.

In either case, flexible RPDs offer an effective way to restore not only dental function diminished by missing teeth but an improved appearance as well. With careful maintenance, they could serve you well for some time to come.

If you would like more information on flexible partial dentures, 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 “Flexible Partial Dentures: An Aesthetic Way to Replace Teeth Temporarily.”

By Howard D. Klein, DMD
July 04, 2018
Category: Oral Health
Tags: oral health   oral cancer   tobacco  
4ReasonswhyQuittingChewingTobaccoisGoodforYourOralHealth

Chewing tobacco is as much a part of our sports culture as the national anthem. What once began as an early 20th Century baseball player method for keeping their mouths moist on dusty fields has evolved into a virtual rite of passage for many young athletes.

But the persona of “cool” surrounding smokeless tobacco hides numerous health threats — including disfigurement and death. What isn’t as widely recognized is the degree to which chewing tobacco can adversely affect your teeth, mouth and gums.

Need more reasons to quit? Here are 4 oral health reasons why you should spit out smokeless tobacco for good.

Bad breath and teeth staining. Chewing tobacco is a prime cause of bad breath; it can also stain your teeth, leaving your smile dull and dingy, as well as unattractive from the unsightly bits of tobacco between your teeth. While these may seem like superficial reasons for quitting, a less-than-attractive smile can also have an impact on your self-confidence and adversely affect your social relationships.

The effects of nicotine. Nicotine, the active ingredient in all tobacco, absorbs into your oral tissues and causes a reduction in blood flow to them. This reduced blood flow inhibits the delivery of antibodies to areas of infection in your mouth. This can cause…

Greater susceptibility to dental disease. Tooth decay and gum disease both originate primarily from bacterial plaque that builds up on tooth surfaces (the result of poor oral hygiene). The use of any form of tobacco, but particularly smokeless, dramatically increases your risk of developing these diseases and can make treatment more difficult.

Higher risk of oral cancer. Besides nicotine, scientists have found more than 30 chemicals in tobacco known to cause cancer. While oral cancer constitutes only a small portion of all types of cancer, the occurrence is especially high among smokeless tobacco users. And because oral cancer is difficult to diagnose in its early stages, it has a poor survival rate compared with other cancers — only 58% after five years.

The good news is, you or someone you love can quit this dangerous habit — and we can help. Make an appointment today to learn how to send your chewing tobacco habit to the showers.

If you would like more information on the effects of chewing tobacco on general and oral health, 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 “Chewing Tobacco.”

DietandLifestyleChoicesKeytoDentalHealthDuringCollegeYears

“The Freshman 15” is a popular way of referring to the phenomenon of new college students gaining weight during their freshman year (although the average is less than fifteen pounds). According to research, college students gain weight mainly due to an unhealthy diet and lack of exercise.

If you're experiencing this as a college student, you should also know poor diet and lifestyle choices harm your teeth and gums as well. If you don't want to encounter major dental problems, then you need to make some changes beginning with the same cause for your weight gain: what you eat and drink.

Like the rest of your body, your teeth and gums have the best chance for being healthy when you're eating a balanced, nutritional diet low in added sugar. And it's not just mealtime: constant snacking on sweets not only loads on the calories, it also feeds disease-causing oral bacteria. Sipping on acidic beverages like sodas, sports or energy drinks also increases the levels of acid that can erode tooth enamel.

Some lifestyle habits can also affect oral health. Using tobacco (smoked or smokeless) inhibits your mouth's natural healing properties and makes you more susceptible to dental disease. While it may be cool to get piercings in your lips, cheeks or tongue, the hardware can cause gum recession, chipped teeth and soft tissue cuts susceptible to infection. And unsafe sexual practices increase your risk for contracting the human papilloma virus (HPV16) that's been linked with oral cancer, among other serious health problems.

Last but not least, how you regularly care for your teeth and gums can make the biggest difference of all. You should brush and floss your teeth ideally twice a day to clean away plaque, a thin film of disease-causing bacteria and food particles. And twice-a-year dental cleanings and checkups will round out your prevention efforts against tooth decay or periodontal (gum) disease.

Making your own choices is a rite of passage into adulthood. Making good choices for your teeth and gums will help ensure they remain healthy for a long time to come.

If you would like more information on maintaining dental health during the college years, 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 “10 Health Tips for College Students.”

By Howard D. Klein, DMD
June 14, 2018
Category: Dental Procedures
HowKathyBatesRetainsHerMovie-StarSmile

In her decades-long career, renowned actress Kathy Bates has won Golden Globes, Emmys, and many other honors. Bates began acting in her twenties, but didn't achieve national recognition until she won the best actress Oscar for Misery — when she was 42 years old! “I was told early on that because of my physique and my look, I'd probably blossom more in my middle age,” she recently told Dear Doctor magazine. “[That] has certainly been true.” So if there's one lesson we can take from her success, it might be that persistence pays off.

When it comes to her smile, Kathy also recognizes the value of persistence. Now 67, the veteran actress had orthodontic treatment in her 50's to straighten her teeth. Yet she is still conscientious about wearing her retainer. “I wear a retainer every night,” she said. “I got lazy about it once, and then it was very difficult to put the retainer back in. So I was aware that the teeth really do move.”

Indeed they do. In fact, the ability to move teeth is what makes orthodontic treatment work. By applying consistent and gentle forces, the teeth can be shifted into better positions in the smile. That's called the active stage of orthodontic treatment. Once that stage is over, another begins: the retention stage. The purpose of retention is to keep that straightened smile looking as good as it did when the braces came off. And that's where the retainer comes in.

There are several different kinds of retainers, but all have the same purpose: To hold the teeth in their new positions and keep them from shifting back to where they were. We sometimes say teeth have a “memory” — not literally, but in the sense that if left alone, teeth tend to migrate back to their former locations. And if you've worn orthodontic appliances, like braces or aligners, that means right back where you started before treatment.

By holding the teeth in place, retainers help stabilize them in their new positions. They allow new bone and ligaments to re-form and mature around them, and give the gums time to remodel themselves. This process can take months to years to be complete. But you may not need to wear a retainer all the time: Often, removable retainers are worn 24 hours a day at first; later they are worn only at night. We will let you know what's best in your individual situation.

So take a tip from Kathy Bates, star of the hit TV series American Horror Story, and wear your retainer as instructed. That's the best way to keep your straight new smile from changing back to the way it was — and to keep a bad dream from coming true.

If you would like more information about orthodontic retainers, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Why Orthodontic Retainers?” and “The Importance of Orthodontic Retainers.” The interview with Kathy Bates appears in the latest issue of Dear Doctor.

By Howard D. Klein, DMD
June 04, 2018
Category: Oral Health
Tags: oral health  
3ReasonsforBloodPressureChecksDuringDentalVisits

You may have been surprised by a new addition to your regular dental appointment routine—we took your blood pressure at the start. While you might expect this at a medical clinic, it seems unusual at the dentist’s office.

But not anymore: blood pressure checks at dental offices are quickly becoming routine, including during regular cleanings and checkups. Here are 3 reasons why checking your blood pressure is now part of your dental visit experience.

Your blood pressure could be an issue during dental work. While we do everything possible to make you comfortable, undergoing dental work can create stressful feelings. Blood pressure normally increases when stress occurs, including before dental procedures. If you already have issues with hypertension (high blood pressure), any circumstance that might increase it could lead to health problems or even an emergency like a stroke. If your blood pressure is high, we may forgo any planned procedures and refer you to a physician for further examination.

Local anesthesia can affect blood pressure. Local anesthesia is an important part of dental work—without it we couldn’t provide maximum comfort during procedures. But many anesthetics include epinephrine, which helps prolong the numbing effect. Epinephrine also constricts blood vessels, which in turn can elevate blood pressure. We may need to adjust the anesthesia drugs and dosages we use in your case if you have high blood pressure.

It could save your health—and your life. The symptoms for hypertension can be subtle and often go unnoticed. A blood pressure screening check is often the first indication of a problem. That’s why blood pressure screenings in a variety of healthcare settings are so important. A routine blood pressure check at your dentist (who hopefully sees you at least every six months) is one more opportunity to find out. Discovering you may have high blood pressure is the first step to controlling it and hopefully avoiding more serious conditions like diabetes or cardiovascular disease.

If you would like more information on monitoring vital signs during dental visits, 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 “Monitoring Blood Pressure.”





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.