Aaron M. Schertzer DDS PC

5445 Telegraph Road
Saint Louis, Missouri 63129
(314) 892 -2120

 

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Posts for: November, 2016

By Advanced Dental Arts
November 18, 2016
Category: Dental Procedures
Tags: dental implants  
KnowtheRisksandBenefitsforSame-DayToothReplacement

While there’s usually a period of months between implant placement and the permanent crown, a new technique known as same-day tooth replacement installs both the implant and a temporary crown during the same visit. But be advised — it does have its risks and isn’t for everyone.

Successful same-day replacements require special attention during the three phases for implants: the removal (extraction) of the existing tooth; placement of the implant in the bone; and attachment of the crown, the visible tooth, to the implant. The tooth extraction lays the foundation for the entire process; the extraction procedure must be performed carefully to avoid undue damage to the socket. In addition, if infection or disease has compromised the site, an implant may not be possible immediately.

The implant must then be placed in the bone so that it’s stable and immovable. All implants stabilize with time as the bone grows and adheres to them, but we need greater stability for a same-day tooth replacement when an extraction is performed.

Our last consideration is positioning the implant so that the attached crown blends in naturally with the surrounding gum tissue and adjacent teeth. We must place it at the proper depth below the gum tissues so that the crown appears to emerge from them in the proper tooth length.

Taking extra care during all these phases, including the angle of crown attachment, will increase our chances of success. We still run a risk of implant damage or failure, however, from biting forces before the implant fully integrates with the bone. This means avoiding chewy foods and other situations that might increase the force on the implant. We may also use a temporary crown that’s slightly shorter than adjacent teeth so it won’t make full contact with the opposing tooth.

If you’d like to know if you’re a good candidate for a same-day tooth replacement, see us for a detailed examination. After reviewing your needs, we’ll be able to discuss with you the risks and benefits for a new look in one day.

If you would like more information on same-day tooth replacement, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Same-Day Tooth Replacement with Dental Implants.”


By Advanced Dental Arts
November 09, 2016
Category: Oral Health
Tags: Toothbrush   Brush  

Find out what you should know before you purchase your next toothbrush.

While how often you brush your teeth and the techniques you use are very important components to keeping your mouth healthy, did you know that the type of tools you use could also have an impact? From the office of our Oakville, MO family dentist, Dr. Aaron Schertzer, adopt these helpful bits of advice the next time you go shopping for a toothbrush.

First and foremost, a soft-bristled toothbrush is always the best way to go. It will still be an effective way to eliminate plaque and food from your teeth but without damaging your enamel. Hard-bristled toothbrushes or brushes that have old, frayed bristles can wear away and damage enamel.

You may not think about it, but factors such as the type of handle, the shape of the toothbrush head and the style of bristles can matter. While all different shapes and sizes will work the same, if you find that a toothbrush with a non-slip grip is easier to maneuver or you find that you get a more effective clean with rippled bristles over the flat kind, stick with what makes you happy and what gets you to brush your teeth.

Some people ask us whether a powered toothbrush will clean teeth better than a manual toothbrush. While our Oakville dentist is happy to recommend electric toothbrushes that could work for you, there is no proof that these toothbrushes are more effective at removing plaque and food from teeth. Of course, those with arthritis or other conditions that make it more difficult to hold or handle a toothbrush might find that a powered toothbrush is easier to use. Again, whatever feels most comfortable to you is the best option.

Remember that a toothbrush doesn’t last forever. You will need to replace it every three months. One way to tell that it’s time to throw out your toothbrush is to inspect the bristles. Do the bristles splay out and look worn? Then it’s time to get a new toothbrush. You should also change your toothbrush after an illness, as bristles can harbor bacteria and cause a reinfection.

Whether you have questions about the type of toothbrush you should use or you need to schedule your routine cleaning, our Oakville, MO general dentist, Dr. Schertzer is here to help. Call Advanced Dental Arts today!


AnyTimeAnyPlaceCamNewtonsGuidetoFlossing

When is the best time to floss your teeth: Morning? Bedtime? How about: whenever and wherever the moment feels right?

For Cam Newton, award-winning NFL quarterback for the Carolina Panthers, the answer is clearly the latter. During the third quarter of the 2016 season-opener between his team and the Denver Broncos, TV cameras focused on Newton as he sat on the bench. The 2015 MVP was clearly seen stretching a string of dental floss between his index fingers and taking care of some dental hygiene business… and thereby creating a minor storm on the internet.

Inappropriate? We don't think so. As dentists, we're always happy when someone comes along to remind people how important it is to floss. And when that person has a million-dollar smile like Cam Newton's — so much the better.

Of course, there has been a lot of discussion lately about flossing. News outlets have gleefully reported that there's a lack of hard evidence at present to show that flossing is effective. But we would like to point out that, as the saying goes, “Absence of evidence is not evidence of absence.” There are a number of reasons why health care organizations like the American Dental Association (ADA) still firmly recommend daily flossing. Here are a few:

  • It's well established that when plaque is allowed to build up on teeth, tooth decay and gum disease are bound to follow.
  • A tooth brush does a good job of cleaning most tooth surfaces, but it can't reach into spaces between teeth.
  • Cleaning between teeth (interdental cleaning) has been shown to remove plaque and food debris from these hard-to-reach spaces.
  • Dental floss isn't the only method for interdental cleaning… but it is recognized by dentists as the best way, and is an excellent method for doing this at home — or anywhere else!

Whether you use dental floss or another type of interdental cleaner is up to you. But the ADA stands by its recommendations for maintaining good oral health: Brush twice a day for two minutes with fluoride toothpaste; visit your dentist regularly for professional cleanings and checkups; and clean between teeth once a day with an interdental cleaner like floss. It doesn't matter if you do it in your own home, or on the sidelines of an NFL game… as long as you do it!

If you would like more information about flossing and oral hygiene, contact us or schedule an appointment for a consultation.