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Soft Tissue Grafting: A Case Study | Chicago Dentist

Although most people concentrate on the teeth for an attractive, healthy smile, the appearance of the gums cannot be ignored. Because your gums are the “frame of your smile”, an ugly frame will destroy the appearance of a beautiful smile. Knowing this, 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 in actuality, it is 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 dental bridges, 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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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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What You Need to Know About Diabetes and Your Smile | Chicago Dentist

Let’s face it – diabetes is a disease that runs rampant through our great country. So much so, over 29 million Americans suffer from diabetes – and that’s just counting those that have been diagnosed. Who knows the extent of those who haven’t been? But did you know that diabetes is directly affected by our oral health, and vice versa? It’s true. Diabetes is a disease focused on sugar levels, and sugar is terrible for our oral health. Our mouths are the main line of defense to many of our illnesses, so if it becomes compromised, our overall health is affected.

November is National Diabetes Month, so to celebrate, let’s take a look at just how closely diabetes and our oral health is linked. One symptom of diabetes is being excessively thirsty. If you are thirsty, you are not producing saliva, the main defense against bacteria. These bacteria are left to create cavities and other dental issues like gum disease. Bleeding and inflamed gums are common symptoms of gum disease and because diabetes make it harder for wounds to heal, you are more susceptible to more issues if left untreated.

Thankfully, your periodontist will be able to help with this cyclical predicament, but it starts with an appointment. By treating gum disease, you are going to help keep your blood sugar levels in check much easier, as gum disease increases these levels but is rarely taken into account. Proper dental hygiene (including dentures), changing bad habits like smoking and poor diet, and in-office deep cleanings will keep your smiles healthy and diabetes in check.

If you would like more information about diabetes and your dental health, 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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What Is Gum Disease? | Chicago Dentist

We all want a healthy smile, but for many of us, this is not the case. And gum disease is the main culprit in the realm of dental issues. Gum disease is an infection of the tissues that surround your teeth and is a major cause of tooth loss in adults. Because gum disease is typically painless, you may not even know you have it. But what causes gum disease? Plaque is the primary cause of gum disease. However, other factors can contribute to periodontal disease, including:

  • Hormonal changes, such as those occurring during pregnancy, puberty, menopause, and monthly menstruation make gums more sensitive.
  • Various illnesses, such as cancer or HIV, because they interfere with the immune system. Diabetes’ effects on the body’s ability to use blood sugar makes patients with this disease at a higher risk of developing infections.
  • Medications can affect oral health, because some lessen the flow of saliva, which has a protective effect on teeth and gums.
  • Bad habits such as smoking
  • Poor oral hygiene habits
  • Family history

Gum disease may progress without producing obvious signs, even in the late stages of the disease. Although the symptoms of periodontal disease can often be subtle, it can present some warning signs. Certain symptoms may point to some form of the disease. The symptoms of gum disease include:

  • Gums that bleed during and after tooth brushing
  • Red, swollen, or tender gums
  • Persistent bad breath or bad taste in the mouth
  • Receding gums
  • Formation of deep pockets between teeth and gums
  • Loose or shifting teeth
  • Changes in the way teeth fit together upon biting down, or in the fit of partial dentures

If you would like more information about gum disease, 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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DIY Orthodontics: Dream Come True or Too Good to Be True? | Chicago Dentist

We have all fallen victim to do-it-yourself projects and/or products that seemed incredible “at the time”. And more likely than not, we end up with a frustrated pile of what that project should’ve been or the product we swore was revolutionary up on a dusty shelf.

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 DIY dentistry, call Dr. 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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Minimally Invasive Procedure in Soft Tissue Grafting | Chicago Dentist

It is important as a dental professional to give our patients the best experience we can, even when it requires a dental procedure that typically doesn’t have the best reputation – gum recession treatment. We are always looking for minimally invasive approaches for the correction of gum recession to ease the comfort of our patients.

Tunneling procedures have been around in periodontics for decades. These procedures are advantageous because small incisions, similar to the ones used in arthroscopic surgery, are also used to complete these procedures.

I had been working on this particular approach to this procedure for several years. In fact, it was featured at the 2015 meeting of the American Academy of Periodontology. The procedure is carried out by way of a few small incisions above the area of recession.

One of the reasons this procedure is an advancement to the treatment of gum recession is because of the recovery time. Typically, gum recession treatment takes a long time to heal and requires additional visits to the dentist for follow-up treatment. With this variation, dissolvable sutures are used to stabilize the area, allowing the patient to return to their daily practices, such as brushing, very quickly. In addition to a speedy recovery time, the ability to place sutures that will dissolve at different rates is beneficial because there is typically no need to have them removed, making additional dental visits required only in the case of complications arising.

Gum recession is just a fact of life. It is nice to know that treatment doesn’t need to be an unpleasant one.

If you would like more information about soft tissue grafting, call Dr. 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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Soft Tissue Grafting When There Are No 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 in actuality, it is 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 soft tissue grafting, call Dr. 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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Recession and Permanent Orthodontic Retainers | Chicago Dentist

An important component of orthodontic therapy is retaining the teeth in their final position to prevent relapse. This retention is either in the form of a removable retainer or a fixed, permanent retainer. The latter is typically Used on the inside part of the lower front teeth by bonding a wire to the six front teeth. However, not all wires are passive. In some cases, the wire retains tension and will force the teeth out of the bone over time.

We have seen an increased number of cases over the past few years.

The first case (fig 4) shows the recession and the wire along the tongue side. The second case (5-8) shows severe localized recession due to the torqueing motion of the wire.

This patient reported that she had a failed graft done several months before. In reality, the position of the tooth made it virtually impossible for any graft to succeed. This highlights that the most Important part of any treatment is an accurate diagnosis. The third case reflects the same problem.

If you see recession it is time to visit a periodontist. As part of the comprehensive exam, Dr. Cabrera will check all factors that may be contributing to the recession. If a fixed retainer is contributing to the problem, Dr. Cabrera will inform you and make the appropriate recommendation.

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

Dr. Cabrera proudly serves Chicago and all surrounding areas.