Dentist Q+A
Dr. Jeremy Abbott, DDS
I am considering a dental implant. What is the recovery like and how long will it take to fully heal?
A dental implant is an excellent option to replace missing teeth. It requires placing a titanium implant into the jaw bone and attaching a tooth on top of the implant. Placement of an implant can cause swelling, bruising, and pain. The swelling and bruising can last up to a week. The pain varies but usually subsides after four to seven days and can be managed with appropriate medication.
When there is a high quantity and quality of bone, healing times can range from three to six months before a permanent tooth is placed. If there is a minimal amount of bone and a bone graft is necessary, healing times can range from nine to 12 months before a permanent tooth is placed. Sometimes a patient receives a temporary tooth on the same day as the implant placement if it is in the front of the mouth.
Should I use mouthwash?
If you are concerned with bad breath that can clear a room, mouthwash only a temporary solution to bad breath – not a long-term answer. Bad breath is usually caused by sulfur compounds released during digestive processes. Bacteria breakdown the amino acids in certain foods and release these sulfur compounds. Some of the more foul-smelling bacteria can be associated with gum disease and other problems, including sinus infections and tonsil problems. If you concerned about this, it is important to see a dental or medical professional for more help.
What’s the connection between gum disease and heart risk?
To date, a direct connection has not been established but studies support the relationship between a high amount of c-reactive protein (an indicator of inflammation) in both cardiovascular disease and gum disease. Also, the bacteria in gum disease can be present in the plaque of the coronary arteries. Another connection concerns the same risk factors in common: smoking, diabetes, obesity, high blood pressure, and high cholesterol.
Is there any benefit to an expensive powered toothbrush over a simple $3 one?
Yes, for certain automatic toothbrushes. Recent studies show a couple of benefits including a reduction in the amount of debris on the teeth and reduced bleeding in the gums. Many of the benefits of automatic toothbrushes stem from the fact that people use them more often and for longer periods of time. Also, destructive habits such as brushing too hard can be prevented because the automatic brush will not work if too much pressure is applied.
Are at-home bleaching products safe and effective?
Over-the-counter whitening strips are generally safe in a normal, healthy individual. The bleaching gel in these strips is a low concentration, making it less effective, but the strips have been researched and proven to provide minor teeth bleaching. It is important to remember that bleaching products will not change the color of any previous dental work, which will stand out compared to your newly bleached teeth. Also, any gum infection or cavity can result in mild to severe pain with the possibility of irreversible damage. That’s why it is always best to consult your dentist before initiating use of whitening strips.
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