Am I a bone grafting candidate?

I have some questions about dental implants and bone grafting. I’m trying to find out if I’m a good dentist for bone grafting because I need to have three dental implants placed.

I want to research this topic a bit more because I have already had a bridge done when I was 16 years old and at 42 am noticing bone loss.

-Ruth from Tennessee


To be a good candidate for bone grafting, generally speaking you need to be in good physical health. Other that that, it all comes down to the examination, x-rays, and CT scans.

Be sure you visit a dentist that is very experienced in placing dental implants. To do dental implants well, a dentist must pursue extensive training beyond dental school. When you are researching your dentist, check out their biography and see if they have completed the extra training required and are affiliated with professional organizations dedicated to dental implants. For example, the International Congress of Oral Implantology or the American Academy of Implant Dentistry are quality organizations that dedicate themselves to providing the extra training dentists need. Or the Academy of Osseointegration is another membership that would attest to the particular dentists credentials.

I hope this informaiton was helpful.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Related links: Dental implant vs. bridge, partial dentures, facial collapse

Is the rash on my face from my filling?

I have a broken back tooth that was previously filled with a black filling. Since then I have a rash and much itching on the outside of my face where the broken tooth is. There is also a round ringlike circle on my face. Should I be worried??? I am having it crowned in another month or so.
– Louise from Wisconsin

I don’t think the rash, itching, and circle on your face have anything to do with your filling. While sometimes people are allergic to filling materials and materials used in crowns, the reaction is usually confined to inside the mouth, like the gum tissue that touches the filling.

And when you talk about a black filling, I’m guessing that this is an old, corroded silver filling. They are called silver fillings, but they are actually about half mercury and slightly less than half silver, with some copper, tin, and other possible metals in the mix. Some people worry about the health risks of fillings that contain mercury, but those worries are over suble, long-term effects. I am not aware of any reports associating amalgam fillings with a rash on the face.

If this rash appeared right after your dental appointment, it’s possible that you have an allergy to the latex in the gloves the dentist used.

This blog sponsored by Cleveland implant dentist Dr. Brad Hylan.

Read more about mercury-free dentistry.

Snap-On Smile and Snap-It Appliance

Can snap on smile be used over a bridge? I have a bridge with 10 teeth, two broke off and my dentist cannot make them stay on. Replacing the bridge is financially prohibited. I am diappointed in the “partial” he made bad color and I cannot speak properly
– Gina from New Jersey

Sorry to hear about your broken dental bridge. That’s one problem with long bridges – when something breaks you have to replace the whole thing. For that reason, often dental implants last better. But if you can’t afford to replace the bridge right now, you probably won’t be able to do the dental implants, either.

Yes, a Snap-On-Smile can be used over a bridge and could replace the missing teeth that have broken off the bridge. I couldn’t tell you for sure if it would work for your specific situation without seeing you, but the general answer is yes, the Snap-On Smile can be used in situations like that. It will fill in the missing teeth and snap over your bridge any any other natural teeth. Whether or not it will work depends on how solid the rest of the bridge is.

Another option for replacing missing teeth is also made by Den-Mat, and it is called the Snap-It appliance. It’s less expensive than the Snap-On Smile, and it’s designed only to replace missing teeth, not to cover over existing teeth. It is more comfortable than the partial denture you have because it only replaces the missing teeth and snaps onto the adjacent teeth. You do have to be careful with it, though, because it’s small enough to swallow.

But I would think your dentist could make your partial the right color and make it at least comfortable enough so you could speak properly. I don’t understand the problem there.

This blog sponsored by Cleveland implant dentist Dr. Brad Hylan

I have a missing tooth & a deformed one


I was born missing a tooth, actually it was tooth number seven. Also, my number 10 tooth is deformed and recessed. It’s been over 10 years ago now that my dentist gave me a dental flipper to replace my missing tooth. This treatment came after I had braces. I’m looking for something more permanent. Can you make any recommendations?

-Jennifer in Utah


From what you have described, I assume that the teeth that surround your missing tooth are healthy. If this is indeed the case, dental implants are very highly recommended. They are the closest thing to a real tooth and prevent jaw bone loss down the road. Or you could have a dental bridge placed. The issue here is that the two teeth next to the missing tooth would need to be prepared and this procedure could put a strain on them. If they are healthy now, it wouldn’t be ideal to compromise them.

A porcelain veneer or porcelain crown are both excellent options to fix your deformed tooth. For this work, I’d recommend an expert cosmetic dentist. Cosmetic dentistry is an art and dentists must undertake extensive training after dental school to perfect it.

I hope this information was helpful.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Links: missing several teeth, missing all teeth