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Dental Implants vs. Dentures—Which Is the Right Choice?

For hundreds of years, tooth loss meant dentures. And over those hundreds of years, dentures have become more realistic, more secure, and more comfortable.

Now, however, Dr. Jenny A. Kanganis and our team have the technology to replace missing teeth with dental implants that look just like our natural teeth, that are firmly anchored in the jaw just like our natural teeth, and that are easy to clean and care for just like our natural teeth. If you are debating the merits of both kinds of tooth replacement, here are some comparisons to consider.

No matter how securely dentures are attached, no matter how “new and improved” your adhesive is, dentures are not anchored in the bone as implants are. There is always the possibility—or worrying about the possibility—of slipping, clicking and other noises, and problems with speech and pronunciation.

Implants fuse with the bone in your jaw, so the base of the implant acts like the root of your natural tooth. Biting, chewing, speaking, and appearance are unaffected, because implants function just like “real” teeth.

Full dentures and partial dentures should be removed every night. Placing them in a mild cleaning solution or soaking them in water is important to help them keep their shape. Ideally, dentures should be removed and rinsed every time you eat.

With implants, you treat them as you treat your natural teeth. Brush, floss, and see your dentist regularly for exams and cleanings. No need to add to your daily to-do list.

When you wear dentures, foods like apples, pork chops, and corn on the cob are probably off the menu. Let’s not even think about the occasional caramel! Some denture users also notice that food doesn’t taste as flavorful, because dentures which cover the roof of the mouth also cover the taste buds located on the soft palate.

Implants function just like your natural teeth, so feel free to indulge in your crisp and chewy favorites—and savor every bite.

First, missing teeth can eventually affect the structure of our jawbones and change our facial appearance. The bone tissue which supports our teeth needs the stimulation of biting and chewing to stay healthy. Without that stimulation, the bone ridge under the missing tooth gradually shrinks, a process called “resorption.” Not only does this bone loss affect the stability of the denture and the health of the bone, it also affects our facial appearance, especially the lips, cheeks, and profile.

Implants, on the other hand, provide the same kind of pressure and stimulation to the jawbone that natural teeth do. Preventing further bone loss is a wonderful additional benefit of choosing dental implants.

Second, fixed bridges can impact neighboring teeth. To provide a base to anchor either side of a fixed bridge, your heathy teeth might need to be ground down and shaped to fit the bridge attachment.

Implants do not affect neighboring teeth, and, unlike bridgework, are easier to clean and floss, thus reducing the risk of decay in the adjacent teeth.

Loose and ill-fitting dentures can cause irritation and even infection. And because the jawbone begins shrinking when teeth are lost, your dentures will start to fit less comfortably even over their fairly limited lifespan as the contour of your bone continues to change.

Implants can cause a bit of discomfort in the days immediately after surgery, but pain should be manageable with over the counter or prescription pain relief. (Pain that lasts longer than two weeks should be reported to Dr. Jenny A. Kanganis right away.) Once you have healed, there should be no further discomfort.

It’s true that dentures can cost less than individual or multiple implants. However, bridges and dentures are meant to be replaced every five to ten years. An implant is meant to last a lifetime. When you factor in the need for regular replacements, you might find that implants are a very competitive economic alternative to dentures.

Finally, if you are uncertain about choosing implants because you are missing several teeth, there are still implant options to consider. Dr. Jenny A. Kanganis can place several implant posts strategically, which will then be used to hold a bridge or even a full denture. These types of implants still provide stimulation to the bone beneath, and have the stability that only implants provide.

If you have missing teeth, dentures are no longer your only option. Talk to Dr. Jenny A. Kanganis at our Bronxville office today for all of the possibilities that are available to you for a healthy, beautiful, and complete smile.

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Who benefits from Invisalign®?

One problem with trying to answer the question as to who benefits from Invisalign is that the simple answer is “almost everyone.” The see-through, almost invisible aligners for straightening teeth are specifically molded to fit each individual’s mouth. Unlike conventional braces, they can be removed when eating and when cleaning the teeth. Because they use less force in straightening teeth than metal braces, the risk of harm to teeth is lessened.

Benefits to adults

Traditional braces are associated with children and teenagers. Many adults want to have their teeth straightened but cannot decide which is worse: having crooked teeth or wearing metal braces. They also worry about having to change their diet by not being able to eat the foods they normally enjoy.

If you are an adult considering braces, our team at Bronxville Dental Care will tell you Invisalign aligners will give you the best of all worlds. Your teeth will be straightened with virtually invisible braces. You can remove your aligners when you eat so you can enjoy any food you normally would consume. You do not have to worry about embarrassing yourself by getting food stuck in your braces. You simply clean your teeth normally after eating and replace your aligners. If there is a special occasion during which you do not want to have any braces at all, you can remove the aligners for a few hours without causing any damage.

Benefits to teenagers

Dr. Jenny A. Kanganis and our team know that teenagers are often involved in contact sports or gymnastics. Others find that having metal in their mouth interferes with their ability to play a musical instrument. Traditional metal braces contain wires and brackets that can cause damage to the mouth and gums; this is not a risk with Invisalign aligners.

For sports that require players to wear mouthguards, the expense of specially constructed mouthguards to fit over braces is avoided. The aligners can be removed during sports activity, and a normal mouthguard is worn. Teenagers who play musical instruments simply remove the aligners when practicing or playing in the band or orchestra.

Teenagers often feel they are too busy to spend time and trouble flossing teeth between the wires and brackets of traditional braces. Since the Invisalign aligners are removable, brushing and flossing are simpler and more likely to be performed.

For more information about Invisalign or Invisalign Teen, or to schedule an initial consultation with Dr. Jenny A. Kanganis, please give us a call at our convenient Bronxville office!

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Happy Holidays! Healthy Holidays!

It’s the holiday season! With so much to do and so much going on, you want to be at your best. We have some ideas to help make your season bright with a few easy tips for a healthy smile.

There’s a lot going on during the holidays. Visiting friends. Traveling to see family. Parties and get togethers. With all the enjoyable festivities on your holiday schedule, you might be tempted to overlook brushing or flossing. But, please don’t!

Many of our favorite holiday traditions and activities are centered around sharing good company, good cheer—and good food.

Indulging in more treats throughout the day, especially sugars and simple carbs, provides more fuel for the bacteria in plaque. These bacteria produce acids that weaken tooth enamel—the first stage of tooth decay. Plaque buildup also irritates the gums, causing swelling, redness, pain, bleeding, and chronic bad breath.

How to avoid these not-so-jolly consequences? Make time in your holiday schedule for dental care! Brushing twice a day for two minutes and flossing once each day removes plaque buildup and helps prevent cavities and gum disease.

We’re no Scrooges—enjoying holiday treats is one of the ways we celebrate. But since we’re trying to prevent a plaque buffet of sugar and simple carbs, it’s a good idea to add some healthier foods to the mix.

Whether it’s platters of snacks around the game table or a stylish hors d’oeuvre array, don’t forget to add nutritional, dental-friendly items to your plate. Options such as fresh fruits and vegetables, cheeses, nuts, and whole grain breads and crackers are great partners for more indulgent selections because they’re lower in added sugars and provide vitamins and minerals to strengthen teeth and gums.

And from the candy bar? Hard candies and candy canes make our naughty list because they take a long time to dissolve while bathing your teeth in sugar. So do caramels, toffees, and gumdrops, which stick between teeth and gums. Soft chocolates? A much nicer choice, because they are more easily rinsed away by saliva or a drink of water. Which leads us to . . .

The holidays offer some of our favorite seasonal beverages. But spiced lattes, mochas, and hot chocolate can be full of sugar.

The answer? Enjoy in moderation, and enjoy with a glass of water. Water washes away sugars, neutralizes acids, helps increase saliva flow for tooth and gum health, hydrates, and, when it’s fluoridated, protects and repairs your enamel. That’s a lot of gifts in one convenient package!

If you’re taking to the slopes, or the hills, or the rink for a little holiday exercise, don’t forget to protect your teeth and mouth. It’s not just sports like football and hockey that cause dental injuries—it’s any sport where you can fall or make contact with someone or something.

If you don’t have a mouthguard, they’re available at sporting goods stores in stock sizes or models that can be molded to your teeth. A custom mouthguard from our Bronxville office is more comfortable, fits better, and protects you better. This is a perfect gift to give yourself so you can take advantage of all those cold weather sports with confidence.

We all look forward to holiday surprises—but not when they take the form of cavities, gum disease, or dental injuries! In the flurry of holiday activities, keep up with your regular dental care, and you’ll be looking forward to a new year filled with happy and healthy smiles.

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Everything You Need to Know About Dental Implants

Okay, perhaps “everything” is a bit of an exaggeration—but we do have the answers to some essential questions if you’re thinking about replacing a missing tooth with an implant.

The construction of dental implants is simple and elegant. Most often, a titanium cylinder or screw is implanted into the jawbone. After several months, the implant becomes fused with the bone, a process called “osseointegration.” An abutment can then be secured inside the implant, extending above the gum line, and a crown is securely attached to this abutment. The result? A tooth that looks and functions just like a natural tooth.

Unlike dentures and partial bridges, which may need to be replaced every five to seven years, an implant can last a lifetime. The material usually recommended for implants is titanium, a metal that integrates well with human bone and is resistant to corrosion, although non-metallic alternatives are also available. Over a period of months, the implant fuses into the bone. The result is a base that is as strong and stable as your natural root.

Because the stability and longevity of an implant depend on its fusion with the bone surrounding it, your jawbone must have healthy density and the necessary depth and width to support an implant. When we lose a tooth, the bone underneath begins eroding as well. The longer you wait to replace a tooth, the more the jawbone beneath it shrinks. Advanced gum disease can also lead to bone loss.

Dr. Jenny A. Kanganis can often restore jawbone strength and density with a procedure known as bone grafting. This is a type of surgery which uses your own bone, a synthetic grafting material, or a processed bone grafting material to repair and replace damaged bone. After three to four months of healing, the jawbone is generally strong and dense enough to accept an implant.

The procedure takes place under local anesthesia. Sedation dentistry is also an option if you feel it would make your experience more comfortable. Dr. Jenny A. Kanganis will make a careful incision in the gum tissue. A drill will be used to create a small opening for the implant within your bone, and the implant will be gently positioned. A healing cap will be placed over the implant which will extend through the gum tissue, or the site will be closed and a healing cap applied in a second procedure after the bone heals.  The entire process takes about an hour for a single implant, and you will be given careful and detailed instructions for aftercare.

Once the implant has fused with the jawbone, which takes several months, you are ready for restorative work. The dentist you choose to do the restoration will oversee the fabrication of a crown designed to match your natural teeth and to fit perfectly in the space left by your missing tooth. An abutment piece will be fitted into the implant, and the crown will be attached to the abutment. The result will be a stable, anchored tooth that functions and feels like a natural tooth.

Oral surgeons like Dr. Jenny A. Kanganis are specialists. They have a minimum of four years of surgical education and training in a hospital-based residency program. They train with medical residents in fields of study such as general surgery, anesthesiology, internal medicine, plastic surgery, and otolaryngology (the study of the ear, nose, and throat).

Because oral and maxillofacial education and training are focused on the bone, muscles, skin, and nerves of the face, mouth, and jaw, an oral surgeon is the best choice for your implant surgery and, in fact, any kind of oral surgery.

We gave it a try, but we probably haven’t answered “everything” you’d like to learn before deciding on a dental implant. But there is someone who has the knowledge and experience to assess whether you are a suitable candidate for an implant procedure and to perform your implant surgery safely, comfortably, and successfully: Dr. Jenny A. Kanganis. Make an appointment at our Bronxville office today with someone who really does know everything you need to know about dental implants!

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