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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 Is Time to See a Periodontist | Chicago Dentist

While you have a great chance of developing gum disease at some point in your life, there are times when you need to seek out the help of a specialist. A periodontist is a dentist specializing in the prevention, diagnosis and treatment of infections and diseases in the soft tissues surrounding the teeth, and the jawbone. If you experience any of these signs and symptoms, it is important that you schedule an appointment with a periodontist without delay:

  • Bleeding while eating or brushing
  • Bad breath
  • Loose teeth and gum recession
  • Gangrene in the tissues
  • Related health conditions

Before initiating any dental treatment, the periodontist will conduct an examination of the gums, jawbone and general condition of the teeth. Once diagnosed, the periodontist has a number of surgical and non-surgical options available to treat the underlying infection, and together you will come up with a treatment plan to repair any damage that has or may happen in the future.

Gingivitis/mild periodontal disease. When the gum pockets are large, the periodontist or hygienist may perform scaling and root planing to remove debris from the pockets and allow them to heal

Moderate periodontal disease. Larger gum pockets require a more extensive scaling and root planning cleaning might be required and will be performed under local anesthetic.

Advanced periodontal disease. When gum pockets are accompanied by bone loss and gum recession, scaling and root planning will always be performed as the initial nonsurgical treatment and may require surgical treatment to reduce pocket depth.

Tooth loss. Where one or several teeth are missing due to periodontal disease, dental implants are an effective option if the bone is strong enough. However, bone grafts may be performed by the periodontist to provide a suitable anchor for the new tooth/teeth.

If you would like more information about gum disease, 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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Reasons You May Have Gum Disease | Chicago Dentist

Gum disease is an infection of the tissues that surround your teeth. It 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, which makes it easier for gingivitis to develop.
  • Various illnesses may affect the condition of your gums. This includes diseases 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, including periodontal disease and cavities.
  • 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 make it harder for gum tissue to repair itself.
  • Poor oral hygiene habits such as not brushing and flossing on a daily basis, make it easier for gingivitis to develop.
  • Family history of dental disease can be a contributing factor for the development of gingivitis.

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. But even if you don’t notice any symptoms, you may still have some degree of gum disease. In some people, gum disease may affect only certain teeth, such as the molars. Only a dentist or a periodontist can recognize and determine the progression of gum disease.

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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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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Dental Implants: The Cure for Shifting Dentures | Chicago Dentist

As we progress in age, it is possible that some may require dentures, especially if we don’t have good dental hygiene routines. There problem is that many find wearing dentures to be cumbersome, as they tend to need a lot of maintenance and have a tendency to shift around inside the mouth. This ill-fitting fix to our dental issues not only leads to discomfort and soreness but can even affect our self-confidence.

Thankfully, implantology has progressed to the point that denture issues are a thing of the past. Now dentures can be attached to the mouth with dental implants. During this surgery, your periodontist will place dental implants that vary in size depending on the patient’s anatomy. Patients usually can function well with two implants on the lower while more implants are typically needed on the upper as the bone is softer. This is especially beneficial to those that have difficulty wearing dentures due to their sensitive gag reflex. Upper implants allow the roof of the denture to be removed because it is fixed to the upper jaw.

Now for the advantages – not only will wearing dentures become a whole lot less cumbersome, but this  procedure is affordable and minimally invasive. For best and long lasting results, the surgery is performed by a well trained surgical specialist, the periodontist in collaboration with your dentist.

If you are considering dentures to improve your smile, discuss your options with your periodontist. You could be the perfect candidate for implants.

If you would like more information about dental implants, 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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Diabetes and Oral Health: Closer than You Think | Chicago Dentist

Diabetes is a disease that runs rampant through our country. So much so, over 29 million Americans suffer from diabetes – and that’s just counting those that have been diagnosed. Because of this, it is no surprise that many of us are focused on keeping ourselves healthy as much as possible. 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. See, how this can become an issue? 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, 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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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.