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Dental implants are a marvel! They look just like your natural teeth, and, even better, they function just like your natural teeth. So, when you’re planning on a dental implant after an extraction, you want to make sure that your implant has the best chance of success—and we do, too. That’s why we might recommend a socket preservation procedure, where socket grafting takes place immediately after your extraction.

What is a socket graft, and what does it “preserve”? Let’s take a closer look.

Socket Preservation—A Logical Choice After Extraction

You’ve decided on a dental implant for some excellent reasons.

• A missing tooth can change the appearance of your smile.
• Your remaining teeth might shift to fill the empty space, causing alignment and bite problems.
• A lost tooth affects the amount, shape, and health of the bone surrounding your teeth.

No one wants to lose a tooth, but sometimes, due to injury or decay, an extraction is the only choice for your oral health. After your tooth is extracted, if the socket bone holding the tooth is perfectly healthy and the extraction is a simple one, we might be able to place an implant post in the socket right away.

But often, bone needs time to heal before placing an implant post, and you risk losing the bone size and density you need to make a future implant possible. How can you lose bone? That’s an unfortunate consequence of losing teeth. Teeth are important not just because they let us eat comfortably—they also help maintain bone health.

Without the stimulation of biting and chewing, the bone beneath the teeth begins a process called resorption. As older cells are absorbed back into the body, new bone cells aren’t produced as quickly to replace them. The alveolar bone, the thick ridge of the jaw which holds our sockets, shrinks in size. As the bone gets smaller, gum tissue shrinks around it, causing a sunken spot where your tooth used to be.

For a dental implant to anchor successfully in the jawbone, you need healthy bone that is high enough, wide enough, and dense enough to hold the implant post securely as it fuses with the bone.

A socket graft at the time of extraction provides two important benefits: grafting material fills the empty socket immediately, preserving the bone and gum area around it, and the graft material acts as scaffolding for new bone growth, creating a firm, dense foundation for your implant.

Grafting materials are gradually and safely absorbed as your new, healthy bone tissue replaces them. The result, after several months of healing, is an alveolar ridge with normal height and width and with the density needed to anchor an implant successfully.

The Grafting Procedure

Grafting material comes in different forms, including allografts (made from donor bone), synthetic grafts (made from synthetic materials which function like bone tissue), and autografts (bone taken from your own body). Growth factors may also be included in the grafting material to encourage new cell growth. Dr. Hanson, Dr. Campbell, Dr. Schafer, Dr. Fabian, Dr. Burmeister, Dr. Kess, Dr. Stenzel, and Dr. Swedeh. will recommend the type of graft which will work best for you.

A socket preservation procedure will frequently involve the following steps:

• Local anesthesia to numb the area before your extraction. You might choose sedation options as well, which we’re happy to discuss with you in advance.
• Careful cleaning of the site after the tooth is extracted.
• Filling the empty socket with bone grafting material.
• Placing a barrier or membrane over the graft to protect it as it heals.
• Suturing the surrounding gum tissue.

Aftercare Treatment

Aftercare treatment for a socket graft is a lot like the treatment for a tooth extraction. You’ll need to be careful around the graft area for several days as it heals, and we’ll give you specific instructions for your recovery. Normally, these may include:

• Don’t disturb or touch the area. Even pulling on lips or mouth to look at the site can put stress on your sutures.
• Immediately after the procedure, we can give you suggestions for reducing swelling and managing any pain you might be feeling.
• We’ll let you know when and how to rinse your mouth clean and when you can return to brushing. And no spitting!
• Eat carefully. We might recommend a liquid diet for a few days before transitioning to bland and cool soft foods. We’ll let you know the best diet for the period after your surgery. Don’t use a straw for your liquid diet, because suction can interfere with the wound.
• Treat yourself carefully for a few days by avoiding strenuous activities, including workouts.
• Don’t smoke. Smoking interferes with the healing process, and the suction involved does your graft no favors either.
• Visit our Rochester office for follow up appointments as recommended. We’ll monitor your healing, and give you a timeline for your future implant.

Preserving your socket now instead of repairing it later has many advantages. Immediate placement of a graft protects bone size and density, eliminates the need for a potential bone grafting procedure in the future, and makes it possible for you to enjoy the natural look and feel of a dental implant as soon as possible. If you have an extraction scheduled, let’s discuss why socket preservation might be your best path to an efficient, timely, and successful dental implant.

It’s time. You’ve decided. You’re going to get veneers. Whether it’s to repair a cracked or chipped tooth, to cover discoloration brought on by a root canal or medical condition, to fill in gaps between teeth, or for any other cosmetic reason, veneers can give you back your natural, confident smile.

And now you have just one more decision to make: should you whiten your teeth beforehand?

Many dental professionals find that, for most of us, the best results occur with professional whitening before veneer placement. Why?

• Your veneers will be carefully matched to the teeth surrounding them.

You don’t want your veneers to look anything but natural, and so Dr. Hanson, Dr. Campbell, Dr. Schafer, Dr. Fabian, Dr. Burmeister, Dr. Kess, Dr. Stenzel, and Dr. Swedeh. will make sure that their color is indistinguishable from your other teeth. But there is one important difference between tooth enamel and veneers:

• Teeth are porous.

As hard as it is, enamel is still porous. And the fact that teeth are porous means that teeth can discolor over time. Coffee, tea, red wine, sodas, darkly hued fruits, and fruit juices—teeth readily absorb pigments from foods. And smoking?  Not only one of the worst habits for your health, it’s one of the major causes of tooth discoloration. This is the downside of having porous enamel.

The upside? The fact that enamel is porous also means that you can brighten your smile with a whitening procedure.

• Veneers aren’t as porous.

Veneers are generally made of porcelain or a composite resin, with some key differences between them.

Porcelain has a translucent quality that looks like natural enamel, and it is very durable. Porcelain veneers are recommended when teeth have significant chips or gaps. They are also especially stain-resistant.

Composite veneers aren’t as expensive, and usually don’t need as much tooth structure removed to bond them to the tooth. They might not last as long as porcelain, and they aren’t quite as resistant to staining.

When you visit our Rochester office, we can discuss the pros and cons to find the perfect veneers for your needs. Just remember,

• Once created, veneers can’t change color.

Veneer color should be considered permanent. If your porcelain veneers seem to have dimmed a bit, often a gentle professional polishing will bring them back to their original shine. Composite veneers, as well, can respond to polishing and cleaning. This is the upside of permanent veneer color.

The downside? Veneers can’t be whitened to match your newly whitened tooth enamel. If you decide to whiten your teeth at a later date, your veneers might appear darker than your surrounding teeth. If you want to change veneer color, you will need to replace your veneers. So . . .

Now that you’ve decided to transform your smile with veneers, take a little extra time to talk to your dentist. Find out if whitening makes sense for you for a perfect, uniform match between your other teeth and your veneers.  And then be ready to enjoy your matchless smile!

Just like that, it’s almost summertime. As the spring season ends, perhaps these lighter, brighter days are inspiring you to do a bit of last-minute spring cleaning. Or perhaps they’re not. No judgment here!

What we can recommend wholeheartedly is finishing the season with a clean, sparkling smile. And we have some bright ideas for you!

Refresh Your Cleaning Technique

Tooth brushing can become so automatic that we don’t think about the basics anymore. And suddenly, we’ve finished brushing in half the time we used to, and, hey, how long has that floss been sitting on the counter, anyway? We suggest some mindful cleaning for a healthier smile.

• Spend two minutes brushing, at least twice each day.
• Make sure you reach all the surfaces of your teeth, inside, outside, and on top of your molars.
• Use short, gentle brush strokes, covering a tooth or two at a time.
• Angle your brush to clean along the gum line. Plaque around the gums leads to irritation and inflammation, and is a common cause of gum disease.
• Use vertical strokes to clean the inside of your front teeth.
• Floss at least once each day.

Good Cleaning Requires Good Tools

Since we’re tidying up, let’s talk about some helpful cleaning tools. Is your toothbrush looking a bit—long in the tooth?  

After three to four months of brushing, your toothbrush bristles start to break down. Frayed and matted bristles can’t clean as effectively as a toothbrush in top shape. Each change of season is a good time to remind yourself to change brushes.

And, while you’re shopping, remember:

• Soft bristles are almost always all any brusher needs. Even medium bristles can be abrasive to tooth enamel. And brush gently—scrubbing is also abrasive.
• If you use an electric toothbrush, those toothbrush heads need to be replaced, too! In fact, because these brushes often have shorter bristles, heads might need to be replaced every two to three months.
• Use fluoride toothpaste to clean and protect your teeth.
• Don’t forget the floss!

If you’re not a fan of your current floss, take another look at the dental aisle in your local store. There are lots of new flossing options out there just waiting to be sampled. If manual flossing is difficult, consider a water flosser. Dr. Hanson, Dr. Campbell, Dr. Schafer, Dr. Fabian, Dr. Burmeister, Dr. Kess, Dr. Stenzel, and Dr. Swedeh. can help you find just the right floss for your one-of-a-kind smile.

And speaking of your dental team . . .

Some Cleaning Jobs Require Professional Help

Dentists typically recommend a professional cleaning at our Rochester office twice a year to make sure you’re free from built up plaque and tartar. How does your dental team go about getting your teeth cleaner than you can get them at home? With special training and special tools.

• Plaque and tartar need to be removed from tooth enamel above and below the gum line to prevent cavities and gum disease, and tartar can only be removed by a dental professional. Your hygienist might use an ultrasonic scaler, a hand scaler, or both to gently scrape away sticky plaque and hard tartar.
• Teeth are polished with a gentle abrasive to remove surface stains. This can be done with a special toothpaste applied with a small rotating cup, or with an air polisher, which removes stains with a stream of fine abrasive powder, water, and pressurized air.
• An expert flossing will remove any remaining plaque from between the teeth.

Bonus: Your hygienist can point out spots you’ve been missing to help make your home brushing and flossing more effective.

Clean and Bright

Increasing daylight can brighten your mood—and so can a whiter smile! Over time, smiles get dimmer without our even noticing, thanks to tooth-staining foods and drinks, medications, smoking, or thinning enamel as we age. If you’re feeling self-conscious because your smile isn’t its sparkling best, consider a whitening treatment.

• Whitening Toothpastes

Whitening toothpastes use chemicals and mild abrasives to remove surface stains caused by foods, beverages, and smoking. If you’d like to give a whitening toothpaste a try, ask Dr. Hanson, Dr. Campbell, Dr. Schafer, Dr. Fabian, Dr. Burmeister, Dr. Kess, Dr. Stenzel, and Dr. Swedeh. for suggestions.

• Whitening Strips and Gel Trays

Whitening gels can be applied at home with strips or tray kits. These peroxide-based gels are stronger than the formulas used in toothpaste, but can be irritating. Talk to Dr. Hanson, Dr. Campbell, Dr. Schafer, Dr. Fabian, Dr. Burmeister, Dr. Kess, Dr. Stenzel, and Dr. Swedeh. to learn how to achieve the best and safest outcome with these products.

• Office Treatment

Whitening treatments at our Rochester office are generally faster, more effective, and last longer because this process uses a more powerful whitening agent. That’s why it should only be applied by a dental professional, who will examine and prepare your teeth, protect the surrounding gum tissue, and monitor your treatment throughout.

Spring’s coming to an end, but taking care of your dental health is always in season! A clean smile isn’t just a more confident smile, it’s a healthier one. Talk to your dentist for more tips to create your best and brightest smile at any time of year.

A shopping mall is a great place to get lots of errands done in one trip. Department stores, clothing boutiques, specialty shops? So many tempting options all in one place. But teeth whitening? Maybe not.

Dental office whitening provides you with the whitest possible teeth in the safest possible manner. Your teeth will be checked first for any conditions that might make whitening a bad idea, such as tooth decay, weakened enamel, or gum disease. Dr. Hanson, Dr. Campbell, Dr. Schafer, Dr. Fabian, Dr. Burmeister, Dr. Kess, Dr. Stenzel, and Dr. Swedeh. will make sure your gums and mouth are protected. A gel with a higher concentration of bleaching agents than those available over-the-counter will be applied, and your whitening progress will be monitored. You can also ask about having a custom-fitted tray made for at use at home with professional whitening gel.

What is different about mall bleaching?

• No dental exam will be provided beforehand. If you have dental issues, the whitening process might cause further problems such as tooth sensitivity or gum inflammation.
• The amount of peroxide in the bleaching agents can vary from place to place. You might end up with something equivalent to home whitening strips, or you might be exposed to solutions that should only be available in a dentist’s office.
• Finally, in many areas, mall whitening is actually illegal because it is considered the practice of dentistry without a license. Mall kiosks skirt this problem by having customers insert the trays full of gel themselves—a practice that does not take the place of professional training, licensing, and regulation.

A mall kiosk is a convenient place to select a new phone. Or try an unusual hair care product. Or purchase the latest in fad toys. But when it comes to your dental health, it’s worth a special trip to our Rochester office if you want the safest, most effective whitening.