Posts for: October, 2016

By GIBBERMAN DENTAL
October 28, 2016
Category: Dental Procedure

Do you have a few questions about dental implants? When you're considering tooth replacement options, it's only natural to have a few dental implantsconcerns about the various methods. Dr. Paul Gibberman, Dr. Lauren Gibberman and Dr. Maria Hodas--your Alexandria, VA dentists--share information about dental implants.

Dental implants are versatile

No other tooth replacement option is designed to replace just one tooth or all of them. Single implants are ideal if you only need to replace a tooth or two, while implant-supported dentures are a good choice if you've lost all of your teeth. Implant-supported dentures are anchored by four to six implants per arch and offer benefits that traditional dentures don't, such as:

  • Excellent comfort
  • The ability to bite and chew hard foods
  • Improved speaking ability because implants don't slip
  • Stronger jawbone

Most people can benefit from implants

Dental implants are an excellent choice if you're in good health, have healthy gums and practice good oral hygiene. If you smoke or drink heavily or have uncontrolled diabetes, you may want to reconsider implants, as slow healing may affect the success of the procedure. A shallow or weak jawbone or grinding can also affect your implant, although you can address these problems with bone grafts and nightguards to prevent grinding.

Dental implants are the only long-lasting replacement options

Bridges and dentures wear out in approximately 10 to 15 years and must be replaced. With proper care, dental implants never need to be replaced. Titanium implants don't just sit on your gums; they're actually placed in your jawbone and take the place of your roots. Titanium is a light, tough metal that bonds to bone. Three to six months after you receive your implants, they'll fuse to your jawbone, providing an excellent foundation for the crown that your Alexandria dentist will connect to them. Regular brushing and flossing will keep your implant healthy and strong.

Dental implants restore your smile! Call your Alexandria, VA dentists at (703) 823-6616 to schedule an appointment to learn if you're a good candidate for implants.


By Gibberman Dental
October 21, 2016
Category: Dental Procedures
ChrissyTeigensTeeth-GrindingTroubles

It might seem that supermodels have a fairly easy life — except for the fact that they are expected to look perfect whenever they’re in front of a camera. Sometimes that’s easy — but other times, it can be pretty difficult. Just ask Chrissy Teigen: Recently, she was in Bangkok, Thailand, filming a restaurant scene for the TV travel series The Getaway, when some temporary restorations (bonding) on her teeth ended up in her food.

As she recounted in an interview, “I was… like, ‘Oh my god, is my tooth going to fall out on camera?’ This is going to be horrible.” Yet despite the mishap, Teigen managed to finish the scene — and to keep looking flawless. What caused her dental dilemma? “I had chipped my front tooth so I had temporaries in,” she explained. “I’m a grinder. I grind like crazy at night time. I had temporary teeth in that I actually ground off on the flight to Thailand.”

Like stress, teeth grinding is a problem that can affect anyone, supermodel or not. In fact, the two conditions are often related. Sometimes, the habit of bruxism (teeth clenching and grinding) occurs during the day, when you’re trying to cope with a stressful situation. Other times, it can occur at night — even while you’re asleep, so you retain no memory of it in the morning. Either way, it’s a behavior that can seriously damage your teeth.

When teeth are constantly subjected to the extreme forces produced by clenching and grinding, their hard outer covering (enamel) can quickly start to wear away. In time, teeth can become chipped, worn down — even loose! Any dental work on those teeth, such as fillings, bonded areas and crowns, may also be damaged, start to crumble or fall out. Your teeth may become extremely sensitive to hot and cold because of the lack of sufficient enamel. Bruxism can also result in headaches and jaw pain, due in part to the stress placed on muscles of the jaw and face.

You may not be aware of your own teeth-grinding behavior — but if you notice these symptoms, you might have a grinding problem. Likewise, after your routine dental exam, we may alert you to the possibility that you’re a “bruxer.” So what can you do about teeth clenching and grinding?

We can suggest a number of treatments, ranging from lifestyle changes to dental appliances or procedures. Becoming aware of the behavior is a good first step; in some cases, that may be all that’s needed to start controlling the habit. Finding healthy ways to relieve stress — meditation, relaxation, a warm bath and a soothing environment — may also help. If nighttime grinding keeps occurring, an “occlusal guard” (nightguard) may be recommended. This comfortable device is worn in the mouth at night, to protect teeth from damage. If a minor bite problem exists, it can sometimes be remedied with a simple procedure; in more complex situations, orthodontic work might be recommended.

Teeth grinding at night can damage your smile — but you don’t have to take it lying down! If you have questions about bruxism, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Stress & Tooth Habits” and “When Children Grind Their Teeth.”


By Gibberman Dental
October 06, 2016
Category: Oral Health
Tags: Oral Health  
NewUnderstandingofBacteriaPromisesBetterApproachestoOralCare

Mention “bacteria” and people begin looking for the germicide. The truth is, though, only a few strains cause disease — the rest are benign or even play a beneficial role.

This may shock you, but your body both inside and out is home to around 100 trillion single-celled organisms, exceeding the number of your native cells by 10 to 1. You won't notice them, though: bacteria are so small they only make up 1 to 3% of your total body mass. And each of us has a unique “microbiome” of micro-organisms: they influence a variety of processes like digestion and metabolism, and some even “teach” our immune systems to distinguish between helpful and harmful bacteria.

Of the 10,000 or more species of bacteria that inhabit the body, perhaps the most studied and understood are in the mouth. We even have a database that catalogs the gene sequences of oral bacteria. And what we've learned has enlarged our understanding of dental disease and how to prevent or treat it.

This new knowledge, for example, confirms that many of our modern lifestyle habits adversely affect oral health. For example, researchers have found higher concentrations of Streptococcus mutans, the bacteria most responsible for tooth decay, in current samples of biofilm than in those from preindustrial eras. The culprit seems to be the modern diet rich with carbohydrates like sugar that bacteria eat. Cigarette smoking can also make the mouth friendlier to disease-causing bacteria.

On the bright side, our growing knowledge of oral bacteria is helping us devise better prevention and treatment strategies. One example is the use of antibiotics to reduce the populations of disease-causing oral bacteria.

The broad, traditional approach kills not only malevolent bacteria, but beneficial strains as well. The approach may also be helping bad bacteria become resistant to common antibiotics. A newer approach targets specific bacteria with custom-designed antibiotics that won't kill other bacteria. There's also increased focus on ways to re-balance a person's normal microbiome if it's become skewed.

As we come to understand bacteria better — both good and bad species — these and other dental care efforts will benefit. With our increasing knowledge of these microorganisms that surround us the future looks bright for better oral health.

If you would like more information on the role of bacteria in oral health, 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 “New Research Shows Bacteria Essential to Health.”