We are a mercury-free practice.
- DISADVANTAGES OF SILVER FILLINGS:
Silver fillings have many drawbacks.
The edges of the silver filling can wear down, become weak or break. This results in the tooth not being protected and lets cavities get started once again. With age, the metal of a silver filling expands, contracts, and can split.
Silver fillings contain 50% mercury. They can corrode, leak and cause stains on your teeth and gums.
Fortunately, silver fillings can safely be replaced with Tooth-Colored Restorations.
- ADVANTAGES OF TOOTH-COLORED RESTORATIONS
There are many advantages to tooth-colored restorations.
Composite fillings are bonded to the teeth creating a tight, superior fit to the natural tooth. Such restorations can be used in instances where much of the tooth structure has been lost. The tooth remains intact and stronger.
Since the resin used in tooth-colored restorations contain fluoride this can help prevent decay. The resin wears like natural teeth and does not require placement at the gum line, which is healthier for your gums!
The result is a beautiful and healthy smile!
- REPLACING SILVER FILLINGS WITH A TOOTH COLORED RESTORATION
You can have your silver fillings replaced with tooth-colored restorations.
This process can be completed in a single visit!
AT YOUR APPOINTMENT:
- The old silver filling is removed along with any decay.
- The tooth is prepped using a dental handpiece and etched to be ready for bonding of the filling material.
- Composite filling material is placed, shaped, and light cured into place!
Your teeth are restored to a natural look and feel, they are stronger and the tooth is protected!
Sealants effectively “seal” the deep grooves, acting as a barrier and protecting the enamel from plaque and acids.
- Sealants protect the depressions and grooves of your teeth from food particles and plaque that brushing and flossing can't reach.
Easy to apply, sealants take only a few minutes to seal each tooth.
Sealants hold up well under the force of normal chewing and can last several years before a reapplication is needed.
Children and adults can benefit from sealants in the fight against tooth decay.
MOST DENTURES ARE MADE OF ACRYLIC AND CAN BE FABRICATED TWO DIFFERENT WAYS.
- A conventional denture is made after all teeth have been extracted and the tissues (gums) have healed.
- An immediate denture is fabricated and inserted immediately after the teeth are extracted and the tissues are allowed to heal under the denture.
- An upper denture has acrylic, usually flesh colored, that covers the palate (roof of the mouth).
- A lower denture is shaped like a horseshoe to leave room for the tongue.
The teeth are made of plastic, porcelain or a combination thereof. Partial dentures can be fabricated to fit over endodontically treated teeth and a complete denture can be attached to dental implants to allow for a more secure fit of the appliance.
Dentures over a normal course of time will wear and need to be replaced or relined in order to keep the jaw alignment normal. The alignment will slowly change as the bone and gum ridges recede or shrink due to the extraction of the teeth. Regular dental examinations are still important for the denture wearer so that the oral tissues can be checked for disease or change.
- IMMEDIATE DENTURES
An immediate denture may be the best solution when complete extractions of your remaining teeth is unavoidable.
An immediate denture will allow you to avoid the difficulty of living without teeth. We will begin the preparation for this procedure before your teeth are extracted.
The first step is taking impressions of your existing teeth and gums to create accurate duplicates for placement after tooth removal. At your extraction appointment, your immediate dentures are inserted creating a natural smile you can be proud of.
WHAT YOU SHOULD KNOW ABOUT IMMEDIATE DENTURES
In most cases, we have no way of checking the fit of the denture in your mouth prior to extraction. Esthetic compromises may have to be made in some cases to compensate for inadequate space or structural concerns.
Great care should be taken to follow all postoperative instructions. Your gums and bone will recede after extraction, and regular check-ups and maintenance will monitor healing and reduce problems. Temporary linings or tissue conditioners will be required to create an optimal fit and may need to be adjusted or replaced a number of times during the healing period. A permanent reline will be required to ensure a comfortable and an exact fit after you have completed the healing process.
The professionals at Brilliant Dental Care will advise you of the procedure that best suits your individual needs.
Temporary liners, tissue conditioner and relines are additional services that may have separate fees.
Consult our practice with questions about the benefits of an immediate denture.
Call today for a Denture Consultation Houston Office Phone Number 713-360-7638.
- IMPLANT RETAINED DENTURES
REPLACING MISSING TEETH WITH IMPLANT RETAINED DENTURES
Usually, when you lose a tooth, it is best for your oral health to have it replaced. Missing teeth can affect your bite as well as your ability to speak and chew. Their loss can increase the burden on your remaining teeth and can cause muscle pain in your jaws and headaches. And of course, losing a tooth can affect your appearance. The following information reviews replacing missing teeth with an implant retained denture.
Although many patients have no problem wearing an upper denture, some people find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing all of your lower teeth.
WHAT IF I’M MISSING ALL OF MY LOWER TEETH?
BALL ATTACHMENT DENTURE
One option is to have two implants placed in your lower jaw and a denture made that snaps onto these implants. This option allows your lower denture to be more stable while chewing than without implants. However, there will still be movement of your lower denture, and sore spots will occur if any food particles, especially seeds, are caught under it. As with all removable replacement teeth, you still will need periodic appointments for denture adjustment.
BAR ATTACHMENT DENTURE
Another option involves placing four to six implants, depending on your jaw size or shape, into your lower jaw. After healing is complete, the implants are connected with a custom-made support bar. Your denture will be made with special internal retention clips that attach onto the support bar, enabling the denture to snap firmly into place. This is called an “overdenture.” The advantage of this option is that it is much more stable than the first option and allows very little denture movement. Your denture is still removable for easy cleaning and maintenance.
WHAT IF I’M MISSING ALL OF MY UPPER TEETH?
A similar range of treatment options is also available for your upper jaw. However, because the bone is not as hard as that in the lower jaw, people often need more implants to support their new replacement teeth. Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.
IMPLANT RETAINED UPPER DENTURE
Depending upon the number of implants to be placed, it may be possible to eliminate the need for covering the roof of your mouth with a complete denture. This option allows you to fully taste your food and gives you a better sense of its temperature. Your denture will feel more natural. You will still have a removable denture, which makes cleaning the support bar and denture much easier.
Stability during eating
Bone and gum preservation
Improved dental hygiene
A removable partial denture is designed specifically to meet the needs of the patient and can replace one or more missing teeth.
A natural appearance and speech clarity is restored along with the ability to eat more efficiently.
PARTIAL DENTURE TYPES AND MATERIALS
Partial dentures are created either out of a metal and acrylic composition or completely out of acrylic. A patient’s specific needs and anatomy dictate the design of the partial denture and every effort is made to construct a self-cleansing partial denture that preserves the remaining teeth and oral tissues.
Kevin M. Freeman, DDS will design your partial denture so that the chewing forces are evenly distributed over the entire surface are of the remaining teeth and soft tissues. Changes to your remaining teeth may be recommended to help equalize these forces.
Metal partials are generally preferred as they are structurally superior. They are thinner and more hygienic than an acrylic partial. Acrylic partials are typically used as a transitional or temporary partial. Kevin M. Freeman, DDS will consult with you to determine the appropriate partial for your situation.
BENEFITS OF PARTIAL DENTURES
A removable partial denture may help limit movement of your existing natural teeth. They also allow you to better grind and chew food improving digestion.
ADVICE AND TIPS ON CARING FOR YOUR DENTURES
- Only your dental professional is qualified to diagnose your oral health and adjust your denture or partial.
- Dentures should be brushed inside and outside daily with a soft, large nylon denture toothbrush with round-ended bristles.
- Use denture creams instead of toothpaste, which are too abrasive and will scratch your denture. Rinse with cold water.
- Dentures warp if placed in hot water.
- Inspect your denture regularly for worn teeth.
- Worn and stained dentures can make you look older and cause your dentures to function poorly.
- Discuss all your current medications with your doctor and dental professional.
- Be sure to visit your dental professional regularly for maintenance.
- Have loose dentures checked immediately as they can cause friction and pressure on the gum tissues and bones.
- When not in use, cover dentures with water or a denture-cleaning solution to prevent them from drying out.
- Most dental insurance policies provide coverage for new dentures every 5 years.
DENTURE EXAMS & MAINTENANCE
Your dentures are an investment and require care and attention to maintain their optimum performance.
MEDICAL AND DENTAL HISTORY
Updating your medical and dental history with any significant changes is critical to maintaining your oral health and well-being. A variety of medical and dental conditions can alter a denture fit.
Annual examinations can assist in detecting oral abnormalities including cancerous and pre-cancerous lesions. Early detection of these conditions is generally beneficial for treatment.
TISSUE AND BONE
Ill-fitting dentures may cause bone and tissue changes and need to be corrected for your oral health. Our practice can assess and recommend solutions to suit your personal needs.
COMFORT, FIT, AND INTEGRITY OF DENTURES
Bite problems, speech impediments, and tissue irritations can be caused by an ill-fitting denture and should be remedied. Leaving this condition unchecked can lead to complicated situations in the future. Kevin M. Freeman, DDS can assess your dentures for cracks, chips, and broken or loose teeth and suggest solutions.
OVERVIEW OF EXAM
- Update of medical and dental history chart
- An examination of your oral cavity
- Tissue and bone assessment
- Denture stability and bite examination
- Cleaning and polishing of your denture
- Oral hygiene review
All full dentures should have a hard reline every two years. A layer of plastic is removed from the dentures interior surface and then fills the denture with a putty-like material which conforms to the contours of your mouth creating an accurate impression. The denture is sent to the lab where it is adjusted to the new shape of your gum tissue. This results in maximum contact between the denture and your mouth.
Some patients are unable to wear ordinary dentures because of tender gums or sore spots. Brilliant Dental Care may recommend relining the denture with a material that stays pliable for one to two years before needing replacement. This material is much less likely to give the patient sore spots than the standard hard reline acrylic. Patients experiencing these problems may also consider a more permanent solution of implant retained dentures.
If dentures have not been serviced in quite some time, a patient’s gums may be red, swollen, or misshapen. This creates problems in taking impressions for a new hard or soft reline and may lead to a denture that would perpetuate the problem.
A temporary, or palliative (medicated) reline material may be recommended to allow the inflammation to subside. This reline makes the denture fit much more tightly, and is usually soft and pliable. After a few weeks, the gums return to a more normal state. The patient is then ready for his new denture or hard reline.
OVERVIEW OF EXAM
- Update of Medical and dental history chart
- An examination of your oral cavity
- Tissue and bone assessment
- Denture stability and bite examination
- Cleaning and polishing of your denture
- Oral hygiene review
DENTURE REBASE & REPAIRS
Permanent soft liners provide comfort and relief for individuals with receded and flattened gum tissues that don’t respond well to the stress of dentures. They may also be a suitable solution for patients with chronically sore gum tissues or gums with sharp bony areas.
- More comfortable to use
- Virtually all patients respond well to soft liner materials
- Easier chewing
- A proven technology with over 20 years of innovation
Soft liners require regular follow-up visits with Brilliant Dental Care to examine the fit of dentures and general oral health.
DENTAL BRIDGE OPTIONS
A bridge — a device used to replace missing teeth — attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges), or they can be removable. Fixed bridges are applied by either placing crowns on the abutment teeth or by bonding the artificial teeth directly to the abutment teeth. Removable bridges are attached to the teeth with metal clasps or by precision attachments. If you’re missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it’s difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance.
— attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges), or they can be removable.
Fixed bridges are applied by either placing crowns on the abutment teeth or by bonding the artificial teeth directly to the abutment teeth. Removable bridges are attached to the teeth with metal clasps or by precision attachments.
If you’re missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it’s difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance.
WHAT EXACTLY IS A BRIDGE OR FIXED PARTIAL DENTURE?
WHY DO I NEED A BRIDGE?
Oral functionality and appearance are important reasons for wearing a bridge.
Dental health is the most important reason for a bridge. Teeth were designed to complement each other. Unusual stresses are placed on the gums and other oral tissues when teeth are missing, causing a number of potentially harmful disorders.
Increased risk of gum disease has proven to be one of the worst side effects of missing teeth and can be minimized with a bridge.
Missing teeth can cause speech disorders as they are used to make many of the sounds we use to speak clearly.
HOW IS A BRIDGE ATTACHED?
Since the bridge must be fabricated very precisely to ensure correct bite and to match the opposing tooth, digital scans of the teeth are taken using our in-house Cerec machine and digitally sent to our in-house milling unit where the bridge will be constructed.
Fixed bridges are typically cemented to the natural teeth next to the space left by the missing tooth. A pontic (false tooth) replaces the lost tooth. Crowns, which are cemented onto the natural teeth, provide support for the bridge.
WHAT MATERIALS ARE USED?
HOW DO I TAKE CARE OF MY BRIDGE?
Dental implants are designed to provide a foundation for replacement teeth that look, feel and function like natural teeth.
Dental implants are changing the way people live! With them, people are rediscovering the comfort and confidence to eat, speak, laugh and enjoy life.
EVALUATION FOR DENTAL IMPLANTS
DENTAL IMPLANT PROCEDURE
Dental implants are metal anchors, which act as tooth root substitutes.
For most patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jaw bone. For the first three to six months following surgery, the implants are beneath the surface of the gums, gradually bonding with the jaw bone. You should eat a soft diet during this time.
After the implant has bonded to the jaw bone, the second phase begins. Dr. Freeman will uncover the implants and attach a small healing collar and can then start making your new crown. A digital scan must be taken using our Cerec machine. Then attachments or abutments can be connected to the implants. The replacement crown is then attached over the abutments. The entire procedure usually takes six to eight months. Most patients do not experience any disruption in their daily life.
Where damage to a person’s teeth is extreme, and apparently beyond repair, we can use porcelain ceramic crowns to make the smile appear “as new”. This is an extremely reliable technique for repairing the most severe of dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. We are renowned for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long-lasting correction of major dental problems. It is usual for these treatments to last for 20 to 30 years, which is as close to permanent as dental treatment can get.
HOW LONG DOES IT TAKE TO FIT A DENTAL CROWN?
The tooth is ready to chew on upon leaving our office after the numbness of the mouth has worn off.
KEY BENEFITS OF DENTAL CROWNS
- Replaces missing teeth
- Offers support to misshapen teeth or badly broken teeth
- Looks completely natural
- Fixes “smile” and functional chewing problems
WHAT ARE THE CAPABILITIES OF CROWNS?
Many people have unexplained pain from filled back teeth, which is usually due to hairline cracks in the chewing part of the tooth. Placing crowns on these teeth relieves the pain and allows a return of full dental function for these teeth. In front teeth, older fillings can both weaken the teeth and cause “appearance” problems due to staining or chipping. Porcelain crowns and bridges are suitable in cases where porcelain veneers are not. In teeth with root canal fillings, crowns can prevent breakage.
The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.
To avoid these complications, in most cases, Dr. Freeman will discuss alternatives to extractions as well as replacement of the extracted tooth.
THE EXTRACTION PROCESS
During the extraction process, you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.
You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.
If you do feel pain at any time during the extraction please let us know right away.
SECTIONING A TOOTH
Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.
AFTER TOOTH EXTRACTION
After the blood clot forms, it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen veggies applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.
Use pain medication as directed. Call our office if the medication doesn’t seem to be working or you’re experiencing an upset stomach. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days, you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.
At the center of your tooth is pulp. Pulp is a collection of blood vessels that helps to build the surrounding tooth. Infection of the pulp can be caused by trauma to the tooth, deep decay, cracks, and chips, or repeated dental procedures. Symptoms of the infection can be identified as visible injury or swelling of the tooth, sensitivity to temperature or pain in the tooth and gums.
HOW IS A ROOT CANAL PERFORMED?
WHAT HAPPENS AFTER TREATMENT?
HOW MUCH WILL IT COST?
The cost associated with this procedure can vary depending on factors such as the severity of damage to the affected tooth and which tooth is affected. In general, endodontic treatment is much less expensive than tooth removal and replacement with an artificial tooth.