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S.Leeper
Social climber
somewhere that doesnt have anything over 90'
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Nov 28, 2012 - 12:12am PT
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Thanks for your offer! I just liked you on facebook.
I just had dental implants in Mexico and I heard that Mexicans are coming to the states now because implants are becoming more affordable here.
Is that true?
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Ken M
Mountain climber
Los Angeles, Ca
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Nov 28, 2012 - 01:46am PT
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Thanks, docs!
I've wondered over the years about waterpics....useful, or gimmick?
They seem to have stayed around.
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Mighty Hiker
climber
Vancouver, B.C.
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Nov 28, 2012 - 01:50am PT
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What about the various mechanized toothbrushes? Do they work well? Who should use them?
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nature
climber
Boulder, CO
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Nov 28, 2012 - 01:53am PT
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Ok. About once a year, a thread gets started by someone in need of dental advice
...raises guilty hand....
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tooth
Trad climber
B.C.
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Nov 28, 2012 - 01:55am PT
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I give waterpiks away to invisalign/ortho patients along with the newest sonicare toothbrushes when they start treatment.
Sonicare toothbrushes are amazing. You just hold it still over each tooth for 5 seconds per side (3) and angle it up into the gums a few degrees when you brush the front or back. I have seen big improvements with patients in 6-12 months when they start brushing - either they weren't brushing before, or that toothbrush is actually working better than not. I think that a lot of people act like they are sawing their teeth off with regular toothbrushes which isn't effective, so learning to use a new toothbrush that works properly - even if they don't brush more times per day - can actually make a difference.
Using waterpiks are better than doing nothing, but if I could only use that or floss, floss would be the best choice.
I just met a guy who has used a chewed up stick his whole life to clean his teeth. I gave removed 4 of his back teeth, then gave him a toothbrush.
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micronut
Trad climber
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Topic Author's Reply - Nov 30, 2012 - 11:41am PT
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Mr E. I like this little video. It pretty much sums up my feelings.
There are RARE times a bridge is a better option. Usually when gum disease has undermined the bone and cosmetically an implant would be impossible. But with good bone and gum grafting, we can usually move people towrds implants.
Also, implants will not become prone to recurrent decay. If you do a bridge, and in five years one of those prepared/abutment teeth holding the bridge in gets decay, you have a real situation. This can mean re-making a new bridge, or losing a tooth and making an even longer, more expensive, weaker bridge.
[Click to View YouTube Video]
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micronut
Trad climber
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Topic Author's Reply - Nov 30, 2012 - 11:47am PT
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Good answers by Tooth on all the above questions.
The key is effectively removing the soft, filmy plaque (teeming with bacteria) every 18-36 hors. That's all you gotta do, you just have to do it gently and thoroughly and effectively. You can do it with a nice regular soft toothbrush........no need for all the expensive tentacles and curb feelers on some of these things these days............and some good old fashioned floss. Its what I do and I get all that stuff for free.
But, if you have kinda low motivation or sensitive gums or build up plaque quickly or just want the best thing with the least dexterity and skill needed, the Sonicare is awesome. Get one. Use it. You'll get good grades from your pretty hygienist at your next visit.
But with the Sonicare, just let it do the work. Just hold it gently with your fingers. Hold it with three fingers if you are an OCD scrubber and already dealing with recession.
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micronut
Trad climber
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Topic Author's Reply - Nov 30, 2012 - 11:56am PT
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Strangeday,
If its at all possible, make sure you have the bone graft placed when the tooth comes out. Especially if the tooth is difficult to extract, resulting in some destruction or removal of the socket wall. It's expensive, I know (My surgical extraction fee is $195.00 and the bone graft is $500.00) but you maintain the integrity of the site for a nice implant or possibly a bridge down the road. If not, that "hole" will resorb a good bit, not always, but 90% of the time 20%-60% bone volume reduction is expected according to some studies.
If the bone "goes away", you may not be an implant candidate down the road. Or, you might, but will need the bone grafting before the implant, which can actually cost quite a bit more due to the complexity of grafting a skinny ridge vs. just filling the hole at the time of extraction. My "ridge graft fee" can creep up into the $1000.00 range for a one hour appointment, with graft material, collagen matrix/membrane and screws to hold the graft in place.
Talk to your dentist/surgeon and let him know you really want the graft. If its a financial burden, let him know you believe in the graft but just can't do it. I often give away/pay for people's grafting if they are really in need and are genuinely unable to pay for it since I believe in it so strongly.
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PAUL SOUZA
Trad climber
Central Valley, CA
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Nov 30, 2012 - 03:31pm PT
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+2145154512151212510 for Micronut!
He's worked on my grill a couple times. Class act.
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John M
climber
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Nov 30, 2012 - 04:11pm PT
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Just wanted to say.. Tooth and a few other dentists have answered questions for people for years now on the taco.
thanks Micronut and Tooth and all of you other dentists. This is way cool.
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Mighty Hiker
climber
Vancouver, B.C.
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Nov 30, 2012 - 04:22pm PT
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Yes, thanks to both our toothy friends!
Are there alternatives to the soniccare device to consider? If there are sub-types, is any one preferable to others?
Despite diligent flossing and brushing, I have to get my teeth professionally cleaned three or four times a year, and my dentist has suggested the sonic care.
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darkmagus
Mountain climber
San Diego, CA
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Nov 30, 2012 - 05:09pm PT
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Thanks for your willingness to share your wealth of knowledge! That is a really cool thing to do. I'm thinking about doing the same kind of thing on here for my profession!
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micronut
Trad climber
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Topic Author's Reply - Nov 30, 2012 - 08:49pm PT
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Thanks Yall, glad to help out a bit. This stuff is fun and easy for me. Like showin a newbie at the gym how to tie in. Its kinda second nature and fun to help.
Mighty Hiker,
Yeah, the others are pretty comparable in their ability to clean plaque. Honestly, plaque clings so loosely to the teeth you can get it off with little more than a light whisk and a spray of air sometimes. You can't remove tatar/calculus anyway, which is just mineralized plaque. The whole point is to use something you like so you'll use it.
The Sonicare cleans "Beyond the Bristles"...meaning it actually vibrates the plaque off at a micrioscopic ie: sonic level. It moves in a somewhat elliptical pattern and whisks off the plaque with the sonic frequency. You just have to get the bristles close, where the tooth meets the gum.
The others are just rotary. Meaning they spin or oscillate nicely, but the brsitles need to contact the plaque mass. I like the Braun and the Oral B as well. But if you're gonna shell out the coin for something with batteries, go with the sonic care. But ALWAYS GO SOFT or you'll be gettin gum grafts faster than Mark Hudon can jug a fixed line.
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dirtbag
climber
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Nov 30, 2012 - 08:57pm PT
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"The tooth will set you free."
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MisterE
Social climber
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Nov 30, 2012 - 09:23pm PT
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Thanks for the informative responses and video!
Umm, you guys do Grills?
J/K LOL!
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Big Mike
Trad climber
BC
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Nov 30, 2012 - 09:35pm PT
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Thanks for this thread micronut! Do either of you guys deal with snoring or sleep apnea? My girlfriend has been bugging me to go to the local dentist and look into one of those mouth guard type deals..
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tooth
Trad climber
B.C.
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Nov 30, 2012 - 10:39pm PT
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Yes, I treat sleep apnea patients. CPAP machine is the gold standard. In BC you have to get a physician to diagnose the disease first, then prescribe a sleep appliance which the dentist will make. We have to make sure it won't make TMD issues worse and do a lot of other things, but then it can be places and adjusted over a few weeks. People do love them and they can be used in conjunction with the CPAP machine.
Micronut, have you ever done rapid root extrusion on teeth that were barely in bone (with say 5mm of buccal bone loss) before extracting (over 6 weeks) and then done an immediate implant? Pulling down all that new bone until the gingival margins are in the right spot works great.
MisterE, my wife did gold veneers for a guy when she was in SoCal.
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bluering
Trad climber
Santa Clara, CA
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Nov 30, 2012 - 11:19pm PT
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Wow! Nice gesture, Scott!
I have always had horrendous teeth since I was a boy. Gotten worse since. I think I have a good guy working on me now. We're doing a 5 year plan to get me back in shape.
Essentially, I need crowns across the rims. Almost all of them. Had 5 extractions too! Just too much decay and that f*#ks with bacteria getting into your heart, from what I hear.
I trust these guys. Fellow Italians. Paesanos. 'Infantino' is the practice.
One thing I hate about dentists is extractions!!! Madonna! I can handle drills and shots in the face, but yarding on a tooth is killer!
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bob
climber
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" If everybody starts flossing, I'm outta work"
Well the dentist said it!
Flossing really changed my mouth. (that battery powered brush stepped it up a notch too!) Now I just have to deal with that old damage.......
Thank you Micronut and all you dental folk. I know where I'll make my next appointment.
Bob Jensen
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rottingjohnny
Sport climber
mammoth lakes ca
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Tooth...A retired , old fart dentist mentioned that using baking soda was a good way to clean teeth..? What's your take on that...? Old wives tale..? RJ
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