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How Old Is Too Old for Dental Implants?

January 22nd, 2020

Thanks to today’s advances in dental technology, we can replace missing teeth with implants for a smile that looks healthy, natural, and complete. If you’re worried that you’re too old for dental implants, good news! While younger patients must wait until their jaw bones are completely developed before implant surgery, there is no upper age limit for dental implants.

In fact, studies have shown that patients aged 65 and over have high rates of successful implantation, long-term implant retention, and minimal complications. Of course, as our bodies age, there are changes that take place. And some of these changes can make an implant procedure more challenging.

Fortunately, oral surgeons like Dr. Abari and Dr. Will have the training, experience, and advanced techniques to make implants possible even in challenging circumstances. Two important concerns for older patients are bone density and healing ability. What can Dr. Abari and Dr. Will do to address these concerns?

  • Bone Grafting

A complete tooth replacement consists of an implant that serves as a “root” to anchor the tooth in the bone, an abutment that is secured in the implant and extends above the gum line, and a crown restoration that is attached to the abutment.

Dr. Abari and Dr. Will will drill a small hole in the jawbone for the implant and carefully place it in position in the jaw. Over a period of months, this implant will become integrated into the bone just like a natural root. You can see why one of the most important requirements for a successful implant is having enough healthy bone in which to anchor it.

But after losing a tooth, the bone under the missing tooth gradually shrinks without the pressure and stimulation of chewing. As time passes, more bone loss occurs.

If there is not enough bone size and density to support an implant, you can still regain the structure you need for success with surgical bone grafting. This is a type of surgery which uses your own bone, a synthetic grafting material, or a processed bone grafting material to repair and replace damaged bone. After approximately three to four months of healing, the jawbone has recovered enough volume and density to accept an implant.

And one wonderful bonus? An implant gives your jawbone the same pressure and stimulation that your natural tooth did, preventing future bone loss.

  • PRP Treatment

One consequence of aging is that older bones simply don’t heal as rapidly as younger bones.  If this is a concern for you, an encouraging new treatment for implants in older patients is Platelet-Rich Plasma (PRP). This plasma is rich in platelet growth factors and has shown promising results in bone and tissue regeneration as well as faster healing.

After drawing a small amount of your own blood, the blood is immediately centrifuged to separate and collect the platelet-rich plasma. This plasma is then mixed with bone grafting material. And, because the PRP is composed of your own blood cells and plasma, there is no chance of rejection, reaction, or disease transmission.

If you have any concerns about your age, the implant procedure, bone health, healing time, or any other issue, talk to Dr. Abari and Dr. Will.

After all, as oral surgeons, we are specialists. We have a minimum of four years of surgical education and training in a hospital-based residency program. We train with medical residents in advanced studies, which include general surgery, anesthesiology, internal medicine, plastic surgery, and otolaryngology (the study of the ear, nose, and throat). We are experts not only in implant procedures, but in adapting procedures successfully for your individual needs.

There is nothing like the look and feel of a natural smile. Make an appointment at our San Dimas or Diamond Bar, CA office to talk about dental implants. After all, a healthy, attractive smile is something we deserve at any age.

Taking Charge of Your Dental Health

January 15th, 2020

Now that you’re a teenager, you have a lot more responsibility and independence. Choosing high school classes and electives. Getting a driver’s license. Landing your first job. And those new responsibilities extend to your dental health as well!

  • Braces

If you’ve just gotten braces, you might feel a bit overwhelmed. Learning how to brush and floss effectively, attaching rubber bands several times a day, keeping track of your hours if you’re wearing clear aligners—it can seem like a lot. But you can do it! With time and practice, caring for your braces will become just another part of your daily routine. Dr. Abari and Dr. Will and our team are here to make sure you have all the information and tools you need to succeed. The most important thing to remember is that the better you follow our instructions, the quicker and more effective your orthodontic treatment will be.

  • Retainers

If you’ve successfully completed your orthodontic treatment, dealing with your retainer should be a piece of cake! We will give you clear instructions on how long each day you should wear your retainer. Sticking to this schedule is really important--if you don’t wear the appliance as directed, you can undo some of the progress you’ve worked so hard to make. And when you’re not wearing your retainer, be sure it has a safe life outside your mouth. Keep it in a protective case, and keep it someplace where the puppy/the washing machine/the cafeteria trash bin won’t find it.

  • Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! Whether you have an over-the-counter device or a custom fabricated guard, it won’t do you any good hiding in your locker. A mouthguard cuts down on tooth and facial injuries caused by falls, physical contact, or other accidents that might happen in your active life. And if you wear braces, ask about a mouthguard designed to fit around them. These custom devices protect your braces and your mouth.

Finally, remember that sticking with your dental routine—two minutes of brushing morning and night and thorough flossing each day—will keep your gums and teeth healthy throughout your teen years. And, if you have any questions about your dental health in general, or a specific dental concern, give our San Dimas or Diamond Bar, CA office a call! We’re here to work with you for a lifetime of beautiful smiles.

Sleep Apnea and Oral Surgery

January 8th, 2020

If you’re suffering from sleep apnea, you already know the short-term consequences. Your nights are marked by snoring, gasping for breath, and waking up dozens of times each sleep cycle. Your days are no more enjoyable. You might be plagued by drowsiness, morning headaches, sore throats, dry mouth, memory problems, depression, and decreased libido.

And the long-term consequences can be even more serious. Obstructive Sleep Apnea (OSA) has been linked to high blood pressure, stroke, dangerous responses to medication or anesthesia, and falling asleep while working or driving.

In other words, OSA can have devastating consequences for your health and your quality of life.

You may have already tried out various non-surgical options. Perhaps your doctor has suggested behavior modification, oral sleep appliances or splints, Positive Airway Pressure machines—these and other methods have proven very helpful for some sufferers. But if these options don’t work for you, it could be time to talk to Dr. Abari and Dr. Will about OSA surgery.

Obstructive sleep apnea is caused by an obstructed airway. The throat muscles may relax as you sleep and make it impossible to inhale fully with each breath. Or you may have a physical condition such as a large tongue, enlarged tonsils or excess throat tissue that blocks the free passage of air into your lungs. The size and position of your jaw can affect breathing as well, or your nasal passages may be involved.

In other words, Obstructive Sleep Apnea can be caused by a complex set of variables as air attempts to travel from nose to lungs, so your individual OSA diagnosis and treatment will vary depending on your individual anatomy. For this reason, an oral and maxillofacial surgeon like Dr. Abari and Dr. Will is the specialist you need.

Oral surgeons pursue advanced studies for a minimum of four years in a hospital-based residency program. There, they train with medical residents in the fields of general surgery, anesthesiology, internal medicine, and other specialties with a specific focus on the bones, muscles, nerves, and skin of the face, mouth, and jaw.

Because your anatomy is unique, Dr. Abari and Dr. Will will first carefully assess the causes of your breathing obstruction and, if surgery is indicated, will recommend a procedure or procedures tailored to treat your specific needs.

Among the specialized surgical procedures used to treat OSA are:

  • Nasal Surgery—treats a variety of nasal passage obstructions such those caused by a deviated septum or a nasal valve collapse
  • Uvulopalatopharyngoplasty (UPPP)—removes or remodels excess tissue in the area of the soft palate and throat
  • Pillar Procedure—a minimally invasive procedure which uses small implants to reinforce the soft palate and reduce vibration in the tissue
  • Tongue Base Reduction—excess tissue can be removed surgically, or shrunk through the application of radiofrequency waves
  • Genioglossus Advancement (GGA)—the tongue muscle is moved forward and tightened to prevent the tongue from collapsing backward during sleep
  • Hyoid Advancement/Suspension—the small bone above the Adam’s apple is repositioned to expand the airway and prevent upper airway collapse
  • Maxillomandibular Advancement (MMA)—the upper and lower jaws are moved forward surgically to open the upper airway, after which the jawbone is stabilized in its new position.

These and other surgical procedures may be performed in a hospital or in our San Dimas or Diamond Bar, CA office, with traditional surgical techniques or using technologies such as radiofrequency waves, and can be minimally invasive or require a hospital stay.

It’s important to note that surgery is not always the solution to OSA, but we are uniquely qualified to diagnose the cause of your OSA and to recommend the most promising treatments, surgical or non-surgical.

If you—or a partner, family member, or friend—have noticed that you suffer from thunderous snoring, or episodes of gasping for breath, or that you wake up dozens of times each night, it’s a good time to make an appointment at our San Dimas or Diamond Bar, CA oral surgery office. It could be the solution of your dreams!

I brush my teeth regularly. Why do I need to floss?

January 1st, 2020

Brushing your teeth regularly is one of the most crucial parts of maintaining good oral health, and perhaps the most fundamental, however, there are also other elements involved. Flossing, for instance, is also vital; some experts would say, and Dr. Abari and Dr. Will and our team would agree, that it holds just as much importance as brushing your teeth. To give you a better idea of why, here are some reasons that flossing is so vital to your oral health.

Getting in-between the Teeth

While brushing your teeth effectively cleans all of the areas of your teeth that are visible, or otherwise not touching, flossing is vital because it reaches all of the areas between your teeth that you cannot see, and subsequently cannot clean using a toothbrush. These areas are among the most sensitive and vulnerable parts of your mouth because they are most susceptible to plaque and tartar buildup.

Reducing Bad Breath

It is not uncommon for someone who brushes their teeth once or twice a day to still have bad breath. The reason being is that bad breath is often created by smelly bacteria that lives in between your teeth, as well as other areas of your mouth that are not accessible using a toothbrush. And that is why flossing is one of the best ways to reduce or eliminate bad breath. Still skeptical? Try flossing your teeth with unscented floss, then smell it after, that awful scent is the source of your bad breath. Coupled with frequent brushing of your teeth, you will find that flossing can really help that stinky breath.

Brushing your teeth twice a day is hard enough, add flossing on top and it can be difficult to establish a regular habit. However, doing so is totally worth it; just look at the aforementioned reasons why. Use these for motivation the next time you don’t feel like flossing, and let us know if it worked at your next visit to our San Dimas or Diamond Bar, CA office.

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Dr. Abari is the best orthodontist ever. My son, Michael, has the most beautiful teeth ever! — Denise F.

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We mostly went to the San Dimas office but the staff is helpful at both locations. My son's teeth look great and we are looking forward to working again with them. Thank you Dr. Abari  —Maya H.

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Loved my experience at Abari and I am thankful for the new & amazing smile that they helped me achieve!!! — Hannah

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