When it comes to replacing missing teeth these days, a number of adults make the decision to go forward with dental implants. However, dental implants are not always a preferred choice for individuals facing tooth replacement, nor advisable for some.
For example, the health of some individuals may hold potential problems when it comes to implant success. This is true for people undergoing cancer treatment or who take certain medications for osteoporosis. For some of these patients, the risks may be too high.
Additionally, some mouths are too small for implant placement at proper depths or angles. For instance, if a back tooth needs replacing and the bone mass is minimal, even bone rebuilding procedures may fail to overcome the challenge of the best positioning.
Although our office offers advanced skills and training in the diagnosis and placement of dental implants, rest assured that we also have advanced training and skills in other methods to replace teeth.
Our patients also have access to many features and advanced technology that optimize comfort, speed healing time, and minimize treatment time. Some procedures can be completed in just two visits.
In addition to dental implants, options to replace missing teeth include…
Full Dentures – A Full Denture is typically removable and replaces all teeth as well as the foundation of gums that may have diminished over time. New denture wearers need time to get accustomed to their new teeth because even the best fitting denture can feel awkward at first. Some have difficulty eating for several days and may notice a slight change in facial appearance, increased salivary flow, or minor speech difficulty. However, once the patient has adjusted to this new feel, a denture can be worn comfortably and function with stability.
Replacing a tooth is a big decision, and affects a large number of adults. It is estimated that over 69 percent of Americans between the ages of 35 and 44 years have at least one missing tooth.
It is also highly important to replace a missing tooth.
The arrangement of teeth is a balanced support system that provides proper support and stability. Not replacing a tooth can trigger a domino effect of continual oral challenges. Typical problems include drifting, shifting, and an increased risk of gum disease and decay.
In a normal, healthy mouth, there is a natural balance of alignment. Each tooth has three or four companion teeth. These include adjacent teeth on either side as well as the upper or lower teeth that meet them. Upper and lower teeth must work harmoniously to provide comfortable chewing function.
When a tooth is lost, the proper position of neighboring teeth is at risk. When teeth shift or tilt, it can lead to chipped, broken or fractured teeth. Eventually, this can cause problems with the TMJ (jaw joints), which may lead to headaches, migraines, worn teeth, and clenching or grinding during sleep.
Not replacing a tooth also places others at higher risks for being lost. Statistics show that a neighboring tooth is the most likely be lost next when subjected to the same conditions. With each tooth lost, the problems are magnified and the cycle of tooth loss continues. And, so do the associated decisions, costs, and treatment time for replacement.
For many reasons, we recommend dental implants whenever practical and desirable to the patient. According to the American Dental Association (ADA) five million implants are placed in the U.S. each year. They restore dependable biting and chewing, have a nearly 98 percent success rate, and are designed to last a lifetime (making them an excellent investment).
Still, we understand an implant is not the preferred or most practical choice for every patient. Once our patients know the options recommended for their needs, we respect the wishes of each and are committed to the best outcome for each.
If you need to replace missing teeth or an existing appliance, let’s discuss your options during a no-charge consultation appointment. During this time, I’ll explain the advantages and challenges of each and the procedures involved. Call 843-871-6351.
While you’re here, we can also have our Insurance Coordinator and Financial Coordinator meet with you to determine easy payment plans according to your needs.Read More
As a dentist, I’ve realized one of my greatest joys is seeing the reaction of people once they see their “new smile” after cosmetic dentistry. For many who have spent years, or even most of their lives, concealing a smile with their hand or turning away from people when laughing, seeing them “light up” because of a beautiful smile is a moment I savor as much as the elated patient.
Cosmetic dentistry not only enhances the appearance of your smile, it tends to boost confidence and encourages you to smile more often. However, the skills and commitment to precision and exceptional quality greatly determine the overall results, and ultimately, the satisfaction of the patient.
Over the years, I’ve seen how poor skills and cheap material can leave an individual with “fake” looking teeth. For example, one new patient arrived after investing in closing a gap between his two front teeth. Rather than involve the bordering two or four teeth to distribute the balance, the dentist had merely filled in the gap, creating two very wide teeth. This left the man with “bunny teeth” that made him embarrassed to smile.
In cosmetic dentistry, advanced training in the latest esthetic technology, techniques, and materials can make a significant difference in one’s outcome. Another example is how light is reflected off teeth and the opalescence of teeth. Opalescence describes a slight transparency around the outer edges of each tooth. These factors play a major role in creating a smile that looks like you were born with it versus one that looks like one that’s had “dental work.”
Porcelain veneers, porcelain crowns, bonding, and teeth whitening are primarily the options used to enhance a smile. These procedures are often completed in just one or two visits.
Bonding is used primarily to repair chips or cracks, make selected teeth shorter or longer and cover tooth roots exposed by receded gums. The shade of the bonding material is selected to match neighboring teeth and painted on to natural teeth. After the material is properly shaped, a process hardens the material and it is polished for a flattering sheen. With bonding, most applications can be completed in just one appointment.
However, for the most natural look and best longevity, we recommend porcelain veneers or crowns. Unlike bonding, veneers have an edge when it comes to durability and longevity. While porcelain veneers are more expensive, many people feel they are well-worth the difference.
Porcelain veneers are like fingernail-thin shells, each custom-created to specific shapes and shades to enhance the teeth most visible in a smile. For both porcelain veneers and crowns, many are made by a dental lab we know mirrors our own commitment to perfectionism.
Most treatments are completed in two visits. The first visit removes some enamel from the front of the tooth for veneers. For crowns (caps), which cover the entire tooth, more enamel is removed so the protective porcelain crown can be placed to a proper height. Before you leave, we place temporaries on the prepared teeth so you can enjoy a natural look while your final ‘restorations’ are made.
At the second appointment (usually 2-3 weeks after the first), the temporaries are removed and the final veneers or crowns are adhered to each tooth with a special adhesive. Your bite is then checked for proper alignment.
We offer a free, no obligation consultation so you can learn the best options for your smile. During this time, we can also discuss affordable payment plans so you can enjoy your beautiful, new smile while making easy monthly payments.Read More
Sometimes, things can occur without being obvious for quite some time. For example, seeing a tire that has abnormally worn down on one side is an indication that it has been out of alignment for an extended amount of time. Or, losing a button means that the threads gave way a while back and gradually became looser and looser.
As a dentist, I occasionally examine a new patient and see signs of worn teeth. Sometimes, the individual has fractures or chips on teeth as well. These are typically indications of clenching or grinding teeth, which often occurs during sleep. It’s rather common, however, that the patient has no idea this has been taking place.
Like a tire that’s just slightly out of alignment, minor disparities aren’t always noticeable. Eventually, however, the wear and tear does become obvious. Although it may take years for the signs to clearly emerge, like anything, the sooner you resolve the problem, the better.
Clenching and grinding of teeth is known as bruxing in the dental profession. This action often takes place while the individual is asleep, so they are unaware they are doing it. However, upon awakening, the person may notice jaw joint pain, headaches, difficulty opening the mouth fully, ear ringing, or dizziness.
What causes this?
The most common cause is bite misalignment. When the upper teeth do not meet harmoniously with the lower teeth, it can transfer stress or strain to the jaw joints.
These joints, which lie just in front of the ears, are the joints that hinge the lower jaw to the skull. Known as the temporo-mandibular joints (or ‘TMJ’), these joints are in nearly-constant motion. Every time you speak, eat, laugh, yawn, and even swallow, these joints move. If they do not move fluidly and in unity, they can become inflamed.
Like many parts of our bodies, the jaw joints strive for self-repair. The skin heals itself, the immune system fights infection, and broken bones reconnect. When an imbalance in the joints effects efficiency and comfort, they seek to find a more comfortable position when they have the least interference — during sleep.
During sleep, the jaws attempt to shift and ‘force’ themselves to find a place of harmony. This prompts the action of clenching teeth together or grinding them back and forth.
Although the alignment of teeth may seem unrelated to the balanced movement of the jaw joints, the results of disharmony can be pretty severe – and costly. Broken, fractured or chipped teeth can require crowns or even replacement of teeth. Worn teeth typically need crowning or repair of cavities that has occurred when the protective enamel of teeth has been worn down.
For our patients who need these repairs, they have the advanced technology of our CEREC 3D computerized process. This creates crowns and other ceramic restorations (crowns, bridges, implant teeth) in a single visit, saving the patient time and often reducing numbing requirements by half.
Once we verify that your bite is truly out of alignment (and the cause of bruxing), correcting it may be as simple as reshaping selected teeth. Some crowns may be needed and an oral appliance may also be advised. These appliances are custom-made to comfortably fit the unique contours of each mouth and do not interfere with sleep.
When bite misalignment is more severe, we may recommend orthodontic treatment. Although some adults cringe at the need to wear braces, ‘invisible’ options are available that can make treatment more comfortable and seem less awkward than the wires and brackets of traditional orthodontics.
Like a worn tire, the problems of misalignment will only worsen without repair. Let’s restore your bite to a harmonious position so you can avoid the discomfort, costs, and treatment time associated with TMJ disorders. Begin with a free consultation by calling 843-871-6351 or tap here to begin.
The health and appearance of your smile depends on a daily commitment of thorough at-home care. It also depends on regular involvement with your general dentist.
These visits are designed to remove plaque and tartar buildup that has accumulated between visits and catch problems at early stages. The appointments are spaced at 6-month intervals to keep you in a better position to maintain healthy gums and teeth.
Not many people look forward to a dental cleaning or exam, although we actually have some who tell us they DO look forward to their oral hygiene visits. They enjoy seeing long-time staff members whom they’ve grown close to. Primarily, though, they like the clean feeling and bright smile they get from these twice-a-year visits.
I understand people who don’t look forward to dental check ups, however. I feel the same way about my ophthalmologist. I know I need an annual eye exam and like the doctor and staff very much. But, the process isn’t something I deem pleasant, even though I appreciate its importance.
One of the reasons many of our patients are such long-time patients is because they trust us. They know we will never over-treat or under-treat, recommend treatment according to their specific needs, respect their preferences, and make their comfort a high priority at every visit.
Comfort is a big deal when it comes to dentistry. There are many individuals who avoid dental care altogether because they have such intense dread or fear associated with these visits. Dental fear or anxiety is said to affect over 70 percent of the American adult population.
To lessen the worries of anxiety or fear of being in pain, we have taken a number of measures. We pride ourselves on having a relationship of trust with our patients — they trust us to keep them comfortable and minimize the potential for discomfort. Yet, we know that comes with time. New patients simply don’t walk in and perceive that; they need to experience it to just know it’s part of our commitment to care.
Below are just a few of the ways my team and I optimize your comfort in our Summerville dental office:
For adults who have fear, anxiety, or even dental phobia, we have been able to help the majority to achieve a healthy, appealing smile while being relaxed and comfortable. Here, we know you can learn to dread less and smile more!
Consider starting with a no-charge consultation appointment. During this time, we will discuss your concerns, make recommendations for your specific needs and goals, and give you a firsthand look at the exceptional Summerville SC environment we offer for your very best smile.
To schedule, call 843-871-6351 or tap here to begin.Read More
Let’s say you’re nearing the time when an ’empty nest’ in on the horizon. In anticipation of having extra space, you may have some ideas as to how free space could be reconfigured. A workout room? A media room? An office for a new in-home business?
Although designers and contractors could come in with a sketch pad and pencil, wouldn’t you be more assured with a visual proposal that gave a firsthand view of where, what, and how?
Today’s technology is designed to eliminate guesswork and provide the means to achieve goals without unexpected glitches.
This is true for dentistry as well. Advanced computerized technology has given dentists the tools to diagnose, treatment plan, and perform procedures with precision based on each individual’s needs and goals.
Dental offices can vary significantly when it comes to advanced technology. Not only does this equipment require a monetary commitment, most require intense training of the dentist and staff members in order to utilize each piece properly. While some of these advancements can seem rather intimidating, I’ve found that they can be of such benefit to our patients that the learning process becomes exciting.
Case in point – when I first invested in CEREC 3D technology, I took a couple of courses but avoided using it for months. When I decided to truly master it, I became so enthralled at the results that I pursued every advanced course I could take. Now, I am a proud Mentor for CEREC 3D, providing training assistance to other dentists who make this positive leap into the future of dentistry.
While my goal has always been to provide options that enhance patient comfort, save them time, and create optimal outcomes, it has also been important to select technology that is ‘green.’ At Smiles By Andrews, we have incorporated features that are environmentally-friendly, which minimize the use of chemicals, save water, and reduce waste.
We are proud of the environment we offer to our patients. Experience the benefits of these features yourself! We are always happy to welcome new patients to our office and even offer a free consult for those who wish to ‘check us out’ before committing to an appointment. Just call our friendly staff at 843-871-6351 or tap here to schedule.
While we are pleased to offer this technology, what our patients notice most is the respectful, friendly, compassionate environment we provide. Regardless of your need, we are committed to exceptional care with an emphasis on comfort.
I hope to meet you soon!Read More
When most people think about a dental implant, they envision a replacement tooth that is held by the jaw bone. This is correct since Dental implants are unlike replacement teeth supported by neighboring teeth (as in crown-&-bridge) or a denture that is contoured to fit the ‘ridge’ where tooth roots were once held.
However, a dental implant is not one piece, but actually made up of three parts. The first part is the implanted portion. This piece is similar to a hollow screw that is positioned in the jaw bone beneath the gum tissues. This is your tooth root replacement. This piece is designed to recreate the presence of a tooth root, which is beneficial for the bone that supports it as well as the replacement teeth that will be attached to it.
Once placed, the bone begins to grow around the implant, securing it in place. This process takes approximately 3-4 months and is known as “osseo-integration.” During this phase, patients are able to wear temporary teeth (or often, their existing denture or partial) comfortably.
The second and third components of dental implants are referred to as the abutment and the restoration. These are typically placed in the same appointment. After the phase of osseo-integration is complete, an opening is made in the gum tissue over each implant site. Into the implant, a post is secured and a replacement tooth (or bridge) is then attached to the post.
With the implant held by the jaw bone and the replacement tooth secured to the implanted portion, the look, feel and function of real teeth is restored. This means that your implants will have the same foundation as that of natural teeth so you can enjoy dependable biting and chewing strength and stability.
When more than one tooth is missing in the same area, a bridge of two or more teeth can often be attached to one implant. For those missing all upper and/or lower teeth, a full arch of teeth can often be secured to 4 to 8 strategically-placed implants. This is an appealing option for people who are missing all of their upper or lower teeth and want to replace the discomfort and frustrations of a ‘rocky’ denture.
This option also minimizes the expenses associated with dental implant treatment. Because the cost for dental implants is largely based on the number of implants placed, attaching a bridge of teeth or securing a full arch can translate into a tremendous savings.
In our office, we utilize advanced CEREC 3D technology to create single crowns, bridges, and even full arches of replacement teeth. These ‘restorations’ are made of beautiful ceramic that is natural-looking and durable. This also saves you a tremendous amount of time by eliminating waiting time for a dental lab. Additionally, there is no need for a second appointment for a dental lab’s final teeth to be placed.
In addition to restoring the ability to eat and chew securely and comfortably, dental implants help to halt bone resorption that occurs when tooth roots are no longer present in the jaw bone.
What is this?
Without the presence of tooth roots, the bone lacks necessary stimulation that helps to maintain its mass. Dental implants recreate this stimulation, preserving the bone’s height and mass.
In addition to placing neighboring teeth at risk, bone loss can create changes in facial appearance that are aging far beyond one’s actual years. These changes include deep wrinkles around the mouth, a pointed chin, jowls that form from detached facial muscles, and a mouth that appears collapsed into the face.
There are many types of Dental Implants, each designed to accommodate individual needs and preferences. We offer a free Consultation that allows interested adults to learn the types best for them and have their questions answered thoroughly.
During this time, we can also discuss affordable payment plans. These can break your treatment costs into easy monthly payments, often with no interest charged and no down payment required.
Call 843-871-6351 to schedule your no-charge appointment.Read More
It’s pretty obvious that a beautiful smile has advantages. Not only does an appealing smile enhance facial appearance, it tends to boost self-confidence and self-esteem. People with attractive smiles are also perceived by others to be more successful and smarter.
According to Kelton market research, one 2012 study (shared online by Cision PR Newswire: https://www.prnewswire.com/news-releases/first-impressions-are-everything) included over 1,000 American adults.
Participants were asked to react to photos of people with varying smiles. The results indicated that those with straight teeth were deemed 57 percent more likely to get a date than those with crooked teeth.
Nearly 30 percent of those polled reported the first facial featured they noticed was an individual’s teeth. And, almost 75 percent stated they would trust someone with a nice smile over and above those who had a good job, attire, or vehicle.
As a dentist, I have seen firsthand the difference an attractive smile can have on an individual’s self-esteem, confidence level, and being socially comfortably. Research also shows that a beautiful smile can make an individual feel happier and even extend their lifespan.
Studies have found that the simple act of smiling causes the release of endorphins in the brain, chemicals that create sensations of happiness. Apparently, even when we ‘fake’ a smile, these endorphins react the same way. (A good reason to smile when you’re down!)
It has also been found that people who smile often extend their lifespans by up to 3 years, while frequent frowners lose a year, on average. Smiling seems to be a way to live longer and be happier during your life!
I have had many patients who have been fortunate to have naturally beautiful smiles. Genetics has been their greatest asset in addition to having proper dental care during adolescent years as their adult teeth developed.
For many, the advantages of orthodontic treatment (braces) as teens and the benefits of frequent dental visits provided a leg up in the resulting appearance and health of their adult smiles.
However, many people weren’t born with a beautiful smile. Some experienced breakdown over the years, resulting in crooked, decayed, chipped or discolored teeth. Genetics may have given them teeth that were misshapened or gums that interfered with the flattering framing of teeth, such as in a ‘gummy smile.’
Everyone seems to desire a smile that makes them feel good from the inside out. However, the only deterrent for some when it comes to cosmetic dentistry is the cost for treatment.
In our office, we understand that budget constraints may hold people back from the smile they desire. That is why we offer several payment plans, most that are interest-free with no down payment required. These allow the individual to enjoy their new smile while making affordable, monthly payments.
Another issue that holds some people back is concern over achieving a natural look. No one wants to invest in cosmetic dentistry only to end up with a smile that looks fake. In our office, we create beautifully shaped and shaded crowns (caps) and veneers that have an exceptionally-natural look and feel, even reflecting light as natural teeth. And, using the durability of porcelain for dental crowns and veneers, the longevity is outstanding.
Our dental technology is also the most advanced available, enabling us to create precision-made restorations in a single appointment. With CEREC 3D technology, you often avoid the need to wear a temporary while waiting for a dental lab to create your final result. This also means that treatment time is reduced and numbing requirements are reduced by 50 percent.
Is fear of dentistry holding you back? We can help with that. In addition to offering oral sedation, I am certified to administer IV sedation (twilight sleep). While both provide relaxation and an amnesiac effect, highly fearful patients find that IV sedation provides the deeper level of a sleep state that is reassuring for their needs.
As a dentist, there are few things as satisfying as handing a patient a mirror to view the final results of a smile makeover. Their expressions alone are worth a thousand words. I’ve had patients cry with tears of joy when seeing their new smile and how it lights up their entire face.
We offer free consultations for people who wish to discuss esthetic dentistry options. During this time, we can also discus projected fees and payment plans. Call 843-871-6351 to schedule your consultation.
“A rose is a rose,” is a common alteration of Shakespeare’s “A rose by any other name would smell as sweet.” Both mean the same, basically, in that one rose is the same as all the others. However, we know that’s not the case.
One dental office or one 6-month dental cleaning may be far different in one office than the other. For example, one dental office may make comfort a high priority while another moves patients through care in a rushed pace with little regard to comfort.
In our office, we’ve taken a number of measures to ensure patients understand the difference as well as feel it. We hope that each patient comes to find, with each appointment, that it’s not one thing but a combination of things that make the difference.
Below, we’ve listed a few areas we know affords our patients with an elevated standard of care as well as a noticeably high level of comfort:
• Advanced Technology – We’ve carefully incorporated a number of state-of-the-art features that shorten treatment time, enhance results, and optimize comfort. These include Cone Beam Imaging (for 3-dimensional views of teeth, gums and supporting bone structures), CEREC 3D computerized technology (for one-appointment crowns and implant restorations), ‘Silent’ Drills (that eliminate the high-pitched whine of a drill, replacing it with a gentle whir), and Laser Dentistry (which reduces bleeding and speeds healing).
• Staff Longevity – I am so proud of the longevity of each team member. For decades, many have worked by my side and become “like family” to patients. Newer staff members have immediately sensed the unified team spirit here, feeling fully supported in their commitment to excellent patient care.
• Exceptional Comfort – In addition to oral sedation (a sedative in pill form), I am Certified to provide I.V. sedation (twilight sleep). This provides a deeper level of comfort through ‘sleep dentistry’ and erases most, if not all, memory of treatment afterward. In addition to sedation options, all measures are taken for the highest level of patient comfort possible, starting with a gentle touch and care that is paced to each individual’s specific need.
• Complete Dentistry – In addition to providing all phases of Dental Implants, you’ll find all levels of dental care are covered – for all ages and all needs. Everything from six-month checkups to root canals to tooth replacement to therapy to treat gum disease – our patients appreciate having all services in one, convenient location.
• Skilled, Ethical Care – Our patients know our recommendations are made based on what is in their best interests. By instilling a sense of confidence with each, they have faith in us to provide the best care according to their individual needs and goals. This has created strong bonds that we feel is the foundation of “exceptional dentistry.”
You should feel positive about your dental caregivers, at every visit. If you feel something is missing in your relationship with your dental office, consider scheduling a no-charge consultation appointment. During this time, we’ll discuss how our office may be compatible to your needs and desires, enabling you to achieve a healthy, confidence smile you’ll love to share.
Call 843-871-6351 to schedule. I look forward to meeting you and including you as one of our many happy patients!Read More
I can’t imagine that any adult over the age of 30 wants to look older than they are. Most of us are hoping to go into our elder years with people saying, “Oh, you certainly don’t look your age! I would have guessed you no more than age xx.” (preferably 10 or more years less than we really are!)
Mere flattery or not, we love to hear that we are aging well. And, American adults are willing to invest heavily in keeping a more-youthful look. According to a 2015 article published in Markets & Trends entitled, “U.S. Skin Care Market to Reach Nearly $11 Billion in 2018,” they estimate nearly $11 billion will be spend on skin care in the U.S. this year. (http://www.gcimagazine.com/marketstrends/segments/skincare/US-Skin-Care-Market-to-Reach-Nearly-11-Million-in-2018-311287121.html)
While we slather on expensive creams and color our hair, an unfamiliar factor (to many) that contributes to the appearance of more years than we’re due is the decline in jaw bone mass from tooth loss.
Ever heard the term ‘granny look?’ Although this is the extreme of a shrinking jaw bone, it is pretty descriptive when it comes to an aged appearance that no one wants. It conjures up an image of an older woman who has a pointed chin, deep wrinkles around the mouth, and a mouth that seems collapsed into the face.
This all occurs when the jaw bones that supported natural teeth no longer have tooth roots to provide stimulation. When the roots are removed, the jaw bone doesn’t receive the nourishment and stimulation needed. Without this, they slowly begin to shrink. This process is known as resorption.
As the bone shrinks from a missing tooth or teeth, neighboring teeth are at higher risk. Due to various factors, the next tooth to be lost is typically one that is adjacent to a missing tooth.
Bone loss is not always obvious for people who wear dentures or partial dentures. They tend to look in the mirror when their denture is in place, which plumps up the face. However, it is what’s taking place below the gums that causes changes in facial appearance. These changes will only become more severe with time.
Bone loss contributes to deep wrinkles that form around the mouth with the corners of the mouth turning downward, even in a smile. As it continues, the mouth appears to collapse into the face and jowls form from the detachment of facial muscles.
For those who wear dentures or partials, the pressure this places on the ‘ridge’ actually accelerates the rate of resorption. This is the gum-covered arch that the denture or partial rests upon. For those who sleep in these appliances, the 24/7 pressure speeds the rate of resorption even more.
As resorption continues, the gum ridge begins to flatten as it’s foundation shrinks. Denture wearers often first notice bone loss when their denture begins to move while eating. Eventually, even denture adhesives are unable to prevent uncomfortable rubbing or slips while eating. Speaking and laughing also becomes overshadowed by the fear of embarrassing moments.
Because dental Implants recreate stimulation to the jaw bones that support them, they are able to halt the rate of bone loss. Additionally, because they are placed in bone, just as tooth roots were once, they provide the same dependable foundation of natural teeth.
Dental implant systems have also evolved so they are able to accommodate specific needs. For example, some types can be placed in adults who have experienced severe bone loss. The All-On-4 implant system requires only minimal bone to adequately support a full arch of teeth on just four implants.
Regardless of the implant type selected, a dentist who is trained and experienced in all implant types is your best choice for a successful result. In our office, our patients know their implant treatment is backed by advanced training in all implant types with both oral and I.V. sedation (twilight sleep) available.
Using the cutting edge technology of CEREC 3D, we are also able to create replacement teeth at the same appointment our patients are having their implants placed. This eliminates waiting for a dental lab to create your final restoration (replacement teeth) and a second appointment to place them. It also cuts numbing requirements in half.
Dental Implants restore biting and chewing comfort as well as the ability to speak and laugh confidently. Call 843-871-6351 to schedule a free, private consultation. During this time, I’ll make recommendations based upon your specific needs and goals. We can also discuss treatment costs and easy payment options.Read More
Most of us know someone who enjoys roller coaster rides or scary movies. Quite frankly, I’m not one of them and not afraid to admit it!
Yet, I know that a scary thought to many people is a visit to the dentist. Those who experience fear or anxiety associated with dental visits are plentiful — nearly 75 percent of the adult population by some estimates. And, an estimated 5-10 percent of those can be categorized as ‘dental phobics.’ These people have such intense fears of dentistry that they avoid care until something becomes so painful that they have no choice.
Unfortunately, what prevents fearful patients from having regular dental care is a past, traumatic experience in a dental office, more often than not. When a dentist continues to work on a patient who is not fully numb or indicating discomfort, the damage inflicted can be lifelong.
What the individual is left with is a looming fear of dental care. And, the health of your mouth has been found to be even more vital to overall health than ever.
Recent research has shown that the bacteria of gum disease can trigger inflammatory reactions elsewhere in the body. This systemic inflammation has been linked to heart disease, some cancers, Alzheimer’s disease, stroke, high blood pressure, arthritis, diabetes, preterm babies, erectile dysfunction and impotency.
As a dentist who is experienced in caring for fearful patients, I understand that past traumas are difficult to set aside. I know these fears are common and try to reassure these patients that they have nothing to be ashamed of, not in our office anyway.
My entire team is focused on providing gentle care to all patients at every visit. Our desire is to provide a positive experience from the time an individual walks through our front door through the time they check out.
Here, each person is treated with respect, compassion and to the highest standards possible. We’ve also incorporated advanced dental technology and techniques to enhance every aspect of treatment, regardless of the procedure.
For example, we use a ‘silent’ drill. Rather than a high-pitched whine, these make a gentle whir sound. Another example is our CEREC 3D technology. This creates crowns and implant ‘restorations’ (replacement teeth) in one visit. This eliminates the need for the patient to have to return for a separate placement visit and have an additional numbing.
For new patients with dental fears, I often offer oral or I.V. sedation. For many, sedation helps them to relax through their initial visits so, in many cases, they come to relax on their own. Many, after only one or two visits, state they no longer need a sedative.
Oral sedation is a pill that is taken prior to one’s visit. By the time the patient arrives to our office, he or she is in a relaxed state. We seat them immediately in a comfortable treatment chair and administer numbing medications while they are in this relaxed state.
I.V. sedation, for which I am certified, is an ‘in-the-vein’ drip of anesthetic. This creates a deeper ‘sleep state’ for patients with a greater amnesiac effect. However, oral sedation also erases most (if not all) memory of the procedure. It also has a faster recovery time.
Both are safe and patients are monitored throughout treatment with trained staff members and advanced safety equipment.
As a dentist with a track record of helping hundreds of fearful patients achieve healthy, confident smiles, I know sedation options are but a piece of the puzzle to feeling good about dentistry. When it comes to a patient who has no fear of being in pain and enjoys achieving the look and feel of a healthy, beautiful smile, that comes from a relationship of trust.
This is where once-fearful patients find a solution. In knowing they are in the hands of people who care about their comfort, will never rush them, and respect their unique needs and concerns, our patients are able to enjoy smiles they are proud to share!
If fear has kept you from achieving the healthy, appealing smile you have only ‘hoped for,’ call to request a no-charge consultation appointment. This visit occurs in a private consultation room that is removed from the clinical side of our office. During this time, I’ll learn about your concerns, make recommendations, and answer your questions.
We are here for you. We know your smile is important to you. Call 843-871-8351 to schedule.Read More
Remember when your sister (or you!) used to roll her hair and sit under a hair dryer on Saturday afternoons? The process often required hours for washing, rolling and drying to get ready for ‘date night.’
Of course, today’s females have it much easier. Blow dryers, heated rollers and flat irons have made the process much more efficient and with excellent results.
Times have certainly changed. Today’s technology has simplified the process for many things. We no longer have to stand by a stove, waiting for water to boil when a microwave oven can ‘zap’ it to a boil in a couple of minutes.
Dentistry has also simplified some once-laboring procedures to what is now much more time efficient, more comfortable, and affordable. The 3D computerized technology of CEREC is a highly-advanced method for creating custom-made crowns (caps) in a single visit.
Let’s revisit the ‘old’ method for crowning a tooth. First, the tooth had to be reshaped so the ‘cap’ could fit over it. Then, a mold of the tooth was made so a dental lab could create a ‘final’ crown according to the dentist’s instructions of shape, size and shade.
Because it would take several weeks for the dental lab to make the crown and have it back to the dental office, a ‘temporary’ was placed. This gave the patient a fake tooth that would protect the remaining tooth structure while enabling some ability to eat.
The reason drug stores sell a dental paste that is specially made to replace temporaries is because they can come off fairly easily during this wait time. The adhesive that is used to attach a temporary to a tooth is designed for easily detachment. This lighter adhesive prevents damage to the remaining tooth structure when the temporary is removed.
However, as many individuals find, it doesn’t take much chewing to dislodge a temporary. And, as Murphy’s Law would have it, these instances seem to occur on a weekend more often than not.
But let’s say your temporary holds until the dental lab has the final crown delivered to the dentist’s office. You must return for a second appointment for the placement process and go through another numbing. The final crown is placed, proper shade matching is verified, and your bite is checked.
Although rare, the dental lab may have gotten the shade wrong or failed to follow the dentist’s instructions for crown height, for example. Guess what? Back to the temporary as the process begins again. Another crown, another appointment, another numbing, etc.
CEREC 3D has eliminated much of this process by providing in-office technology the dentist can oversee. In just one visit, your tooth is prepared, a custom crown is created, and securely placed. No wearing a temporary. No second appointment. No second numbing. You walk out with a beautiful, durable crown that has the look, feel and function of a natural tooth!
As a CEREC Mentor, I help other dentists learn the proper utilization of the technology. The latest advancements also enable me to create bridges, partials and dental implant ‘restorations’ (replacement teeth). All of this saves the patient greatly in the time spent in a dental chair — something that is especially appealing for those with busy schedules or who feel anxious at dental visits.
Crowns are needed when a tooth is holding too much ‘filling’ material or has cracks or fractures. Crowning teeth helps to protect the remaining tooth structure and tooth roots that are invaluable to maintaining a healthy jaw bone. Keeping your natural teeth also helps protect the life of neighboring natural teeth.
If a crown has been recommended for you, consider the ease and quick process of CEREC technology. Call 843-871-6351 to learn more or ask for a free consultation appointment.Read More
Tis the season – already. Once November arrives, there seems to be a mad scramble to be ready for the holidays. Stores are already full of holiday decor, gift baskets and Christmas wrapping paper.
Early preparations help us to save time, being able to avoid crowded stores and last-minute panic as the holidays draw near. For those who are considering having dental treatment completed before the holiday dash, we can help by offering CEREC 3D single-visit crowns and implant restorations (replacement teeth that are attached to the implanted posts).
CEREC is a computerized process that takes precision measurements, creates a custom-designed crown, and actually manufactures it in one appointment. The process is comfortable and the results are beautiful.
First, we use a handpiece to take images of various angles of the prepared tooth to be crowned. This information is loaded into CEREC’s computer and I enter specifics for shade, etc.
Then, while the patient is still numb, a ceramic block is placed in CEREC’s milling unit. In an efficient process, the block is formed into the customized crown’s shape — all while the patient relaxes comfortably. In minutes, the final restoration is ready for placement.
What does this mean? The greatest advantage most people find is the savings in time. Rather than have an appointment to have the tooth prepared and a temporary placed AND return for a second appointment to place a crown created by a dental lab (often 2-4 weeks later), CEREC requires just one appointment for BOTH.
Not only does this eliminate the need for a second appointment, the patient avoids the need for a second numbing injection. No more waiting hours to overcome lip numbness a second time around!
The CEREC 3D process is quick, easy and provides a durable, beautiful result. Patients like that shade matching is precise and CEREC restorations provide excellent longevity.
Additionally, since wearing a temporary crown is not necessary, the worry of eating cautiously for fear it could dislodge (which often occurs at the worst of times!) is a non-issue. With CEREC, no temporaries are needed!
Today’s dental technology is designed to provide patients with exceptional results while maximizing patient comfort. We have found the CEREC process accomplishes both – with hundreds of patients quickly becoming fans of this advanced technology.
One of the reasons I agreed to serve as a CEREC Mentor to other dentists is because of the advantages to our patients. With every piece of technology we select, it is always with this goal — what is best for our patients when it comes to optimal outcomes and a comfortable experience.
CEREC 3D techology is just one of our many advanced features. To learn more about the state-of-the-art technology available in our office, please visit: https://www.smilesbyandrews.com/comfort-advanced-features/
Ready to tend to dental needs in half the time? You are invited to begin with a no-charge consultation. We’ll be happy to discuss options recommended for your needs and answer your questions. Call 843-871-6351 to schedule.
You’d expect problems to eventually emerge when forcing something to fit when it simply does not. For example, cramming your foot into a too-small sized shoe will eventually lead to problems with the toes and joints in the foot. You’d expect that – right?
This is also true for teeth that are crowded and crooked, which can lead ‘bite’ problems. Bite problems occur when the upper teeth do not rest properly on the lower teeth. The ‘misalignment’ of just one tooth, such as a tooth that is too long or short, can create disharmony in the fit of upper to lower teeth.
Although, visually, a patient may think their fit is an aligned one, the misalignment can lead to a number of problems. Bite problems can result in teeth meeting each other improperly. This can cause teeth to become chipped, fractured or broken. When a tooth breaks below the gum line, it will likely require removal.
A misaligned bite can also lead to strain on the jaw joints, commonly referred to as TMJ. These joints, located in front of the ears, hinge the lower jaw to the skull. When these joints are stressed, the jaws may move during sleep in an attempt to find a relaxed position. This attempt to self-adjust can cause the jaws to shift, often triggering a grinding or clenching motion.
In addition to putting teeth at risk from grinding and clenching, TMJ disorder can lead to:
Worn teeth from grinding causes the tops of teeth to flatten out. This creates a straight line without the contours of natural teeth. Worn teeth from grinding also compromise the health of teeth in other ways. As teeth grind back and forth, tooth enamel is worn down, leaving them susceptible to decay and sensitivity.
While your 6-month checkups include an evaluation of your bite and detecting signs of abnormal wear, worn teeth are not always present when TMJ problems exist. Many people with TMJ disorder experience symptoms (such as frequent headaches or jaw joint tenderness) before their teeth show signs of wear.
If you suspect your TMJ is the source of the symptoms mentioned above, the problem will only worsen without correcting your bite alignment. We begin by using diagnostic measures to pinpoint if TMJ disorder is truly the source of your symptoms. If so, we will develop a treatment plan to restore proper bite alignment and alleviate stress from the jaw joints.
In some cases, we can correct minor problems through the reshaping of selected teeth. However, if more extensive reshaping is needed, crowns may be advised. In our office, we can provide one-visit crowns if this should be part of your treatment plan. (For more information on CEREC 3D crowns, visit: https://www.smilesbyandrews.com/comfort-advanced-features/). Severe misalignment may need orthodontic realignment to adequately restore the proper fit of upper and lower teeth.
Resolving bite problems early can help you avoid more extensive treatment time and expense. Begin with a free, no-cost consultation by calling 843-871-6351. During this time, we’ll discuss options that are appropriate for your individual needs. If desired, our Financial Coordinator can review payment plans are interest-free with no down payment required.Read More
Today’s dentistry offers many options for replacing teeth. And, with modern techniques, materials and technology, tooth replacement can create a natural look, feel and function.
In our office, we utilize advanced technology that can save patients time, enhance comfort and create an exceptional look and feel for virtually every need.
When it comes to replacing teeth, patients have many choices with a wide range of fees associated with each. Yet, like anything, having dentistry done for a ‘bargain rate’ means corners were cut somewhere. This typically results in compromises, sacrificing longevity, function and overall satisfaction.
Replacing a tooth (or teeth) is no place to go ‘cheap.’ Choose an option that is the very best for a reasonable cost. Choose your dentist carefully, according to skills and experience. If the treatment fee is beyond your means, ask about payment plans. In many cases, these help patients finance their treatment for no down payment with no interest charged. This way, you can enjoy the benefits of treatment while making monthly payments that fit your budget.
Today, the preferred tooth replacement option is a Dental Implant. Dental Implants restore a natural biting strength and stability since the implanted portion is anchored by the jaw bone, just as natural tooth roots. After placement, we use the advanced technology CEREC 3D, which creates replacement teeth from a computerized image. While you comfortably relax, the replacement crowns (or ‘restorations’) are created and ready to attach to the implanted portion. The teeth created by CEREC provide an optimal look, feel and function with exceptional longevity. The attached teeth will not move when eating, will not slip when speaking or laughing or cause uncomfortable rubbing on tender gums. And, because implants do not rely on neighboring teeth for support, otherwise healthy, natural teeth do not require crowning to serve as supports to replacement teeth. However, with Dental Implants, the best advantage of all is their lifespan. Dental Implants are designed to last your lifetime, making them an exceptional investment.
Crown-&-Bridge combinations are a familiar means of replacing one or several teeth in one area. However, a bridge can be placed only when it is bordered by natural teeth on each side. These adjacent teeth are crowned so they can support the bridge on each side. Today’s bridges are made of porcelain and designed to blend beautifully with adjacent teeth. In our office, we use CEREC 3D technology to create porcelain crowns and bridges in a single visit, which eliminates the wait time needed by a dental lab. No second numbing! No second visit! No wearing temporaries! With CEREC technology, you can leave your appointment with your final porcelain crowns and bridge ready for you to enjoy.
In our office, a partial denture also can be placed in a single visit. A ‘partial’ replaces several teeth and is secured to existing natural teeth. A partial consists of teeth on a base, which is contoured to fit the unique shape of your gums and blend attractively with natural teeth and gums.
For those who are missing all upper or lower teeth, a ‘full arch’ denture is the preference of some patients. Full dentures restore the look of a full smile with comfortable chewing and speaking ability. While not as ideal as Dental Implants, dentures offer a more affordable way to enjoy confidence when smiling, eating and laughing. Relines can be done should the denture begin to slip (due to decline in jaw bone mass, known as ‘resorption’).
Our goal is to create an ideal result for the tooth replacement option you prefer and to provide each patient with an outcome that makes them smile! If you are missing teeth, replacing them is vital. Missing teeth can lead to problems associated with bite misalignment and contribute to further tooth loss as well.
Call 843-871-6351 to arrange a no-charge, no obligation consultation appointment. During this time, I’ll discuss the options that are recommended for you according to your preferences. Our financial coordinator can also discuss payment options, if desired.Read More
A missing tooth is more than a flaw in the appearance of one’s smile. It can lead to problems with the proper alignment of neighboring teeth. When teeth tilt or turn out of their proper positions, the result can lead to chips, fractured or broken teeth, night-time grinding or clenching, worn teeth, headaches, migraines, jaw joint pain and more.
The best time to replace a lost natural tooth is immediately after it’s removed. However, today’s dentistry offers exceptional ways to replace teeth at any time, even though that have been missing for decades.
Through advanced materials, techniques and technology, replacing one, several or an entire ‘arch’ of missing teeth can be done to provide stability, dependability and comfort with an exceptional look and feel in the process.
Dental Implants – I recommend implants to most individuals because they are a ‘one and done’ investment. When properly maintained, an implant is designed to last a lifetime. They are the closest thing to natural teeth because the implanted portion is supported by your jaw bone, just as your natural tooth roots were once. This means they restore a natural biting strength and stability. The teeth attached to an implant will not move while eating and will cause no uncomfortable rubbing on gum tissues. And, because an implant does not rely on neighboring teeth for support do not need crowning. That means the integrity of surrounding is protected. Another bonus of an implant is its ability to protect bone mass. By recreating stimulation in the jaw bone, similar to what a natural tooth root provides, the process of bone resorption is halted. An example of this bone loss is the ‘granny look’ of long-time denture wearers. Bone loss thins and weakens the strength of the jaw bone. Dental implants preserve the jaw bone, helping you to maintain a healthy bone mass.
Crown-&-Bridge – When replacing one or several teeth in one area, some people prefer a bridge that is supported by natural teeth on each side. To support a bridge (of one or more teeth) the natural teeth on both sides are crowned. Then, the crowns connected to the replacement tooth or teeth being replaced. In our office, we use the state-of-the-art computerized technology of CEREC 3D. This technology can take measurements and create ceramic crowns and bridges while you wait. By eliminating the need for a dental lab, this means you don’t have to wear a temporary and won’t need a second appointment to have the final ‘restoration’ placed. And, this process cuts numbing requirements in half! CEREC 3D means you can walk out of our office with your final crown-&-bridge ready to enjoy, all in one visit!
Partial Dentures – A partial denture is designed to replace several upper or lower teeth. Typically, a partial connects replacement teeth to a framework, which is then secured to existing natural teeth with a fit that is stable and comfortable. Because a partial is created to the contours of your gums and custom shade-matched, it will blend attractively with natural teeth and gums.
Full Dentures – For people who are missing all of their upper or lower teeth, a ‘full arch’ denture can be made to restore the look of a full smile. While not as secure as Dental Implants, they are made to fit comfortably for chewing and speaking. Dentures offer a more affordable way to enjoy a full, comfortable smile that restores confidence when speaking or laughing with others. Relines can be done periodically should the denture begin to slip (due to jaw bone resorption).
We believe every patient should enjoy a confident, comfortable, and attractive smile. We want you to understand all your options so you can select the best tooth replacement for your needs and goals.
Call 843-871-6351 for a no-cost, no obligation consultation. During this time, I’ll discuss the best options based on your needs and preferences. While you’re here, our financial coordinator can go over payment options. Some require no down payment and are interest-free.Read More