Monthly Archives: November 2017

Peri-Implant Diseases in Focus

By | Preventative | No Comments

Dental implant is a popular and an effective tooth restoration technique. Made using titanium, dental implants are placed carefully in the jawbone and integrated with the natural bone to provide a sturdy foundation for tooth replacement. It is the most sought-after treatment for tooth restoration in clinical dentistry primarily because of it mechanical and biological properties.

Good oral hygiene is equally important after getting dental implants as the prevalence rate of inflammation around the dental implant is relatively high. The condition is better known as the Peri-Implant disease.

Understanding the Peri-Implant Disease 

Peri-implant disease can be best described as an inflammatory condition. This condition affects both hard and soft gum tissues near dental implants. This is caused due to poor oral hygiene and implant maintenance. The bacteria begin to build-up on the implant’s base, right below the gum line. The bacterial growth irritates the gum tissue overtime. This causes inflammation in the gums and damages the tissue. If the problem is not addressed immediately, it can lead to bone loss and eventually dental implant loss. Though it resembles periodontal infection, the treatment options for peri-implant disease are different.

Types of Peri-Implant Disease 

The peri-implant disease is of two types—peri-implant mucositis and peri-implantitis. Let’s take a closer look at the two types of peri-implant disease to develop a better understanding:

  • Peri-Implant Mucositis

The peri-implant mucositis basically manifests in the soft tissue. The signs are similar to gingivitis. It causes swelling, redness and inflammation but is only confined to soft tissues. It can be best treated if it is detected early by calculus and biofilm removal. In other words, treatment of peri-implant mucositis is non-invasive and simpler as compared to peri-implantitis. So, far there is no evidence of bone loss due to peri-implant mucositis; however, it is a precursor of peri-implantitis.

  • Peri-Implantitis 

In this type of peri-implant disease, gum inflammation occurs around the soft tissue that leads to deterioration of the bone that supports the dental implant. It is also described as a serious and destructive inflammatory dental process in clinical dentistry. It promotes both peri-implant hard and soft tissue loss affecting osseo-integration.

Diagnostic considerations that have been proposed for the timely detection of peri-implantitis disease include probing, suppuration, pre or post radiographs, microbiological testing and mobility. Initial dental implant probing must be performed once the restoration is properly installed with the help of the conventional periodontal probe with light force. Mobility and radiographs can also be used to supplement its diagnosis.

Peri-implantitis is sometimes compared to periodontal disease because of its inflammatory nature. However, one of the most important differences between the two is that peri-implantitis has the tendency to develop on the lingual and facial aspects of the dental implant in such a way that it is undetectable and hard to identify using traditional radiographs. Studies show that in this case, the most effective technology is the cone beam computed tomography. It is proven for identifying lingual, proximal bony and lingual lesions surrounding dental implants. The diagnosis for peri-implantitis is aided by acquiring baseline bone level 360-degree scans of the implants. If peri-implantitis condition is suspected, CBCT scans are compared with baseline scans to determine the definitive bone loss including the severity and location.

Though the presence of pathogenic biofilm is the top factor, local and systemic factors should also be identified as all these factors can lead to the development as well as progression of peri-implant disease. Systemic factors include smoking, diabetes and immunosuppression while local factors include excessive occlusal forces or residual cement.

In most cases, surgical therapy is advised to patients with moderate & severe peri-implantitis. It provides access for proper cleaning and also helps develop an environment that enable patients to both maintain and reconstruct lost tissue.

Statistics show that 80 percent of the people with dental implants develop peri-implant mucositis and that nearly 56 percent suffer from peri-implantitis.

For more information about peri-implant disease or if you are experiencing inflammation around implants, get in touch with us today. Call (208) 342-0315 to schedule an appointment with our experienced periodontist for a proper oral examination and diagnosis.

Snoring appliances & why you should consider buying one

By | Snoring | No Comments

Are you tired of people complaining about how loud your snore is? Or are you tired of your loved one mimicking an elephant while sleeping? If you can relate to the presented scenarios, you should consider buying a snoring appliance. It is the perfect solution to all of your problems. Snoring is completely normal and it happens to almost everyone, but when people start snoring so loudly that they can wake an entire building, it is then when snoring becomes a problem.

These appliances are an effective way of treating snoring and sleep apnea. They are available in different sizes and types as well. Only a doctor can tell you which snoring appliance is the best for you as they will take into account a variety of factors before prescribing the best appliance.

Some of the factors that the doctors will take into consideration are; the size of your mouth, how loud you snore and your medical history. Once the doctor has evaluated your issue from every perspective, they will then prescribe the snoring appliance that will provide you and your loved ones expedited relief from the noise you make while sleeping.

Basically these appliances are worn while sleeping and are attached to the mouth just like a sports mouth guard or a retainer. It maintains an open upper airway by positioning the jaw in a forward position that helps subside snoring.

These days the amount of people using snoring appliances is increasing, as more people want to curtail their snoring habits. Although a substantial amount of these people only consider snoring appliances because they are tired of their loved ones complaining about the noise they make. Let’s face it they cannot hear themselves snoring while sleeping. However, people who snore do occasionally face breathing issues that can be dangerous, which is another reason why snoring appliances have become so popular.

Why should you consider a snoring appliance?   

Currently there are many treatment options available for patients that snore. Most of them include intrusive methods such as surgeries. But patients can easily avoid the turmoil of undergoing surgery by considering a snoring appliance. These appliances are a non invasive treatment method that can perfectly align with your current lifestyle and they provide many different versatile benefits. Some of these benefits are mentioned below.

  • Cost effective
  • Easy to wear
  • Comfortable
  • Can improve the quality of your sleep
  • Convenient and easy to travel with
  • Reduces the amount of noise you make while snoring significantly

Which snoring appliance is the best for you?

Choosing the best snoring appliance can prove to be quite difficult because of the sheer amount of products available in the market today. However, if you contact your local doctor, they will take every factor into account and will recommend the most effective appliance for you.

We would recommend conducting research and speaking to your doctor before you make your purchase.

So next time a loved one is snoring, do not try to use a pillow to muffle the noise as that could kill them. Simply invest in a snoring appliance.