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Family Dentistry
Dr. Khetarpal is up-to-date on all of the most recent dental technological advancements. Today’s dental technology makes maintaining a healthy smile much easier and more convenient. Many of our dental procedures can be performed in a single office visit. We utilize the latest high-tech dental care equipment such as laser dentistry, digital radiography, CEREC and CAD CAM Crowns for virtually pain-free dentistry.
Click on the title below to reveal more information about our services and procedures.
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There is nothing more precious than the smile of a child. As a parent, you want to protect your child’s teeth and ensure that their smiles last a lifetime.
We are experienced in the care of infants, children and pre-teens. Our goal is to provide an environment in which your child can develop a positive attitude toward visiting the dentist. Our team focuses on giving children a good first experience with an emphasis on good oral hygiene and dental health.
Dr. Khetarpal’s approach is to educate children in a positive and fun manner. To make it fun and reinforce good habits, every child automatically becomes a member of our “Smile Club.”
We recommend that your child should be seen within their first year. Even though your child will not have all of his/her primary (baby) teeth in at this time, it is important to examine your child’s mouth to make sure that no problems exist or will be encountered.
This visit is also aimed at educating parents and providing guidance for the prevention of dental problems in the future. After their first visit, your child will need to be seen at age 2 and then 3. After your child’s visit at age 3, regular 6-month recall visits are encouraged.
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Personal appearance is a huge concern for all teenagers. With the relentless peer pressure they face at school and within their circle of friends a bright smile can go a long way. Having a confident smile helps their self-esteem and has a positive affect in many areas of their young lives.
While most teens care about the appearance of their teeth, many do not understand the steps they must take to maintain their teeth.
The dental professionals at the offices of Dr. Khetarpal understand the challenges and concerns that you have with getting your teenager to do what’s needed to maintain their smile.
Most teens lead very busy and active lives. Their hectic schedules and increasing independence can translate into less time and effort being spent taking care of their teeth. Establishing and maintaining a dental care routine is an essential part of safeguarding oral health.
At a minimum, your teen should be brushing at least twice a day and flossing at least once a day to prevent tooth decay and gum disease caused by dental plaque build-up.
Regular dental visits are also a critical part of maintaining dental health that is often overlooked during the teen years. It is important for your teen find the time to work regular dental visits and dental cleanings into their schedule to ensure that any problems are caught early on and to promote good oral health for the rest of their lives.
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The key to keeping a bright, healthy smile throughout your adult years is to practice proper oral hygiene and see the dentist regularly. Even adults can get cavities and gum disease that can lead to serious and expensive health issues.
Throughout your adult life, it’s important to continue to brush twice a day with a fluoride toothpaste, floss daily to remove plaque from between your teeth and under your gumline, and limit sugary or starchy foods, especially sticky snacks.
Even if you brush and floss regularly, you may face certain oral health issues as an adult. Dr. Khetarpal can help you be proactive with all of your aduld dental challenges.
As you advance in years, dental care becomes more important. Gum disease, cavities around old fillings, tooth sensitivity and damage to aging teeth can become more common.
There are many solutions to these problems but it is critical to your oral and overall health to take care of them before they become major issues. Preventive dentistry is very important.
We also speicalize in the latest cosmetic dentistry techniques to whiten and brighten your smile. If you have discolored teeth from years of coffee or smoking, we can professionally whiten your teech to remove these more stubborn external stains.
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Your teeth can last a lifetime with proper care and regular dental checkups. No matter what your age, you can keep your teeth and gums healthy by seeing Dr. Khetarpal regularly for professional cleanings and checkups.
As a seasoned adult, even if you brush and floss regularly, you may face certain issues in your later years when it comes to your oral health. Wearing dentures, taking medications and general health conditions are some of the issues many seniors face.
Luckily, Dr. Khetarpal can help you meet most of these challenges successfully before they become major health issues.
How your teeth and gums respond to age depends on how well you’ve cared for them over the years. But even if you’re meticulous about brushing and flossing, you may notice that your mouth feels drier and your gums have pulled back (receded). Your teeth may darken slightly and become more brittle and easier to break.
Most adults can keep their natural teeth all of their lives. But with less saliva to wash away bacteria, your teeth and gums become slightly more vulnerable to decay and infection. If you’ve lost most or all of your natural teeth, you might use dentures or dental implants as a replacement.
Some older adults experience dry mouth (xerostomia), which can lead to tooth decay and infection. Dry mouth can also make speaking, swallowing and tasting difficult. Oral cancer is more common among older adults. Dr. Khetarpal checks for oral cancer when you go for regular cleanings and checkups.
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Cosmetic Dentistry
A cosmetic dentist focuses on creating your picture perfect smile. Even the most challenging cases can have exceptional results with the advances in cosmetic dentistry methods. As a Cincinnati cosmetic dentist, our office has many available choices to improve your smile. This includes implant fixtures, bridges, dentures, inlays, onlays, composite bonding, teeth whitening and veneers. Not every cosmetic dental procedure option is right for everyone, so each patient must discuss their individual treatment goals with Dr. Khetarpal to find the most effective treatment option.
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Fast, Effective & Affordable Teeth Whitening
Have you ever looked in the mirror and thought that your teeth just don’t seem to be as white as they could be? There are many causes for teeth looking dingy or yellow. The main culprits are genetics, age and the food you eat. There are several ways to correct this problem and in this article we’ll give you the facts you need to know so you can decide if teeth whitening is right for you.
The long and the short of it is that teeth whitening works. Virtually everyone who chooses a professional for this painless treatment will see moderate to substantial improvement in the brightness and whiteness of their smile. First, let’s look at some of the main causes of why your smile is not bright.
What Are Some of the Causes Tooth Staining?
Age: There is a direct correlation between tooth color and age. Over the years, teeth darken as a result of wear and tear and stain accumulation. In your twenties, the teeth begin to show a yellow cast. By your forties, the yellow gives way to brown and whitening may be needed. By the fifties, teeth have absorbed stubborn stains which can be difficult, but not impossible, to remove.
Starting color: It’s in the genes. We are all born with the tooth color that our parents gave us. This can range from yellow-brownish to greenish-grey that intensifies over time. Some people just have whiter teeth than others all their life. Fortunately, you can do something about the color of your teeth.
Translucency and thinness: Another genetic factor is tooth translucency and thickness. Teeth that are opaque and thick have an advantage: they appear lighter in color, show more sparkle and are responsive to whitening treatments.
Eating habits: This is the one cause that you can control. Frequently consuming red wine, coffee, tea, cola, carrots, oranges, and other deeply-colored beverages and foods cause staining over the years. Acidic foods such as citrus fruits and vinegar contribute to enamel erosion. As a result, the surface becomes more transparent and a dingy, yellow color over time.
Smoking habits: This reason is very self-evident. Tar and nicotine leave brownish deposits which slowly soak into the tooth structure and cause intrinsic discoloration.
Drugs and chemicals: Tetracycline usage during tooth formation produces dark grey or brown ribbon stains which are very difficult to remove.
Grinding: Most frequently caused by stress, teeth grinding (gnashing, bruxing, etc.) can add to micro-cracking in the teeth and can cause the biting edges to darken.
Teeth Whitening Options
There are three major teeth whitening options are available to you today. All three rely on varying concentrations of peroxide and varying application techniques over a period of time. Application time and costs are other factors to consider.
In-Office Whitening
For the most significant color change in a short period of time, in-office whitening is the best option. This treatment involves the carefully controlled use of a relatively high-concentration peroxide gel, applied to the teeth by a dentist or trained technician after the gums have been protected with a paint-on rubber dam.
Generally, the peroxide remains on the teeth for several 15 to 20 minute intervals that add up to an hour. Stubborn staining may need a return for additional sessions, or may be required to continue with a home-use whitening system. Get up to $150 off your teeth whitening treatment today!
Professionally Dispensed Take-Home Whitening Kits
This type of treatment take-home whitening kits can produce the excellent results over the long haul. Take-home kits incorporate an easy-to-use lower-concentration peroxide gel that remains on the teeth for an hour or longer. The gel is applied to the teeth using custom-made bleaching trays that resemble mouth guards. The downside is finding the time to apply the treatment and the longer, more frequent application.
Over-the-Counter Whitening
The cheapest option is over-the-counter bleaching kits. These have much lower concentration of bleaching gel than that of the professionally dispensed take-home whiteners. The gel is applied to the teeth via one-size-fits-all whitening strips or paint-on applicators. In many cases this may only whiten a few of the front teeth and results take many applications over several weeks.
Selecting the Best Treatment For You
Which treatment should you choose? The answer really depends on the condition of your teeth and the quality of results that you want to achieve. Over-the-counter whitening may not give you the brightness that you desire as fast as you want. A good place to start is to come in for a complimentary whitening consultation where we can discuss the merits of your options.
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Fill In Tooth Chips With Composite Bonding
Chipped, broken, discolored or decayed teeth may be repaired or have their appearance corrected using a procedure called composite bonding. A dental composite material with the look of enamel and dentin is applied into the cavity or onto the surface of a tooth, where it is then sculpted into shape, contoured and hardened with a high-intensity light. The result is a restoration that blends invisibly with the remainder of the surrounding tooth structure and the rest of your natural teeth to create a healthy bright smile.
Dr. Khetarpal will prepare your tooth for treatment by roughening and shaping or contouring the surface. Next, she will apply a conditioning solution and bonding agent that together act as a strong adhesive or glue, to ensure that the composite will adhere. Then she will apply the putty-like tooth colored composite material, sculpting it to correct the problem areas.
Several layers of the composite material may be necessary in order to achieve the best results. To cure and harden the material, a high-intensity light or a chemical agent may be used. Finally, she will smooth and polish your tooth to give it an even, natural contour.
The procedure is virtually pain-free, although you may experience some discomfort during the tooth-roughening phase.
Dr. Khetarpal is a Cincinnati cosmetic dentist who uses different materials than a traditional dentist to beautify your teeth and smile. Dental composite bonding is a such a material. Bonding is appropriate for correcting minor imperfections. If you have structural problems with a tooth or problems with multiple teeth, your dentist may recommend porcelain veneers or another tooth restoration procedure.
There are many cosmetic dentistry options available. If you are considering a cosmetic procedure, schedule a complimentary smile consultation to assess your individual needs and wishes. Together we can decide on the best treatment plan is for you to attain the best results possible.
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Dental inlays and onlays are a good way to restore old or broken metal fillings, or teeth suffering from mild tooth decay.
Inlays are fitted in to the concave area on the top of a tooth and can be made of different materials like gold or porcelain, which can be colored to match the tooth.
Onlays offer reinforcement in between the peaks of the injured tooth, and can be made from the same material as inlays and are almost unnoticeable.
Inlays and onlays offer dental restoration with materials can be matched with the original tooth rendering them almost invisible and provides a visually pleasing solution. They are unlike any filling material in that they do not expand or contract when exposed to cold or heat.
This helps better maintain the structural integrity of the tooth. They also have an average life span of thirty or more years. Many other restorative products may fail as a result of exposure to high or low temperatures, or to habits like teeth grinding.
Patients are often advised to have an inlay restoration in place of a composite or amalgam filling where decay is present between teeth because an inlay can more effectively seal the area from further decay.
Inlays and onlays are generally made out of gold, porcelain or resin pressed into a mold of the tooth being treated. The choice of material usually depends upon the area in the mouth. Gold is recommended for molars as it is incredibly durable and offers better resistance to grinding and wear and tear. Natural looking porcelain and resins are advised in the case of inlays and onlays for the front teeth.
Cincinnati dentist Dr. Khetarpal will seal and polish the inlay or onlay only after trying it out on the patient to check the fit and ensure a normal bite. Their custom fit, durable materials and resistance to the conditions within the mouth make them the ideal choice for Cincinnati patients with severely weakened or damaged teeth.
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A Beautiful Way to Correct Your Teeth – Dental Veneers
A very effective cosmetic dentist tool are dental veneers. These are a beautiful way to correct stained, chipped, or crooked teeth. By placing glass-like ceramic porcelain on the surface of teeth, dentists can provide patients with bright, straight, and natural looking smiles.
Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement.
Veneers make teeth look natural and healthy, and because they are very thin and are held in place by a special strong bond very little preparation of the tooth is necessary.
Dr. Khetarpal can improve the color, shape and position of teeth using dental veneers. A precise shade of porcelain can be chosen to give the required color, to improve a single discolored or stained tooth, or to lighten front teeth usually the upper ones generally.
A veneer can make a chipped tooth look intact again — the porcelain covers the whole of the front of the tooth with a thicker section replacing the broken part. Veneers can also be used to close small gaps, when orthodontic braces are not suitable. If one tooth is slightly out of position, a veneer can sometimes be fitted to bring it into line with the others.
Dr. Khetarpal is a Cincinnati cosmetic dentist who uses different materials than a traditional dentist to beautify your teeth and smile.
There are many cosmetic dentistry options available. If you are considering a cosmetic procedure, schedule a complimentary smile consultation to assess your individual needs and wishes. Together we can decide on the best treatment plan is for you to attain the best results possible.
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Explore Your Cosmetic Dentistry Options
Smile makeovers involve a comprehensive assessment of your smile in order to improve its overall appearance. Typically one or more cosmetic dentistry procedures, such as dental veneers, dental implants, composite bonding, sculpting and teeth whitening may be required for several teethto achieve the look you want.
A smile makeover differs from full mouth reconstruction. A makeover is something that you choose to have performed, while a full mouth reconstruction is something that you need to have performed.
Factors to Consider For a Smile Makeover
There are many factors that come into play when considering a smile makeover. Your facial appearance, skin tone, hair color, teeth color and shape, gum tissue and lip structure are all part of your ideal smile.
An important question you must answer is: What is it that you like or dislike about your smile or your teeth? Some aspects of your smile that Dr. Khetarpal will discuss with you while designing your smile makeover include:
Tooth Color: Your natural tooth color and shading are important considerations during the evaluation of and preparation for various procedures. When considering the color of your teeth, keep in mind that dark or discolored teeth may suggest an aged mouth. Old silver or amalgam dental fillings can be replaced with natural, tooth-colored composite restorations. While teeth whitening can improve the color of stained or dulled teeth., including porcelain veneers, crowns, bridges, composite bonding and dental implants.
A bright, white smile lends to a youthful appearance. The shade we select for teeth whitening and veneers will be carefully evaluated with special consideration given to the tone and color of your face and hair. As a cosmetic dentist Dr. Khetarpal isre skilled at finding the right balance betweena brighter, whiter smile and maintaining your natural tooth color.
Alignment and Spacing: Teeth that are crooked, overlapping or have gaps between them can be straightened and aligned when necessary through orthodontics or improved with veneers.
Missing Teeth: One or more missing teeth can negatively affect the appearance of your smile – as well as affect your bite and increase your risk for tooth decay – making replacement an integral part of oral health and facial esthetics.Missing teeth can be replaced by dental implants, bridges or partial dentures.
Harmony and Balance: Uneven, chipped and cracked teeth can be cosmetically bonded for an improved appearance, and a gummy smile can be re-contoured to help improve the overall look of the smile. Fuller Lips, Smile and Cheeks: An unshapely or aging face can be improved or rejuvenated with certain procedures in the smile makeover category, including orthodontics and/or oral maxillofacial surgery.
As a cosmetic dentist, Dr. Khetarpal will work closely with you to develop a treatment plan designed to achieve exactly what you want from your makeover. Below is a list of some of the basic smile makeover prodedures you may use to improve your smile.
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The Dental Implant Solution For Missing Teeth
Dental implants are metal posts or frames that are surgically positioned into the jawbone beneath your gums. Once in place, they allow your dentist to mount replacement teeth onto them.
Because implants fuse to your jawbone, they provide stable support for artificial teeth. Dentures and bridges mounted to implants won’t slip or shift in your mouth — an especially important benefit when eating and speaking. This secure fit helps the dentures and bridges — as well as individual crowns placed over implants — feel more natural than conventional bridges or dentures.
For some people, ordinary bridges and dentures are simply not comfortable or even possible, due to sore spots, poor ridges or gagging. In addition, ordinary bridges must be attached to teeth on either side of the space left by the missing tooth. An advantage of implants is that no adjacent teeth need to be prepared or ground down to hold your new replacement tooth/teeth in place.
To receive implants, you need to have healthy gums and adequate bone to support the implant. You must also commit to keeping these structures healthy. Meticulous oral hygiene and regular dental visits are critical to the long-term success of dental implants.
Implants are usually more expensive than other methods of tooth replacement, and most insurance carriers typically cover less than 10 percent of the fees.
The American Dental Association considers two types of implants to be safe. They are:
Endosteal implants — these are surgically implanted directly into the jawbone. Once the surrounding gum tissue has healed, a second surgery is needed to connect a post to the original implant. Finally, an artificial tooth (or teeth) is attached to the post-individually, or grouped on a bridge or denture.
Subperiosteal implants — these consist of a metal frame that is fitted onto the jawbone just below the gum tissue. As the gums heal, the frame becomes fixed to the jawbone. Posts, which are attached to the frame, protrude through the gums. As with endosteal implants, artificial teeth are then mounted to the posts.
Implants generally last 10-20 years, depending on the location of the implant and patient compliance with oral hygiene and dental visits. Because molars receive more stress and wear and tear, these implants typically do not last as long as implants located at the front of your mouth.
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Dr. Khetarpal can address minor orthodontic issues with the help of Realine. Realine is designed for people with minor crowding issues or very small gaps in their front teeth. With Realine, dentists can close small gaps and treat orthodontic relapse — giving a straighter, more confident smile without the discomfort or disruption of traditional braces. Read more about Realine at their website – Realine.com.
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Smile Makeovers don’t have to stop with your teeth. Dr. Khetarpal is Botox Certified from the American Academy of Facial Esthetics. Learn more about Botox and Dermal Fillers from the American Academy of Facial Esthetics.
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Dental Procedures
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Understanding the Mysteries of Root Canal Basics
The root canal procedure is a dental treatment alternative offered by Cincinnati dentists that will save a failing tooth from extraction. While this may seem like a lot of effort and expense for a single tooth, it is important to remember that this same tooth plays a role in maintaining the alignment of all the other teeth along the jaw and ensures a proper and effective bite. Pain in the head and jaw, and disruption of the functional occlusion (bite) can result from the loss of just one tooth.
The patient is first examined by his/her dentist to determine the cause of the toothache that prompted the visit. A root canal will often be recommended if a patient is found to have a nerve infected by tooth decay.
Teeth are composed of three different regions: the tough outer shell known as the enamel, a softer layer called dentin and the deepest inner layer, the pulp. The pulp is the innermost layer of tooth requiring root canal treatment. The pulp is made up of blood vessels as well as nerve tissue, which is why root canal treatment used to be very painful. When the pulp is infected by bacteria or damaged, the tooth will begin to die, and ignite the body’s immune system to fight off the infection, causing inflammation and pain. Ignoring such pain can lead to the spread of the infection further into the surrounding teeth, jaw, head and neck areas, leading to more serious medical issues.
When a root canal is performed, the patient may have been on an antibiotic for a period of time leading up to the procedure. Cincinnati dentists or endodontists (a dentist that specializes in root canal therapy) will numb the tooth and surrounding tissue then drill through the enamel and dentin into the pulp of the infected root, and all of the infected material is removed. X-rays and detailed inspection may be required to ensure that all the decayed materials are eliminated. The root is then treated with a disinfectant and a sealant before being refilled with a variety of materials which bond to the tooth and permanently fill it. A temporary filling or crown may be put in place during the healing phase until the dentist inspects the tooth for any further infection on follow-up and places the permanent filling or crown.
Most root canals are performed by general dentists in Cincinnati, but more difficult cases may be referred to an endodontist. The modern root canal procedure is now pain free and much shorter due to a variety of improvements in dental instruments and materials. Lasers, ultrasonic tools, improved filling materials, and advances in radiography mean that many more teeth are being preserved in a normally functioning state than ever before.
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All About Wisdom Teeth Removal
It was a long-held popular perception that wisdom teeth should be left alone until they “erupted” or became visible over the gum. Today, however, this is not the case. Dentists and dental patients now recognize the persistent problems both emerged and impacted wisdom teeth can cause, and the majority of people are asked to treat this as early as possible.
Wisdom teeth are the last molars on each side of the jaws. They are also the last teeth to emerge, or erupt, usually when a person is between 16 and 20.
The risks normally associated with wisdom teeth only grow more likely as a patient ages. Teens who wait until infection or inflammation and other problems emerge before they go for treatment are only making it the extraction more prone to side effects. People up to the age of thirty-five are ideally suited to have their wisdom teeth removed without too many hassles; after the age of fifty, the risks multiply because teeth tend to fuse to the jawbone and the extraction of wisdom teeth can threaten the integrity of the jawbones.
Luckily, modern technology provides Cincinnati dentists and oral surgeons with a good view of the situation before beginning any extraction. Nerves, bones, and problematic teeth will all be plainly seen on a standard X-ray, and the patient can be advised of any potential problems.
Why is it necessary to extract wisdom teeth? Wisdom teeth can be a source of pain, and can compress and crowd other teeth. Wisdom teeth can cause other teeth to shift resulting in bite irregularity and associated problems. They can cause sinus problems, irritate the gum tissue and encourage infection. They can cause pockets of decay, which ultimately can damage the bones, and also decrease the efficacy of dentures and orthodontia due to the disturbed alignment of the teeth.
To remove the wisdom teeth, particularly the teeth which have not yet emerged, specific surgical expertise may be required. A trained oral surgeon or dentist is ideally suited to tackle wisdom teeth. Many Cincinnati dental professionals offer a variety of sedation techniques (usually IV sedation) because of the nature of the extraction of wisdom tooth. The wisdom teeth are often removed in one visit.
After the wisdom teeth are extracted, a patient can expect some pain or discomfort normally responsive to pain medication, minor bleeding, puffiness in the face and jaw areas, and temporary (and in rare cases permanent) loss of sensation in the lower jaw due to damage of the inferior alveolar nerve, which provides feeling to the lower lip and chin.
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Dentures for Teeth Replacement
Dentures are replacements for missing teeth that can be taken out and put back into your mouth. While dentures take some getting used to, and will never feel exactly the same as one’s natural teeth, today’s dentures are natural looking and more comfortable than ever.
There are two main types of dentures: full and partial. Your dentist will help you choose the type of denture that’s best for you based on whether some or all of your teeth are going to be replaced and the cost involved.
With full dentures, a flesh-colored acrylic base fits over your gums. The base of the upper denture covers the palate (the roof of your mouth), while that of the lower denture is shaped like a horseshoe to accommodate your tongue. Dentures are custom-made in a dental laboratory from impressions taken of your mouth. Your dentist will determine which of the three types of dentures described below is best for you.
Conventional Full Denture
A conventional full denture is placed in your mouth after any remaining teeth are removed and tissues have healed. Healing may take several months, during which time you are without teeth.
Immediate Full Denture
An immediate full denture is inserted immediately after the remaining teeth are removed. (Your dentist takes measurements and makes models of your jaw during a prior visit.) While immediate dentures offer the benefit of never having to be without your teeth, they must be relined several months after being inserted. The reason is that the bone supporting the teeth reshapes as it heals, causing the denture to become loose.
Partial Denture
A partial denture rests on a metal framework that attaches to your natural teeth. Sometimes crowns are placed on some of your natural teeth and serve as anchors for the denture. Partial dentures offer a removable alternative to bridges.
New dentures may feel awkward or uncomfortable for the first few weeks or even months. Eating and speaking with dentures might take a little practice. A bulky or loose feeling is not uncommon, while the muscles of your cheeks and tongue learn to hold your dentures in place. Excessive saliva flow, a feeling that the tongue does not have adequate room, and minor irritation or soreness are also not unusual.
Over a period of time, your denture will need to be relined, remade, or rebased due to normal wear. Rebasing means making a new base while keeping the existing denture teeth. Also, as you age, your mouth naturally changes. These changes cause your dentures to loosen, making chewing difficult and irritating your gums. At a minimum, you should see your dentist annually for a checkup.
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CAD/CAM Crowns
Modern dental technology has greatly advanced in the past decades. Nothing is too small for modern technology to influence including the advancesin the field of computer aided dental CAD/CAM crowns.
Today, Cincinnati dentist Dr. Khetarapl is putting CAD/CAM to work in the manufacturing of restorative items such as crowns,bridges and other items. The equipment allows for ceramic material that creates a seamless and flawless product which fits perfectly into a patient’s mouth.
Basically the computer-aided design program will feed data and information into a manufacturing or milling machine which then creates an item to the operator’s specifications. This allows the lab to make a perfect fitting product.
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To discuss your teen’s nutrition and their dental health or to ask any other questions, please contact us immediately at 513-923-1215 or fill out the contact form.
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