Osteoporosis is a major health condition affecting millions of people, mostly women over 50. The disease weakens bone strength to the point that a minor fall or even coughing can result in broken bones. And, in an effort to treat it, some patients might find themselves at higher risk of complications during invasive dental procedures.
Over the years a number of drugs have been used to slow the disease’s progression and help the bone resist fracturing. Two of the most common kinds are bisphosphonates (Fosamax) and RANKL inhibitors (Prolia). They work by eliminating certain bone cells called osteoclasts, which normally break down and eliminate older bone cells to make way for newer cells created by osteoblasts.
By reducing the osteoclast cells, older bone cells live longer, which can reduce the weakening of the bone short-term. But these older cells, which normally wouldn’t survive as long, tend to become brittle and fragile after a few years of taking these drugs.
This may even cause the bone itself to begin dying, a relatively rare condition called osteonecrosis. Besides the femur in the leg, the bone most susceptible to osteonecrosis is the jawbone. This could create complications during oral procedures like jaw surgery or tooth extractions.
For this reason, doctors recommend reevaluating the need for these types of medications after 3-5 years. Dentists further recommend, in conjunction with the physician treating osteoporosis, that a patient take a “drug holiday” from either of these two medications for several months before and after any planned oral surgery or invasive dental procedure.
If you have osteoporosis, you may also want to consider alternatives to bisphosphonates and RANKL inhibitors. New drugs like raloxifene (which may also decrease the risk of breast cancer) and teriparatide work differently than the two more common drugs and may avoid their side effects. Taking supplements of Vitamin D and calcium may also improve bone health. If your physician still recommends bisphosphonates, you might discuss newer versions of the drugs that pose less risk of osteonecrosis.
Managing osteoporosis is often a balancing act between alleviating symptoms of the disease and protecting other aspects of your health. Finding that balance may help you avoid future problems, especially to your dental health.
If you would like more information on osteoporosis and dental care, 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 “Osteoporosis Drugs & Dental Treatment.”
The 2019 Grammy Awards was a star-studded night packed with memorable performances. One standout came from the young Canadian singer Shawn Mendes, who sang a powerful duet of his hit song "In My Blood" with pop diva Miley Cyrus. But that duo's stellar smiles weren't always quite as camera-ready as they looked that night.
"I had braces for four and a half years," Mendes told an interviewer not long ago. "There's lots and lots and lots of photo evidence, I'm sure you can pull up a few." (In fact, finding one is as easy as searching "Sean Mendes braces.")
Wearing braces puts Mendes in good company: It's estimated that over 4 million people in the U.S. alone wear braces in a typical year—and about a quarter of them are adults! (And by the way: When she was a teenager, Miley Cyrus had braces, too!)
Today, there are a number of alternatives to traditional metal braces, such as tooth-colored braces, clear plastic aligners, and invisible lingual braces (the kind Cyrus wore). However, regular metal braces remain the most common choice for orthodontic treatment. They are often the most economical option, and can be used to treat a wide variety of bite problems (which dentists call malocclusions).
Having straighter teeth can boost your self-confidence—along with helping you bite, breathe, chew, and even speak more effectively. Plus, teeth that are in good alignment and have adequate space in between are easier to clean; this can help you keep your mouth free of gum disease and tooth decay for years to come.
Many people think getting braces is something that happens in adolescence—but as long as your mouth is otherwise healthy, there's no upper age limit for orthodontic treatment. In fact, many celebrities—like Lauren Hutton, Tom Cruise and Faith Hill—got braces as adults. But if traditional braces aren't a good fit with your self-image, it's possible that one of the less noticeable options, such as lingual braces or clear aligners, could work for you.
What's the first step to getting straighter teeth? Come in to the office for an evaluation! We will give you a complete oral examination to find out if there are any problems (like gum disease or tooth decay) that could interfere with orthodontic treatment. Then we will determine exactly how your teeth should be re-positioned to achieve a better smile, and recommend one or more options to get you there.
If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Lingual Braces: A Truly Invisible Way to Straighten Teeth.”
Would your teeth be more attractive without chips, discolorations or other flaws? Adding veneers to problem teeth can make imperfections disappear. The restorations offered by your Lansing, MI, dentist, Dr. Scott Stone, provide a simple way to enhance your smile.
Veneers conceal flaws
Veneers hide imperfections in the fronts of your teeth. The tooth-shaped shells are made from an impression of your mouth and are attached to your teeth with dental cement. Veneers don't require extensive preparation or major changes to your tooth structure. In fact, your Lansing, MI, dentist will only need to remove a tiny amount of tooth enamel to ensure that your veneers fit comfortably.
Veneers offer smile-changing benefits
Uniform teeth are an important component of a perfect smile, yet many of us have a few teeth that look a little out of place. Veneers change the appearance of oddly shaped, crooked, twisted or too short teeth, making the teeth blend in with the rest of your smile.
It's hard to overlook a discolored tooth no matter how hard you try. In fact, the tooth may be the first thing you notice when you look in the mirror. Fortunately, discolorations disappear from view once a veneer is added.
Veneers can be made to match the current shade of your teeth or can be used to whiten your entire smile. If you're looking for a long-lasting whitening option, there's no better choice than veneers. The restorations are stain-resistant and won't become dull or yellow if you consume coffee, tea, wine, cola, berries or other darkly pigmented foods and beverages.
Orthodontic treatment isn't always needed to close the spaces between your teeth. Veneers can hide slight gaps, instantly transforming your smile. Although you may need braces if your gaps are large, many gaps can be successfully concealed with veneers.
Biting on hard objects or years of wear and tear can eventually cause small chips or cracks in your tooth enamel. Veneers conceal the damage and also hide other imperfections that may affect the appearance of your tooth enamel, such as uneven surfaces, pits or bumps.
Are you ready to revitalize your smile with dental veneers? Call your Lansing, MI, dentist, Dr. Scott Stone, at (517) 482-5546 to schedule an appointment.
Dental implants are today's best tooth-replacement choice. Placed directly into the jaw by your Lansing dentist, Dr. Scott Stone, these innovative restorations mimic the functionality of your natural tooth roots in order to optimize bone health, chewing, speech and smile appearance. Interested? Read on to learn the answers to some of the most frequently asked questions regarding dental implants, and contact the professional team here at Smile by Stone Family & Cosmetic Dentistry to schedule a consultation!
FAQs about dental implants
What is a dental implant? An implant is a completely artificial tooth. Made of a titanium metal screw or cylinder, metal alloy extension post, and porcelain crown, a dental implant fully replaces a missing tooth. Your Lansing dentist, Dr. Scott Stone, uses reliable and versatile Biohorizons dental implants.
Why are implants superior to conventional tooth replacements? Dental implants do something that no other prosthetic can: they bond to the jaw through a process called osseointegration in which the bone cells adhere to the titanium or zirconium in the implant device. Once this occurs, the implants provide a permanently stable foundation for your replacement tooth.
Can most people get implants? Yes, healthy adults and older teenagers can, although you must have enough bone in your jaw to accept the implant device. Dr. Stone will determine this candidacy through an examination and special X-ray imaging.
Will my implants hurt? No, in-office implant procedures are not painful because your Lansing dentist anesthetizes the surgical sites with a local pain shot. Some patients opt for nitrous oxide as well to aid relaxation. Afterward, the implant site may be sore for a few days, but over-the-counter ibuprofen or acetaminophen will successfully control your discomfort.
How long does a dental implant last? The Institute for Dental Implant Awareness says implants last four or five decades. For most implant patients, that represents the rest of their lives.
Here at Smile by Stone Family & Cosmetic Dentistry, Dr. Scott Stone offers the most comfortable and innovative restorative treatments available. Renew your smile and your self-confidence by phoning us for an appointment at (517) 482-5546.
Have questions about dental crowns? A dental crown is a cemented restoration that completely covers the outside of the tooth. Dental crowns can correct many different types of dental issues. Led by Dr. Scott Stone, Smile By Stone (located in Lansing, MI) offers state-of-the-art dental crowns to the patients they serve. Read on to find answers to your most frequently asked questions about crowns.
What is a dental crown?
A dental crown is a tooth-shaped dental cap that is permanently mounted over the tooth. teeth. A dental crown restores the tooth's shape, size, and strength, and improves its appearance. A dental crown can be cosmetic or functional and requires more than one trip to the dental office.
Why are dental crowns needed?
Crowns are used to restore badly decayed or damaged teeth. Crowns can strengthen teeth with large dental fillings when there is not enough tooth left to support the fillings. Crowns are also used to protect weakened teeth from breaking and restore teeth that are already broken. Crowns can also be used to cover discolored teeth.
What types of crowns are available?
Crowns come in more than one form. Porcelain crowns are made from a glass-like substance. These crowns are popular for their ability to blend with your natural teeth. Porcelain-fused-to-metal crowns provide a stronger bond than regular porcelain because they're connected to a metal structure. Metal crowns are the strongest type of crown. Because they're made of metal, they don't crack or break.
What does the procedure involve?
If our dentist in Lansing determines a crown is necessary, he will file your tooth down to fit the crown around it, and take a mold of the area to use as a model for the crown. The dentist will insert a temporary crown to protect the tooth until the permanent crown is ready for implantation. On a later visit, the dentist will place the permanent crown over your tooth.
How should I care for my crown?
Caring properly for your crown can make it last longer. Avoid chewing hard foods and objects that can break a crown. Take steps to avoid grinding your teeth. Maintain good oral hygiene such as flossing and brushing regularly and seeing the dentist twice a year for dental checkups and professional dental cleanings.
How long do dental crowns last?
Dental crowns are incredibly strong and durable. They're stronger than natural teeth. The average lifespan for crowns is about 15 years. However, when taken care of properly, it is common to see them last upwards of 20-25 years. In some circumstances, crowns can even last a lifetime.
If you want a smile that’s your crowning glory, call Smile By Stone at (517) 482-5546 today to schedule a dental consultation in Lansing, MI. With dental crowns, you can have a smile that's strong and beautiful. You will experience exemplary service and state-of-the-art care at Smile By Stone!
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