Retention of the natural dentition
The primary goal of Samarth Dental Clinic is the preservation of the natural dentition as we value teeth. We understand that each and every tooth in your mouth plays a unique and important role for your ability to chew, speak, and smile confidently. Long–term retention of natural teeth has today become attainable with significant technological and biological improvements in all disciplines of dentistry. Patients entrust dentists at our clinic to make appropriate recommendations regarding the maintenance and restoration of their oral health and function. Natural tooth removal is the final and cannot be reversed. In the following blog, we explain why it’s so important to save natural teeth.
What conditions necessitate tooth removal?
Dentists are aware of conditions which necessitate tooth removal, but however, with proper clinical skills, even most of the following types of problems can be treated successfully without tooth removal:
Lack of patient cooperation with oral hygiene.
Lack of patient cooperation with diet.
Ongoing periodontal disease with major tooth mobility.
Severe bone loss and subsequent major tooth mobility.
Vertically fractured teeth.
Accidents causing tooth fracture, intrusion, and bone fracture.
Portions of the tooth broken off apical to the bone.
Dental caries involving most or all of the coronal portion of the tooth.
Bruxism and the accompanying occlusal wear destroying most or all of the coronal portion of the tooth.
Tooth resorption with inability to remove enough of the resorption to properly restore.
Patient motivation to remove teeth
Patients can become extremely frustrated with the constant need for dental restorations and continued dental caries, periodontal breakdown, or occlusal wear. We are aware that, patients feel that removal of teeth, placement of implants, and a fixed prosthesis would solve be a shortcut in resolving esthetic and functional challenges. But many factors play a negative role such as patient behaviour relative to diet and oral hygiene. It is our responsibility at Stoma Advanced Dental Care to counsel patients how to reduce or eliminate dental caries, slow down periodontal disease, and prevent significant occlusal wear.
Changing adult behaviour is almost impossible without education and motivation. The foremost is to make patients aware about carious lesions, the causes and prevention. If both dentists and patients work together, almost all oral disease could be prevented!
What are the characteristics of natural teeth relative to implants?
We truly are in the twenty-first century of dentistry with advanced tooth restoration technology, state-of-the-art dental implants and beautiful crowns. This encourages patient to even wonder if artificial teeth are actually better than actual teeth, as they are durable, attractive, and versatile. While prostheses are impressive, nothing beats your real teeth. There are several distinguishing attributes that differentiate natural teeth and dental implants:
There is greater comfort with natural tooth while with restorations like crowns, bridges, or dentures, you may need to undergo surgery, deal with shifting prostheses, and deal with any other number of hassles associated with artificial teeth.
With natural teeth, you can maintain normal biting force, so you can continue to eat your favourite foods. In contrast, prostheses may not be able to handle certain fruits, vegetables, meats, and snacks.
The periodontal ligament allows teeth to have a shock-absorbing characteristic. Teeth move in the bone throughout life, usually maintaining contact areas and constantly adjusting to occlusal and muscular forces. While the Implants do not exhibit appreciable movement. Commonly, implants placed adjacent to natural teeth develop open contacts over their period of service.
Teeth have a natural attachment to gingival tissues, the epithelial attachment. If this is maintained well, gingival health can be optimum. Implants do not have this natural attachment.
There is growing concern about the prevalence of peri-implantitis. Peri-implantitis is the destructive inflammatory process affecting the soft and hard tissues surrounding dental implants. The array of periodontal pathogens found around failing implants (those affected by peri-implantitis) are very similar to those found in association with various forms of periodontal disease. There is also concern that one of the causative factors for development of peri-implantitis is related to sensitivity to the elements in most implants—titanium, vanadium, and aluminum.
Supporting structures of teeth can develop periodontal disease. Well-known studies show at least 35% of adults have mild-to-severe periodontitis, causing gingival pathology, bone degeneration, tooth mobility, and eventually tooth loss. Many implants may witness significant bone loss, requiring additional surgery, grafting, and potential implant failure.
Teeth have optimum anatomical form that provides natural contour conducive to optimum periodontal health. While implants have a diameter much narrower than natural teeth, providing unnatural soft-tissue contour and potentially difficult oral hygiene.
Implants do not have the problem of dental caries, while with retained teeth has this problem.
Our goal at Stoma Advanced Dental Care is retention of natural teeth because having natural increases your lifespan by 10 years according to research from the Mayo clinic. There are many reasons for this statistic. First is the element of diet as it is not possible to chew well with unhealthy teeth, which makes nutritious eating next to impossible. Another reason is that gum disease is linked to many systemic issues like cancer, heart disease, Alzheimer’s disease, and diabetes.
Maintain routine appointments
The key to keeping your natural teeth is your daily routine of hygiene. Brush your teeth at least twice per day and floss at least once per day. Eat a healthy, balanced diet to maintain your overall well-being and keep your body functioning optimally.
But the true secret is to maintain six month cleaning appointments. This helps dentists at Stoma Advanced Dental Care catch oral health issues before they worsen and become more difficult to treat. This give a chance to remove harmful bacteria from your teeth and gums, check for signs of decay and infection, and solve little problems before they get out of hand! These treatments preserve your teeth rather than going straight for extraction. For example, if you have an infected tooth root, root canal therapy is recommended rather than removing the tooth right away.
What dental treatments are available for severe caries, periodontal disease, or occlusal disease?
Preventive treatments are very effective in treating severe dental caries in many patients. A simple 30-minute preventive appointment can reduce or even eliminate caries\severe tooth destruction in most patients as follows:
We educate patient regarding oral hygiene.
Endodontic treatment if necessary.
Tooth build-ups and/or posts and cores.
Crowns and fixed prostheses.
Fluoride trays or 5, 000 ppm fluoride toothpaste daily.
Occlusal wear, noted early enough, can be reduced or eliminated by the proper use of occlusal splints.
Dentists can help retain teeth. Fix an appointment with us to know more.
Dr. Gaurav Mali