Minor Tooth Movement «

Why do dental implant screws loosen and fracture after a prosthesis is placed?

May 3, 2013

Filed under: CAD/CAM Dentistry,Comfort and Technology,Cosmetic Dentistry,Dental Laboratory,FAU Pre-Dental Society Mentorship Program,General and Preventive Dentistry,healthy body connection,Implant Dentistry,Minor Tooth Movement,New Patients,Porcelain Veneers,Teeth Whitening,Uncategorized — tntadmin @ 10:33 am

I feel that foreign matter plays a role in contamination of not only the implant fixture threads, but also the implant screw threads. This foreign matter is comprised of blood (body), calculus (body), wax (lab), porcelain powder (lab), metal filings(lab), and stone slurry (lab). I also feel that the screw head may not seat properly in the screw access hole of the screw abutment, crown, and/or bridge prosthesis due to the same contaminants.

Screw loosening/fracture occurs:
1. When dentists and labs don’t recognize this debris as a contaminant.
2. The dentists and labs don’t use a new/unused screw for the final screw.
3. The proximal contacts of the crown and bridgework are too tight, putting excessive lateral pressure on the screw threads.
4. Calculus formation in the threads of loose screws will inhibit the dentist’s ability to remove the screw without fracture.
5. Screw metal surface quality may play an important role. You need to check with the implant manufacturers.

Presoaking the screw access hole with tarter/stain removing solution is my best advice for existing cases. Lab quality control starts with using advanced magnification such as a quality dental microscope. GC

Tooth Wear, Discoloration, Shape Problems, and Alignment Problems- Orthodontic treatment prior to veneering teeth?

April 22, 2012

Filed under: Cosmetic Dentistry,Minor Tooth Movement,New Patients,Porcelain Veneers,Teeth Whitening,Uncategorized — Tags: Boca Raton cosmetic dentistry DDS Dr. Cuomo Florida Gerard Cuomo implant dentistry oral hygiene porcelain veneers teeth whitening CAD CAM Dentistry — tntadmin @ 11:10 pm

Minor tooth movement plays an important role in various cosmetic cases. Todays options include “Smart Moves,” “Invisalign,” “6 Month Braces,” and “Conventional Orthodontics.” It is very important at times to properly position teeth before performing restorative treatment such as porcelain veneers. Veneers include two types: prep veneers and no-prep veneers. Each are used to treat patients with tooth discoloration, tooth shape problems, and tooth alignment problems. The decision on whether or not to reduce tooth structure comes after a thorough smile evaluation, diagnostic waxup, and trial try-on temporary veneers are placed. This way nothing permanently is done until the patient and dentist agree upon whether to include minor orthodonics in the treatment. Other options include cosmetic bonding and contouring. GC

Use of a Water Flosser for Interdental Cleaning

December 11, 2011

Filed under: Implant Dentistry,Minor Tooth Movement,New Patients,Porcelain Veneers,Uncategorized — Tags: Dr. Cuomo, implant dentistry, oral hygiene, porcelain veneers — tntadmin @ 2:16 pm

Interdental cleaning is an important part of a patient’s personal oral care regimen. Water flossers, also known as oral irrigators (WaterPik), can play a vital, effective role in interdental hygiene. Evidence has shown a significant reduction in plaque biofilm from tooth surfaces and the reduction of subgingival pathogenic bacteria from pockets as deep as 6 millimeters with the use of water flossing. In addition, water flossers have shown to reduce gingivitis, bleeding, probing pocket depth, and tartar buildup related to dental implants, porcelain veneers, crowns, orthodontics, as well as natural teeth. GC

New Patient Experience

November 6, 2011

Filed under: CAD/CAM Dentistry,FAU Pre-Dental Society Mentorship Program,Implant Dentistry,Minor Tooth Movement,New Patients,Porcelain Veneers,Teeth Whitening,Uncategorized — Tags: Boca Raton Boca Raton cosmetic dentistry DDS Dr. Cuomo Florida Gerard Cuomo implant dentistry oral hygiene porcelain veneers teeth whitening CAD CAM Dentistry, cosmetic dentistry — tntadmin @ 3:07 pm

The New Patient Exam (as well as all hygiene visits) should include an Oral Cancer Exam. It is painless and quick – it takes only a few minutes. The following questions should be answered for an effective oral head and neck cancer screening to take place.

Did your dentist —

Ask you to removal of any dentures (plates) or partials prior to examining your mouth?
Inspect your face, neck, lips, and mouth for any signs of cancer?
With both hands, feel the area under your jaw and the side of your neck, checking for lumps, bumps, or bruises that may suggest cancer?
Look aand feel the insides of your lips and cheeks to check for possible signs of cancer, such as red and/or white patches?
Have you stick out your tongue so it can be checked for swelling or abnormal color texture?
Use gauze to gently pull your tongue to one side, and then the other, to check the base and underside of your tongue?
Look at the roof and floor of your mouth, as well as the back of your throat?
Put one finger on the floor of your mouth and, with the other hand under your chin, gently press down to check for lumps or sensitivity?

–GC

"Minor Tooth Movement" – Smart Moves

September 3, 2011

Filed under: Minor Tooth Movement,Uncategorized — tntadmin @ 3:30 pm

“Minor Tooth Movement” falls under the category Orthodontics. Many dental offices will offer this procedure as an alternative to full braces. Methods of treatment in our office include the new “Smart Moves” clear retainers which avoid having metal. Usually our patients wear the clear retainers over a period of 8-12 weeks depending on the amount of movement desired.