The role of gum disease in tooth loss

 

It’s a lesser known fact that gum disease not only affects your gum and oral health but can have a big impact on your dental health, even leading to tooth loss. This is partly due to the way your teeth and gums are interlinked, so inflammation can easily pass from the gum to the tooth pulp and root, causing infection. If left untreated, this can lead to tooth loss. Many of us are unaware of the signs to look out for when it comes to gum disease in Milan and how to stop it from spreading and causing further damage.

 

You can have gum disease and not be aware of it

People often confuse the early signs of gum disease with a normal result of hard brushing  or flossing. This can lead to us ignoring signs like discomfort, redness in the gums or bleeding, even if it is slight. But these symptoms could be a sign of gum disease and periodontitis. It can take a patient having heavier bleeding, tooth abscesses and even loosened teeth before we realise there is a problem with the gums. These are signs that gum disease is already causing gum recession and serious damage.‍

 

You may be able to reverse the effects of gum disease

This all depends on how soon you begin to address your gum disease. Being alert for symptoms and seeking professional advice can mean you can reverse some or even all of the effects of gum disease and periodontitis. You can always improve your gum health with a good oral hygiene routine at home. It is never too late to make a positive impact on your gum health.  The sooner you act and see a dentist, then the sooner you will stop the progression of periodontal disease.‍

 

How To Treat Gum Disease

You must visit your dentist! It is very important to improve your oral hygiene routine at home as well as seek professional advice and help. If possible, you should see a periodontist – this is someone who specialises in gums and has the skill and expertise to advise you properly on the best course of treatment. Prevention is always the best way forward – that’s why we advise you to visit your dentist at the earliest opportunity.

You will likely have a series of hygiene appointments with a planned chart for hygiene.

If your gum disease is already advanced, your dentist may suggest the need for a surgical approach, either removing soft tissue or in some cases, tooth extractions.‍

 

You need healthy gums for dental implants treatment

When you have dental implants, people sometimes wrongly assume that decay and bacteria cannot have an impact. However, as well as periodontal disease, there is also peri-implant disease – a unique condition for dental implants. If you have issues with periodontal disease, you will have a  greater risk of peri-implant disease. This can lead to failing implants.

 

 

Prevention is the best treatment for your gums

Don’t ignore the symptoms of gum disease. Visit your dentist as soon as you have concerns and remember that to have dental implants placed, you will need to maintain your oral health and hygiene.

Cone Beam Computed Tomography and Dental Implants

As part of your dental implant treatment in Milan, your dentist may use a CBCT or cone beam computed tomography scanner. This is an innovation in smile design planning and implants. We can get all of the detail we need about your teeth and jaws but with a lot less exposure to radiation than conventional CT scans. CBCT scans offer detail and accuracy with a relatively low amount of radiation. Your dentist can see a 3D picture exploring the thickness of the bone around the roots of the teeth. This state of the art technology enables computer guided surgery in implantology.

What is it like to have a CBCT Scan?

The time it takes

We have an in-house CBCT x-ray scanner which saves time and makes it more straightforward for patients.

 

The radiation it emits

Whilst it does emit radiation, CBCT machine levels are a lot lower than traditional CT scans.

 

How the scan is conducted

We ask patients to stand, if they are happy to do so, or we can do it seated for patients with mobility issues.

 

The side effects of CBCT Scans:

There aren’t any side effects or health concerns, apart from the low level of radiation.

 

How CBCT scans used to plan treatment in Milan

Your CBCT scans are inputted into innovative software that helps with diagnostic information. We can look at any sinus issues, bone grafting needed and we are able to plan treatment with greater accuracy. We used computer guided surgery to place implants and can use your CBCT scans to plan your bespoke treatment plan.

 

An in-house CBCT for unrivalled patient care

We have a CBCT machine in-house to avoid patients having to wait for results or be inconvenienced by having to travel across town to a scanning facility. CBCT allows us to take into account the thickness of your bone to plan accurately the surgery needed.

We are able to spend longer in the planning of the surgery to place your dental implants. Using this innovative technology we can accurately plan placement in the optimum position. This makes surgery itself more straightforward for patients.

Questions to ask your dentist when considering to have dental implants

When it comes to choosing whether dental implants are the right choice for your missing teeth, there are some key questions you should ask your dentist. Here are some questions that we often get asked by our patients.

Is age a factor in dental implants? Could I be too old/too young?

There is no such thing as too old for dental implant treatment! The only time you may be unsuitable is due to medical conditions. We place a lot of dental implants in older patients – it can help with confidence and the occlusion.

If your jaw is still growing, placing implants can have negative effect, as your teeth move naturally as your jaw grows. The implant however would be fixed. For this reason we don’t place implants in very young patients.

 

Will my speech be affected by dental implants?

It is important that you have a well-designed prosthesis (a crown, bridge or full arch denture), connected to the implant which is placed with accuracy in the optimum position. Choosing a dentist with the skill and expertise to place your dental implants will ensure you have the right positioning so your speech will not be affected.

 

What can I eat with dental implants?

Patients sometimes think that your choice of foods is limited with dental implants. In fact, the opposite is true! You will have greater freedom to eat food and chew normally with your dental implants.

 

Will other people be able to tell I have dental implants?

Choosing a dentist with the skill and expertise to place natural-looking implants is important. If you have a well designed and properly placed prosthetic, dental implants shouldn’t be obvious.

 

How many dental implants do I need?

This will always depend on a patient’s unique circumstances. As a rule we try to place as few implants as possible for every patient, which makes the procedure less invasive and less costly, but just as effective.

Factors to consider bone condition, age and how many missing teeth you have.

 

Are dental implants painful?

Dental implant surgery is one of the least painful procedures in dentistry. If extractions are needed we work with patients to ensure the least discomfort possible.

 

Is there a cheaper alternative to dental implants to Milan?

There are a number of solutions for replacing missing teeth in Milan. Depending on the prosthetic solution, which could include dentures attached to implants, single implants or fixed bridges, this will have a cost implication. Traditional methods to replace missing teeth such as dentures are also an option, depending on your budget and aesthetic.

How can dental implants be used to fix dentures that move when I am talking or eating?

The extremely sophisticated nature of dental implants means they are often used to place single prosthetic teeth. But implants were originally designed to stabilize dentures, which is still a function of implants. This can stop your dentures moving when talking and eating.

 

Why may dental implants not be the right choice for my smile?

If you have a medical conditions such as diabetes, you will need to ensure it is under control and you may want to seek medical advice before beginning treatment. Success rates and healing times of dental implants are negatively impacted by smoking. For this reason we don’t place implants in patients who are continuing to smoke.

 

Could my dental implants fail?

There is no procedure in the world that is 100% successful. However dental implants are pretty high in success rate at 85% across the world. In fact, dental implant surgery is amongst the most successful prosthesis across all medicine. There can be a risk of failure but it’s important to note that smoking, some medical conditions and not choosing a dentist with the skill and experience to place your dental implants can all increase that risk.

In implantology, when we talk about failure this means the bone hasn’t fused around the implant as it should. This is an easy fix with a new implant placed. Whilst this can be inconvenient it isn’t always a massive issue.

 

Will dental implants make me look younger?

Where you have a missing tooth, the bone starts to recede. As your jaw height is what gives your lower face support, bone loss can make you look older than your years. Dental implants give that support back, giving you a more youthful structure.

 

Why you need to find a trustworthy dentist to place your dental implants

When it comes to placing dental implants, experience is really important. An experienced implant dentist will know how to decide where to place implants, how many to place and how to get the right aesthetic and functional result. It is vital you choose an experienced prosthodontist who with the skills and expertise to complete your dental implant surgery to the highest standard to avoid future issues.

The cost of dental implants

A common question we get asked at Studio Bracchetti is how much dental implants will cost. Our answer is always that it depends on a number of factors and your unique smile. There is the initial cost of placing the implant in the mouth, including the cost of the implant. The crown and abutment are then a secondary cost. At each stage of the process, there are choices to be made. At Studio Bracchetti we use the most sophisticated implants on the market – tried and tested with many patients we have treated. Although this doesn’t make us the cheapest provider of dental implants, we believe it is an investment and that your smile deserves the best long term.

What factors do I need to take into account for dental implant treatment?

Take for example a single tooth replacement – were an implant is to be placed. There are cheaper models of implants that could be placed. Equally any preparatory work such as gum or bone grafts could be skipped. All of this could make things cheaper – short term.

However, at Studio Bracchetti we are investing into your long term smile. Having a soft tissue or bone graft where needed can have huge benefits long term, as can using a higher end implant.

 

Will I have to pay again if something goes wrong during dental implant treatment?

The simple answer is no but this is dependent on two things – timescale and hygiene. Within an agreed period, if your implant fails, we would replace this for free. This should be standard practice in any dental office you choose. However, after that time or if the implant failure is due to poor oral hygiene then there may be a cost for the patient.

 

What does the cost of dental implants include?

At Studio Bracchetti, the cost of your dental implants will include:

  • Dental implants with one of the three leading companies in the world – including all of the surgical components – we have researched and found the companies we believe to offer the absolute best implant components
  • A bespoke treatment plan using the latest diagnostic equipment
  • Surgery performed with electronic anesthesia equipment for the utmost comfort during the procedure.
  • A high level of infection control procedures to ensure a perfect absence of contamination during any surgery

 

What is your dental implant training and experience?

Dental implants are now offered by some general dentists. This is because technology makes placing a simple implant a straightforward procedure. However, implant dentists with the skill and experience to perform the surgery are always preferable for a lasting aesthetic and functional implant. I am in a relatively unusual position having specialised in periodontics and prosthodontics, normally dentists only specialise in one or the other. This means I am able to offer a unique insight into every aspect of implant dentistry.

 

What aftercare should I receive after dental implant treatment in Milan?

Aftercare is as important if not more important as the surgery placing the dental implantPatients often mistakenly think that having a titanium implant means no need for extra hygiene care. However, peri-implantitis can develop from poor maintenance and oral health issues. This can cause bone loss around your implant through inflammation, which can be very difficult to fix and can ultimately lead to implant failure.

At our dental office our specially trained hygienists monitor your oral health and advise you on aftercare.

5 ways getting dental implants will improve your quality of life in Milan

Dental implants are far more than just an aesthetic solution for your missing teeth. Implants can give you back functionality in the area replaced, with a positive impact on your bite. Dental implants can actually improve your quality of life, making them a worthwhile long term investment.

1. How dental implants can give you functional improvements

If you have a few missing teeth you could have functional issues such as occlusal changes and even joint problems, as your bite has adjusted over time. By restoring a good occlusion with dental implants, you can reap the benefits – including treating TMJ, improved speech and a stronger bite.‍

 

2. How dental implants can give you cosmetic improvements

As well as the obvious aesthetic of closing gaps in your smile, dental implants can also restore your jaw and bone structure. After teeth are removed, bone and soft tissue loss is common.

By replacing those teeth you will build back structure in your smile and face.

 

3. How bone grafting can enhance your well-being and oral health

Whereas in the past an implant may not have been able to be placed, due to bone loss, grafts have made this possible. It is not just bone that can be grafted – soft tissue and gum grafts can make a huge impact in terms of aesthetic and oral health, depending on the individual patient’s needs.

 

4. How dental pain (due to periodontal disease or functional bite problems) can be resolved during dental implant treatment

When it comes to dental pain from periodontal disease, this will resolved before implant surgery. Placing dental implants in a patient with periodontal disease can be dangerous and is less likely be successful.

Pain due to the occlusion can be resolved by having dental implants as this readjusts the load on individual teeth.

 

5. How implant retained dentures can be a solution if you have removable dentures

If you have issues with removable dentures, being loose or a problem when you eat or speak, you may find implant supported dentures a good option.  Patients often notice a new stability in the denture, making it easier to eat and also improving their confidence. Implant retained dentures can feel more natural and can have a huge impact on a patient psychologically and emotionally.

Comparing different dental implant systems

There are a wide range of possibilities of treatment options when it comes to placing dental implants. There are literally thousands of companies making components for dental implants. However, a bit like buying a car, not all implant systems are equal. Investing in a sophisticated system can have a lasting impact.

1. How dental implants can give you functional improvements

If you have a few missing teeth you could have functional issues such as occlusal changes and even joint problems, as your bite has adjusted over time. By restoring a good occlusion with dental implants, you can reap the benefits – including treating TMJ, improved speech and a stronger bite.‍

 

2. How dental implants can give you cosmetic improvements

As well as the obvious aesthetic of closing gaps in your smile, dental implants can also restore your jaw and bone structure. After teeth are removed, bone and soft tissue loss is common. By replacing those teeth you will build back structure in your smile and face.

 

3. How bone grafting can enhance your well-being and oral health

Whereas in the past an implant may not have been able to be placed, due to bone loss, grafts have made this possible. It is not just bone that can be grafted – soft tissue and gum grafts can make a huge impact in terms of aesthetic and oral health, depending on the individual patient’s needs.

 

4. How dental pain (due to periodontal disease or functional bite problems) can be resolved during dental implant treatment

When it comes to dental pain from periodontal disease, this will resolved before implant surgery. Placing dental implants in a patient with periodontal disease can be dangerous and is less likely be successful.

Pain due to the occlusion can be resolved by having dental implants as this readjusts the load on individual teeth.

 

5. How implant retained dentures can be a solution if you have removable dentures

If you have issues with removable dentures, being loose or a problem when you eat or speak, you may find implant supported dentures a good option.  Patients often notice a new stability in the denture, making it easier to eat and also improving their confidence. Implant retained dentures can feel more natural and can have a huge impact on a patient psychologically and emotionally.

 

Different options depending on the number of teeth to be replaced with dental implants

If you are replacing a single tooth you can use a single implant, choosing from a number of different implant systems, based on cost and your needs. If you are looking to replace a number of teeth, you could consider several individual implants or full or partial fixed dentures. We offer the latest advancements in dental implant research – for example we now only offer screw in prosthetics. We also use a CBCT scanner for a higher degree of accuracy in treatment planning.

If you need a full arch restoration, you could choose a fixed denture that resting on implants or a bar, depending on your individual needs and lifestyle. Where possible we try to place as few implants as possible – for cost and comfort.

 

Two different types of dental implants in Milan

The field of implant dentistry is constantly evolving. At Studio Bracchetti we stay at the cutting edge of the latest advancements. There are now two main types of dental implant:

  • At bone level– where the implant head is placed low on the surface of the bone
  • At tissue level– implants designed to come through the soft tissue and gum to sit on the gum level

Due to maintenance, patients offer prefer tissue level implants.

The material of your dental implant

99% of implants are currently made of titanium. Ceramic implants are currently being developed – they are even more biocompatible. Some patients who don’t like having metal in their mouth prefer to invest in ceramic implants.

 

Which dental implant system is the best on the market?

Every dentist you speak to will have their own favourite. As a dental office, we have chosen to support companies researching and leading the way to improve and further develop the implant system. While this may incur additional cost to us as a dental office, not to the patient, we believe it is vital that we support the advancement of dentistry.

Companies we have chosen to use include Nobel Biocare, Straumann and ITI, depending on the patient and the individual dental restoration needs.

Your 6 step-by-step guide to getting dental implants in Milan

Dental implant treatment in Milan is a unique process for every patient. It can vary in length and treatment steps, depending on your individual dental needs. If you have several missing teeth or a more complex reconstruction, it can take longer. A simple dental implant procedure can be done in as little as eight weeks. There are some common stages to most dental implant treatments, which can give you an overall idea of what to expect during treatment.

How long does dental implant treatment take from start to finish?

This massively varies – depending on the unique patient. A patient with a single missing teeth in the lower jaw, for example, with no issue with bone loss or soft tissue damage, can have an implant placed in as little as two months. This is due to the improvements in implant surfaces speeding up healing time. Whereas a patient needing an extraction will have to wait for the site to heal and assess the need for soft tissue surgery, before the implant can be placed. This can extend the treatment over a number of months. Equally a patient with periodontal disease would need to treat this issue before dental implant treatment could commence.

At Studio Bracchetti we would rather get the treatment right than rush things. We aim to get the aesthetic right and the optimum function. You will hopefully have this dental implant for a lifetime – it’s worth taking the time during treatment.

 

A step-by-step guide to your dental implant journey

There are a number of common steps in dental implant treatment. Some may not always be necessary or make take longer for some patients, but this is an overview of what you can expect during treatment.

1. Consultation phase – Before we can plan treatment, we follow a comprehensive series of consultation steps. This includes building a dental history, with previous X-rays where possible. We also take basic x-rays in our office.  We have  a CBCT scanner in-office which we use create a 3D picture of your mouth. We also take a mounted cast to get a full impression of your mouth. It’s also important to discuss the results you would like to achieve through treatment.

2. Treatment planning phase – once we have gathered all of the necessary information and completed a clinical exam, we can then create a bespoke treatment plan to achieve the goals you have identified. Sometimes there are different options to discuss which will give the same result. We explain all of the different options, using the physical model and digital simulations so you can expect to fully understand your options for treatment.

3. Treatment phase – Once your treatment plan has been agreed with yourself and your dentist, treatment can begin. for your unique smile, we can begin treatment. This may involve preparatory work.

4. Healing phase – Once an implant has been placed, there is a period of healing where the bone fuses around the implant post. This can now take as little as eight weeks, thanks to advancements in materials used.

5. Final phase – The prosthetic will be fixed to the dental implant. You will be able to celebrate your new smile.

6. Aftercare phase – It is vital to the health of your dental implants that you maintain your oral hygiene. Poor oral health can lead to dental implant failure.

 

How many appointments should I expect?

Looking at our earlier examples, the patient with a straightforward single implant may only need three appointments. One to diagnose, one to place the implant and one to place the crown. However in a complex aesthetic case, you may need bone surgery and  gum surgery before even placing the implants. So it may take several months and a larger number of appointments. When your dentist creates your bespoke treatment plan, you will have a clearer idea of the number of appointments needed.

What to expect after dental implant treatment

Once your dental implant treatment is completed, you can expect to have the smile aesthetic that you discussed at the start of treatment. You will have a stable bite and if you have previously had dentures, you will be able to eat and talk more freely. You will need to maintain your hygiene and should choose a dentist that offers an aftercare service, advising you on how to look after your dental implants over time.

You can expect your dental implants to last

We are confident that our dental implant treatment is of a very high standard.  We have only a small amount of failing implants. We are so confident in our work that we guarantee it in the immediate term. Providing there is good follow up from the patient for necessary hygiene and maintenance appointments, we also look to guarantee your dental implants for longer. We obviously can’t guarantee them forever as your oral and dental health can change.

 

How can I expect to feel once my dental implant treatment is completed?

You can expect to feel great! Any discomfort or pain from periodontal issues will have been resolved. You will also have an aesthetic result and functional difference that can improve your quality of life.

If you have had any minor swelling or pain during treatment, this will have resolved itself by the end of treatment. prior to the end of treatment. If you do have any pain or swelling this could be the sign of another issue so you should speak to your dentist.

 

How to care for your new dental implants

It can be misleading to think of your implant as a metal implant post. Patients sometimes think this means there is no need for ongoing hygiene as decay isn’t possible. However, hygiene is perhaps even more crucial in the implant area – as peri-implantitis is a serious disease than can develop from poor oral hygiene around an implant site.

Your dentist should give you a proper hygiene routine for you to follow. Your hygienist will also have specialist treatments to use on teeth with dental implants. It is vital that you control plaque at home and have a regular hygiene recall to ensure your implants have a long life.

 

Smoking after dental implant treatment

Smoking after dental implant treatment can impair the healing of your implant and can also cause a greater risk of failure. If you are concerned about cessation of smoking, we do offer some specific advice and support.

 

Why I choose to place dental implants in Milan

I have over 30 years of practice experience. Sometimes patients ask me if I still enjoy my work. And my answer is always… yes! I enjoy all of it! I don’t mind working late. It can be busy and stressful. But I am always learning – at least every month I complete some form of new training. Even after 30 years, I still love going to work every day. Why? Because you can really make a difference in my work and can change the lives of the patients you treat – that’s is great for job satisfaction!

Dr. Guido Bracchetti

Start your dental implant journey today in Milan

Take the first step to replacing your missing teeth in Milan. Book an appointment to discuss your dental needs and have an assessment for your suitability for dental implants,. Whether you have one or several missing teeth, we have the solution for your smile.

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