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Is Grafting Possible Without Teeth? | Chicago Dentist

Although most people concentrate on the teeth for an attractive, healthy smile, the appearance of the gums cannot be ignored. It has been said that the gums are the frame of the picture. You can have a nice picture, but an ugly frame will destroy the appearance. We will often use soft tissue to enhance the appearance of the tissue in conjunction with new restorations. The following case demonstrates one such example:

This case illustrates a 35-year old physician who was missing two teeth in the front and had a bridge placed many years ago. She did not like the appearance of the bridge and wanted to replace it. The before photos illustrate how an unsightly indentation in the gum tissue compromised the appearance of the bridge. In addition to replacing the bridge, we wanted to improve the appearance of the tissue in order to improve her “picture frame”. Utilizing minimally invasive tunneling procedures, a collagen graft was placed to build out the tissue and create an appearance that a tooth was present, but it’s missing. The improvement was seen immediately at the time of surgery, and after several weeks in a new temporary bridge, the result is even more apparent. As you can see, we have created the illusion that there are teeth present by simply reconstructing the tissue.

If you find that you have gums that are affecting your smile and self-confidence, soft tissue grafting may just be the solution you’ve been looking for. Not only will it improve the look of your gums but will also give you a discreet way to bring back a reason to smile.

If you would like more information about tissue grafting, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Peter O. Cabrera proudly serves Chicago and all surrounding areas.

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When It’s Time for a Gum Graft | Chicago Dentist

There is little more deflating to your smile than receding gums. Not only does it change the look of your smile, but it can also cause your overall demeanor to change as well. But for many of us, it can’t be helped – gum recession often goes hand-in-hand with the aging process or genetics. It’s really disheartening as we love to show off our smiles. Worry not – the dental industry has addressed this issue and it doesn’t have to be as invasive as it once was.

The goal of correcting gum recession is to rebuild the lost tissues and, where possible, cover the roots. It is important to fix this dental issue before more extreme dental issues develop. One of the earliest treatments published was the connective tissue graft introduced in the early 1990’s and can be seen in an article published by Dr. Cabrera in The Journal of the American Dental Association in 1995.

But what does this treatment option entail? This procedure is essentially plastic surgery in the mouth. A very small opening is created either on the roof of the mouth or behind the last upper teeth. The tissue is then secured to the area of recession with small (slightly bigger than a human hair) sutures (stitches). In most cases, recovery is uneventful, requiring no more than over-the-counter medication.

This approach has been refined over the years. Today, we also employ a number of procedures classified as tunnels, which use very small incisions to accomplish the surgery. So, as you can see, there is no reason to hide your smile from the world because of receding gums – visiting your dental professional can easily repair the look of your smile and the health of your gums.

If you would like more information about gum grafting, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Peter O. Cabrera proudly serves Chicago and all surrounding areas.

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All Is Not Lost for Lost Teeth | Chicago Dentist

Because our smile is the first thing a stranger sees upon meeting us, it is a real bummer when we have a tooth that has become rotted, broken or lost. It becomes an issue, not only socially, but it can also cause issues speaking and other daily activities. To be fair, it doesn’t matter how you lost your teeth, the important issue is getting it fixed as soon as possible in order to deflect any further dental issues, like an increased risk for gum disease, malocclusions, jaw pain, etc. But how does a flawed tooth get repaired? There are actually quite a few options, depending on your individual set of circumstances. Here’s a quick review:

Dental implants. Because they’re surgically implanted, dental implants offer a long-term and durable solution to those who have a few missing teeth. The typical process of getting an implant involves three stages that take place over several weeks and even months. The implant is surgically buried, the implant is checked for proper integration and the dentist installs the prosthetic tooth with new teeth.

Bridges. Dental bridges are, basically, dental appliances used to bridge the gap left by missing teeth by relying on the adjacent teeth for support. The effect on the adjacent teeth is something worth taking note of if you plan to get a dental bridge to replace your missing teeth.

Dentures. For those who are missing more than a couple of teeth, dentures may be your only hope. Dentures are removable appliances with artificial teeth and come in as partial dentures and full dentures.

If you would like more information about options for missing teeth, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Peter O. Cabrera proudly serves Chicago and all surrounding areas.

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Stop Receding Gums with a Tissue Graft | Chicago Dentist

There is little more deflating to your smile than receding gums. Not only does it change the look of your smile, but it can also cause your overall demeanor to change as well. We all want a great smile to show off. Unfortunately, it is a fact of life as we age. Worry not – there is a solution.

The goal of correcting gum recession is to rebuild the lost tissues, and where possible, cover the roots. It is important to fix this dental issue before more extreme issues, like infection or gum disease, arise. One of the earliest treatments published was the connective tissue graft introduced in the early 1990’s and can be seen in an article published by Dr. Cabrera in The Journal of the American Dental Association in 1995 titled The Connective Tissue Graft, and later reprinted in The Canadian Dental Journal.

But what does this treatment option entail? This procedure is essentially plastic surgery in the mouth. A very small opening is created either on the roof of the mouth or behind the last upper teeth. The tissue is then secured to the area of recession with small (slightly bigger than a human hair) sutures (stitches). In most cases, recovery is uneventful, requiring no more than over-the-counter medication.

This approach has been refined over the years. Today, we also employ a number of procedures classified as tunnels, which use very small incisions to accomplish the surgery. So, as you can see, there is no reason to hide your smile with receding gums – just need to consult with your dentist.

If you would like more information about connective tissue graft, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Peter O. Cabrera proudly serves Chicago and all surrounding areas.

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Don’t Try This at Home | Chicago Dentist

During this pandemic, many of us have tried new DIY options of living life. Some have learned to bake bread, others various Tiktok dances with their children. But whatever you tried to do during this pandemic, it was something homemade and hit-or-miss.

A popular trend that has slipped its way into our culture is DIY dentistry, but it has progressed further than tying a loose tooth to a door with string. No, now patients are forgoing their dentist and trying to straighten their teeth. The patient takes their own molds or goes to a local facility to have scans taken by non-dental personnel, who then produce clear aligners for their teeth.

Although it may seem like going to the dentist or orthodontist is a thing of the past, take a minute to really think about what is actually going on – it may not be what you think…

Because you do not consult a dentist or orthodontist, you may actually cause more damage because you are unaware of how teeth move. Moving teeth is a slow process and should never be rushed. If moved too quickly, your teeth’s roots may not be able to support biting pressure, in addition to loosened teeth, joint problems and headaches. And though your teeth straighten, if pushed outside of the bone, the result can be extensive gum recession and eventual tooth loss.

It may seem too good to be true, and that’s because it is. Your smile is important and should be taken seriously. Seek competent help and guidance from a well-trained dentist or orthodontist. It may seem like a shortcut but may end up being more costly than the immediate benefits.

If you would like more information about cold weather health tips, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Peter O. Cabrera proudly serves Chicago and all surrounding areas.

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Do You Grind Your Teeth While You Sleep? | Chicago Dentist

Have you noticed that your jaw is sore when you wake up? Does your significant other notice that you are grinding your teeth? It is estimated that 30-40 million Americans are affected by what is known as bruxism. Clenching causes pressure on the muscles, tissues, and other surrounding structures of the jaw, which can cause jaw joint disorders, headaches, neck pain, jaw pain, ear pain, tense muscles, and excessive wear on the teeth. The cause of bruxism is not completely known, but many agree that stress and anxiety play a major role. Bruxism can cause damage to the temporomandibular joint (the hinge that connects the lower jaw to the upper jaw) if not properly treated. 

So, what is the treatment? Stress reduction and anxiety management are methods used to treat bruxism and reduce the symptoms, but a dental night guard is the most commonly used treatment method. A night guard is a horseshoe-shaped, retainer-like, plastic appliance with shallow borders that can be worn on either the top or the bottom teeth. It is intended to protect the teeth from the pressure of clenching and grinding by having a protective cushion between the upper and lower teeth. A nightguard is a simple and affordable decision for protecting your teeth and jaws from the damaging effects of bruxism. When properly made by your dentist, it can help reduce clenching, grinding, and TMJ problems by helping to relax the muscles in the jaw.

If you would like more information about bruxism, call Dr. Peter O. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Cabrera proudly serves Chicago and all surrounding areas.

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Halloween and Your Braces | Chicago Dentist

October is National Orthodontic Health Month, and coincidentally, Halloween. (I know…How did that happen?) So, in honor of these two fantastic occasions, let’s do a quick run-down of what to expect from this scary holiday if you do decide to not look after your braces, because the consequences will be more frightening than the holiday itself. When we get our braces put on, we are warned that there are certain foods we will have to forgo while our braces are fixing our smile. Popcorn, nuts, gum and all hard, sticky or chewy candies are pure evil on your mouth’s delicate appliances.

Hard candy, like lollypops or Jolly Rancher, are a favorite because they last a while if we suck on them. Having the sugar linger around in your mouth as the candy dissolves makes it easier for cavities to form. And if you chomp on them, you can run the risk of breaking off one of your brackets or chipping an actual tooth. Chewy candies, like a gummy bear or a jellybean, have similar results but have a tendency to get stuck in the crevices of your molars, making a perfect hideout for cavities. Sticky candy, like caramels or chewing gum, are some of the worst treats of all. Not only can they pull off a bracket from your tooth, but they can burrow within your molars as well, making them basically a sweet combination of the two others. There are also candies on the market that are sour than they are sweet and are an absolute favorite with all kids today. The sourness is actually acidic and can break down your tooth’s enamel, making them more prone to decay, so try to limit these candies the most. Have a happy Halloween!

If you would like more information about caring for your braces, call Dr. Peter O. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Cabrera proudly serves Chicago and all surrounding areas.

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Pulling a Fast One on Your Dentist | Chicago Dentist

While cavities and plaque build-up may be what’s on your mind before a teeth cleaning, your dentist is looking for a whole lot more. Often, diseases like cancer, anemia and diabetes will first be identified by the dentist in a regular examination, and this can save lives. Take a look at things they can see:

You don’t floss regularly. Sorry, but you can’t fool your dentist into thinking you floss daily by doing so the night before or morning of your visit.

You’re pregnant. Nearly 40% of women will develop gingivitis during their pregnancy. This is caused by increased progesterone, which facilitates the growth of bacteria, causing gingivitis.

Thumb sucking. Most children who sucked their thumbs past the age of seven or eight may show significant changes to their bite or the position of their teeth.

You have bad breath. General bad breath is categorized as halitosis. But fruity breath could indicate uncontrolled diabetes or a dietary fast that has gone too far, while fishy breath could be a sign of kidney or liver failure.

Eating disorders. Many patients are surprised that their dentist is the first one to ask about eating disorders. Bulimia exhibits a very distinct pattern of tooth wear that your dentist can easily identify.

Oral cancer. The first signs of oral cancer can be seen from the following: unexplained bleeding in the mouth, white, red, or speckled patches in the mouth, a change in the way your teeth fit together, swellings, thickenings, lumps or bumps or eroded areas on the lips, gums, or other areas inside the mouth.

You love soda and energy drinks. That teeth can be softened by sodas, energy drinks and other sugary beverages over time, which may make a tooth enamel more susceptible to chipping.

If you would like more information about dental hygiene, call Dr. Peter O. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Cabrera proudly serves Chicago and all surrounding areas.

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What Are Gums Anyway? | Chicago Dentist

We all know our smile is basically composed of lips, teeth and gums. A set of bright white teeth and a pouty lip, and you’ve got yourself a great smile. But what are our gums? Today we will discuss the basics of what our gums do and how we can keep them nice and healthy our entire lives.

Gum tissue serves two main purposes: it provides a seal around teeth, keeping bacteria away from the tooth root, and it provides physical support for the tooth, helping keep the tooth firmly in its socket. One of the most significant risks of periodontal disease is loss of gum tissue – as bacteria from plaque and tartar spreads beneath the gums, it damages bone and gum tissue, leading to a number of problems.

Dentists and periodontists will advise patients to have professional cleanings to help minimize the likelihood of developing periodontal disease. If they determine that periodontal disease is becoming a problem, they’ll likely advise corrective action such as scaling and root planning, where plaque and tartar is physically removed from the roots of the teeth beneath the gum-line, removing the damaging bacteria and giving the gums an opportunity to heal. In some cases, however, the gum tissue will recede, exposing the roots of the teeth. In these cases, periodontists will recommend a procedure to replace gum tissue over the tooth root (such as gum grafting) to help restore the barrier around the tooth root and protecting the tooth’s long-term health.

If you’re experiencing bleeding, sore, inflamed gums, be sure to speak to a dentist or periodontist soon, so that you can minimize the risk of damage to gum tissue.

If you would like more information about gum recession, call Dr. Peter O. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Cabrera proudly serves Chicago and all surrounding areas.

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Pinhole Surgical Technique: What You Need to Know | Chicago Dentist

No one wants receding gums, but unfortunately, it’s a fact of life. Fortunately, there is a way to repair the issue without having to use painful gum grafting. Pioneered by Dr. Chao, the Pinhole® Surgical Technique is a new way to repair gum recession through a pinhole-sized incision, rather than having to cut. This new technique will not only reduce discomfort grafting surgery can do, but also cut down recovery time. Here are some of the common questions asked:

Is gum recession something that you see often? If it isn’t a painful result, chances are patients won’t address the issue. Before the Pinhole Surgical Technique, a lot of people are put in a dilemma of whether they should fix it with a very painful, drawn out gum grafting procedure, try to ignore it, or try a temporary fix by placing a filling on the exposed root.

How long does the standard gum grafting procedure take? The standard procedure requires cutting out a graft of the gum from the palate and grafting it to where it’s needed. To delicately cut and remove the graft tissue and attach it with sutures takes about an hour to an hour and a half for just one or two teeth. But what is more drawn out is the recovery time, which could two or three weeks. With Pinhole Surgical Technique, there is no gum grafting anymore. A pinhole is made by a needle, so there’s no scalpel or cutting at all. Then we shift the tissue down with very little trauma to the tissue.

Will I have to do this often? This is expected to be permanent and lasts as long as any other procedure. Maintenance will keep the procedure intact.

If you would like more information about Pinhole Surgical Technique, call Dr. Peter O. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Cabrera proudly serves Chicago and all surrounding areas.