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Dentist in Orlando, FL
Marcia Martinez, D.M.D.
5180 Curry Ford Road
Orlando, FL 32812
(407) 273-6620
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Posts for category: Dental Procedures

By Marcia Martinez, D.M.D.
January 28, 2020
Category: Dental Procedures
Tags: dental implants   smoking  
3ReasonsWhySmokingDoesntMixwithDentalImplants

If you smoke, you know better than anyone how a hard a habit it is to kick. If you want to quit, it helps to have a motivating reason—like lowering your risk for cancer, cardiovascular disease or similar conditions.

Here’s another reason for quitting tobacco: it could be making your teeth and gums less healthy. And, if you’re facing a restoration like dental implants, smoking can make that process harder or even increase the risk of failure.

So, to give your willpower some needed pep talk material, here are 3 reasons why smoking doesn’t mix with dental implants.

Inhaled smoke damages mouth tissues. Though you may not realize it, the smoke from your cigarette or cigar is hot enough to burn the top layer of skin cells in your mouth, which then thickens them. This could affect your salivary glands causing them to produce less saliva, which in turn could set off a chain of events that increases your risk of tooth decay or periodontal (gum) disease. The end result might be bone loss, which could make installing dental implants difficult if not impossible.

Nicotine restricts healthy blood flow. Nicotine, the chemical tobacco users crave, can restrict blood flow in the tiny vessels that course through the mouth membranes and gums. With less blood flow, these tissues may not receive enough antibodies to fight infection and fully facilitate healing, which could interfere with the integration of bone and implants that create their durable hold. Slower healing, as well as the increased chances of infection, could interrupt this integration process.

Smoking contributes to other diseases that impact oral health. Smoking’s direct effect on the mouth isn’t the only impact it could have on your oral health. As is well known, tobacco use can increase the risk of systemic conditions like cardiovascular and lung disease, and cancer. These conditions may also trigger inflammation—and a number of studies are showing this triggered inflammatory response could also affect your body’s ability to fight bacterial infections in the mouth. Less healthy teeth, gums and underlying bone work against your chances of long-term success with implants.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants & Smoking: What are the Risks?

By Marcia Martinez, D.M.D.
January 18, 2020
Category: Dental Procedures
ReplacingaBackToothMayHelpYouAvoidFutureDentalProblems

Considering the costs, many people view replacing a back tooth as less important than a more visible front tooth. They’re rarely seen, so who will notice?

You might, eventually. A missing back tooth can set off a chain reaction of problems that can affect your overall dental health. Besides playing an important role in chewing food, back teeth also redistribute most of the chewing force away from the front teeth. Their absence can also affect the bite: adjacent teeth to the missing one will tend to migrate toward the open space, causing them to tip and rotate into an improper position. This can cause an increase in tooth mobility, excessive wear and erosion, and endanger their survival in the long run.

To avoid these and other problems you should consider some form of replacement. Most dentists prefer a dental implant for its life-like appearance and durability, and because its titanium post has a natural affinity with bone. Bone cells will grow around and permanently adhere to the implant, which may stop and even reverse bone loss in some cases.

Implants, though, require a certain amount of bone structure initially to anchor and position properly. If you have inadequate bone and don’t want to bone graft the area, the next best option is a fixed bridge, in which the missing tooth is replaced with an artificial crown known as a pontic. The pontic is fused between two support crowns that are permanently affixed to the natural teeth on either side of the missing tooth (also known as abutments). While fixed bridges restore function and inhibit tooth migration, they require the natural tooth supporting the bridge to be reduced to accommodate the crowns placed on them. This permanently alters them and places them at higher risk for future nerve damage, gum disease and decay.

One final option is a removable partial denture (RPD). Although RPDs restore function and improve appearance, their movement within the mouth may place additional stress on the teeth that hold them in place. This movement over time could damage or loosen them.

We can discuss which option is best for you after a complete dental exam. The important thing, though, is to replace the back tooth as soon as possible — doing nothing could cost you much more in the long run.

If you would like more information on tooth replacement, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Replacing Back Teeth.”

By Marcia Martinez, D.M.D.
January 08, 2020
Category: Dental Procedures
Tags: fillings  
DontWorryAboutDentalAmalgamItsSafeforTreatingCavities

Dental amalgam—also known as “silver fillings”—has been used for nearly a hundred years to treat cavities. There are several reasons why this mixture of metals has been the go-to material among dentists: Malleable when first applied, dental amalgam sets up into a durable dental filling that can take years of biting forces. What’s more, it’s stable and compatible with living tissue.

But there’s been growing concern in recent years about the safety of dental amalgam, with even some wondering if they should have existing fillings replaced. The reason: liquid mercury.

Mercury makes up a good portion of dental amalgam’s base mixture, to which other metals like silver, tin or copper are added to it in powder form. This forms a putty that can be easily worked into a prepared cavity. And despite the heightened awareness of the metal’s toxicity to humans, it’s still used in dental amalgam.

The reason why is that there are various forms of mercury and not all are toxic. The form making headlines is known as methylmercury, a compound created when mercury from the environment fuses with organic molecules. The compound builds up in the living tissues of animals, particularly large ocean fish, which have accumulated high concentrations passed up through their food chain.

That’s not what’s used in dental amalgam. Dentists instead use a non-toxic, elemental form of mercury that when set up becomes locked within the amalgam and cannot leach out. Based on various studies, treating cavities with it poses no health risks to humans.

This also means there’s no medical reason for having an existing silver fillings removed. Doing so, though, could cause more harm than good because it could further weaken the remaining tooth structure.

The most viable reason for not getting a dental amalgam filling is cosmetic: The metallic appearance of amalgam could detract from your smile. There are newer, more life-like filling options available. Your dentist, though, may still recommend dental amalgam for its strength and compatibility, especially for back teeth. It’s entirely safe to accept this recommendation.

If you would like more information on updating your dental work, please contact us or schedule an appointment for a consultation.

By Marcia Martinez, D.M.D.
January 03, 2020
Category: Dental Procedures
Tags: dental implants   dentures  
CelebratingPaulReverePatriotandDentalCraftsman

While celebrating all that a new year brings, take a moment to remember the New Year's Day birthday of a true American patriot: the legendary Paul Revere. Ironically, he became a legend some 80 years after his midnight trek to warn colonists of approaching British troops, thanks to Henry Wadsworth Longfellow's 1861 poem “Paul Revere's Ride.” He was much better known to his fellow Bostonians as a prosperous silversmith, engraver—and “artificial teeth” maker.

That's right. Among his many business endeavors, Revere's résumé also included dental prosthetics, specifically custom dentures made of ivory. For the time, his work was state-of-the-art technology that far surpassed older tooth replacement methods.

But when we compare Revere's foray into the dental arts and today's restorations, his high quality 18th Century dentures were the proverbial “horse and buggy,” while modern denture technology seems like “supersonic transport.” Not only are today's dentures made of superior materials that are more “toothlike” in appearance, the means to create them using digital technology gives wearers a more secure and comfortable fit.

The modern denture—an appliance that replaces multiple or all lost teeth—is composed of a polymer base, usually acrylic that is colored to resemble gum tissue. Attached to this base are the prosthetic (“false”) teeth that replace those lost along the jaw. These new teeth are usually made of a durable dental material like porcelain that looks and functions like real teeth.

The basic design of today's denture hasn't changed much in the last century. What has changed is our ability to create dentures that follow an individual jaw contours much more precisely. Using the latest digital technology, we're able to obtain highly accurate impressions of the mouth to guide the manufacturing process. Fit is critically important for how dentures feel and function in the mouth. If they are too loose, they become uncomfortable and limit which foods you can eat.

If that weren't enough, recent advancements with dental implants have taken dentures to an entirely new level, beyond anything imaginable in Revere's day. We're now able to create dentures that connect or are permanently affixed to implants set within the jaw, which makes them more stable and secure. An implant-supported denture also helps prevent bone loss, a weakness of traditional dentures, causing them to loosen over time.

As amazing as they are, we wouldn't have the modern version of dentures without craftsmen like Paul Revere who helped advance the cause of dental restoration. So, lift a glass of holiday cheer this season to this hero of the American Revolution—and of American dentistry.

If you would like more information about tooth replacement restorations, please contact us or schedule an appointment. To learn more, read the Dear Doctor magazine article “Removable Full Dentures.”

By Marcia Martinez, D.M.D.
December 19, 2019
Category: Dental Procedures
HeresHowWeCanJazzupYourHolidaySmileThisSeason

The holidays have officially begun! Between Thanksgiving and New Year’s Eve, it’s fairly certain you’re going to be spending time with lots of folks. From family gatherings to neighborhood open houses to the office holiday party, you’ll find yourself rubbing elbows with all the in-laws and out-laws in your social orbit. And because it’s the season of cheer, you’ll probably smile—a lot.

So, before the festivities go full tilt, take a little time to freshen up that wonderful smile of yours. Here are a few suggestions for having a smile this holiday season that you’re confident to put on display.

Dental cleanings. While professional dental cleanings primarily remove any lingering disease-causing plaque and tartar, they can have the secondary benefit of improving your smile’s appearance. So, if it’s close to time for your regular dental visit or you would simply like to give your teeth a quick polish, schedule a cleaning appointment for a little extra holiday sparkle.

Teeth whitening. You can gain a noticeable increase in smile brightness with a professional whitening application. With our advanced bleaching solutions and techniques, we can precisely control the level of brightness you desire, from a more subdued natural white to a dazzling “Hollywood” shine. And with care, the effect could last for several months or even years with an occasional touch-up.

Bonding. A chipped tooth can stand out from your smile like a smudge on a masterpiece painting. In many cases, though, we can repair minor chips and other defects by bonding composite resin to the tooth in a single visit. The process is simple: We color-match the resin to the tooth, then apply, shape and cure it. Your tooth will look good as new.

Porcelain veneers. For a more durable and comprehensive solution, consider veneers for dental flaws you do not wish to live with. These thin wafers of porcelain are permanently bonded to the front of teeth to mask chips, heavy staining or slight misalignments. And they are quite affordable compared to more extensive cosmetic restorations.

All of these cosmetic options can fit into most people’s budgets and don’t take a lot of time in the dentist’s chair. Veneers are the one slight exception: These require more than one visit to the dental office because they are custom-made for you in a dental lab. Also note that veneers often require the permanent removal of tooth enamel, so the tooth will require a veneer or other restorative covering from then on.

All in all, though, it doesn’t take much to put some much-needed zing back into your smile. In most cases, it only takes one visit—just in time to brighten up your holiday season.

If you would like more information about smile enhancement, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Porcelain Veneers.”