Tag Archives: Salem Dentist

Are There Soft Dentures?

I’m looking for something to help with my dentures. The way they are on the roof of my mouth hurts. Do they make a soft kind of denture?

Lisa

Dear Lisa,

An illustration of both a denture and a dental implant

There are soft liners for dentures. This is what is typically called a soft denture. However, while they are a tad more comfortable, they have limitations. They’re both more expensive and do not last as long. They are also harder to keep clean.

Unfortunately, I don’t know of a denture that is pliable, which it sounds like you’re asking for. This is because the denture needs a firm frame both to fit right and to help with chewing.

The Solution When Dentures aren’t for You.

I’m going to suggest you switch to implant supported dentures. These won’t require you to have a plate at all. Instead, the dentures are attached to the implants. It is much more secure than removable dentures. You’ll find it will also increase your quality of living, including your chewing capacity.

There’s an even more important benefit. When your teeth were removed, your body began to resorb the minerals in your jawbone to use elsewhere. It does this because it strives to be efficient and recognizes you no longer have any teeth roots there. The big problem with that is as your minerals leave, your jawbone shrinks. This is known as facial collapse. Eventually, you won’t have enough jawbone left to even support your dentures.

Having dental implants there, signals to your brain that there are still roots there. leaving your jawbone intact.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Will Dental Insurance Cover Dental Implants

I am losing my teeth and would like to get dental implants. I think I’m a candidate but wondered if dental insurance will cover it?

Ben

Dear Ben,

Three parts of a dental implant
The three parts of a dental implant

It’s good that you’re looking at dental implants to replace your teeth, especially if you’re talking about replacing all your teeth. While dentures are much less expensive, they have quite a few problems.

Problems with Dentures

  • They’re removable so there will, out of necessity, be times you won’t have teeth.
  • They slip and slide allowing food to get underneath them.
  • No matter how well fitting they are, your chewing capacity is reduced by 50% or more.
  • It causes facial collapse.

Dentures and Facial collapse

A woman's profile twice, one with facial collapse, one after
Wearing Dentures Leads to Facial Collapse

When your teeth are removed, your body recognizes there are no longer any roots of your teeth and concludes you don’t need that bone to secure them. In an effort to be efficient, your body will begin to resorb the minerals in your jawbone to use elsewhere. This causes your jawbone to slowly shrink. After about 10 or so years, you won’t have enough jawbone left to even retain a denture and they will constantly fall out. This is called facial collapse.

Having dental implants placed will prevent all of the problems faced with dentures. They secure your dentures restoring your ability to chew. Because they’re permanently secured, you’ll never have to go without teeth. Their most important benefit is the prevention of facial collapse. Because you have prosthetic roots placed, your body interprets that as your teeth still being in place and it will leave the minerals in your jawbone alone, keeping it completely intact.

Dental Insurance for Dental Implants

One thing to remember when it comes to any type of insurance is they are a business. The goal of any business is to make money. While many plans will cover a portion of dental implants, it is not likely to be much. They generally only cover the basic replacement for your teeth. That would mean a partial denture or full removable dentures depending on the number of teeth you’re losing.

It sounds like you don’t have insurance yet and are looking for a plan in order to get your implants. One thing to be aware of is many plans will only cover your checkups and cleanings at first and have a certain number of months you have to wait until you can claim any coverage for other services.

Most dentists expect payment in two different stages when it comes to dental implants. The first installment is paid during the surgical portion. The second installment won’t be expected until it is time to get your implant crowns/dentures.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Invisalign or Braces?

I want to get my smile beautiful once and for all. Invisalign appeals to me, but I didn’t know if there was an advantage to braces. Are they better? If not, why would anyone use them when Invisalign is available?

Marcy

Dear Marcy,

Clear Invisalgin Aligner

You raise a good question. If Invisalign is more comfortable and invisible why would anyone use any other orthodontic option?

Here are three reasons some people might choose traditional braces over Invisalign.

  • Cost: Braces can, depending on the particular case, be less expensive than Invisalign
  • Complications: It used to be that Invisalign only worked on certain ideal cases. That is no longer the case. It can now handle most cases. However, there are still a few highly complex cases which would require traditional braces.
  • Compliance: With traditional braces, the orthodontics are bonded directly onto your teeth. Invisalign is removable therefore it requires patient compliance. If you don’t keep the aligners in, the treatment won’t work. Some parents don’t feel their child is responsible enough to not lose them.

If none of those issues are a problem for you, then Invisalign would be the better choice.

Getting a Beautiful Smile Without Orthodontics

If you’re wanting a total smile makeover, you may feel happier with porcelain veneers. These can change the shape, size, and color of your teeth. They can even make crooked teeth appear straight. In fact, they are the go-to procedure for celebrities wanting a stunning smile.

There’s one precaution with this. With Invisalign, any dentist can do the procedure. When it comes to porcelain veneers it takes an expert cosmetic dentist. Smile makeovers aren’t taught in dental school. A dentist has to invest in post-doctoral training in order to do them well.

It takes both technical training and an artistic eye to do them well. If you want a gorgeous smile, look for a dentist who has reached accreditation. These are the best cosmetic dentists in the country and any one of them can give you a smile you’re proud to share with the world.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Do I Have Oral Cancer

Lately, every morning when I wake up my jaw and teeth hurt like mad. I can’t see anything wrong with the teeth or gums. Is this a symptom of oral cancer? Cancer runs in my family, not this kind in particular but a variety of others. I’m trying not to panic. Would this be a dental emergency?

Macy

Dear Macy,

Woman holding her jaw in pain from TMJ

Don’t panic. If you see a dentist regularly, they should be doing checks for oral cancer. I wouldn’t consider this a dental emergency necessarily and I would be surprised if it was any type of oral cancer. In fact, I think you are dealing with bruxism. You need to bear in mind that I haven’t seen you and am going purely on the symptoms you mentioned above.

Pain in the jaw and teeth is often caused because we grind or clench our teeth in our sleep without realizing it. Your dentist would normally notice signs of this because it wears down the surfaces of your teeth. This could be a fairly new habit for you which would explain why your dentist hadn’t mentioned it yet. Maybe there is new stress in your life which can be causing it.

Bruxism Can Lead to a Dental Emergency

When you are grinding or clenching your teeth it damages them. This can lead to you cracking a tooth or causing it to come loose. Putting off treatment for this can even lead to an extreme procedure known as a full-mouth reconstruction where all your teeth have to be crowned to fix the bite.

Truthfully, it is much easier and affordable to deal with this now. This is especially true because the solution is so easy. Your dentist can fit you with a night guard. This is a simple custom-fitted mouthpiece which you will wear while you sleep. It takes the pressure off of your teeth, protecting them from the damage they would normally incur. Because your dentist fits it to your particular bite, they are very comfortable.

This blog is brought to you by Salem Dentist Dr. Randall Burba.

A Collapse Bite Requires You Choose Your Dentist Carefully

My smile humiliates me. I have to work extraordinarily hard for people to see my teeth. It looks unnatural. Plus, my jaw hurts. My dentist has me wear a night guard for that. It does help and my lips and teeth look more natural when I do. I think it may be that my teeth aren’t big enough. In that case, would porcelain veneers help?

Mary

Dear Mary,

Woman covering her mouth

Based on what you’ve mentioned, it sounds like you have a combination of a collapsed bite along with TMJ issues. If that is the case, porcelain veneers aren’t your solution. However, I do have one for you.

I’m actually relieved you wrote before moving forward. There are too many times we hear from people only after a dentist without the requisite training completely destroyed their bite.

In order to fix what is going on, they will have to open your bite with dental crowns. It will have to be done carefully and methodically with a dentist who knows how to do a full-mouth reconstruction. It will take restoring your bite with provisional restorations first.

This is necessary so that it is reversible until the provisionals are successful. This will mean you are completely out of pain, your upper teeth show normally, you have no speech difficulties, and you are pleased with the appearance of your new smile.

This is a tall order and there are only a small minority of dentists who are able to accomplish this. You’ll want someone who has done extensive post-doctoral work at one of these institutions:

  • L.D. Pankey Institute
  • The Dawson Academy
  • The Las Vegas Institute for Advanced Dental Studies

These are the top schools for this sort of procedural training. Anything less and you’ll end up with an even more serious problem than you are facing now. The good news is, those dentists are out there. You have hope.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Are Dentures as Attractive as Dental Implants?

I’m 39 years old and need to get dentures. My dentist really wants me to get dental implants because they are better, but dentures are much more affordable. Can dentures be made as attractive as dental implants or do I have to get implants for a pretty smile?

misty

Dear Misty,

An illustration of both a denture and a dental implant

It is a shame you are having to lose your teeth at such as young age. Have you had a second opinion to see how many of your teeth can be saved?

While dentures can be made as beautiful and natural looking as dental implants, it is not their appearance which makes dental implants the better option. In fact, at your age, it is even more important. Let me explain.

Dental Implants Prevent Facial Collapse

When your teeth are removed, your body recognizes this. Without having teeth roots in your jawbone it feels the minerals there are of better use elsewhere. Trying to be efficient, it resorbs those minerals to use elsewhere. While useful to the parts getting the minerals, it has the unfortunate effect of shrinking your jawbone. Eventually, you won’t have enough jawbone left to even keep your dentures in. This is known as facial collapse.

With dental implants, a prosthetic root is surgically placed into your jawbone. This signals to your body that the bone is still necessary and preserves its structure.

If You Can’t Afford Dental Implants

When talking about a full set of dentures it is too expensive to do a one-to-one ratio of teeth to implants. Because of that, most patients will get implant overdentures. This uses between four and six implants and then fixes your dentures to them. This simultaneously protects your jawbone while saving you some money.

For some patients, even this is out of reach. In that case, my suggestion is to get snap-on dentures. This can use as few as two dental implants. It will keep the dentures from falling out and preserve at least some of your bone.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

What If Dentures are my Only Option?

I’m in a pickle. I’ve had four pregnancies in six years which kept me vomiting every day, multiple times a day. Then, when I was done with that, I was diagnosed with cancer. My teeth are an absolute wreck as a result. Many of them are literally crumbling. I think the only thing I can afford is dentures. I’m about to completely lose it. I keep hearing dentists say dentures are the worst thing I can do but I’m not sure I have a choice. I’ve no money left and am still paying off tens of thousands of dollars for my treatments.

Emily

Dear Emily,

An illustration of both a denture and a dental implant

You have been through a lot and I don’t want you to beat yourself up. Sometimes, our health (even the health of our teeth) are beyond our control. In your case, I’m going to make a couple of suggestions to see if we can help you get the health you need for your jaw as well as a beautiful smile.

You mentioned dentists have warned you against dentures. The reason for that is the danger of facial collapse. Your jawbone slowly shrinks. Eventually, there is not enough money to even keep your dentures in place. The upper dentures are held in by suction, so those are a bit safer. The bottom ones just sit on the ridge of your jawbone.

If at all possible, I am going to suggest you get snap-on dentures on your bottom arch. This can place as few as two dental implants into your jawbone and keep your dentures from falling out. Plus, it will preserve the bone where ever you have an implant. From there, you can save up for other implants as you are able.

Getting Beautiful Dentures

Regardless of the type of your tooth replacement option, you want to make certain, the dentist who prepares them will create a beautiful smile for you. This is one of the few upsides for your particular situation. After years of damage to your teeth, you can now have the smile of your dreams.

Not all cosmetic dentists are equal in skill. It’s not a recognized specialty by the American Dental Association, so it is up to the dentist how much time and training he or she invests in learning how to make beautiful smile makeovers. There are two sources where you can find dentists capable of giving you a gorgeous smile.

The first is the American Academy of Cosmetic Dentistry website. They have a link where you can find a cosmetic dentist. When you list your area, make sure you check that you’re looking for an accredited dentist. These are the ones with expertise and artistry. The second source is mynewsmile.com. They also have a “Find a Cosmetic Dentist” link. Not all of them are accredited. However, each one of them has been screened for their technical and artistic skill.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

should I have to pay for a dental implant again after two years?

I had a dental implant placed a couple of years ago. It’s feeling loose and I’m kind of worried I’ll have to pay for another one. I heard these were supposed to last a long time. Will I have to pay all over again?

Tracy

Dear Tracy,

You’re right that it shouldn’t be loose after this short a period of time. However, there can be a lot of reasons for this to happen. Some of them are easy fixes. Before you give up, contact the dentist who placed your dental implant and let him know what is going on.

Why a Dental Implant Can Be Loose

Three parts of a dental implant
The three parts of a dental implant

Not every loose dental implant is a disastrous fix. Sometimes it is something simple. There are actually three parts of a dental implant which can struggle for one reason or another.

The Implant Crown

Sometimes it can just be the porcelain crown, which your dentist placed over the implant which has come loose. Repairing that is just a simple matter of re-bonding it on again. Many dentists will even fix this without charge.

The Abutment

This is a piece which fits between the implant and the crown. Maybe it has come loose . If it turns out the abutment was faulty, the dentist can contact the manufacturer and get a replacement at no cost to you.

The Implant Fixture

If it is the dental implant fixture which is loose, that can be more serious. Sometimes it is coming loose because of an infection. There is a chance that can be saved, but you need to get to your dentist right away. Even when a dental implant isn’t a factor an infection is considered a dental emergency.

If it is loose because it hasn’t integrated with the bone, there isn’t much that can be done. Even when everything is done perfectly, a dental implant procedure can fail. When done by an experienced, skilled cosmetic dentist it’s a rare occurrence, but they can still fail through no fault of either you or the dentist.

This blog is brought to you by Salem Dentist Dr. Ruandall Burba

Does it matter who does your crowns?

I have been diagnosed with TMJ Disorder. My dentist said he’d like to do what he calls a full-mouth reconstruction to repair it. As he explained it, that means crowns on every tooth. I’ve had a single crown done before. Does it matter that I’m getting all crowned for a TMJ problem? Does that require a specialist?

Sara

Dear Sara,

Woman giving thumbs up in a dental chair
How do you know if you have the best dentist for your needs?

One of the problems patients in your situation run into is there aren’t recognized specialties in either TMJ, recognstructive, or cosmetic dentistry. All of those of important areas of knowledge and skill for a dentist to do a full-mouth reconstruction.

This is a serious procedure which costs a great deal of money. While some pretty severe cases of TMJ Disorder do require drastic treatments, I always recommend you get a second opinion from a dentist with a lot of TMJ training before moving forward to see if this is really what you need.

Finding the Best Dentist for a Full-Mouth Reconstruction

As I mentioned earlier, the best dentists for a full-mouth reconstruction have expertise in TMJ, occlusion and restoration, as well as cosmetic work.

The occlusion, TMJ, and restoration is to make sure the bite is technically correct. You need the bite to line up correctly in order to help aide in the healing of your TMJ disorder. Look for dentists who’ve studied these type of topics at one of the following school:

  • The Dawson Academy
  • The Las Vegas Institute of Advanced Dental Studies
  • The Kois Center

There are other great ones as well, but these are three of the best.

The cosmetic work is important so you’ll have a smile you’re proud of. In reality, it’s a great opportunity to get a stunning smile. If you are looking for the top of the line cosmetic dentists, you want to find a dentist who’s reached accreditation with the American Academy of Cosmetic Dentists. They are in the top 1% of cosmetic dentistry in the country.

This blog is brought to you by Salem Dentist Dr. Randall Burba.

Flipper to Help teeth look straight

I don’t want braces. They take forever, look ridiculous, and from what I’ve heard from every middle-schooler, feel horrible. I have three teeth which stick out and are crooked. I wonder if a dental flipper can make them look straight. What do you think?

Ben

Dear Ben,

A woman putting in her Invisalign aligners in two stacked images
Invisalign: The Modern Orthodontic Solution

A dental flipper isn’t the solution you think it will be. It’s actually designed to be a temporary replacement for missing teeth and uses wires to clasp onto adjacent teeth.

There is something called snap-on smile which can snap over your teeth to make them look straight. They’re acceptable looking but not stunning. Because they snap over your teeth, some people have found that they look a bit bulky. If your teeth are sticking out they might look even more bulky.

Invisalign: A Great Alternative to Braces

You don’t have to get braces anymore. These days we have alternatives. Invisalign uses clear aligners to straighten your teeth. They’re completely invisible even at a conversational distance. This means you don’t have to worry about unsightly metal wires and brackets.

Because of that it is also comfortable. Plus, it works in about half the time of traditional braces. You can have naturally straight teeth sooner than you realize.

A Surprise Benefit to Invisalign

Many people don’t realize that the aligners Invisalign used to straighten your teeth can also double as teeth whitening trays. This means you can simultaneously whiten and straighten your teeth at the same time.

It’s like getting a mini smile makeover. You’ll feel confident and look years longer.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.