Dr.B one thing I notice in the morning when I wake up is that my jaw is really sore, and my teeth hurt. Is there anything I can do about this? Amelia are you teeth kind of achy feeling? Do these muscles feel tired?
My muscles feel like they have been working all night. It’s pretty common you are probably clinching your teeth together at night. You may even be grinding them or what we call bruxing them. There are several causes for that – the most common cause is a stressful life. At night people try to work that out as they sleep and they clinch their teeth together.
So you need a device called a bite guard. It’s simply a piece of acrylic that is fitted to your teeth and it helps to stop the clinching. It lets the muscles relax, stops the clinching and when you wake up in the morning you will notice that your teeth aren’t sore and you’ll feel like you got a better nights sleep.
So is that something that we will do here in your office? It is, It is a simple procedure. We’ll take some impressions of your teeth, make some bite records and then we will have a custom one made for you. I have a sample one here if you would like to take a look at it.
This is a relatively new device it was patented a couple years ago – it is called an NTI appliance. And what it does, it’s nice and little as you can see, and it slides over your upper front teeth and then there is a little ramp here that your lower teeth ride on. What happens at night, if you are clinching all of your back teeth together, that activates all of those muscles in your jaw, so those muscles are active all night long. Well studies have been done that if you just bite down on your front teeth, and your back teeth can’t touch. It lets all of those muscles relax.
It removes the tension? Yes it removes the tension. So the idea is you simply snap this in before you go to bed at night, take it out in the morning and clean it and then you are good to go. Awesome I think I really want to get one of those. Great we’ll get it started today.
Dr. Benanti you mentioned either an implant or a bridge to replace my missing tooth. What is the difference between those, and what would you suggest for my situation? Amelia I have some models here, let me show you. So this has a variety of things on it. Let’s start with the 3 unit bridge. This is where your missing tooth is. The teeth on either side of the missing tooth are made smaller so a crown can slide over top of them and then the false tooth is part of those crowns. This is put on your teeth – it’s bonded on, and you are back to having your tooth again.
With an implant this is one that is replacing the front tooth, but the concept is still the same. There is a false tooth root put into the space where the tooth is at – and then there is a fitting that fits into the implant that is called an abutment. Then a crown is made and it slides over the abutment and then you have your tooth back.
So one of the downsides of having a bridge made is you have to involve the healthy teeth on either side of the missing tooth. They have to be shaved down so you can place a crown on them. Neither of those teeth need crowns, they have some fillings in them but not large enough to warrant putting crowns on them. In your case an implant would be much better because we don’t have to do anything to the surrounding teeth.
All on Four Dental Implants in Louisville, KY I was doing some research online and I saw something called All on 4 dentures. Can you tell me a little more about that? All on 4 is a concept that started quite a while ago and basically it is a way for a person to replace all of their teeth with implants on each Arch. An arch is the upper gum or lower gum – or upper and lower jaw.
There are two ways to do All-on-4, and sometimes All on 4 is a misnomer, sometimes it is all on 6 it just depends on the case and what it takes. So All on 4 or All on 6 refers to how many implants are needed to support your new teeth. There are two types of dentures that you can have that are All on 4 or All on 6. One is a denture that is permanently placed in the mouth – you don’t take it in or out to clean it. (One thing to note here is that when dentures are created for All on 4 you don’t have the extra plastic covering the roof of your mouth. The denture is simply the gum line with teeth.
The other version is one where you can take the denture out of your mouth and clean it. The difference between those two – is 1 is implant retained meaning that it is actually screwed into the implant, and the other one is implant supported which means the implants are holding the denture in place and supporting it. So Amelia this what I was talking about – All on 4 is most commonly done on the lower arch. You see where these little screws are? That is where the implant is. If you look at the model you can actually see the four implants in place. So with an All on 4 in this case, the patient can remove the denture and clean it and clean all around the implants – so this is an implant supported denture. So what happens is the implant slips on to place – it’s just like having your own natural teeth again, you get all of your chewing power back.
No more worries about dislodging or anything. Try to take this off. Wow! Would my grandmother be able to use her original dentures for this or would she have to have new dentures made? She would have to have new dentures made. As you can see it really sticks on there. They aren’t going anywhere. The other common type of All on 4 device is where we would still have these four implants – but instead of having this metal attached directly to the implants, that metal framework is actually inside the denture – and then we make a little hole in the denture wherever one of the little screws are. So then the denture would snap into place. There would be little access holes that we cover up, and the screws go into each of those holes. So that’s just like having your teeth back. One of the benefits of having the screw retained one is you do not have to have all of the plastic in your mouth, you just have the teeth themselves and you clean those simply by flossing underneath. So there are two types of All on 4 implants. You either have the ones where the bar is attached to the implant and the denture snaps onto it; or the bar is inside of the denture and the denture screws onto the implant.